Rural MN Mission: Lifeline Committee Structure 2013-2016



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Rural MN Mission: Lifeline Committee Structure 2013-2016 AHA Meeting Facilitation Support: Mindy Cook, RN BSN Director Mission: Lifeline North Dakota, Minnesota American Heart Association, Midwest Affiliate Mobile: (218)770-3305 Mindy.Cook@heart.org Gary W. Myers, MS Sr. Director Mission: Lifeline EMS Consultant for Midwest Affiliate American Heart Association, Midwest Affiliate Mobile: (605) 215-1551 Gary.Myers@heart.org Justin Bell - J.D. Government Relations Director American Heart Association, Midwest Affiliate Office: (952)278-7921 Justin.Bell@heart.org Ngia Mua Administrative Associate Mission: Lifeline American Heart Association, Midwest Affiliate Office: 952-278-7934 Fax: 952.835.5828 Ngia.Mua@heart.org MN Mission: Lifeline Co-Chair s Composition: 1 ED physician, 1 Cardiologist, 1 STEMI Coordinator Scott Mikesell, DO, FACC, STEMI Program Director/Interventional Cardiologist, St. Luke's Hospital, Duluth MN Dr. John Gallagher MD American Board of Emergency Medicine Board Certification in Emergency Medicine, EMS Medical Director for Winona Area Ambulance Service, Emergency Physician for Winona Health Winona, MN Richard Mullvain, RPH, BCPS (AQC) CCCC, Cardiovascular Clinical Pharmacist/STEMI Program Manager for Essentia Health Duluth, MN Time Commitment: 4-6 hrs. Quarterly for strategic planning and monthly teleconference participation, biannual face to face Taskforce Meetings, and Annual STEMI Conference attendance required. Term: AHA appointed in Year 1, with annual nominations by the taskforce thereafter.

Meeting Schedule: Monthly Teleconference or Net Meeting as needed the 1 rd Monday monthly from 7:00 am to 8:00 am Length of Involvement: May 1, 2014 April 31, 2015 Time Commitment: 30 hours for the calendar year Important Dates: Monthly Chair Update Calls 1 st Monday of each month from 7:00 8:00 am Participation in Quarterly Committee teleconferences, in-person meetings, and Taskforce teleconferences at least 50% of the time, as schedules allow. Host and provide leadership at the Bi-Annual Face to Face Rural MN M:L Taskforce Meeting October 2014, April 2015 Host and present at the Annual Rural Minnesota Mission: Lifeline STEMI Conference in 2014-2015 Champion MN M:L Rural STEMI System Development Strategic planning of agendas/meetings Support a portion of agenda during Taskforce calls, meetings and committees as appropriate Identify possible guest speakers to present on topics for larger group calls Assist with project oversight, vision, and implementation Lead discussion regarding clinical standard of practice experts Identify and bring forward project successes, barriers, and challenges MN M: L Taskforce Composition: All interested volunteers: Nurses/Nursing leaders, EMS Providers, Leadership & Medical Directors, Rural and Urban health care providers from Emergency medicine and Cardiology. Other medical professionals interested in improving emergency cardiovascular care in Minnesota. Time Commitment: 1 hr. monthly teleconferences with two bi-annual face to face meeting Meeting Schedule: Monthly teleconference or Net Meeting the 4 th Thursday from 12:00 pm 1:00 pm starting September 26 2013, Face to Face Meeting from 10:00 am 2:00 pm March 20 2014 Regional updates and sharing statewide on activities and efforts To volunteer to participate in committee work as needed throughout the project To receive reports of committee recommendations and outcomes Current members: 160

