1. Regional Showcase West TN & Mission:Lifeline System of Care 0

2. Presenter Disclosure Information Donna L. Rye, RN BSN West TN & Mission:Lifeline System of Care 1 FINANCIAL DISCLOSURE: No relevant financial relationship exists

3. Memphis Area Market

4. Memphis Market Memphis tops list of fattest cities Memphis is known for mouth-watering barbecue but that reputation is coming at the expense of the city's waistline. Newsweek has dubbedNewsweek has dubbed Memphis as the fattest city in the nation. Nearly 30 percent — 29.7 percent to be precise — of Memphis adults are obese while 12.4 percent of the population has diabetes. About half, 51.7 percent, of Memphians exercise regularly, and 56.7 percent of the city's populations eats produce regularly, according to the report. Obesity is a nationwide epidemic, with two thirds of adults and one third of children and adolescents overweight or obese, according to Newsweek. The publication used Gallup's Well-Being Index to determine its ranking. http://www.bizjournals.com/memphis/blog/morning_call/2012/05/memphis-tops-list-of-fattest-cities.html

5. Memphis Area Market 4

6. Memphis Area Hospital Market Baptist Memorial Memphis PCI Receiving Methodist Health Germantown PCI Receiving Methodist Health University PCI Receiving Methodist Health North PCI Receiving Methodist Health South PCI Receiving Saint Francis Bartlett PCI Receiving Saint Francis Memphis PCI Receiving Delta Medical Center PCI Referring Regional One Medicine PCI Referring VA-TN Healthcare PCI Referring 5

7. Memphis Area EMS Market 6

8. EMS Council EMS Memphis Fire Bartlett Fire Germantown Fire Rural Metro EMHC AMR Hospital Baptist Memorial Methodist System Saint Francis Memphis Saint Francis Bartlett Delta Medical Center Lebonheur Children's 7 Meetings held bi-monthly with representation including but not limited to:

9. Ischemic Tissue Collaborative Hosted by Memphis Fire EMS Area STEMI & Stroke Coordinators meet monthly to review cases, discuss challenges and share processes in improve patient outcomes in the community.

10. Ischemic Tissue Collaborative Mission To facilitate the care and quality for the early recognition of symptoms, diagnosis, and treatment of time sensitive illnesses such as but not limited to Acute Coronary Syndrome (ACS) and Cerebral Vascular Accidents (CVA). Improve and enhance the relationship between EMS and MAH to collaborate on processes, policies, education, and quality metrics.

11. Ischemic Tissue Collaborative Members Disease Specific Coordinators Medical Directors Disease Specific Nurses EMS Paramedic EMS Dispatcher EMS Medical Director EMS Training EMS Quality Improvement

12. Ischemic Tissue Collaborative Goals Integrate ED protocols with EMS to improve patient outcomes Improve community awareness in recognizing signs and symptoms of time sensitive illnesses and to seek treatment, with emphasis of encouraging patient’s use of the 911 system Reduce time of onset of signs and symptoms to appropriate medical treatment Recognize and seek opportunities to improve and integrate processes and protocols for our patients Share quality metrics and case reviews monthly Enhance relationships between Memphis Area Hospitals and EMS at point of entry into the healthcare system Zero Emergency Department diversion

13. Ischemic Tissue Collaborative Education is provided to Emergency Service providers by area Hospitals. Proven to improve relationships between Hospital Emergency Departments and Emergency Service providers. Education credits are provided free of charge.

14. Memphis Market Challenges Publics proper use of Emergency Services Public recognition of Atypical symptom of Acute Coronary Symptoms

15. Thank You