ICAHN’s Stroke Initiative

2009-2013 and beyondFunded in part by Genentech as well as

Federal Flex Grant and SHIP GrantStatewide Health Improvement Program (SHIP)

Vision for Quality Stroke Care

• Elevate the quality of stroke care in the rural areas to establish access to care regardless of where a person resides or is visiting in the state of IL

Professional Education

ICAHN Stroke Model forTraining and Preparation for Emergent Stroke Ready Hospitals

Pact to Act FAST: Objectives

• Identify the purpose of the Pact initiative• Learn the key components of the program• Reference what research tells us about Stroke

Community Education• Understand why people don’t call 911 when

having a stroke?• How can community education impact the

resistance by some Drs to administer the drug

Why is Community Education so Vital to Success?

• There is only one drug to treat stroke and it must be given within 3 hours of the onset of a stroke

• Most patients wait more than 3 hours to even arrive at the hospital

• Most patients do not arrive by EMS• Most patients do not know the severe consequences

of waiting to get help • Our trained and ready hospitals are not able to help

many patients due to the delay

PACT TO ACT FAST

• Main Thrust of Pact to Act FAST is to change behavior and increase the number of people who call 911 when stroke signs appear.– Less than half of acute stroke patients arrive via

ambulance– Most stroke patients wait 6 hours or more to seek

treatment for an acute stroke– Majority of people arrive beyond the 3-4 hour

window for tPA eligibility

What is the PACT?• Anytime, anywhere I

observe a person with any of the FAST signs of stroke, I will call 911 immediately, even if the person says they want to wait. I know with stroke every second counts and with every second, the average stroke patient loses 32,000 brain cells.

• A Pact is an agreement that is not to be broken

• Ask everyone to take the Pact Personal Pledge and know the signs:

• F—FACE: Ask the person to smile. Does one side of the face droop?

• A—ARMS: Ask the person to raise both arms. Does one arm drift downward?

• S—SPEECH: Ask the person to repeat a simple phrase. Is their speech slurred or strange?

• T—TIME: If you observe any of these signs, call 9-1-1 immediately

Pact Urges Having a Plan

• PACT TO ACT FAST• Stroke is an Emergency• You have an emergency plan in case of fire• You have a plan in case of a tornado• What is your plan when someone has a

STROKE?• Call 911 – Don’t Wait

Pact to Act FAST TEAM

• Health Departments• 219 Rural Health Clinics• 52 CAH • Parish Nurses• EMS: 329 agencies• Stroke Support Groups

Pact to Act FAST Target Audiences

• Schools• Churches• Work Places• Community Organizations• Small Businesses and Restaurants (posters)• Other: scouts, grocery stores, stroke month

events at our hospitals, senior centers

Resources Provided• Guidebook of recommended activities• Community Education PowerPoint• Magnets• Wallet Cards• Table Tents• Posters• What Every Family Should Know Card• Bookmarks• Plan Ahead for Stroke, Fire & Tornado Card• PACT Promise Cards• Stroke Month Special Activities and materials

Outcomes 2013 to Date

• Outreach to Counties: 36• people signed the pledge: 9,126• Shipped pieces of materials: 72,256• Track Outcomes by:

o Quantity shippedo People reachedo By countyo By organization type reachedo By team member type providing service