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

 

Mission: Lifeline Hospital Recognition Measures

All measures below are used for Mission: Lifeline recognition analysis. When the Mission: Lifeline PLUS Measure achievement is >75%, an additional PLUS designation is assigned to the base award level achieved.

 STEMI
STEMI Receiving Centers STEMI Referring Hospitals
Arrival to PCI ≤90 Minutes Arrival to 12 Lead ECG Within 10 Minutes

EMS FMC to PCI ≤90 Minutes or ≤120 Minutes When Drive time ≥45 Minutes and D2B≤30 Minutes

Fibrinolytic Door-to-Needle time ≤30 Minutes
 Door-In Door-Out ≤45 Minutes
 Aspirin on Arrival
Aspirin on Discharge
 Beta Blocker on Discharge
 Statin or Lipid Lowering Drug on Discharge (LDL>100)
 ACEI/ARB at Discharge (LVEF ≤40%)
 Smoking Cessation Counseling
PLUS Measure Arrival at 1st Facility to PCI  

 

NSTEMI
STEMI Receiving Centers STEMI Referring Hospitals
Outpatient Cardiac Rehab
ACEI/ARB at Discharge (LVEF <40%)
Dual Antiplatelet Therapy on Discharge (DAPT)
Left Ventricular Systolic Function Evaluated
Smoking Cessation Counseling

 

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

2019 Mission: Lifeline Hospital Recognition Tools and Resources

New for 2020 Mission: Lifeline Hospital Recognition

Beginning with January 1, 2019 discharges the following changes for Mission: Lifeline STEMI and NSTEMI listed in the charts below will take effect for 2020 Mission: Lifeline Recognition. Also, listed are changes to reporting measures that will take effect with January 1, 2019 discharges. Please note that reporting measures are not used in Mission: Lifeline recognition analysis, but may become recognition measures in the future.

2020 Mission: Lifeline Recognition Measure Updates: STEMI Receiving Center

Current Receiving Center M:L Recognition Measures 2020 Receiving Center M:L Recognition Measures
Arrival to PCI ≤ 90 Minutes No Change
EMS FMC to PCI ≤ 90 Minutes/120 Minutes No Change
ASA on Arrival ASA on Arrival will be moved to a reporting measure 
ASA on DC No Change
Bblocker on DC No Change
Statin Therapy on DC No Change
ACE/ARB on DC No Change
Smoking Cessation Moved to a Reporting Measure
PLUS - Arrival at first facility to PCI for patients transferring for PPCI ≤ 120 Minutes No Change
  NEW - Arrival to 12 Lead ECG within 10 Minutes (85%)
  NEW - Cardiac Rehab Referral

Current Receiving Center M:L Reporting Measures 2020 Receiving Center M:L Reporting Measures
% of transfer in for PCI patients with 12 Lead ECG acquired within 10 minutes of Arrival at the STEMI Referring hospitals(s) No Change
% 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) No Change
% of STEMI patients for whom Cath Lab Activation occurred prior to EMS arrival, when EMS provided pre-hospital notification No Change
% 12 Lead ECG within 10 minutes of Arrival at the STEMI Receiving Center Will move to a recognition measure for 2020 @ 85% adherence 
% ED Length of stay ≤30 minutes (In STEMI Receiving Center) No Change
  NEW - High-Intensity Statin at DC
  NEW - Time from FMC (at or Before ED Arrival at STEMI Referring Hospital) to Primary PCI at STEMI Receiving Facility for patients transferring for PPCI ≤120 Minutes
  Moved from Recognition to Reporting - ASA on Arrival and Smoking Cessation

 

Current Referring Hospital M:L Recognition Measures 2020 Referring Hospital M:L Recognition Measures
 Arrival to 12 Lead ECG ≤10 Minutes  No Change
 Arrival to Lytics ≤30 Minutes  No Change
 Door In Door Out ≤45 Minutes  No Change
 ASA on Arrival  No Change
 ASA on DC  No Change
 Bblocker on DC  No Change
 Statin Therapy on DC  No Change
 ACE/ARB on DC  No Change
 Smoking Cessation  No Change
   NEW PLUS Measure - Door In/ Door Out ≤30 Minutes
   NEW REPORTING Measure - Cardiac Rehab Referral
   NEW REPORTING Measure - High Intensity Statin Therapy at DC

Mission: Lifeline Reporting Measures are not used in recognition analysis

2020 Mission: Lifeline Recognition Measure Updates: NSTEMI

Current NSTEMI M:L Recognition Measures 2020 NSTEMI M:L Recognition Measures
Cardiac Rehab Referral Revised (Exclusions will include Medical Reasons, Patient-Oriented reasons and Health System reasons) 
ACE/ARB on DC No Change
Dual Antiplatelet Therapy on DC  No Change 
Left Ventricular Systolic Function evaluation  No Change 
Smoking Cessation  No Change 
  NEW REPORTING MEASURE - Arrival to 12 Lead ECG ≤10 Minutes
  NEW REPORTING MEASURE - High Intensity Statin Therapy at DC 

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.