Ar saves celebrating 10th Anniversary Then and Now Ar saves celebrating 10th Anniversary

2008 November 1st 9 Spoke Sites 2 Receiving Sites 3 hr Treatment Window

2008 35 consults 3 patients with tpa

“I feel that AR SAVES demonstrates buy-in and cooperation from the federal government, Arkansas Medicaid, our emergency colleagues and key UAMS leaders can make a difference. All of these entities have exhibited unwavering trust, and are innovative thinkers willing to take chances beyond the norm to ensure that the AR SAVES Program, thus Arkansans are the winners.” Curtis Lowery, MD Director, Center for Distance Health AR SAVES 2008 Annual Report

2009 Program Doubled in Number of Sites 18 Spoke Sites 2 Receiving Sites Major Advancements for Stroke Care Expand Treatment Window to 4.5hr 38.4% 30 min drive time

2011 27 Spoke Sites 3 Receiving Sites Major Advancements Image Repository 330 consults 82 pts treated 461 mocks

June 2011 Aug 2009 38.4% 60 min drive time June 2011 90% 60 min drive time 60.6% 30 min drive time Aug 2009 38.4% 60 min drive time June 2011 90% 60 min drive time 30 min 60.6%

2012 35 hospitals Major Advancements 1000 pts had received stroke consult!

2013 78.8% 30 min drive time 97.9% 60 min drive time “The continued growth will only be successful by keeping us all focused on one thing: the best outcome for the patient” Tina Benton 42 Spoke Sites 151 Patients Treated 594 Consults 97.9% 60 min 78.8% 30 min 42 sites 594 cons 151 tpa 515 mo

2013 Major Advancements AR SAVES Call Center Implemented E-Link $102 million expansion Increased broadband capabilities to 470+ health care, higher education, public safety, and research entities

June 2011 Aug 2009 38.4% 60 min drive time June 2011 90% 60 min drive time 60.6% 30 min drive time Aug 2009 38.4% 60 min drive time June 2011 90% 60 min drive time 30 min 60.6%

N# of patients treated as of today 2008 – Current CY2017 Total consults: 5739 1002 Total TPA given: 1730 340 Percentage TPA: 30% 34% Total Mocks 5795 1004 Community Events: 7,637 1772 Community Attendees: 2,009,179 289,197 54 sites (Dec 2018 60) 20 CAH (Dec 2018 23 CAH) 3-4 live calls a day N# of patients treated as of today Question what about competition between your comprehensive stroke centers No competition cooperation and collaboration 2017 annual reports All annual reports eed to update map Neuro ICU Capable Receiving Sites Conway Regional Medical Center Conway Central AR Cox Regional Medical Center Springfield, MO NC AR Jefferson Regional Medical Center Pine Bluff SE AR St. Bernard’s Regional Medical Center Jonesboro NE AR Wadley Regional Medical Center Texarkana SW AR Interventional Radiology and Neuro ICU Capable Sites Baptist Health Medical Center Little Rock Central AR Memphis Methodist Medical Center Memphis, TN NE/East AR Sparks Regional Medical Center Fort Smith AR Valley Washington Regional Medical Center Fayetteville NW AR UAMS Medical Center

“How does AR SAVES work through the competition between your comprehensive stroke centers?” “There is no competition. There is only cooperation and collaboration” Margaret Tremwel, MD

AR SAVES Hero Since 2009 By the end of 2011, terminals are expected to be in place at almost all of the ar saves hospitals. Before, laptops had to be connected and disconnected each time so they could be safely stored