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Partner

These resources that support partnership development or coalition building with hospitals, EMS agencies, and post-hospital organizations.

• Use this PPT presentation to learn about the community paramedicine program in Coweta County, Georgia.
• This website was developed by a coalition of experts and dedicated to the Michigan Stroke Initiative that addresses the burden of stroke in the state.
• Hospitals can use this toolkit to help build a stroke program at their site. It includes Brain Attack Coalition's recommendations for basic stroke care, guidance from HA, tips for self-assessment, and use case examples.
• Share this home page for the Wisconsin State Coalition, which is dedicated to reducing the burden of stroke, improving patient outcomes, and supporting a healthy population.
• Use this PDF template of the Coverdell Stroke Care Partner Agreement for State of Wisconsin partners to sign on to participate in the Coverdell program or adapt to use in your own partnerships.
• Use this PDF template for the Coverdell Stroke Champion Agreement for State of Wisconsin hospitals to sign on as champions or adapt to use in your own partnerships.
• Use this Hospital Participation Guide from the Wisconsin Coverdell Stroke Program to implement strategies into your hospital's stroke program.
• Incorporate lessons learned from this success story highlighting a hospital's investigation into their alteplase administration process for quality improvement and resulting reduction in door-to-needle times for stroke patients.
• Incorporate lessons learned from this success story highlighting a new EMS protocol and stroke alert checklist to improve stroke care among teams.

Collect and use data

These resources support collection and use of information for (1) systematizing data (including data use agreements and performance measures); (2) using data to inform quality improvement plans, tools, and education; or 3) using data to improve coordination and quality of stroke care.

• Use these resources, published by the Wisconsin Coverdell Stroke Program, to help improve the documentation of the "Last Known Well (LKW)" time at your hospital. The acronym "LKW" refers to the date and time a patient was last known to be without any signs and symptoms of a stroke. Correctly identifying a patient's LKW time is critical for determining if they can receive certain time-sensitive treatments for stroke.
• Use this summary of stroke data collected by the Georgia Coverdell Acute Stroke Registry.
• Read this newsletter about the Michigan Behavioral Risk Factor Surveillance System (BRFSS) survey and learn about stroke care in Michigan’s adult population.
• Read this newsletter about findings from the Michigan Behavioral Risk Factor Surveillance System (BRFSS) on stroke and hypertension among adults in Michigan.
• Incorporate this manual for the Minnesota Stroke Registry (MSR) into your own hospital's plans. It includes case definitions, list of required and optional data elements, reporting deadlines and requirements, and more.
• Cite data from this PowerPoint presentation about the burden of stroke in Georgia.

Educate

Resources that support community education or outreach.

• Incorporate lessons learned from this success story highlighting one hospital's achievement in using community outreach to increase stroke patient arrival by EMS.
• For post-stroke patients, this handout shows things to leave the hospital with, what you should do when you leave the hospital, what you should do when you get home, and what to do at doctor appointments.
• Learn from this page on Wisconsin's Department of Health Services' website describing the BE FAST campaign. It includes stroke graphics, social media messages, success stories, media materials, and additional resources.
• Use this toolkit to help organize community awareness events around stroke with stroke-specific community education resources, developed by the Wisconsin Coverdell Stroke Program.
• Watch this Facebook video highlighting the signs and symptoms of stroke, featuring Bella, a character adapted by the Wisconsin Department of Health Services.
• Print this wallet card for patients to record information on their doctor, medication(s), lifestyle changes, and blood pressure. It also includes questions to ask the doctor if patients have high blood pressure.
• Print and share this fact sheet for post-stroke patients about how to keep track of things, staying organized after returning home from the hospital, and all the emotional changes, uncertainty, and physical, cognitive, and communication challenges that may occur.
• Share this resource list for post-stroke patients, which includes links for financial assistance in the Michigan area and beyond.
• Use this toolkit in your hospital to share stroke education resources for patients, the public and staff at health care facilities, emergency medical services, and community services.
• Share this one-pager about the differences between stroke centers in Michigan.
• Share this coloring book featuring Bella, a character adapted by the Wisconsin Department of Health to promote stroke education and awareness.
• Share this activity book featuring Bella, a character adapted by the Wisconsin Department of Health to promote stroke education and awareness.
• Incorporate lessons learned from this success story highlighting one hospital's achievement in using community outreach to increase stroke patient arrival by EMS.

Resources that support education for professionals.

