In 2009, this government made a commitment to establishing an organized stroke care model for the province to address the gap in coordinated stroke care services.
The first phase of the Stroke Strategy was implemented in the spring of 2010 and included the early intensive rehabilitation services on the Acute Stroke and Stroke Rehab Units at the QEH.
As of November 2011, a new specialized post-stroke rehabilitation service has been delivered on an out-patient basis as part of the implementation of the second phase of the provincial organized stroke care model.
The second phase of the organized stroke care model includes the establishment of a provincial ambulatory stroke rehabilitation clinic at the QEH and ambulatory (or out-patient) stroke rehabilitation teams at both the QEH and PCH.
The addition of ambulatory stroke rehabilitation services furthers the work our health care providers are doing in acute stroke care by providing stroke survivors with the necessary out-patient supports to allow them to regain as much independence as possible.
The interdisciplinary team of staff, all with expertise in stroke rehabilitation, includes: a clinical nurse lead, physiatrist, physiotherapists, occupation therapists, speech-language pathologists and social workers.
Also included in the second phase is the establishment of provincial stroke prevention services targeted for completion in 2013.
A preliminary analysis indicates that the quality of stroke care has been improved; mortality rates have been reduced; length of hospitals stays has been reduced; and stroke survivors and their families report positive feedback on the care they have received.
Planning for the third and final phase of the provincial organized stroke care model – the establishment of community re-integration services – is expected to commence in the fall of 2013.