As part of the eleven regions within a broader coordinated provincial stroke system (Ontario Stroke System), Toronto is made up of three networks, the North & East GTA Stroke Network (NEGTASN), the South East Toronto Stroke Network (SETSN), and the Toronto West Stroke Network (TWSN).
The Toronto Stroke Networks (TSNs) represent a broad scope of healthcare organizations and service agencies within Toronto that provide care for persons with stroke and their families/caregivers, including:
- 17 acute and rehab hospitals
- 90 long term care facilities
- >100 community agencies of professional and social service providers
- Primary care providers
- Toronto Emergency Medical Services and Base Hospital
- Secondary stroke prevention and health promotion providers
Servicing more than 3 million residents within the Toronto area, the TSNs span 3 Local Health Integration Networks (Toronto Central, Central, Central East). Approximately 20% of all stroke emergency room visits and acute admissions in Ontario are cared for within this geography.
We advise and provide leadership to the stroke system of care in Toronto.
Collectively, the TSNs strive to:
1) Reduce the incidence of stroke and improve patient outcomes;
2) Integrate stroke best practices in the areas of prevention, emergency and acute care management, rehabilitation and life re-engagement into the community following stroke;
3) Strengthen the system of stroke care so that patients experience a more seamless and efficient system with access to stroke best practice, care, information, and resources throughout their recovery; and
4) Inform research efforts and support the translation of knowledge into clinical care.
Within Toronto, the TSNs service a diverse community of cultural and ethnic backgrounds. As cultural diversity influences an individual’s risk factors for stroke, as well as their overall care and management, the TSNs recognize the importance of specialized programs and services to meet the needs of these communities. Further, as stroke can occur at any age, the TSNs also promote awareness of pediatric stroke with an emphasis on prevention, long term management, and recovery needs for children who have had a stroke.
As part of the TSNs, the Toronto Stroke Networks Steering Committee (TSNSC) was established to provide strategic governance, stewardship, and decision making for the stroke system in Toronto. TSNSC membership includes the Stroke Executive Committee of each regional network (Chair, Executive Administrative Lead, Medical Director and Regional Director). Each regional network has a Regional Stroke Centre that provides specialized emergency medical management of stroke/TIA and inpatient acute stoke care on designated stroke units. Each centre also provides urgent and non-urgent secondary prevention services and follow-up.