Conference PlanningSubcommittee

AccomplishmentsCo-Chairs:Tami Kayea

Jennifer Ledbetter

AHA Dallas Caruth Conference Planning Subcommittee

Baylor Heart and Vascular Hospital Art Signo

Baylor Heart and Vascular Hospital Andres Sisneros

Baylor Heart and Vascular Hospital Annabelle Zakarian

Dallas Fire Rescue Tami Kayea

Denton Regional Medical Center Todd Gray

Irving Fire Department Steve Deutsch

Medical City Dallas Hospital Jennifer Ledbetter

Richardson Fire Department Curtis Poovey

UT Southwestern Medical Center Tammy Chung

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

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

Education SubcommitteeAccomplishments

Co-Chairs:Karen Pickard

Chris Weinzapfel

AHA Dallas Caruth Education SubcommitteeDenton Regional Medical Center Lynn PerdueDoctors Hospital of Dallas Bob HillertDoctors Hospital of Dallas Jacquelin VillaFarmers Branch Fire Department Stephen BockIrving Fire Department Steve DeutschLas Colinas Medical Center Mike LopezLas Colinas Medical Center Kristine NicholsMedical City Dallas Hospital Jennifer LedbetterMethodist Dallas Medical Center Rob SprangerMethodist Dallas Medical Center Christine WalkerMethodist Mansfield Medical Center Karen YatesMethodist Richardson Medical Center Liz FaganParkland Hospital Thomas TierneyRowlett Fire Rescue Chris WeinzapfelSachse Fire Rescue Rick ColemanSouth Hampton Community Hospital Marcus PierreSunnyvale Department of Public Safety Joe PlumleeTexas Health Presbyterian Dallas Bob BrockieTexas Health Presbyterian Dallas Jon GardnerUT Southwestern St. Paul Hospital Rocky GalvanUT Southwestern Medical Center Richard KingUT Southwestern Medical Center Karen Pickard

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.

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

EMS Resources Subcommittee Accomplishments

Co-Chairs:Kevin Cunningham

Craig White

AHA Dallas Caruth EMS Resources SubcommitteeCarrollton Fire Department Ricky VaughnCedar Hill Fire Department Kevin CunninghamCoppell Fire Department Gregg LoydDallas Fire Rescue Robert HollowayDenton Regional Medical Center Susan ConnDeSoto Fire Rescue James BellDFW Airport EMS Forrest BroomDuncanville Fire Department Sam RohdeGarland Fire Department Garrett EvansHCA – North Texas Division Ronnie IckelerHighland Park DPS Janet SandmanHighland Park DPS Ryan DikesHutchins Fire Department Chris FasonHutchins Fire Department Mike TelfordIrving Fire Department Steve DeutschLancaster Fire Department Laura HillaryMedical City Dallas Hospital Craig WhiteMedical City Children’s Hospital Lanie St. ClaireMesquite Fire Department Bobby MuseParkland Hospital Thomas TierneyRichardson Fire Department Curtis PooveyRowlett Fire Department Chris WeinzapfelRowlett Fire Department Ron SimmonsSachse Fire Rescue Rick ColemanSunnyvale Fire Rescue Joe PlumleeTexas Health Presbyterian Dallas Mark TillTexas Health Presbyterian Dallas Paula Spencer

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.

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

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

Protocols Subcommittee Accomplishments

Co-Chairs:Chris Chiara

Mark Till

AHA Dallas Caruth Protocols SubcommitteeBaylor Heart and Vascular Hospital Andres SisnerosBaylor Heart and Vascular Hospital Nancy VishBaylor Heart and Vascular Hospital Robert StolerBaylor Medical Center at Garland Janice WalkerBaylor Medical Center at Irving Barry AllenBaylor Medical Center at Irving John StricklinBaylor University Medical Center Nestor Zenaros

aBaylor University Medical Center/Baylor Medical Center Waxahachie

Jim d'Etienne

Coppell Fire Department Chad HardinCoppell Fire Department Gregg LoydDallas Fire Rescue Chris ChiaraDallas Medical Center Amy Ferguso

nDallas Medical Center Don TimmDallas Medical Center Patti Cantu

AHA Dallas Caruth Protocols SubcommitteeDallas Regional Medical Center Daniel Cervant

ezDallas Regional Medical Center Juliet HorneDenton Regional Medical Center Todd GrayDoctors Hospital of Dallas Tracy Campbe

llGarland Fire Department Todd PeeleHCA-North Texas Division Jacob JohnsonHCA-North Texas Division Ronnie IkelerHighland Park DPS Janet Sandma

nHighland Park DPS Ryan DikesHutchins Fire Department Chris FasonLas Colinas Medical Center Mike LopezMedical City Dallas Hospital Jennifer Ledbett

erMedical City Dallas Hospital Susan SmithMedical City Dallas Hospital/Baylor Plano Heart Hospital

Eric Eichhorn

AHA Dallas Caruth Protocols SubcommitteeMethodist Charlton Medical Center Jonatha

nAldama

Methodist Charlton Medical Center Kristi MarinoMethodist Charlton Medical Center Michael MerrittMethodist Charlton Medical Center Michael SeifuMethodist Dallas Medical Center Ryan WolfordNorth Central Texas Trauma Regional Advisory Council

Carrie Hecht

Parkland Hospital Thomas TierneyTexas Health Presbyterian Dallas Mark TillTexas Health Presbyterian Dallas Paula SpencerTexas Health Presbyterian Dallas Sean BlackTexas Regional Medical Center Sunnyvale Misty ThomasUniversity Park Fire Department Rusty MasseyUniversity Park Fire Department Terry FowlerUT Southwestern Medical Center Dallas David PillowUT Southwestern Medical Center Dallas John Warner

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

Quality Improvement Subcommittee

AccomplishmentCo-Chairs:Bob Hillert

Tom Tierney

AHA Dallas Caruth Quality Improvement SubcommitteeDallas Fire Rescue Dyron TylerDallas Regional Medical Center Daniel CervantezDallas Regional Medical Center Juliet HorneDoctors Hospital of Dallas Bob HillertDoctors Hospital of Dallas Tracy CampbellHutchins Fire Department Chris FasonMedical City Dallas Hospital Susan SmithMethodist Charlton Medical Center Jonathan AldamaMethodist Charlton Medical Center Michael MerrittMethodist Dallas Medical Center Christine WalkerMethodist Dallas Medical Center Ryan WolfordMethodist Richardson Medical Center Tarah GroomsParkland Hospital Thomas TierneySouth Hampton Community Hospital Tamara McCraryTexas Health Presbyterian Dallas Debby RushUT Southwestern Medical Center Bridgette Montgomer

yUT Southwestern Medical Center John WarnerUT Southwestern Medical Center Karen PickardUT Southwestern Medical Center Tiffany MezaUT Southwestern University Hospital - St. Paul

Nikki Rupe

UT Southwestern University Hospital - St. Paul

Rocky Galvan

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?”

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

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