Abstract Body: Background and Purpose
Certified Comprehensive Stroke Centers (CSC) provide 2+ community education events per year. In hospitals with a large geographical referral area, targeted education is impactful given fixed financial support, limited staff and time resources.
We utilized Local Get With The Guidelines (GWTG) Stroke data and population health data to identify targeted community education.

Methods
We analyzed 2023 stroke data to identify zip codes of patients with long Last Known Well (LKW) to arrival time. We analyzed the demographic and social determinants of health (SDOH) characteristics of zip codes and compared them to state demographics. Educational events were prioritized based on content impactful to the unique needs of each community.

Results
Two zip codes (27101, 27105) had the longest LKW to arrival times. These zip codes have larger health disparities when analyzing demographic and SDOH characteristics.
In 2023, 4 community educational events were conducted including health fairs and educational events at libraries, churches, and the North Carolina Medication Assist Mobile Pharmacy. Increased signage, brochures, and magnets were distributed from our medical practices, free health clinic, and mobile health clinics providing care to uninsured in identified zip codes. Education was provided in both Spanish and English and focused on the signs and symptoms of stroke and activating 911.
After targeted education was completed in the targeted zip codes, there was an improvement in patients presenting within 3.5 hours of last known well.

Conclusions
Local GWTG Zip code-based data is helpful to plan community education to address disparities in stroke metrics such as LKW to arrival time. Utilizing SDOH and population data can help guide community education to better fit the community in that area. Targeted, purposeful community education can improve LKW to arrival times in communities.

References
https://data.census.gov

Local Get With The Guidelines® (GWTG) – Stroke

“This work represents the authors’ independent analysis of local or multicenter data gathered using the AHA Get With The Guidelines® (GWTG) IQVIA Registry Platform but is not an analysis of the national GWTG dataset and does not represent findings from the AHA GWTG National Program."