Calgary Health Region Alberta Provincial Stroke Strategy Implementation

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Calgary Health RegionAlberta Provincial Stroke
StrategyImplementation

In Partnership Together

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APSS

• Collaborative Partnership
• 9 Health Regions
• Heart and Stroke Foundation of Alberta, NWT
  Nunavut
• Provincial Government-Alberta Health and
  Wellness

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(No Transcript)
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Alberta Provincial Stroke Strategy

• Alberta Stroke Council
• Developed
• Health Region Accountabilities and
  Responsibilities
• Service Development Principles
• Provincial Project Manager role

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Health Regions

• Represented on Alberta Stroke Council
• Represented on 4 expert Pillars
• Allocated Grant Funding through Council
• Regional Stroke Steering Committees
• Provide Regional leadership support to the
  design of stroke services
• System wide knowledge and experience
• Link and Leverage
• Prioritize identified Pillar opportunities

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Enhancing Stroke Service Delivery

• Calgary Health Region Stroke Planning Process
• A convergence of people who impact and are
  impacted by the experience of stroke
• Partnership
• Broad Range of stakeholders
• Participation
• Large Group Planning Process
• Pillar key informants
• Stroke survivor participation
• Inter-regional participation

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Opportunities

• Leverage existing systems
• Get People together
• Adapt and respond to the shifting needs of
  inter-regional partners
• Communicate, Collaborate, Connect Clinically
• Demonstrate improvement across all Pillars
• Funding allocated to Regions with Pillar
  intention

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U of C MedSHAVE
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The Calgary Health Region APSS Stroke Plan

• Focus on
• Communication
• Formalized education plan
• Off Service patient and staff support
• Community reintegration
• Rural patient and staff support
• Rehabilitation pathway
• Leveraging Regional Programs to meet the stroke
  population needs
• Inter-Regional partnership
• Maximizing the impact of stroke telehealth

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Prioritized Stroke Plan

• Communication
• Develop and implement a CHR stroke communication
  plan that ensures
• CHR communications systems are optimally
  utilized to support stroke awareness
• Stroke information, services and
  resources are inventoried and easily accessible
  to the public and to service providers
• Build Capacity
• Communication Coordinator
• Web specialist

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Prioritized Stroke Plan

• Education
• Develop and implement a formal stroke education
  program. Ensure this program encompasses the
  three pillar components and meets the needs of
  patients and staff throughout the stroke care
  pathway
• Build capacity
• Education Plan Coordinator
• Relief for stroke content
  experts

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Prioritized Stroke Plan

• Stroke Telehealth
• Formalize the CHR stroke telehealth program
• Build capacity
• Telestroke Telehealth Coordinator
• Telestroke Telehealth
  Technician
• Additional Telehealth Units

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Prioritized Stroke Plan

• Support of stroke patients and service providers
• Create a formal system of support to off service
  inpatients and staff that ensures consistent
  standards of care and treatment for all stroke
  patients
• Link the post stroke population to the Chronic
  Disease Management Program and support this
  program with stroke expertise. Ensure that
  linkages between community stroke initiatives are
  leveraged
• Build capacity
• Clinical Nurse Specialist Rural and
  Inter-Regional
• Clinical Nurse Specialist Acute and
  Emergency Outreach
• Nurse Clinician part time
• Clinic Staff Nurses relief

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Prioritized Stroke Plan

• Rehabilitation and Reintegration
• Build a CHR Rehabilitation and Reintegration
  plan around the Pillar 3 health service
  directions
• Build Capacity
• Rehabilitation Clinical Specialist
  
• Rehabilitation Professional Relief
• Community Integration Service Coordinator part
  time
• Administration Support part
  time

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Prioritized Stroke Plan

• Team Support
• Evaluation Specialist
• Administrative Support
• Steering Committee leadership
• Team Direction
• Responsive
• Integrated
• Consistent
• Informed