• Incorporate lessons learned from this success story highlighting one hospital's motivating factors for implementing new processes to reduce delays in triaging, treating, and transferring acute stroke patients in their ED.
• Incorporate lessons learned from this success story highlighting an education initiative for EMS providers to assist them in identifying LVO strokes in the field.
• Read an overview of the Primary Stroke Service (PSS) designation in Massachusetts.
• Use this chart to assist Massachusetts hospitals in assessing the timeliness of activities related to stroke evaluation and diagnosis.
• Order F.A.S.T. materials for patients in different languages, including English, Chinese, Haitian Creole, Khmer, Portuguese, Russian, and Spanish.
• Pre-hospital stroke identification and activation and impact on patient care in Georgia, from Dr. Moges Seyoum Ido at the 2019 Georgia Stroke Conference.
• Incorporate these training and continuing education opportunities for EMS providers on stroke recognition and treatment in your hospital's protocols.
• Review the Wisconsin Coverdell Stroke Program homepage for Coverdell overview and registry information, Coverdell Learning Collaborative, Stroke Coordinators of Wisconsin (SCOW), SCOW Mentor Program, and hospital resources.
• Use this toolkit to assist EMS agencies in providing optimal stroke care and to improve care coordination among EMS agencies and hospital emergency departments (EDs), created by EMS and quality improvement professionals.
• Use this toolkit to assist your hospital as it pursues Acute Stroke-Ready Hospital certification in Wisconsin.
• Incorporate lessons learned from this success story highlighting EMS pre-notification leading to a successful patient outcome at a hospital in Wisconsin.
• Incorporate lessons learned from this success story highlighting a small Wisconsin hospital's improvements in managing stroke care by becoming a certified stroke center.
• Incorporate these guidelines for best practices into your hospital's protocols. The guidelines include tools and templates specifically related to the performance improvement component of a successful stroke program.
• Incorporate lessons learned from this success story highlighting the value of a new stroke care model involving nurse practitioners and physicians from multiple departments involved in treating stroke.
• Use this toolkit to provide resources for hospitals and other health facilities staff to help implement strategies to improve the transition for stroke patients from hospital to home, including tips, tools, and resources for implementing strategies.
• Incorporate lessons learned from this success story highlighting a Comprehensive Stroke Center hospital and its quality improvement project established to further engage patients on healthy lifestyle changes for secondary stroke prevention.
• Incorporate lessons learned from this success story highlighting how one hospital's neuroscience unit administrative director and clinical nurse leader spearheaded a project to help stroke patients.
• Read the details of the bill that created the ECS System in Washington state from the 2010 regular session.

Evaluate

Resources that support evaluation activities to monitor progress of stroke care improvements and systems integration.

• Read this sample report based on surveys of EMS agencies transporting patients to Michigan Coverdell hospitals.
• Read this report on community awareness of stroke symptoms in Michigan.
• Review this survey of EMS agencies to assess prehospital stroke care in Michigan.
• Review the Michigan Stroke Program’s annual data scorecard of hospitals in the state. This template of performance measures can be adapted to your area.
• Learn from these 9 stroke performance measures developed by The Joint Commission, the American Heart Association, and obÌåÓý.
• Trying to assess community awareness of stroke signs and symptoms? Review this survey that was distributed to hospitals to assess the work of Michigan's Coverdell program.
• Use this website of annually updated health indicators in the County Health Assessment Indicators (CHAI) for all communities in New York.
• Use this sample benchmark report comparing Ohio’s Coverdell hospitals to others nationwide. The report includes performance measures along with stroke types, demographics, and mode of transport.
• Use this summary of stroke health in Georgia from J. Patrick O'Neal, M.D., Commissioner.
• Review this legislative report on stroke in Georgia.
• Review this website, which provides links to legislative reports on stroke in Georgia, as required by the Coverdell-Murphy Act.

Publications and protocols

Peer-reviewed articles published by Coverdell grantees.

• : Read this publication from the American Heart Association/American Stroke Association and The Coverdell Program on recommendations to enhance stroke systems for acute large vessel occlusion.
• : Review this report about the dissemination of an evidence-based stroke preparedness program targeting elementary school children, Hip Hop Stroke (HHS), to a heterogeneous population of schools via 47 New York State Stroke Centers.
• : Learn how the Wisconsin Coverdell Stroke Program partnered with a Model Hospital and used developmental execution to understand and improve the stroke system of care in one community.
• : Learn how hospitals participating in the Georgia Coverdell Acute Stroke Registry assessed the 1-year mortality of acute ischemic stroke patients.
• : This report from the APHA 2017 Annual Meeting and Expo provides support that targeted quality improvement programming can lead to better outcomes for patients. Learn how the California Stroke Registry compared performance measures among Coverdell hospitals and non-Coverdell hospitals.
• : Read how data collected in New York State Department of Health Statewide Planning and Research Cooperative System was used to identify and improve gaps in care for stroke patients.
• : Learn how data from the Georgia Coverdell Acute Stroke Registry was used to identify factors associated with a lower likelihood of favorable outcomes.
• : Read this study to learn how hospitals participating in the Georgia Coverdell Acute Stroke Registry determined that shortening the door-to-treatment time for ishcemic strokes is associated with better patient outcomes.
• : Learn about outcomes of patients with stroke who were transferred to hospitals.

Protocols developed by Coverdell grantees:

• : Incorporate this EMS interfacility ground transport protocol for patients during and after IV alteplase administration for acute ischemic stroke.
• : Adapt this protocol containing the best-practices recommendations from the Minnesota Department of Health.
• : Incorporate this list of criteria in your hospital's protocol. The criteria are for medical providers to determine when to administer IV alteplase for ischemic stroke.
• : Use this triage guidance in your hospital. This protocol is for staff who perform follow-up calls with stroke survivors and their caregivers.
• : Read the California Stroke Registry/California Coverdell Program (CSR/CCP) Hospital Stroke Center Chart Audits: Inter-Rater Reliability and Concordance Methodology and Documentation.
• : Use this process map for Emergency Medical Services, ED, and chart review for stroke patients.

Related tools

• : Incorporate this EMS interfacility ground transport protocol for patients during and after IV alteplase administration for acute ischemic stroke.

Disclaimer

Website addresses of nonfederal organizations are provided solely as a service to our readers. Provision of an address does not constitute an endorsement by the Centers for Disease Control and Prevention (obÌåÓý) or the federal government, and none should be inferred. obÌåÓý is not responsible for the content of other organizations' webpages.