Improving the System of Care for STEMI Patients

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, RNMission:Lifeline Director

State of South Dakota

Judy JamesRegional Mission:Lifeline DirectorMidwest Affiliate, AHA

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Improving the System of Care for STEMI Patients

A Life-Saving Initiative

National, community-based initiativeGoals• Improve quality of care and outcomes in heart attack patients• Improve health care system readiness and response

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Improving the System of Care for STEMI Patients

Mission Lifeline: Class 1 Recommendation

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Improving the System of Care for STEMI Patients

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!!!!

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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.

Improving the System of Care for STEMI Patients

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.

Improving the System of Care for STEMI Patients

Why a STEMI system in South Dakota?

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Improving the System of Care for STEMI Patients

STEMI Chain of Survival

Improving the System of Care for STEMI Patients

Project Budget Highlights

EMS: $4M•$3.5M for 12-Leads•$225K for transmission•$300K for training & materialsHospitals: $3M•$775K for 12-Lead receiving station software•$2M for ACTION Registry GWTG•$75K for Fibrinolytic Training

Improving the System of Care for STEMI Patients

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

Improving the System of Care for STEMI Patients

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

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Improving the System of Care for STEMI Patients

Today’s Conference will help identify these things:

Ideal PatientIdeal EMSIdeal PCI Referring HospitalIdeal PCI Receiving hospital

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Improving the System of Care for STEMI Patients

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

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Improving the System of Care for STEMI Patients

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 StatesThe highest percentage of ambulance services in the nation equipped with 12-lead ECGsThe highest percentage of 12-lead ECG-trained emergency medical technicians in the nationThe highest percentage of ambulance services transmitting 12- lead ECG results in the nation

Improving the System of Care for STEMI Patients

Improving the System of Care for STEMI Patients

Improving the System of Care for STEMI Patients

EMS Training & Materials

Hands on TrainingLearn: Rapid STEMI ID online toolSTEMI Provider ManualEvery SD Ambulance ServiceEvery EMT

Improving the System of Care for STEMI Patients

Hospitals12-Lead ECG Receiving capability

Action Registry – Get with the Guidelines (ARG)

Fibrinolytic Therapy Training

Improving the System of Care for STEMI Patients

ACTION – Registry GWTG

Data Collection Tool developed by AHA/ACC Focused on entire continuum of careQI Staff & Webinars

Improving the System of Care for STEMI Patients

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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Improving the System of Care for STEMI Patients 21

jodi.doering@heart.org