Notes from CT Breakout (Facilitator: Dr. Richard Kamin)

Next Steps (as a region):

  • Look at what is the current process for STEMI in CT (Mission:Lifeline); is there something that can be drawn from those processes
  • Create a consortium/taskforce that includes stakeholders that are subject matter expert
  • Identify what the questions are that need to be answered
  • Tap into potential resources such as the DPH (Commissioner R. Pino)
  • Stroke Coordinators group already meets quarterly and involves “most” of the hospitals already – they offered to host and use their existing group/meeting as a springboard for the taskforce:
    • Next Stroke Coordinators meeting is Dec. 12th at Gaylords at 2pm (STEMI taskforce will be an agenda item)
    • Dr. Kamin offered to go and help facilitate the meeting but need to determine who to invite prior to then (who is tasked with doing that?)
    • First and most important step: Identify who needs to be on the taskforce ; who is currently not involved that needs to be (hospitals, EMS, DPH, etc.); and find ways to get them involved (through recognition vs. legislation)
    • Identify Chair and co-chairs for meetings
    • Should the group be large vs. small (sometimes difficult to get things accomplished when too large
    • Determine a timeline once we have recruited key stakeholders
    • Need to determine: what, how, and when regarding project
    • Determine which clinical areas need to be addressed
    • Be process driven – understand the importance of data collection as means identify what is currently happening; areas that need to be improved; and benchmarks for recognition
    • Utilize the resources that might be currently available, such as resources that the larger hospitals might currently have (Harvard and Yale)
    • Make sure to include post-care as part of the discussion. CT is 49th in terms of patients who get rehab vs. being sent to SNF after d/c
  • Many raised their hands that they wanted to be involved
  • Dr. Wiras’ comments:
    • Use resources we currently have so sustainable
    • Have vision for continuing the work