D2B Meeting Minutes

We improve lives. In big ways through learning, healing and discovery.

In small, personal ways through human connection. But in all ways, we improve lives.
Purpose: Improve outcomes for AMI patients
arriving via the Emergency Department
Date: November 21, 2014
Out Today:
Topic
Data Review

Outlier Case Review

Current numbers for door to

EKG
Missed ekg recognition
patients

Facilitator: Kim Marshall

Sponsor:

Scribe: Robin Scott

Location: ED Conference Room

Timekeeper:
Time: 3:00-4:00

Discussion

Recommendations/ Actions

Registry data review

Last two quarters UCH achieved 73% and 88.9%
compliance with D2B <90 min
D2EKG > 10 min
Julie Edgerton reported reviewer outlier cases. The
pt with an extended D2EKG time came in with a
complaint other than those flagged for immediate
EKG by Pivot Techs.
Avg D2EKG for walk in patients 6 mins, median
time 10 mins.
Delay in alerting cardiology in some EKGs that were
clearly MIs.

Follow-up

N/A - Informational

Continue to monitor

Continue to monitor the process

Need real-time feedback with
MRNs to ensure timely follow up
with staff and physicians
Continued development of this
process and educational roll out
to follow.

Julie Edgerton and Lauren Axelrod met to revise

this process and report the development of 5
essential pieces of information that need to be
directly communicated to the cath lab RN, not the
Charge RN.

ED Charge Nurses are now on the page to

activate the cath lab, so that they can
communicate that information to the ED
Hand off communication from
team.
ED to Cath lab

Bringing data sheets up with the pt has

been a positive step in giving the cath team
time of onset.

Pages have been modified so that both day

and night shifts are paged even if staff is
already in house.

Confusion regarding differences between ED

Alert and Activation of cath lab by cards.
Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth.
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D2B Meeting Minutes

We improve lives. In big ways through learning, healing and discovery.
In small, personal ways through human connection. But in all ways, we improve lives.
Topic

Discussion

EMS

CV Service Line Goals for

FY15:

1. Quality and
Patient Experience
Ensure universal,
distinctive standard of
quality and patient
experience.

EMS does not trust UCH with AMI patients

UCH does not activate cath lab based solely on
EMS field alert/report

Continued outreach by Joy

Schmitter, EMS Coordinator
need to define a process for
providing EMS feedback

AMI 30 day Mortality

Surviving MI
AMI 30 day readmit

N/A - informational

2. Engaged
Workforce
Attract, retain and excite
a unified and engaged
workforce.

1. Transformational
Leadership
Leadership that results in
extraordinary outcomes by
empowering, influencing, and
motivating others.

Recommendations/ Actions

3. Growth
Enhance reach and
relevance through
growth.

2. Structural Empowerment
Strategies used to support
shared leadership decisionmaking, life-long learning and
professional development.

UCHealth Global Path to Success

4. Clinical & Non5. Deliver Superior
Clinical Integration
Value
Integrate clinically and
non-clinically across
our system.

Deliver superior value

to remain an option for
most payor plans.

6. Academic
Enterprise
Maintain, enhance and
leverage the academic
enterprise.

Magnet Model Components

3. Exemplary Professional
4. New Knowledge, Innovations &
Practice
Improvements
Interprofessional collaboration to
Integration of evidence-based practice
ensure patient safety resulting in
and research into practice. New ways of
high-quality outcomes.
achieving high-quality, effective and
efficient care through innovation.

Follow-up

7. Mission, Vision
and Brand
Awareness
Enhance messaging
around the mission,
vision and brand

5. Empirical Outcomes
Measurable outcomes related to
the impact of structure and process
on patients, staff, and the
organization.

Next meeting January 21, 2015

Performance Excellence in each Global Path to Success Measure will drive the Mission, Vision and Values of UCHealth.
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