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2018 Mission: Lifeline EMS Quality Application Open

Feb 12, 2018

The American Heart Association recognizes the critical life-saving role EMS provides to the overall success of STEMI systems of care. The availability of 12-lead ECGs and training allow EMS providers to rapidly identify the STEMI, promptly notify the destination center and activate an early response by hospital personnel.  In 2014, the American Heart Association launched a program to recognize emergency service agencies that met the AHA/ACC guideline recommendations for prehospital STEMI care.  In 2017, more than 600 prehospital agencies in the US that applied and received the American Heart Association Mission: Lifeline STEMI EMS Quality Achievement Award including 20 agencies from Kentucky (see list for 2017 Quality Achievement Award agencies ).

On January 1 the 2018 Mission: Lifeline EMS STEMI Quality Achievement Award Application period began and will remain open until April 2, 2018 at 11:59 pm (EST).   The application will collect information and data for patients treated and transported by EMS during the 2014 calendar year, specific to the Mission: Lifeline EMS Recognition Achievement Measures and Criteria for patients treated and transported by EMS.  The five Achievement Measures for recognition included:

  • Achievement Measure 1: Percentage of patients with non-­traumatic chest pain ≥ 35 years, treated and transported by EMS who received a pre-hospital 12-lead electrocardiogram.
  • Achievement Measure 2: Percentage of STEMI patients treated and transported directly to an STEMI receiving center, with prehospital first medical contact to device time ≤90 minutes.
  • Achievement Measure 3: Percentage of lytic eligible STEMI patients treated and transported to an STEMI referring hospital for fibrinolytic therapy with a door--to-­needle time ≤30 minutes.
  • Achievement Measure 4: Percentage of pre-hospital 12 lead ECGs performed on patients within 10 minutes of transporting EMS agency arrival to the patient with initial complaint of non-traumatic chest pain and who is ≥ 35 years of age.
  • Achievement Measure 5: The percentage of hospital notifications or 12 Lead ECG transmissions suggesting a STEMI alert (or Cardiac Cath Lab Activation), that are performed within 10 minutes of the first STEMI positive 12 Lead ECG in the field 2018.
  • Plus Measure (Optional): Percentage of adult Out-Of-Hospital Cardiac Arrest (OHCA) patients resuscitated on-scene with sustained ROSC of at least 20 minutes maintained to arrival at the emergency department who had a 12 Lead ECG performed in the field.

You can find more information about the Mission: Lifeline STEMI EMS recognition program at:  Mission: Lifeline EMS Recognition.  On the website you’ll find information about the recognition criteria, useful tools for collecting data, hardcopy of the application, application pathways to accommodate various system designs, an FAQ, and other useful information. 

The American Heart Association looks forward to recognizing your prehospital agencies for providing high quality of STEMI care.