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Enhancing STEMI Care in Non-PCI Hospitals: Strategies and Challenges

Explore the role of rural hospitals in activating STEMI care, the impact of evolving therapies, transition of care, telemedicine, and results of state surveys. Learn about current challenges, future concerns, regulatory mandates, and collaborative approaches in enhancing STEMI care.

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Enhancing STEMI Care in Non-PCI Hospitals: Strategies and Challenges

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  1. ED Role in Activation Of STEMI In Non PCI Hospitals Steve Schroeder MD Avera Hand County Memorial Hospital

  2. Development of Rural STEMI Care • Disclaimer/Representation SDAFP-Primary care SDFMC- QIO responsibility Trauma system • Process in typical Rural facility ie Miller • Evolving therapies • Transition of care • Telemedicine • Results of State Survey on STEMI

  3. HEALTH CARE

  4. Triage Time/Distance/Weather/Transport EMT Training/coverage Mid-levels

  5. Future Concerns and Opportunities • Complicated Non-STEMI MI • Cookbook Medicine/Practice variation • Regulatory Mandates • Public Reporting • Payer involvement • Collaboration/avoid Bias/Silo mentality

  6. Perfect Storm “Rural Areas” • Decreasing manpower • expense of recruitment • lack of preparation, training and • exposure to small town setting • reimbursement SGR, bundling, • capitation,ACO’s etc.

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