HSFO Mid-morning Program

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HSFO Mid-morning Program
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What is secondary prevention?

• The early detection of disease, either when it
  produces symptoms or even before symptoms are
  noticed.
• The goal is to prevent disease from progressing
  to a completed stroke or to prevent recurrent
  stroke.

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History of SSPCs

• Four original pilot sites South East, West
  Greater Toronto, Central West, South West (1997)
• Conceived as part of the Coordinated Stroke
  Strategy in Towards An Integrated Stroke Strategy
  For Ontario (June 2000)
• Tailored after the Stroke Prevention Clinic
  (LHSC) and cardiac MULTIFIT programs (USA)

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• Part of a continuum of stroke care within
  district and regional stroke centres
• Offer comprehensive, cost-efficient, organized
  and expert risk factor management to high-risk
  patients
• Hospital-based to facilitate rapid access to
  diagnostic testing
• Currently 24 SSPCs

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Team SPIRIT

• Stroke Performance Indicators for Reporting,
  Improvement and Translation
• Joint initiative of the Canadian Stroke Network
  and the Heart and Stroke Foundation
• Part of the Registry of the Canadian Stroke
  Network
• Coordinated by staff at the Institute for
  Clinical and Evaluative Sciences (ICES)
• PIs Patrice Lindsay and Frank Silver

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• Enables clinicians and administrators to easily
  access data on stroke care to guide planning,
  assess performance and promote efficiency.
• Web-based tool
• First SSPCs joined in fall 2006
• 15 of the 24 SSPCs in Ontario are currently
  participating

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Team Stats

• 12 SSPCs reporting data from September 1, 2007 to
  August 31, 2008
• Initial visits 5,645
• Event to referral lag time
• mean 11.8 days
• median 2.0 days

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SSPCs are not a fountain of youth!
Stroke Prevention Our best defense is a good
offense.
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Thanks to

• Melissa Stamplecoski, Project Manager, Registry
  of the Canadian Stroke Network, Institute for
  Clinical Evaluative Sciences
• Annette Robertson, Project Manager, Registry of
  the Canadian Stroke Network, Institute for
  Clinical Evaluative Sciences
• Dr. Frank Silver, Registry of the Canadian Stroke
  Network, Institute for Clinical Evaluative
  Sciences
• Linda Kelloway, Central South Stroke Education
  and Research Coordinator, Hamilton Health Sciences