Ontario Stroke Evaluation Report 2012: Prescribing System Solutions to Improve Stroke Outcomes
Authors: Ruth Hall, Ferhana Khan, Christina O’Callaghan, Moira Kapral, Kathryn Hodwitz, Jiming Fang and Mark Bayley.
Released by the Ontario Stroke Network (OSN) and the Institute for Clinical Evaluative Sciences (ICES), this year’s report provides a comprehensive review of progress made in the provision of stroke care across the province from 2003/04 to 2010/11.
Areas of improvement over the evaluation period include:
- Increased percentage of patients with stroke or transient ischemic attack arriving at hospital by ambulance and receiving a brain scan within 24 hours;
- Increased percentage of patients receiving tPA, the clot-busting drug for stroke, within 60 minutes of arrival at hospital;
- Increased percentage of patients accessing care on a dedicated stroke unit;
- Reduced in-hospital, 30-day and one-year stroke mortality rates; and
- Reduced wait times for admission to inpatient rehabilitation from acute care.
Also included in the report are OSN stroke report cards, introduced in 2011, which grade the delivery of care for each of Ontario’s 14 Local Health Integration Networks.
The report is available here.