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The Implementation of an Innovative Statewide Quality Improvement Initiative

Smith, Don; Murphy, Paul; Phillips, Merrilee; Paulsen, Mary; Vislosky, F. Michael; Wilde, Marsha; Santos, Patricia

Journal of Neuroscience Nursing: April 2009 - Volume 41 - Issue 2 - p 106-114
doi: 10.1097/JNN.0b013e31819345d2

Acute stroke can result in neurological impairment and potentially death. The Colorado Stroke Alliance has made significant progress in improving stroke care through their statewide quality improvement efforts. The following provides an overview of how this effort has come to fruition. Included is an overview of the collaboration, an explanation of the organizational structure, the source of funding, a description of the statewide quality efforts improvement including mentoring and data reporting, and an overview of nursing involvement. This discussion highlights how a relatively small task force has transformed into a growing nonprofit organization, becoming a model for best practices.

Don Smith, MD, is the director of the Stroke Program at the Colorado Neurological Institute, Englewood, CO.

Merrilee Phillips, OTR, is a chairperson of the Colorado Stroke Alliance and the director of Neuroscience Services at The Medical Center of Aurora, Aurora, CO.

Mary Paulsen, RN MSN, is the vice president of Quality Improvement at the American Heart Association/American Stroke Association, Mesa, AZ.

F. Michael Vislosky, RN BS CCRN CNRN RCIS, is a critical care nurse educator, stroke program coordinator, and Adam Williams traumatic brain injury coordinator at St. Mary-Corwin Medical Center, Pueblo, CO.

Marsha Wilde, MPH, is program manager of the Cardiovascular Disease and Stroke Program at the Colorado Department of Public Health and Environment, Denver, CO.

Patricia Santos, RN BSN CNRN, is the director for North Texas Division HCA Hospitals, Plano, TX.

Question or comments about this article may be directed to Paul Murphy, MA MS, at He is the executive director of the Colorado Stroke Alliance, Lakewood, CO.

© 2009 American Association of Neuroscience Nurses