Mission: Lifeline® Hospital STEMI and NSTEMI Recognition

Since 2010, the AHA's Mission: Lifeline® program has recognized hospitals for their outstanding performance in high quality systems care performance by meeting or exceeding guideline therapy recommendations in treating patients presenting with STEMI heart attacks and introduced NSTEMI recognition in 2016

Get With The Guidelines®- Coronary Artery Disease (CAD) fully supports Mission: Lifeline Systems of Care cardiovascular quality improvement activities and is the sole data source analyzed for Mission: Lifeline STEMI and NSTEMI Recognition. 

For more information, contact missionlifeline@heart.org


ENROLL IN GET WITH THE GUIDELINES®- CORONARY ARTERY DISEASE TODAY


NEW Updated Information for 2020 Mission: Lifeline Hospital Recognition Measures

The Mission: Lifeline recognition program will be transitioning to new sets of recognition measures for the STEMI Receiving Centers and Referring Hospitals. The transition will begin to occur with discharges beginning January 1, 2019.

In preparation for the STEMI Receiving Centers transition, the measures will be analyzed as shown in the table below for 2020 Mission: Lifeline recognition which looks at patients discharged between January 1, 2019 and December 31, 2019.

Mission: Lifeline STEMI Receiving Center Recognition Measures

2020 Measures Minimum Adherence Score (January 1 - December 31, 2019 Discharges) 

% Arrival to PCI ≤90 Minutes 75%
% Mission: Lifeline EMS FMC to PCI ≤90 Minutes or ≤120 Minutes when transport time is prolonged 75%
% Aspirin at Discharge 75%
% Beta Blocker at Discharge 75%
% Statin or Lipid Lowering Drug at Discharge (LDL>100) 75%
% ACEI/ARB at Discharge 75%

Mission: Lifeline PLUS Measure % Arrival at 1st Facility to PCI ≤120 Minutes

75%

2020/2021 Transitional Measures Must meet minimum adherence in at least 2 measures out of the 4 measures shown below 
% Aspirin at Arrival 75%
% Smoking Cessation Counseling 75% 
% Arrival to 12 Lead EG Acquisition ≤10 Minutes  85%
% Cardiac Rehab Referral from Inpatient Setting  75%

Additional STEMI Receiving Center Measure Updates:

  1. The current Mission: Lifeline STEMI Receiving Center Plus Measure will be moved to a required recognition measures beginning with January 1, 2020 discharges. The required Arrival at First Facility to PCI recognition measure’s minimum adherence percent will be 60%.
  2. Beginning with January 1, 2020 discharges, the new Mission: Lifeline STEMI Receiving Center Plus Measure will be: FMC at or before (first) hospital arrival to PCI within 120 minutes or less for patients transferred in for primary PCI. The minimum adherence score needed to meet the measure will be 50%.
  3. The High Intensity Statin Therapy at Discharge measure will be added to the reporting measure groups for both STEMI Receiving Centers and Referring Hospitals in June 2019. Beginning with January 1, 2020 discharges, the High Intensive Statin Therapy at Discharge will be required for STEMI recognition and the Statin Therapy at Discharge measure will be retired.
Mission: Lifeline STEMI Referring Hospital Recognition Measures 2020 Measures Minimum Adherence Score (January 1, 2019 - December 31, 2019 Discharges)
% Arrival to 12 Lead EG Acquisition ≤10 Minutes 75%
% Arrival to Fibrinolytic Administration ≤30 Minutes 75%
% Door In-Door Out ≤45 Minutes 75%
% Aspirin at Arrival 75%
% Aspirin at Discharge 75%
% Beta Blocker at Discharge 75%
% Statin or Lipid Lowering Drug at Discharge (LDL>100) 75%
% ACEI/ARB at Discharge 75%
% Smoking Cessation Counseling 75%
New Mission: Lifeline Referring PLUS Measure % Door In-Door Out <30 Minutes 75%

EXCITING ANNOUNCEMENT: The AHA has launched a new GWTG-CAD STEMI Referring Form which fully supports the new AHA/TJC Acute Heart Attack Ready Certification and Mission: Lifeline STEMI Referring Hospital recognition. 

Visit  Get With The Guidelines - Coronary Artery Disease for more information regarding the GWTG-CAD STEMI Referring Form.

Additional STEMI Referring Hospital Measure Updates:

The High Intensity Statin Therapy at Discharge measure will be added to the reporting measure groups for both STEMI Receiving Centers and Referring Hospitals starting June 2019. Beginning with January 1, 2020 discharges, the High Intensive Statin Therapy at Discharge will be required for STEMI recognition Statin Therapy at Discharge measure will be retired.

Mission: Lifeline NSTEMI Measures 2019 Discharges 2020 Discharges
ECG within 10 Minutes of Arrival for NSTE-ACS New NSTEMI Reporting Measure Remain NSTEMI Reporting Measure
Early Cardiac Troponin Measurement (within 6 hours of arrival) NA New NSTEMI Reporting Measure
Risk Stratification of NSTE-ACS Patients with a Risk Score NA New NSTEMI Reporting Measure
Early Invasive Strategy (Within 24 hours) for High-Risk NSTE-ACS Patient NA New NSTEMI Reporting Measure
Cardiac Rehab Referral from inpatient setting Remain Recognition Measure Remain Recognition Measure
Dual Antiplatelet Therapy Prescribed at Discharge Remain Recognition Measure Remain Recognition Measure
ACE/ARB at Discharge Remain Recognition Measure Remain Recognition Measure
Evaluation of LV Systolic Function Remain Recognition Measure Remain Recognition Measure
Adult Smoking Cessation advice / Counseling Remain Recognition Measure Remain Recognition Measure
High Intensity Statin Therapy New Reporting Measure Remain Reporting Measure

 

Mission: Lifeline Reporting Measures

All measures below are provided as additional metrics for STEMI Receiving Centers. Any one or more of the reporting measures may become recognition measures in the future, but as reporting measures, they are not used in Mission: Lifeline recognition analysis.

Reporting Measure 1:  % of transfer in for PCI patients with 12 Lead ECG acquired within 10 minutes of Arrival at the STEMI Referring hospital(s) 
Reporting Measure 2:  % of transfer in for PCI patients with Arrival to STEMI Referring hospital(s) to Transfer Out for PCI within 45 minutes (Door In-Door Out)
Reporting Measure 3:  % of STEMI patients for whom Cath Lab Activation occurred prior to EMS arrival, when EMS provided pre-hospital notification
Reporting Measure 4:  % 12 Lead ECG within 10 minutes of Arrival at the STEMI Receiving Center
Reporting Measure 5:  % ED Length of stay ≤30 minutes
Reporting Measure 6:  % Cardiac Rehabilitation Patient Referral from an Inpatient Setting
   

Get Involved in the Mission: Lifeline Social Community Today

  1. Join the Mission: Lifeline Network and engage with 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(link opens in new window) 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.

Mission: Lifeline STEMI Accreditation

The American Heart Association's Mission: Lifeline® STEMI Accreditation denotes the highest level of commitment to consistent and optimal STEMI care at the system level. This accreditation was developed in conjunction with Mission: Lifeline and recognizes hospitals that meet specific standards as STEMI (Heart Attack) Receiving Centers or Referring Hospitals.

Hospitals who achieve accreditation have access to the use of the AHA’s Heart-Check mark, a symbol millions of Americans recognize and trust, to promote to promote accreditation and exceptional STEMI care.

For questions, please feel free to contact us at accreditation@heart.org or learn more about our accreditation programs.