title: Rural case management for stroke: the development of a community-based screening and education program.
abstract: This article describes the evolution of a Community-Based Stroke Risk Screening and Education Program at a 400-bed regional medical center located in southeastern Alabama. The author outlines the implementation of a case management-oriented program developed to target the specific high-risk populations residing in this rural area. Retrospective chart reviews were used to identify a large discrepancy between patient-recognized onset of stroke symptoms and the actual time it took for the patient to present to the Emergency Department (ED). A performance improvement goal was initiated to increase community awareness of stroke warning signs, stroke risk, and prevention. Summaries of the research process, design, and outcome data overwhelmingly indicated a positive correlation between stroke education and ED presentation time.
authors.affiliation: Kayrun444@aol.com
authors.forename: Kimberly A
authors.initials: KA
authors.lastname: York
mesh_terms: D000328:Adult; D000368:Aged; D019090:Case Management / Q000458:organization & administration*; D003153:Community Health Services; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010353:Patient Education as Topic; D015397:Program Evaluation; D018570:Risk Assessment; D012424:Rural Population; D020521:Stroke / Q000453:epidemiology / Q000209:etiology*; D014481:United States