Background: Comprehensive Stroke Program identified the need for a support system to ensure stroke patient [SP] follow-up [f/u] after discharge [DC] with [w/] Primary Care Physician [PCP] & specialized stroke services [SSS]: Neurology [NEURO] & Neurosurgery [NS]. The Neuroscience Nurse Navigator Program [NNN-P], implemented December 2019, included SP who received Alteplase [IV-A] or Mechanical Thrombectomy [MT]. Stroke order sets, revised 2020, included early DC planning [E-DC-P] for NNN-P coordination w/SSS & PCP offices, & updates to SP DC instructions. Individualized education included importance of f/u w/SSS & PCP & risk factor [RF] management, with barriers to care assessed. Contact information was verified with post DC calls at 3, 7, 30, & 90 days [d] w/Modified Rankin Score assessment [mRS-A] at 90d. SP satisfaction [SP-S] assessed via paper tool changed to Press Ganey in 2021. Purpose: Evaluate NNN-P impact on the Inpatient & Outpatient Post Stroke Continuum. Method: A retrospective review of 1,493 SP was conducted w/402 in the NNN-P. NNN-P records were reviewed for E-DC-P, days to f/u w/PCP & SSS, 90d mRS-A, & SP-S. Results: In the implementation year of 2020 there was an increase from 2019 in E-DC-P for PCP [60%], NEURO [38%], & NS [13%] w/an 18% increase in completed 90d mRS-A. The year after implementation showed an additional increase from 2020 in E-DC-P for PCP [28%], NEURO [32%], & NS [26%] w/a reduction in days to f/u for PCP [16d] & NEURO [20d]. In 2022 SP-S improved from 2021 for f/u instructions & RF [15%]. In 2023, sustained implementation, showed an overall increase from 2019 in E-DC-P for PCP [90%], NEURO [70%], & NS [57%] w/an overall reduction in days to f/u for NEURO [30d] & NS [16d] along w/improved SP-S for f/u instructions [27%] & RF [11%]. Conclusion: The NNN-P established a support system that included coordination w/PCP & SSS offices as well as relationship building w/SP & family which resulted in improvement of timely f/u after DC, 90d mRS-A & SP satisfaction.