1. Minnesota stroke hospital designation webinar
Tuesday,
February 4th 2014
12:00pm-1:00pm
Thank you all for coming to this webinar. We hope that you learn a lot today and go back with a plan to apply for stroke hospital designation with the state of Minnesota.
Albert W. Tsai, PhD, MPH
Minnesota Department of Health
(651)
Megan M. Hicks, MHA
Minnesota Department of Health
(651)

2. Objective Understand how to apply for Stroke Hospital Designation.
Where to apply
Process for applying
Timeline for deadlines and designation effective dates
Resources to help you along the way
Review criteria to become designated by MDH as an Acute Stroke Ready Hospital, Primary Stroke Center or Comprehensive Stroke Center.

3. Minnesota Stroke System
In 2013, the Minnesota Legislature authorized the Minnesota Department of Health to designate hospitals in Minnesota as stroke facilities.
View Minnesota State Statutes
Acute
Stroke
Ready
Hospital
Primary
Stroke
Center
Comprehensive
Stroke
Center
This is a three tired system comprised of Acute Stroke Ready Hospitals, Primary Stroke Centers and Comprehensive Stroke Centers. Hospital that meet the criteria for these three levels may voluntarily apply to the commissioner of health for state designation.
Hospitals which are certified by a nationally-recognized accreditation organization as a Primary Stroke Center or Comprehensive Stroke Center will be designated by the Minnesota Department of Health with these same titles.
These hospitals must still complete and submit an application comprised of documentation of their TJC or HFAP, DNV or CIHQ certification.

4. Minnesota Stroke System
Goal: every person in Minnesota has access to timely stroke care, regardless of their location in the state
Destination for potential stroke should be the closest “stroke-ready” hospital or emergency center
Vision: every hospital is equipped and prepared to diagnose and treat ischemic stroke
The role of critical access hospitals is very important and becoming acute stroke ready critical to the context of a statewide stroke system.
With FDA approval for thrombolytic therapy, ischemic stroke became a time-critical event, and as a result, it became essential for hospitals to be ready and able to diagnose and treat stroke patients.
We believe that for many patients, particularly those far from a primary/comprehensive stroke center, can still have a chance at a positive outcome. And with this we are developing a coordinated system that ensures you can get the best care possible at your local hospital, regardless of where you live.

5. Acute Stroke Ready Hospital
An acute stroke team available or on-call 24 hours a days, seven days a week
Written stroke protocols, including triage, stabilization of vital functions, initial diagnostic tests, and use of medications
Written plan and letter of cooperation with EMS regarding triage and communication that are consistent with regional patient care procedures
Emergency department personnel who are trained in diagnosing and treating acute stroke
The capacity to complete basic laboratory tests, electrocardiograms, and chest x-rays 24 hours a day, seven days a week
The capacity to perform and interpret brain injury imaging studies 24 hours a day, seven days a week
Written protocols that detail available emergent therapies and reflect current treatment guidelines, which include performance measures and are revised at least annually
A neurosurgery coverage plan, call schedule, and a triage/transportation plan;
Transfer protocols and agreements for stroke patients
Designated medical director with experience and expertise in acute stroke care
I’d like to just read through the criteria the council came up with for acute stroke ready hospitals. There are ten minimum criteria for acute stroke readiness – and these have been established by the Brain Attack Coalition, and affirmed by our state acute stroke system council work. These ten criteria are the following.
More resources are available that will better define the components and requirements of these criterion, which we will cover later in this presentation.

6. Timeline
Applications will be accepted starting April 1, 2014 for an effective date of April 1, 2014.
Future dates to be announced
Designations will be given quarterly
All hospitals to be designated by January 1, 2015
Three-year designation period
The timetable for submission deadlines and designation effective dates are currently under development. We have limited resources to review and approve applications, so at this point we are taking it slow to assure a smooth delivery. Future dates to be announced.
Hospital will receive their designation notice within 30 days if they are approved, require improvements to their application, or if they do not meet the requirements. Hospitals needing to make changes improvements will be given a short time period to do so, then will receive their designation status effective April 1st (for this first round of application).

7. DESIGNATION MANAGER
Designation manager is responsible for filling out the application and fielding follow-up questions.
Primary Contact
Secondary Contact
Access the electronic application at Minnesota Stroke Central/ Minnesota Stroke Registry Tool website:
Obtain a Username and Password:
The facility administrator for your hospital has an account and can set up the designation manager with an account.
If you don’t know who your facility administrator is, contact Megan Hicks at or (651)
Each hospital must select one person to the their designation manager; this will be the primary contact for your application and is responsible for completing the application and fielding follow-up questions. A secondary contact must also be identified incase the primary contact is unavailable. Please notify us with changes to your primary or secondary contacts by ing us at health.stroke.mn.us.
Minnesota Stroke Central = Minnesota Stroke Registry Tool website. New URL of stroke.mn.gov. This is the same website where hospitals submit the required SQRMS data for stroke, and also those hospitals participating in the Minnesota Stroke Registry Program.
The first step is to get a username and password for your account. Each hospital has a facility administrator that can set-up new users. We will walk through this process now.

8. NEW USER ACCOUNT
Facility Administrator to login to the Minnesota Stroke Central/ Minnesota Stroke Registry Tool website with their credentials.

9. NEW USER ACCOUNT
Go to Facility in the main menu and select My User Accounts

10. NEW USER ACCOUNT
Click on Add Staff

11. NEW USER ACCOUNT
Type in the new user’s first and last name, phone number, and User ID. Check Designation Manager. Check a Facility. Click Submit.

12. NEW USER ACCOUNT
New user to access Minnesota Stroke Central and click on Reset/Request Password.

13. NEW USER ACCOUNT
Type in User ID and click on Send Request.

14. NEW USER ACCOUNT
An will be sent to the user with a temporary password.
Type in the User ID and temporary password.
Click on Log In.

15. NEW USER ACCOUNT Enter and verify a new password for your account.
Click on Save New Password.

16. ACCESSING THE APPLICATION
Go to the Designation tab in the menu bar.
Live Preview

17. Notes about the application
ASRH Criterion can be completed in any order
The application will automatically save when you attach a file.
After clicking on Documentation Complete, you can make changes to your application by deleting files or attaching new files.
All attachments must be in PDF format
A maximum of 10 attachments per documentation requirement is allowed
A maximum of 2MB per attachment is allowed

18. Next steps – application preparation
Share this information with hospital leadership
Assemble team to work on designation
Start gathering documentation (PDFs)
Identify designation manager for the application

19. Resources Minnesota Stroke System Hospital Designation Toolkit:
How to Guide: Stroke Hospital Designation Application
Coming Soon
Stay Informed: Subscribe to Minnesota Stroke News on
Gov Delivery at

20. Questions Contact Minnesota Department of Health:
Megan Hicks: (651)
Albert Tsai: (651)
Minnesota Stroke System Website: