Ontario Stroke Network Best Practices Leader Linda Kelloway Saving the Brain Annual Conference March 2010 1
Jan 20, 2016
Ontario Stroke Network
Best Practices Leader
Linda Kelloway
Saving the Brain Annual Conference
March 2010
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Topics
1. Background2. Vision, Mission and Strategic
Directions 3. Priority Initiatives4. Q&A
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Vision
Fewer strokes. Better outcomes.
Mission
To continuously improve stroke prevention, care,
recovery and re-integration.
Strategic Directions1. 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
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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