Mission: Lifeline Hospital STEMI And NSTEMI Recognition

Since 2010, the AHA's Mission: Lifeline® program has recognized hospitals for their outstanding performance in high quality systems care performance by meeting or exceeding guideline therapy recommendations in treating patients presenting with STEMI heart attacks and introduced NSTEMI recognition in 2016

Get With The Guidelines®- Coronary Artery Disease (CAD) fully supports Mission: Lifeline Systems of Care cardiovascular quality improvement activities and is the sole data source analyzed for Mission: Lifeline STEMI and NSTEMI Recognition.



Mission: Lifeline Hospital Recognition Measures

All measures below are used for Mission: Lifeline recognition analysis. When the Mission: Lifeline PLUS Measure achievement is >75%, an additional PLUS designation is assigned to the base award level achieved.

STEMI Receiving Centers STEMI Referring Hospitals
Arrival to PCI ≤90 Minutes Arrival to 12 Lead ECG Within 10 Minutes

EMS FMC to PCI ≤90 Minutes or ≤120 Minutes When Drive time ≥45 Minutes and D2B≤30 Minutes

Fibrinolytic Door-to-Needle time ≤30 Minutes
 Door-In Door-Out ≤45 Minutes
 Aspirin on Arrival
Aspirin on Discharge
 Beta Blocker on Discharge
 Statin or Lipid Lowering Drug on Discharge (LDL>100)
 ACEI/ARB at Discharge (LVEF ≤40%)
 Smoking Cessation Counseling
PLUS Measure Arrival at 1st Facility to PCI  


STEMI Receiving Centers STEMI Referring Hospitals
Outpatient Cardiac Rehab
ACEI/ARB at Discharge (LVEF <40%)
Dual Antiplatelet Therapy on Discharge (DAPT)
Left Ventricular Systolic Function Evaluated
Smoking Cessation Counseling


NEW!! Mission: Lifeline Reporting Measures

All measures below are provided as additional metrics for STEMI Receiving Centers. Any one or more of the reporting measures may become recognition measures in the future, but as reporting measures, they are not used in Mission: Lifeline recognition analysis.

Reporting Measure 1:  % of transfer in for PCI patients with 12 Lead ECG acquired within 10 minutes of Arrival at the STEMI Referring hospital(s) 
Reporting Measure 2:  % of transfer in for PCI patients with Arrival to STEMI Referring hospital(s) to Transfer Out for PCI within 45 minutes (Door In-Door Out)
Reporting Measure 3:  % of STEMI patients for whom Cath Lab Activation occurred prior to EMS arrival, when EMS provided pre-hospital notification
Reporting Measure 4:  % 12 Lead ECG within 10 minutes of Arrival at the STEMI Receiving Center
Reporting Measure 5:  % ED Length of stay ≤30 minutes
Reporting Measure 6:  % Cardiac Rehabilitation Patient Referral from an Inpatient Setting

2019 Mission: Lifeline Hospital Recognition Tools and Resources

Get Involved in the Mission: Lifeline Social Community Today

  1. Join the Mission: Lifeline Network and engage with EMS agencies and hospitals participating in Mission: Lifeline. This network is free of charge and is an open forum for connecting with peers, best practice sharing, receiving guideline and Mission: Lifeline program updates, announcements and other useful information regarding systems of care.
  2. Like our Mission: Lifeline Facebook page and connect with us via social media.
  3. Reach out to MissionLifeline@heart.org or your local AHA representative and get assistance with data collection and review as well as more information on local events, regional meetings, etc.

Mission: Lifeline STEMI Accreditation

The American Heart Association's Mission: Lifeline® STEMI Accreditation denotes the highest level of commitment to consistent and optimal STEMI care at the system level. This accreditation was developed in conjunction with Mission: Lifeline and recognizes hospitals that meet specific standards as STEMI (Heart Attack) Receiving Centers or Referring Hospitals.

Hospitals who achieve accreditation have access to the use of the AHA’s Heart-Check mark, a symbol millions of Americans recognize and trust, to promote to promote accreditation and exceptional STEMI care.

For questions, please feel free to contact us at accreditation@heart.org or learn more about our accreditation programs.

Read more on the AHA Website here

Posted by Jordan Todd on Sep 7, 2018 10:41 AM America/Chicago