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Regional Showcase West Tennessee

Join us for the Regional Showcase in West Tennessee, featuring presentations from John Baker, M.D. and Emily Garner, RN. Learn about the healthcare services provided by Jackson Madison County General Hospital and the challenges faced in the region. Discover the successes and achievements in the healthcare industry and discuss remaining challenges and recommendations for improvement.

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Regional Showcase West Tennessee

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  1. Regional Showcase West Tennessee

  2. Presenter Disclosure Information Speakers: John Baker M.D./Emily Garner RN Presentation: Regional Showcase – West Tennessee • FINANCIAL DISCLOSURE: No relevant financial relationship exists

  3. Jackson Madison County General Hospital The flagship of West Tennessee Healthcare is a 635-bed tertiary care center.  The only tertiary care hospital between Memphis and Nashville, the hospital serves a 17-county area of rural West Tennessee. Approximately 551,000 persons reside within the service area. Within General Hospital, there exists six 'centers of excellence': the West Tennessee Heart and Vascular Center, Kirkland Cancer Center, West Tennessee Women’s Center, West Tennessee Rehabilitation Center, West Tennessee Neuroscience and Spine Center, and Emergency Services. Each center has an historic reputation of 'high-tech, high-touch' skills.

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  5. West Tennessee System Cardiac Coverage Area • 18 Counties Hospitals • 16 Acute Care Hospitals • 2 PCI Receiving Facilities • 1 PCI Receiving Facility with CV Surgery Back-Up EMS Systems • 17 Ground EMS Services • 10 Air EMS Bases (between 2 Different Air Services)

  6. Initial State .

  7. Target State Chest Pain Unit for obs CCL Member 1 arrives No Patient Transferred From Stretcher to table CCL Member 3 & Cardiologist arrives Patient Moved to CCL with 2 ED Nurses Chest Pain patient arrives ECG done ED Activates CCL Arterial Access By MD STEMI? Balloon Inflated Patient Prepped Yes CCL Member 2 arrives CCL - Balloon Goal: 35 min ED – ECG Goal: 10 min ECG - CCL Goal: 45 min New Process for STEMI Patients

  8. Where We Started Q32011 Insert Title Here Body copy goes here. Body copy goes here. Body copy goes here. Body copy goes here. Body copy goes here. Body copy goes here.

  9. Challenges • Education – Hospital Administration, ED, EMS, Nursing • Rural Based Areas – long travel times (selection of transport mode) • Transmitting EKGs - Funding • STEMI Walk-Ins – Community Education on Calling 911 • Preparation Time – Door In Door Out Times • ED Accepting Transfers • Communication/Data Feedback

  10. Successes • Education to all West TN Hospitals and EMS Systems • Guidelines/Times • Early Recognition/Training • Early Activation of Transport • EKG Transmission/Fax • Development of Co-Management Contract with Cardiologist • Annual STEMI 12 Lead EKG Training • Program with Med Center EMS, Air Evac Lifeteam

  11. Successes • Quarterly Regional STEMI/Chest Pain Center Accr. Meetings • Web/Conference Available • Monthly Internal Meetings • Network Visits –Building Relationships is KEY! • Auto Accept/One-Call Policy • Resources • Conference Calls for Transfers • Community STEMI Drills • Feedback Data • 10-10-10 Plan • STEMI Treatment Zones/Map

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  15. Successes • Collaborating with other Facilities for their CPC Accreditation • Community Education on Signs/Symptoms/Calling 9-1-1 • Events/Ads • Importance of Bystander CPR – Pulse Point Free App • Survive Don’t Drive Campaign - https://www.youtube.com/watch?feature=player_detailpage&v=dQH8LfbzmtM

  16. Source: NCDR Registry – PCI - Metric #16 Owner: W.TN Heart & Vascular Center 50th = 59.2mins 90th = 47mins

  17. Source: NCDR Registry – Action - Metric #6 Owner: W.TN Heart & Vascular Center 50th = 107mins 90th = 80mins

  18. Source: NCDR Registry – PCI - Metric #18 Owner: W.TN Heart & Vascular Center 50th = 44.8mins 90th = 27.8mins

  19. Achievements/Awards • 2014 Women’s Choice Award for Best Heart Care Based in performance in the following categories: • America’s Best Hospitals for Heart Failure Care • America’s Best Hospitals for Heart Attack Care • America’s Best Hospitals for Patient Satisfaction • 2014 NCDR/ACTION Platinum Performance Achievement Award

  20. Remaining Challenges • Delayed Times in DD2B/DIDO • Outside Limited Resources • ED Physician Turnover • EMS FMC to PCI <90 minutes – Mission Lifeline Recommendation

  21. Contact Info: emily.garner@wth.org jbaker@jacksonclinic.com

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