Michigan Stroke Surveys, Reports, & Other Documents
The MOSAIC program and its partners are working together to develop systems of care that support quality improvement across the continuum of stroke care. The MOSAIC evaluation staff compile and publish quarterly, bi-annual, and annual reports that help the MOSAIC team and its partners indicate how the reporting hospital or emergency medical service (EMS) agency is performing in relation to its peers during the same reporting period.
MOSAIC conducts three annual surveys to monitor and assess the performance of participating hospitals and emergency medical service (EMS) agencies and gain a better understanding of the issues associated with acute stroke care and the barriers to communication between EMS agencies and their receiving hospitals. The survey responses help the MOSAIC team in its efforts to improve stroke care across the continuum of the stroke care system.
Michigan Stroke Transitions Trial (MISTT) study
The MISTT study, a three-year clinical trial funded by the Patient Centered Outcomes Research Institute (PCOI), was designed to test interventions to assist stroke patients and caregivers in the transition after the patient has returned home from the hospital. Study investigators have met their enrollment goals, finished all data collection, and created the following products to date:
- Summary of Study Design and Conduct (December 2017)
- Advisory Board newsletter
- December 2017 issue (Issue #3)
- Patient Fact Sheets
- Some Things to Know When You Return Home After a Stroke (November 2017)
- Communicating with Your Health Care Team After a Stroke (November 2017)
- Stroke and Stroke Recovery Can Strain Your Finances (December 2017)
The Michigan Stroke Experience: Burden, Healthcare Utilization, and Falls
Michigan BRFSS Surveillance Brief: An Overview of Stroke Within the Michigan Adult Population (Vol. 10, No. 2; June 2016)
The lifetime prevalence of hypertension among Michigan adults was notably higher among those who ever had a stroke compared to the entire Michigan adult population (69.7% vs. 34.6%, respectively). Close to 15% of Michigan adults who had a history of stroke and hypertension reported that they were not currently taking antihypertensive medications. This represents a missed opportunity for hypertension control within our health care systems.
Stroke and Hypertension among Michigan Adults
Michigan BRFSS Surveillance Brief: The Burden of Stroke and Hypertension among Michigan Adults (Vol. 8, No. 4; August 2014)
Although these data are limited by the inability to determine when the reported stroke occurred in relation to the respondent’s doctor visits and/or falls, they suggest that those who have had a stroke are visiting a doctor more frequently than adults that have never had a stroke. In addition, a much greater proportion of adults who had ever been told they had a stroke had fallen within the past year, and were more likely to be injured due to a fall compared to those who did not have a stroke. These findings highlight an opportunity to focus post-stroke intervention efforts on fall prevention, which could lead to reduced stroke readmission rates.
2019 MOSAIC Annual Workshop Presentations (June 7, 2019)
- Workshop Agenda
- Creating a Shared Vision: Reducing the Burden of Disparities in Stroke Across the ‘Community’ of Care (Casey L. Corches, MPH, MSOTR/L, Project Manager, Department of Neurology, University of Michigan Stroke Program)
- Stroke Survivor (Tracy A. Hover, BS, Research Project Coordinator, Western Michigan University Homer Stryker M.D. School of Medicine)
- Understanding & Assessing Visual Deficits in Stroke (Kemar Green, DO, Sparrow Hospital/Michigan State University Neurology & Ophthalmology)
- Joint Commission Stroke Update 2019 (David Eickemeyer, MBA, Associate Director, Certification, The Joint Commission)
- Gender Disparities in Ischemic Stroke (Stacie L. Demel, DO, PhD, Assistant Professor, Department of Neurology, University of Cincinnati)
- Target Stroke Phase III and Health Equity (Kathie Thomas, DHA, MPH, Senior Director, Quality and Systems Improvement, American Heart Association/ American Stroke Association)
- Community Integrated Paramedicine and Strokes (Melissa M. Carskadon, Lead EMT-P, I/c, Community Paramedic, Hazmat Medic, Professional Med Team)
