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Michigan Stroke Surveys, Reports, & Other Documents

Report Templates

The MOSAIC program and its partners are working together to develop systems of care that support quality improvement across the continuum of stroke care. The MOSAIC evaluation staff compile and publish quarterly, bi-annual, and annual reports that help the MOSAIC team and its partners indicate how the reporting hospital or emergency medical service (EMS) agency is performing in relation to its peers during the same reporting period.

Surveys

MOSAIC conducts three annual surveys to monitor and assess the performance of participating hospitals and emergency medical service (EMS) agencies and gain a better understanding of the issues associated with acute stroke care and the barriers to communication between EMS agencies and their receiving hospitals. The survey responses help the MOSAIC team in its efforts to improve stroke care across the continuum of the stroke care system.
 

Reports

Michigan Stroke Transitions Trial (MISTT) study
The MISTT study, a three-year clinical trial funded by the Patient Centered Outcomes Research Institute (PCOI), was designed to test interventions to assist stroke patients and caregivers in the transition after the patient has returned home from the hospital. Study investigators have met their enrollment goals, finished all data collection, and created the following products to date:

The Michigan Stroke Experience: Burden, Healthcare Utilization, and Falls
Michigan BRFSS Surveillance Brief: An Overview of Stroke Within the Michigan Adult Population (Vol. 10, No. 2; June 2016)
The lifetime prevalence of hypertension among Michigan adults was notably higher among those who ever had a stroke compared to the entire Michigan adult population (69.7% vs. 34.6%, respectively). Close to 15% of Michigan adults who had a history of stroke and hypertension reported that they were not currently taking antihypertensive medications. This represents a missed opportunity for hypertension control within our health care systems.

Stroke and Hypertension among Michigan Adults
Michigan BRFSS Surveillance Brief: The Burden of Stroke and Hypertension among Michigan Adults (Vol. 8, No. 4; August 2014)
Although these data are limited by the inability to determine when the reported stroke occurred in relation to the respondent’s doctor visits and/or falls, they suggest that those who have had a stroke are visiting a doctor more frequently than adults that have never had a stroke. In addition, a much greater proportion of adults who had ever been told they had a stroke had fallen within the past year, and were more likely to be injured due to a fall compared to those who did not have a stroke. These findings highlight an opportunity to focus post-stroke intervention efforts on fall prevention, which could lead to reduced stroke readmission rates.
 

Documents

2019 MOSAIC Annual Workshop Presentations (June 7, 2019)

2018 MOSAIC Annual Workshop Presentations (May 23, 2018)

2017 MOSAIC Annual Workshop Presentations (April 26, 2017)

2019 International Stroke Conference MOSAIC Poster Abstracts (originally published in Vol. 50, Issue Suppl. 1 of Stroke, February 2019)

MOSAIC Hospital-Led Emergency Medical Services Stroke Education Project
As part of this project, MOSAIC offered up to $64,000 in grants to participating hospitals for the development and implementation of EMS-focused stroke education programs based on evidence‐based strategies. Individual hospital awards ranged from $2,000 to $8,000, and funded hospitals that worked together were able to combine grant awards. Priority consideration was given to hospital teams that incorporated the use of the Get-with-the Guidelines (GWTG) Special Initiatives EMS Tab and that collaborated with other hospitals and combined resources to implement EMS education efforts.

Stroke EMS Continuing Education Courses (American CME)
American CME has three free continuing education courses designed for medical first responders (MFRs), emergency medical technicians (EMTs), and paramedics. The video-based productions focus on stroke care and assessment in order to optimize care and patient outcomes in the field. All of the courses are offered to pre-hospital emergency medical professionals at no cost. They include:

  • Stroke: Anatomy and Pathophysiology (0.5 credits);
  • Stroke: EMS Transport Options (0.5 credits); and
  • Stroke: A New Standard of Care for Large Vessel Occlusions (0.5 credits).

More Information

To learn more about these reports, surveys, and documents, contact MOSAIC Program Coordinator and Registry Manager Adrienne Nickles, MPH at 517-335-9649 (e-mail: nicklesa@michigan.gov).