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The Joint Commission on Accreditation of Healthcare Organizations’ core measurement data requirements vary among the five sets, but acute myocardial infarction (AMI) is one of the most labor intensive. These are the specific sets of data that must collected from each AMI chart:
• Smoking cessation advice/counseling — AMI patients with a history of smoking, who are given smoking cessation advice or counseling during hospitalization.
• Aspirin at arrival — AMI patients who are given aspirin within 24 hours of arrival or within 24 hours prior to arrival at the hospital.
• Reperfusion therapy — Timely reperfusion (opening blocked arteries) of eligible AMI patients; time from arrival to initiation of thrombolysis medication administration.
• Reperfusion therapy — Time from arrival to initiation of primary percutaneous transluminal coronary angioplasty.
• Aspirin at discharge — AMI patients who are prescribed aspirin at discharge from the hospital.
• Beta-blocker at arrival — AMI patients who receive beta-blocker medication within the first 24 hours of arrival to the hospital.
• Patients with left ventricular ejection fraction (LVEF) less than 40% prescribed angiotensin converting enzyme inhibitors (ACEI) at discharge — Ensuring that appropriate patients are given an effective treatment for AMI. The rate of patients with AMI and LVEF less than 40% discharged on ACE inhibitors.
• Beta-blocker at discharge — AMI patients who are ideal candidates for beta-blocker medication who are given a prescription for beta-blockers at discharge.
• Inpatient mortality — Patients with a primary diagnosis of AMI who expire during hospitalization.