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Tyler Kahle Video Viewership and Distribution

Since the “Aortic Dissection at Any Age: Tyler Kahle Story” debuted in August 2007, it has been viewed online more than 12,800 times by people in 53 countries and all 50 U.S. states – and average of 14 viewings each day.  Since the capability to download the video online was added in mid-2009, the video has been downloaded an average of 52 times a month.

Methodist has distributed approximately 2,500 copies of the Tyler Kahle video in DVD format, many in response to requests that come to www.bestcare.org/Tyler. DVDs were also provided to all emergency departments Nebraska an Iowa and to numerous professional organizations, including the Institute for Healthcare Improvement, Iowa Healthcare Collaborative and National Marfan Foundation Emergency Medicine Campaign.

Videos were provided to attendees at conference sessions where MHS representatives presented the video, including:

• 2007 IHI National Forum on Quality Improvement Learning Lab
• 2008 Nebraska Academy of Family Physicians Annual Meeting
• 2008 American Society for Healthcare Risk Management (ASHRM) Conference
• 2008 Zurich Health Care Symposium in Dallas
• 2009 Iowa Healthcare Collaborative Patient Safety Conference
• 2009 Northern California ASHRM Conference
• 2009 Southern California ASHRM Conference
• 2009 North Texas Society for Health Care Risk Management Conference

Leading change in emergency departments nationwide

In 2009, Methodist appealed to the CEOs of 28 companies that sell emergency department information system (EDIS) software, urging them to learn from our experience and modify their ED chest pain clinical decision support to include the Methodist aortic dissection bundle developed by Anton Piskac, MD, MHS Vice President of Performance Improvement.

McKesson, one of the nation’s leading health care services companies, has agreed to incorporate the bundle in their next software upgrade. This means two of the major five EDIS vendors will use the bundle: McKesson and Cerner, since Cerner made the change for Methodist and all Cerner clients at Methodist’s request. We have recontacted the other vendors to urge them to follow suit.

TAD Coalition participation

We are continuing to work together with Tyler’s mother, Deb McMillan; the National Marfan Foundation; John Ritter Foundation for Aortic Health; Ehlers-Danlos Foundation; Loeys-Dietz Syndrome Foundation; GenTAC; International Registry of Acute Aortic Dissection; Dr. Dianna Milewicz at the University of Texas Medical School and other physicians.

They are involved in writing the new guidelines for proper management of thoracic aortic dissection that will be published by the American College of Cardiology and American Heart Association, perhaps as early as March 2010.

Methodist is the only community hospital or health system currently involved in this new group taking shape: the Thoracic Aortic Disease (TAD) Coalition. The TAD Coalition, working in collaboration with the American Heart Association, will raise awareness nationwide of the new treatment guidelines and help empower other health care providers to understand and act appropriately on the knowledge that aortic dissection can occur at any age. While the final text of the new guidelines is not yet available, we have been assured that the language will be in keeping with Methodist’s aortic dissection bundle.

Methodist Hospital Foundation support

Methodist is committed to fulfilling our promise to Deb McMillan to take what we have learned beyond our doors to prevent similar tragedies at other institutions. Funding to enable Methodist to continue to carry the message forward, including support of the TAD Coalition, has been provided by Methodist Hospital Foundation.

Watch the video and learn more at www.bestcare.org/Tyler.