Mission: Lifeline® EMS Recognition

Mission: Lifeline EMS recognition is a program designed to showcase Emergency Medical Service organizations across the nation for excellent STEMI care. Prehospital personnel are the first providers of care to patients suffering from cardiac emergencies. The role of EMS in the system-of-care for these patients is crucial and often sets the course for the patient's outcome. The Mission: Lifeline EMS recognition program is launched in 2014 and continues to celebrate the achievement of the pre-hospital providers and their collaboration with each other and destination hospitals specific to STEMI patient care.

Why Participate in Mission: Lifeline EMS Recognition?

Mission: Lifeline connects EMS providers, referring (non-PCI) hospitals and receiving (PCI-capable) centers in a coordinated system of care. The program also assists EMS agencies in getting the feedback needed to understand how the system of care is working and provides evidence-based metrics to measure the system's performance.

On behalf of the American Heart Association, congratulations to all EMS agencies who achieved a 2018 Mission: Lifeline EMS award. Join the Mission: Lifeline Network and access the interactive map of the 2018 award achieving agencies. Already a member? Access the interactive map here.

*New for 2019 Mission: Lifeline EMS Recognition*

The Mission: Lifeline team at the American Heart Association is excited to announce a new more interactive and efficient way to collect data, receive quality improvement consultative services and apply for EMS recognition. EMS agencies will now be able to submit the required data for Mission: Lifeline EMS recognition on a regular (quarterly) basis.

Join Us for an "Ask AHA" event in the Mission: Lifeline Network Community page on September 28th, 2018 and/or join us on October 11, 2018 for the 2019 Mission: Lifeline EMS Recognition Webinar (PDF) to learn more about opportunities for recognition.

EMS agencies are provided, via email, a unique recognition application link that will provide access to an open-ended application where data can be submitted on quarterly, bi-annual or yearly basis. All data is automatically saved within the application when the browser is closed, and applicants can return to the form as needed to enter data, make corrections, etc. All measure data will be reported by quarter and after entering data for the quarter, applicants can see their measure adherence percentages for the corresponding quarter.

Helpful Hints with navigating this new recognition application process:

  • Data must be entered for all required achievement measures
  • Achievement measures that do not apply due to the transport destination hospital type selected (i.e. receiving center vs. referring hospitals)
  • Data entered will be exported on a quarterly basis for review by local AHA staff.
  • Data submitted is confidential
  • When the denominator or numerator equals “0” – zero, percentages may show 0%, this does not reflect measure adherence, but reflects no patients.
  • Review the inclusions and exclusions for each measure to ensure the appropriate patient population is accounted for in each of the measures.
  • Volume requirement must be met with Measure 3 and/or Measure 4. Exclusions do not affect volume as it relates to the minimum volume requirements.
  • The PLUS Measure is required for reporting but is not included in the review for overall award level achievement.
  • Reporting Measures are OPTIONAL and are not required to achieve recognition. No reporting measure data will be considered when determining eligibility for recognition. All reporting measures will be reported as annual numerators, denominators and percentages and are located in the application after Q4 recognition measures.

Prior to the end of the recognition application submission period, April 2, 2019, agencies can review the completed form and submit it for recognition analysis. Once the application is “submitted”, the unique link used to access the application will be inactive. An application can be re-accessed after it has been submitted only through requesting a new application link,  To make the request, email MissionLifeline@heart.org or contact the local AHA Quality Improvement Director. Requests to re-access the application after April 2, 2019, will be handled on a case by case basis.

For agencies who have not received a unique 2019 Mission: Lifeline EMS application link or for applicants that did not participate in the EMS recognition program last year, please complete the 2019 Mission: Lifeline EMS Recognition Application Link Request and a link will be provided and emailed within two business days.

2019 Mission: Lifeline EMS Recognition Measures

There are four required Mission: Lifeline EMS recognition measures and one optional plus measure. The table below is a quick glimpse at these measures and the impact each have on the care and outcomes of the patient.

2019 Mission: Lifeline EMS Recognition Measure Measure Impact to Care and Outcomes
Measure 1: 12 Lead ECG Acquisition Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion
Measure 2: EMS FMC 12 Lead ECG acquisition ≤10 Minutes Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion
Measure 3: EMS FMC to PCI ≤90 minutes and/or EMS FMC to PCI ≤120 minutes when transport time ≥45 minutes and Door to Balloon ≤30 minutes Coordination of care between EMS and the STEMI Referring hospitals
Measure 4: EMS Arrival at STEMI Referring Hospital to Lytic administration ≤30 minutes or EMS FMC to PCI of the transfer patient ≤120 minutes Coordination of care between EMS and the STEMI Referring hospitals
Plus Measure (Optional): Percentage of 12 Lead ECG's performed within 10 minutes of EMS FMC on patients with chest pain/ACS symptoms who are ≥35 years of age Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion

Through Mission: Lifeline STEMI Systems of Care work, it has been recognized that the Systems of Care approach can be and should be applied to other urgent, time-critical disease states such as stroke and Out of Hospital Cardiac Arrest (OOHCA). Therefore, four optional EMS reporting measures focused on STEMI, stroke and OOCHA, are included in the 2019 Mission: Lifeline EM Recognition application to assist with broadening the Quality Improvement review process in the pre-hospital environment across time-sensitive disease states. All 2019 Mission: Lifeline EMS reporting measures can be found in the 2019 Mission: Lifeline EMS Recognition Criteria document to review those measures.

2019 Mission: Lifeline EMS Recognition Tools and Resources

Get Involved in the Mission: Lifeline Social Community Today

  1. Join the Mission: Lifeline Network and engage with other EMS agencies and hospitals participating in Mission: Lifeline. This network is free of charge and is an open forum for connecting with peers, best practice sharing, receiving guideline and Mission: Lifeline program updates, announcements and other useful information regarding systems of care.
  2. Like our Mission: Lifeline Facebook page and connect with us via social media.
  3. Reach out to MissionLifeline@heart.org or your local AHA representative and get assistance with data collection and review as well as more information on local events, regional meetings, etc.