The Manitoba Acute Coronary Syndrome (ACS) Network has introduced optimization and standardization in the care of coronary artery disease across the province. After implementing 17 provincial standards based on national and international guidelines, the Network has helped ensure patients are receiving harmonized therapy while identifying targets for improving patient care.
The standards created by the Network have helped improve patient care in both Winnipeg and rural communities. They ensure rapid identification of ST-Elevation Myocardial Infarction (STEMI) and patient transport to the Cardiac Centre for therapy.
The care processes outlined empower clinicians to make critical decisions to avoid treatment delays and improve patient outcomes. Collaborative partnerships with provincial and federal stakeholders have helped advocate for ACS resources in remote Manitoba communities, including immediate access to fibrinolytic agents and point of care troponin testing.
Numerous partnerships have helped the Network effectively communicate evidence-based clinical practice for treating ACS patients, gain a better understanding of the barriers faced in treatment across various Manitoba regions and share electronic data so clinic metrics and outcomes can be tracked and reported on.
Since implementation, the ACS Network has seen a reduction in STEMI and NSTEMI mortality rates. Time between first contact, identification and intervention has also been reduced.
Emergency Response Services (ERS) now perform ECGs when reporting for 911 calls related to chest pain. If a STEMI is diagnosed, they are able to avoid a trip to the emergency department and bring the patient directly to the Heart Cath Lab for treatment. This work has now been expanded to Southern Health-Santé Sud and Interlake Regional Health Authority.