Ontario Stroke Network Best Practices Leader Linda Kelloway Saving the Brain Annual Conference March

Topics 1. Background 2. Vision, Mission and Strategic Directions 3. Priority Initiatives 4. Q&A 2

Vision Fewer strokes. Better outcomes.

Mission To continuously improve stroke prevention, care, recovery and re-integration.

Strategic Directions 1. Credible Advisor to Improve Stroke Prevention and Care Delivery 2. Leadership and Coordination 3. Evaluation to Support Continuous Improvement 4. Innovation and Knowledge 5. Best Practices across the Continuum of Stroke Care 6

Credible Advisor to Improve Stroke Prevention and Care Delivery- Malcolm Moffatt Hospital Accountability Planning Submission –H-SAA indicators related to stroke approved as monitoring indicators 30 day readmission of patients with stroke or TIA to acute care for all diagnoses Percent of stroke patients discharged to inpatient rehabilitation using CIHI DAD discharge destination Percent of stroke patients managed at any point during their stay on a designated stroke unit (RSCN) –Development of integrated cross continuum workplans by Regional Steering Cte and Designated Centres/SPC Development of a multiyear planning cycle

Credible Advisor to Improve Stroke Prevention and Care Delivery Development of communications and marketing plan –Vendor selected –Advisory team established –Target completion: end of April 2010 Establishment of a process for communication of evaluation results to key stakeholders ( LHIN, MOHLTC,OSS)

Leadership and Coordination- Malcolm Moffatt Regional Reviews –Recommendations disseminated to regions –Phase 2: review and recommendations for district stroke centres and coordinators Implementation of provincial telestroke recommendations –Discussions ongoing with MOH and OSN Discussions and exploration of establishing an Integrated Vascular Health Strategy for Ontario

Evaluation- Dr. Mark Bayley Alignment of core indicators with CSS Performance Indicators Development of evaluation framework for rehab and community and align Rehabilitation and Community Reintegration with SEAC Development of a linked database to examine current state of variations in patient transitions and effects on outcomes Development of communication tool of evaluation results to stakeholders Increase capacity for utilization of evaluation reports at regional and district levels

Innovation and Knowledge- Dr. Sandra Ireland OSS Research Program –Program evaluation completed: Assess impact of OSS funded research and recommendations for future –Exploring future role of Research Committee and interfaces with OSN –Revise process for RFP calls for proposals, review of proposals, accountability and communication with stakeholders Support of knowledge translation through: –Abstract submissions –Publications –Professional development

Best Practices Across the Continuum of Stroke Care-Dr Jim Sahlas Alignment of OSS teams with Canadian Stroke Strategy Best Practice Recommendations 2008/2010: –Childhood stroke –Provincial paramedic prompt card –Carotid endarterectomy Wait Times Development of strategies to support action on health promotion/primary prevention priorities –Salt Promote improvement to access and service delivery for stroke rehabilitation and community engagement –Role of Rehabilitation and Community Engagement subcommittee –Advocacy with CIHI for incorporation of Alpha FIM in DAD –Rehabilitation Outcome measures

Best Practices Across the Continuum of Stroke Care Establishment of acute care committee Other: –Support of regional and district team roles Regional Educator Rehabilitation Coordinator Community and LTC Specialist –Participation in Canadian Stroke Strategy Best Practice Recommendations Development 2010

Key Focus of Best Practices Leader Role Strategic Directions: –Innovation and Knowledge: Stimulate innovation and leverage knowledge across the continuum of stroke care –Best Practices Across the Continuum of Stroke Care: Identify and implement best practices to reduce risks and improve health and quality of life for stroke survivors and their family Support for the Best Practice and Innovation and Knowledge Champions –Dr. Demetrios Sahlas and Dr. Sandra Ireland