Stroke Smart Medical Practice - Empowering Awareness and Early Intervention

Discover the Stroke Smart Medical Practice initiative aimed at enhancing stroke awareness, recognizing signs, and ensuring timely intervention. Uncover key statistics, warning signs, treatment predicaments, and the history behind this vital program. Join the movement to educate patients and medical practitioners, ultimately reducing pre-hospital delays and saving lives.

• Stroke Smart Medical Practice
• Stroke Awareness
• Early Intervention
• Medical Staff Training
• Stroke Statistics

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1. Stroke Smart Medical Practice JENNIFER JOSS, PROGRAM COORDINATOR, MSV FOUNDATION

2. Todays Objective Review stroke statistics and signs Introduce Stroke Smart Medical Practice initiative Encourage participation

3. Stroke Facts Stroke Facts 1 in 6 will experience a stroke in their lifetime (for women: 1 in 5) Stroke is the #1 cause of long-term disability 90% of the time, a bystander calls 911 Up to 80% of strokes are preventable

4. What are the signs?

5. Is there a sudden loss of vision in one or both eyes? Is there a sudden loss of balance?

7. Predicament Ischemic strokes (87% of all strokes) can be effectively treated with a targeted medication Must be administered within 4.5 hours of onset 75% miss the treatment window Calling 911 is critical! 2 million brain cells die every minute!

8. History of Stroke Smart History of Stroke Smart 2017 VDH awarded grant received from Paul Coverdale National Acute Stroke Program 2021 2022 Expanded proclamations in cities and counties Partnership formed; Stroke Smart Medical Practice defined, and criteria approved by Virginia Stroke System Task Force

9. Build stroke awareness and literacy among patients and medical practice staff to reduce pre-hospital delay and facilitate timely treatment of strokes Stroke Smart Stroke Smart Medical Practice Medical Practice Objective Objective

10. Why Medical Practice Focus? Why Medical Practice Focus? 1. Studies suggest 1/3 of patients with ischemic strokes first called their doctor for an appointment* 2. 80% of population see a medical professional annually; more often if high risk 3. Patients trust their doctors 4. Patient attention is focused (vs. multitasking, phone distractions, etc.) *Journal of American Heart Association, Sept 2019 Frontiers in Neurology, November 2017 Stroke Management, May 2008

11. Stroke Smart Medical Practice Elements* 1. Train all office staff to spot strokes and follow the practice protocol if a stroke is suspected (suggested: annually) 2. Provide Stroke Smart education and materials for all patients (i.e., wallet cards, magnets, posters, videos) 3. Identify high risk patients and provide (intentional) education and materials 4. Incorporate Stroke Smart script in voicemail to spot and instruct calling 9-1-1 (suggested element) 5. Track metrics on Stroke Smart effectiveness *Approved by Virginia Stroke System Task Force: Jan 2023

12. Health System Activities: Piloting implementation of all elements in a primary care site Developed online Stroke Smart course to train staff Stroke Smart Information Sheet provided to all patients Coding Epic system to flag high risk stroke patients Phone system voice recording has been completed Independent Practices: Patient education materials sent to 16 independent practices and wellness centers through our marketing efforts

13. Stroke Smart Medical Collaboration: Facilitate the adoption of SSMP elements in practice, minimizing duplication of efforts and sharing best practices Identify opportunities to expand the initiative to practices and systems with an emphasis on areas with high stroke prevalence

14. Collaboration - Activities: : Proposed changes to VDH webpage to house all materials o Stroke Smart Medical Stroke Smart Medical Practice Stroke Smart Hospitals/Health Systems Stroke Smart Urgent Care Stroke Smart Assisted Living Stroke Smart Rehabilitation Centers o Stroke Smart Communities Stroke Smart Schools Stroke Smart Business Stroke Smart Senior Centers Stoke Smart Faith-Based Organizations o Stroke Smart Pharmacy

15. Collaboration Activities Contd: Stroke Smart Medical Website Elements: Overview and Implementation Resources Stroke Smart Medical Practice Overview (video) Implementation roadmap Staff Training 30 Minute Video (with actual stroke presentation examples) 911 Hesitancy roll-play video and script Patient Training 3-minute and 9-minute videos Stroke Smart Information Sheet-- provided to patients High Risk Patient Training Assessment Tools Nurse education script Phone System Sample phone scripts

16. Where do I start if I d like to adopt SSMP in my practice? Obtain materials and roadmap Share materials in office Share video with staff Meet and discuss - share resources and implementation efforts Note: SSMP is NOT intended to take away from provider/patient time; it should fit into workflow

17. To order materials: Email Foundation@msv.org Go to msv.org and search on Request Stroke Smart Materials