1. Minnesota Acute Stroke System Council Web/Teleconference Meeting May 25, 2011

2. Agenda Welcome Hospital Category Working Definitions Introductory poll Group Discussion Concluding poll

3. Working Definitions Comprehensive Stroke Center Primary Stroke Center Acute Stroke Capable – Drip and Keep – Drip and Ship

4. Question: What categorization scheme will work best in Minnesota? Two levels – L1 Primary Stroke Center (PSC) – L2 Acute Stroke Capable (ASC) Three levels – L1 Comprehensive Stroke Center (CSC) – L2 PSC – L3 ASC Four levels – L1 CSC – L2 PSC – L3 ASC – drip and keep – L4 ASC – drip and ship Other

5. Other States Level AKAK AZAZ CACA CTCT FLFL IAIA MEME MAMA MIMI MTMT NENE NJNJ NYNY NDND OHOH OKOK PAPA TNTN UTUT VAVA WAWA CSCXXXXXXX PSCXXXXXXXXXXXXXXXXXXX ASCXXXXXXXXX One Level (equivalent to or equal to Joint Commission PSC) – 9 states One Level (ASC) - Massachusetts Two Levels (CSC and PSC) – 2 states Two Levels (PSC and ASC) – 3 states Three Levels – 5 states Note: we are not considering “not designated” as a “level” in this discussion

6. Minnesota Hospitals by Level* RegionComprehensive Stroke Center Primary Stroke Center Acute Capable (Drip/Keep) Acute Capable (Drip/Ship) Unknown/ No Response Twin Cities (N=21)85233 Northeast (N=15)00492 Northwest (N=12)00075 West Central (N=9)00144 Central (N=19)004132 Southwest (N=26)004166 South Central (N=11)00155 Southeast (N=12)10245 Total (N=125)95186132 *Based on Minnesota Hospital Stroke QI Survey 2010

7. Question: What categorization scheme will work best in Minnesota? Two levels – L1 Primary Stroke Center (PSC) – L2 Acute Stroke Capable (ASC) Three levels – L1 Comprehensive Stroke Center (CSC) – L2 PSC – L3 ASC Four levels – L1 CSC – L2 PSC – L3 ASC – drip and keep – L4 ASC – drip and ship Other

8. Next Steps Watch your inbox: Question(s) of the Month We are always soliciting your unsolicited input Panel and Discussion: Minnesota Stroke Conference 2011 (June 13) Next Council meeting: June 22, Noon