Improved Veteran Outcomes Diagnosed with Myocardial Infarction
Document Type
Presentation
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Publication Date
2022-5
Abstract
Kentucky’s veteran population is approximately 295,390 with most veterans being sixty-five years of age or older (National Center for Veterans Analysis and Statistic, 2018). Due to Kentucky’s veteran population being sixty-five years and older, and since the leading cause of death in Kentucky is heart disease, tracking quality measures for coronary artery disease benefits the veteran population. The purpose of this scholarly project was to perform a chart review for every patient within the inpatient hospital that has had an ST-elevation myocardial infarction and non-ST elevated myocardial infarction, identified key areas of improvement, and implemented evidence-based American Heart Association's Get with the Guidelines CAD protocol to improve outcomes. Data was collected from charts with a diagnosis of STEMI and NSTEMI for the 2021 year. Two areas of focus were found for improvement. ECG within 10 minutes of arrival and cardiac rehabilitation orders from the inpatient setting was under expected benchmarks. Re-education of Emergency Department staff on identifying which patients to bring back for immediate ECG took place. Identification of which cardiology fellows are responsible for placing the cardiac rehab order and educated fellows on this need. Quarterly meetings among key stakeholders discussed patient data documenting implementation of the Get with the Guidelines CAD protocol and evaluated for benchmark achievements and implementation change needs. Quarter four data showed all benchmarks were met for a consecutive 90 days earning this inpatient hospital, the Mission: Lifeline NSTEMI Bronze award for 2021.
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