OBJECTIVE: Of the near 800,000 strokes that occur annually, approximately 25% will become recurrent, with an increased mortality rate 2.5 times higher (Bailey, 2017). Therefore, the prevention of a recurrent stroke is of great importance. An effective follow-up system focused on secondary stroke prevention within VA facilities is needed to ensure stroke patients are provided all necessary education and resources following their discharge to reduce risk factors and improve quality of life. METHODS: To reach the goals and mission of the VA in preventing secondary strokes, a program evaluation on the current post-stroke follow-up program was developed. An examination of literature, the VA's primary follow-up methods, and data collection contributed to evaluating the VA's previous follow-up strategies. Subsequently, creating a new stroke rehabilitation plan was shaped incorporating an employee rotation schedule for conducting patient follow-up, a patient identification follow-up list, and a follow-up phone call script. RESULTS: Of the 238 stroke patients previously discharged from the Veteran's Affairs (VA) Hospital: ten of the 68 patients were pleased with their discharge experience, nine were displeased, thirteen chose not to comment, nine passed away, one was a non-veteran working at VA, 26 mailed a survey did not respond, with 170 patients not yet contacted as of 5/15/20. Currently, the VA Hospital of Indianapolis has no mandated stroke-related follow-up procedures to identify how patients are faring following their discharge. CONCLUSION: A routine follow-up system focused on secondary stroke prevention should be implemented into the VA's post-discharge policies ensuring patients receive adequate support and rehabilitation resources following their transition home, reducing the risk of secondary stroke, increase life expectancy, and overall quality of life.