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Background
The
Michigan Acute Stroke Care Overview & Treatment
Surveillance System
(MASCOTS)
is a representative, statewide, hospital-based
surveillance system of acute stroke care in Michigan.
MASCOTS is a multi-center project based at Michigan
State University that involves collaboration with two
other major universities (University of Michigan and
Wayne State University), the Michigan Department of
Community Health, and a total of sixteen hospitals
across the state. The primary objective is to develop
and refine the methods and infrastructure necessary to
conduct long-term surveillance of acute stroke care and
stroke outcomes in the state of Michigan.
•
Michigan is one of only 4 states that have been funded
by the Centers for Disease Control and Prevention as
part of the Paul Coverdell National Acute Stroke
Registry. The intent of this 12-month federal grant
is to design and pilot test a mechanism to collect data
concerning the delivery of care to acute stroke
patients, with the ultimate goal of reducing mortality
and disability from stroke through improved stroke care.
•
MASCOTS involves the collection of individual-level
patient information including demographics, pre-hospital
EMS information, emergency department triage,
in-hospital stroke, imaging results, in-hospital
procedures, treatments and complications, medical
history and risk factors, secondary prevention measures,
final diagnosis, and discharge status.
•
The process of identifying and tracking acute stroke
patients will first be pilot-tested in 8 hospitals from
4 regional sites (Detroit, Washtenaw County, Ingham
County, and Kalamazoo). Following this pilot phase,
MASCOTS will be implemented statewide in all 16
hospitals for at least a 6-month period.
•
Findings from MASCOTS will be distributed through
established public health mechanisms to important
stakeholders - including the Michigan Stroke Initiative,
American Heart Association, Operation Stroke Sites, the
Michigan Hospital Association, Medicaid and Medicare,
and Managed Care Organizations. This project represents
a unique opportunity for change in the standards of care
for acute stroke patients in Michigan and ultimately
across the country as a whole.
(Supported by CDC under U50/CCU520272-01)
Registry Hospitals
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