1. Conference Planning Subcommittee Accomplishments Co-Chairs: Tami Kayea Jennifer Ledbetter

2. AHA Dallas Caruth Conference Planning Subcommittee Baylor Heart and Vascular HospitalArtSigno Baylor Heart and Vascular HospitalAndresSisneros Baylor Heart and Vascular HospitalAnnabelleZakarian Dallas Fire RescueTamiKayea Denton Regional Medical CenterToddGray Irving Fire DepartmentSteveDeutsch Medical City Dallas HospitalJenniferLedbetter Richardson Fire DepartmentCurtisPoovey UT Southwestern Medical CenterTammyChung

3. Conference Planning Subcommittee You’re Here! Inaugural Conference Caruth Conference = hundreds of volunteer hours Registration Costs kept minimal Westin Dallas Facility chosen to host conference Greater than 10 CE’s provided for: –EMSNurses –PharmacistsPhysicians More than 20 posters submitted International guests attending

4. Conference Planning Subcommittee This is an amazing gathering of educators clinicians and top notch talent from across the United States. 2012 Conference Planning begins in August of 2011 Interested in participating on a subcommittee? Sign up at the registration desk

5. Education Subcommittee Accomplishments Co-Chairs: Karen Pickard Chris Weinzapfel

6. AHA Dallas Caruth Education Subcommittee Denton Regional Medical CenterLynnPerdue Doctors Hospital of DallasBobHillert Doctors Hospital of DallasJacquelinVilla Farmers Branch Fire DepartmentStephenBock Irving Fire DepartmentSteveDeutsch Las Colinas Medical CenterMikeLopez Las Colinas Medical CenterKristineNichols Medical City Dallas HospitalJenniferLedbetter Methodist Dallas Medical CenterRobSpranger Methodist Dallas Medical CenterChristineWalker Methodist Mansfield Medical CenterKarenYates Methodist Richardson Medical CenterLizFagan Parkland HospitalThomasTierney Rowlett Fire RescueChrisWeinzapfel Sachse Fire RescueRickColeman South Hampton Community HospitalMarcusPierre Sunnyvale Department of Public SafetyJoePlumlee Texas Health Presbyterian DallasBobBrockie Texas Health Presbyterian DallasJonGardner UT Southwestern St. Paul HospitalRockyGalvan UT Southwestern Medical CenterRichardKing UT Southwestern Medical CenterKarenPickard

7. Education Subcommittee Two surveys of similar design were created and have been distributed to EMS and hospital personnel to evaluate ACS knowledge gaps and process awareness. Received to date: –897 responses from Paramedics across 25 EMS systems –398 responses from Hospital staff across 15 hospitals (ED staff, Cath Lab staff, ICU staff, House Supervisors) Surveys are still open and active! –If you work for one of the organizations represented by this initiative and have not completed the survey please contact your administrator for access…We need your input.

8. Education Subcommittee Currently evaluating and developing the educational core curriculum that will be available Fall 2011 to EMS and hospital personnel to help narrow identified gaps. Educational curriculum will focus on two primary areas: –STEMI Process – System Integration –STEMI Education – 12 Lead ECG Training Interested in participating on a subcommittee? Sign up at the registration desk

9. EMS Resources Subcommittee Accomplishments Co-Chairs: Kevin Cunningham Craig White

10. AHA Dallas Caruth EMS Resources Subcommittee Carrollton Fire DepartmentRickyVaughn Cedar Hill Fire DepartmentKevinCunningham Coppell Fire DepartmentGreggLoyd Dallas Fire RescueRobertHolloway Denton Regional Medical CenterSusanConn DeSoto Fire RescueJamesBell DFW Airport EMSForrestBroom Duncanville Fire DepartmentSamRohde Garland Fire DepartmentGarrettEvans HCA – North Texas DivisionRonnieIckeler Highland Park DPSJanetSandman Highland Park DPSRyanDikes Hutchins Fire DepartmentChrisFason Hutchins Fire DepartmentMikeTelford Irving Fire DepartmentSteveDeutsch Lancaster Fire DepartmentLauraHillary Medical City Dallas HospitalCraigWhite Medical City Children’s HospitalLanieSt. Claire Mesquite Fire DepartmentBobbyMuse Parkland HospitalThomasTierney Richardson Fire DepartmentCurtisPoovey Rowlett Fire DepartmentChrisWeinzapfel Rowlett Fire DepartmentRonSimmons Sachse Fire RescueRickColeman Sunnyvale Fire RescueJoePlumlee Texas Health Presbyterian DallasMarkTill Texas Health Presbyterian DallasPaulaSpencer

11. EMS Resources Subcommittee Assessments completed for 25 EMS agencies in Dallas County for ECG equipment needs and ECG transmission abilities. Gap assessment completed and recommendations for equipment needs were received and discussed. Grant funds were marked specifically for equipment gaps to providing optimal AMI care 9 EMS agencies requested supplemental grant funds for equipment needs.

