This study provides evidence for the use of an electronic decision support tool to guide primary care providers in the management of TIA or minor stroke. Knowledge Gaps and Future Research More research is needed to determine the most effective models of postacute care to address risk factor control and secondary stroke prevention in stroke survivors. The following knowledge gaps are highlighted: Effective transitions of care from the acute setting to the community affect access to postacute care for secondary prevention. Research on the most effective transitions of care strategies for second- ary stroke prevention is needed. Many patients have multiple risk factors for recur- rent stroke. Health systems based interventions that address simultaneous control of multiple risk factors for secondary stroke prevention are needed. Patients who are uninsured and underinsured may have limited access to poststroke care. Interventions to improve care access and to mitigate the impact CLINICAL STATEMENTS AND GUIDELINES Kleindorfer of lack of insurance on poststroke risk factor con- trol and secondary stroke prevention are needed. Additional studies are needed to evaluate the impact of decision support tools on risk factor con- trol and secondary stroke prevention after stroke hospitalization. The impact of telemedicine on acute stroke care is well established.839 Although telemedicine offers many potential benefits over in-person care, patients with stroke may face multiple barriers to engaging in telemedicine, including cognitive impairment and physical disability. Research is needed to evaluate the impact of telemedicine on poststroke risk factor control and secondary stroke prevention. Once proven effective, interventions must be imple- mented across hospital and health systems in order to achieve desired outcomes. Research that exam- ines the implementation of interventions across health systems is needed. 6.2. 