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Strategy of Heart Attack Care in the U.S. to reduce significantly Heart Attack Mortality by 50%

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Raymond D. Bahr MD
Raymond D. Bahr MD

Strategy to develop a virtual coronary care unit in the community where 50% of Heart Attacks have beginnings and can be identified early enough by converting enablers into caregivers and offering a user friendly pathway in the developing chest pain centers for evaluating such patients.

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HEART ATTACK CARE IN THE UNITED STATES Coronary Care Units in the 1960s VARIABLE CARE IN THE EMERGENCY ROOM Ward Kennedy MD MITI Study Preparation Strategy Develop Chest Pain Centers in the Emergency Room STANDARIZE THE HEART ATTACK CARE in ER Key Elements American Journal of Cardiology HCFA (CMS) decision to not reimburse Observation Units Society of Chest Pain Centers and Providers played a Major Role in Reversing this decision. HCFA requested Help in recognizing CPCs doing Quality Work Rapid Growth of Chest Pain Centers Editorials An Idea whose Time has come JAMA and NEJM ACCREDITATION SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS Process of Continuous Quality Improvement instituted (Cycles) Accreditation Review Specialists EARLY HEART ATTACK CARE EMPHASIS Comprehensive Heart Attack Care provided ,but Paradigm Shift to Early Symptom Recognition Heralded MIs in 50% of Heart Attack Patients Prodromal Symptoms NEJM Editorial Braunwald Greatest Impact in Heart Attack Mortality Reduction will be seen in Prevention of the Event BETHESDA CONFERENCE ON EMERGENCY CARDIAC CARE 1999 Linked the Chest Pain Emergency Department Movement and the Chest Pain Awareness Educational Program as a Strategy to reduce the Time to Treatment in patients with evidence of early active ischemic heart disease. The New Paradigm, as seen in this light, represents a Shift in Care to enhance present day management of patients with ischemic heart disease. The Society set out to grow the number of Chest Pain Centers and to Educate Hospital Employees and the Public about the Importance of Early Heart Attack Care in significantly reducing Heart Attack Deaths in the United States. MISSION OF THE SOCIETY

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Strategy of Heart Attack Care in the U.S. to reduce significantly Heart Attack Mortality by 50%

  • 1. HEART ATTACK CARE IN THE UNITED STATES Coronary Care Units in the 1960s VARIABLE CARE IN THE EMERGENCY ROOM Ward Kennedy MD MITI Study Preparation Strategy Develop Chest Pain Centers in the Emergency Room STANDARIZE THE HEART ATTACK CARE in ER Key Elements American Journal of Cardiology HCFA (CMS) decision to not reimburse Observation Units Society of Chest Pain Centers and Providers played a Major Role in Reversing this decision. HCFA requested Help in recognizing CPCs doing Quality Work Rapid Growth of Chest Pain Centers Editorials An Idea whose Time has come JAMA and NEJM ACCREDITATION SOCIETY OF CHEST PAIN CENTERS AND PROVIDERS Process of Continuous Quality Improvement instituted (Cycles) Accreditation Review Specialists EARLY HEART ATTACK CARE EMPHASIS Comprehensive Heart Attack Care provided ,but Paradigm Shift to Early Symptom Recognition Heralded MIs in 50% of Heart Attack Patients Prodromal Symptoms NEJM Editorial Braunwald Greatest Impact in Heart Attack Mortality Reduction will be seen in Prevention of the Event BETHESDA CONFERENCE ON EMERGENCY CARDIAC CARE 1999 Linked the Chest Pain Emergency Department Movement and the Chest Pain Awareness Educational Program as a Strategy to reduce the Time to Treatment in patients with evidence of early active ischemic heart disease. The New Paradigm, as seen in this light, represents a Shift in Care to enhance present day management of patients with ischemic heart disease. The Society set out to grow the number of Chest Pain Centers and to Educate Hospital Employees and the Public about the Importance of Early Heart Attack Care in significantly reducing Heart Attack Deaths in the United States. MISSION OF THE SOCIETY