Modified from Jneid et al.8 coordination is to provide patients and caregivers with a com- prehensive plan of care and educational materials during the hospital stay that support compliance with evidence-based thera- The posthospitalization plan of care for patients with NSTE-ACS (Table 10) should address in detail several complex issues, including medication adherence and titration, timely follow-up, dietary interventions, physical and sexual activities, cardiac rehabilitation, compliance with interventions for second- ary prevention, and reassessment of arrhythmic and HF risks. In addition, clinicians should pay close attention to psychoso- cial and socioeconomic issues, including access to care, risk of depression, social isolation, and healthcare disparities.494 496 6.4.1. Systems to Promote Care Coordination There has been improved understanding of the system changes necessary to achieve safer care.497 This includes adoption by all US hospitals of a standardized set of Safe Practices endorsed by the National Quality Forum,498 which over- lap with the National Patient Safety Goals espoused by The Examples of patient safety standards for all patients after AMI include improved communication among clinicians, nurses, and pharmacists; medication recon- ciliation; careful transitions between care settings; and con- sistent documentation. The National Quality Forum has also endorsed a set of patient-centered Preferred Practices for which detail comprehensive specifica- tions that are necessary to achieve successful care coordina- tion for patients and their families. Systems of care designed to support patients with NSTE-ACS, STEMI, and other car- diac diseases can result in significant improvement in patient outcomes. Table 10 provides reference documents for multiple risk-reduction strategies for secondary prevention in the post- hospital phase of NSTE-ACS. These include the 2013 ACC/ AHA CPGs on management of blood cholesterol,18 and the 2014 recommendations for management which were published during the develop- ment of this CPG. 