MN Hospital Protocol Advisory Meeting Minutes
Date: Tuesday, January 21, 2014
10:00am - 2:00pm
(Lunch provided)
Location: CentraCare Heart & Vascular
Center Conference Room Main Campus
1406 Sixth Ave N
St. Cloud, MN 56303
To join Audio:
Teleconference 877-985-5153 Passcode 7543907
To join Net Meeting slide show:
Meeting number: SW474610
Meeting passcode: SW474561
Participant Join URL: http://www.mymeetings.com/nc/join.php?i=SW474610&p=SW474561&t=c
Composition: at least 1 nursing and 1 physician representative from each included PCI Hospital, at least
1represenative from each regional non-PCI Hospital are, and at least 2 EMS representatives
(40 member maximum)
Time commitment: Quarterly conference calls with bi annual face to face meetings
Meeting Schedule: Quarterly Teleconference or Net Meeting as needed the 3rd Wednesday quarterly from
12:00 pm to 1:00 pm beginning October 16 2013, Jan 15-2014, April 16 2014, July 16 2014, October 15
2014…
Facilitated by: Mindy Cook, Katie Sahajpal, and MN M: L Chair (s):
Ganesh Raveendran, M.D., M.S.Director, Section of Interventional Cardiology and Cardiovascular
Fellowship Program Cardiovascular Division | University of Minnesota Medical School,
Scott Mikesell, DO, FACC, FSCAI Cardiac Catheterization Laboratory Director St. Luke’s Hospital,
Duluth, MNMN
Richard Mullvain RPH BCPS (AQC) CCCC Cardiovascular Clinical Pharmacist STEMI Program
Manager Chest Pain Center Coordinator Essentia Health Heart & Vascular Center Duluth, MN
Task Assignment:
 Create a Rural MN Hospital Education Plan and Curriculum
 Identification and cultivation of hospital education providers
 Guidance of Regional STEMI System quality improvement and performance
measurement
 Facilitation of Regional and Local STEMI System Champion support and engagement
 Create recommendations for Rural MN STEMI Protocols and Transport Guidelines
1. MN M:L STEMI System Development
Meeting Goals:
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To gather in a spirit of collegiality and cooperation
To receive a report about Mission: Lifeline and the AHA’s role in convening decision makers and
providing resources to encourage STEMI System Development, Streamlining, and
Standardization.
To assess and share regional MN STEMI Referring Hospital and EMS Protocols in place
To assess and share processes in place for STEMI feedback for PCI Hospital, Referring Hospital,
and EMS
To gain consensus towards a committee recommendation for 12 L ECG acquisition thresholds
and STEMI diagnostic criteria to present to the MN M:L taskforce
To gain consensus towards a Rural MN M:L Referring Hospital and EMS STEMI Protocol
recommendation utilizing the existing regional protocols in place throughout rural MN to present
to the MN M:L taskforce
To gain consensus towards a recommendation for ALS and BLS EMS Transport Guideline for
the Rural MN EMS Advisory committee.
To gain consensus towards a curriculum and training plan for Rural MN Referring hospital
education
To gain consensus on a public awareness campaign and delivery plan
To gain consensus on a sustainability plan for State level MN STEMI systems of care
2. Attendees:
Dr. Richard Aplin, Kim Brunmeier, Julie Clark, Curtis Crist, Jody Holmen, Sandy Kovar, Carrie
Lager, Phil Martin, Paula Meskan, Dr. Scott Mikesell, Richard Mullvain, Janna Pietrzak, Dr.
Raveedran, Ashlee Rostvedt, Barry Royce, Paul Schoenberg, Michael Schultz, Danielle
Strandlien, JoAnn Foltz, David Hildebrandt, Annette Persak, Cami Linke, Lindsay Nutting, Joan
Enderle, Jen Riemenschneider, Kathy Hill, Gary Myers, Mindy Cook, Katie Sahajpal, Michelle
Gardner, Justin Bell, Ngia Mua
3. Meeting Presentation Slides:
Rural Minnesota
Hospital Advisory Committee Meeting 1-21-14 handout.pdf
4. Welcome
Katie Sahajpal 10:00-10:15
5. M:L Rural MN Mission: Lifeline
 Grant Deliverables and Timeline
Mindy Cook
6. M:L Rural MN STEMI Recommendations
All
10:15 – 10:30
10:30 – 12:00
A. Historical Insight on STEMI System Development in MN
Mission Lifeline
01_21_2010.pptx
`
Dr. Ganesh Raveedran
B. MN STEMI State of the State: Regional MN STEMI Referring Hospital Protocol
Discussion goal: to allow each regional system to share an overview of current protocols in
place. We request that a representative of each of the following systems review their current
protocol with the goal to start building a picture of MN’s current protocols, coverage areas,
and commonalities including each of the following elements:
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ECG Acquisition Threshold Guideline
STEMI Diagnostic Threshold
Existing Referring Hospital Protocols
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o
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o
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o
o
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ND RUSH Referring Hospital STEMI Protocol
SD Referring Hospital STEMI Protocol
DASH Protocol
Mayo STEMI Protocol
CentraCare STEMI Protocol
Sanford Bemidji STEMI Protocol
Minneapolis Heart Institute
o Plan A, B, C
o Rural, Urban
½ dose, Full dose, Adjusted Full dose, PPCI
Much discussion occurred by all with the group recommendation moving forward to
continue work on a synthesized statewide protocol that brings together the work of
individual receiving hospital protocols in the format of a statewide pathway that
referring facilities can utilize as a decision tree to triage patients to the receiving facility
of their choice and utilize the common principles in conjunction with individual
protocols, and that MN M:L can utilize to offer a unified statewide education plan.
B. EMS STEMI Protocol and Transport Guidelines
Mindy Cook
 ND Transport Guidelines for ALS/BLS services
 Review Current MN EMS STEMI Protocols
C. Quality Improvement / STEMI Feedback
 Review current practices in place
 Define minimum reported metrics
 PCI Hospital, Referral Hospital, EMS
Katie Sahajpal
12:00 – 12:30
Lunch
7. Referring Hospital Education Curriculum and Training Plan
All
12:50 – 1:00
8. Public Awareness Campaign Proposal
Joan Enderle 1:00 – 1:30
a. Campaign goals, overview and proposed plan Tara Olson Flint Communications
MN ML Presentation
January 2014 FINAL.pdf
9. Sustainability and Advocacy in STEMI Systems of Care
STEMI Reg bill.pdf
10. Closing Remarks and Future Meeting Dates
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b.
c.
d.
February 20, 2014 teleconference 12:00 – 1:00 pm
March 20, 2014 In Person 10:00 – 2:00 pm
April 16 2014
MN M:L STEMI Conference April 22-23 2014
Justin Bell
1:30 – 2:00