Piedmont Healthcare is a large hospital system in the Atlanta area, four of their hospitals are DNV GL Healthcare certified stroke centers – a designation they have held for the last 5 years. Since the date of certification and with each annual survey, the hospitals have experienced substantial growth through improved delivery of safe and top-notch quality stroke care. Discussion centers on the process of achieving a DNV GL Stroke Program Certification and how certification has positively impacted the Piedmont Healthcare System.