Resources to support planning for an integrated cross continuum system of stroke care:
The Central East Stroke Network (CESN) Integrated Stroke Program Model: Vision was developed as part of a comprehensive stroke system redesign initiative (2012-2014). It has been reviewed and updated to reflect emerging best practices. This model represents a high-level overview of CESN’s vision for an integrated system of stroke care.
Early Supported Discharge (ESD) is defined in the Quality Based Procedures (QBP): Clinical Handbook for Stroke (p. 87) as “a form of rehabilitation designed to accelerate the transition from hospital to home through the provision of rehabilitation therapies delivered by an interprofessional team in the community. It is intended as an alternative to a complete course of inpatient rehabilitation …”.
The Stroke Standards of Care documents incorporate key stroke best practices from Canadian Stroke Best Practice Recommendations and Quality Based Procedures: Clinical Handbook for Stroke. Organizations complete these self-assessments annually, highlighting how these stroke standards have been implemented thereby providing a platform for regional continuous quality improvement. A new framework for the Standards of Care is outlined in the image below.