The NorthEast region experiences one of the lowest age-adjusted stroke mortality rates in the country, ranging from 35.1 to 45.6 per 100,000 people within states in the region. This low incidence of stroke mortality is due in part to the Northeast’s status as a hub for academic medical centers and medical research and proactive role in the establishment of stroke systems of care. Much can be learned from what the Northeast has already done with respect to stroke care, and moving forward, opportunities for improvement still exist.
The NorthEast Cerebrovascular Consortium (NECC) was established in 2006 to bring states together to address the various disparities in care in our region. The eight states that comprise NECC are Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island and Vermont. NECC strives to improve the public’s health including the delivery of healthcare services to patients with cerebrovascular disease (e.g., ischemic stroke, hemorrhagic stroke, transient ischemic attack, major arterial stenosis).
The creation and implementation of the Northeast Cerebrovascular Consortium (NECC) has shown improvement in stroke systems of care. Since its inception, there have been great strides across the continuum of care for stroke patients. Some examples include:
Several states have completed stroke warning sign/911 activation campaigns
Emergency Medical Response diagnoses, treatment and transport protocols have been shared across the region and implemented
The rural areas of the region have developed Tele-Stroke programs
There has been an increase in The Joint Commission (JCAHO) Accredited Hospitals
Three states have developed state stroke center designation programs
NECC grantees have developed programs to address stroke that have been shared throughout the region