Update on Mission: Lifeline Boston University Medical Center

Slides:



Advertisements
Similar presentations
NICS Index State Participation As of 12/31/2007 DC NE NY WI IN NH MD CA NV IL OR TN PA CT ID MT WY ND SD NM KS TX AR OK MN OH WV MSAL KY SC MO ME MA DE.
Advertisements

National TIM Responder Training Program Implementation Progress - As of November 2, 2015 Train-the-Trainer Sessions 193 sessions with 7,115 participants.
National TIM Responder Training Program Implementation Progress - As of February 8, 2016 Train-the-Trainer Sessions 203 sessions with 7,306 participants.
Agencies’ Participation in PBMS January 20, 2015 PA IL TX AZ CA Trained, Partial Data Entry (17) Required Characteristics & 75% of Key Indicators (8) OH.
Uninsured Non-Elderly Adult Rate Increased from 17. 8% to 20
Train-the-Trainer Sessions 240 sessions with 8,187 participants
STEMI Systems of Care – Update on Mission: Lifeline:
WY WI WV WA VA VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
NJ WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NH NV
The State of the States Cindy Mann Center for Children and Families
Train-the-Trainer Sessions 384 sessions with 11,279 participants
Train-the-Trainer Sessions 379 sessions with 11,183 participants
Comprehensive Medicaid Managed Care Models in the States, 2014
Expansion states with Republican governors outnumber expansion states with Democratic governors, May 2018 WY WI WV◊ WA VA^ VT UT TX TN SD SC RI PA OR OK.
Share of Births Covered by Medicaid, 2006
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Non-Citizen Population, by State, 2011
Status of State Medicaid Expansion Decisions
Share of Women Ages 18 – 64 Who Are Uninsured, by State,
WY WI WV WA VA VT UT TX TN1 SD SC RI PA1 OR OK OH ND NC NY NM NJ NH2
WY WI WV WA VA VT UT TX TN1 SD SC RI PA OR OK OH1 ND NC NY NM NJ NH NV
WY WI WV WA VA* VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Mobility Update and Discussion as of March 25, 2008
Current Status of the Medicaid Expansion Decision, as of May 30, 2013
IAH CONVERSION: ELIGIBLE BENEFICIARIES BY STATE
619 Involvement in State SSIPs
Train-the-Trainer Sessions 362 sessions with 10,873 participants
State Health Insurance Marketplace Types, 2015
State Health Insurance Marketplace Types, 2018
HHGM CASE WEIGHTS Early/Late Mix (Weighted Average)
Status of State Medicaid Expansion Decisions
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Status of State Participation in Medicaid Expansion, as of March 2014
Train-the-Trainer Sessions 394 sessions with 11,460 participants
Train-the-Trainer Sessions 392 sessions with 11,432 participants
Status of State Medicaid Expansion Decisions
Medicaid Income Eligibility Levels for Parents, January 2017
State Health Insurance Marketplace Types, 2017
(map is coded by CAE-CD region)
S Co-Sponsors by State – May 23, 2014
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Seventeen States Had Higher Uninsured Rates Than the National Average in 2013; Of Those, 11 Have Yet to Expand Eligibility for Medicaid AK NH WA VT ME.
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Train-the-Trainer Sessions 396 sessions with 11,504 participants
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Average annual growth rate
Train-the-Trainer Sessions 250 sessions with 8,352 participants
Market Share of Two Largest Health Plans, by State, 2006
Percent of Children Ages 0–17 Uninsured by State
Train-the-Trainer Sessions 402 sessions with 11,649 participants
Current Status of State Medicaid Expansion Decisions
How State Policies Limiting Abortion Coverage Changed Over Time
United States: age distribution family households and family size
Status of State Medicaid Expansion Decisions
Train-the-Trainer Sessions 402 sessions with 11,649 participants
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Percent of Adults Ages 18–64 Uninsured by State
States’ selected SIMRs for Part C FFY 2013 ( )
Train-the-Trainer Sessions 401 sessions with 11,639 participants
States including quality standards in their SSIP improvement strategies for Part C FFY 2013 ( ) States including quality standards in their SSIP.
Status of State Medicaid Expansion Decisions
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Train-the-Trainer Sessions 416 sessions with 11,878 participants
Current Status of State Individual Marketplace and Medicaid Expansion Decisions, as of September 30, 2013 WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK.
Status of State Medicaid Expansion Decisions
Income Eligibility Levels for Children in Medicaid/CHIP, January 2017
WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NJ NH NV
Train-the-Trainer Sessions 429 sessions with 12,141 participants
Train-the-Trainer Sessions 436 sessions with 12,254 participants
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Presentation transcript:

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

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

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

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

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

Developing Systems of Care for STEMI

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

EMS System Survey

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

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

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

Have You Registered Your STEMI System with Mission: Lifeline?

Mission: Lifeline Social Networking Community http://mlcommunity.heart.org 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 email that states the purpose of the site. Each new user will receive 2 welcome emails, please be sure to check the spam 15 15

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

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)

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

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: www.americanheart.org/missionlifeline

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

Mission: Lifeline Reports 21

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

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

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