Stroke Research Disparities in Texas: Mapping Project

Christy AnkromProgram Manager, ResearchUTHealth

Research Disparities Purpose

Survey Texas stroke centerso Confirm stroke center status (level I, II, III)oWhich accrediting organization (DNV or JC)oDedicated stroke coordinator oRefer to/affiliated with CSCoTelestroke servicesoStroke researchoDSHS discharge data – stroke volume

o ICD-9 code list (430-438.9)o 2013; 1st, 2nd, 3rd Quarter 2014

Methods

Stroke Center Response to dateoObtained list of Level I, II, III stroke centers from DSHSoObtained contact list (coordinator name, phone number, address) from RACoInitiated survey via phone and email

o76 completed responses; 47 pending responseso 1 refusal to participate

Thank you, end call. Document call on Call Log.

Ask for Stroke Coordinator (If no stroke coordinator, ask for a Quality director). Note name & call back #

Call hospital main switchboard or direct line

Are you a primary stroke center?

Which accrediting organization? (ex. Joint commission)

Is your hospital currently doing stroke research? What project(s)

is/are you doing? (study names)

Do you refer to or affiliate with a Comprehensive stroke center?

Are you/do you have a dedicated stroke coordinator?Does your hospital

do telestroke?

NO

YES

YESNO

Methods – Call Flow

In Progress

Population Datao Currently mapping US Census dataoCurrently mapping Texas Road Network data

o Analysis using ArcGIS

Discharge DataoDischarge data source: DSHS

o2013; 1st, 2nd, 3rd quarter 2014 stroke discharges from state of Texas

oCurrently mapping stroke discharges relative to stroke centersoAssessing stroke discharge volume for non-stroke centers

Possibilities

Opportunities for Future Projectso Population access to stroke centers doing researchoStrategic planning to invite other hubs and spokes into the network