Paul Coverdell National Acute Stroke Program (PCNASP)
CDC DP 21-2102 funded by the CDC
Named in honor of the late Senator Paul Coverdell of Georgia, who died of a massive stroke in 2000, the primary goal of the Georgia Coverdell Acute Stroke Registry (GCASR) program is to improve the care of acute stroke patients in the hospital and pre-hospital settings. The program is funded by the Centers for Disease Control Paul S. Coverdell National Acute Stroke Registry cooperative agreement and was established in 2001 as a prototype project implemented by the Emory University School of Medicine. Full implementation and incorporation into the State’s Department of Public Health (DPH) began in 2005.
Background:
- Stroke is the fifth leading cause of death in Virginia.
- Stroke Death Rates have increased over recent years.
- Time is Brain - Most stroke patients do not arrive to the hospital within the treatment window, leading to increased death & disability.
- Significant disparities in death and hospitalization rates exist for African Americans, advanced age, and lack of appropriate stroke care access in rural and underserved areas.
- Stroke Recognition, Stroke Triage, Stroke Treatments, and Stroke Follow up are key to improve Stroke Outcomes in Virginia.
- Paul Coverdell National Acute Stroke Program (PCNASP) CDC DP 21 2102 funded by the CDC.
Paul Coverdell National Acute Stroke Program Awardee 2021 2024 Grant Cycle
Virginia has 4-pronged Approach to Improving Stroke Outcomes:
- Stroke Awareness - Educate as many individuals as possible on Stroke Recognition.
- Stroke Registry - Collect and analyze data through the Virginia Stroke Registry and annual Hospital and EMS Stroke Surveys.
- Stroke Certification - Work with non certified stroke centers to encourage collection of stroke metrics and development of stroke centers.
Work with certified stroke centers to maintain certification. - Discharge - Development of a post discharge referral system and integration of CHWs.
Key Partnerships:
- Centers for Disease Control and Prevention
- Hospitals, EMS Regional Councils, Stroke
- Rehabilitation Facilities
- American Heart/American Stroke Association
- Virginia Stroke Systems Task Force
- Virginia Stroke Coordinators Consortium
- VDH Office of Emergency Medical Services
- VDH Office of Family Health Services
- Virginia Hospital and Healthcare Association
- ESO
- Kwikpoint (Stroke Smart Virginia)
- Unite Us
- Medical Society of Virginia
- Virginia Pharmacists Association
Stroke Registry (as of 2/22/24)
Press Release: The VDH in Collaboration with ESO Launches First-Ever Virginia Stroke Registry
- Over 34,000 patient records submitted to the CDC.
- 100% of qualified hospitals participating in Phase 1 of Data Registry.
- Phase 2 Data Registry in development.
Stroke Certification
- 15 total non-certified stroke centers participating in VHHA Stroke Collaborative
- Sixty-one certified stroke centers in Virginia
Stroke Discharge
- Partnered with Unite Us to develop post discharge referral pathway for stroke patients
- Community Health Workers placed in Galax and with Sheltering Arms Institute
Stroke Smart Virginia
Videos and Training
- Stroke Smart Materials Order Form
- Virginia proclaimed a Stroke Smart Commonwealth in 2021
- Stroke Smart Medical Practice developed
- Four (4) Stroke Smart hospitals systems in development
- Active Stroke outreach by 3+ EMS Regional Councils