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Door to Balloon Times: Achieving 90 Minutes and Less

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Door to Balloon Times: Achieving 90 Minutes and Less

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    2. D2B Alliance Goal Goal: To achieve a door-to-balloon time of = 90 minutes for at least 75% of non-transfer primary PCI patients with STEMI. Here is our goal. Here is the essence of the goal: Excludes transfer patients Only STEMI patients Only Primary PCI hospitals 75% of all those folks are 90 minutes or less.Here is our goal. Here is the essence of the goal: Excludes transfer patients Only STEMI patients Only Primary PCI hospitals 75% of all those folks are 90 minutes or less.

    4. D2B Alliance - Hospitals 900 hospitals 48 states, DC, Spain, India, Thailand, Canada, Brazil, Poland, Saudi Arabia, United Arab Emirates (and growing!) ACC Chapters and Governors played a major role in recruiting local hospitals

    5. D2B Alliance Member US Hospitals

    6. Strategies that Reduce Treatment Delays 1. ED physician activates the cath lab 2. One call activates the cath lab 3. Cath lab team ready in 20-30 minutes 4. Prompt data feedback 5. Senior management commitment 6. Team-based approach *Optional: Pre-hospital ECG to activate the cath lab if feasible Core of the D2B campaign. The basic strategies are just the beginning As more evidence is generated, the D2B Alliance may add new strategies. Lots of processes being uses successfully that are not on this list. Core of the D2B campaign. The basic strategies are just the beginning As more evidence is generated, the D2B Alliance may add new strategies. Lots of processes being uses successfully that are not on this list.

    7. D2B Alliance Resources D2BAlliance.org Join D2B D2B Implementation Manual Online Community Share Tools Discussion Groups Webinars Highlight Best Practices Strategy Specific Summarizing the resources the D2B Alliance makes available.Summarizing the resources the D2B Alliance makes available.

    8. Some Chapter Efforts on D2B AL formed quality council to make D2B chapter project CA STEMI summit w/ ACEP, May 2007 FL Time is Muscle statewide webinar, May 2007 IL statewide Cardiac Alert Conf., October 2006 MI statewide D2B Symposium, February 2007; poster presentations at Annual Conf., October 2007; numerous statewide conference calls NJ statewide D2B Symposium, May 2007 NM first Ch. Meeting and main topic was quality/D2B, May 2007 This is a listing of some of the wonderful activities the various Chapters have undertaken in regards to D2B. Truly remarkable. This is not meant to be an exhaustive list and if we are missing some of your good activities, D2B staff want to know about them and help you promote them. Send an email to Jason Byrd at jbyrd@acc.org.This is a listing of some of the wonderful activities the various Chapters have undertaken in regards to D2B. Truly remarkable. This is not meant to be an exhaustive list and if we are missing some of your good activities, D2B staff want to know about them and help you promote them. Send an email to Jason Byrd at jbyrd@acc.org.

    9. Some Chapter Efforts on D2B OH statewide D2B webinar, February 2007 OK Annual Scientific Meeting, April 2007 PA statewide D2B conference, October 2007 TX statewide STEMI conference, January 2007 WI D2B Initiatives: Revolutionary Care for AMI conference, November 2007 Many others

    10. Sentara Leigh Hospital

    11. A Transfer Program in Suburban/ Rural Oregon Paramedic vs Hospital Transfer vs Center Prehospital protocols and ECGS

    13. What is Next? Final Push 90 Days to 90 Minutes October 2, 2007 through December 31, 2007 Re-energize attention on D2B process and times Contact a D2B Mentor Hospital to help More sharing of ideas and tools List of mentor hospitals on the D2B Alliance website.List of mentor hospitals on the D2B Alliance website.

    14. D2B Timeline Development Phase (Mar. - Nov. 06) Recruitment Phase (Sep. 06 - Apr. 07) D2B Launch at AHA Scientific Sessions (Nov. 06) Implementation Phase (Nov. 06 - Dec. 07) Webinar Series Action Report Letters Evaluation Phase (Jan. 08 - Jan.09) Resurvey Process Begins Jan. 08 Registry Analysis 3rd Quarter 08 The follow up survey will be distributed to all hospitals in January 2008. The follow up survey will be distributed to all hospitals in January 2008.

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