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Minnesota Acute Stroke System Council. August 24, 2011. Agenda. Review of progress to date Survey Results Discussion: pre-notification Discussion: acute treatment protocols Announcement: stroke initiatives structure Next Steps. Objectives. Consensus on pre-notification

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Presentation Transcript
agenda
Agenda
  • Review of progress to date
  • Survey Results
  • Discussion: pre-notification
  • Discussion: acute treatment protocols
  • Announcement: stroke initiatives structure
  • Next Steps
objectives
Objectives
  • Consensus on pre-notification
  • Consensus on acute treatment protocol elements
  • Informed of organizational structure for stroke initiatives in Minnesota
  • Understand next steps for MASSC
survey
Survey
  • N=55 hospitals represented on Council (~43% of acute care hospitals in Minnesota)
  • Responses: 20 (45%)
what types of information differs
What types of information differs?
  • Information from ALS vs. BLS
  • Blood sugar; medical history; last known well/time of onset; stroke scale
  • Color (red/yellow/green) coding; “code grey” vs. “code stroke” vs. other
how does receiving differing information impact care
How does receiving differing information impact care?*
  • Delays time to diagnosis
  • Sometimes causes delay in treatment
  • Lack of clarity may impact preparation time

*Most commented more generally about how pre-notification improves lab, diagnosis, and treatment times, not about the impact of having inconsistent/varying pre-notification information)

selected comments about having standards for ems pre notification
Selected comments about having standards for EMS pre-notification
  • Would be helpful to know time of onset, BP, 10-15 minute notification
  • It’s a no-brainer!
  • Would be helpful for all patients
  • Need to be sensitive to resources available to various EMS systems
  • Essential
  • Help smaller EDs in planning
  • Need standardization of care, standard screens
  • Standardization would ensure appropriate assessments are done, including the most important information
discussion pre notification
Discussion: pre-notification
  • Comments
  • Standards vs. a statewide protocol
  • What “product” should we adopt/develop?
  • Process: working group
please list minimum elements for a diagnosis treatment protocol
“Please list minimum elements for a diagnosis/treatment protocol”
  • Comments
  • “Standards”
  • What “product” should we adopt/develop?
  • Process: working group
next steps
Next Steps
  • September: transport protocol
  • October: discussion of first drafts of products
    • EMS pre-notification standards;
    • Treatment protocol standards;
    • Transport protocol
  • November: ?