Transcript STEMI and Stroke Panel Presentation (P. Jones)

ICAHN’s Stroke Initiative
2009-2013 and beyond
Funded in part by Genentech as well as
Federal Flex Grant and SHIP Grant
Statewide Health Improvement Program (SHIP)
Vision for Quality Stroke Care
• Elevate the quality of
stroke care in the
rural areas to
establish access to
care regardless of
where a person
resides or is visiting
in the state of IL
ICAHN Stroke
Model for
Training and
Preparation
for Emergent
Stroke Ready
Hospitals
CAH Stroke Team Training
Professional Education
Measurement- GWTG
EMS & Hub Collaboration
Community Education
Resources from ICAHN
Pact to Act FAST: Objectives
• Identify the purpose of the Pact initiative
• Learn the key components of the program
• Reference what research tells us about Stroke
Community Education
• Understand why people don’t call 911 when
having a stroke?
• How can community education impact the
resistance by some Drs to administer the drug
Why is Community Education so
Vital to Success?
• There is only one drug to treat stroke and it must be
given within 3 hours of the onset of a stroke
• Most patients wait more than 3 hours to even arrive
at the hospital
• Most patients do not arrive by EMS
• Most patients do not know the severe consequences
of waiting to get help
• Our trained and ready hospitals are not able to help
many patients due to the delay
PACT TO ACT FAST
• Main Thrust of Pact to Act FAST is to change
behavior and increase the number of people
who call 911 when stroke signs appear.
– Less than half of acute stroke patients arrive via
ambulance
– Most stroke patients wait 6 hours or more to seek
treatment for an acute stroke
– Majority of people arrive beyond the 3-4 hour
window for tPA eligibility
What is the PACT?
• Anytime, anywhere I
observe a person with
any of the FAST signs of
stroke, I will call 911
immediately, even if the
person says they want
to wait. I know with
stroke every second
counts and with every
second, the average
stroke patient loses
32,000 brain cells.
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A Pact is an agreement that is not to
be broken
Ask everyone to take the Pact
Personal Pledge and know the signs:
F—FACE: Ask the person to smile.
Does one side of the face droop?
A—ARMS: Ask the person to raise
both arms. Does one arm drift
downward?
S—SPEECH: Ask the person to repeat
a simple phrase. Is their speech
slurred or strange?
T—TIME: If you observe any of these
signs, call 9-1-1 immediately
Pact Urges Having a Plan
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PACT TO ACT FAST
Stroke is an Emergency
You have an emergency plan in case of fire
You have a plan in case of a tornado
What is your plan when someone has a
STROKE?
• Call 911 – Don’t Wait
Pact to Act FAST TEAM
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Health Departments
219 Rural Health Clinics
52 CAH
Parish Nurses
EMS: 329 agencies
Stroke Support Groups
Pact to Act FAST Target Audiences
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Schools
Churches
Work Places
Community Organizations
Small Businesses and Restaurants (posters)
Other: scouts, grocery stores, stroke month
events at our hospitals, senior centers
Resources Provided
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Guidebook of recommended activities
Community Education PowerPoint
Magnets
Wallet Cards
Table Tents
Posters
What Every Family Should Know Card
Bookmarks
Plan Ahead for Stroke, Fire & Tornado Card
PACT Promise Cards
Stroke Month Special Activities and materials
Outcomes 2013 to Date
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Outreach to Counties: 36
people signed the pledge: 9,126
Shipped pieces of materials: 72,256
Track Outcomes by:
o Quantity shipped
o People reached
o By county
o By organization type reached
o By team member type providing service