SE - Structural Empowerment

SE5EO-Commitment to Professional Development: Describe and demonstrate the effectiveness of two (2) educational programs provided in SE5.


Example 1: Stroke Education: effectiveness of the educational program was not demonstrated:

  • No goal statement was provided to correlate with pre and post initiative data to determine if the education was effective

Example 2: Behavioral Health Falls Education: effectiveness of the education was demonstrated with improved post implementation data.


  • Goal statements and additional narrative provided

Example 1: Stroke Education


  • Initiate and increase the number of “Code Stroke” activations in the Emergency Department
  • Initiate and increase inpatient activations of “Code Stroke” or “Rapid Response calls” for stroke symptoms
  • Increase identification and administration of tPA for patient who meet criteria
  • Achieve recognitions (i.e. awards) from the American Stroke Association and American Heart Association for achievement measures


  • Provide extensive education to Nurses, Patient Care Technicians, Emergency Medical Personnel and Medical Residents prior to implementation of Code Stroke Activation
  • Provide ongoing education as needed to sustain improvements

Intervention Time Line:

January – March 2010 8 hour educational sessions provided to nurses, Patient Care Technicians (PCT), Emergency Responders and Medical Residents

To meet Primary Stroke Designation criteria education was provided to 80% of all healthcare providers as follows

  • Critical Care RNs – 8 Contact Hours per year
  • RNs and PCT – 4 contact hours
  • Physicians – 8 CME’s per year
April 2010 Successfully achieved designation as Primary Stroke Center
April 2010 to present Education remains ongoing to meet annual requirements. Additional education is provided as needs arise.


The designation of JCMC as a Primary Stroke Center in April of 2010 and the activation of “Code Stroke” interventions in February of 2012 ensure that patients receive comprehensive care from interdisciplinary health care providers during hospitalization and rehabilitation. The interventions listed above provided the education necessary to identify and treat stroke patients.

Please refer to the table for results.

Identification of Potential Stroke Patients –Post Implementation Data

Identification of Potential Stroke Patients–Post Implementation Data