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VHAC/ML Summit. Regional Organization and Development Reports June 11, 2011. STEMI – Door to Balloon and Door to Needle Times: Cumulative 12 Month Data. ACTION Registry-GWTG DATA: July 1,2009 – June 30, 2010. DTB = 1 st Door to Balloon for Primary PCI DTN = Door to Needle for Lytics.
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VHAC/ML Summit Regional Organization and Development Reports June 11, 2011
STEMI – Door to Balloon and Door to Needle Times:Cumulative 12 Month Data ACTION Registry-GWTG DATA: July 1,2009 – June 30, 2010 DTB = 1st Door to Balloon for Primary PCI DTN = Door to Needle for Lytics
Southern Region Peter O’Brien, MD, FACC
Peter O’Brien, MD, FACC Regional Leader Cindi Cole RN/BSN Regional Coordinator EMS Medical Director: Connie Purvis EMS Council Leader: Mary Kathryn Allen EMS Provider Representatives: Sean Regan PCI Hospital Centra Health, Inc. LGH Campus Dr. Peter O’Brien Dr. Matthew Hanley Cindi Cole, RN/BSN Johanna Derrenbacker, RN/MSN Peter Martin, RN/Med Flight Skip Meador, RN – VP Whitney Ruggieri, RN Non PCI Hospitals Other Invested Stakeholders Alphonse Stroobants, Private Donor Med Flight 3 The Cardiovascular Group of the Stroobants Heart Center Research Foundation Bedford Memorial Hospital David Alligood, MD Carolina Butt, RN Richard Downing, EMT Halifax Regional Hospital James McCubbins, IV, MD Tony Wilkerson, RN ?A. Harrell, EMT Southside Community Hospital Marilyn McCleod, MD Kathi Manis, RN Aileen Cassada, RN, EMT Virginia Heart Attack Coalition – Mission: LifelineSouthern Region Leadership Team
VHAC Southern Regional MeetingApril 15, 2011 Lynchburg General • 25 people in attendance from BREMS, Centra, Bedford Memorial, Centra Southside, and Halifax Regional • Introduced John Dugan and gave brief VHAC/ML update • Reviewed MI data and protocol updates • Discussed Needs Assessments from outlying referral agencies (PHECG’s) • Designed new single call system for STEMI Transfers
Summary of Cath/PCI/Surgical Services Western Region, VHAC Cath/PCI/onsite surgery Cath/PCI/No onsite surgery Cath only • Carilion Roanoke Memorial Hospital - Roanoke - Carilion • Lewis Gale Hospital - Salem - HCA • Montgomery Regional Hospital - Christiansburg - HCA • Memorial Hospital of Martinsville and Henry County - Danville – Lifepoint • Carilion New River Valley Hospital – Radford - Carilion • Danville Regional Medical Center – Danville – Lifepoint • Clinch Valley Medical Center – Richlands - Lifepoint
STEMI Programs & Referral Patterns Wellmont Health System Kingsport, Tennessee Holston Valley, Kingsport Bristol RMC, Bristol
STEMI Programs & Referral Patterns Lifepoint Health System Brentwood, Tennessee Holston Valley, Kingsport Duke Med Center
STEMI Programs & Referral Patterns Mountain States Health Alliance Johnson City, Tennessee Holston Valley, Kingsport Bristol RMC, Bristol Johnson City MC, Johnson City
STEMI Programs & Referral Patterns Independent Hospitals Pikeville Medical Center Pikeville, Kentucky Holston Valley, Kingsport Bowman Gray
STEMI Programs & Referral Patterns HCA System Salem, Virginia • Physician Contacts: • Dr. Rick Prokopchak • Dr. Dan Osimani
STEMI Programs & Referral Patterns Carilion and Affiliated Hospitals Roanoke, Virginia • Physician Contacts: • Dr. Paul Frantz • Dr. David Sane
Summary: • 5 counties, 15 agencies, 4 hospls, 1 PCI hospl • PCI STEMI protocol with LGH & Carilion • Strengths: • High career and ALS; CCPT coverage • Weaknesses: • Montgomery, Giles & Floyd pred volunteer & EMT-I/BLS trained • Pulaski 33% equipped with 12 lead • Lack of OMD support for providers obtaining and reading 12 lead in 5/15 units • Opportunities: • Training for Floyd, Giles & Montgomery • Funding for add’nl EKG’s, esp Pulaski • Meet with OMD’s WESTERN VA EMS • Planning District 4 • Carillion Giles Memorial Hospital • Carilion New River Valley Memorial Medical Center • Montgomery Regional Hospital • Pulaski Community Hospital 1 3 4 2
Summary: • 6 counties, 24 agencies, 3 hospls, 2 PCI hospls • PCI STEMI protocol with LGH & Carilion • Strengths: • Roanoke City, Co and Salem high % career & ALS providers with min equipment needs • High presence of CCPT • BCES very strong despite 10% career in county • Weaknesses: • Alleghany & Craig depend on volunteers • Poorly equipped; training basic • Geographic prob: roads, mountains & internet • Opportunities: • Alleghany & Craig need 12 leads & training • Interest in transmission tech and “Moodle” • Meet with selected OMD’s WESTERN VA EMS • Planning District 5 • Alleghany Regional Hospital • Carilion Roanoke Memorial Hospital • Lewis-Gale Medical Center 1 3 2
Summary: • 4 counties, 21 agencies, 4 hospls, 1 PCI hospl • PCI STEMI protocol with LGH, Carilion, Moses Cone in Greensboro • Strengths: • FCDPS strong leadership, active career providers equipped with LP 12 units • CCPT coverage for CFMH • Weaknesses: • Other 3 counties depend on volunteers • Low % EKG’s in Pittsylv & Henry Co; 11 w/o • OMD Henry Co not supportive of 12 lead program • Opportunities: • Meet with Patrick and Pittsylv providers regarding training and 12 lead needs • Meet with selected OMD’s Henry Co • LP 15 units for FCDPS; rotate LP 12’s; training WESTERN VA EMS • Planning District 12 • Carilion Franklin Memorial Hospital • Danville Regional Medical Center • Memorial Hospital of Martinsville & Henry County • Pioneer Community Hospital 1 3 4 2
Summary-Needs/Opportunities • Training • Additional ECG Equipment (58% have this, and 105 are needed) • OMD support • ?Transmission Capabilities • A STEMI Council (ala ODEMSA)
