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Mission: Lifeline 6.15.2015 -Task Force Meeting
1©2013, American Heart Association
Julie Smith, RN BSN MHADirector Mission: Lifeline Nebraska
Improving the System of Care for STEMI Patients
Mission: Lifeline – A System of Care
2
•Welcome and Introductions – Julie Smith
•Physician Leadership – Update (Chair Discussion)
•Data
•Round 3 and EMS Equipment update Map – Gary
•Public Awareness
•Education – Hospital
•Receiving Software – Hospitals
•Adjournment
Agenda
04/19/23 3
•Chairs Dr. Matt Johnson, Dr. Doug Kosmicki and Dr. David Cornutt
have agreed to serve another term as chairs for Mission: Lifeline
•Dr. Ed Mlinek will remain the Hospital Advisory Lead
•Dr. Steve Martin will remain the Interventional Cardiologist Steering
Committee Lead
•The EMS advisory council membership will remain unchanged with 22
members and 5 AHA/Mission: Lifeline representatives
Physician Update
04/19/23 4
•State Reports for 4th quarter 2014 include data from 5 NE PCI
hospitals
•Regional Reports for 4th quarter 2014 data will include 4 boarding PCI
hospitals in SD, CO, and IA and the 5 NE PCI hospitals.
•State Reports for 2015 will eventually include data from the 12 NE PCI
hospitals. (Retrospective data entry to Jan 2015 is currently being
done by some facilities)
•Regional Reports for 2015 should include data from 12 NE PCI
hospitals and the 4 boarding PCI hospitals.
Data
04/19/23 5
Data 4th Quarter 2014
04/19/23 6
• Arrival at first facility to Primary PCI ≤ 120 minutes
Data 4th Quarter 2014
04/19/23 ©2013, American Heart Association 7
• Timed reports in Minutes
Data Continued
04/19/23 ©2013, American Heart Association 8
• ED Arrival to First In Hospital ECG
Data First ECG
04/19/23 ©2013, American Heart Association 9
Arrival Mode
Arrival Mode”
04/19/23 ©2013, American Heart Association 10
DATA - Median Length of Stay and Transfer Out
04/19/23 ©2013, American Heart Association 11
TIMES: State National
Median length of stay at referral facility (min) 61 59
Median time from transfer out of Ref. facility to Arrival at PCI (mins) 41 33
Data – Median Time of Arrival to Primary PCI
04/19/23 ©2013, American Heart Association 12
State 4th Qrt 2014
National 4th Qrt 2014
Median Time from Arrival to Primary PCI (Minutes)
Arrived by EMS 56 49
Arrived by POV 66 66
Improving the System of Care for STEMI Patients
Equipment Round 3
• Round 1 equipment is completed and 12 Lead Education is
being conducted
• Round 2 applications were scored and EMS services were
notified and some have received equipment and education is
being scheduled
• Round 3 application is now open until June 30th.
13
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 1 Equipment 27 awards
*Bayard Fire and Rescue
*Gering Volunteer Fire Department
*Hartington Ambulance Squad
*Kimball County Ambulance Service
*Minden Fire Department
*Mitchell Volunteer Fire Department
*Santee Sioux Nation EMS
14
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 1 Equipment
*Valley County Ambulance
*Broken Bow Fire and Rescue
*Crofton Rescue Squad
*Humboldt Rescue
*Cambridge Rescue Service
*Henderson Ambulance
*Superior Volunteer Rescue Squad
*Burwell Rural Fire District
15
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 1 Equipment
*Ponca Volunteer Fire & Rescue
*Winnebago Tribal Rescue and Ambulance Service
*Holdrege Fire Department/Rescue Squad
*City of Geneva Rescue
*Dakota City Fire Dept
*Fullerton Rescue Squad
*Phelps Memorial Health Center Emergency Services Dept
*Sutton Volunteer Rescue Service16
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 1 Equipment
*Pender Volunteer Fire and Rescue
*Pierce Rescue
*Central City Ambulance
*Hamilton County Ambulance
17
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 2 Equipment 38 total
Antelope Memorial Hospital Ambulance Service
St Paul Rescue Squad
*City of Madison Fire & Rescue
*Bertrand Rescue Unit
*Rushville Volunteer Fire/Rescue
*Garden County Health Services (Regional West Garden County)
*Ord Volunteer Fire Department
*Falls City Volunteer Ambulance Squad
*Overton Vol Fire & Rescue18
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 2 Equipment
*Sumner-Eddyville-Miller Rescue
*Hay Springs Vol Fire Dept
*Chadron Volunteer Fire Dept
*City of Grand Island Fire Department
*Regional West Garden County dba Emergency Response Care
*CHI Health Good Samaritan
*North Platte Fire Dept
