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PD Resources

Implementation Resources that Support Uptake of Best Practices

ResourceDescriptionAccess
Professional Development Resources
Canadian Best Practice Recommendations for Stroke Care:  2008 Toolkit *

*2010 edition in development
Purpose:   To introduce and provide an overview of the current stroke best practice recommendations.

Target Audience: Front line interprofessional staff, managers and system leaders involved in stroke care delivery.

Resource Description: A series of educational modules that includes a review of the recommendations for each part of the care continuum, and provides additional information, evidence and examples of their application.

Delivery format:  PowerPoint presentations that could be delivered during in-person workshops or self-directed learning.
http://www.heartandstroke.on.ca
/site/c.pvI3IeNWJwE/b.5398033/k.2C15/Canadian_Best_Practices_Workshop.htm
Emergency Medical Services Management of Suspected Stroke Patients (2010)Purpose:   To increase consistency and standardization for emergency medical system (EMS) personnel’s assessment and management of suspected stroke patients.

Target Audience: :  Experienced EMS providers and new trainees. EMS dispatch, emergency department staff.

Resource Description: Two parts:  (i) a standard template with core content for assessment and management of suspected stroke patients on scene;  (ii) in-depth educational workshop that provides in-depth explanations of each component of the assessment and management tool.

Delivery format:  The template is in the form of stroke pocket cards and a written document.  The educational workshop can be delivered as an in-person workshop, or as an online self-directed learning module.
http://canadianstrokestrategy.ca
/eng/professional/tools.html
Secondary Prevention Best Practices Workshop Toolkit:  Preventing Stroke One at a Time*

*2010 edition in development
Purpose:   To support the interprofessional healthcare team in the implementation of recommendations for the secondary prevention of stroke.

Target Audience: Front line interprofessional healthcare providers, staff and patient educators, managers and system leaders involved in stroke care delivery.

Resource Description: A comprehensive set of learning materials that address the evaluation of stroke, acute interventions, lifestyle, and risk factor management issues.

Delivery format:  This includes eight slide presentations with speakers’ notes on a range of stroke prevention topics, as well as handouts and templates for organizing and delivering workshops and educational sessions on secondary stroke prevention.
http://www.heartandstroke.on.ca
/site/c.pvI3IeNWJwE/b.5882219/k.48F5
/Secondary_Prevention_Tool_Kit.htm
A Guide to the Implementation of Stroke Unit Care (2009) Purpose:   To provide a systematic and comprehensive approach to guide the establishment of new stroke units and the enhancement of existing stroke units to provide optimal services and processes of care for stroke patients.

Target Audience: Hospital/regional funders, senior administrators, program managers, front-line staff caring for stroke patients.

Resource Description: Written reference material that addresses the current stroke unit recommendations, operational definitions and key components of stroke units, key steps and staffing models to set-up a stroke unit, quality of care evaluation indicators.

Delivery format: Reference booklet, available in hard copy and as a web-based document for download.
http://canadianstrokestrategy.com/wp-content
/uploads/2010/07
/CSSStrokeUnitResource_EN.pdf
Add second nursing resource
Acute Stroke Management Workshop (2009) Purpose:  To promote the role of nurses in stroke best practices.

Target Audience: Front line and advanced practice nurses.

Resource Description:  A series of educational modules and resources that review recommendations for each part of the care continuum and provide additional in-depth information for nurses caring for acute stroke patients.

Delivery format:  Facilitated in-person workshops, which include power point presentations with facilitator guides, participant workbooks and interactive learning tools.
http://www.heartandstroke.on.ca
/site/c.pvI3IeNWJwE/b.5346923/k.8D25
/HCP__English.htm
Stroke Pocket Cards (2005) Purpose:  To provide quick and convenient reference information for the assessment of stroke severity and neurological function.

Target Audience: Front line interprofessional healthcare providers who care for stroke patients across the continuum.

