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Advisory board adopts updated STEMI protocol; MyMichigan and MMR work to fix missing stroke EMS reports
Summary
The advisory board said all model protocols were signed and sent to the state and adopted STEMI/dual-sequential protocols. MyMichigan reported stroke counts for Alma, Clare and Mt. Pleasant and noted multiple missing EMS reports; MyMichigan and MMR are addressing the reporting gaps.
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Advisory members updated clinical programs and operational protocols during the April 17 meeting.
The record states that "all model protocols have been signed and sent to the state for update," and that once the state acknowledges the changes, Brett (Hansen) will distribute the updates to members. The board also adopted updated STEMI and dual-sequential protocols.
MyMichigan presented stroke-volume figures and data-quality concerns: Alma recorded 40 strokes (19 from EMS; nine EMS reports missing), Clare recorded 37 strokes (15 from EMS; the EMS reports were listed as all missing), and Mt. Pleasant recorded 15 strokes (three from EMS; EMS reports listed as missing). The transcript notes that MyMichigan and MMR are working together to address the missing-report problem.
Clare’s STEMI update reported that door-to-device/transfer times were generally good but that transfers out remain a problem; the group said thrombolytics would be used if transfer delays persist.
The meeting record does not list formal disciplinary or regulatory referrals tied to the reporting gaps; items were recorded as program updates with follow-up work assigned to MyMichigan and MMR.
