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Published byAnton Bergman Modified over 5 years ago
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Acute Stroke Ready Hospital (ASRH) Designation Site Visit Opening Presentation Template
Use this template to build your presentation for the opening conference of your ASRH designation site visit. Use as many or as few of the slides as you like. The more you use, the better the reviewer will understand your program. Contact the stroke system designation coordinator with questions about your presentation.
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Stroke Program Leadership
Stroke Coordinator Stroke Medical Director Abstractor (who submits stroke data to the MN Stroke Portal/MN Stroke Registry)
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Stroke Program Leadership Networking
Outline Participation In: MDH stroke program opportunities (I.E. webinars, workshops, other) MDH stroke program partnerships (I.E. public awareness, transitions of care, other) Any other hospital, community or statewide stroke networking, learning, or partnerships
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About [HOSPITAL] (1) Approximate population of catchment area
Cities and towns within the catchment area
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About [HOSPITAL] (2) Insert map of catchment area
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About [HOSPITAL] (3) EMS agencies within the catchment area
Differentiate: ALS? BLS? Pre-hospital transport? Inter-facility transfer? Comment on relationship with each EMS agency: Do they provide pre-notification of stroke? Do you provide feedback on process/stroke care?
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About [HOSPITAL] (4) # of physician and/or provider staff (hospital based vs locum composition) and specialty composition # and composition (RN, LPN) of nursing staff
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About [HOSPITAL] (5) List hospital team members (in addition to stroke program leadership) that support the stroke program and how (e.g., Administration, key department leaders (Radiology, Lab, Pharmacy), EMS, Quality)
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About [HOSPITAL] (6) List other specialties available at your hospital (i.e. Critical Care, Surgery, Radiology)
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About [HOSPITAL] (7) Please describe your ‘typical stroke patient(s)’
Age Gender Common risk factors (lifestyle and medical) Other
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About [HOSPITAL] (8) Stroke Volumes by year Number of strokes admitted
By type (ischemic, types of hemorrhagic, TIA) Number of strokes admitted Discharge disposition Number transferred Where transferred to
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Stroke Registry Data Door to Action reports (utilize the Reports feature in the MN Stroke Portal) Door to CT / Door to Image initiated Door to Image read Door to Needle how many patients received alteplase in last three calendar years
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Telestroke relationship
Who do you have a contract with Number of Acute Stroke Team activations (stroke code activations) Number of Telestroke activations
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Case Review How do you perform/implement case review (what is the process)? What forum do you use to review as a team? What elements do you review? *just broad talking points about case review here – we ask you to discuss in more detail in the data presentation – see data presentation slide deck
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Performance Improvement
PI Initiatives and plan List current or past PI initiatives that have been successfully resolved, or your plan to address this in the future. *just broad talking points about performance improvement here – we ask you to discuss in more detail in the data presentation – see data presentation slide deck
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Follow up on ASRH Designation Immediate Recommended Actions
Actions taken to address Recommendations
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Safety issues If you have identified any safety issues, how have you addressed it and worked to remedy the process so it won’t happen again. Example: order sets do not match protocol for Acute Stroke in the ED.
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Additional info Anything else you would like the review team to know
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