2. Disclosures Herb Ladley, MD, FACC Tennessee Mission: Lifeline
FINANCIAL DISCLOSURE:
No relevant financial relationship exists
UNLABELED/UNAPPROVED USES DISCLOSURE:
No relevant relationships exist.
9/19/2018
©2010, American Heart Association

3. What is Mission: Lifeline?
Mission: Lifeline Participation is an opportunity for participants to develop systems of care for STEMI, Out of Hospital Cardiac Arrest (OOHCA) and Stroke and to continue implementation and optimization of these systems of care in efforts to improve quality of care and outcomes for patients with a time sensitive diagnosis.
More will be discussed on this later in today’s presentation by Mic Gunderson- National Director of Clinical Systems at The American Heart Association.
9/19/2018
©2010, American Heart Association

4. Mission: Lifeline in TN
Steering Committee/Task Force
Chair
Co-Chair
Data
EMS
Education
Ad-Hoc Physicians
East TN Coordinator
Middle TN Coordinator
West TN Coordinator
Infrastructure of our Mission: Lifeline Task Force. All parties work together on a monthly/quarterly basis to help implement Mission: Lifeline in the State of TN.
American Heart Association Staff
9/19/2018
©2010, American Heart Association

5. Tennessee Mission: Lifeline Task Force
Chairs
Dr. Herb Ladley
Dr. Dan Munoz
Sub-Committees
Education- Carol Scott
EMS- Brandon Ward
Data- Dr. Dan Munoz
Regional Coordinators
East- Leslie Bishop
Middle- Kevin Tennant
West- Donna Rye
We will hear from each of the different sub-committees and regional coordinators, apart from Dr. Dan Munoz who couldn’t be here today.
There will be sign up sheets for the sub-committees during our break from 10:30-10:45
There will also be sheets where you can sign up for your regional meetings that occur, if not already invited. If you are here and haven’t been to a regional meeting for your area please sign up so you regional coordinator can reach out to you in the near future.
9/19/2018
©2010, American Heart Association

6. 9/19/2018
©2010, American Heart Association

7. Acute MI Death Rate 2008-2010 TN 9/19/2018
©2010, American Heart Association

8. Past to Present Measure 2013 Nation 2014 2015 FMC to Device (mins) 7982 81 80
1st EKG Obtained Pre-Hospital
55%
71%
53%
70%
79%
Door to Needle Time (mins) Direct Presenters 50 57 51 56 52 55
Door to Needle Time (mins) Transfers
108
106
107
105
112
9/19/2018
©2010, American Heart Association
Sources: National Cardiovascular Data Registry

9. Past to Present Data Continued
Measure
2013
Nation
2014
2015
Mode of Arrival to First Facility- POV
39%
36%
37%
Mode of Arrival to First Facility- EMS
53%
61%
54%
9/19/2018
©2010, American Heart Association

10. TN Ranks 42nd in Heart Disease Related Deaths
Sources: Centers for Disease Control and Prevention
9/19/2018
©2010, American Heart Association

11. 9/19/2018
©2010, American Heart Association

12. There are 112 Acute Care Hospitals in TN.
9/19/2018
©2010, American Heart Association

13. Currently 37 PCI hospitals in TN.
9/19/2018
©2010, American Heart Association

14. This map identified Mission: Lifeline awarded hospitals and EMS agencies in TN.
9/19/2018
©2010, American Heart Association

15. 8 different EMS regions
9/19/2018
©2010, American Heart Association

16. Mission: Lifeline Awarded Facilities- 2015
Blount Memorial Hospital- Silver
Cookeville Regional Medical Center- Silver
Fort Sanders Regional Medical Center-Silver
Horizon Medical Center- Gold
Memorial Hospital-Gold
Morristown Hamblen Healthcare System-Gold Plus
Parkridge Medical Center- Bronze Plus
Parkwest Medical Center- Bronze Plus
Saint Francis- Bartlett- Silver
The University of TN Medical Center- Bronze
Vanderbilt University Medical Center- Silver
Wellmont Bristol Regional Medical Center- Gold
Wellmont Holston Valley Medical Center- Silver
9/19/2018
©2010, American Heart Association

17. Mission: Lifeline EMS Awarded Agencies
Cumberland County EMS - Silver
Memphis Fire Department- Gold
Washington County/Johnson City EMS- Gold
Williamson Medical Center EMS- Silver
9/19/2018
©2010, American Heart Association

18. 49 PCI Centers in TN Total. 9/19/2018
©2010, American Heart Association

19. Out of those 49 hospitals, 6 reported not being 24-7 (3 couldn’t be contacted)
9/19/2018
©2010, American Heart Association

20. Out of the 49 PCI Centers only 19 report YES EMS can activate from the field
9/19/2018
©2010, American Heart Association