What are we looking to improve?
Acute myocardial infarction (commonly known as heart attack) occurs when the arteries supplying blood to the heart become partially or completely blocked. This blockage then damages or results in the death of the heart muscle. By following Core Measure best practices, we look to improve patient outcomes and prevent future heart attacks.
What strategies/guidelines have we implemented for improvement?
- Administering Percutaneous Coronary Interventions (PCI) within 90 Minutes of Arrival: PCIs are procedures that use catheters to open blocked blood vessels. Delivering this treatment within a short timeframe has been shown to improve results for patients with certain types of heart attacks.
- Administering Aspirin within 24 Hours of Arrival: Aspirin can help prevent blood clots from forming as well as dissolve those that can cause heart attack.
- Prescribing Aspirin at Discharge: While aspirin is not appropriate for all patients, it may be beneficial for most heart attack patients to prevent future episodes.
- Prescribing ACE/ARB at Discharge for Left Ventricular Systolic Dysfunction: Angiotensin Converting Enzyme (ACE) inhibitors and Angiotensin Receptor Blockers (ARB) are medicines that have been shown to reduce blood pressure and strengthen the heart beat. Heart-attack patients typically have better results after taking them.
- Providing Smoking Cessation Counseling: Smoking is linked to heart attack, so quitting may help prevent future attacks.
- Prescribing Beta Blockers at Discharge: Beta Blockers are a type of medicine used to lower blood pressure, treat angina (chest pain) and heart failure, and help prevent heart attack. They also can help reduce damage to the heart muscle after an attack has occurred.
How do we score?
According to 2nd quarter data for 2012:
- 100% of eligible adult heart attack patients with a clogged heart
artery received PCI within 90 minutes of arrival to the hospital.
- 100% of heart attack patients received aspirin within 24 hours of
arrival at the hospital.
- 100% of the time, aspirin was prescribed to heart attack patients
- 100% of eligible heart attack patients with Left Ventricular Systolic
Dysfunction were prescribed ACEs/ARBs at discharge.
- 99% of eligible heart attack patients were prescribed Beta Blockers
The top 10% of hospitals scored 100% for all Core Measures.