*South Sioux City Fire Rescue
*Nebraska City Fire Rescue
*Crete Volunteer Fire and Rescue19
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 2 Equipment
*Brown County Ambulance Association
*Village of Sutherland Rescue
*City of Ravenna EMS
*Valley Ambulance Services Inc
*Imperial Emergency Medical Service
Hemingford Volunteer
*Randolph Rescue Unit
Atkinson Fire and Rescue
*Wood River Fire Dept
Cherry Co. Ambulance
Hebron Volunteer Fire20
Improving the System of Care for STEMI Patients
List EMS Agencies – Round 2 Equipment
*Pawnee County Ambulance
*Bloomfield Ambulance
*Alliance Fire Department
*Thayer County Health Services
Syracuse Rescue Service
*David City Vol Fire Dept/Rescue
*Big Springs Rural Fire Protection District
*Perkins County Ambulance 21
Improving the System of Care for STEMI Patients
DHHS EMS Equipment allocations 2014 18 Total
• Maxwell – North Platte, Great Plains Health PCI
• Valparaiso – Lincoln PCI
• Malcom – Lincoln PCI
• Axtell – Kearney PCI Hospital
• Thedford – North Platte, Great Plains Health PCI
• Frontier Curtis Maywood – North Platte, Great Plains Health PCI
• Sutherland – North Platte, Great Plains Health PCI
• Elm Creek – Kearney PCI
• Wymore – Beatrice Community Hospital or Lincoln PCI
• Crete – Crete Area Medical or Lincoln PCI
22
Improving the System of Care for STEMI Patients
DHHS EMS Equipment allocations 2014
• Bennet – Lincoln PCI Hospital
• Loup City – Kearney or Grand Island PCI Hospital
• Greenwood – Lincoln PCI Hospital
• Southwest Rural – (Lancaster County) – Lincoln PCI Hospital
• Hallam – Lincoln PCI Hospital
• Waverly – Lincoln PCI Hospital
• Milford – Lincoln – Midwest Medical
• Ceresco – Lincoln PCI Hospital
23
Improving the System of Care for STEMI Patients
MAP with EMS equipment awards (DHHS and M:L)
24
Improving the System of Care for STEMI Patients
04/19/23
25
Public Awareness
South Dakota
Improving the System of Care for STEMI Patients
Nebraska Look – Don’t Drive Yourself – Call 911
26
Improving the System of Care for STEMI Patients27
Improving the System of Care for STEMI Patients
Call 9-11 Logo
28
Improving the System of Care for STEMI Patients
Marketing – Concepts
l
29
Improving the System of Care for STEMI Patients
Hospital Staff and
Physician Education
30
Improving the System of Care for STEMI Patients
Regions – Education CAH/referring Hospitals
31
Improving the System of Care for STEMI Patients
Hospital Education
• Jennie Melham – Broken Bow • Phelps Memorial Hospital – Holdrege• Memorial Health Care System - Seward• Johnson County – Tecumseh• Saunders County – Wahoo• Kearney County – Minden• Community Memorial Hospital –Syracuse• Community Medical Center – Falls City• Beatrice Community Hospital - Beatrice • Brodstone Memorial – Superior • Harlan County – Alma
32
Improving the System of Care for STEMI Patients
Referring Hospital – Receiving 12 Lead ECG Equipment
• Jennie Melham – Broken Bow • Phelps Memorial Hospital – Holdrege• Memorial Health Care System - Seward• Kearney County – Minden• Nemaha County – Auburn • Community Medical Center – Falls City• Chadron Community Hospital – Chadron • Brodstone Memorial – Superior • Henderson Health Care Services – Henderson • Providence Medical Center – Wayne• Kimball Health Services – Kimball
33
Improving the System of Care for STEMI Patients
PCI – Receiving 12 Lead Equipment
• Faith Regional Health Services – Norfolk (CarePoint)– Planned implementation – July
• Mary Lanning Healthcare – Hastings (Zoll) – In place
• Regional West Medical Center – Scottsbluff – Work In process
• Great Plains Health – North Platte (Physio)– Work In process
• Kearney Regional Medical Center – Kearney– Work in progress
• CHI - Good Samaritan Hospital – Kearney (Physio)– In Place and Planned updated
• CHI - St. Francis Medical Center – Grand Island (Physio) – Needs updated and working on transmissions
34
Questions?
04/19/232012 AHA Mission: Lifeline 35
Questions?
04/19/23 2012 AHA Mission: Lifeline 36
Mission: Lifeline Nebraska Contacts
37
Gary W. Myers, MS, NREMTSr. Mission: Lifeline DirectorEMS Consultant for Midwest [email protected]
Brian Kranawitter Government Relations Director, Nebraska Midwest Affiliate
Beth MalinaDirector, Quality and System ImprovementKC, Kansas and Nebraska [email protected]
Ngia MuaProject Specialist – Mission: Lifeline NE, SD, ND, MNMidwest [email protected]
Mission: Lifeline Nebraska