1. Mission: Lifeline 1.20.2015 -Task Force Meeting 1 ©2013, American Heart Association Julie Smith, RN BSN MHA Director Mission: Lifeline Nebraska

2. Welcome and Introductions – Julie Smith Physician Leadership – Update Final Statewide Guidelines – Physician Signatures Round 1 and Round 2 EMS Equipment update– Gary Public Awareness Conference Planning Education – Hospital Adjournment Agenda 8/24/2015 2

3. Improving the System of Care for STEMI Patients Mission: Lifeline – A System of Care 3

4. Improving the System of Care for STEMI Patients STEMI Guideline Page 1 4

5. Improving the System of Care for STEMI Patients STEMI Guideline Page 1 Continued 5

6. Improving the System of Care for STEMI Patients STEMI Guideline – Page 2 6

7. Improving the System of Care for STEMI Patients STEMI Guideline Page 2 Continue 7

8. Improving the System of Care for STEMI Patients STEMI Guideline Page 3 8

9. Improving the System of Care for STEMI Patients Page 3 STEMI Guideline - continued 9

10. Improving the System of Care for STEMI Patients Interventional Cardiology Steering Committee 10

11. Improving the System of Care for STEMI Patients Equipment Round 1 and Round 2 Round 1 equipment is being delivered and education is being scheduled for the 27 EMS services that were awarded in Round 1. Round 2 application and review –Review of initial services that applied and were not awarded in round 1 –Opening of the application process in January for 2-3 weeks to allow some services who were unable or did not apply in Round 1 to complete an application. 11

12. Improving the System of Care for STEMI Patients EMS EQUIPMENT AWARDS Round 1 Round 1 NE M:L EMS Equipment (27 total grants): Bayard Volunteer Fire Department – Scottsbluff, Regional West Gering Volunteer Fire Department – Scottsbluff, Regional West Hartington Ambulance – Wayne, Providence CAH – Sioux City IA Kimball County Ambulance Service – Kimball CAH – Cheyenne WO Minden Fire Department – Minden, Kearney County Mitchell Volunteer Fire Department – Scottsbluff, Regional West Santee Sioux Nation EMS - South Dakota Valley County Ambulance – Ord, Valley County Health System Broken Bow Ambulance Service – Broken Bow, Jennie M. Melham Crofton Rescue Squad – South Dakota Humboldt Rescue – Auburn, Nemaha County Hospital 12

13. Improving the System of Care for STEMI Patients EMS EQUIPMENT AWARDS Round 1 Round 1 NE M:L EMS Equipment (27 total grants): Cambridge Rescue Service – Cambridge, TVHS Henderson Fire and Rescue – Henderson, Henderson Health Care Superior Volunteer Rescue Squad – Superior, Brodstone Memorial Burwell Fire Department – Ord, Valley County Health System Ponca Vol. Fire & Rescue – Sioux City, IA Winnebago Tribal Rescue and Ambulance Service – Sioux City, IA Holdrege Fire & Rescue – Holdrege, Phelps Memorial Geneva Rescue Squad – Geneva, Fillmore County Hospital Dakota City Fire Department – Sioux City, IA 13

14. Improving the System of Care for STEMI Patients EMS EQUIPMENT AWARDS Round 1 Round 1 NE M:L EMS Equipment (27 total grants): Fullerton Rescue Squad – Grand Island, St. Francis or Columbus Phelps Memorial Health Center Emergency Services Department – Holdrege –Phelps Memorial Health Sutton Ambulance – Hastings, Mary Lanning Healthcare Pender Volunteer Fire & Rescue – Pender, Pender Community Hospital Pierce Rescue – Norfolk, Faith Regional Health Services Central City Ambulance – Central City, Litzenberg Memorial County Hospital or Grand Island – St. Francis Hamilton County Ambulance (awarded earlier) – Aurora, Memorial Hospital 14

15. Improving the System of Care for STEMI Patients DHHS EMS Equipment allocations 2014 18 Total Maxwell – North Platte, Great Plains Health PCI Valparaiso – Lincoln PCI Malcom – Lincoln PCI Axtell – Kearney PCI Hospital Thedford – North Platte, Great Plains Health PCI Frontier Curtis Maywood – North Platte, Great Plains Health PCI Sutherland – North Platte, Great Plains Health PCI Elm Creek – Kearney PCI Wymore – Beatrice Community Hospital or Lincoln PCI Crete – Crete Area Medical or Lincoln PCI 15

