Mission: Lifeline 6.15.2015 -Task Force Meeting 1 ©2013, American Heart Association Julie Smith, RN...

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


• ED Arrival to First In Hospital ECG

Data First ECG


Arrival Mode

Arrival Mode”


DATA - Median Length of Stay and Transfer Out


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


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


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.

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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


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



*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



*Pender Volunteer Fire and Rescue

*Pierce Rescue

*Central City Ambulance

*Hamilton County Ambulance

17


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



*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



*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



*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


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


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


MAP with EMS equipment awards (DHHS and M:L)

24


04/19/23

25

Public Awareness

South Dakota


Nebraska Look – Don’t Drive Yourself – Call 911

26

Improving the System of Care for STEMI Patients27


Call 9-11 Logo

28


Marketing – Concepts

l

29


Hospital Staff and

Physician Education

30


Regions – Education CAH/referring Hospitals

31


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


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


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

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Questions?

04/19/232012 AHA Mission: Lifeline 35

Questions?

04/19/23 2012 AHA Mission: Lifeline 36

Mission: Lifeline Nebraska Contacts

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Gary W. Myers, MS, NREMTSr. Mission: Lifeline DirectorEMS Consultant for Midwest [email protected]

Brian Kranawitter Government Relations Director, Nebraska Midwest Affiliate

[email protected]

Beth MalinaDirector, Quality and System ImprovementKC, Kansas and Nebraska [email protected]

Ngia MuaProject Specialist – Mission: Lifeline NE, SD, ND, MNMidwest [email protected]

mailto:[email protected]

mailto:ailto:[email protected]



Mission: Lifeline Nebraska

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