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Mystemi Newsletter-1 Final 12 MySTEMI Network Newsletter Issue 1, Feb 2016 MySTEMI NEWSLETTER Message by the Central Working February 2016 Committee Chairperson Inside this issue: Message from the MySTEMI network Central Working Committee Chairperson – page 1 LUMEN Global 2016: Special Session – page 2 MySTEMI updates – page 3 Hospital Ampang and Hubs discussion – page 4 Data collection: Query avoidance hints – page 4 MySTEMI Network – page 5 Program Timeline – page 5 The National Heart Association of Malaysia is embarking on a project named “MySTEMI Program” for the Klang Valley region. At the moment, efforts to Teknologi MARA and Pusat Perubatan UKM. provide the best care for patients who has suffered The hospitals participating as Spoke centres are from a myocardial infarction in the critical early Hospital Kuala Lumpur, Hospital Ampang, stages (primary PCI) has been offered only by certain Hospital Tengku Ampuan Rahimah Klang, hospitals around the area. We hope by piloting a Hospital Putrajaya, Hospital Banting, Hospital regional based network, this form of treatment can be Kajang, Hospital Selayang, Hospital Sungai offered to many more sufferers of this condition in the Buloh and Hospital Shah Alam. Klang valley region covering many hospitals in the This program commenced on the 15th of December area. For the very first time, NHAM is coordinating a 2015. We hope to have your full cooperation and project with the main stakeholders from the MoH commitment for this project. Our main goal is to Hospitals, Universities and IJN. provide the people of Klang Valley with the best A hub-and-spoke concept has been adopted, in which a care for the treatment of myocardial infarction few hospitals (spoke) will feed their patients to a hub based on the best available evidence and service hospital with a cardiac catheterization laboratory. The availability. Hub centres are Institut Jantung Negara, University Malaya Medical Centre, Hospital Serdang, Universiti Datuk Dr Rosli Mohd Ali 1 12 MySTEMI Network Newsletter Issue 1, Feb 2016 LUMEN Global 2016: Special Session This year LUMEN Global had an overwhelming turnout of more than 900 attendees with strong regional KOLs and large audiences from Malaysia including 300 emergency physicians. A special closed-door session was organized to highlight the importance of primary PCI (pPCI) and its economic value for STEMI patients in Malaysia. The session was attended by the Minister of Health, Director General of Health and his team. The current treatment options, NCVD data, cost-benefit and effectiveness of pPCI were presented in this session. The session was chaired by Dr Sameer Mehta and Datuk Dr Rosli Mohd Ali. The speakers were Tan Sri Dr Robaayah Zambahari, Prof. Dr Wan Azman, Dr (From left to right) Dr Sabariah Faizah Jamaluddin, Dr Christopher Granger, Mr Alex Au-Yeong and Dr G.R. Letchuman, Dr Noor Hisham Abdullah, Dr S. Sameer Mehta. Subramaniam, Dato’ Dr Azman Abu Bakar and Dato’ Dr Omar Ismail. Pre-hospital services; such as equipping ambulances with ECG machine capable of referral for pPCI. transmitting ECG securely and the separation of ambulance services from hospital emergency The Facebook posts by Minister of Health and department were discussed in this session. Dr Director General of Health, respectively, reiterated Sabariah, Head of Emergency Services added that the importance of pPCI and its benefits in saving collaboration between public and private lives and cost effectiveness. hospitals are also needed in handling patient 2 12 MySTEMI Network Newsletter Issue 1, Feb 2016 15th Dec 2015: Data collection commenced The data collection for MySTEMI commenced on 15th Issues and Challenges December 2015. As of 31th January 2016, 62 cases of The Ethics Committees (ECs) approval from the STEMI were referred to Hub centres. Out of these respective institutions is currently the main cases, a total of 59 primary PCI were conducted. challenges for this study. Although the data collection commenced in most centres, the Since standardized forms were implemented for collected patient data were not transmitted to MySTEMI network data collection, only 3 sites are MySTEMI Data Centre in NHAM, until the EC currently active, Institut Jantung Negara (IJN), approval is obtained. In some instances, no Hospital Serdang, and UiTM hospital. Data collection patient data can be collected, until the Case for University Malaya Medical Centre (UMMC) and Report Forms (CRFs) used for data collection is Pusat Perubatan Universiti Kebangsaan Malaysia approved by the EC. (PPUKM) remains inactive for the time being and hopefully they will up and running soon. Actions Taken The documentations and forms required by the ECs were prepared. As of 15th February 2016, the EC submission dossiers were submitted to Medical Research Ethics Committee (MREC), IJN Ethics Committee (IJN EC) and UMMC Medical Ethics Committee (UMMC MEC) respectively. Prior obtaining EC approval, the participating hub centres are encouraged to report the number of pPCI cases, procedure date and name of referring/spoke hospitals to the MySTEMI Data Centre. pPCI conducted per week within MySTEMI network 3 123 MySTEMI Network Newsletter Issue 1, Feb 2016 PPUKM–IJN–Hospital Ampang: Hubs- Spoke discussion UPCOMING EVENTS PPUKM- IJN- Hospital Ampang initiated hubs-spoke centre discussion on 9th Jan 2016 during LUMEN Global 2016. With the continued commitment MySTEMI network and teamwork, the processes for transferring STEMI patients for Meeting pPCI were established. Hospital th Ampang can now transfer Date: 30 Mar 2016 Wednesday patients with STEMI presented Meeting between Hubs centres, Time: 7.30pm between 8am to 3pm during PPUKM and IJN with Hospital Venue: Le Meridien working days. The transfer Ampang during LUMEN Global Kuala Lumpur process from Hospital Ampang 2016 - from PPUKM Cardiology Unit, Prof. Dr Oteh Maskon and to PPUKM is initiated after team; PPUKM Emergency receiving green light from - Discussion with Central Department, Dr Siti Sarah; Hospital PPUKM cardiologist on-call. In Working Committee, Ampang Emergency Department, Dr the event the patient could not Hub and Spoke Centres Ridzuan Mohd Isa and team; be referred to PPUKM, IJN - Sharing of experience Hospital Ampang Medical would support as a Hub centre Department, Dr Mohd Rahal Yusoff to Hospital Ampang. - Hub-spokes data updates and IJN Cardiology Department, Dr Al Fazir Omar. Data Collection: Query avoidance hints Queries or data discrepancies Hint #1 present potential data problems Review the completeness of and propose resolutions to those MySTEMI form. Kindly take note problems. When are queries for the followings: generated? a. The CORRECT form is used 1. Missing item values for data collection. If the form 2. Variations from an is almost depleted or not expected range available, please contact the 3. Inconsistencies between MySTEMI Data Centre values within the forms/ immediately. multiple forms b. All time points marked with d. Arrival blood pressure at 4. Illegible data/ unclear the RED star (★) are Hub’s Emergency Dept. written entry completed. Kindly pay extra attention to TRANSFER Time Hint #2 For MySTEMI, the TIMELINE to and CONSENT Time. Timely update of the NCVD answer query is within 3 c. Patient’s medical history and ACS and PCI registries for working days. risk factors is completed patients enrolled in MySTEMI. 4 MySTEMI Network Newsletter Issue 1, Feb 2016 MySTEMI Network Program Timeline • MySTEMI updates • Presentaon at MYLIVE • Idenfy • Preparing of challenges abstract • Discussion with Central Working Commiee, Hub and Spoke Centres 15th Dec 2015 early Mar 2016 mid Mar 2016 30th Mar 2016 June 2016 For more information on MySTEMI network. Please contact Alvin Lee at +603-4023 1500 or (email) [email protected] 5 .
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