CHI St. Vincent Adopts Advanced Communication System for Heart Attack, Stroke, and Trauma Patient Care

CHI St. Vincent became the first health system in Arkansas to implement the full suite of Pulsara communication capabilities for coordinated teams to dramatically improve responses for every patient type, including ST-Elevation Myocardial Infarction (STEMI) heart attacks, stroke and other trauma care scenarios. Pulsara is a telehealth and communication platform that enables HIPAA compliant, dynamic networked communications between EMS, hospitals, and other healthcare providers for any patient event. Following successful Arkansas trials at multiple hospitals that saw average Door-to-Device treatment time for STEMI patients reduced by 19-percent, allowing cardiologists to get patient blood vessels reopened faster, the Arkansas STEMI Advisory Council proposed that healthcare services begin adopting Pulsara statewide in April 2020.

In time-sensitive emergencies, time is tissue. Every minute makes the difference in your patient's outcome, for better or worse. 

That's why UCHealth and AMR - Colorado Springs / El Paso County partnered with Pulsara, a healthcare communication and telehealth platform, to save time when patient outcomes are on the line. Pulsara creates a secure, unified patient channel—replaces multiple phone calls, radio reports, faxes, and pagers—and allows care teams to communicate efficiently and effectively when treating patients.

In this live-action retelling of a true story, watch how AMR and UCHealth use Pulsara to streamline and speed their communication processes throughout the patient's journey, making sure that every member of the care team is in the know, when they need to know—from dispatch answering the 911 call, to the hospital staff closing the case after the patient’s treatment is complete.

Earlier this year, in the weeks before COVID-19 changed life and healthcare as we know it, Latrobe Regional Hospital near Melbourne, Australia, was busy laying the groundwork for a new communication system between their hospital teams and Ambulance Victoria. Over the course of the next few months, Latrobe was able to implement Pulsara for treating patients across multiple departments, including stroke, mental health, pediatrics, trauma—and most pressingly, COVID-19. 

Of all the various crises facing healthcare in 2020, there is one underlying root issue that directly affects all of them. It determines everything about every single patient's care journey, from each care decision to every patient outcome. 

However, very few healthcare professionals think to start with this issue in improving patient outcomes. 

What's the issue? 

Communication. 

As hospitals and EMS agencies in Colorado Springs, Colorado, watched organizations around the world respond to COVID-19, they began to anticipate what their own response would look like. “We got to watch what happened in Italy and Europe and then subsequently in New York,” said Dr. Matt Angelidis, the co-medical director for the Colorado Springs Fire Department and AMR, and emergency physician for UC Health at Memorial Central, Memorial North, and Pike's Peak Regional Hospital. “We had time to think about, ‘Is there a better answer, or do we have an alternate way that we can take care of these patients and deliver care?’”

JACKSON, Miss., Sept. 30, 2020 — Healthcare entities across the state have experienced declines in patient numbers during the COVID-19 pandemic, with many patients delaying or avoiding life-saving treatment for serious conditions such as stroke or heart attack over fears of the virus.

For Latrobe Regional Hospital (LRH) near Melbourne, Australia, streamlining communication has been a major area of focus, both to improve patient care and to strengthen collaboration across its healthcare system. Up until the beginning of 2020, they used a combination of phone calls and pagers to interface among Emergency Services, ED, and hospital staff—resulting in inefficiencies and challenging communication for caregivers.

With state-of-the-art facilities and well-trained caregivers, St. Bernards’ cardiac teams were already achieving door-to-balloon (DTB) times well within the recommended guidelines for STEMI response. But that didn’t stop them from looking for ways to get even better.

“We have a lean process for STEMI response, but we needed a way to see the bigger picture for identifying areas we could improve,” said Lindsey Stacy, the hospital’s STEMI coordinator.

New York Hospital Improves Communication and Door-to-Needle Times with Pulsara

Just before the start of the COVID-19 pandemic, care teams at Mount St. Mary’s Hospital in Lewiston, New York realized that they needed a better way to communicate. According to an article published recently in a local Lewiston news source, Mount St. Mary’s chose to adopt Pulsara in order to open better lines of communication between EMS and emergency department staff.

Pulsara is a mobile-first telehealth and communication platform that connects teams across organizations. Through the use of mobile technology, Pulsara allows every member of the care team —from medics to nurses to physicians — to communicate on one dedicated channel for each patient. And for stroke patients at Mount St. Mary’s Regional Stroke Center, more efficient care team communication can have a major impact.

As EMS agencies all over the country have struggled to handle COVID-19, many are searching for answers. How do we prepare for possible future waves of COVID-19? Outdated technology cannot keep up with the variety of new challenges. Is there a way to streamline communication and use mobile technology to solve problems and still deliver high-quality patient care? Could such a solution be flexible and scalable, able to handle any situation—even a pandemic?

When COVID-19 hit, Austin-Travis County EMS, serving the Austin, Texas area, had the tools at their disposal to build an efficient system to help mitigate the crisis. They embraced mobile technology in an effort to improve communication, minimize the risk of exposure to healthcare providers, and continue to provide patients with the smartest and most effective quality of care.

