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Stroke Education Q I Initiative– BroMenn Healthcare

Stroke Education Q I Initiative– BroMenn Healthcare. October 2007. BroMenn Healthcare Normal, Illinois. BroMenn Regional Medical Center (BRMC) 224 bed, full-service, teaching hospital Level II trauma center with regional referral Dedicated neuroscience unit Inpatient rehabilitation

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Stroke Education Q I Initiative– BroMenn Healthcare

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  1. Stroke Education Q I Initiative– BroMenn Healthcare October 2007

  2. BroMenn HealthcareNormal, Illinois • BroMenn Regional Medical Center (BRMC) • 224 bed, full-service, teaching hospital • Level II trauma center with regional referral • Dedicated neuroscience unit • Inpatient rehabilitation • Eureka Hospital (ECH) • 34 bed, critical access hospital • Home Care & Hospice

  3. Decision to Pursue Stroke Designation at BRMC • To build on existing program strengths • Neuro, neurosurgical & neuro-residency programs • Patient volume sufficient to support a dedicated program • 200 strokes admitted annually • 100 TIAs admitted annually

  4. Designation Objectives • Promote a culture of interdisciplinary, patient-focused approach to stroke care across the care continuum • Promote evidence-based practice • Maximize patient care outcomes • Continuous quality improvement

  5. Collaborative Practice Team Was Formed

  6. Practice Team • Establishes the program’s care delivery model, goals & improvement priorities • Researches and implements best practices • Coordinates educational efforts • Monitors quality measure performance • Develops performance improvement plans • Includes interdisciplinary hospital, medical staff and community representation • Meets 4-6 times per year

  7. Care Delivery Model Was Established Model developed from guidelines published by AHA, ASA and the Mayo Clinic. Addresses screening performed in the community as well as the hospital Includes diagnosis and care of ischemic and hemorrhagic strokes, and TIAs

  8. The Model Encompasses • FAST Screening • EMS protocols and education • Clinical practice guidelines to direct patient care • Protocols for rapid diagnosis, BP management, thrombolysis, education and prevention of complications • Monitoring for early detection and response to problems • Early establishment of rehabilitation plan

  9. Benchmarking

  10. Stroke Education

  11. Work Group Meeting Stroke Units Collaborative Culture Marketing; Community Wellness Leadership (QRM, Clin. ED)

  12. Stroke Binder

  13. Let’s talk about Stroke

  14. Progress Stroke education workgroup Development of patient education materials

  15. Standardized Documentation

  16. Measure More Staff education Standardized form for documentation

  17. Ongoing Process

  18. CVA - TIA • We do not use a separate CareMap for TIA patients. • CVA patients were over the 90% mark, but TIA patients were not receiving the education.

  19. Almost there Reinforcement to use with TIA patients

  20. Meditech Documentation • Over the course of the last year on-line documentation had come full swing. • We knew nurses were educating and the supply of notebooks correlated. • Documentation needed to occur in the electronic realm.

  21. Breaking the 90th !! EMR documentation developed

  22. Holding the ground

  23. Questions

  24. Contacts Jeff Williams, Neuro Case Manager jwilliams@bromenn.org 309-268-3512

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