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Improving the System of Care for STEMI Patients

Improving the System of Care for STEMI Patients. Welcome to the Fall 2010 STEMI Summit Jodi Doering, RN Mission:Lifeline Director State of South Dakota Judy James Regional Mission:Lifeline Director Midwest Affiliate, AHA. A Life-Saving Initiative.

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Improving the System of Care for STEMI Patients

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  1. Improving the System of Care for STEMI Patients

  2. Welcome to the Fall 2010 STEMI SummitJodi Doering, RNMission:Lifeline Director State of South DakotaJudy JamesRegional Mission:Lifeline DirectorMidwest Affiliate, AHA

  3. A Life-Saving Initiative • National, community-based initiative • Goals • Improve quality of care and outcomes in heart attack patients • Improve health care system readiness and response

  4. Mission Lifeline: Class 1 Recommendation

  5. 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. 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!!!!

  6. 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.

  7. Why a STEMI system in South Dakota?

  8. STEMI Chain of Survival

  9. Project Budget Highlights • EMS: $4M • $3.5M for 12-Leads • $225K for transmission • $300K for training & materials • Hospitals: $3M • $775K for 12-Lead receiving station software • $2M for ACTION Registry GWTG • $75K for Fibrinolytic Training

  10. 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

  11. 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

  12. Today’s Conference will help identify these things: • Ideal Patient • Ideal EMS • Ideal PCI Referring Hospital • Ideal PCI Receiving hospital

  13. 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

  14. 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 States • The highest percentage of ambulance services in the nation equipped with 12-lead ECGs • The highest percentage of 12-lead ECG-trained emergency medical technicians in the nation • The highest percentage of ambulance services transmitting 12- lead ECG results in the nation

  15. EMS Training & Materials • Hands on Training • Learn: Rapid STEMI ID online tool • STEMI Provider Manual • Every SD Ambulance Service • Every EMT

  16. Hospitals • 12-Lead ECG Receiving capability • Action Registry – Get with the Guidelines (ARG) • Fibrinolytic Therapy Training

  17. ACTION – Registry GWTG • Data Collection Tool developed by AHA/ACC • Focused on entire continuum of care • QI Staff & Webinars

  18. 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

  19. jodi.doering@heart.org

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