Acute Myocardial Infarction

A heart attack (also called an AMI or acute myocardial infarction) happens when the arteries leading to the heart become blocked and the blood supply is slowed or stopped. These quality measures show some of the standards of care provided, if appropriate, to someone who has a heart attack. These tables include six months of data beyond what is available on the CMS Hospital Compare Web site.

Although we lead the nation in our average door to balloon time of 53 minutes, the rest of the measures in this heart attack bundle are equally important in the care of the our heart attack patients, especially arrival and discharge medications. With the preliminary success and increase in core measure compliancy with the Heart Failure Initiative, a similar approach was taken. A similar method of a multi disciplinary, real time auditing process was initiated on the cardiac floors for these measures that patient care staff could impact.

Performance Key
within the top 10% in nation at or better than national average below national average NA = Data is not applicable
Number of Acute Myocardial Infarction (AMI) Patients # # # # #
October '08 - September '09 587 0 141 NA NA
October '09 - March '10 286 1 81 NA NA
Number of Outpatient Acute Myocardial Infarction (AMI) Patients # # # # #
July '08 - September '09 22 46 69 NA NA
October '09 - March '10 14 29 26 NA NA
Percent of AMI Patients Given ACE Inhibitor or ARB for Left Ventricular Systolic Dysfuntion (LVSD) % % % % %
October '08 - September '09 94 NA 99 92 100
October '09 - March '10 100 NA 100 NA NA
Percent of AMI Patients Given Aspirin at Arrival % % % % %
October '08 - September '09 99 NA 97 95 100
October '09 - March '10 97 NA 100 NA NA
Percent of AMI Patients Given Aspirin at Discharge % % % % %
October '08 - September '09 99 NA 99 94 100
October '09 - March '10 100 NA 100 NA NA
Percent of AMI Patients Given Beta Blocker at Discharge % % % % %
October '08 - September '09 97 NA 97 94 100
October '09 - March '10 99 NA 100 NA NA
Percent of AMI Patients Given PCI Within 90 Minutes of Arrival % % % % %
October '08 - September '09 95 NA 88 82 100
October '09 - March '10 92 NA 91 NA NA
Percent of AMI Patients Given Smoking Cessation Advice/Counseling % % % % %
October '08 - September '09 100 NA 100 96 100
October '09 - March '10 100 NA 100 NA NA
Percent of AMI Patients Receiving Optimal Care ("All-or-None Bundle") % % % % %
October '08 - September '09 93 NA 90 NA NA
October '09 - March '10 97 NA 98 NA NA
Average Number of Minutes before Outpatients Transferred to Another Hospital # # # # #
July '08 - September '09 NA NA NA NA NA
October '09 - March '10 NA NA NA NA NA
Average Number of Minutes before Outpatients Received an ECG # # # # #
July '08 - September '09 NA1 NA1 6 43 4
October '09 - March '10 NA1 NA1 9 NA NA
Percent of AMI Outpatients who Received drugs to break up Blood Clots within 30 Minutes of Arrival % % % % %
July '08 - September '09 NA NA1 NA2 47 100
October '09 - March '10 NA NA1 NA NA NA
Percent of AMI Outpatients who Received Aspirin within 24 Hours of Arrival or Prior to Transfer % % % % %
July '08 - September '09 NA1 NA1 96 93 100
October '09 - March '10 NA NA 100 NA NA

1The number of cases for this indicator was too small to be sure how well the hospital was performing.
2"0 Patients" -- No patients met the criterion for inclusion in this indicator.

Data Last Updated: May 25, 2010
Page Last Updated: July 12, 2010

View Acute Myocardial Infarction Glossary.

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