TITLE:  ACHIEVING STROKE DISTINCTION ACCREDITATION: A CASE EXAMPLE (Toronto, Canada)

ABSTRACT

Introduction: Stroke Distinction is a rigorous, specialized quality-assurance program through Accreditation Canada, the accrediting body for healthcare facilities in Canada. The Stroke Distinction program follows standards based on Canadian Stroke Best Practice guidelines, and stroke-specific performance indicators and protocols.  Toronto Western Hospital (TWH) engaged in the process from April 1, 2016 to April 27, 2017 ending in a 3-day site evaluation. Sharing the experience and lessons learned may offer value to the broader stroke clinical community. 
Methods: A steering committee was created, with two project coordinators appointed as project leads. A governance structure was developed and 5 working groups were formed spanning multiple departments. A structured project management approach was employed to evaluate care gaps and implement change to meet thresholds for quality indicators and other Distinction requirements. Patient partners were an integral part of this process and actively engaged throughout. 
Results: TWH achieved 100% of the Stroke Distinction requirements. This included meeting at least 7/9 core quality indicators (TWH met 8/9), 101/101 clinical

ACHIEVING STROKE DISTINCTION ACCREDITATION: A CASE EXAMPLE (TORONTO, CANADA)