Stroke Survivors Remind Us to Work as One Team

Work began in the spring to identify core best practice elements and processes that support the stroke patient’s journey with a focus on the transition elements between care settings. The Acute Rehabilitation and Community (ARC) Pathway was developed along with a team self –assessment tool. Each team from acute care to rehabilitation and the community, completed a self-assessment process to review elements that support best practice and facilitate the patient journey.  Results of the self-assessments were shared with participants at a regional stroke forum in September where team members from all parts of the stroke continuum came together to learn and think about how to create  a stroke system that performs as “one team”.  Presentations from the forum, including the self-assessment summary and the pathway are available here.

One of the best parts of our September regional event on transitions was hearing stroke survivors, Isabel and Bernadette tell us what was important to support the stroke recovery journey from their perspective. They shared a few tips on how healthcare teams can improve care and transitions.  Their key messages such as “be patient, slow down when talking” easily translated to important things that health care providers can do every day to support a smoother journey for stroke survivors and their families. 

Next steps over the coming months will be to create a transition toolkit highlighting use of items such as the Patient Journey Map and the Stroke Information Package to support patients along their journey.   In early 2020, stroke teams will re-connect  for a check-in to focus on action plans from their self-assessment. The combination of all these activities will help create “one journey, one team” in Southeastern Ontario.  A more detailed report and new resources are coming in 2020 – so stay tuned.  Learn More