Acute Myocardial Infarction

Indicator How to be Compliant Responsible Physician
ASA at Arrival

Order ASA within first 24 hours of arrival OR

Document contraindication to ASA

  • ED
  • Attending
ASA Prescribed at Discharge

Order ASA at discharge OR

Document contraindication to ASA

  • Cardiologist
  • Attending
  • Discharging Physician
ACE/ARB for LVSD at Discharge

Order ACE or ARB at discharge OR

Document contraindications to ACE and/or ARB

  • Discharging Physician
Beta Blocker at Arrival

Order BB within first 24 hours of arrival OR

Document contraindication to BB

  • ED
  • Attending
Beta Blocker at Discharge

Order BB at discharge OR

Document contraindication to BB

  • Cardiologist
  • Attending
  • Discharging Physician
PCI Received within 90 Minutes of Arrival

ED: no delays in assessments

Cardiologist: respond to alerts within time frames designated

  • ED
  • Cardiologist
Smoking Cessation Counseling If patient has smoked at all in past 12 months, provide smoking cessation counseling
  • Attending
  • Discharging Physician