Where is Cookeville Regional Medical Center?

1

Cookeville Regional Medical Center STEMI program

(What we do well and our challenges)

Commercial Interest (None) “No relevant financial relationship(s) exist.”

Brenda Davis-Bryant RNNovember 7th 2014

2

Where is Cookeville Regional

Medical Center?

3

Ø247 BedsØ2 Catherization Labs / 1 additional pendingØ1 EP Lab (Opened 2010)Ø10 Cardiologists which includes 4

Interventionalists and 1 ElectrophysiologistØ2 CVOR SuitesØ3 CV Surgeons and 3 CV AnesthesiologistsØSCPC PCI Accreditation / Cycle IVØCurrent D2B 42 minutesØUniversal STEMI acceptance

4

KYEMS Receiving Counties

14

5

KYTransferring Facilities

LRH

8

CRMC

6

KYEstablished Cardiac Clinics

TN Heart Offices

6

7

What CRMC is doing well.

ØMaintaining a good working relationship with all EMS and

air transport agencies.

8

◊Providing timely STEMI feedback to agency

9

◊Host a Bi-Annual CRMC and Upper Cumberland EMS Collaboration Luncheon.

CRMC attendees include Senior Management, (CEO, CMO, COO, CNO) Department Directors, Cardiology, and Managers.

Upper Cumberland attendees include all EMS agency directors and their lead staff, all air transport agency directors and their lead staff, and senior

management from transferring facilities.

We usually have two speakers:One for medical topics

andCardiac interventionalist presents Case Studies of STEMI’s

10

◊CRMC provides Critical Care Course for Paramedics. (Currently on 5th Cycle)

This reinforces our commitment to EMS agencies of the Upper Cumberland area.

11

Travel to all 14 counties (EMS Stations) two to four times each year

giving updates, re-educating, providing educational videos. Addressing any issues EMS

agency may be having concerning CRMC.

These trips also include the Liaison visiting and maintaining collaborative relationship with transferring facilities of the Upper Cumberland area.

EMS Liaison Interaction

12

More than 80% of incoming STEMI patients are met by

Cardiologists in the ED or ambulance bay

prior to transport to the Cath Lab.

We encourage EMS personnel to stay and observe the procedure.

13

Organize STEMI drills with EMS agencies, air transport, and

transferring facilities. Once the drill is over, we have a debriefing which includes reviewing the timeline. We discuss areas that performed

well and areas for improvement.

Attendees include EMS crew and EMS Director; air transport crew and air transport director, transferring facility

management; ED Director, CVICU Director, Cardiac Interventionalists, STEMI Medical Director, Cath Lab

Medical Director, Cath Lab Director and Manager, STEMI Coordinator.

14

Organize educational events regarding our STEMI program with

EMS agencies and transferring facilities.

15

Cardiologists, ED Medical Director and STEMI coordinator appear at several speaking events throughout the year.

Examples:

Womens’ Heart EventHospital Board of Trustee meetings

Formal organizations throughout Upper Cumberland areaState wide organizations

Senior Citizen groups in various countiesMended Hearts

16

Our Challenges

17

Changes in ownership and management with transferring facilities.

We are working toward rebuilding and fostering collaborative relationships again.

18

Achieving and maintaining Door in and Door out

of less than 30 minutes from transferring facilities.

19

Changes in staff and management of EMS agencies, air transport agencies.

We have to identify which counties have changed staffing and provide opportunities to educate about

our STEMI program.

This is usually identified when a delay is encountered at some point in our STEMI timeline.

20

Budget Constraintsand

Time ConstraintsWe are all under budget constraints. This is just the nature of the times.

We are asked to achieve a higher level of performance with the same or even less budget than was previously allowed.

Unfortunately, time constraints fall into this category too.

Efficient time management is essential to continue at a higher level of performance.

21

Questions?