Improving the system of care for stemi patients
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Improving the System of Care for STEMI Patients. Welcome to the Fall 2010 STEMI Summit Jodi Doering, RN Mission:Lifeline Director State of South Dakota Judy James Regional Mission:Lifeline Director Midwest Affiliate, AHA. A Life-Saving Initiative.

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Improving the System of Care for STEMI Patients

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Improving the system of care for stemi patients

Improving the System of Care for STEMI Patients


Improving the system of care for stemi patients

Welcome to the Fall 2010 STEMI SummitJodi Doering, RNMission:Lifeline DirectorState of South DakotaJudy JamesRegional Mission:Lifeline DirectorMidwest Affiliate, AHA


A life saving initiative

A Life-Saving Initiative

  • National, community-based initiative

  • Goals

    • Improve quality of care and outcomes in heart attack patients

    • Improve health care system readiness and response


Mission lifeline class 1 recommendation

Mission Lifeline: Class 1 Recommendation


Improving the system of care for stemi patients

This will revolutionize heart attack patient care in SD – we currently have one of the highest STEMI death rates in the US according to the CDC.

This project is designed to produce a “model system” that can then be implemented across the Midwest and nation, making SD a leader in heart attack systems of care.

April, 2010 The Leona M and Harry B Helmsley Foundation gave $8.4 million to the AHA to develop a cutting edge state wide STEMI system of care!!!!


What does mission lifeline mean for south dakota

What does Mission: Lifeline mean for South Dakota?

Mission: Lifeline is the American Heart Association's national initiative to advance the systems of care for patients with ST-segment elevation myocardial infarction (STEMI). The overarching goal of the initiative is to reduce mortality and morbidity for STEMI patients and to improve their overall quality of care.


Why a stemi system in south dakota

Why a STEMI system in South Dakota?


Stemi chain of survival

STEMI Chain of Survival


Project budget highlights

Project Budget Highlights

  • EMS: $4M

    • $3.5M for 12-Leads

    • $225K for transmission

    • $300K for training & materials

  • Hospitals: $3M

    • $775K for 12-Lead receiving station software

    • $2M for ACTION Registry GWTG

    • $75K for Fibrinolytic Training


Project budget highlights1

Project Budget Highlights….

  • Other highlights:

    • Full Time SD M:L Director

    • Annual Conferences in SF & RC

    • Public/Provider Education

    • Evaluation

    • Positioning SD as a leader


The uniqueness of mission lifeline

The Uniqueness of Mission: Lifeline

  • Mission: Lifeline will:

    • Promote the ideal STEMI systems of care

    • Help STEMI patients get the life-saving care they need in time

    • Bring together healthcare resources into an efficient, synergistic system

    • Improve overall quality of care

  • The initiative is unique in that it:

    • Addresses the continuum of care for STEMI patients

    • Preserves a role for the local STEMI-referral hospital

    • Understands the issues specific to rural communities

    • Promotes different solutions/protocols for rural vs. urban/suburban areas

    • Recognizes there is no “one-size-fits-all” solution

    • Knows the issues of implementing national recommendations on a community level


Today s conference will help identify these things

Today’s Conference will help identify these things:

  • Ideal Patient

  • Ideal EMS

  • Ideal PCI Referring Hospital

  • Ideal PCI Receiving hospital


Partners for success

Partners for Success

  • Patients and care givers

  • EMS providers

  • Physicians, nurses and other providers

  • STEM-referral (non-PCI) hospitals

  • STEMI-receiving (PCI-capable) hospitals

  • Health systems

  • Departments of health

  • EMS regulatory authority / office of EMS

  • Rural health associations

  • Quality improvement organizations

  • Third-party payers

  • State and local policymakers


What it means to sd

What it means to SD?

Successful implementation of Mission: Lifeline will mean that South Dakota will have:

  • One of the most advanced, if not the most advanced, coordinated heart attack systems of care in the United States

  • The highest percentage of ambulance services in the nation equipped with 12-lead ECGs

  • The highest percentage of 12-lead ECG-trained emergency medical technicians in the nation

  • The highest percentage of ambulance services transmitting 12- lead ECG results in the nation


Ems training materials

EMS Training & Materials

  • Hands on Training

  • Learn: Rapid STEMI ID online tool

  • STEMI Provider Manual

  • Every SD Ambulance Service

  • Every EMT


Hospitals

Hospitals

  • 12-Lead ECG Receiving capability

  • Action Registry – Get with the Guidelines (ARG)

  • Fibrinolytic Therapy Training


Action registry gwtg

ACTION – Registry GWTG

  • Data Collection Tool developed by AHA/ACC

  • Focused on entire continuum of care

  • QI Staff & Webinars


How will the grant work

How will the grant work?

  • Each EMS agency will be contacted by me for their allotted number of heart monitors they will receive.

    • EMS agencies should evaluate the 3 vendors for 12-leads now

  • Each hospital will be contacted by me for their allotted funds for 12-lead receiving as well as the data component

    • Hospitals should work with their local EMS as they choose their 12-lead vendors

      • Each EMS agency and Hospital needs to fill out a W-9 to be set up as a vendor with the AHA to receive their funds

      • Each EMS agency and hospital will need to sign an agreement

      • Monies will be distributed to the EMS, EMS will pay the vendor

      • Education component will come to every hospital, every EMAT in the state


Improving the system of care for stemi patients

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