A Call to ACTION (Acute Coronary Treatment and Intervention Outcomes Network)

• DOI: 10.1161/circoutcomes.108.847145
• Publication Date: 2009-09-15T20:58:52Z
• Authors: Eric D. Peterson; Matthew T. Roe; John S. Rumsfeld; Richard E. Shaw; Ralph G. Brindis; Gregg C. Fonarow; Christopher P. Ca...
• Keywords: 03 medical and health sciences; 0302 clinical medicine; Quality Assurance, Health Care; Outcome Assessment, Health Care; Myocardial Infarction; Humans; American Heart Association; Registries; United States; 3. Good health

Background— There is a recognized need for national unified registry to track presenting features, care, and outcomes patients with acute myocardial infarction. To address this need, the American Heart Association’s Get With Guidelines–Coronary Artery Disease program joined Acute Coronary Treatment Intervention Outcomes Network (ACTION) Registry create National Cardiovascular Data ACTION–Get Guidelines (AR-G) in June of 2008. This article outlines objectives, operational structure, patient population, data elements, collection methodology, reporting components landmark registry. Methods Results— The AR-G was launched January 2007. led by team volunteers from Association College Cardiology, its coordinating center resides at Duke Clinical Research Institute. As December 2008, 344 US hospitals already contributed detailed clinical information on 103 890 infarction (inclusive 39% ST-segment 61% non–ST-segment patients). Overall quality has been excellent, <5% fields missing. Site improvement efforts are supported via quarterly feedback reports, routine web educational programs, sharing “best practice” support tools. Conclusions— represents unified, national, supports robust effort designed encourage evidence-based care and, ultimately, improve outcomes.