Stroke Coordinator AND Strategies for Success When Stroke Coordinator Isn t Your Only Role Staci A. Mondell, BSN, RN, SCRN Disclosure Staci Mondell - No Financial Disclosures 1
Objectives Gain a basic understanding of how being GREAT on paper, in person, and on social media may affect you professionally Compare the past, present, and future of Stroke Systems of Care Provide you with a strategy for making the case for a FULL TIME Stroke Program Coordinator Learn how and when to utilize unconventional resources Understand changes you will encounter in all areas of patient and program management Strategies for Success When. Making the case for a FULL TIME Stroke Program Coordinator Program History (Past, Present, and Future) Program Structure Program Statistics Program Management Program Data Management Program Change 2
I am so great! I am so great! These Are the Roles of Our Lives.. Parent / Step-parent / Guardian Housekeeper / Maid COO Laundry Services Butler Taxi Driver Accountant Plumber Personal Chef Decorator Seamstress Gardner Referee / Umpire Stroke Program Coordinator I am so great! I am so great! Using Social Media to advertise our greatness!!! LinkedIn Twitter Facebook Snap Chat Instagram MySpace 3
I am so great! I am so great! CRNP CNRN SCRN MSN RN BSN MEd ACNS- BC DNP APRN CEN Program History If you want to know your past, look into your present conditions. If you want to know your future, look into your present actions. -Buddistsaying 4
Program History The Past Nosense of urgency to get to ED NoALS transport, released to BLS Nosense of urgency for ED neuro consult No tele-stroke or tele-neurology services NoSTAT neuro consults, they were routine Program History The Past Noto tpa!!! That $hit kills people!!! No going home, most patients were NH bound No education No care coordination NoStroke Coordinators, Stroke Program Management 5
Program History The Present Timeis of the essence, rapid transport Timeis Brain Timefor a STAT neuro consult Timeto give tpa it no longer kills people! Timefor intervention Program History The Present Timefor better outcomes Time to coordinate care Timeto educate Timeto manage your Stroke program Time for a Stroke Program Coordinator!!! 6
Program History The Future Yes we have neurology at bedside immediately Yesour DTN times are <45 minutes Yeswe have an agreement Yeswe intervene Yes our practice reflects current guidelines Program History The Future Yeswe have Care Coordination Yes our population is growing Yes we educate the patient and their family Yeswe measure outcomes YES! We have a FULL TIME Stroke Program Coordinator!!! 7
Program Structure Hi. My name is Staci Mondell, BSN, RN, SCRN, and I am currently an Acute Care Case Manager AND the Stroke Program Coordinator. Hi. My name is and I am currently a/an AND the Stroke Program Coordinator. Program Structure Who s your daddy? Nursing Administration Neuroscience Director Emergency Department Critical Care Nursing Education Care Management Quality and Safety Neurology Where s he taking you? Does he know how many friends you have? 8
Program Structure Program Structure Stroke Coordinator Stroke Medical Director Neurologists Neurosurgeons Radiologists Hospitalists Family Practice Resident Physicians ED Providers Physiatrists Comprehensive Center ED Team EMS Laboratory Services Imaging Services Nursing Units Therapy Services Care Management Marketing Abstractors Volunteer Services Tele-Stroke Provider Law Enforcement 9
Program Statistics 2010 Total number strokes Total ED visits Total number tpacases Average DTN time NO TeleneurologyServices NO transfer to CSC 2015 Total number strokes Total ED visits Total number tpacases Average DTN time Tele-neurology consults/month Yes transfer to CSC Program Statistics Other Statistics and Comparisons GWTG Population by city / county Average age of your population Health Race STK Measures Outcomes 10
Program Management Collects and maintains data registry Keeps abreast on guidelines Updates policies and order sets as needed Monitors compliance with STK measures Maintains 8 hours stroke education annually Program Management Serves as chair for the Stroke Care Committee Serves as tele-neurology contact / expert Assists with stroke education development for staff Collaborates with Marketing Participates in Community Outreach Obtains / Maintains Accreditation 11
Program Management Certification is all about WORK Workon fixing those RFI s Workon DTN <45 minutes (or less ) Workon relationship with CSC Workon ALL relationships Program Management Workon policy / protocol Workon order sets Workon outcome management Work, work, work 12
Program Data Management Stroke Patient Data Registry / PI Measures EMS Emergency Department Laboratory Imaging tpa Patient Processes Disposition Outcomes CONCURRENT Then you follow-up on ALL variances In real time Program Change God grant me the serenity to accept the things I cannot change, the courage to change the things I can, and the wisdom to know the difference. -Reinhold Niebuhr 13
Program Change God grant me the serenity to Not to kill every single one Of these *#@!$%^&* s -You Program Change Internal Nursing Staff Administration (aka your daddy ) Physicians Hospitalists Residents ED Providers Emergency Department Staffed with Locums / Agency System owned EMS 14
Program Change External Certification Standards Clinical Practice Guidelines tpa Inclusion / Exclusion Criteria *** Partnerships / Mergers Surrounding facilities Legislation (Act 54) Program Change Internal Utilizing Resources You Never Knew You Had Volunteer Services Medical School Nursing Students Informal Leaders Stroke Survivors 15
Questions / Comments References LinkedinPictures https://www.linkedin.com/home?trk=nav_responsive_tab_home Quotes http://forum.quoteland.com/eve/forums/a/tpc/f/99191541/m/430193 7495 16