Stroke Registry August 18, 2006 update

1
Stroke RegistryAugust 18, 2006 update
2
Assistant Director

• Job description
• See handout
• Position posted week of August 7th
• 11 candidates (previous posting and new)
• Phone interviews start 8/17/06
• Group interviews will start when all interviewers
  available
• September

3
Budget

• Travel 16,800.00
• Expense 292.00 (5 Site visits)
• Stipend 100,000.00 (20 sites _at_ 5000.00)
• Expense 10,000.00 (2 sites) on 8/22 Yuma
  Keefe Memorial
• Consultant 10,000.00
• Expense 0.00
• Operating 25,200.00
• email, fax, cubicle, postage, rent, printing,
  computer equipment
• Expense 40.00
• Web/conference call with Memorial Hospital
  (Craig)
• Social marketing CD
• Envelopes for follow-up packets

4
Mentor Program

• Please see handout
• Overall goal
• Support stroke care statewide
• Existing registry sites to assist upcoming sites
• If hospitals are interested
• Contact Paul Murphy (pmurphy_at_thecni.org)

5
Lessons Learned

• Hospital visits
• Attempt to reserve travel budget for check
  delivery support
• Initial visits web/conference calls versus
  driving.
• Multiple sites when possible (web or travel)
• Interested? Please email Paul
• Letter of Intent GWTG contract
• Letter of Intent is quick
• 9 weeks to complete GWTG contract
• Timeline for implementing hospitals
• Hospital driven
• Interested hospitals balance across state
• Stagger sites when possible (avoid lumping of
  sites)

6
Site Planning
7
Stroke registry planning year 2 Factors
considered

• Geography/ population
• Stakeholder
• Telemedicine sites
• Bed count
• RETAC
• Critical Access Hospital

• Review stroke incidence map
• Letter responses
• Discharge rates
• Group the hospitals
• Year 2 sites
• Defer to year 3 options

8
Colorado Stroke Registry Site Planning
MatrixYear 2 focus
NSMC not eligible for COSAB funds
9
Planning years 2 3

• Planning maps
• Geography
• Telemed sites
• Critical access
• Bed count
• Discharge rates