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Prioritized Stroke Plan

• Communication
• Education
• Stroke Telehealth
• Formal support to off service inpatients and
  staff
• Chronic Disease Management Program Integration
• Rehabilitation and Reintegration
• Rural and Inter-regional responsiveness

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Stroke Services and Resources Current Capacity

• Pillar I Health Promotion and Disease Prevention
• Health Link
• Stroke algorithms, nurse advice
• Health resources and services
  information
• Chronic Disease Management Program
• Vascular Risk Reduction Program
• Diabetes, Cholesterol and
  Hypertension Centre Community
  Care Coordinators

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Stroke Services and Resources Current Capacity

• Pillar I Health Promotion and Disease Prevention
• Atrial Fibrillation Clinic
• Heart and Stroke Foundation of
  Alberta, N.W.T Nunavut
• Stroke Recovery
  Association/Young Stroke Survivors
• City of Calgary Fire Department
• blood pressure and
  cholesterol screening program
• CHR Tobacco Reduction Program
• Healthy Living and Active
  Living Resources
• 
  

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Stroke Services and Resources Current Capacity

• Pillar II Emergency Services and Acute Care
• Emergency Medical Services- Pre-hospital
• Stroke screening protocols
  (link)
• Diversion
  strategy ( link)
• Stroke
  education ( link)
• Southern
  Alberta Referral Coordination Centre Stroke
  algorithm (link)
• Emergency Departments
• ED Stroke
  Protocol (link)
• TIA triage
  protocol
• Brain
  Attack Team 24/7 pager stroke neurologist
  (link)

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Stroke Services and Resources Current Capacity

• Pillar II Emergency Services and Acute Care
• Foothills Medical Centre ED (link)
  
• Stroke Nurse Practitioner
• Transcranial
  Doppler service
• MRI stroke
  nursing support
• Stroke
  Nurse Researcher 24/7
• CT technician,
  radiologist, neuro-radiologist
• tPA
  administration protocol

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Stroke Services and Resources Current Capacity

• Pillar II Emergency Services and Acute Care
• Acute Inpatient
• 18 bed stroke unit FMC (link)
• 1 dedicated high observation bed
  (link)
• 6 beds
  designated at Rockyview General Hospital
  (non-surgical)
• Stroke
  Nurse Practitioner
• Patient
  Flow Coordinator
• 
  Multidisciplinary team
• Link Inter Regional agreement that the CHR
  offers tertiary level and critical care services
  for individuals from traditionally designated
  service areas of Southern Alberta which rely on
  Region 3 for tertiary level services not provided
  within their region and the geographic areas of
  Southeastern British Columbia and Southwestern
  Saskatchewan

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Stroke Services and Resources Current Capacity

• Pillar III Rehabilitation and Community
  Integration
• Inpatient Rehabilitation
• Acute inpatient rehabilitation
  (link)
• Tertiary Neuro-Rehabilitation unit
  58 FMC (link)
• Neuro-rehabilitation and recovery,
  Dr. Vernon Fanning Centre
• High river hospital and Oilfields
  Hospital, enhanced rehabilitation

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Stroke Services and Resources Current Capacity

• Pillar III Rehabilitation and Community
  Integration
• Outpatient Rehabilitation
• Physiatrist stroke follow-up clinic
• Outpatient swallowing program
• Community Accessible Rehabilitation
  (CAR)
• Community Rehabilitation
  Associations
• Brain Injury Coalition of Calgary

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Stroke Services and Resources Current Capacity

• Pillar III Rehabilitation and Community
  Integration

Community Integration Community
CHAT- ongoing communication group
Stroke Recovery Association/The Young Survivors
Living Well with a Chronic Disease
Row your own Boat Calgary
Aids to Daily Living Short Term
Equipment Program Heart and Stroke
Foundation of Alberta, N.W.T.
Nunavut Brain Injury Coalition of
Calgary