Abstract WP356: Building a Regional System of Care for Stroke and ST-elevation Myocardial Infarction (STEMI) using the Trauma System
Background and Issues Michigan Michigan does not have a systematic approach to address acute stroke care, treatment time is impacted, and this influences positive patient outcomes. Michigan is building a system of care for time dependent, cardiovascular emergencies (stroke and STEMI), using the existing regional trauma system as its framework. Michigan Department of Community Health, EMS and Trauma System Section, and other stakeholders are collaboratively writing Administrative Rules to develop a regional system of care for stroke and STEMI throughout the state.
Purpose A regional approach will remove barriers related to geography, timeliness, communication and enhance efficiency. Patient outcomes will be improved by increasing access to the most appropriate setting for time dependent treatments.
Methods Use existing Trauma Rules and structure, and expertise from stakeholders and area experts, Administrative Rules are in development which will provide structure and functionality for a regional system of care for stroke and STEMI. Language under development: Designation/Verification, Destination /Transfer/Field Triage, and Data collection.
Results Over 140 experts from across the state convening in workgroups developed drafts of language for Designation, Destination, Transfer and Field Triage. Verification and Data discussions are ongoing. Completed language will be folded into existing trauma rules.
Conclusions A Michigan Systems of Care for cardiovascular emergencies is leading a newly developing regional approach to increase emergent stroke treatment, add non-traditional stakeholders (cardiology, neurology), improve communication, collect data, and make the most efficacious use of dwindling resources.
- © 2012 by American Heart Association, Inc.