10
Registry Status As of
Geographic layer
Year 1
UNK
Sedgwick Julesburg
Year 2
L
Haxtun
Year 3.
L
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
INF
Memorial Craig
!
McKee Loveland
LIP
Sterling
!
Estes Park
NorthCoMedCntr
Steamboat
L
?
Platte Valley
L
?
Overview
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
UNK
CO Plains Ft Morgan
NSMC
L
INF
East Morgan Brush
LIP
St ANorth
Wray
Grand River Med Cntr
Burlington
L
UH
Lutheran
Vail
R
?
Valley View
DHMC
LIP
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
Swedish
Littleton
Community Grand Junct
R
LIP
Skyridge
Lincoln Comm Hosp
St. Mary Grand Junct
Delta county Memorial
INF
Keefe Mem
L
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
Heart of Rockies Salida
Gunnison
Weisbrod- Eads
Montrose Memorial
?
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
R
Parkview- Pueblo
Prowers Lamar
Arkansas Valley
P
Spanish Peaks Walsenburg
P
INF
San Luis Valley
Rio Grande Hosp
Southeast Colorado
R
Southwest Cortez
?
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
?
?
11
Telemed layer
UNK
Year 1
Sedgwick Julesburg
L
Year 2
Haxtun
L
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
Memorial Craig
!
McKee Loveland
LIP
T
!
Sterling
Estes Park
NorthCoMedCntr
Steamboat
L
?
T
Platte Valley
?
UNK
L
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
CO Plains Ft Morgan
NSMC
L
INF
East Morgan Brush
LIP
St ANorth
Wray
Grand River Med Cntr
Burlington
L
UH
Lutheran
Vail
R
?
Valley View
DHMC
LIP
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
Swedish
Littleton
Community Grand Junct
R
LIP
Skyridge
Lincoln Comm Hosp
L
St. Mary Grand Junct
Delta county Memorial
INF
Keefe Mem
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
Heart of Rockies Salida
Gunnison
Weisbrod- Eads
Montrose Memorial
?
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
T
R
Parkview- Pueblo
Prowers Lamar
Arkansas Valley
P
P
Spanish Peaks Walsenburg
INF
San Luis Valley
Rio Grande Hosp
T
Southeast Colorado
R
?
?
T
Southwest Cortez
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
?
T
12
C
Critical access layer
UNK
Year 1
Sedgwick Julesburg
L
C
Year 2
Haxtun
L
C
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
Memorial Craig
!
McKee Loveland
LIP
C
!
C
Sterling
Estes Park
NorthCoMedCntr
Steamboat
L
?
C
C
Platte Valley
?
UNK
L
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
CO Plains Ft Morgan
NSMC
C
L
INF
C
East Morgan Brush
LIP
C
St ANorth
Wray
Grand River Med Cntr
C
Burlington
L
UH
Lutheran
Vail
R
?
C
Valley View
C
DHMC
LIP
C
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
Swedish
C
Littleton
Community Grand Junct
R
LIP
C
Skyridge
Lincoln Comm Hosp
L
St. Mary Grand Junct
Delta county Memorial
INF
Keefe Mem
Memorial CoSprngs
Penrose- CoSprngs
INF
C
R
INF
Heart of Rockies Salida
Gunnison
Weisbrod- Eads
Montrose Memorial
?
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
C
R
C
Parkview- Pueblo
Prowers Lamar
Arkansas Valley
P
C
P
C
Spanish Peaks Walsenburg
C
INF
San Luis Valley
Rio Grande Hosp
C
Southeast Colorado
R
?
?
C
Southwest Cortez
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
?
C
C
13
Bed count layer
UNK
25
Year 1
Sedgwick Julesburg
L
25
Year 2
Haxtun
L
100
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
98
Memorial Craig
!
29
McKee Loveland
LIP
36
18
!
88
250
Sterling
Estes Park
NorthCoMedCntr
Steamboat
L
?
15
Platte Valley
48
22
25
?
UNK
L
58
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
265
CO Plains Ft Morgan
NSMC
L
INF
15
East Morgan Brush
LIP
25
St ANorth
Wray
50
Grand River Med Cntr
196
25
Burlington
L
15
UH
Lutheran
Vail
R
?
432
25
450
Valley View
DHMC
LIP
10
80
49
398
372
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
593
49
Swedish
368
Littleton
Community Grand Junct
R
LIP
15
33
25
368
Skyridge
Lincoln Comm Hosp
L
49
32
103
St. Mary Grand Junct
Delta county Memorial
INF
523
Keefe Mem
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
24
Heart of Rockies Salida
225
Gunnison
Weisbrod- Eads
Montrose Memorial
?
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
408
49
R
20
75
Parkview- Pueblo
150
55
Prowers Lamar
90
40
Arkansas Valley
P
P
Spanish Peaks Walsenburg
INF
14
San Luis Valley
Rio Grande Hosp
61
Southeast Colorado
R
?
?
70
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
70
?
81
49
14
CVA cases layer
UNK
Year 1
Sedgwick Julesburg
L
292
5
23
Year 2
Haxtun
L
9
100
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
Memorial Craig
!
McKee Loveland
3
21
LIP
T
!
221
Sterling
9
Estes Park
NorthCoMedCntr
Steamboat
L
?
Platte Valley
2
1
6
165
?
UNK
L
32
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
1
71
CO Plains Ft Morgan
NSMC
L
INF
East Morgan Brush
LIP
13
7
C
135
St ANorth
Wray
50
Grand River Med Cntr
6
Burlington
L
291
UH
Lutheran
Vail
R
?
295
43
6
Valley View
3
DHMC
LIP
7
398
7
593
Family Health West
335
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
Swedish
3
539
Littleton
Community Grand Junct
R
LIP
25
3
159
Skyridge
Lincoln Comm Hosp
L
2
348
St. Mary Grand Junct
Delta county Memorial
INF
67
Keefe Mem
260
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
Heart of Rockies Salida
564
Gunnison
Weisbrod- Eads
Montrose Memorial
?
4
23
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
52
R
0
52
0
75
Parkview- Pueblo
272
Prowers Lamar
Arkansas Valley
P
P
19
34
Spanish Peaks Walsenburg
29
INF
San Luis Valley
Rio Grande Hosp
37
Southeast Colorado
R
?
?
53
18
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
?
5
5
15
C
All layers
UNK
25
Year 1
Sedgwick Julesburg
L
292
5
23
C
25
Year 2
Haxtun
L
100
9
100
C
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
98
Memorial Craig
!
29
McKee Loveland
3
21
LIP
C
T
36
18
!
221
C
88
250
Sterling
9
Estes Park
NorthCoMedCntr
Steamboat
L
?
C
T
15
C
Platte Valley
2
1
6
48
22
25
?
UNK
L
58
165
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
1
265
32
Boulder
CO Plains Ft Morgan
NSMC
C
L
INF
15
C
71
East Morgan Brush
LIP
13
7
25
C
135
St ANorth
Wray
50
32
Grand River Med Cntr
196
C
6
25
295
Burlington
L
15
432
291
UH
Lutheran
Vail
R
?
43
6
C
25
450
Valley View
3
C
DHMC
LIP
7
10
80
49
398
112
335
7
372
C
431
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
593
49
Swedish
3
368
C
159
Littleton
Community Grand Junct
R
LIP
25
3
15
C
539
33
25
368
Skyridge
Lincoln Comm Hosp
L
2
49
32
348
St. Mary Grand Junct
Delta county Memorial
INF
67
523
103
Keefe Mem
260
Memorial CoSprngs
Penrose- CoSprngs
INF
C
R
INF
24
Heart of Rockies Salida
225
564
Gunnison
Weisbrod- Eads
Montrose Memorial
?
4
23
52
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
C
T
408
49
R
0
C
20
52
0
75
Parkview- Pueblo
150
55
272
Prowers Lamar
90
40
Arkansas Valley
P
C
P
19
C
40
34
Spanish Peaks Walsenburg
29
C
INF
14
San Luis Valley
Rio Grande Hosp
37
C
T
61
Southeast Colorado
R
?
?
53
18
C
T
70
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
70
?
5
T
81
C
5
49
C
16
Planning year 2 3

