Remote Treatment Stroke Center Designation

The “Why and How to”May 14, 2015

St. Mary’s Hospital - 1991St. Mary’s Health Care System - Today

St. Mary’s Good Samaritan Hospital

Hospice House

Diagnostic, Rehab & Wellness Center

St. Mary’s Medical Group

Colony Square Offices

Memory Care Center

Wound Healing Center

Highland Hills Village

Good Samaritan Hospital

Mission and Vision

• Mission – We, St. Mary’s Health Care System and Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities

• Vision – As a mission-driven, innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. We will be the most trusted health partner for life

• Critical care: ICU, NCCU, NICU and IMCU

• Special focus on cardiac care, neuro-sciences, orthopedics, women’s and children’s health, and older adults

• 24/7 emergency department

• Interventional cardiology

• Home care and hospice• CARF-accredited inpatient rehabilitation center

Full-Service Community Hospital

• ED Services with credentialed medical and hospital staff (REACH Telemedicine)

• Inpatient services• Outpatient surgery services• Imaging services – 64-slice CT, x-ray, digital

mammography, MRI, fluoroscopy, nuclear medicine• Rehabilitative services – PT, OT, & ST• Swing-bed program for extended rehab care• Clinical lab and sleep disorders center

Robust Critical Access Hospital

Uniquely certified

• Region’s first hospital Joint Commission certified in:• Advanced primary stroke care – 1 of first 20 in the U.S.• Advanced inpatient diabetes – 2nd in Georgia• Heart failure care – 1 of first 25 in the U.S.• Spine surgery – 1st in Georgia; 8th in US• Total knee replacement – 1st in region

• Joint Commission accredited since 1954

The American Heart Association and American Stroke Association recognize this hospital for achieving 85% or higher adherence to all Get With The Guidelines® Stroke Performance Achievement indicators for consecutive 12 month intervals and 75% or higher compliance with 6 of 10 Get With The Guidelines Stroke Quality Measures to improve quality of patient care and outcomes in addition to achieving IV rt-PA door-to-needle times ≤ 60 minutes in 50% or more of applicable acute ischemic stroke patients (minimum of 6) during one calendar quarter.

Proud to be a Gold Plus stroke hospital five years in a row

• REACH telehealth system providing 24/7 access to GRU stroke experts for instant consultation and collaboration

• Emergency stroke care to save lives and reduce disability• Neurohospitalists and neurosurgeons available 24/7

Advanced Primary Stroke Center

Continuum of care including:• NCCU & Neuro nursing units

• Family-focused specialty nursing

• Center for Rehabilitative Medicine

• Palliative care services

• Outpatient rehabilitation

• Home health care/hospice services

• Monthly Stroke Support Group

• Next Step 5K awareness run

• Good Sam 5K awareness run

Advanced Primary Stroke Center

• REACH telehealth system providing 24/7 access to GRU stroke experts for instant consultation and collaboration

• First in the state of Georgia (October 2013)• Emergency stroke care to save lives and reduce disability

Remote Stroke Treatment Center

Telestroke Program• Dubbed “REACH” (Remote Evaluation of Ischemic Stroke”)• Initiated in 2003

• One of the longest continuous running telestroke networks in the world

• Network of 27 spoke hospitals• Utilizes traditional hub and spoke model for rural hospitals and a

hybrid model for larger hospitals

Telestroke Program

Goal is to improve patient outcomes by providing time-sensitive treatment (IV tPA) to underserved areas using a “drip and ship” model or a “drip and keep” model

Community Feedback• Conducted several community conversations

throughout the community• Common theme was the desire to have quality

ED services• Particular interests around stroke and heart

attack care• Significant outmigration for services• Most understood that we are not a regional

medical center

Investment of Resources• Capital and operational investment for

teleradiology services. Includes technical and professional services

• Staff resources to meet certification requirements• Staff resources to meet community outreach and

educational requirements• Staff resources to coordinate care along the

continuum• Staff and capital investment to provide quality ED

services

Value of Certification• Elevates the level and quality of care

available in the community

• Expands access to care when time is critical

• Improves collaboration and coordination of care around best practices

• Enhances brand image of local facility

Value of Certification• Improves ED patient volumes through

expansion of capabilities and demonstration of competence

• Promotes complimentary services like outpatient imaging or rehab and acute care services

• Decreases outmigration for healthcare services

Stakeholder Engagement

• Board of Directors

• Medical Staff

• EMS

• Hospital Staff

• Community Leaders

St. Mary’s Hospital - 1991St. Mary’s Health Care System - Today

St. Mary’s Good Samaritan Hospital