13. Forsyth ML Receiving Center Report New Slide for Transfer in patients #2

28. MISSION: LIFELINE ® Prepared by: Regional Hospital Report Glossary Confidential Information (ver 09/24/2013)

33. All Hospitals in your system Sum of 3 Median times on Bar Graph ↓ Time in the ED

34. Critical Process Timelines: First Medical Contact to Device for Non-Transfers Arriving via Ambulance (pages 5-6) VariableDefinitionInclusion/Exclusion Criteria First Medical Contact to Device Activation (Direct Presentation EMS Only)  Transferred from Outside Facility = No  Means of Transport to First Facility = Ambulance  Median Time in Minutes (current quarter) o First Medical Contact to Door (Arrival date/time) – (Pre-arrival 1st Medical Contact date/time) o Door to Arrival at Cath Lab (Cath Lab Arrival date/time) – (Arrival date/time) o Arrival at Cath Lab to Device Activation (First Device Activation date/time) – (Cath Lab Arrival date/time) o First Medical Contact to Device Activation (National Median) (First Device Activation date/time) – (Pre-arrival 1st Medical Contact date/time)  All STEMI patients indicated for immediate primary PCI, excluding transfers in, patients with STEMI diagnosed on subsequent ECG, patients administered thrombolytics, documented non-system reason for delay in PCI, and FMC to PCI > 12 hours.  Patients may have missing or negative values for specific time intervals, which excludes them from ONLY the affected intervals. All other intervals with valid date/time data are included in the graph  Includes all direct presenters arriving via Ambulance only; Mobile ICU and Air transport are not included. First Medical Contact to Device Activation Transferred from Outside Facility = No Means of Transport to First Facility = Ambulance  Distribution of Times in Minutes (current quarter)  First Medical Contact to Device Activation (First Device Activation date/time) – (Pre-arrival 1st Medical Contact date/time)  All STEMI patients indicated for immediate primary PCI, and had a reported first device activation date/time after first medical contact, excluding transfers-in, patients with STEMI diagnosed on subsequent ECG, patients administered thrombolytics, documented non- system reason for delay in PCI, and FMC to PCI time > 12 hours.  Includes all direct presenters arriving via Ambulance only; Mobile ICU and Air transport are not included. Graph on Page 5 Graph on Page 6 EMS = Ambulance only, does not include Mobile ICU or Air transport POV = Personally Operated Vehicle (i.e., self/family transport) FMC = First Medical Contact - 7 - Confidential Information (ver 09/24/2013) 3110 3100 32013105 & 3106 4030 7101 & 71023201 7103 & 71047101 & 7102 7103 & 7104 3105 & 3106 7100 & 7109 & 80003110 4041 8020 7110 3100 3110 3100 7103 & 7104 40307100 & 7109 & 80003110 4041 8020 7110 3100 3110 3100 3105 & 3106

35. Shortest PCI Time Longest PCI TIme 75 th Percentile Median PCI Time Average PCI Time 25 th Percentile Box and Whisker Plots

36. 65 out of 137 ECGs missing on EMS pts

37. 22 out of 103 ECGs > 10 mins on walk in pts

38. Door in/ Door Out < 30 mins

39. 75% of Transfers have 1 st door to Device in < 120 min

40. 75% of time Door to Device < 60 min all Arr Modes

41. Median time to Lytics >30 mins for Transfers In