Ideal STEMI-System

In the ideal STEMI system of care,
all parties with a vested interest in the treatment of STEMI patients - from EMS providers to cardiologists, from hospital administrators to policymakers and from third-party payers to the public - share a common belief that quality and timely patient care is the top priority. There is a mutual respect for the critical role of each player in the STEMI system. Individual parties are not out to promote their own self-serving interests. Rather, everyone works together to build a consensus on what the ideal STEMI system looks like for their region, considering its unique challenges.

Learn more about what each player looks like in the ideal STEMI system of care.

Refer to the Mission: Lifeline recommendations below for outcomes and measurements.

	Regional STEMI System Progress Measures	Data Collection Tool

Structure	Number of STEMI systems in place	AHA STEMI System Registry
	Number of STEMI Systems that participate in national EMS, MI and PCI data collection and feedback systems	NSTR*

Process	Number of STEMI Systems have routine regional participant meeting	AHA STEMI System Registry
	Number of STEMI Systems exchanging process and outcome data and strategies among peer centers	AHA STEMI System Registry

Outcomes	In hospital risk-adjusted mortality for STEMI patients in System	NSTR*
	Longitudinal outcome: 30-day, 1-year (risk-adjusted) mortality	CMS
	In hospital mortality for all MI patients (STEMI and Non-STEMI)	NSTR*
	Longitudinal outcome: 30-day, 1-year (risk-adjusted) mortality	CMS
	(Longitudinal outcomes might be obtained 30-day and 1 yr (at least for 65+ by merging clinical registry data ACS or Cath PCI with CMS data.)
	Percent of false positive cath lab activation
	Percent death in transfer
	Percent “satisfied” of patient satisfaction scores for quality and collaboration
	Changes in individual hospital STEMI costs (based on Medicare cost to charge data)	CMS
	Changes in System STEMI charges *