Innovations in Stroke Prevention and Care in Saskatchewan

 

Conference Evaluation

 

(25 evaluations submitted)

 

Things I would change:

 

Maybe just an outline or brief overview of where we go from here - what’s being done with the information?  How do we get updates from the Stroke Steering Committee?

 

More people needed to attend – probably weather factor

Some health promotion presenters – and self-management focus

More First Nation involvement – in 2045 will be 30 percent of population!

 

Keep up the great work!

 

Minimize costs of function so that funds are utilized for research, equipment, materials, etc.; i.e. participants responsible for own breakfast and lunch

 

Build in some breaks – hard to go straight through but I appreciate sticking to timelines

 

Keep question period at end of each session – I think more would be generated.

Keep a short break mid morning and afternoon – people hate to interrupt sessions for stretch or bathroom break

 

Need to include rehab into conference.  What is happening there?

 

More information regarding stroke rehab in SK

 

Have an integrated plan and strategy that includes First Nations and Metis people at the regional levels

 

Get CEO/VPs involved – they control the funding

 

Day was full – perhaps time for group work as a group activity re: what we could do

 

Have short mini-exercise/stretching break in afternoon and a.m. due to the number of speakers and length of day

 

Research needed to be spoken more in terms of how other regons would benefit

 

Provide a coat rack.  Well organized.  Well done.

 

Temperature and lighting in room

 

Nothing.  PS Food was great, too!

 

Nothing (2)

 

no comments (7)

 

 

Things I still have questions about:

 

What are the next steps for our region and how will we know where we are in the process?

 

Who is going to lead the SK stroke strategy?

What is the stroke strategy for SK and how do the unique geography and population factors affect it?

Where will the funding come from?

Who will keep in touch with us regarding the progress of the strategy?

Will this fit into a chronic disease management program?

 

When will we have the plan in Saskatchewan – what to do? When?

 

How will people in the different health districts begin networking to promote standardization of information and implementation of protocols?

 

Transferring knowledge – how to get information to those who need it (public, pts, health care practitioners)

 

Communication access for province-wide sharing

 

How do we keep everyone motivated?

 

How we can improve evidence basis of practice for all providers across the spectrum

 

 

What are Sask Health’s expectations for the implementation of a provincial stroke strategy?

 

How to work to coordinate care – need to continue to contact tertiary centres


National strategy mentions having national video conferences.  Is there consideration for national audio conferences discussing strategy (stroke) and best practices?  I think it would reach more frontline staff and physicians to not only identify and speed up treatment but to prevent stroke by identifying risk factors and promoting change to lifestyle

 

1 concern – I have reservations that the amount of money our government will have to allocate to this strategy may be minimal.  We will definitely need to find ways we can network more efficiently with existing agencies’ programs.  Many workers are already going full tilt.  “Burn out”!

 

Specifics on the latest treatments of TIAs/stroke especially hemmorhagic

 

Can there by a provincial standard protocol for all regions which cover quickest access to care from onset through acute and into recovery?

 

My main concern is how we are going to move this forward.

 

We need at least a CT scanner per region to really make a difference.  *Will Sask Health endorse/approve this!  We have the potential to make a difference in rural areas – therefore, decrease workload at tertiary sites!

 

No comment (7)

 

None (1)

 

 

Things I liked:

The wide range and scope of the presentations – “big and small” centers, healthcare providers and healthcare consumers involved

 

All presentations valuable!!  I liked country wide – province wide – community focus

Question periods valuable

Hotel and food good

Packages excellent

 

Facility, food, excellent speakers and variety

 

Diversity of presenters’ backgrounds and experiences

Opportunity for individuals to network

 

Great to get an idea of what is happening around the province – resources to contact

 

Topics were of interest, relevant to our province and region

 

Good perspective on all aspects of stroke care

 

Time management of speakers

Interdisciplinary

Included patient feedback/input

 

National/provincial and regional/local perspectives and practices

Comprehensive vision and overview

 

Exchange of ideas

 

Primary and secondary prevention piece

 

The variety of topics and information – covered a lot of the continuum

 

All speakers were interesting and day went quickly

 

Enjoyed the conference immensely

Many different perspectives – all the information very enlightening

Begins to roadmap our journey

 

Format – many different discipline backgrounds sharing information.  Everyone willing to share information.