Resource Description:  A package of five quick reference pocket cards including Stroke Symptoms, Functions of the Brain, Cranial Nerves, Canadian Neurological Scale and National Institute of Health Stroke Scale.

Delivery format:  These pocket cards come as a set of five, and can be ordered online.
www.heartandstroke.on.ca
/site/c.pvI3IeNWJwE/b.5852913/k.AC4B
/Order_Resources/apps/ka/ct/contactcustom.asp
Patient and Family Resources
Patient’s Guide to Canadian Best Practices Recommendations for Stroke Care*

*2010 edition in development
Purpose:   To educate patients and families about best practices in stroke care and encourage their active participation in stroke care and recovery.

Target Audience: Stroke patients, family members, caregivers, lay public.

Resource Description: Booklet with lay terminology describing the best practice recommendations for stroke care across the continuum of care

Delivery format:  Booklet in hard copy and electronic format.
http://canadianstrokestrategy.com/wp-content
/uploads/2010/07
/csn_english_patientsguide.pdf
Performance Measurement and Evaluation Resources
Canadian Stroke Strategy Core Performance Indicators and Case Definitions (2010) Purpose:   To provide a standardized set of case definitions and validated performance measures for monitoring the quality of stroke care delivery.

Target Audience: Interprofessional stroke teams, stroke evaluation specialists, epidemiologists, stroke researchers.

Resource Description: This resource includes a comprehensive list of International Classification of Diseases, 10th Edition (ICD_10) codes to describe acute stroke and stroke subtypes.   It also includes a list of the 21 core stroke evaluation indicators that span the stroke care continuum, which have been identified through a structured consensus process.

Delivery format: Documents available electronically and in downloadable format for printing.
http://canadianstrokestrategy.com/wp-content
/uploads/2010/07
/css-core-indicators-2010-report-en.pdf
Canadian Stroke Strategy   Performance Measurement Manual (2008)* 

*2010 edition in development
Purpose:   To provide a standardized evaluation framework, definitions and methods to calculate stroke performance measures included in the CSS stroke best practice recommendations.

Target Audience: Interprofessional stroke teams, stroke evaluation specialists, epidemiologists, stroke researchers.

Resource Description: A comprehensive data dictionary that provides a detailed description of operational definition, numerator, denominator and inclusion criteria for each performance measure included in the stroke best practice recommendations.

Delivery format: This is presented as a manual in electronic form that is available for download and printing.
http://canadianstrokestrategy.com/wp-content
/uploads/2010/07
/css_performance_manual_2008.pdf
Canadian Stroke Strategy   Guide to CIHI Stroke Special Project #340 Purpose:   To provide an overview of the performance measurement elements contained in the Canadian Institute for Health Information’s Special Project #340.

Target Audience: Health Information Management specialists, hospital records coders and archivists, stroke evaluation specialists, epidemiologists, stroke researchers.

Resource Description: A slide presentation that provides an overview of CIHI Stroke Special Project #340, and detailed information regarding each data element included for data collection.

Delivery format:  Slide presentation for delivery as an in-person workshop.
 TBD
Accreditation Canada Stroke Distinction Program
Accreditation Stroke Distinction AwardPurpose:   To provide a mechanism to recognize organizations that demonstrate clinical excellence and an outstanding commitment to leadership in stroke care.

Target Audience: Organized stroke programs and interprofessional stroke teams, regional health authorities, organization leaders and administrators.

Resource Description: A highly specialized standards of excellence that are closely based on the Canadian Best Practice Recommendations for Stroke Care, addressing acute stroke services, inpatient rehabilitation stroke services, and comprehensive stroke services (for use in a regional setting). The distinction award also includes a set of performance measures that each participating organization is required to submit to Accreditation Canada.

Delivery format: This program includes a set of standards and protocols, the ongoing submission of data related to a core set of stroke quality indicators, and an on-site visit by expert evaluators with wide-ranging experience in the stroke care field.
 http://www.accreditation.ca/stroke-distinction