12. EMS Resources Subcommittee Committee reviewed and recommend funding for five EMS agencies for a total of $50,995. –ECG transmission upgrades –12 Lead ECG Monitors –Unique Funding Item – Computer aided dispatch program Recommendations presented to the Dallas Stakeholder Committee and unanimously supported. Grant funded equipment is currently in service and operating. All 25 EMS agencies are 12-Lead ECG Transmission capable

13. EMS Resources Future Goals Committee is shifting to an EMS advisory role due to the number of EMS leaders involved on the committee. Committee will continue to evaluate EMS equipment needs and distribute grant funds accordingly. –Currently evaluating three additional CAD needs. Continue to assist in EMS data collection by evaluating electronic patient care reporting challenges. Interested in participating on a subcommittee? Sign up at the registration desk

14. Protocols Subcommittee Accomplishments Co-Chairs: Chris Chiara Mark Till

15. AHA Dallas Caruth Protocols Subcommittee Baylor Heart and Vascular HospitalAndresSisneros Baylor Heart and Vascular HospitalNancyVish Baylor Heart and Vascular HospitalRobertStoler Baylor Medical Center at GarlandJaniceWalker Baylor Medical Center at IrvingBarryAllen Baylor Medical Center at IrvingJohnStricklin Baylor University Medical CenterNestorZenarosa Baylor University Medical Center/ Baylor Medical Center Waxahachie Jimd'Etienne Coppell Fire DepartmentChadHardin Coppell Fire DepartmentGreggLoyd Dallas Fire RescueChrisChiara Dallas Medical CenterAmyFerguson Dallas Medical CenterDonTimm Dallas Medical CenterPattiCantu

16. AHA Dallas Caruth Protocols Subcommittee Dallas Regional Medical CenterDanielCervantez Dallas Regional Medical CenterJulietHorne Denton Regional Medical CenterToddGray Doctors Hospital of DallasTracyCampbell Garland Fire DepartmentToddPeele HCA-North Texas DivisionJacobJohnson HCA-North Texas DivisionRonnieIkeler Highland Park DPSJanetSandman Highland Park DPSRyanDikes Hutchins Fire DepartmentChrisFason Las Colinas Medical CenterMikeLopez Medical City Dallas HospitalJenniferLedbetter Medical City Dallas HospitalSusanSmith Medical City Dallas Hospital/ Baylor Plano Heart Hospital EricEichhorn

17. AHA Dallas Caruth Protocols Subcommittee Methodist Charlton Medical CenterJonathanAldama Methodist Charlton Medical CenterKristiMarino Methodist Charlton Medical CenterMichaelMerritt Methodist Charlton Medical CenterMichaelSeifu Methodist Dallas Medical CenterRyanWolford North Central Texas Trauma Regional Advisory Council CarrieHecht Parkland HospitalThomasTierney Texas Health Presbyterian DallasMarkTill Texas Health Presbyterian DallasPaulaSpencer Texas Health Presbyterian DallasSeanBlack Texas Regional Medical Center SunnyvaleMistyThomas University Park Fire DepartmentRustyMassey University Park Fire DepartmentTerryFowler UT Southwestern Medical Center DallasDavidPillow UT Southwestern Medical Center DallasJohnWarner

18. Protocols Subcommittee 12 Lead ECG Screening Guideline STEMI criteria for EMS to activate cath lab EMS Chest Pain/Acute Coronary Syndrome Guideline AHA Dallas Caruth Code STEMI Guideline AHA Dallas Caruth Non-PCI Hospital Guideline AHA Dallas Caruth Mock Code STEMI Drill Worksheet Interested in participating on a subcommittee? Sign up at the registration desk

22. Quality Improvement Subcommittee Accomplishment Co-Chairs: Bob Hillert Tom Tierney

23. AHA Dallas Caruth Quality Improvement Subcommittee Dallas Fire RescueDyronTyler Dallas Regional Medical CenterDanielCervantez Dallas Regional Medical CenterJulietHorne Doctors Hospital of DallasBobHillert Doctors Hospital of DallasTracyCampbell Hutchins Fire DepartmentChrisFason Medical City Dallas HospitalSusanSmith Methodist Charlton Medical CenterJonathanAldama Methodist Charlton Medical CenterMichaelMerritt Methodist Dallas Medical CenterChristineWalker Methodist Dallas Medical CenterRyanWolford Methodist Richardson Medical CenterTarahGrooms Parkland HospitalThomasTierney South Hampton Community HospitalTamaraMcCrary Texas Health Presbyterian DallasDebbyRush UT Southwestern Medical CenterBridgetteMontgomery UT Southwestern Medical CenterJohnWarner UT Southwestern Medical CenterKarenPickard UT Southwestern Medical CenterTiffanyMeza UT Southwestern University Hospital - St. PaulNikkiRupe UT Southwestern University Hospital - St. PaulRockyGalvan

24. Quality Improvement Subcommittee  Collection of four additional auxiliary fields to be utilized in ACTION Registry-Get With The Guidelines for hospital data during this grant-funded initiative:  A. EMS Agency Name  B. EMS Incident # or run #  C. EMS cath lab activation from field? (y/n)  D. Was the availability of ECG at receiving hospital required for activation? (y/n)  Defining two AMI data fields as follows in EMS and hospital databases:  A. First Medical Contact = time the first healthcare professional is eye to eye with patient  B. Symptom Onset date and time = answer to “what prompted you to call 911 or come to ED and what time was that?”

25. Quality Improvement Subcommittee Participating staff to reinforce the message that both EMS and hospital staff are accountable to ensure EMS run sheet is received at hospital as part of the patient record (i.e. collected and placed in correct location) EMS Data Dictionary for approved required data fields, similar to the Action Registry – Get With The Guidelines Data Dictionary

26. Quality Improvement Subcommittee Ensuring every EMS agency documents hospital activation of STEMI (via phone or ECG transmission) in EMR narrative Establishing a new award to the EMS agency and hospital with the best symptom onset to arterial reperfusion (SOAR) time after each quarter of data is reported Interested in participating on a subcommittee? Sign up at the registration desk