Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program (Policy Brief #23)
MRHRC, rural, EMS, emergency medical services, Flex, USM Aging Initiative, Health and Wellness
This policy brief summarizes the evidence for regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). These systems of care have both a quality improvement and a systems development focus and provide a valuable opportunity for State Flex Programs to engage CAHs and EMS in rationalizing and improving STEMI care for rural residents, particularly with respect to MBQIP Phase 2 Measures.
- CAHs and rural EMS agencies play an important role in STEMI systems of care.
- EMS providers use pre-hospital ECGs and transport protocols to ensure timely reperfusion.
- CAHs provide fibrinolytic therapy and post-reperfusion followup care including cardiac rehabilitation.
- State Flex Programs can facilitate involvement of CAHs and EMS agencies in STEMI systems of care.
Gale, J. A. (2011). Developing regional STEMI systems of care: A review of the evidence and the role of the Flex program. (Briefing Paper No. 29). Portland, ME: University of Southern Maine, Flex Monitoring Team.