Presenters - American Heart Associationwcm/@swa/...2. Percentage of STEMI patients with first (pre-hospital) medical contact to device time within 90 minutes (non-transfer) 3. Percentage

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

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

12/11/2013 ©2013, American Heart Association 3

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



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


http://circ.ahajournals.org/search?fulltext=Improvements+in+door+to+balloon+times&sub

mit=yes&x=6&y=8

• 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

7

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?


Transport Destination Protocols determine achievement measures required to complete:

Must all 3 measures be reported?


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

• 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?


Q1 = Eligible for Bronze

Q2 = Not Eligible for Bronze



Annual – Q1 Bronze

2

1

1

0

4

• 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?






Annual – Q1 Eligible for SILVER or BRONZE

2

2

2

2

8

• Self reported summary

• Web based submission

How will AHA collect the Pre-Hospital Data?


Demographics

Online Mission: Lifeline System Registration Information

Data Summary/Submission

Affirmation of truth of statement

• 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?


What is the cost for EMS Agencies participating in the

M:L EMS Recognition Program?


• 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?


What is the Timeline for the EMS Recognition

Program?


17 ©2013, American Heart Association

“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!

Let’s start with the website,


www.heart.org









For More Information Contact


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]

[email protected]

Wyoming

Ben Leonard- [email protected]

Scott Nelson- [email protected]

mailto:[email protected]









Please visit www.heart.org/swaquality to view the recording of this webinar.

http://www.heart.org/swaquality

Presenters - American Heart Associationwcm/@swa/...2. Percentage of STEMI patients with first (pre-hospital) medical contact to device time within 90 minutes (non-transfer) 3. Percentage

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