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Virginia Heart Attack Coalition: Progress and Future Directions

Virginia Heart Attack Coalition: Progress and Future Directions. Peter O’Brien, MD, FACC October 5, 2013. 2008 Virginia Chapter ACC Meeting Virginia Heart Attack Coalition Mission Statement:.

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Virginia Heart Attack Coalition: Progress and Future Directions

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  1. Virginia Heart Attack Coalition:Progress and Future Directions Peter O’Brien, MD, FACC October 5, 2013

  2. 2008 Virginia Chapter ACC MeetingVirginia Heart Attack Coalition Mission Statement: “To work collaboratively to improve systems of care for the early recognition and treatment of all Virginia residents having heart attacks.”

  3. VHAC/ML Strategic Plan • PHECG’s: Equipment, Training, Education and widespread use • Regional Organization/Activity: Sustaining STEMI councils and regional activity • ACTION: Regional/State data collection, ML recognition

  4. I. Prehospital ECG’s

  5. Joint OEMS/VHAC/AHA EMS survey 2009% of Vehicles with 12 leads at the scene

  6. OEMS Assessment Survey 2012% with Prehospital ECG’s

  7. The Other 15% Initiative Partner with OEMS to achieve 100% PHECG in Virginia—New Survey Released this week!

  8. STEMI Showdown • Interactive, comprehensive STEMI teaching session • Rapidly becoming a leader in STEMI lecturing and EMS education • Allows assessment of audience skill level during session

  9. Dr. Pete O’Brien “STEMI Education—Why so Serious?” Dr. Mike Kontos Dr. David R Burt

  10. II. Sustaining Regional Organization and Activity

  11. VHAC Regions

  12. STEMI + Cardiac Resuscitation System CoverageAs of 04/28/2013(665 STEMI Systems - 65.24% Population Coverage)(37 Cardiac Resuscitation Systems - 4.76% Population Coverage)

  13. VHAC partners with AHA… AHA VHAC

  14. VHAC/ML Director John Dugan

  15. STEMI Bill of Rights

  16. III. Data and Performance: ACTION and Mission Lifeline

  17. ACTION Site Distribution 2008—Virginia has 9 Active Sites = 344 WA (11) ME (2) VT (0) ND (1) MT (2) MI NH (1) MN (5) NY (11) OR (9) MA (3) WI (11) SD (1) RI (0) ID (1) MI (12) WY (0) CT (3) PA (23) IA (6) NJ (4) NE (4) OH (22) DE (0) NV (1) IL (23) IN (14) WV (1) MD (10) VA (9) UT (0) CO (7) KY (2) MO (12) KS (8) DC (0) CA (20) NC (23) TN (10) SC (4) OK (4) AR (1) AZ (2) NM (1) AL (1) GA (10) MS (3) LA (2) TX (26) FL (17) AK (1) HI (0) Last updated: 8/21/08

  18. Current Site Distribution Active Sites = Virginia is Tied for 7th with the most sites! Alaska : Hawaii: Puerto Rico: International Participants:

  19. Sounds like a plan, but show me the data…

  20. % of Primary PCI<120 minutes 2004-05 (National Voluntary Hospital Reporting Initiative)

  21. % of Primary PCI<120 minutes 2005-06 (CMS Hospital Compare)

  22. % of Primary PCI<90 minutes 2010 (CMS Hospital Compare)

  23. % of Primary PCI<90 minutes 2011-12 (CMS Hospital Compare)

  24. D2B

  25. D2B

  26. It is more than D2B D2B Median 78minutes 100% D2B <90 FMC 107

  27. FMC2B

  28. FMC2B

  29. FMC2B (Median Times)

  30. FMC2B

  31. Virginia: FMC to Balloon

  32. Transfers

  33. Mission Lifeline Hospital Awards Virginia

  34. Strategery!! • Regional STEMI committees meet quarterly/biannually.  Committees up to full representation by profession/organization/hospital/health care systemwith agenda, goals and meeting minutes • All Centers on ACTION, participating in Regional Reports and 2/3rds are ML award winners • At least one PCI center in each VHAC Region achieves Mission Lifeline STEMI Center Accreditation • All EMS have PHECG equipment, processes, education • Leverage VHAC /ML for other statewide initiatives: VCSQI, Cardiac Arrest, Stroke?

  35. THANK YOU Virginia ACC!!!

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