Mission: Lifeline
This presentation is the property of its rightful owner.
Sponsored Links
1 / 20

Mission: Lifeline The AHA STEMI Initiative Status Report Alice K. Jacobs, M.D. PowerPoint PPT Presentation


  • 73 Views
  • Uploaded on
  • Presentation posted in: General

Mission: Lifeline The AHA STEMI Initiative Status Report Alice K. Jacobs, M.D. Boston University Medical Center Boston, MA There are no conflicts or relationships to disclose. AHA’s STEMI Initiative Mission: Lifeline. Community-based National initiative

Download Presentation

Mission: Lifeline The AHA STEMI Initiative Status Report Alice K. Jacobs, M.D.

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Mission: Lifeline

The AHA STEMI Initiative

Status Report

Alice K. Jacobs, M.D.

Boston University Medical Center

Boston, MA

There are no conflicts or relationships to disclose.


Mission lifeline the aha stemi initiative status report alice k jacobs m d

AHA’s STEMI Initiative

Mission: Lifeline

  • Community-based National initiative

  • Improve quality of care + outcomes in STEMI

  • Improve health care system readiness and response to STEMI.


Mission lifeline the aha stemi initiative status report alice k jacobs m d

How do we increase the number of patients with timely access to primary PCI?


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Distribution of Total Door-to-Balloon Time in Transfer Patients in NCDR 2005-06

n=15,049 patients

n=491 hospitals

Median D-to-B 152 min

< 90 min = 8.6%

36.3

26.4

17.6

8.2

4.3

3.7

2.2

1.3

< 1

1 to <2

3 to <4

5 to <6

4 to <5

6 to <7

2 to <3

> 7

Hours

Chakrabarti. JACC. 2008;51:2442-2443.


Mission lifeline the aha stemi initiative status report alice k jacobs m d

  • May 30, 2007

  • Conference Proceedings published in Circulation and Mission: Lifeline Launched


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Administrative Structure

Elliott Antman, MD

Bob O’Conner, MD

Gray Ellrodt, MD

Neil Meltzer

Bob Harrington, MD

George Mensah, MD

Eric Peterson, MD

David Williams, MD

  • Assess EMS Systems and Strategies for Improvement

  • Evaluate Existing Models

  • Establish Local Initiatives

  • Explore Possibility of National STEMI Certification


Aha staff

AHA Staff

Mission: Lifeline

State Health Alliances

State Advocacy

Quality Improvement

Communications

Cultural Health Initiatives

ECC


Mission lifeline the aha stemi initiative status report alice k jacobs m d

EMS System Assessment and Improvement

  • The American Heart Association

  • is participating in a needs assessment in collaboration with EMS organizations

  • and is analyzing the effectiveness of EMS

  • for STEMI patients as part of a STEMI system of care.


Mission lifeline on line survey

Mission: Lifeline On-Line Survey

www.americanheart.org/missionlifeline


Ems assessment for stemi

Designed for all EMS County organizations

TEST Phase from May 12 through June 6, 2008 distributed by State Health Alliance staff in eight test states: CA, DE, KS, MO, NC, PA, TX, and WY

After test phase, the assessment was distributed to all fifty states via NASEMSO and other EMS organizations.

EMS Assessment for STEMI


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Evaluate Existing Models

Have You Registered Your STEMI System with Mission: Lifeline??

  • The American Heart Association will review existing local or regional STEMI Systems of Care models.

- Administration - Locale (Urban, Rural)- Processes of Care- Financial Considerations- Disparities in care

- Resource allocation


Have you registered your stemi system with mission lifeline

Have You Registered Your STEMI System with Mission: Lifeline?

www.americanheart.org/missionlifeline


Have you registered your stemi system with mission lifeline1

Have You Registered Your STEMI System with Mission: Lifeline?

www.americanheart.org/missionlifeline


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Establishing Local Initiatives

  • The American Heart Association has

    convened the task force initiative at the

    state and local levels to identify ways

    to implement national recommendations for STEMI systems in local communities.


Establishing local initiatives

Patients and care givers

Physicians, nurses and other providers

Payers

EMS

PCI capable and non-PCI capable hospitals

Department of Health

Rural health association

Quality improvement organizations

State and local policymakers

Establishing Local Initiatives

Task force members:


How will we measure our impact

How will we measure our impact?


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Non-PCI

capable

PCI

capable

Activate EMS

Avoid delay

Patient

Consider integrated payment

No penalty to patients

12-lead ECG

9-1-1 interhospital transport

Payer

EMSED

Activate team

No diversion

STEMI

Referral

SYSTEM OF CARE

CENTER OF CARE

Treatment protocols and clinical pathways

Policy

Makers

STEMI

Receiving

CENTER OF CARE

Protocols and toolkits

STEMI Center Certification

Quality improvement measures

Jacobs. Circulation 2007;116:217-230.


Mission lifeline the aha stemi initiative status report alice k jacobs m d

Not PCI

capable

NHAAP

CDC

Patient

NAEMT

NAEMSP

NASEMSO

NEMSIS

ACEP

American Ambulance Assn

AACCN

ENA

CMS

Aetna

UnitedHealth Networks

Payers

EMSED

AHRQ

FDA

JCAHO

Evaluation

& Outcomes

STEMIReferral

ACTION/GWTG

NRHA

SCAI

Society of Chest Pain Centers

ACP

STS

AACCN

ENA

Policy Makers

Center of Care

STEMIReceiving

PCI

capable

CMS

Adapted from Jacobs. Circulation2007;116;217-230


  • Login