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(Circulation. 2006;113:732-761.)
© 2006 American Heart Association, Inc.

ACC/AHA Performance Measures

ACC/AHA Clinical Performance Measures for Adults With ST-Elevation and Non–ST-Elevation Myocardial Infarction

A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures (Writing Committee to Develop Performance Measures on ST-Elevation and Non–ST-Elevation Myocardial Infarction)

WRITING COMMITTEE: Harlan M. Krumholz, MD, FACC, FAHA, Chair; Jeffrey L. Anderson, MD, FACC, FAHA; Neil H. Brooks, MD, FAAFP; Francis M. Fesmire, MD, FACEP; Costas T. Lambrew, MD, MACC; Mary Beth Landrum, PhD; W. Douglas Weaver, MD, FACC, FAHA; John Whyte, MD, MPH

TASK FORCE MEMBERS: Robert O. Bonow, MD, FACC, FAHA, Chair; Susan J. Bennett, DNSC, RN, FAAN, FAHA; Gregory Burke, MD, MS, FAHA; Kim A. Eagle, MD, FACC, FAHA, Chair^*; Harlan M. Krumholz, MD, FACC, FAHA; Costas T. Lambrew, MD, MACC; Jane Linderbaum, NP; Frederick A. Masoudi, MD, FACC, FAHA; Sharon-Lise T. Normand, PhD, MSC, FACC; Ileana L. Piña, MD, FACC; Martha J. Radford, MD, FACC, FAHA; John S. Rumsfeld, MD, PhD, FACC; James L. Ritchie, MD, FACC; John A. Spertus, MD, MPH, FACC

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	TABLE OF CONTENTS

 

Preamble 733

I. Introduction 735

   A. Scope of the Problem 735

   B. Writing Committee Structure/Members 735

   C. Independence/Relationships With Industry Disclosure 735

   D. Review/Endorsement 735

II. Methodology 735

   A. Definition of STEMI/NSTEMI 735

   B. Dimensions of Care 736

   C. Literature Review 736

   D. Definition and Selection of Measures 736

III. STEMI/NSTEMI Performance Measures 737

   A. Inpatient Population and Care Period 737

   B. Brief Summary of the Measurement Set 737

   C. Data Collection 738

IV. Discussion 738

   A. Addition of ARBs to ACEI Measure 738

   B. Median Versus Mean—Time to Fibrinolytic Therapy and Time to Primary PCI Measures 739

   C. New Standard for Time to Primary PCI Measure 739

   D. New Reperfusion Therapy Measure 739

Appendix A: ACC/AHA STEMI/NSTEMI Measurement Set Specifications 740

Appendix B: Sample Rating Form and Guide 754

Appendix C: Relationships With Industry—Writing Committee 756

Appendix D: Relationships With Industry—Peer Reviewers 757

References 760

	PREAMBLE

 
Medicine is experiencing an unprecedented focus on quantifying and improving health care quality. The American College of Cardiology (ACC) and the American Heart Association (AHA) have developed a multi-faceted strategy to facilitate the process of improving clinical care. The initial phase of this effort was to create clinical practice guidelines that carefully review and synthesize available evidence to better guide patient care. Such guidelines are written in a spirit of suggesting diagnostic or therapeutic interventions for patients in most circumstances. Accordingly, significant judgment by clinicians is required to adapt these guidelines to the care of individual patients, and these guidelines can be generated with . . . [Full Text of this Article]

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