News Archive: 2019

“ACT-FAST!!” across South East Emergency Departments

New evidence (DAWN and DEFUSE 3) indicates that highly selected patients with severe ischemic stroke may benefit from stroke Endovascular Thrombectomy (EVT) between 6-24 hours of clearly defined stroke symptom onset.  In response to the extended time window, Emergency Departments and Paramedic Services collaborated with the Stroke Network of Southeastern Ontario to implement the ACT-FAST algorithm. The ACT-FAST is a large vessel occlusion screen for EVT eligibility being used to guide decision making for triaging patients arriving in the Emergency Department.

What’s new in Stroke Unit Care?

An Acute Stroke Care Collaborative event on June 26th brought together 24 health care professionals from Stroke Units at Quinte Health Care, Brockville General Hospital, and Kingston Health Sciences Centre.  The one-hour event provided an opportunity to receive an update on new stroke best practices, learn about the Integrated Stroke Unit at QHC, and discuss transitions between acute care hospitals.

Annual Community Stroke Rehab Program (CSRP) Report Released: 19% increase in CSRP referrals in 2018/19

The annual Community Stroke Rehab Program Report and accompanying Infographic provides an overview of the Community Stroke Rehabilitation Program (CSRP) since service inception in 2009 and reflects the most recent fiscal year data (April 1 – March 31).  

Expanded Services for Adults with Aphasia in the South East

Community partners have worked collaboratively to support Adults with Aphasia in the community.  In Belleville, Community Care for South Hastings and Quinte & District Rehabilitation have partnered to provide the Belleville Aphasia Conversation Group; VON Greater Kingston (VON) has partnered with Kaymar Rehabilitation Inc. to provide a Group in Kingston; Senior Support Services, Community and Primary Health Care is currently exploring a rehab partnership in Lanark, Leeds and Grenville to initiate their first Group in Brockville.

Free Resources and Training available through the Aphasia Institute "Gift of Conversation"!

The following are offered free from the Apasia Institute:

Introduction to Supported Conversation for Adults with Aphasia (SCA™) eLearning: A short self-paced online module.  The module includes practical and video examples of concrete techniques using this evidence-based method.

NEW Part time KHSC Stroke Specialist Case Manager Jennifer Holliday

The Regional and KHSC Stroke Teams are pleased to warmly welcome Jennifer Holliday as our new part time Stroke Specialist Case Manager. Jennifer is just completing her orientation...

Transforming Care Together: Several top performers highlighted in annual South East Stroke Report Card

A recently released provincial report indicates that patient and families from across the South East Local Health Integration Network (LHIN) are benefiting from ongoing improvements in access to hyperacute treatment and stroke unit care. According to new data released by CorHealth Ontario, the SE Report Card  and related Infographic highlight the SE Region as an exemplary performer in several key areas:

RRN Interventions smooth transitions from Acute Stroke Units

To further support transitions from acute stroke units and respond to patient and provider feedback, a pilot of referrals to the South East LHIN’s Rapid Response Nurse (RRN) program, in conjunction with referrals being made to the South East LHIN’s Community Stroke Rehabilitation Program occurred between October 2017 and March 2019.

New Patient Journey Map for Stroke Survivors & Families in the South East

Working with the Stroke Network’s Community Reintegration Leadership Team, a Patient Journey Map has been created.  This map visually displays the recovery journey following a stroke beginning with the stroke event and moving through acute, rehab and community care. 

The map is intended to reflect a diversity of patient journeys to stimulate and support conversations between patients/families and clinicians.

New Client & Family Resource for Driving after Stroke

Returning to driving after a stroke can be a complicated and costly endeavor for stroke survivors and their families.  Understanding the rationale for suspending a driver’s licence and the process involved in a return to driving is imperative as the stroke survivor and family adapt to a changed life situation

Heather Jenkins, Regional Stroke Education Coordinator

We are delighted to welcome Heather Jenkins to the role of Regional Stroke Education Coordinator with the Stroke Network of Southeastern Ontario.

Heather obtained a Bachelor of Science in Biochemistry from Memorial University NFLD in 1999, followed by a Bachelor of Science in Physical Therapy from Queen’s University in 2002. Heather will complete a Masters of Science in Healthcare Quality from Queen’s University in August.  Heather obtained IDEAS quality improvement program certification in 2015, participating in an advanced training program focused on improving flow of stroke patients from acute to inpatient rehabilitation.

Raising the Bar: Kingston Health Sciences Centre-Kingston General Hospital Site received its Third Accreditation Canada Stroke Distinction Award

KHSC achieved its third Stroke Distinction award!  The 2018 Accreditation Canada Report highlighted many strengths. There were more standards to meet this time round and the results were positive.   KHSC sustained achievement of performance indicator targets despite growing patient volumes. A greater number of criteria were achieved for patient and family education and each of the 14 protocols were demonstrated, an increase from last survey.  KHSC received extremely positive feedback on implementing 24/7 access to Endovascular Thrombectomy across the region.

New Services for Adults with Aphasia in the South East

January 2019 saw the first session of the pilot Kingston-based community Aphasia Conversation Groups.  A Kingston-based Aphasia Buddies Program also began providing services in January through the VON-Kingston.

New Provincial Resources Released to Enhance Implementation of Secondary Stroke Prevention Best Practices

A provincial workgroup of clinical experts was tasked with updating the Stroke Prevention Clinic Model of care in Ontario. The workgroup identified resources including strategies to implement best practice core elements in Secondary Stroke Prevention Clinics and to enhance system-wide performance and outcomes for people with TIA and stroke. The work has been completed and the compilation of resources was released on January 30th.

Community and Outpatient Stroke Rehabilitation - New Provincial Resources Released!

Community and Outpatient Stroke Rehabilitation Provincial Workgroup Report 

Stroke rehabilitation in the community and outpatient setting was identified as a provincial priority by the eleven regional stroke networks in Fall 2016 and the following resources are now available here