• New Layer Group areas of state
• Geographic consideration
• Support statewide distribution
• Focus on rural/frontier
• 5 areas
• Northwest
• Southwest
• Central
• Northeast
• Southeast

17
Registry Status As of
UNK
C
25
Year 1
Sedgwick Julesburg
L
292
5
23
C
25
Year 2
Haxtun
L
100
9
100
C
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
C
98
Memorial Craig
!
29
McKee Loveland
3
21
LIP
T
36
18
!
C
88
250
Sterling
9
Estes Park
NorthCoMedCntr
Steamboat
L
?
Grouping
C
T
15
Platte Valley
2
1
6
48
22
25
?
UNK
L
58
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
1
265
CO Plains Ft Morgan
NSMC
L
INF
15
East Morgan Brush
LIP
13
7
25
St ANorth
Wray
50
Grand River Med Cntr
196
6
25
Burlington
L
15
UH
Lutheran
Vail
R
?
432
43
6
C
25
450
Valley View
3
DHMC
LIP
7
10
80
49
398
7
372
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
593
49
Swedish
368
Littleton
Community Grand Junct
R
LIP
25
3
15
33
25
368
Skyridge
Lincoln Comm Hosp
L
2
49
32
103
St. Mary Grand Junct
Delta county Memorial
INF
67
523
Keefe Mem
260
3
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
C
24
Heart of Rockies Salida
225
Gunnison
Weisbrod- Eads
Montrose Memorial
?
4
23
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
T
408
49
R
0
C
20
52
0
75
Parkview- Pueblo
150
55
Prowers Lamar
90
40
Arkansas Valley
P
C
P
19
C
40
34
Spanish Peaks Walsenburg
29
INF
14
San Luis Valley
Rio Grande Hosp
37
C
T
61
Southeast Colorado
R
?
?
53
18
C
T
70
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
70
?
5
T
81
5
49
18
Planning year 2

• New Layer Identify hospitals in group
• Consider factors (e.g. letter response,
  distribution) in each group
• Identify potential hospitals for year 2

