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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

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

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

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?

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?

STEMI Chain of Survival

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 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

  • 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:

  • Ideal Patient

  • Ideal EMS

  • Ideal PCI Referring Hospital

  • Ideal PCI Receiving hospital

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?

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

  • Hands on Training

  • Learn: Rapid STEMI ID online tool

  • STEMI Provider Manual

  • Every SD Ambulance Service

  • Every EMT


  • 12-Lead ECG Receiving capability

  • Action Registry – Get with the Guidelines (ARG)

  • Fibrinolytic Therapy Training

ACTION – Registry GWTG

  • Data Collection Tool developed by AHA/ACC

  • Focused on entire continuum of care

  • QI Staff & Webinars

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

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