Mission: Lifeline® Data Through The Years (2010 - 2016)

The Mission: Lifeline Program was launched in 2007. In 2010, the first Mission: Lifeline data and reports were generated offering participating hospitals much needed feedback on STEMI care initiatives, including STEMI System of Care metrics. Since 2010, much has been accomplished to create, improve and regionalize STEMI Systems of Care across the US. However, significant challenges and opportunities remain (See STEMI Systems of Care Opportunities page).

Mission: Lifeline STEMI data through the years, 2010-2016 show STEMI Systems of Care successes and place a spotlight on the opportunities.

Mission: Lifeline EMS FMC to Primary PCI within 90 Minutes

As a nation, the Mission: Lifeline EMS FMC to PCI measure achievement remains below 75%.

Coordinating STEMI Care between EMS and STEMI Receiving Center
  1. Pre-planned EMS destination protocols
  2. Early notification by EMS to the STEMI Receiving Center of suspected or confirmed STEMI patient
  3. Early activation of the Cath Lab (STEMI Alert) by the STEMI Receiving Center prior to the arrival of patient with STEMI identified in the field by EMS
  4. Immediate, 24-48 hour and quarterly feedback to EMS by the STEMI Receiving Center
Improving throughput processes at STEMI Receiving Centers
  1. Decreased Door to 12 Lead ECG times for patients transported by EMS without a diagnostic 12 Lead ECG
  2. Decreased ED dwell time for STEMI patients

Door to Balloon and EMS FMC to PCI   EMS FMC to PCI

Mission: Lifeline Arrival at STEMI Referring Hospital to Primary PCI (For STEMI patients transferred for PCI, no fibrinolytic therapy administered)

As a nation, the Mission: Lifeline Arrival to STEMI Referring Hospital to PCI within 120 Minutes measure (Mission: Lifeline STEMI Receiving Center PLUS Measure) achievement remains below 75%.

Coordinating STEMI Care between EMS and STEMI Referring Hospital
  1. Pre-planned EMS destination protocols that may include by-pass of the closest STEMI Referring Hospital when EMS FMC to PCI can be achieved within 90 minutes or within 120 minutes when EMS transport >45 Minutes
  2. Pre-planned transfer plans with EMS for the STEMI patient
Improving throughput processes at STEMI Referring Hospitals 
  1. Protocols in place to ensure timely identification of the STEMI patient, timely acquisition of the 12 lead ECG, and timely interpretation of the 12 Lead ECG
  2. Decreased length of stay in ED (Door In-Door Out)
Coordinating STEMI Care between STEMI Referring Hospital and STEMI Receiving Centers 
  1. Automatic acceptance of STEMI patients by STEMI Receiving Centers
  2. One Call STEMI Activation process in place
  3. Immediate, 24-48 hour and quarterly feedback to STEMI Referring Hospital by the STEMI Receiving Center

 

Arrival at STEMI Referral Hospital to PCI Graph    Door In-Door Out Graph

Mission: Lifeline Data Through The Years – 2010-2016 (PDF)

To learn how you can participate in implementing, improving and regionalizing Mission: Lifeline STEMI Systems of Care complete the Get More Information About Mission: Lifeline(link opens in new window) form. An AHA Quality and Systems Improvement team member will contact you within 48 hours.

Written by American Heart Association editorial staff and reviewed by science and medicine advisors.

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Last Reviewed: Jul 18, 2018