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Improve Care for Acute Myocardial Infarction

One of the primary goals of the 5 Million Lives Campaign is to offer participants as many useful resources as we can.  Please take advantage of these documents and tools.  All Campaign materials are available for you to download for free.  Note that certain documents require registration on IHI.org.  Registration is quick, easy, and free.

 

Getting Started Kit

 Updated How-to Guide with instructions for implementing the change in your organization, including changes and measures.

 PowerPoint presentation with Facilitator Notes to introduce and explain the intervention in your organization.

 Updated Annotated Bibliography

National Heart Care Annotated Bibliography

Download a one page summary

 

Campaign Mentor Hospitals

The organizations on the Campaign Mentor Hospital Registry have volunteered to provide support, advice, clinical expertise, and tips to hospitals seeking help with their implementation efforts. 

Improve Care for Acute Myocardial Infarction Campaign Mentor Hosptials

 

 Tools

Tools for hospitals working to improve care for acute myocardial infarction.

Cardiac Discharge Contract

Acute Myocardial Infarction Checklist/Schedule

Improve Care for Acute Myocardial Infarction: A Fact Sheet for Patients and Families

Improve Care for Acute Myocardial Infarction: A Fact Sheet for Patients and Families - Spanish Translation

 

 Measurement Information Forms

Detailed information on the process and outcome measures outlined in the How-to Guide. 

ACEI or ARB for LVSD

AMI Inpatient Mortality

Aspirin at Arrival

Aspirin at Discharge

Beta Blocker at Arrival

Beta Blocker at Discharge

PCI Received Within 120 Minutes of Hospital Arrival

Perfect Care

Smoking Cessation

Thrombolytic Agent Received Within 30 Minutes of Hospital

 

 Improvement Stories

Read improvement stories and learn how others have succeeded in improving care for acute myocardial infarction. 

Learn how DuBois Regional Medical Center has improved outcomes for AMI patients

Read about hospitals delivering timely, reliable AMI care

By implementing a discharge medication program including key AMI measures, Intermountain Health Care, Salt Lake City, UT, was able to achieve greater than 90 percent compliance with aspirin and beta-blocker guidelines among AMI patients.

  • Lappe JM, Muhlestein JB, Lappe DL, et al.  Improvements in 1-year cardiovascular clinical outcomes associated with a hospital-based discharge medication program.  Ann Intern Med. 2004;141:446-453.

Through their Cardiac Service Line, Hackensack University Medical Center, Hackensack, NJ, developed standardized processes for AMI care, resulting in an increase in the composite AMI score as calculated by CMS (aggregate of the key measures). The composite score increased from an average of 72 percent in the first quarter of 2003 to an average of 91 percent by the fourth quarter of 2003, resulting in a decrease in AMI inpatient mortality from 7 percent to 5.2 percent in the same time period.

  • Hackensack University Medical Center AMI Report, Sept 10, 2004.

By developing protocols based on the evidence, McLeod Regional Medical Center, Florence, NC, increased the percent of patients who received “perfect care” (all AMI key measures) from 80 percent in January 2001 to 100 percent by November 2003. This has reduced average inpatient mortality rate for AMI to 4 percent for the past year, below the CMS reported average of 7 percent in 2003.

  • McLeod Regional Medical Center Storyboard for the 2004 IHI National Forum.

 

 Resources

Other resources available to help your quality improvement efforts. 

Join an Acute Myocardial Infarction Web Discussion

CMS National Acute Myocardial Infarction Project

JCAHO Core Measures: Change Announcement

American College of Cardiology

Improvement Methods

Web-based Training: The Model for Improvement (there is a fee associated with this training)

 

Call Recordings

Recordings of Campaign calls on improving care for acute myocardial infarction.

 March 9, 2005 - Informational Call

 July 25, 2005 - Follow-up call

 February 3, 2006 - Office Hours

 April 18, 2006 - Office Hours

 August 1, 2006 - Office Hours

 September 28, 2006 - Office Hours

 February 13, 2007 - Office Hours

May 31, 2007 - Office Hours

 October 18, 2007 - Office Hours

 February 7, 2008 - Office Hours

 

National Action Day Materials

On June 20, 2007 over 35,000 participants focused their attention on getting results faster and more reliably.  Materials used during the improving care for acute myocardial infarction session are available for download.

Acute Myocardial Infarction Session Recording

PPT Slides, Slides as Handouts, Changes Made Worksheet, Changes Planned Worksheet, Blank Planning Worksheet

 

 Contact

For more information contact:

Fran Griffin, RRT, MPA
Email: fgriffin@ihi.org
Phone: (732) 869-0533