At Pulsara, we're committed to helping your organization recover from the initial COVID-19 wave, and prepare for current and future cases. One such way we're striving to equip care teams is by publishing thought leadership and real life examples of how other health systems have successfully managed COVID-19 and its widespread effects.

When COVID-19 hit the U.S., Pulsara client Cy-Fair Fire Department was prepared. They immediately put protocols in place to help mitigate the spread, which they are continuing to use and refine, and even put together a few informational videos to help other EMS agencies. Read on to learn how Cy-Fair was able to prepare for the first wave, and what they are currently doing to manage and mitigate the spread of COVID-19 by leveraging innovative technologies and systems.

On January 23^rd, while the world was watching the evolution of the COVID-19 crisis overseas, the command staff at the Cy-Fair Fire Department met to plan their response. Headed up by Assistant Chief Justin Reed and Communications Chief Angela Burrer, the group began to discuss the threat they knew they were about to face. 

With a service area covering 156 square miles and a population of approximately 475,000 people, the Cy-Fair team knew the potential impacts for the area were enormous. Clear communication was going to be important, they decided, so after that initial meeting, they chose to schedule daily morning video/phone briefings for all on-duty personnel and recorded them for those that were on a response. 

As the virus slowly advanced towards the United States, Cy-Fair staff recognized the logistical concerns of providing appropriate clinical care, recognizing patients early, being mindful of overtriage, and managing personal protective equipment and force protection. They made it a priority to plan accordingly.

Longview Regional Medical Center (LRMC) has long had a well-designed and fully functioning process for identifying and rapidly treating STEMI patients. The hospital was meeting its goal of keeping door-to-reperfusion times under 60 minutes; as a result, patient outcomes were generally very good. Despite their satisfactory performance, the teams at LRMC believed they could reduce their treatment times even further to improve patient outcomes.

As EMS agencies all over the country have struggled to handle COVID-19, many are searching for answers. How do we prepare for possible future waves of COVID-19? Outdated technology cannot keep up with the variety of new challenges. Is there a way to streamline communication and use mobile technology to solve problems and still deliver high-quality patient care? Could such a solution be flexible and scalable, able to handle any situation—even a pandemic? 

When COVID-19 hit, UCHealth Memorial Central and the Colorado Springs Fire Department were more ready than they anticipated. They had already put in place a communication solution that would enable them to better manage and mitigate the crisis. Though the pandemic brought unprecedented challenges, Colorado Springs used Pulsara to remedy many of the communication issues created by COVID-19. They were able to provide faster, safer patient care by improving care team communication and collaboration across organizations. This is their story.

By replacing pagers and phone calls with mobile-first technology across the entire patient care team, a hospital achieves better patient outcomes and care team collaboration.

EMS has traditionally been built around well-established response, treat, and transport protocols. The COVID-19 crisis upended this, expanding the focus beyond time-sensitive emergencies to things like mitigating the demand on local healthcare systems and securing communication for outpatients in medical isolation. These new requirements revealed a deep need for better mobile-first technologies that would enable dynamic communication between the EMS prehospital care teams and all the other hospital clinicians connected to the patient journey. As EMS agencies look for ways to better support patients, telehealth technologies are quickly becoming an indispensable part of their care systems.

In April of 2019, long before COVID-19, the Journal of Emergency Medical Services published a study that followed the success of the Houston Fire Department in using telehealth to provide patients with out-of-hospital care, effectively decreasing costs and hassle for patients who didn’t need transport. They concluded that “given the increase in costs associated with prehospital emergency care, and the increasing burden on these resources from continuous increased calls to 9-1-1, it’s imperative to redesign the traditional delivery system.” And further, they added: “We propose a model where more EMS agencies pursue adoption of telehealth on a pilot basis to determine their role for both acute and non-acute care.”

On April 28th, JEMS Webcasts hosted an enriching webinar featuring a distinguished panel of EMS leaders discussing how their organizations are using mobile technology to manage the COVID-19 pandemic, and how they plan to use those same technologies in the future.

On April 14th, MissionCritical Communications featured the Montgomery County Hospital District’s partnership with Pulsara in an article about public safety apps that are helping frontline workers respond to the COVID-19 pandemic.

Montgomery County Hospital District (MCHD) is located just north of Houston and covers 1,100 square miles. MCHD is using Pulsara to remotely assess COVID-19 patients and avoid unnecessary exposure, both for physicians and for patients. Using the Pulsara app, MCHD first responders are able to assess the patient’s situation and transmit their information to the hospital, allowing physicians to view electrocardiograms (EKGs), pulse/oxygen readings, and other relevant data. Physicians based at the hospital can then advise EMS on the best way to move forward. 

DAYTON, Ohio (WDTN) – Premier Health, in partnership with Pulsara, has adapted the company’s mobile communications platform for stroke patients to help EMS agencies when they arrive with patients suspected of having COVID-19.

By using mobile-first technology, one hospital connects resources and clinicians in real-time for consultation, collaboration, and human connection during the COVID-19 pandemic.

FOR IMMEDIATE RELEASE
March 19, 2020

BOZEMAN, Mont., -- Pulsara recently announced they are offering their healthcare communication platform for free for COVID-19 management. While Pulsara is commonly used by EMS agencies, hospitals, counties and regions for time sensitive emergencies, its flexibility also allows healthcare communities to manage COVID-19 resources and patients.