What are health systems-based interventions for secondary stroke prevention?
Health system interventions for secondary stroke prevention are those that influence vascular risk factor treatment and control by influencing provider or patient behaviors. These interventions may include voluntary hospital-based or outpatient-focused quality monitoring and improvement programs, a multi-disciplinary outpatient team-based approach (e.g. care provision with active medication adjustment from advanced practice providers, nurses, or pharmacists), or decision support tools to improve diagnostic accuracy, stratify patients in risk categories, and prompt the initiation of medications and counseling for lifestyle modifications to reduce the 90-day risk of recurrent stroke.