2018 MOSAIC Annual Workshop Presentations (May 23, 2018)
- Michigan and MOSAIC Data Review (Adrienne Nickles, MPH)
- Post-Acute Stroke Rehabilitation: Delivering Value and Quality of Life Across the Care Continuum (David P. Steinberg, MD, MMM)
- American Heart Association: Quality and Systems Improvement (Kathie Thomas, DHA, MPH)
- Joint Commission 2018 Stroke Update (David Eickemeyer, MBA)
- The Role of Occupational and Physical Therapy After Stroke (Paula Kane, OTRL)
- Determination of Last Known Well Time in the Michigan Stroke Coverdell Registry (Stacie L. Demel, DO, PhD, Adrienne V. Nickles, MPH, Suzanne O’Brien, RN, MSN, ANVP, Ghada Ibrahim, MS, Zsuzsanna Szabo, MPH, Krystal Quartermus, MS, RD, Sherry Kinnucan, EMT-P, Robert Wahl, DVM, MS, Teri Scorcia-Wilson, PhD, Mathew J. Reeves, PhD)
2017 MOSAIC Annual Workshop Presentations (April 26, 2017)
- Michigan and MOSAIC Data Review (Adrienne Nickles, MPH)
- Annual MOSAIC Performance Measures Report (2009-2016) (Sue O'Brien, RN, MSN, ANVP)
- Hospital-Level MOSAIC Performance Measures Report (2016) (Sue O'Brien, RN, MSN, ANVP)
- MOSAIC EMS Stroke Quality Improvement Activities Update (Sherry Kinnucan, EMTP-IC)
2019 International Stroke Conference MOSAIC Poster Abstracts (originally published in Vol. 50, Issue Suppl. 1 of Stroke, February 2019)
- Identifying Opportunities to Improve Hypertension Management among Hospitals Participating in Michigan’s Ongoing Stroke Registry to Accelerate Improvement of Care (MOSAIC) (Kimberly A. Gray, RN, MSN, Adrienne V. Nickles, MPH, Suzanne L. O’Brien, RN, MSN, ANVP, Ghada Ibrahim, MS, Samantha R. Wall, MPH, Krystal Quartermus, MS, RD, Robert Wahl, DVM, MS, Teri Scorcia-Wilson, PhD, MPH, Stacie L. Demel, , DO, PhD, Mathew J. Reeves, PhD)
- Evaluating Rehabilitation Discharge Decision Indicators among Hospitals Participating in Michigan’s Ongoing Stroke Registry to Accelerate Improvement of Care (MOSAIC) (Samantha R. Wall, MPH, Ghada Ibrahim, MS, Adrienne V. Nickles, MPH, Suzanne L. O’Brien, RN, MSN, ANVP, Krystal Quartermus, MS, RD, Robert Wahl, DVM, MS, Teri Scorcia-Wilson, PhD, MPH, Mathew J. Reeves, PhD)
- Assessing the Accuracy of a Linkage Between the Michigan Emergency Medical Services Information System and the Michigan Coverdell Acute Stroke Registry (Ghada Ibrahim, MS, Adrienne V. Nickles, MPH, Suzanne L. O’Brien, MSN, RN, ANVP, Samantha R. Wall, MPH, Krystal Quartermus, MS, RD, Robert Wahl, DVM, MS, Teri Scorcia-Wilson, PhD, MPH, Justin Allen, BA, EMT-P, Mathew J. Reeves, PhD, Adam Oostema, MD, FACEP)
- Barriers Identified Deterring Transition of Care Data Collection in the Michigan Paul Coverdell Acute Stroke Registry (Suzanne L. O’Brien, RN, MSN, ANVP, Adrienne V. Nickles, MPH, Ghada Ibrahim, MS, Samantha R. Wall, MPH, Krystal Quartermus, MS, RD, Robert Wahl, DVM, MS, Teri Scorcia-Wilson, PhD, MPH, Mathew J. Reeves, PhD, Stacie L. Demel, DO, PhD)
MOSAIC Hospital-Led Emergency Medical Services Stroke Education Project
As part of this project, MOSAIC offered up to $64,000 in grants to participating hospitals for the development and implementation of EMS-focused stroke education programs based on evidence‐based strategies. Individual hospital awards ranged from $2,000 to $8,000, and funded hospitals that worked together were able to combine grant awards. Priority consideration was given to hospital teams that incorporated the use of the Get-with-the Guidelines (GWTG) Special Initiatives EMS Tab and that collaborated with other hospitals and combined resources to implement EMS education efforts.
Stroke EMS Continuing Education Courses (American CME)
American CME has three free continuing education courses designed for medical first responders (MFRs), emergency medical technicians (EMTs), and paramedics. The video-based productions focus on stroke care and assessment in order to optimize care and patient outcomes in the field. All of the courses are offered to pre-hospital emergency medical professionals at no cost. They include:
- Stroke: Anatomy and Pathophysiology (0.5 credits);
- Stroke: EMS Transport Options (0.5 credits); and
- Stroke: A New Standard of Care for Large Vessel Occlusions (0.5 credits).
More InformationTo learn more about these reports, surveys, and documents, contact MOSAIC Program Coordinator and Registry Manager Adrienne Nickles, MPH at 517-335-9649 (e-mail: firstname.lastname@example.org).