The HNHB LHIN is collaborating with health service providers to develop regional strategies to improve stroke care. Integrated stroke care allows patients who have experienced a stroke access to best practice care provided by an inter-professional team with expertise in stroke.
Individuals who have had a stroke and receive their acute and rehabilitative care needs in a designated stroke unit are more likely to be alive, independent and living at home one year post stroke regardless of age, gender or stroke severity1.
The HNHB LHIN has one designated regional stroke centre and two designated district stroke centres as follows:
- Regional Stroke Centre: Hamilton Health Sciences, Hamilton General Site
- District Stroke Centre: Niagara Health System, Greater Niagara General Site
- District Stroke Centre: Brant Community Health Care System
The Regional and District stroke centres offer emergency stroke management, acute care and rehabilitative services within hospital as well as outpatient rehabilitation services and secondary stroke prevention clinic services.
For more information regarding stroke signs and symptoms and resources, please refer to the following websites:
In 2013, Brant Community Healthcare System (BCHS) and Norfolk General Hospital in collaboration with the Central South Regional Stroke Network (CSRSN) and the HNHB LHIN developed an integrated model for stroke care at BCHS. This includes an integrated stroke unit (ISU) and the development of a community stroke rehabilitation model (CSRM).
The integration of stroke services at BCHS has dramatically improved access to evidence-based stroke unit care, including acute and rehabilitative services. Stroke unit care has shown to reduce the likelihood of death and disability in men and women of any age regardless of stroke severity by as much as 30%1. Individuals treated in stroke units have fewer complications, earlier recognition of pneumonia and earlier mobilization1. Integrated stroke care in the LHIN aligns with the Ontario Stroke Network’s strategic priorities for fewer strokes and better outcomes.
As part of the CSRM, patients are provided with seamless transitions from acute and rehabilitative care to the community. Prior to discharge from hospital, each patient is referred to a community stroke care coordinator, who reviews their rehabilitation goals and coordinates their care accordingly. Individuals who live beyond 30 minutes of an outpatient therapy program and/or do not have the tolerance to travel are referred to an in home community stroke rehabilitation program. Individuals who live within 30 minutes and have the tolerance to travel are referred to an outpatient stroke rehabilitation program. Following 8-12 weeks of community-based rehabilitation in one of these specialized programs, patients are referred to other appropriate community services, such as aphasia supportive groups, recreational programs (e.g., YMCA) and adult day programs.
- Click here for a report on the development of the CSRM.
1. Stroke Unit Trialists’ Collaboration. Organized Inpatient (Stroke Unit) Care for Stroke. Cochrane Database of Systematic Reviews 2007, Issue 4