The Challenge

Stroke is the leading cause of severe disability. Worldwide, 15M people will suffer a stroke each year. Fortunately, there are effective treatments for severe ischemic stroke: medical treatment (thrombolysis) and Endovascular Therapy (EVT).

While medical therapy is available at most acute stroke centers, EVT availability has been centralized to large hospitals with specialized equipment and personnel.

Minutes matter to stroke patients – time is brain.

Is it better for patients to bypass a non-EVT capable centre in favour of an EVT equipped centre, or should they receive medical therapy as soon as possible and then be transferred to an EVT hospital?

The transport decision is context specific!

The Solution

Through years of published research, DESTINE has developed a decision support tool that optimizes patient outcomes by identifying the best destination for suspected stroke patients.

DESTINE’s sophisticated algorithm incorporates the progression of the disease with geographic and health system variables. The tool creates population-level easy to read transport maps that are cloud-accessible, regionally customized, and evidence-based. Learn more about the science behind DESTINE Health here.

Using DESTINE Health will:

  • Give you confidence that your EVT access strategy is evidence-based.
  • Save significant downstream costs within the health system by maximizing good patient outcomes.
  • Get more patients home to their families.

The Software

DESTINE is a web-based interactive tool that allows users to enter your health system’s parameters, (specific hospital treatment and transfer efficiencies), in order to produce maps of your local area showing the best transport routing for stroke patients to access endovascular therapy (mothership vs. drip and ship). Furthermore, the analysis can be customized for different paramedic stroke screen tools (e.g. FAST and LAMS). This enables health systems to develop evidence-based geo-specific transport protocols for effective use of their current acute stroke systems and visualize ways to optimize them in the future. No integration with existing IT is required.

California map produced by DESTINE Health.

“These maps allowed SNIS greater certainty in putting forth legislation on the best transportation method for stroke patients. Additionally, these maps also provided impetus for designated stroke hospitals to improve their efficiency of treatments, and which hospitals are best to focus on based on geography.”
— Marie Williams, CAE (SNIS, Executive Director)

Executive Team

Noreen Kamal

Noreen Kamal

PEng, PhD

Co-Founder and Chief Technology Officer

Noreen is an engineer and researcher with a specialization in interactive visual analytics and human-computer interaction. She brings years of experience in private industry and over a decade of experience in improving health care systems.

Jessalyn Holodinsky

Jessalyn Holodinsky


Co-Founder, Chief Scientific Officer and Chief Executive Officer

Jessalyn is an epidemiologist specializing in predictive modelling for stroke outcomes. She developed the science behind DESTINE as part of her PhD dissertation. She has become a sought after speaker in the area of acute ischemic stroke patient transport for local and international conferences.

Scientific Advisory Committee

Dr. Michael Hill

Professor, Cumming School of Medicine, University of Calgary; Stroke Neurologist, Foothills Medical Centre

Dr. Mahesh Jayaraman

Associate Professor, Warren Alpert Medical School of Brown University; Director Neurovascular Center; Sr Member, Society of NeuroInterventional Surgery

Dr. Michael Mazya

Consultant in Neurology, Karolinska University Hospital; Chair, Swedish Acute Neurology Society

Dr. Ryan McTaggart

Associate Professor Warren Alpert Medical School of Brown University; Director Interventional Radiology

Dr. Bijoy Menon

Associate Professor, Cumming School of Medicine, University of Calgary; Stroke Neurologist, Foothills Medical Centre

Our Clients

We are proud to have the following businesses and communities as our premier clients currently implementing our stroke triage mapping software and creating better Acute Ischemic Stroke patient care protocols.

Health and Social Care Board of Northern Ireland
Belfast, United Kingdom

Hyogo College of Medicine
Nishinomiya, Japan

Karolinska University Hospital
Stockholm, Sweden

Society of NeuroInterventional Surgery
Fairfax, Virginia, USA

Universitätsklinikum Hamburg-Eppendorf (UKE)
Hamburg, Germany

Vestre Viken Hospital Trust
Viken, Norway

Contact DESTINE Health

To contact us, please send us an email at