03 Mar Stroke Advisory Board
On May 24, 2013, Governor John Hickenlooper signed CRS 25-3-115 into law, originally Senate Bill 13-225, which called for the development of the Stroke Advisory Board to make recommendations that address 4 different areas that could improve stroke care in Colorado. The Stroke Advisory Board reports annually the progress that it has each January. They will also produce a final legislative report by September 2018.
August, 2015, Ginny Hallagin, CEO, Keefe Memorial Health Service District, was appointed by Governor Hickenlooper to the Stroke Advisory Board. Ginny works directly with the Rural and Urban Care Coordination sub-committee.
Data is essential for quality improvement because of its ability to identify areas of success and deficiencies within and across systems. Useful date requires a large pool of accurate information. Therefore, data elements should be minimal and measure evidence based practices across the continuum of care.
Prevention and Treatment
In 2016, the stroke advisory board developed a diagram to map out the continuum of care for a stroke.
The board created minimum standards for each phase of care. They also refined the minimum standards from 2015. The main focus of 2016 was drafting minimum standards for the recovery phase to help emphasize the role of rehabilitation in the continuum of care.
Rural and Urban Care Coordination
The board developed educational recommendations to help prehospital providers and hospitals meet best practices for stroke care. Stroke education is most effective when it is delivered through collaborative efforts between EMS agencies, rural hospitals, and urban hospitals.
State Designation of Stroke Facilities
Stroke certification is a credential awarded by nationally-recognized organizations and requires ongoing reviews, data analysis and criteria that match current best practices. The department currently recognizes facilities that are nationally certified as stroke centers but has no authority over the operation of those facilities. Nationally certified Stroke Centers are found in urban areas. In Colorado, 3 hospitals are designated “Advanced Comprehensive Stroke Centers”: University of Colorado-Aurora, Swedish Medical Center-Englewood, and St. Anthony Hospital-Lakewood. 21 other urban Colorado hospitals are designated “Advanced Primary Stroke Centers”, and 3 urban Colorado hospitals are designated “Stroke Rehabilitation Centers”.
At this time, there are no plans to stroke-certify Colorado rural hospitals. The plan is to get all of the current best practices uniform throughout all Colorado rural hospitals.
“The feedback Keefe Memorial gets from the urban stroke centers we send our stroke patients to, is always positive. The urban stroke centers let us know over and over that Keefe Memorial does a great job of stabilizing patients and getting them to the appropriate higher-level care timely and with care.”