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Florida-Puerto Rico Collaboration to Reduce Stroke Disparities

In 2009, the total direct and indirect cost of stroke and cardiovascular disease is estimated to be more than $312 billion. The financial and emotional burden of stroke and cardiovascular disease is greater among African Americans and Hispanics given that they are at greater risk than other groups of common risk factors like hypertension, diabetes, obesity, and metabolic syndrome.

The Florida Puerto Collaboration to Reduce Stroke Disparities (FL-PR CReSD) aims to address stroke disparities among African Americans and Hispanics and to identify the best approaches to eliminate stroke care disparities in these groups.

The specific goals of the FL-PR CReSD include:

The creation of a voluntary Florida Puerto Rico Stroke Registry among Florida and Puerto Rico hospitals currently participating in the American Heart Association’s quality improvement initiative Get With The Guidelines Stroke.

  • Evaluation of disparities in stroke care performance metrics by race, ethnicity, and geographic regions.
  • Analysis of the frequency of disparities at 30-days after a stroke in terms of outcomes (mortality, hospital readmission, stroke recurrence) medication adherence, and lifestyle modifications by race, ethnicity and geographic regions.
  • Evaluation of the frequency of disparities in longer-term outcomes (mortality, hospital readmission, stroke recurrence) among Medicare patients within the Florida Puerto Rico Stroke Registry and the relationship of such outcomes with acute stroke performance metrics.
  • Implement education programs among healthcare stakeholders with a focus on identifying and implementing specific culturally-tailored quality improvement programs to address disparities.