Hospital Advisory Committee Composition: at least 1 nursing and 1 physician representative from each included PCI Hospital, at least 1 representative from each regional non-pci Hospital are, and at least 2 EMS representatives (60 member maximum) Time commitment: Quarterly conference calls with bi annual face to face meetings Meeting Schedule: Quarterly Teleconference or Net Meeting as needed the 3 rd 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) 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 MN STEMI Protocols and Transport Guidelines Members: 61 Dr. Rabeea Aboufakher Altru Health System, Grand Forks, ND Dr. Lisa A. Abrahams St. Mary's Essentia Dr. Yassar Almanaseer Essentia Health Fargo, ND Dr. Richard Aplin CentraCare, St Cloud Julie Beevor Sanford Health Bemidji Dr. Ismail Bekdash Altru Health System, Grand Forks, ND Kim Brunmeier Mayo Clinic Health System, Mankato Dr. Nick Burke Minneapolis Heart Institute Devra Carlson Essentia Health, Fosston Julie Clark St. Luke's Hospital, Duluth Mindy Cook AHA Curtis Crist Sanford Health Bemidji JoAnn Foltz Sanford Wheaton Geoffrey Galaski Ely Area Ambulance Service Michelle Gardner AHA Lynell Grieser Fairview Southdale Hospital Dr. Thomas Haldis Sanford Health Fargo Dr. Nancy L Hassinger St. Mary's Essentia David A. Hildebrandt Minneapolis Heart Institute Jody Holmen Mayo Clinic Rochester Dr. Mohammad Jameel Sanford Health Bemidji

Sandy Kovar Altru Health System, Grand Forks, ND Carrie Lager River's Edge Hospital Cami Linke Fairview University of Minnesota Chad Macheel Sanford Health Phil Martin CentraCare, St Cloud Paula Meskan River's Edge Hospital Dr. Scott Mikesell St. Luke's Hospital Dr. Arashk Motiei Mayo Clinic Health System, Mankato Ngia Mua AHA Alicia Muller Sanford Bemidji Richard Mullvain St. Mary's Essentia Duluth Gary Myers AHA Lindsay Nutting Jen Sather Olson Montevideo, MN James Peacock MN DOH Annette Persak Sanford Health Bemidji Janna Pietrzak Sanford Health- Fargo Dr. Ganesh Raveedran U of MN Dr. Guy Reeder Mayo Clinic, Rochester Ashlee Rostvedt Essentia Health Fargo, ND Barry Royce Sanford Health Bemidji Katie Sahajpal AHA Scott Scepaniak CentraCare, St Cloud Paul Schoenberg St. Cloud Hospital Michael Schultz Sanford AirMed Danielle Strandlien Sanford Health Bemidji Dr. Henry Ting Mayo Clinic, Rochester Al Tsai MN DOH Carie Weller Mayo Clinic Health System Quality Committee Composition: Quarterly teleconference with Hospital Participants involved in Cardiovascular Care Quality improvement and/or the ACTION-GWTG Registry tool 10-20 members Facilitated by: Mindy Cook Time commitment: 1 hr. monthly teleconferences or webinars for the first 6 months then quarterly teleconferences or webinars thereafter Discuss ways to creatively utilize data to drive process change and protocol development. Review Case studies Review Mission: Lifeline ACTION GWTG reports and features to increase knowledge and understanding of data analysis and how it relates to quality improvement Suggest agenda items and talking points for monthly calls

Contribute to discuss and share lessons learned with statewide partners Monthly Conference Calls: 3 rd Thursday Of Every Month 12-1PM o Sept 19 th, 2013: Mission Lifeline 101: Basics, Review goals/objectives timeline of quality committee. Look for volunteers for future meetings as we get into data reporting. Starting with Jan Meeting we will have 1 PCI Center share case studies. All will be given opportunity to present (5 Rural PCI Centers and 3 metro PCI Centers) o October 17 th, 2013 Data definitions, comparison of ACTION vs. ML Limited versus premier forms o November 21 st, 2013 Review Baseline Reports Understanding Individual Reports Understanding System Reports o December 19 th, 2013 Topics to be determined on input from participants, what more information is needed? Review Project Updates from other committee work. o Quarterly Conference Calls 2014/2015: Structure of Quarterly Conference Calls: o Welcome/Sharing of Successes for Hospitals (10minutes) Include sharing of information from other committee reports as it relates to data/quality o 1 Hospital Volunteer to present case studies that presented challenge to system (10 minutes) o Review of Mission Lifeline Regional System Report (35 minutes) Review data from baseline, note progress/areas of concern Create recommendations/talking points to bring back to hospital advisory and executive leadership teams Review any updates to data elements/definitions/guidelines/latest literature o Wrap Up (5 minutes) Agenda topics for next meeting EMS Advisory Committee Composition: 3 Volunteer representatives from each EMS region 3 Volunteer medical directors 3 Other EMS representatives (max 30 members) Facilitated by: Gary Myers Time commitment: 4-6 hrs. per quarter. Monthly teleconferences with a minimum of Quarterly Face to Face meetings as needed to guide EMS equipment allocation and education throughout the grant project.