19
Registry Status As of
UNK
C
25
Year 1
Sedgwick Julesburg
L
292
5
23
C
25
Year 2
Haxtun
L
100
9
100
C
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
C
98
Memorial Craig
!
29
McKee Loveland
3
21
LIP
T
36
18
!
C
88
250
Sterling
9
Estes Park
NorthCoMedCntr
Steamboat
L
?
Year 2
C
T
15
Platte Valley
2
1
6
48
22
25
?
UNK
L
58
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
1
265
CO Plains Ft Morgan
NSMC
L
INF
15
East Morgan Brush
LIP
13
7
25
St ANorth
Wray
50
Grand River Med Cntr
196
6
25
Burlington
L
15
UH
Lutheran
Vail
R
?
432
43
6
C
25
450
Valley View
3
DHMC
LIP
7
10
80
49
398
7
372
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
593
49
Swedish
368
Littleton
Community Grand Junct
R
LIP
25
3
15
33
25
368
Skyridge
Lincoln Comm Hosp
L
2
49
32
103
St. Mary Grand Junct
Delta county Memorial
INF
67
523
Keefe Mem
260
3
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
C
24
Heart of Rockies Salida
225
Gunnison
Weisbrod- Eads
Montrose Memorial
?
4
23
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
T
408
49
R
0
C
20
52
0
75
Parkview- Pueblo
150
55
Prowers Lamar
90
40
Arkansas Valley
P
C
P
19
C
40
34
Spanish Peaks Walsenburg
29
INF
14
San Luis Valley
Rio Grande Hosp
37
C
T
61
Southeast Colorado
R
?
?
53
18
C
T
70
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
70
?
5
T
81
5
49
20
Planning year 2

• New layer Add group details
• Identify hospitals in group
• Identify potential sites
• List bed count
• List CVA discharge rate
• Add these factors to map

21
Year 2 3 Map-matrix
22
Year 2 3 Map-matrix
23
Year 2 3 Map-matrix
24
Registry Status As of
UNK
C
25
Year 1
Sedgwick Julesburg
L
292
5
23
C
25
Year 2
Haxtun
L
100
9
100
C
Melissa Mem. Holyoke
Poudre Valley Ft. Collins
Year 3.
INF
C
98
Memorial Craig
!
29
McKee Loveland
3
21
LIP
T
36
18
!
C
88
250
Sterling
9
Estes Park
NorthCoMedCntr
Steamboat
L
?
C
T
15
Platte Valley
2
1
6
48
22
25
?
UNK
L
58
Boulder
Yuma
Pioneers Hosp Meeker
Rangley Dist Hosp
Kremmling
1
265
CO Plains Ft Morgan
NSMC
L
INF
15
East Morgan Brush
LIP
13
7
25
St ANorth
Wray
50
Grand River Med Cntr
196
6
25
Burlington
L
15
UH
Lutheran
Vail
R
?
432
43
6
C
25
450
Valley View
3
DHMC
LIP
7
10
80
49
398
7
372
Family Health West
St ACentral
Aurora
R
R
Aspen
St Vincent Leadville
593
49
Swedish
368
Littleton
Community Grand Junct
R
LIP
25
3
15
33
25
368
Skyridge
Lincoln Comm Hosp
L
2
49
32
103
St. Mary Grand Junct
Delta county Memorial
INF
67
523
Keefe Mem
260
3
Memorial CoSprngs
Penrose- CoSprngs
INF
R
INF
C
24
Heart of Rockies Salida
225
Gunnison
Weisbrod- Eads
Montrose Memorial
?
4
23
St MaryCorwin- Pueblo
StThomas Moore Canon City
V
T
408
49
R
0
C
20
52
0
75
Parkview- Pueblo
150
55
Prowers Lamar
90
hosp 7 sites 3 Bed 142 Cases 20
40
Arkansas Valley
P
C
P
19
C
40
34
Spanish Peaks Walsenburg
29
INF
14
San Luis Valley
Rio Grande Hosp
37
C
T
61
Southeast Colorado
R
?
?
53
18
C
T
70
Southwest Cortez
83
Mt San Rafael Trinidad
Mercy Durango
Conejos County hosp.
70
?
5
T
81
5
49
25
Summary of Registry Site Status
26
Going forward

• Challenges
• Letter response
• Messages left
• Packets sent 8/4/06
• Southwest corner
• Dynamic planning
• Hospital interest/response
• Public Health in Colorado Conference
• Vail, September 19, 2006 - poster