1. Update on Mission: Lifeline Boston University Medical Center
STEMI Systems of Care:
Update on Mission: Lifeline
Alice K. Jacobs, M.D.
Boston University Medical Center
Boston, MA

2. Alice K. Jacobs, MD Grants/Contracted Research Abiomed, Inc.
Accumetrics, Inc.
Abbott Vascular

3. Disclosure Information
FINANCIAL DISCLOSURE:
Research Support: Abbott Vascular, Abiomed, Accumetrics
UNLABELED/UNAPPROVED USES DISCLOSURE: None

4. Community-based National initiative
Improve quality of care + outcomes in STEMI
Improve healthcare system readiness and response to STEMI

5. May 30, 2007
Conference Proceedings published in Circulation and Mission: Lifeline Launched

6. Developing Systems of Care for STEMI

7. Status Report: February 2011
EMS System Assessment and Improvement
Evaluate Existing Models
Establish Local Initiatives
Explore Possibility of National STEMI Certification

8. EMS System Survey

9. Response Rates Responses Overall: N=5415 By Region of the US
Northeast: 26%
Midwest: 36%
South: 26%
West: 12%

10. Pre-hospital 12-Lead ECG
Percentage of Vehicles with 12-Lead ECG devices
Responders Trained to Interpret 12-Lead ECG for STEMI 10

11. Destination Protocol for Pre-hospital Identification of STEMI Patients
All Respondents
Respondents Serving a Rural County 11

12. Have You Registered Your STEMI System with Mission: Lifeline?

15. Mission: Lifeline Social Networking Community
Registration:
Every individual user will need to set up a log in and password. This is located in the middle of the welcome page. After log- in, the user will receive a welcome that states the purpose of the site.
Each new user will receive 2 welcome s, please be sure to check the spam 15 15

16. Establishing Local Initiatives
Task force members:
Patients and care givers
Physicians, nurses and other providers
Payers
EMS
PCI capable and non-PCI capable hospitals
Department of Health
Rural health association
Quality improvement organizations
State and local policymakers
OPTIONAL SLIDE: slide could be used with volunteers and external partners

17. Role of Public Policy in the Development of STEMI Systems of Care
2011 AHA State Legislative/Regulatory Priority
AHA Model Legislation: HEart Attack Response
and Treatment Act (HEART Act)

18. AHA Model Legislation: HEart Attack Response and Treatment Act (HEART Act)
Section 3. A Statewide System for Heart Attack Response and Treatment
Must be consistent with ACC/AHA guidelines
Must have a community perspective
Components
Hospital
Classification
EMS
Equipment and training
Transport and transfer
Continuous quality improvement
Data collection and analysis
ACTION Registry – Get With The Guidelines

19. National STEMI Certification Program Criteria posted on website:
The American Heart Association has developed recommendations for a STEMI participation, recognition, and certification program for the system and each system component (STEMI Referral and Receiving Centers, EMS System Certification)
Criteria posted on website:

20. Active Sites = 621 Last updated: 9/22/2010 WA (9) VT (0) ME (1) MT (2)ND
(1) MI
NH (1) MN
(6) OR
(10) NY
(21)
MA (7) SD
(3) WI
(9) ID
(2) MI
(11)
RI (2) WY
(0) PA
(29)
CT (7) IA
(6)
NJ (8)
NE (6) OH
(33)
DE (1) NV
(7) IL
(38) IN
(19) WV
(1) VA
(17)
MD (23) UT
(2) CO
(13) KS
(10) MO
(21) KY
(5)
DC (1) CA
(40) NC
(27) TN
(20) OK
(7) SC
(15) AR
(2) AZ
(5) NM
(3) AL
(12) GA
(14) MS
(12) LA
(9) TX
(77) FL
(36) AK
(1)
PR(2)
HI (4)
Last updated: 9/22/2010

21. Mission: Lifeline Reports21

22. Mission: Lifeline Recognized Hospitals
As of September 2010,
5 STEMI-Receiving hospitals have received a Silver Award
72 STEMI-Receiving hospitals have received a Bronze Award 22

23. Mission: Lifeline Recognized Hospitals
These hospitals were recognized at AHA Sessions 2010 and were recognized in the August 2010 Mission: Lifeline US News and World Report Ad. 23

25. Priorities for 2011 Increase hospital and EMS and system participation
Increase use of ARG, and enhanced ARG capabilities
Increase number of hospitals with recognition
Progress on certification
Assessment of impact of Mission: Lifeline
Focus on patient and public initiatives