Collaboration and Community Stroke Education

https://www.youtube.com/watch?v=wH7k5CFp4hI

Barriers to seeking CareBarriers

Lack of Knowledge

Fear of Hospitals

Denial

Living Alone

Preexisting Health Concerns

Budgets

50/50

What is CommunitySystem/Local/Regional Hospitals

EMS & Fire

Schools & Organizations

Individuals & Families

Define your community

Be Creative!

Beg...Borrow…StealDon’t reinvent the wheel

Go Above and beyond the “Health Fair”

Collaborate with System/Local/Regional Coordinators & EMS/Fire

Demonstrate “Team” to your Community

50/50 Impact!

StatisticsBy 2030, an additional 3.4 million people ≥18 will have had a stroke.

In people with a history of TIA, impaired glucose tolerance nearly doubled the stroke risk compared with those with normal glucose

levels and tripled the risks for those with DM.

Total direct medical stroke-related costs are projected to triple, from $71.6 billion to $184.1 billion.

Approximately 15% of all strokes are heralded by a TIA.

Data have shown a steady increase in the proportion of ischemic stroke patients who are treated with tPA therapy. For example, administrative data in 2009 found that between 3.4% and 5.2% of acute ischemic strokes were treated with tPA, which was approximately double the treatment rate observed in 2005.219 Similarly, analysis of data from the GWTG-Stroke program demonstrated substantial increases in tPA treatment rates over the period from 2003 to 2011.

Analysis of tPA-treated patients in the GWTG-Stroke program between 2003 and 2009 found that the majority were not treated within the guideline-recommended interval of 60 minutes from hospital arrival and that this proportion had increased only modestly during this period (from 19% in 2003 to 29% in 2009). Paradoxically, door-to needle times were found to be inversely related to onset to arrival times; thus, tPA-treated patients who arrived earlier were less likely to receive treatment within 60 minutes of arrival.

When it all comes together

Different Strokes for

Different Folks