16. Improving the System of Care for STEMI Patients DHHS EMS Equipment allocations 2014 Bennet – Lincoln PCI Hospital Loup City – Kearney or Grand Island PCI Hospital Greenwood – Lincoln PCI Hospital Southwest Rural – (Lancaster County) – Lincoln PCI Hospital Hallam – Lincoln PCI Hospital Waverly – Lincoln PCI Hospital Milford – Lincoln – Midwest Medical Ceresco – Lincoln PCI Hospital 16

17. Improving the System of Care for STEMI Patients 8/24/20158/24/20158/24/2015 17 Public Awareness South Dakota http:// www.youtube.com/watch?v=QMo07hyqugI http://www.youtube.com/watch?v=Zm5PJUMHPcQ

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19. 8/24/2015 ©2013, American Heart Association 19

20. Improving the System of Care for STEMI Patients Next Steps Equipment awards for EMS Equipment in place with EMS services Training for EMS Services Notification from Mission: Lifeline with a MOU to be completed Agreements with Referring hospitals for their receiving equipment Vendors have been notified which communities had received EMS equipment and the CAH/referring hospitals that are affected. Equipment or connections for receiving 12 Lead EKGs. Education to the referring hospitals from contracted facilities and or individuals to complete the onsite education Statewide STEMI guideline WebEx education to kick start the education and continued communication with stakeholders 20

21. Improving the System of Care for STEMI Patients Education – Hospital 21

22. Improving the System of Care for STEMI Patients Education regions # 1 - Panhandle Area - 7 CAHs –Chadron –Gordon –Alliance –Bridgeport –Oshkosh –Kimball –Sidney #2 North Central - 6 CAHs –Valentine –Ainsworth –Bassett –Atkinson –O’Neil –Lynch 22

23. Improving the System of Care for STEMI Patients #3 – South Western - 7 CAHs –Ogallala –Grant –Imperial –Benkelman –McCook # 4 – South Central 7 CAHs –Cambridge –Holdrege –Alma –Minden –Franklin –Red Cloud –Superior 23

24. Improving the System of Care for STEMI Patients Education Regions # 5 – Central - 7 CAHs –Lexington –Callaway –Broken Bow –Ord –St. Paul –Central City –Aurora 10 CAHs – Lincoln and South Eastern –Hebron - Auburn –Fairbury - Tecumseh –Beatrice - Syracuse –Pawnee City - Nebraska City –Falls City - Wahoo 24

25. Improving the System of Care for STEMI Patients Education Regions #7 Lincoln and Eastern Central - 10 CAHs –Geneva –Henderson –Friend –Crete –York –Seward –Osceola –Genoa –Davie City –Schuyler 25

26. Improving the System of Care for STEMI Patients Education Regions #8 – North Eastern 6 CAHs (Tilden no longer a CAH) –Creighton –Osmond –Plainview –Neligh –Wayne –Albion #9 – Omaha Metro and 4 CAHs –Pender –Oakland –Blair –West Point 26

27. Improving the System of Care for STEMI Patients Regions – Education CAH/referring Hospitals 27

28. Mission: Lifeline Nebraska

29. Mission: Lifeline Nebraska Contacts 29 Gary W. Myers, MS, NREMT Sr. Mission: Lifeline Director EMS Consultant for Midwest Affiliate American Heart Association P.O. 90545 Sioux Falls, SD 57109-0545 (605) 215-1551 gary.myers@heart.org Brian Krannawitter Government Relations Director, Nebraska Midwest Affiliate American Heart Association 1540 S. 70th Street, Suite 100 Lincoln, NE 68506 Tel: 402.489.5115 Fax: 402.489.6949 brian.krannawitter@heart.org brian.krannawitter@heart.org Kay Brown, CSSBB Director, Quality and System Improvement KC, Kansas and Nebraska American Heart Association Midwest Affiliate 6800 W. 93rd Street Overland Park, KS 66212-1461 913-652-1916 (office) 913-221-5812 (mobile) Kay.brown@heart.org Ngia Mua Project Specialist – Mission: Lifeline NE, SD, ND, MN Midwest Affiliate American Heart Association 4701 W. 77th St. Minneapolis, MN 55435 Phone: 952-278-7934 Fax: 952.835.5828 ngia.mua@heart.org

30. Questions? 8/24/2015 2012 AHA Mission: Lifeline 30 Thank You!