American Stroke Association Highlights Carla D. English, MHS, MHSA

Transcription

1 AMERICAN STROKE ASSOCIATION HIGHLIGHTS 1 CARLA D. ENGLISH, MHS, MHSA QUALITY & SYSTEMS IMPROVEMENT GREATER SOUTHEAST AFFILIATE ASA VISION: Empower people to live longer, healthier lives free of stroke and cardiovascular disease! AHA/ASA TODAY Participant in stroke Limited brand awareness Disparate activities and messages Scientific, not consumer friendly Negative, feared AHA/ASA TOMORROW Leader in the stroke space Go-to resource for stroke Unified packaging of assets and messages Personal, emotional More positive, better understood 3 1

2 ASA STRATEGIC PRIORITIES 1) Build stroke awareness in the stroke community and serve as a go-to source for stroke support 2) Continue focus on warning signs and acute treatment 3) Educate on How to Prevent a Stroke 4) Identify & expand post-stroke patient engagement, rehab and recovery initiative 5) Identify relationships with other organizations to improve stroke care and access 6) Continue to focus on at-risk audiences (Hispanic, African American) 7) Improve stroke care globally Slide 4 TOGETHER TO END STROKE: EMPOWER AMERICANS PREVENT, TREAT AND BEAT STROKE PREVENT Stroke prevention education TREAT Quality improvement, warnings signs education and treatment BEAT Post-stroke support and recovery Advocacy, Research, Professional Education, Develop scientific standards and guidelines Slide 5 DRIVE HOME THE HEART/BRAIN CONNECTION PREVENT Stroke is preventable. Love your heart, Help your brain, prevent stroke While high blood pressure is the No. 1 cause of stroke, with the right behaviors, it can be prevented. Expand our stroke national awareness efforts through online and digital activities Purposefully integrate stroke prevention into AHA prevention messaging and events as appropriate GRFW Events, Heart Walks, MHML and Heart Chase Focus on outreach, sponsorships, alliances on High Blood Pressure Enroll 30,000 in Get to Goal High Blood Pressure Multicultural Program 6 2

3 ELEVATE WARNING SIGNS AWARENESS TREAT Stroke is treatable. F.A.S.T. can help you recognize the signs of a stroke so you can make a remarkable difference. When you recognize a stroke and act F.A.S.T. (Face, Arms, Speech, Time), you may be able to save a life. In partnership with the Ad Council, Warning Signs Campaign will launch in October 2012 Messaging will focus on bystander recognition of the stroke warning signs through the FAST acronym and calling FAST was determined based on Scientific Experts input and market research. Will appeal to general market, including high-risk, multicultural communities. 7 TV, WEB, PRINT 8 DRIVE MISSION-BASED PROGRAMS TO SUPPORT POST- STROKE NEEDS BEAT Stroke is beatable. You can survive AND beat a stroke Stroke survivors and their families are not alone in their recovery; ASA is there from the moment they leave the hospital. Pilot a Saving Strokes Event in each Affiliate Volunteer-driven rehab golf program for stroke survivors Pilot Post-Stroke Discharge and Patient Support Program Provide critical post-stroke recovery information and support for survivors and their families at hospital discharge. Specifically the 371,000 plus who are discharged from GWTG-Stroke facilities. 9 3

4 QUALITY & SYSTEMS IMPROVEMENT OUR JOURNEY SINCE 2001: GET WITH THE GUIDELINES GET WITH THE GUIDELINES STROKE Get With The Guidelines Stroke launched in 2003 is provided by the American Heart Association/American Stroke Association. With more than 2.2 million patient records entered into the Get With The Guidelines -Stroke database, research shows that this quality improvement program is associated with a significant and sustained improvement in adherence to acute hospital performance measures as well as secondary prevention for inpatient care of patients with ischemic stroke and TIA. Get With The Guidelines Stroke has lead to significant and important evidence-based manuscripts. As of November 2011, there are 40 dedicated Get With The Guidelines Stroke manuscripts all available for review at 4

5 TARGET: STROKE Target: Stroke was launched as a program of Get With The Guidelines -Stroke in 2009 to provide IV rtpa to eligible patients with acute ischemic stroke in a timely fashion Specifically, the Goal of Target: Stroke is to increase the number of eligible ischemic stroke patients receiving IV rtpa in 60 minutes or less. Hospitals that participate in Target: Stroke receive the most up-to-date evidenced-based clinical information, quality improvement support, and the ability to be recognized for their efforts through the Target: Stroke Honor Roll. As of 9/2012 there over 225 hospitals recognized as Target: Stroke Honor Roll Hospitals CURRENT STATUS WITH PROPOSED PSC REVISIONS As of September 2012, there are 987 AHA/ASA TJC Primary Stroke Centers Revisions based on-revised and Updated Recommendations for the Establishment of Primary Stroke Centers: A Summary Statement from the Brain Attack Coalition (2011). EMS guidelines/notification Support for remote area hospitals/transfers Use of Designated Stroke Scale (NIHSS) Designated Stroke Team (AST) Neurosurgical Coverage/ OR Availability Imaging Availability/Results Education/Training/Competency Utilization of tpa D2N time of <60 minutes FROM PRIMARY STROKE CENTER TO COMPREHENSIVE STROKE CENTER All components of a PSC, plus- Experience and expertise treating patients with large strokes, ICH and SAH Availability of personnel trained in vascular neurology, neurosurgery, endovascular techniques 24/7 availability of personnel, imaging, OR and endovascular facilities Availability of advanced imaging Neuroscience ICU CSC Stroke registry PSC ASRH 5

6 EVIDENCE BASED PRACTICE IN STROKE CARE ASSESSMENT, DIAGNOSIS & TREATMENT THANK YOU 17 6