Stroke Unit Toolkit

It has been found that stroke patients who receive care on a specialized stroke unit have an increased likelihood of survival, return to the home, and independence post stroke (Casaubon et al., 2015). In the Fall of 2014, a provincial integrated working group was formed to develop a stroke unit toolkit. The aim of this toolkit was to provide organizations with a resource that would assist centres with the development and improvement of new and or existing stroke units.

Work plan

Stroke Unit Toolkit Work Plan March 2015

Final Report

Stroke Unit Toolkit- Final Report (2016)

Deliverables

1. Stroke Unit Toolkit (Updated 2022)

2. Stroke Unit Contact List (Updated 2022)

3. Stroke unit visit guide for site requesting the visit (2016)

4. Instructions for the site hosting the stroke unit visit (2016)

5. Sample outline template for host site for day of visit (2016)

Additional Documents/Tools

currently there are no additional documents/tools. If you would like more information on the resources used to support the development of this work please contact oh-corh_service@ontariohealth.ca

Regional Use of PIWP Deliverables

Region	Description of Use	Contact Name	Stroke Network links	Additional Information
Central South	Implement best practices Develop new program Develop business case Perform needs assessment Improve access	Stefan Pagliuso	https://www.csnstroke.ca/	Joseph Brant Hospital is currently in the process of developing and Integrated A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit. Joseph Brant Hospital has agreed to pilot the use of this PIWP in the development of the integrated A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.stroke unit.
Champlain	Implement best practice Improve current program Improve patient outcomes Improve access	Acute Care Coordinator	https://www.champlainregionalstrokenetwork.org/	Utilized as part of the A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit implementation in 2016/17 at the Ottawa Hospital (Regional Stroke Centre; A facility that has all the requirements of a district stroke centre, plus neurosurgical facilities and interventional radiology.RSC).
Northeastern Ontario	Implement best practice Develop new program Develop business case Improve patient outcomes	Shelley Hawton Carla Dolanjski Susan Bursey	https://www.neostrokenetwork.com/	Timmins and District Hospital and North Bay Regional Health Centre used this as a reference when developing their new integrated stroke units in 2016-17. Health Sciences North will be using the toolkit as a “bible” when developing their new Specialized, geographically-located hospital unit with dedicated stroke team and stroke resources.acute stroke unit in 2017. The Regional Network also referred to it when conducting a financial analysis of current state of stroke care compared to best practice state in collaboration with a consultant (Jan-Mar 2017)
Northwestern Ontario	Improve current program	E. Edwards	https://www.nwostroke.ca/	The full Toolkit is not being used at this time. Our Acute and Rehab A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit are already established. Our network referred to the A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit Orientation section when redesigning the Regional Stroke Centre; A facility that has all the requirements of a district stroke centre, plus neurosurgical facilities and interventional radiology.RSC Regional A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit Orientation Program.
Southeastern Ontario	Evaluate current programs Other	Stroke Network of Southeastern Ontario	https://www.strokenetworkseo.ca/	Used the Evaluation Section & Appendix F -Quality Indicators during development of Regional Dashboard; Referred site to the A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit Visit Guidelines for Site Visit; Used sections to support sites with sustaining Stroke Units & Care (e.g., ASU Bed Formula, Orientation and Stroke Expertise Sections); Will use toolkit when planning Integrated Unit.
Southwestern Ontario	Implement best practices Develop new program Improve current program Develop business case Improve patient outcomes Improve access	Gina Tomaszewski	https://swostroke.ca/	The toolkit was used as a resource in the development of integrated stroke units in the region. A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit Contact List was helpful in locating A telemedicine application that provides emergency physicians with immediate access to neurologists with expertise in stroke care who can support both the assessment and treatment of patients experiencing acute ischemic stroke.Telestroke sites of similar size. Site Visit Questionnaire was used for several visits.
West GTA	Improve patient outcomes To evaluate current programs Improve access	Nicole Pageau	https://westgtastroke.ca/	The A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit Toolkit was shared with Halton Healthcare to compliment their implementation of their Specialized, geographically-located hospital unit with dedicated stroke team and stroke resources.Acute Stroke Unit. It was also shared with William Osler to enable them to implement a A geographical unit with identifiable co-located beds occupied by stroke patients on average 75% of the time and has a dedicated inter-professional team with expertise in stroke care with the following professionals at a minimum nursing, physiotherapy, occupational therapy, speech language pathologist.Stroke Unit at both their sites.