How to Market your Stroke Hospital to EMS

9/30/2015
JOE ACKER MPH,EMTP
JOE ACKER MPH,EMTP
Executive Director
Birmingham Regional Emergency Medical Services System (BREMSS)
Not all hospitals are created equal and only some hospitals have
a stroke service line with resources available to treat acute stroke . The acute stroke service line requires sufficient acute stroke patent volume to maintain the highest t i
ll
ffi i t fi
i l
t EMS t
t d ti ti t th
competencies as well as sufficient financial support. EMS transport destination to the acute stroke ready hospital is very important to provide the needed patient volume..
Practice Gap:
,
Desired Outcome: Doctors,Nurses,administrators
,and other interested parties at the completion of the lecture will know the basics of a marketing program for EMS acute stroke transportation hospital destination , with regard to need for a program ,planning ,operation, and evaluation. Disclosure of relevant financial relationships in the past 12
months:
I have no financial relationships with commercial entities producing healthcare related products and/or services. The content
of this presentation is entirely the authors and represents no other entity involvement or content. .
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9/30/2015
EMTP since 1973
KNOWLEDGE OSMOSIS
O
G OS OS S
STROKE SYSTEM WITH CENTRALIZED ROUTING 15 YEARS AND OVER 31,000 STROKE SYSTEM ENTRIES CHALLENGE MISCONCEPTIONS
WHAT % OF ACUTE STROKE PATIENTS ARRIVE FROM THE EMSS ? MINIMUM PATIENT VOLUME TO SUPPORT THE ACUTE STROKE SERVICE LINE ?
HALO EFFECT FOR ALL OF CARDIOVASCULAR PATIENTS ?
HALO AFFECT FOR OTHER DISEASES
HALO AFFECT FOR OTHER DISEASES
SUPPORT OF OTHER REHABILATION SERVICES 2
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STROKE CHAMPIONS
HOSPITAL ADMINISTRATION
NEUROLGIST
EMERGENCY MEDICINE EMERGENCY NURSE
STROKE COORDINATOR STROKE COORDINATOR
MARKETING MANAGER
Does your hospital at all levels of decision makers and care givers want to treat more acute stroke patients ?
Is administration committed to proper funding and support of acute stroke patient care including rehabilation?
Is there an Acute STROK
STROKE Neurologist
positioned to be the champion ?
Is emergency medicine supportive of current stroke care standards and what model of response will you use? 3
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EM DOCTOR must be a champion for stroke care and supportive of lytic treatment , invasive intervention techniques for stroke , and Neurosurgery involvement EN must be champions for stroke care in the ER CT technicians must be champions for stroke
Acute Stroke Neurologists must be seen in a Acute Stroke Neurologists must be seen in a
timely manner in the ER Determine 911 generated transport volume agency's to your ER (emergency vs non‐
emergency) and the associated first responder agencies also
Determine who the primary EMS decision maker is in each of the top three agency’s and the associated first responder agency’s 4
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Meet with this decision maker include : Neurologist ,EM & EN stroke champions ,and stroke coordinator ‐‐‐ ASK ‐‐‐
We want to be the best hospital for your EMSP/AMBULANCES to transport patients with acute stroke, what must our hospital do to be your #1 destination for acute stroke patients ?
Meet the stroke patient in a manner different
Meet the stroke patient in a manner different from other arrivals ‐‐‐‐ straight to CT on ambulance stretcher ‐‐‐ no wait !!!!!
Allow the EMSP to see the CT if possible with an initial read ‐‐ let them know first disposition of the patient before they leave .
the patient before they leave
If EMSP must leave before CT read get an email or text # from EMSP and immediately notify upon read .
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EN always on duty assigned the primary role to meet and follow all EMS stroke patients EN identified in some manner – color of top , pin/badge ,color of scrubs ,hat , other Meets EMS and organizes the care of the patient ,reports back immediately to EMS Becomes the focal point for EMS stroke care in Becomes the focal point for EMS stroke care in
the ER during his/her shift
Outcome on every patient considered a stroke by EMS to all EMS contacts ‐‐‐ not just the care givers and their organization
Orderly , uniform, and timely process of feedback to ambulance and first responders personell
Include EMS
MS trainers/QA staff in all outcome
conferences No criticism for over‐triage 6
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Build and operate an educational process for under‐triage based upon improvement of patient outcome if STROKE had been recognized by EMS .
Conduct an annual or semi annual conference with acute stroke cases to include mimics On lytic , intervention , or NS “saves”
saves set up for
EMS to meet the patient during rehab or discharge if possible . DISCUSSION
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