Remote Treatment Stroke Center Designation The “Why and How to” May 14, 2015

St. Mary’s Hospital St. Mary’s Health Care System - Today St. Mary’s Good Samaritan Hospital

Hospice House Diagnostic, Rehab & Wellness Center St. Mary’s Medical Group Colony Square Offices Memory Care Center Wound Healing Center Highland Hills Village Good Samaritan Hospital

Mission and Vision Mission – We, St. Mary’s Health Care System and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities Vision – As a mission-driven, innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. We will be the most trusted health partner for life

Critical care: ICU, NCCU, NICU and IMCU Special focus on cardiac care, neuro-sciences, orthopedics, women’s and children’s health, and older adults 24/7 emergency department Interventional cardiology Home care and hospice CARF-accredited inpatient rehabilitation center Full-Service Community Hospital

ED Services with credentialed medical and hospital staff (REACH Telemedicine) Inpatient services Outpatient surgery services Imaging services – 64-slice CT, x-ray, digital mammography, MRI, fluoroscopy, nuclear medicine Rehabilitative services – PT, OT, & ST Swing-bed program for extended rehab care Clinical lab and sleep disorders center Robust Critical Access Hospital

Uniquely certified Region’s first hospital Joint Commission certified in: Advanced primary stroke care – 1 of first 20 in the U.S. Advanced inpatient diabetes – 2 nd in Georgia Heart failure care – 1 of first 25 in the U.S. Spine surgery – 1 st in Georgia; 8 th in US Total knee replacement – 1 st in region Joint Commission accredited since 1954

The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher adherence to all Get With The Guidelines® Stroke Performance Achievement indicators for consecutive 12 month intervals and 75% or higher compliance with 6 of 10 Get With The Guidelines Stroke Quality Measures to improve quality of patient care and outcomes in addition to achieving IV rt-PA door-to-needle times ≤ 60 minutes in 50% or more of applicable acute ischemic stroke patients (minimum of 6) during one calendar quarter. five Proud to be a Gold Plus stroke hospital five years in a row

REACH telehealth system providing 24/7 access to GRU stroke experts for instant consultation and collaboration Emergency stroke care to save lives and reduce disability Neurohospitalists and neurosurgeons available 24/7 Advanced Primary Stroke Center

Continuum of care including: NCCU & Neuro nursing units Family-focused specialty nursing Center for Rehabilitative Medicine Palliative care services Outpatient rehabilitation Home health care/hospice services Monthly Stroke Support Group Next Step 5K awareness run Good Sam 5K awareness run Advanced Primary Stroke Center

REACH telehealth system providing 24/7 access to GRU stroke experts for instant consultation and collaboration First in the state of Georgia (October 2013) Emergency stroke care to save lives and reduce disability Remote Stroke Treatment Center

Telestroke Program Dubbed “REACH” (Remote Evaluation of Ischemic Stroke”) Initiated in 2003 One of the longest continuous running telestroke networks in the world Network of 27 spoke hospitals Utilizes traditional hub and spoke model for rural hospitals and a hybrid model for larger hospitals

Telestroke Program Goal is to improve patient outcomes by providing time-sensitive treatment (IV tPA) to underserved areas using a “drip and ship” model or a “drip and keep” model

Community Feedback Conducted several community conversations throughout the community Common theme was the desire to have quality ED services Particular interests around stroke and heart attack care Significant outmigration for services Most understood that we are not a regional medical center

Investment of Resources Capital and operational investment for teleradiology services. Includes technical and professional services Staff resources to meet certification requirements Staff resources to meet community outreach and educational requirements Staff resources to coordinate care along the continuum Staff and capital investment to provide quality ED services

Value of Certification Elevates the level and quality of care available in the community Expands access to care when time is critical Improves collaboration and coordination of care around best practices Enhances brand image of local facility

Value of Certification Improves ED patient volumes through expansion of capabilities and demonstration of competence Promotes complimentary services like outpatient imaging or rehab and acute care services Decreases outmigration for healthcare services

Stakeholder Engagement Board of Directors Medical Staff EMS Hospital Staff Community Leaders

St. Mary’s Hospital St. Mary’s Health Care System - Today St. Mary’s Good Samaritan Hospital