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Overcoming the Hurdles: Improving DTB in the LVHHN MI-Alert Program Richard S. MacKenzie, MD, FACEP Chair Department of Emergency Medicine Lehigh Valley.

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Presentation on theme: "Overcoming the Hurdles: Improving DTB in the LVHHN MI-Alert Program Richard S. MacKenzie, MD, FACEP Chair Department of Emergency Medicine Lehigh Valley."— Presentation transcript:

1 Overcoming the Hurdles: Improving DTB in the LVHHN MI-Alert Program Richard S. MacKenzie, MD, FACEP Chair Department of Emergency Medicine Lehigh Valley Hospital & Health Network A HOSPITAL AND HEALTH NETWORK L EHIH V o LLEY

2 Problem at the Millenium n Inconsistency n Mortality 5-7% PCI n Mortality lytic 6-16% EUR HEART J

3

4 PSIMT n Plan l Problem identification & clarification l Solution identification & clarification l Presentation for input n Do l Implement - education precedes date l Presentation for understanding

5 PSIMT (2) n Study - Monitor for… l “protocol violations” l anecdotes l Trends n Act – Tweak the process

6 D2B Specifics – Road Show n Remove decisions l streamline by consistency – no “artists” n Reduce transitions or hand-offs n Challenge tradition n Dance the same dance l “Order Sheets”

7 Regional MI Alert The Core… n STEMI only n Definitive State-of-the-Art care n One call does it all n Parallel vs. sequential processing n Tight reporting of data for performance improvement

8 Faster is better

9 Reduction in Mortality! Overall Mortality: STEMI local and regional = 2.4%


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