Study Details
FAQs
Implementation Preparation Team/LC Recruitment: Do site PIs need to recruit one of each "type" of participant listed in the protocol and the recruitment brochure to participate in the Implementation Preparation Team/LC?
Not necessarily. This list is meant to provide examples of key stakeholders at CSCs and non-CSCs who are typically involved in stroke transfers. Site PIs should be mindful of the components that will be implemented at their health system sites and try to invite stakeholders who have influence and can help implement those components.
Implementation Preparation Team/LC Recruitment: How should I refer somebody who is interested in participating in the Implementation Preparation Team/LC?
Interested participants may scan the QR code on the recruitment brochure and complete a quick REDCap form.
Additionally, the PI and coordinator may refer participants directly to the UChicago HI-SPEED team by sending an email to HISPEEDStudy@bsd.uchicago.edu. Please include the LC participant’s name, email, and role.
Implementation Preparation Team/LC Consenting: Will the study site research team have to consent Implementation Preparation Team/LC participants?
No. The UChicago research team will be responsible for verbally consenting participants at their first Learning Collaborative session. Prior to the session, the UChicago research team will send the site-specific or generic verbal consent form to interested participants for their review.
Implementation Preparation Team/LC Compensation: Will there be compensation for Implementation Preparation Team/LC participants?
Yes. Participants will receive a $25 e-gift card for each monthly LC session.
REDCap HI-SPEED Component Adoption Survey: What perspective should site PIs bring to completing the HI-SPEED Component Adoption Survey for the health system Comprehensive Stroke Center (CSC) in terms of ranking the components? Is it from the perspective of a receiving hospital that is going to do (or consider) EVT on the patients transferred from an outside PSC? Or should we think about what would make these processes optimized for primary presenting patients at the CSC? Or to answer the questions based on what we have heard from talking with the non-CSC leaders?
Think about each component from the perspective of both sending (non-CSC) and receiving (CSC) hospital. Depending on the component, it may require more work at the non-CSC for some, or at the CSC for others. You probably should work with your non-CSC leaders to answer and rank order the components for your site.
For example:
- Component 4: The Best Practice Alert – This will need to function at the non-CSCs, so thinking about what is needed at the non-CSCs is essential. However, because this is an IT task primarily, if your non-CSC is part of the CSC health system, in all likelihood, implementation will have to happen at the CSC level using CSC IT resources.
- Component 6: Stroke Code Team Communication – This is something that will need to be addressed together (both non-CSC and CSC) to put in place a smooth transfer of information. We are promoting use of an app (but it could be EPIC chat, Vocera), because information sharing is in “real” time, includes everyone who needs to know, and eliminates multiple phone calls (which generally take place between only two people).
Budget: Is there money to help integrate the BPA/misdiagnosis tool and the handoff instrument into the EHR? If so, how much?
Yes. There will be funds available and budgeted for EHR builds in Years 2 and beyond. The UChicago research team will use the HI-SPEED Intro/Implementation Preparation survey and the HI-SPEED Component Adoption survey to identify the resources that your health system site(s) will need to implement the components and guide our budgets.
Randomization: How will our health system know when we will start the implementation phase?
Health system PIs, research teams, and non-CSC contacts will be informed
GWTG Data Entry: Does an mRS need to be documented in GWTG for patients who are transferred but end up not having a diagnosis of stroke?
No. An mRS is not needed for transfer patients who are not diagnosed with an acute stroke. We only need a 90-day mRS for AIS transfer patients who undergo an EVT at the CSC.
GWTG Data Entry: How should transfer patients who end up not having a stroke be documented in GWTG? How much information needs to be completed in GWTG for non-stroke patients?
Within GWTG, there should be an “admin tab” where you can document the “Final diagnosis related to stroke.” “No stroke related diagnosis” is one of the options Select this option for patients who do not have a final diagnosis of stroke. See GWTG case report form (CRF) below:
For non-stroke patients, please complete demographics information, transfer information, and whether the patient was treated with tPA or TNK at the non-CSC.
