Abstract
Background: Ineffective public education, knowledge barriers, and delays in care make a significant difference in outcomes. One urban hospital sought to improve care and outcomes for stroke patients through a process oriented, multidisciplinary approach. Methods: The stroke committee expanded membership to include neurology, ER staff, EMS, senior administration, nursing, and radiology, pharmacy, and community educators as well as representatives from parish nursing. Process flow is evaluated through all phases of care. Changes including immediate neurology consult, radiology coverage improvements in the ordering process, a stroke checklist for EMS personnel, and initiating access to local parish communities serve to improve patient education and care. Results: The process oriented approach to care is effectively evaluated through changes in discharge morbidity, length of stay, and evaluation of staff and patient perception of the stroke unit. Information regarding the effectiveness will analyze trending of length of stay as well as discharge morbidity will be compared the previous year. Staff and ambulance perceptions of the facility will also be reviewed. Conclusion: Patient outcomes are maximized in a setting in which a strong connection to the community are realized. Practice innovations, designed by point of care staff optimize work environment, emphasize a team approach to practice barriers.
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