1. Minnesota Acute Stroke System Council Web/Teleconference Meeting June 22, 2011

2. Agenda Welcome Scenarios and Discussion Polls

3. Working Definitions Comprehensive Stroke Center (CSC) Primary Stroke Center (PSC) Acute Stroke Ready Hospital (ASRH)

4. Scenario 1 Patient experiences stroke symptoms at his home at 10:00 pm. EMS was called and arrives at 11:00 pm. He is 15 minutes from his town hospital and 50 miles (that is, one hour drive time) to the nearest PSC.

5. Scenario 2 Patient has a stroke at home, 15 minutes outside of town A with a community hospital that does not have any formal transfer agreements in place with the nearest PSC (which is two hours away). In the next town (town B, 40 minutes away) is an ASRH that does have transfer agreements with that PSC.

6. Scenario 3 Patient experiences massive stroke symptoms at 12:00 am. EMS gets there at 3:00 am. Her residence is a 10 minute drive to community hospital. The closest acute stroke ready hospital is one hour away. The closest Primary Stroke Center is in Minneapolis, 90 minutes away.

7. Scenario 4 Patient is experiencing stroke-like symptoms, but symptoms resolve by the time EMS arrives. Their options are to go to a nearby ASRH or 60 minutes away to a PSC.

8. Next Steps Watch your inbox: Question(s) of the Month We are always soliciting your unsolicited input Exhibit at Rural Health Conference, June 27-28 Next Council meeting: July 27, Noon (assuming state government is open)