Conference Planning Subcommittee Accomplishments

1. Conference PlanningSubcommitteeAccomplishments Co-Chairs: Tami Kayea Jennifer Ledbetter

3. Conference Planning Subcommittee • You’re Here! Inaugural Conference • Caruth Conference = hundreds of volunteer hours • Registration Costs kept minimal • Westin Dallas Facility chosen to host conference • Greater than 10 CE’s provided for: • EMS Nurses • Pharmacists Physicians • More than 20 posters submitted • International guests attending

4. Conference Planning Subcommittee This is an amazing gathering of educators clinicians and top notch talent from across the United States. 2012 Conference Planning begins in August of 2011 Interested in participating on a subcommittee? Sign up at the registration desk

5. Education SubcommitteeAccomplishments Co-Chairs: Karen Pickard Chris Weinzapfel

7. Education Subcommittee • Two surveys of similar design were created and have been distributed to EMS and hospital personnel to evaluate ACS knowledge gaps and process awareness. • Received to date: • 897 responses from Paramedics across 25 EMS systems • 398 responses from Hospital staff across 15 hospitals • (ED staff, Cath Lab staff, ICU staff, House Supervisors) • Surveys are still open and active! • If you work for one of the organizations represented by this initiative and have not completed the survey please contact your administrator for access…We need your input.

8. Education Subcommittee • Currently evaluating and developing the educational core curriculum that will be available Fall 2011 to EMS and hospital personnel to help narrow identified gaps. • Educational curriculum will focus on two primary areas: • STEMI Process – System Integration • STEMI Education – 12 Lead ECG Training Interested in participating on a subcommittee? Sign up at the registration desk

9. EMS Resources Subcommittee Accomplishments Co-Chairs: Kevin Cunningham Craig White

11. EMS Resources Subcommittee • Assessments completed for 25 EMS agencies in Dallas County for ECG equipment needs and ECG transmission abilities. • Gap assessment completed and recommendations for equipment needs were received and discussed. • Grant funds were marked specifically for equipment gaps to providing optimal AMI care • 9 EMS agencies requested supplemental grant funds for equipment needs.

12. EMS Resources Subcommittee • Committee reviewed and recommend funding for five EMS agencies for a total of $50,995. • ECG transmission upgrades • 12 Lead ECG Monitors • Unique Funding Item – Computer aided dispatch program • Recommendations presented to the Dallas Stakeholder Committee and unanimously supported. • Grant funded equipment is currently in service and operating. • All 25 EMS agencies are 12-Lead ECG Transmission capable

13. EMS Resources Future Goals • Committee is shifting to an EMS advisory role due to the number of EMS leaders involved on the committee. • Committee will continue to evaluate EMS equipment needs and distribute grant funds accordingly. • Currently evaluating three additional CAD needs. • Continue to assist in EMS data collection by evaluating electronic patient care reporting challenges. Interested in participating on a subcommittee? Sign up at the registration desk

14. Protocols Subcommittee Accomplishments Co-Chairs: Chris Chiara Mark Till

18. Protocols Subcommittee • 12 Lead ECG Screening Guideline • STEMI criteria for EMS to activate cath lab • EMS Chest Pain/Acute Coronary Syndrome Guideline • AHA Dallas Caruth Code STEMI Guideline • AHA Dallas Caruth Non-PCI Hospital Guideline • AHA Dallas Caruth Mock Code STEMI Drill Worksheet Interested in participating on a subcommittee? Sign up at the registration desk

22. Quality Improvement SubcommitteeAccomplishment Co-Chairs: Bob Hillert Tom Tierney

24. Quality Improvement Subcommittee • Collection of four additional auxiliary fields to be utilized in ACTION Registry-Get With The Guidelines for hospital data during this grant-funded initiative: • A. EMS Agency Name • B. EMS Incident # or run # • C. EMS cath lab activation from field? (y/n) • D. Was the availability of ECG at receiving hospital required for activation? (y/n) • Defining two AMI data fields as follows in EMS and hospital databases: • A. First Medical Contact = time the first healthcare professional is eye to eye with patient • B. Symptom Onset date and time = answer to “what prompted you to call 911 or come to ED and what time was that?”

25. Quality Improvement Subcommittee • Participating staff to reinforce the message that both EMS and hospital staff are accountable to ensure EMS run sheet is received at hospital as part of the patient record (i.e. collected and placed in correct location) • EMS Data Dictionary for approved required data fields, similar to the Action Registry – Get With The Guidelines Data Dictionary

26. Quality Improvement Subcommittee • Ensuring every EMS agency documents hospital activation of STEMI (via phone or ECG transmission) in EMR narrative • Establishing a new award to the EMS agency and hospital with the best symptom onset to arterial reperfusion (SOAR) time after each quarter of data is reported • Interested in participating on a subcommittee? • Sign up at the registration desk