Patients and Caregivers

Over the past several years the medical community has made great progress in improving the acute care of stroke victims.  However, patients and caregivers have voiced that once they are discharged to home they need more support, local resources and guidance.

The COMPASS Study is working to close care gaps between hospital discharge and recovery for stroke survivors.

We believe that the critical gaps between hospital discharge and going home can be addressed by comprehensive care with a primary care providers and nurses. The program will focus on managing risk factors to prevent a second stroke, medication management, promoting physical activity, and preventing falls. The study will also refer patients to rehabilitation services and connect patients and caregivers with community resources.

The COMPASS study features an intervention in which patients will be comprehensively evaluated by a nurse practitioner within 7 to 14 days post-stroke. Each patient will receive an individualized care plan. A post-acute stroke coordinator will support the advanced practice practitioner to assess the patient’s functional status and preferences for care, and support the patient and family to implement recommended services.

In the coming months we will be posting updates here which will provide links to local community resources for patients and caregivers.