Provincial Interprofessional Stroke Core Competency Framework

The Canadian Best Practice Recommendations state that “the core interprofessional team on the stroke unit should consist of healthcare professionals with stroke expertise” (Casaubon et al., 2015, p.243)

In Fall of 2014, a provincial working group was formed to develop a comprehensive Provincial Interprofessional Stroke Core Competency Framework. The purpose of this framework would be to provide health care professionals, working in stroke care, with a comprehensive way to achieve the core competencies needed for evidence based stroke care.

Work plan

Final Report

Deliverables

Additional Documents/Tools

Core Competency Communique (2017)

If you would like more information on the resources used to support the development of this work please contact service@corhealthontario.ca

Regional Use of PIWP Deliverables

Region Description of Use Contact Name Contact Email Additional Information
Central East
  • Implement best practices
  • Develop new program
  • Improve patient outcomes
  • Perform needs assessment
  • Provide new hire orientation
  • Evaluate current programs
  • Other
Dorothy Burridge cesn@rvh.on.ca
service@corhealthontario.ca
  • Variable uptake across the region
  • Overview provided to 4 district hospitals
  • Best Practice Skills day for Region held Feb 21, 2017
  • Sites starting to use framework as a tool to identify gaps in stroke education and as a base for new staff orientation
Central South
  • Implement best practices
  • Improve current program
  • Improve patient outcomes
  • Provide new hire orientation
Barb Kubilius kubilius@hhsc.ca
service@corhealthontario.ca
  • Multiple sites in Central South utilized the toolkit as part of the pilot. The pilot is now complete
Champlain
  • Implement best practices
  • Improve current program
  • Improve patient outcomes
  • Perform needs assessment
Education Coordinator educoord@champlainregionalstrokenetwork.org

service@corhealthontario.ca

  • Sites have suggested that the competencies will be used for orientation of new staff and students, for performance appraisals and goal setting, for review of best practices, and as a standard for accreditation
Northeastern Ontario
  • Implement best practices
  • Develop new program
  • Improve current program
  • Provide new hire orientation
Susan Bursey
Sue Verrilli
Shannon Stack
sbursey@hsnsudbury.ca
sverrilli@hsnsudbury.ca
shannon.stack@nbrhc.on.ca
service@corhealthontario.ca
  • When their ISU was forming, North Bay Regional Health Centre used the Nursing core competencies to educate nurses. The Framework will be used Summer/Fall 2017 at Health Sciences North (HSN) to support the training and orientation of a new 7 day-a-week allied health stroke team (a pilot project). To support that project, a tool was created for the team to record how much time they spent on the rating scale and each of the 16 competencies. An expectation that the Framework be completed in one year of employment has been added to the job postings for PT, OT, SLP working in stroke care at HSN. EachDistrict Stroke Centre. A facility that has written stroke protocols for emergency services, emergency department and acute care, including: transport and triage protocols; ability to offer thrombolytic therapy to suitable ischemic stroke patients; timely computed tomography (CT) scanning and expert interpretation; clinicians with stroke expertise; and linkages to rehabilitation and secondary prevention. DSC in our region will promote the use of the framework. Our region has fairly new designated stroke RNs so the nursing competencies will be of support in their ongoing learning.
Northwestern Ontario
  • Perform needs assessment
  • Other
Keli Cristofaro cristofk@tbh.net

nwostroke@tbh.net
service@corhealthontario.ca

  • Participated in Pilot Phase in 2016. Core Competencies documents will be used to support initial discussions however leadership meeting has not been confirmed to date. To have further discussions with Regional Stroke Unit and Rehab Unit managers re: usability.
Southeastern Ontario
  • Implement best practices
  • Improve current program
  • Perform needs assessment
  • Provide new hire orientation
  • Evaluate current programs
  • Other
Stroke Network of Southeastern Ontario StrokeNetworkSEO@KGH.KARI.NET
  • This PIWP only just launched; however, this region participated in the pilot. E-news released in stroke month promoting the program with links from SE website to CorHealth website.
Southwestern Ontario
  • Provide new hire orientation
  • Other
Margo Collver margo.collver@lhsc.on.ca
service@corhealthontario.ca
  • A district within the SWOSN region was a pilot site for the core competencies. Components of the core competencies are utilized in the orientation of new staff.
Toronto Stroke Networks
  • Implement best practices
  • Improve patient outcomes
  • Perform needs assessment
  • Provide new hire orientation
Michelle Donald michelle.donald@sunnybrook.ca
service@corhealthontario.ca
  • Ten acute and rehab hospitals participated in piloting the Core Competencies.
  • Currently North York General Hospital has secured funds for protected time for nursing to identify education gaps using the framework. West Park Healthcare Centre will use framework to identify gaps and develop their education plan for stroke distinction.
  • The TSNs’ GTA Stroke Nursing Leadership Committee is developing a common approach for stroke teams to use the core competency framework to identify gaps in nursing education related to stroke and inform nursing learning plans.
  • Examples of framework use in the pilot and suggestions for ongoing use include orientation of new staff, team education, self-learning plans, performance appraisal goals, accreditation, and professional reflective practice.
West GTA
  • Implement best practice
  • Provide new hire orientation
  • other
Megan Sousa Megan.Sousa@thp.ca
service@corhealthontario.ca
  • Piloted on the Comprehensive Stroke Unit and the Outpatient Neuro Rehab Program (Mississauga Hospital) at Trillium Health Partners and at William Osler Health Services. The Core competencies are now being utilized by some of the hospitals as part of their new hire orientation and ongoing performance evaluations. The network continues to promote the Core Competnecy Framework at all workshops.
CorHealth Ontario

Casaubon LK, Boulanger JM, on behalf of the Acute Inpatient Stroke Care Writing Group. Acute Inpatient Stroke Care Module 2015. In Lindsay MP, Gubitz G, Bayley M, and Smith EE (Editors) on behalf of the Canadian Stroke Best Practices and Advisory Committee. Canadian Stroke Best Practice Recommendations, 2015; Ottawa, Ontario Canada: Heart and Stroke Foundation.