Programs and Grants
The Heart Disease & Stroke Prevention Program implements several programs and grants to accomplish its work to reduce disease, disability and death related to heart disease, stroke and associated risk factors.
State Heart Disease and Stroke Prevention Program
The Centers for Disease Control and Prevention (CDC) administers and manages the National Heart Disease & Stroke Prevention Grant.
- Maintains and manages the infrastructure for a state-level program.
- Provides leadership in cardiovascular health promotion and cardiovascular disease prevention and control.
- Collaborates with categorically-funded chronic disease state programs and private partners to implement a large-scale primary care intervention (MediQHome) to address the detection, treatment and management of cardiovascular risk factors such as high blood pressure, high blood cholesterol and diabetes.
- Disseminates information to grantees, local agencies and organizations, partners and the general public relating to heart disease, stroke, related risk factors and signs and symptoms of heart disease, heart attack and stroke.
- Facilitates the sharing of best and promising practices to reduce duplication, identify gaps and advocate for positive policy and systems change.
- Provides leadership for the development and implementation of a statewide stroke system of care.
Serves on the task force as the state health officer designee.
North Dakota Stroke System of Care
Administration and management of the stroke appropriation allocated to the North Dakota Department of Health for the development and implementation of a state stroke system of care.
- Directs and oversees the development and implementation of the State Stroke Registry Program including the management of the grant program and aggregate registry database.
- Designates hospitals as Primary Stroke Centers.
- Implements a statewide health communication program to increase the awareness of the signs and symptoms of stroke and urgency to seek immediate medical care by calling 9-1-1.
- Provides training and technical assistance to local hospitals, health-care providers and pre-hospital personnel on acute stroke care.
State Stroke Registry Program
The State Stroke Registry (SSR) Program is one component of a functioning, cohesive system of stroke care. Guiding principles for the SSR Program are:
- Patient-centered care and improving patient care are the number one priorities.
- Continuum of health care in North Dakota is quality-driven, effective and timely.
- A role for local community hospitals is maintained to assure critical access to health care.
- Program design improves adherence to evidence-based care of patients hospitalized with stroke.
The SSR Program focuses on reducing stroke morbidity and mortality through the implementation of the American Heart Association’s Get With The Guidelines®‐Stroke (GWTG‐S) collaborative performance improvement program. This program provides hospitals with a web‐based Patient Management Tool™ that includes decision support, a robust registry, real‐time benchmarking capabilities and other performance improvement methodologies toward the goal of enhancing patient outcomes and saving lives.
State Stroke Registry Grant
Provides grants to local hospitals to improve acute stroke care through adherence to evidence-based guidelines, quality improvement activities, training, technical assistance and community education/awareness.
The North Dakota Stroke System of Care partners with the UND Center for Rural Health CAH Quality Network to provide member facility technical assistance and on-boarding facilitation services for new hospitals interested in joining the stroke quality improvement project. Click here to view the SSR Technical Assistance Guide. This document depicts the contact entity based on the type of assistance needed.
State Designated Primary Stroke Centers
Rapid-response treatment for stroke offers the greatest chance for recovery. Once stroke occurs, the goal is to lessen the potentially debilitating effects, prevent further damage to the brain and reduce the medical and physical complications following a stroke. Immediate medical care is critical to achieving the best outcome. An emergency stroke-ready hospital can meet the needs of any potential stroke victim and is one of the best places to receive acute stroke care. These organized efforts can potentially reverse the possibly devastating outcomes from stroke and can save lives. Every second counts when treating a stroke. Prompt care could mean the difference between permanent paralysis and/or death and complete recovery or minimal residual deficits.
The Sixty-first Legislative Assembly (2009) recognized the importance of having designated emergency stroke-ready hospitals and created and enacted a new chapter to title 23 of the North Dakota Century Code. This chapter allows hospitals to seek designation as primary stroke centers providing access to enhanced stroke care within our state. The goal of a certified primary stroke center is to lessen and prevent further brain damage by providing acute intervention with the most advanced medical therapies, pharmaceutical treatments and neuro-radiological techniques. In addition to direct medical care, the stroke center also provides programs designed to educate the public about stroke symptoms and treatments. The state department of health determined that a hospital seeking designation as primary stroke center must be certified by The Joint Commission, formerly known as the Joint Commission on Accreditation of Health Care Organizations (JCAHO), as a primary stroke center.
The Joint Commission's Certificate of Distinction for Primary Stroke Centers recognizes hospitals that make exceptional efforts to foster better outcomes for stroke care. Stroke Center Certification by The Joint Commission signifies that the services provided have the critical elements to achieve long-term success in improving stroke outcomes and signifies that the quality of care is effectively managed to meet the unique and specialized needs of stroke patients.