Background: Stroke program coordinators have, traditionally, been nurses. As nurses are integral to the care of the stroke patient, this is a natural fit. Although leadership by an expert in nursing practice is essential to a stroke program, other clinical team members may be impactful as a stroke coordinator. Spectrum Health in Grand Rapids, MI elected to fill a stroke program coordinator position with an occupational therapist (OT), and partnered this position with a clinical nurse specialist (CNS). OTs receive education in anatomy, physiology and disease process. OTs are also trained in task analysis and take a systematic approach to understanding the dynamic interaction between person, task and environment. These skills, coupled with the clinical expertise of a CNS has impacted stroke practices, processes and team interactions, and helped re-define the role of a ‘stroke program coordinator’. Purpose: The purpose is to inform the audience of the novel stroke program leadership pairing of an OT and a CNS. Methods: An analysis of stroke program coordinator duties was conducted. Within this analysis, duties conducted by the OT and CNS (as stroke coordinators) were described, with analysis of how these tasks complimented their professional training and the performance of the stroke program. Results: The duties of a stroke program coordinator were separated into two concepts: practice and process. Practice includes the care of the stroke patient, administration of medications and utilization of the electronic medical record. Process relates to the flow and organization of care, from the emergency department, acute care and community, and the interactions between the clinical team (nursing, providers and pharmacy). The CNS owns the practice piece, and the OT addresses the process piece within the Comprehensive Stroke Program at Spectrum Health. Conclusions: Understanding program priorities is essential to the development of a stroke program coordination team. Once priorities are established, it may be appropriate to consider clinicians outside of nursing to fulfill role on the stroke leadership team. An OT is one of the other healthcare professionals that have the training to assist in the progression of stroke care processes for optimal patient outcomes.