Coverdell Stroke Project

SAVE THE DATE!  The next Coverdell Stroke Project Learning Community events will be held on May 20th in Des Moines and May 22nd in Iowa City.  These events will a feature stroke simulation scenarios for hands-on testing of the MEND exam.  Contact Kady Hodges for more information.


Paul Coverdell National Acute Stroke Registry logo

 

Introduction

The Iowa Healthcare Collaborative has partnered with the Iowa Department of Public Health (IDPH) and the University of Iowa College of Public Health to improve stroke triage, treatment and outcomes in the state of Iowa.  With funding provided by the Iowa Coverdell Acute Stroke Grant through the CDC Paul Coverdell National Acute Stroke Registry, this partnership will focus on: increasing quality of care in hospitals and care provided by EMS, adhering to best practice guidelines, and improving communication in the health care setting between providers, family and patients.  The emphasis will be on transitions of care from EMS response to hospital discharge.

The Iowa Coverdell Stroke Registry will collect stroke data from participating health care systems.  The data will be analyzed and used to improve current stroke treatment practices. The ultimate goal of the registry is to use the data collected to improve stroke protocols in Iowa.

Navigation Quick Links:

     1.    Stroke Registry Designation
     2.    Quality Improvement
            2.1.    Iowa Stroke Registry Page
            2.2.    Coverdell Work Plan
     3.    Webcasts 
     4.    Resources
            4.1.    Pre-hospital Resources
            4.2.    National Resources
            4.3.    News
 



Iowa Hospital Acute Stroke Level of Care Designation

In 2010, the Iowa Legislature requested that a stroke plan for timely triage and treatment be developed by the Iowa Department of Public Health.  This will include new triage and transport protocols to be used by the Iowa Department of Emergency Medical Services (EMS) that was implemented January 1, 2012.  While the needs of each acute stroke patient are determined on a case-by-case basis, this new protocol will provide a guide for the hospital’s emergency department medical director and local EMS providers.  The aim of this initiative is to provide rapid evaluation and transport of acute stroke patients to the nearest Certified Primary Stroke Center.  If a Primary Stroke Center is not within a ½ hour transportation time, the patient should be taken to the nearest Stroke Capable hospital.  These designations are based upon established criteria of the American Stroke Association and Brain Attack Coalition. The designations are: (1) Primary Stroke Center (2) Stroke Capable or (3) Triage and Transport only (no acute stroke treatment).

The Iowa Healthcare Collaborative has been charged to compile information about all Iowa hospitals’ capability for treatment of an acute stroke. This information is voluntary and will be shared with the Iowa Bureau of EMS and used to create triage protocols for stroke.  It will be updated on an annual basis.   Any questions about this process or the selection criteria can be addressed to Meg Nugent at the Iowa Healthcare Collaborative.
      •    Iowa Hospital Stroke Level Designation - Updated 5/1/2013
      •    Explanation of Stroke Level Designation
 


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Quality Improvement

      •    Iowa Stroke Registry  
      •    Coverdell Work Plan


Learning Community Resources


      •   "Quality - The Basics"   and Quality Improvment Tools Templates
                •    Presentation slides by Sarah Pavelka, February 2014 Learning Community.  Presentation focusing on understanding the concepts of quality management and use of quality tools for improvement.

      •   "Assessment and Treatment of the Stroke Patient"
                •    Presentation slides by Brian Helland and Terri Hamm, February 2014 Learning Community.  Clinical guidelines and routing criteria for EMS in Iowa.

      •   "Emergency Treatment of Patients with Stroke: Coverdell Stroke Registry Iowa"
                •    Presentation by Harold P. Adams Jr, M.D.

      •   "Got Data! Now What?"
                •    Presentation by Angela Overton MSN, RN, CNRN.

      •   Lean 101: Coverdell Learning Community
      •   Lean 102: Coverdell Learning Community
                •    Presentations by Dean Bliss.

      •   "Looking at Stroke Mortality, Hospitalization and Service Delivery Through Maps"
                •    Presentation from the Iowa Department of Public Health by Terry Meek and Timothy Wickam.

      •   "Statewide Stroke Registry Data - What does it mean?"
                •    Presentation by James C. Torner, PhD

      •   TeamSTEPPS Presentation

      •   "Time Use Data to Improve Stroke Care"
                •    Presentation by Terri Hamm, RN

 
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Webcasts

      •  Coverdell Stroke Improvement Project 
               •    Gerd Clabaugh, Deputy Director, Iowa Department of Public Health - Recorded in 2013 

For the following recordings: To listen to these webcasts (if you have not used Go-to-Meeting or Go-to-Webinar before) click this link and follow up the supporting steps:

http://support.citrixonline.com/en_US/GoToMeeting/help_files/GTM080011

 

      •  Coverdell National Acute Stroke Project - The Iowa Stroke Registry (Recorded 10/22/13)             

      •  Coverdell National Acute Stroke Project - Introduction to Stroke Syndromes & the M.E.N.D. Pre-Hospital Exam (Recorded 10/29/13)

      •  Coverdell National Acute Stroke Project - Building your Stroke Action Team Part 2 (Recorded 11/12/13)

      •  Coverdell National Acute Stroke Project - Coaching Session - Developing a Stroke System of Care (Recorded 12/3/13)      


Due to file size, previous recordings may not be listed on the site. Please email hodgesk@ihconline.org for more information.

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Resources

      •  AHA/ASA Policy Statement
               •    "Forecasting the future of stroke in the United States: A policy statement from the American Heart
                     Association and American Stroke Association (Ovbiagele et al., 2013)"
 

Pre-hospital Resources
      •    EMS4Stroke

      •    Iowa Department of Public Health - Treatment Protocols
               •    2013 EMS Protocols, go to page 38 for Stroke Protocols
               •    Go to page 79 for strategies for acute stroke

      •    Iowa Bureau EMS Facebook

      •    EMS Stroke Alert Run Sheet -  The latest draft of the EMS run sheet inclusive of the MEND exam.

National Resources
      •    American Stroke Association
      •    CDC State Heart Disease and Stroke Prevention Programs
      •    Minnesota Stroke Registry
      •    North Carolina Stroke Care Collaborative
      •    Score Stroke Collaborative - Massachusett
 

News
      •    U.S. Department of Health & Human Services
               •    "Doctors and hospitals' use of health IT more than doubles since 2012"



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