Dedicated to Improving Stroke Systems of Care Across the Northeast

The Northeast Cerebrovascular Consortium Breakfast

2018 Chairs Brian Silver, MD, FAHA, Steven R. Levine, MD and Jeremy Cushman, MD, MS, EMT-P, FACEP, FAEMS dress to represent the NECC 2018 theme of “Step Up to Wake Ups & Shake Ups”.

The NorthEast Cerebrovascular Consortium (NECC) was established as an independent organization in 2006 to improve stroke care in an 8-state region (Maine, New Hampshire, Vermont, Massachusetts, Rhode Island, Connecticut, New York, and New Jersey). The NECC developed recommendations based on the Stroke Systems of Care Model (SSCM)¹ with the goal of implementing the recommendations and assessing their impact.

The Consortium has focused on 7 key components of the SSCM¹: primordial and primary prevention; community education; notification and response of emergency medical services (EMS); acute stroke treatment; subacute stroke treatment and secondary prevention; rehabilitation; and continuous quality improvement activities.

Since its inception, The NECC has published a manuscript documenting disparities in care across the region². The work groups have conducted projects around symptom onset data, assessing state EMS stroke protocols, and examining the role of a stroke coordinator. The NECC has conducted regional pilot projects: one which addressed discharge education and the other which focused on assessment of patients for rehabilitation services. The NECC has also conducted annual educational summits which have brought together healthcare professionals, administrators, and public health leaders from across the region to examine state specific as well as regional stroke care.

Meet Our Leaders



Jeremy Cushman, MD, MS, EMT-P, FACEP, FAEMS
Associate Professor & Chief, Division of Pre-Hospital Medicine
University of Rochester


Vice Chair

Thabele (Bay) Leslie-Mazwi, MD
Director of Endovascular Stroke Services
Massachusetts General Hospital, Harvard Medical School


Immediate Past Chair

Brian Silver, MD, FAHA
Interim Chair, Department of Neurology
University of Massachusetts Medical, UMASS Memorial Medical Center

1 Schwamm LH, Pancioli A, Acker JE, 3rd, et al. Recommendations for the establishment of stroke systems of care: recommendations from the American Stroke Association’s Task Force on the Development of Stroke Systems. Circulation. Mar 1 2005;111(8):1078-1091.

2 Gropen T, Magdon-Ismail Z, Day D, Melluzzo S, Schwamm LH, Group NA. Regional implementation of the stroke systems of care model: recommendations of the northeast cerebrovascular consortium. Stroke; a journal of cerebral circulation. May 2009;40(5):1793-1802.