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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Welcome to the Fall 2010 STEMI SummitJodi Doering, RNMission:Lifeline Director State 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


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 we currently have one of the highest STEMI death rates in the US according to the CDC.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? we currently have one of the highest STEMI death rates in the US according to the CDC.


Stemi chain of survival
STEMI Chain of Survival we currently have one of the highest STEMI death rates in the US according to the CDC.


Project budget highlights
Project Budget Highlights we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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…. we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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 we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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: we currently have one of the highest STEMI death rates in the US according to the CDC.

  • Ideal Patient

  • Ideal EMS

  • Ideal PCI Referring Hospital

  • Ideal PCI Receiving hospital


Partners for success
Partners for Success we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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? we currently have one of the highest STEMI death rates in the US according to the CDC.

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 we currently have one of the highest STEMI death rates in the US according to the CDC.

  • Hands on Training

  • Learn: Rapid STEMI ID online tool

  • STEMI Provider Manual

  • Every SD Ambulance Service

  • Every EMT


Hospitals
Hospitals we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 12-Lead ECG Receiving capability

  • Action Registry – Get with the Guidelines (ARG)

  • Fibrinolytic Therapy Training


Action registry gwtg
ACTION – Registry GWTG we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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? we currently have one of the highest STEMI death rates in the US according to the CDC.

  • 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


[email protected] we currently have one of the highest STEMI death rates in the US according to the CDC.


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