presenters - american heart associationwcm/@swa/...2. percentage of stemi patients with first...
TRANSCRIPT
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2 12/11/2013 ©2013, American Heart Association
Presenters: Ben Leonard, EMT-Paramedic
Mission Lifeline Director
American Heart Association
Jason Gilliam, LP Captain/Medical Officer
Austin/Travis County EMS
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I. Review the EMS Recognition Program
I. What are the measures we are looking to report
II. What are the patient volume requirements
III. The timeline for the project
II. Provide a walk through process for EMS Recognition Application
I. How do you collect the data?
II. Entering the data into the application
Objectives for this presentation
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Mission: Lifeline®:
AHA’s national initiative to advance the systems of care for STEMI patients and
Out of Hospital Cardiac Arrest.
Goal: Reduce mortality and morbidity for STEMI and OOHCA patients to and
improve their overall quality of care
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2013 Recognition Highlights
309 Hospitals Achieved
2013 Mission: Lifeline
Recognition
• Submit Data into ACTION
Registry-GWTG
• Registered with M:L
• Meet M:L recognition
Criteria
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http://circ.ahajournals.org/search?fulltext=Improvements+in+door+to+balloon+times&sub
mit=yes&x=6&y=8
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• Focus on Quality
– New Formal Process
– Generally seen as lower priority
– QI processes are difficult for low resource agencies
– Culture change
• Data Collection
– Self Reporting Expectation
• System Fragmentation
– Competition of Agencies
– Continuum of Care
– Patient Documentation
– Protocol Diversity & Equipment Variability
Challenges Specific to AHA EMS Recognition
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1. Percentage of patients with non-traumatic chest pain > 35 years treated
by EMS who get a pre-hospital 12-lead electrocardiogram
2. Percentage of STEMI patients with first (pre-hospital) medical contact to
device time within 90 minutes (non-transfer)
3. Percentage of STEMI patients taken to a referral hospital who
administers fibrinolytic therapy with a door to needle time within 30
minutes.
What are the Achievement Measures?
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Transport Destination Protocols determine achievement measures required to complete:
Must all 3 measures be reported?
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Agencies with STEMI patients transported to STEMI Receiving Centers only
Reporting Measures #1 and #2 required
Agencies with STEMI patients transported to STEMI Referring Centers only
Reporting Measures #1 and #3 required
Agencies with STEMI patients transported to both STEMI Receiving Centers and STEMI Referring Centers
Reporting Measures #1, #2, and #3 required
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• BRONZE eligibility = At least 2 STEMI patients in the reporting quarter
with a minimum of 4 total for the year
What is the volume requirement for EMS Recognition?
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Q1 = Eligible for Bronze
Q2 = Not Eligible for Bronze
Q3 = Not Eligible for Bronze
Q4 = Not Eligible for Bronze
Annual – Q1 Bronze
2
1
1
0
4
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• SILVER eligibility = At least 2 STEMI patients in EACH reporting quarter
with a minimum of 8 total for the year. Each quarter must meet
achievement criteria.
What is the volume requirement for EMS Recognition?
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Q1 = Eligible for Bronze
Q2 = Eligible for Bronze
Q3 = Eligible for Bronze
Q4 = Eligible for Bronze
Annual – Q1 Eligible for SILVER or BRONZE
2
2
2
2
8
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• Self reported summary
• Web based submission
How will AHA collect the Pre-Hospital Data?
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Demographics
Online Mission: Lifeline System Registration Information
Data Summary/Submission
Affirmation of truth of statement
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• No (AHA Staff will not validate, but all applications will be subject to audit)
• Person submitting data is requested to be
• Qualified and appropriately designated staff person of the EMS
Agency
• Training Officer
• Administrative Leadership
Will the validity of the Data be verified?
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What is the cost for EMS Agencies participating in the
M:L EMS Recognition Program?
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• Achievement levels of
• Bronze – 1 Calendar Quarter
• Silver – 1 Calendar Year
• Gold – 2 Calendar Years (Start in 2015)
• Submit recognition application annually for the previous calendar year of
data using a web based self entry portal.
• Submitted data summary will be reviewed by AHA Staff
• Awards issued in Spring
How will the EMS recognition program be structured?
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What is the Timeline for the EMS Recognition
Program?
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“OK, I understand the program, it’s measures and
requirements…
• Where do I start?
• What data do I need?
• Who am I?
• How do I get the data?
• What do I do with the data, once I get it?
• Who can I call when I need help?
• What day is it today?
• Where am I? DON’T PANIC!
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Let’s start with the website,
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www.heart.org
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For More Information Contact
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Arkansas/Oklahoma Central Texas
Katie Butterfield- [email protected] Diana Barrett- [email protected]
Colorado Southeast Texas
Julie Blakie- [email protected] Kate Simpson- [email protected]
New Mexico/West Texas North Texas
Stephanie Chapman- Shanthi Raj- [email protected]
Wyoming
Ben Leonard- [email protected]
Scott Nelson- [email protected]
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Please visit www.heart.org/swaquality to view the recording of this webinar.