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Acute myocardial infarction (AMI) or heart attack, is still the leading cause of death in the United States and most industrialized countries. According to the American Heart Association, about 700,000 Americans will have their first heart attack this year, and another 500,000 will have a recurrence. Almost half will die.1 According to one report from the Centers for Disease Control (CDC), almost half of the deaths from heart attack are likely to occur before patients receive emergency or hospital care.2
Performance Measures
Crozer-Keystone’s EBM Task Force began working to improve the care of the AMI patient in 2001. In 2002, the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) and the Centers for Medicare and Medicaid Services (CMS) issued a guideline containing eight measures for the treatment of AMI in hospitals.
CKHS participates and publicly reports performance for the following measures.
Percent of patients given:
References
1. American Heart Association, Heart Disease and Stroke Statistics - 2004 Update. Dallas, TX; AHA, 2003. http://www.americanheart.org/downloadable/
heart/1105390918119HDSStats2005Update.pdf
2. ZJ Zheng et al, "State-Specific Mortality from Sudden Cardiac Death - United States, 1999." MMWR Vol. 51, No. 6 (2002); pages 123 - 126.
Related Information
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Donahue, Mary Ann T., RN, APN.C, PhD, “Evidence-based Care for Acute Myocardial Infarction.” Nursing Management 36(8):23-27, August 2005.
Abstract
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Bradley, Elizabeth H., PhD., et al., “Achieving Door-to-Balloon Times that Meet Quality Guidelines.” Journal of the American College of Cardiology 2005 Oct 4;46(7):1236-41.
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