 

Stories from survivors, examples from other providers of different approaches

 

Presentations from different team players and how they fit into a provincial-regional plan

Congrats on having such a variety of speakers all with useful and informative presentations

 

Ontario

 

Excitement of room to initiate a goal for 1?, 2? and 3? areas of care including multidisciplinary approaches

 

EMS and RUH protocol

Chris O’Callaghan

Dr. Thornhill

 

Well organized

Keeping to time limits

Comprehensive coverage of the topic ranging from best practice to local initiatives

 

All of it

 

The interesting discussions

Loved no breaks

Very interesting to hear timelines

 

Enjoyed all presentations – like the pace – day flew! And very informative

 

No comment (1)

 

 

I can use or apply the information from today’s conference…

 

In providing the best possible information and care to clients with strokes that I see on a day to day basis

 

As primary health care manager

 

Keep preaching prevention **

Implement best practice

 

In sharing information learned with clients and colleagues to improve health care management and outcomes

 

Greater recognition of gaps in service

Knowing what is being done and who I can contact with questions

 

In assisting with potential TIA clinic at RUH

Sharing information with grassroots staff (RN, LPNs, aides) on the Neuroscience ward

 

Review our secondary prevention status and improve what we are doing post TIA and post stroke

 

As part of the steering committee

 

In my work on the CSS information/evaluation committee and in my everyday work with stroke survivors.  Need to take advantage of telehealth for all types of education (primary/secondary education for the North of SK)

 

Will use the handouts, but better yet have the contact information.  Also got a business card of an individual we can immediately start to work with

 

Will work to coordinate care with tertiary center

 

In starting with small projects to build on what we are doing nationally right now – motivated to pull in members of the team to enhance education

 

Bring the home care perspective to table for stroke strategy.  Focusing on prevention, education and support to post stroke

 

Different approaches across the continuum of care in stroke prevention and treatment

 

Immediately include more prevention of stroke/TIA at our wellness clinics, hold information classes, diabetes classes; inform local physicians and nursing staff about this initiative and see what we can accomplish at our local level; e.g. improved timelines of care of stroke in ER, referrals

 

To work on the steering committee

 

We are in the process of increasing our acute care resources re: txing strokes in our facility.  We need to access where we can get information to assist us in creating policies and procedures in regards to new treatments.

 

Application and implementation of new policy and procedure which go hand and hand with a new CT scanner in our facility

 

Will ensure senior management is made aware of overall strategy and planning and will provide to managers and staff throughout my portfolio

 

By raising awareness of risk factors in my region

 

Taking it back to Five Hills and discuss with RNs, EMS and start own stroke alert (started Nov. 14); bringing a research tool to Moose Jaw

 

Develop a stroke recognition protocol and make standing orders for stroke patient care; look at developing a Primary Care Site for stroke awareness, education and prevention

 

No comment (3)

 

 

Three key ideas I am taking home from this one-day conference are:

 

The importance of prevention and the options for education here

The importance of secondary prevention with which I could be more directly involved

Important things are being addressed and dealt with and there are a number of dedicated people with a common goal

 

The increase in stroke incidence in the future is scary

Stroke care is fragmented in SK

There are some really good projects working in SK

 

Consider research in what? When? How much PT

Health region recipients/clients need to go to PA and not Saskatoon for tPA

Get exercising more

 

Need for increased public education and awareness

Initiatives taken by some districts

Resources regarding program development

 

Data is needed

Education

Interdisciplinary care

 

All

 

The will is there; we need to work together

Key role of education: population and healthcare personnel

Contacts from all health regions

 

Integration

Time

Regional/local supported by provincial/federal

 

Team approach

 

What is happening around SK

A direction for SK stroke strategy

Networking/faces-to-names

 

Our region needs to implement a strategy

We need to include a stroke strategy within a chronic disease management framework

Convince rural areas they are better with by-pass protocols instead of stopping at the rural facility and wasting precious time

Telestroke

 

Possibility of designating beds in a hospital for stroke care

Importance of identifying champions

Network available for resources – able to expand contacts

 

Transfer of knowledge throughout the continuum

Stroke protocols – Estevan, etc.

Education – of patient/family

 

wellness clinic – screening/promotion

best practice focus

questions for my health region – stroke strategy and communication re: same

 

excited to do my part at local level to get this strategy up and going in our health region

see how we can adapt Ont. Program to work in our region

 

urban/rural coordination

RUH is a good place to be with a stroke

Exciting future

 

More active treatment of stroke including TIAs

Importance of follow-up and referral post TIA/stroke

Prevention key

 

Time is key

Need to educate patient more thoroughly on follow up care and resources

Better identification and care of TIA and stroke

 

RUH protocol

EMS

Stroke research

 

Telehealth – telestroke to facilitate access

Better communication needed throughout the province

Best practice – consistent approach

 

Getting information out to community

Stroke groups and research out in SK

Most important thing with stroke is time, time, time

 

Key contacts for information

Ideas on how I can assist changing what we do

Education and prevention of stroke

 

No comments (3)