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AMI Quality Measures
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Acute myocardial infarction (AMI) is the medical term for a heart attack. It occurs when blood flow to the heart is blocked, and oxygen cannot reach the heart. Without proper treatment, a heart attack can result in death. Learn more about AMI.

There are proven standards of care that improve a person’s chance of surviving a heart attack and having a good quality of life afterward. Those standards are listed in the first column of the table below. Click on each term to learn what it means. The next columns show how often Memorial University Medical Center provided these standards of care for heart attack patients. A higher score is better.

The graphs below the table show how Memorial compares to other hospitals nationwide.

  2006
Total		 2007
Total		 2008
Total		 2009
Total		 2010
Total		 2011
Jan. - Sept.
Quality Measure (Click on each term to learn more)
ASA on Arrival 99.52% 100% 100% 100% 98.96% 100%
ASA on DC 99.45% 98.02% 98.85% 96.68% 97.36% 97.60%
ACEI for LVSD 92.86% 93.33% 97.44% 100% 96.23% 97.14%
LDL Assessment Not tracked uhtil 2008 Not tracked until 2008 81.73% 87.26% 94.84% 100%
LLT on DC Not tracked until 2008 Not tracked until 2008 99.10% 95.24% 98.48% 100%
Smoking Cessation 98.70% 99.17% 100% 100% 100% 100%
Beta Blocker on Arrival 98.30% 97.56% 95.69% This measure
is no longer tracked		 This measure
is no longer tracked		 This measure
is no longer tracked
Beta Blocker on DC 99.22% 98.85% 98.78% 98.48% 98.04% 98.98%
Primary PCI in 90 Minutes 71.19% 75% 80.43% 90% 91.89% 85.37%

Memorial Health Vs. National Average

The graphs below show how Memorial Health compares to other hospitals nationwide. The national average is pulled from all hospitals submitting data to the Centers for Medicare and Medicaid Services (CMS) during a specific timeframe. The numbers below represent 2010 data. Click on the blue tabs to see the average for each category. A higher number is better.

  • ASA on Arrival
  • ASA on DC
  • ACEI for LVSD
  • Smoking Cessation
  • Beta Blocker on Discharge
  • Primary PCI in 90 Minutes

Aspirin on Arrival

Quality Measure Percentage of heart attack patients who received aspirin within 24 hours of arriving at Memorial University Medical Center.
Why is this important? Aspirin can help break up blood clots and prevent new ones from forming. It may reduce the severity of a heart attack.

 


Aspirin on Discharge

Quality Measure Percentage of heart attack patients who were prescribed regular aspirin use when they were discharged from Memorial University Medical Center.
Why is this important? Regular aspirin use may reduce the risk of another heart attack.

 


ACE Inhibitor for Left Ventricular Systolic Dysfunction

Quality Measure Percentage of people with left ventricular systolic dysfunction who were prescribed ACE inhibitors or ARBs when they were discharged from Memorial University Medical Center.
Why is this important? Angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) are drugs that are especially helpful for people with damage on the left side of their heart (left ventricular systolic dysfunction). Both ACE inhibitors and ARBs can help reduce the risk of death after a heart attack by lowering blood pressure.

 


Smoking Cessation

Quality Measure Percentage of heart attack patients who received information to help them stop smoking before they were discharged from Memorial University Medical Center.
Why is this important? Smoking increases the risk of heart attack. Patients who successfully quit smoking may reduce their risk of having a second heart attack.

 


Beta Blocker on Discharge

Quality Measure Percentage of heart attack patients who were prescribed a beta blocker drug when discharged from the hospital.
Why is this important? Beta blockers lower blood pressure, slow the heart rate, and open blood vessels throughout the body.

 


Primary Percutaneous Coronary Intervention in 90 Minutes

Quality Measure Percentage of heart attack patients who received a percutaneous coronary intervention (PCI) within 90 minutes of arriving at the hospital.
Why is this important? Another name for PCI is angioplasty. It involves inserting a small tube into a vessel in the leg, threading the tube up to the heart, and inflating a small balloon on the end of the tube to open blocked vessels. Patients who need a “primary” PCI are facing an extremely urgent situation and must have balloon angioplasty within 90 minutes of arriving at the hospital. This timeframe is known as “door-to-balloon time” and can mean the difference between life and death.

 

 

  
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Memorial University Medical Center hospital campus: 4700 Waters Avenue, Savannah, GA 31404 - 912-350-8000