virginia heart attack coalition: progress and future directions
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Virginia Heart Attack Coalition: Progress and Future Directions. Peter O’Brien, MD, FACC October 5, 2013. 2008 Virginia Chapter ACC Meeting Virginia Heart Attack Coalition Mission Statement:. - PowerPoint PPT PresentationTRANSCRIPT
Virginia Heart Attack Coalition:Progress and Future Directions
Peter O’Brien, MD, FACCOctober 5, 2013
2008 Virginia Chapter ACC MeetingVirginia Heart Attack Coalition Mission Statement:
“To work collaboratively to improve systems of care for the early recognition and treatment of all Virginia residents
having heart attacks.”
VHAC/ML Strategic Plan
I. PHECG’s: Equipment, Training, Education and widespread use
II. Regional Organization/Activity: Sustaining STEMI councils and regional activity
III. ACTION: Regional/State data collection, ML recognition
I. Prehospital ECG’s
Joint OEMS/VHAC/AHA EMS survey 2009% of Vehicles with 12 leads
at the scene
OEMS Assessment Survey 2012% with Prehospital ECG’s
85%
15%
2
YesNo
The Other 15% Initiative
Partner with OEMS to achieve 100% PHECG in Virginia—New Survey Released this week!
85%
15%
2
YesNo
STEMI Showdown• Interactive, comprehensive STEMI teaching
session• Rapidly becoming a leader in STEMI lecturing
and EMS education• Allows assessment of audience skill level
during session
“STEMI Education—Why so Serious?”
Dr. Mike Kontos
Dr. Pete O’Brien
Dr. David R Burt
II. Sustaining Regional Organization and Activity
VHAC Regions
STEMI + Cardiac Resuscitation System CoverageAs of 04/28/2013
(665 STEMI Systems - 65.24% Population Coverage)(37 Cardiac Resuscitation Systems - 4.76% Population Coverage)
VHAC partners with AHA…
AHA VHAC
VHAC/ML Director John Dugan
STEMI Bill of Rights
III. Data and Performance: ACTION and Mission Lifeline
ACTION Site Distribution 2008—Virginia has 9
Last updated: 8/21/08
AK(1)
WA(11)
OR(9)
CA(20)
ID(1)
NV(1)
MT(2)
WY(0)
CO(7)
NM(1)
ND(1)
SD(1)
NE (4)
KS(8)
OK(4)
TX(26)
MN(5)
IA(6)
MO(12)
AR(1)
LA(2)
WI(11) MI
(12)
MI
UT(0)
AZ(2)
HI (0)
IL(23)
IN(14)
KY(2)
TN(10)
MS(3)
AL(1)
GA(10)
FL(17)
SC(4)
NC(23)
VA(9)
OH(22)
WV(1)
PA(23)
NY(11)
MD (10)
ME(2)
VT (0)
NH (1)
NJ (4)
MA (3)
CT (3)
DE (0)
RI (0)
DC (0)
Active Sites = 344
Current Site DistributionActive Sites =
Puerto Rico:Hawaii:Alaska :
755
1 7 3 International Participants: 2
CT : 5
DC : 4
DE : 4
MA : 5
MD : 26
NJ : 10
Virginia is Tied for 7th with the most sites!
Sounds like a plan, but show me the data…
% of Primary PCI<120 minutes 2004-05 (National Voluntary Hospital Reporting Initiative)
Nation Virginia0
102030405060708090
100
62 63
% of Primary PCI<120 minutes 2005-06 (CMS Hospital Compare)
Nation Virginia0
102030405060708090
100
67 70
% of Primary PCI<90 minutes 2010 (CMS Hospital Compare)
Nation Virginia0
10
20
30
40
50
60
70
80
90
100
90 94
% of Primary PCI<90 minutes 2011-12 (CMS Hospital Compare)
Nation Virginia0
10
20
30
40
50
60
70
80
90
100
95 95
D2B
D2B
It is more than D2B
D2B Median 78minutes100% D2B <90FMC 107
FMC2B
FMC2B
FMC2B (Median Times)
FMC2B
Virginia: FMC to Balloon
2010 2011 20120
20
40
60
80
100
120
9286 82
Series 3
Transfers
Mission Lifeline Hospital Awards Virginia
2011 2012 20130
2
4
6
8
10
12
14
16
18
3
9
16
Strategery!!
• Regional STEMI committees meet quarterly/biannually. Committees up to full representation by profession/organization/hospital/health care system with agenda, goals and meeting minutes
• All Centers on ACTION, participating in Regional Reports and 2/3rds are ML award
winners • At least one PCI center in each VHAC Region achieves Mission Lifeline STEMI Center
Accreditation
• All EMS have PHECG equipment, processes, education
• Leverage VHAC /ML for other statewide initiatives: VCSQI, Cardiac Arrest, Stroke?
THANK YOU Virginia ACC!!!