Over the last two years, MMP MaineHealth Cardiology has worked to standardize and improve the quality of care for patients experiencing a Non-ST Elevated Myocardial Infarction (NSTEMI) . This work has included the development and implementation of an inpatient care pathway, which incorporates a number of electronic tools in EPIC, to be used throughout the episode of care;. These tools include an NSTEMI order set and the Grace 2.0 Calculator,which is used to risk stratify NSTEMI patients based on their probability of in-hospital, 6-month and 3-year mortality. In addition, this project has seen the launch of a national cardiac data registry, the rollout of standard pathways for post acute care in partnering SNFs, and the creation of a suite of educational materials for both providers and patients.
The focus this year for the robust NSTEMI program was around building reports to track utilization of the tools that were developed and use this data to improve compliance.
•The goal was to work with Enterprise Reporting to build compliance reports to track utilization of pathway components (Order Set. GRACE 2.0 Calculator, SUR1 case request, AVS, Nurse Education tool, and Discharge Summary-EPIC ACS Quality Compliance tool) by end of FY20.
Powers, James, "UNITE -Unified NSTEMI Treatment for Everyone" (2020). MaineHealth Performance Improvement. 22.