Care Setting Inpatient Rationale Patient outcome is improved if patients, initially presenting to a non PCI-capable hospital, can be quickly transferred to a PCI-capable hospital for Clinical Recommendation(s) 2013 ACCF/AHA Guideline for the Management of Patients With ST-Elevation Myocardial Infarction12 1. Immediate transfer to a PCI-capable hospital for primary PCI is the recommended triage strategy for patients with STEMI who initially arrive at or are transported to a non PCI-capable hospital, with an FMC-to-device time system goal of 120 minutes or less.*93,94,98,99 (Class I, Level of Evidence: B) *The proposed time windows are system goals. For any individual patient, every effort should be made to provide reperfusion therapy as rapidly as possible. ACCF indicates American College of Cardiology Foundation; AHA, American Heart Association; ED, emergency department; FMC, first medical contact; LBBB; left bundle branch block; MI, myocardial infarction; PCI, percutaneous coronary intervention; and STEMI, ST-elevation myocardial infarction. Appendix A. Continued 27 Short Title: PM-12: Cardiac Rehabilitation Referral PM-12: AMI: CR Patient Referral From an Inpatient Setting Measure Description: Percentage of patients, age 18 y, hospitalized with AMI who are referred to an outpatient CR/secondary prevention program during their AMI hospital stay. 