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Media, News & Topics on prevention, diagnosis & treatment of cardiovascular disease
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Quality Care in Community Hospitals - Lawrence General Hospital advances quality processes with Accreditation for Cardiovascular Excellence (ACE)

Quality Care in Community Hospitals - Lawrence General Hospital advances quality processes with Accreditation for Cardiovascular Excellence (ACE) | Heart and Vascular Health | Scoop.it

What would you do if you found yourself to be David in the Goliathian world of Healthcare? If you were Lawrence General Hospital, Lawrence, Massachusetts, you would look to innovative and quality initiatives to hold your ground on the slippery slope of accountable care. As the first hospital in New England to achieve ACE accreditation, not only does Lawrence General Hospital hold distinction amongst its peers, but this hospital is also the first nationally to voluntarily validate and offer transparency of quality processes within a community hospital setting. Lawrence General Hospital performs diagnostic cardiac cath, ST-elevation myocardial infarction (STEMI) cases, and percutaneous coronary intervention (PCI) procedures without on-site surgery. 

Seth Bilazarian, MD's insight:

Great accomplishment for Lawrence General Hospital.  First community Hospital in US with ACE accreditation.

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Systems of Care for Heart Attack => ST-Segment–Elevation MI from AHA

Systems of Care for Heart Attack => ST-Segment–Elevation MI from AHA | Heart and Vascular Health | Scoop.it

Key take away for patients:

This paper was a survey of over 300 hospitals that take care of the sickest type of heart attack called the STEMI.  Best practices to improve care by reducing the time to open up the artery (called door to balloon time (D2B)) were identified. 

 

These practices are:

1.  accepting patients at a PCI hospital regardless of bed availability

2.  single phone call activation of cath lab

3.  emergency department physician activation
of lab without cardiology consultation

4.  national data registry participation

5.  Prehospital activation of the catheterization laboratory by paramedics & transferring physicians.

 

The most commonly reported barriers to system
implementation were hospital and cardiology group
competition and EMS transport and finances.

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