Below are the suggested Mission: Lifeline criteria and measures for EMS Recognition. The Mission: Lifeline Recognition Program will acknowledge EMS for their efforts to improve quality of care for STEMI patients.This is the second level of involvement.  All achievement measures will be considered in the composite score. All reporting measures will be reviewed and collected but will not be used in the composite score. Currently an expected launch date is still to be determined for the EMS recognition program that will become available through Mission: Lifeline.

 Criteria:
 • 85 percent or greater composite score with no single measure below 75 percent on the following achievement measures for specified periods
• Bronze = 90 consecutive days, Silver = 12 consecutive months, Gold = 24 or more consecutive months
• Annual award period for consideration = January-December
• Annual award submission period = Jan.1-March 31 following year
EMS
Achievement Measures:
1. Percentage of patients with non-traumatic chest pain > 35 years treated by EMS for whom pre-hospital 12-lead electrocardiograms were obtained
2. Percentage of STEMI patients with first pre-hospital medical contact to balloon inflation (first device used) time within 90 minutes (within 30 minutes
for administration of fibrinolytic therapy)
Reporting Measures:
1. Time from symptom onset to EMS dispatch
2. Time from EMS dispatch to vehicle arrival at hospital door
3. Time from first medical contact to balloon inflation (first device used)
4. Percentage of patients with STEMI treated by EMS for whom pre-hospital 12-lead electrocardiograms were obtained
5. Percentage of patients with field diagnosis of STEMI and field activation of the Cardiac Catheterization Laboratory for intended primary PCI