Community Awareness

Coronavirus Disease 2019 (COVID-19) Information

Data from China, published this February, indicated cardiovascular disease and hypertension were associated with an increased COVID-19 case fatality rate: 10.5 percent and 6.0 percent, respectively. Among patients who died from COVID-19, substantial cardiac damage was observed. In addition, elderly persons with heart disease or hypertension were more likely to be infected and to develop more severe symptoms and complications from COVID-19.*

Key COVID-19 Resources

*References: Cardiovascular Disease, Hypertension Linked to Increase of COVID-19 Fatality Rate (WDIV-TV/ ClickOnDetroit); What People with High Blood Pressure Need to Know About COVID-19: American Heart Association Guidance (American Heart Association)

Get the Latest! Read the MOSAIC Newsletter

MI Stroke Alert is a quarterly newsletter published by the MOSAIC staff for hospitals and emergency medical services (EMS) agencies, and academics. Regular features include partner spotlights, data dashboards, community stroke awareness tips, and other content of particular interest to MOSAIC participants. The current issue and all past issues of the publication are available on our dedicated MI Stroke Alert webpage.

Most Recent Issue: October 2019PDF icon

Free Magazine for Stroke Survivors and Their Families

Are you a stroke survivor? Is a family member or friend? If you answered, "Yes" to either of those questions, you may be interested in Stroke Connection, a free, digital magazine published four times a year by the American Heart Association/American Stroke Association for stroke survivors and their support families and healthcare professionals.

Learn more about the magazine and browse current and past articles at Get a free subscription to Stroke Connection at

Click on photo to see larger imageBlue looped stroke observation ribbon with brain pin inserted in middle
Pin and ribbon

MOSAIC's Statewide Initiative to Promote Stroke Awareness

The MOSAIC Community Awareness initiative was adopted from the work done by St. Joseph Mercy Ann Arbor and St. Joseph Mercy Livingston hospitals to promote a uniform stroke awareness message. The colors blue and silver, as well as the FAST message, were selected to brand materials as being associated with stroke awareness. The color blue recognizes acute stroke victims, and the color silver represents the more than seven million stroke survivors.

To date, community awareness materials created for the initiative include a fact sheet (Recognizing Stroke in Michigan),PDF icon  a stroke awareness pin and t-shirt, and a seven-day pill organizer. Other states funded by the CDC Coverdell grant have agreed to utilize some of these materials in order to expand the reach of this initiative.

We invite you to become an ambassador for change in your community and support our efforts to recognize stroke as its own disease. Please wear these emblems and ribbons proudly to help raise stroke awareness.

Front of blue stroke t-shirt w FAST wording
T-shirt (front)

The initiative is being supported by MOSAIC participating hospitals, as well as by our state stroke advisory committee, the Michigan Stroke Initiative.

Participating hospitals are helping spread the word by distributing the promotional materials to staff, local stroke survivors, and community members via mail and during special events and recruitment and site visits.

Here’s an excerpt from an email sent by the stroke coordinator for Henry Ford Hospital following successful use of the new materials during a recent World Stroke Day event:

Back of blue stroke t-shirt w FAST wording and images
T-shirt (back)

“Thanks again for dropping off the t-shirts and pins! They were a big hit. We went through all our t-shirts, which were earned by completing one of the Mad Libs with a FAST message embedded that the American Stroke Association created for World Stroke Day. We educated over 100 people in 2.5 hours, relaying the importance of recognizing stroke signs/symptoms and getting emergency assistance, and we heard some incredible stories from stroke survivors and family members. A good day overall!”

Another Detroit hospital distributed stroke awareness pins and t-shirts during an emergency medical services (EMS) appreciation event. The following is from the thank you message we received from the hospital’s stroke coordinator after the event:

Blue seven-day pill organizer with MOSAIC logo
Pill organizer

“Thanks again for dropping off the t-shirts and brain pins! We had about 30 EMTs stop in for our appreciation event yesterday, and they LOVED the shirts and pins — even more than I anticipated they would! We were also able to educate them on our extended time windows for stroke treatment, the importance of 'time = brain' and the difference between 'time symptoms started' and 'time last known well.' We had some great conversations!”

For more information about the MOSAIC Community Awareness initiative and how to order stroke awareness pins, t-shirts, pill organizers, and other materials, contact MOSAIC Program Coordinator Adrienne Nickles at 517-335-9649 (e-mail:

Michigan Stroke Centers: What’s the Difference?

PSC = Primary Stroke Center. Hospitals with the PSC designation have achieved Advanced Certification for Primary Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. Certified hospitals have demonstrated compliance with stroke-related standards and requirements, including program management, the delivery of clinical care, and performance improvement.

CSC = Comprehensive Stroke Center. Hospitals with the CSC designation have achieved Advanced Certification for Comprehensive Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. In addition to demonstrated compliance with the stroke-related standards and requirements of Advanced Certification for Primary Stroke Centers, hospitals awarded the CSC designation have also met additional requirements related to advanced imaging capabilities, 24/7 availability of specialized treatments, and providing staff with the unique education and competencies to care for complex stroke patients.

TSC = Thrombectomy-Capable Stroke Center. Hospitals with the TSC designation have achieved Certification for Thrombectomy-Capable Stroke Centers, awarded by The Joint Commission and the American Heart Association/ American Stroke Association. Certification signifies the hospital meets rigorous standards for performing mechanical endovascular thrombectomy (EVT), a surgical procedure used to remove a blood clot from the brain during an ischemic stroke by threading a catheter through an artery in the groin to the brain.

ProMedica Monroe Regional Hospital stroke pumpkin before stroke (intact pumpkin head on body) ProMedica Monroe Regional Hospital stroke pumpkin after stroke (pumpkin has fallen apart and is lying on tabletop with hands extended)Using Pumpkins to Teach About Stroke: The ProMedica Monroe Regional Hospital Stroke Program used pumpkins in a creative outreach campaign to educate community members about stroke and World Stroke Day. Ms. Pumpkin is shown before and after she has had a posterior stroke, lost her balance, and fallen.

For more information, contact Stroke Program Coordinator Nicole R. Goodman, RN, SCRN at 734-240-8481 (email:

Additional Stroke-Related Resources

â–º American Heart Association/ American Stroke Association (AHA/ASA) (

â–º National Stroke Association (NSA) (