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