For someone with a heart attack, every second counts. The sooner it receives treatment, the more irreparable damage can be saved to the heart muscle and the greater its chances of survival. Providing optimal patient care in an emergency heart attack means hospitals should try to target the recommended 60-minute bag holder time, from the time a patient enters through the room doors. emergency until his blocked coronary artery is opened and blood flow is restored. The rigorous standards of the Joint Commission International (JCI) help certify AMI clinical care programs that not only consistently meet this deadline, but are able to maintain a high standard of health care, safety and outcomes for patients. patients. JCI is an international accreditation body dedicated to improving the quality and safety of healthcare worldwide.
By developing an effective pandemic response as early as April 2020, maintaining a designated pathway and rapid response approach for heart attack cases, and continuing to meet the highest global standards for the treatment of AMI , The Medical City (TMC) Ortigas was able to achieve its third consecutive certification of the Acute Myocardial Infarction Clinical Care Program alongside just 15 other hospitals worldwide (as of November 2021).
“The recertification process this year went very well. The clinical pathways and processes of our IMA program, from the time the patient with a heart attack enters the emergency department doors to the time they return home, have been in place since 2012. They have been continuously refined and improved, both through internal processes and through contributions from JCI Certification Visits in 2015, 2018 and, most recently, last October, ”said Dr. Gregorio S. Martinez, Jr., director of the TMC Cardiovascular Institute.
The TMC Cardiovascular Institute’s AMI program is the first of its kind in the Philippines to receive certification from JCI and the only one to maintain certification in the past six years.
What sets the program apart from the rest? A unique team approach for heart attack diagnosis, emergency response, inpatient recovery and outpatient rehabilitation. This team approach is what helps TMC ensure that the year-over-year survival and mortality outcomes are as ideal as possible, corresponding to the quality of care and quality of life that patients experience. 1st world health systems can provide their patients.
Dr Jose Paolo A. Prado, Interventional Cardiologist and Director of the AMI Clinical Care Program, shares: “The pandemic has not stopped us from treating ACS (Acute Coronary Syndrome). We have made changes to hospital protocols as part of the two-in-one hospital system starting in April 2020 to enable us to provide a safe, dedicated and efficient pathway for heart attack patients, even when the bulk of the metropolis was fighting to contain transmissions of COVID-19. and many other hospitals have struggled to admit patients. Because heart attack is a medical condition with high mortality, the main objective of our program is to save people from death using very specific care and strategies, whether we are in a pandemic or not. “
The two-in-one hospital system refers to TMC’s new normal hospital operation that provides patients with clear process and division for COVID-19 patients in isolated areas and separate secure access for non-patients. COVID-19 who need consultations, diagnostic tests, intervention and management of their illnesses. Exclusive routes have been identified from the moment a patient enters the hospital to their appointment or intended destination.
With the organization of the AMI program at TMC in 2012, TMC saw a decline in the mortality of hospitalized heart attack patients from about 10% to an average of 5 to 6%, a figure comparable to that observed in countries of the first world. With the onset of the COVID-19 pandemic in 2020, reports from Western countries have shown a two to three-fold increase in heart attack mortality over the same period due to patient delays in research of medical care and limitations of hospital processes. The death rate from TMC rose to 10.2% around this time, but has since fallen back to 6% as patients became more confident to get to the hospital earlier.
In the Philippines, patients with symptoms of a heart attack do not have the same access to prehospital services as those in other countries. This means that by the time these patients reach the emergency room, their condition may have worsened or become unstable, leaving a much shorter window of time for healthcare professionals to intervene.
To achieve the best results for these patients, a coordinated effort must be made to provide the appropriate treatment: from the triage team handling admissions to the rapid response team restoring blood flow to the heart, to the staff supportive care of the patient during his hospitalization. stay, to multidisciplinary specialists (pulmonologists, nutritionists, physiotherapists, to name a few) helping the patient to recover and rehabilitate.
This transparency in coordination and patient care cannot be attributed solely to post-pandemic processes – it is the healthcare professionals themselves who should be thanked for responding to the 24/7 demand for hospital staff. / 7. Whether they are at work or on call, coming from a nearby apartment or cycling to the hospital due to a lack of private transportation options, members of the rapid response team are make available to ensure that no delay occurs in the means of providing rapid reperfusion to patients within 60 minutes.
Dr Prado says they continue to follow recovering and discharging patients to make sure they follow up with their respective cardiologists: week after, 30 days after, 90 days after, one year later. This helps to ensure that they are taking the right medications, eating the right diet, exercising, and having a healthier, more positive outlook on life.
This commitment to consistent door-to-balloon times, a holistic approach to heart health, and year-over-year positive patient outcomes has earned TMC its third consecutive AMI Clinical Care certification.
“The recertification of our AMI program through JCI is a momentous achievement and a strong vote of confidence, not only in the people who are part of the institution, but in the excellent, quality and compassionate care that we continue to provide. lavish on our patients, ”said Dr Prado.
As part of its continued commitment to leadership in cardiac care, TMC Ortigas is also starting a model star partnership with other healthcare providers. This expands community health care programs for urgent conditions, including acute myocardial infarction, with the goal of reducing mortality from heart attack. By integrating hospital processes, the TMC Cardiovascular Institute hopes to make heart attack-friendly healthcare accessible to more patients requiring rapid intervention.
If you or someone you know has a heart attack, don’t delay treatment. Go to the nearest hospital in case of heart attack or call 8689-8153To get to the emergency department of the Cité Médicale.
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