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Refer to the Prevention of Risk Factors Chapter (Poor Nutrition, Physical Inactivity, and Smoking cessation) and the previous Management Chapters for strategies to reduce risk factors for stroke.
Refer to Hypertension and Diabetes Chapters for more information on the NC Chronic Disease Collaborative.
Refer to Hypertension chapter for explanation regarding plans to expand Model Preventive Benefits into disease management.
- Increase awareness of the warning signs, symptoms, and correct response for stroke.
- Assure access to care, particularly among disparate populations, and establish consistent care protocols for emergency and facility care.
A. Increase awareness of the warning signs, symptoms, and correct response for stroke.
Sample Strategies:
Public Awareness
- Expand Strike Out Stroke, a program that targets HTN in African Americans and includes warning signs of stroke.
- Include more stroke messages in Start with Your Heart campaign.
- Explore piloting and co-branding of national campaigns in the tri-state area. (Lead Agencies: TSSN )
Program Services
- Support stroke screenings and link individuals to resources (Lead programs/agencies: HDSP and NC Stroke Association).
Research and Surveillance
- Analyze the results from four month survey testing of a set of state-added BRFSS questions on response to heart attack and stroke
- Support research exploring access to and timeliness of care i.e. NC Rapid Response to Stroke, NC Stroke Facilities Survey
National Resources
American College of Emergency Physicians - Seconds Save Lives Program; National Institute of Neurological Disease and Stroke (NINDS) – Know Stroke, Know the Signs, Act in Time Campaign; AHA, ASA – Get with the Guidelines and Operation Stroke.
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B. Assure access to care, particularly among disparate populations, and establish consistent care protocols for emergency and facility care.
Sample Strategies:
Research and Surveillance (existing)
- Develop GIS mapping project to pinpoint stroke prevention resources and care in the tri-state area (Lead Agency: TSSN)
- Assess the status of 911 coverage in tri-state area county by county (Lead Agency: TSSN)
- Analyze data from REGARDS Study to better understand racial and geographic disparities in the Stroke Belt.
- Implement the NC Collaborative Acute Stroke Registry to monitor and improve acute stroke care in the Stroke Belt.
Program Services
- Continue to support and establish new programs to deliver care to individuals at higher risk for stroke – African Americans and those with low SES i.e. COSEHC - EDUC grants.
- Support Stroke CME and explore stroke telemedicine.
- Establish consistent treatment guidelines between the emergency response teams and facilities (Stroke Registry)
- Institute clinical care best practices to improve stroke outcomes i.e. stroke response teams.
Policy
- Support passage of STOP Stroke Act
- Monitor the NC Stroke Systems Act (Lead Agency –AHA)
Responsible Parties and Partnering Organizations:
NC DHHS – HDSP, TSSN, COSEHC, WFUBMC - NC Hypertension and Vascular Center, SBC, MRNC, UNC Stroke Center, NC Stroke Association, Triangle Chapter of ASA/AHA, SBEI at Forsythe Medical Center,. UNC-Chapel Hill Department of Epidemiology.
Last Updated 01/05/09
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