EMS equipment application oversight Input on statewide ECG 12L EMS training curriculum and implementation plan Create recommendations for pre-hospital treatment and transport guidelines Tom Vanderwal Regional Director Del Preuss Bemidji Ambulance Seth Tramm Clear Water Co Ambulance Patrick Lee Arrowhead EMS Association Danielle DeNeui Lake County Ambulance Service Amy Saylor Life Link, Hibbing Jason Dickinson Virginia Fire Department Ann Jenson SW Minnesota EMS Brad Hanson Willmar Ambulance Scott Reiten South Central MN EMS Mark Griffith South Central MN EMS Brad Zinniel North Memorial Transportation Mark McCabe West Central MN EMS Corp Josh Fischer Stevens County Ambulance Service Doug Harthan Perham EMS Ken Krupich FM Ambulance Don Hauge SE Minnesota EMS James Cooper Spring Valley Ambulance Sue Kester Chatfield Ambulance/EMS Training Ryan Throckmorton Preston Ambulance Marion Larson Regional Director Joe Newton Essentia-Sandstone Allen Smith Tri-County Debbie Gillquist Ambulance Association Dr. Carson Gardner Becker County Dan DeSmet North Memorial Ambulance MN M: L STEMI Conference Planning Committee Composition: 3 Volunteer EMS Representatives 3 Volunteer PCI hospital representatives 3 Volunteer Non-PCI hospital representatives 3 Other representatives interested in improving emergency cardiovascular care in MN 8-15 members. Facilitated by: Mindy Cook, Katie Sahajpal, MN M: L Chair (s) Time commitment: Quarterly teleconference and 6 months prior monthly teleconferences

2 rd Wednesday of every month from 1:30 pm 2:30 pm starting September 10 2013 Annual MN M: L STEMI Conference Agenda planning Identify Location and Facility for Event Assist with CEU approval required documents Identify and Secure Speakers o Obtain Contact information, Bio s, Pictures. Disclosures and Objectives for each Assist with day of event conference activities o Introduction of speakers o Assist with time maintenance during event o Facilitate breakout Sessions as needed o Assist with Conference Registration as needed o Assist with Conference Evaluation collection as needed Collaborative Groups Time Critical Care Committee TCCC Goal: Activate partnership 2013 Mission: Lifeline participation in partner group discussions. Collaboration with existing Heart, Stroke, Sudden Cardiac Arrest and Trauma systems of care Facilitated by: Justin Bell AHA, and Al Tsai MN DOH Composition: Quarterly, 1-2 representatives from each group M:L Grant Implementation reporting Collaborative tool design Future Groups as needed: Executive Leadership Committee Composition: 15-20 members including the MN M:L Chair(s) Annual nominations will be asked for and majority vote of the taskforce will determine appointment. Time commitment: 4-6 hrs. Quarterly for strategic planning and monthly teleconference participation, biannual face to face Taskforce Meetings, and Annual STEMI Conference participation Meeting Schedule: TBA Facilitated by: Mindy Cook and MN M: L Chair(s) Planning agendas/meetings

o Be responsible for a portion of agenda presentation o Identify possible guest speakers to present on topics for larger group calls o Develop conversation prompting questions o Lead Discussion Identify successes, barriers, challenges and solutions Grant implementation oversight and strategic planning Receive reports of committee recommendations and outcomes