0 Cookeville Regional Medical Center STEMI program What we do well and our challenges Commercial Interest None No relevant financial relationships exist Brenda DavisBryant RN ID: 680497
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Slide1
Where is Cookeville Regional Medical Center?
0
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 RN
November 7
th
2014Slide2
1
Where is
Cookeville Regional
Medical Center?Slide3
2
247 Beds
2 Catherization Labs / 1 additional pending
1 EP Lab (Opened 2010)
10 Cardiologists which includes 4 Interventionalists and 1 Electrophysiologist
2 CVOR Suites
3 CV
Surgeons
and 3
CV Anesthesiologists
SCPC PCI Accreditation
/ Cycle
IV
Current D2B 42 minutes
Universal STEMI acceptance
Slide4
3
KY
EMS Receiving Counties
14Slide5
4
KY
Transferring Facilities
LRH
8
CRMCSlide6
5
KY
Established Cardiac Clinics
TN Heart
Offices
6Slide7
6
What CRMC is doing well.
Maintaining a good working relationship with all EMS and
air
transport agencies.Slide8
7
◊Providing timely STEMI feedback to agencySlide9
8
◊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’sSlide10
9
◊CRMC provides Critical Care Course for Paramedics.
(Currently on 5
th Cycle)This reinforces our commitment to EMS agencies of the Upper Cumberland area.Slide11
10
Travel to
all
14 counties
(EMS Stations
) two to four times each yeargiving 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
f
acilities of the
Upper Cumberland area.
EMS Liaison
InteractionSlide12
11
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.Slide13
12
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. Slide14
13
Organize educational events
regarding our STEMI program with
EMS agencies and transferring facilities. Slide15
14
Cardiologists, ED Medical Director and STEMI coordinator appear at several speaking events throughout the year.
Examples:
Womens’ Heart EventHospital Board of Trustee meetingsFormal organizations throughout Upper Cumberland areaState wide organizations Senior Citizen groups in various countiesMended HeartsSlide16
15
Our ChallengesSlide17
16
Changes in ownership and management with transferring facilities.
We are working toward rebuilding and fostering collaborative relationships again. Slide18
17
Achieving and maintaining
Door in and Door out
of less than 30 minutes from transferring facilities.Slide19
18
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. Slide20
19
Budget Constraints
a
nd 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.Slide21
20
Questions?