2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non ST-Elevation Myocardial Infarction A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures Developed in Collaboration With the Society for Cardiovascular Angiography and Interventions Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation WRITING COMMITTEE MEMBERS Hani Jneid, MD, FACC, FAHA, Chair; Daniel Addison, MD; Deepak L. Bhatt, MD, MPH, FACC, FAHA; Gregg C. Fonarow, MD, FACC, FAHA; Sana Gokak, MPH; Kathleen L. Grady, PhD, FAHA; Lee A. Green, MD, MPH; Paul A. Heidenreich, MD, MS, FACC, FAHA*; P. Michael Ho, MD, PhD, FACC, FAHA; Corrine Y. Jurgens, PhD, RN, ANP-BC, FAHA; Marjorie L. King, MD, FACC; Dharam J. Kumbhani, MD, SM, FACC, FAHA; Samir Pancholy, MD, FACC AHA/ACC Performance Measures 2 Table of Contents Scope of the Problem 3 Disclosure of Relationships With Industry and Other Entities 4 Definition and Selection of Measures 5 AHA/ACC STEMI and NSTEMI Measure Set Performance Measures 6 Discussion of Changes to 2008 STEMI and NSTEMI Measure Set 6 Areas for Further Research 9 Appendix A STEMI and NSTEMI Performance Measures 15 Performance Measures for Use in Patients With Inpatient STEMI and NSTEMI 15 Inpatient Measures 15 Short Title: PM-1: Aspirin at Arrival 15 Short Title: Short Title: PM-3: Beta Blocker at Short Title: PM-4: High-Intensity Statin Short Title: Short Title: Short Title: Short Title: PM-8: First Medical Short Title: Short Title: PM-10: Door-in-Door-Out Time 22 Short Title: PM-11: Time to Primary PCI Among Transferred Patients 24 Short Title: PM-12: Cardiac Rehabilitation Short Title: Inhibitor at Short Title: PM-14: ImmediateAngiography After Cardiac Arrest 26 Short Title: PM-15: Stress Test in Conservatively Treated Patients 27 Short Title: PM-16: Early Troponin Measurement After NSTEMI 28 Short Title: PM-17: AMI Registry Quality Improvement Measures for Inpatient STEMI and NSTEMI Patients 29 Inpatient Measures 29 Short Title: QM-1: Risk Score Stratification Short Title: QM-2: Early Invasive Strategy for High-Risk NSTEMI 30 Short Title: Hypothermia for STEMI Patients 31 Short Title: QM-4: Aldosterone Antagonist Short Title: QM-5: Inappropriate In-Hospital Use of NSAIDs 32 Short Title: Prasugrel at Discharge in Short Title: High-Dose Aspirin With Ticagrelor at Discharge 34 Appendix B Author Listing of Relationships With Industry and Other Entities (Relevant) 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non ST-Elevation Myocardial Infarction 35 Appendix C Peer Reviewer Relationships With Industry and Other Entities 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non ST-Elevation Myocardial Infarction 37 Preamble The American College of Cardiology (ACC)/American Heart Association (AHA) performance measure sets serve as vehi- cles to accelerate translation of scientific evidence into clini- cal practice. 