Doylestown Hospital Earns National Designations for Excellence in Cardiac Care|
(Doylestown, PA ) - When it comes to patients surviving a heart attack (a measure known as 30-day mortality), Doylestown Hospital ranks #1 in Pennsylvania and #6 in the nation (CMS). Doylestown Hospital has ranked in the top six in the nation three years in a row.
Doylestown Hospital has earned two important designations that further signal faster, safer care for heart attack patients.
Doylestown Hospital has received Chest Pain Center Accreditation from the Society of Cardiovascular Patient Care (SCPC), an international not-for-profit organization that focuses on transforming cardiovascular care by assisting facilities in their effort to create communities of excellence that bring together quality, cost and patient satisfaction.
The Woodall Chest Pain Center of Doylestown Hospital first received accreditation as a Chest Pain Center just after the new Emergency Department opened in 2010. Since then, teamwork between Heart Institute and ED teams, as well as emergency medical personnel in the field, have further elevated the level of care. The focus continues to be early heart attack care, expeditious access to care, and community education to prevent cardiac deaths.
The SCPC and the American Heart Association co-sponsor another designation achieved by Doylestown Hospital, the American Heart Association's Mission: Lifeline® Heart Attack Receiving Center Accreditation. This distinction recognizes centers that meet or exceed quality of care measures for people experiencing the most severe type of heart attack, ST-elevation myocardial infarction (STEMI), in which blood flow is completely blocked to a portion of the heart. Doylestown Hospital underwent numerous on-site reviews by accreditation specialists from the Society of Cardiovascular Patient Care.
Doylestown Hospital is among only a few hospitals in the region to achieve both the Chest Pain Center and Mission: Lifeline designations.
Hospitals that have received SCPC accreditation have achieved a higher level of expertise in dealing with patients who arrive with symptoms of a heart attack. They emphasize the importance of standardized diagnostic and treatment programs that provide more efficient and effective evaluation as well as more appropriate and rapid treatment of patients with chest pain and other heart attack symptoms. They also serve as a point of entry into the healthcare system to evaluate and treat other medical problems, and they help to promote a healthier lifestyle in an attempt to reduce the risk factors for heart attack.
"The sooner a heart attack is treated, the less damage to the heart and the better the outcome for the patient," said Elaine Schultheiss, RN, BSN, CEN, CCCC, coordinator of the Doylestown Hospital Chest Pain Center. "We urge anyone with heart attack symptoms to call 9-1-1 immediately to start the process of receiving life-saving care. Doylestown Hospital works closely with emergency services personnel to prepare for the heart attack patient even before their arrival at the hospital. The team approach ensures that all heart attack patients receive the care they need as soon as possible."
Quality is often measured by the amount of time between a patient's arrival at the hospital and when the blocked artery is opened through emergency angioplasty, also called door-to-balloon time or D2BT.
Doylestown Hospital has reduced D2BT:
- By working closely with Emergency Medical Services, which can transmit EKGs from the ambulance to the hospital to confirm a heart attack
- The STEMI team at DH includes physicians, NPs, RNs, the interventional unit and Security all coordinating activities during an event.
- A single call alerts the extended team to prepare for the patient's arrival.
- The ED has a "Fast Track" protocol to send a heart attack patient directly to the cath lab to restore blood flow to the heart.
In 2013, Doylestown Hospital had an average door-to-balloon time of 55 minutes (well below the national goal of 90 minutes). On one occasion at Doylestown Hospital, that time was just 15 minutes. A key message: Patients who arrive in an ambulance that transmits an EKG receive lifesaving care an average of 21 minutes faster than those who come in to the ED on their own. Another reason why education on recognizing heart attack symptoms and calling 9-1-1 is crucial.
To become an Accredited Chest Pain Center, Doylestown Hospital engaged in rigorous evaluation by SCPC for its ability to assess, diagnose, and treat patients who may be experiencing a heart attack. To the community served by Doylestown Hospital, this means that processes are in place that meet strict criteria aimed at:
- Reducing the time from onset of symptoms to diagnosis and treatment
- Treating patients more quickly during the critical window of time when the integrity of the heart muscle can be preserved
- Monitoring patients when it is not certain that they are having a heart attack to ensure that they are not sent home too quickly or needlessly admitted to the hospital
Doylestown Hospital's state-of-the-art healthcare encompasses the entire continuum of care for the heart patient and includes such focal points as dispatch, Emergency Medical System, emergency department, cath lab, Doylestown Hospital's quality assurance plan, and Doylestown Hospital's community outreach program. By becoming an Accredited Chest Pain Center, Doylestown Hospital has enhanced the quality of care for the cardiac patient and has demonstrated its commitment to higher standards.
About Doylestown Hospital
The Richard A. Reif Heart Institute of Doylestown Hospital is a regional center of excellence for cardiology and cardiac surgery. The team has extensive experience with valve repair and replacement, including minimally-invasive valve surgery and TAVR (Transcatheter Aortic Valve Replacement). The AFib Center of the Heart Institute offers a complete range of treatments from medical management to complex convergent procedures. The center's success rates for AFib ablation are comparable to the leading AFib centers across the United States. As an accredited Chest Pain Center, treating heart attack is a team effort involving EMS who transmit EKGs to the hospital, fast-track protocols in the Emergency Department and an experienced team of interventional cardiologists in the cath lab. Doylestown Hospital has ranked in the top 10 in the United States for heart attack survivability for the past three years. A notable 75% of the catheterizations done at Doylestown Hospital are done using radial artery access. For more information, visit dh.org/heart.
About the Society of Cardiovascular Patient Care
The Society of Cardiovascular Patient Care (SCPC) is an international not-for-profit organization whose mission is to transform cardiovascular care by assisting facilities in their effort to create communities of excellence that bring together quality, cost and patient satisfaction. As the only cross-specialty Society, SCPC provides the support needed for hospital systems to effectively bridge existing gaps in treatment by providing the tools, education and support necessary to successfully navigate the changing face of healthcare. For more information on SCPC, accreditation and certification opportunities, visit www.scpcp.org, or call toll free 1-877-271-4176.