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HDS-19.1 Data Details

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HDS-19.1 Increase the proportion of eligible patients with heart attacks who receive fibrinolytic therapy within 30 minutes of hospital arrival

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
Acute Coronary Treatment and Intervention Outcomes Network Registry
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
70.0 (2009)
Target: 
77.0
Target-Setting Method: 
10 percent improvement
Numerator: 

Number of eligible (STEMI) patients with heart attacks who receive fibrinolytic therapy within 30 minutes of hospital arrival

Denominator: 

Number of eligible (STEMI) patients with heart attacks

Comparable Healthy People 2010 Objective: 
Adapted from HP2010 objective
Data Collection Frequency: 
Periodic
Methodology Notes: 

    The measure definition follows the guidelines in the American College of Cardiology/American Heart Association Guidelines for the Management of Patients with (ST-Elevation) Myocardial Infarction. The time-to-treatment recommendations in these Guidelines start with when the patient presents to the medical system.

    STEMI patients were excluded if they were transferred in or had a non-system reason to delay fibrinolytic therapy.

Changes Between HP2010 and HP2020: 
This objective differs from Healthy People 2010 objective 12-3a in that this objective tracks eligible (STEMI) patients with heart attacks who receive fibrinolytic therapy within 30 minutes of hospital arrival instead of within an hour of symptom onset. The data source has been changed from the National Registry of Myocardial Infarction (NRMI–4) to the Acute Coronary Treatment and Intervention Outcomes Network Registry.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2014, race/ethnicity data were displayed for all groups for which statistically reliable data are available. Some race/ethnicity groups were mistakenly suppressed at the launch due to a database error. In 2015, the baseline was revised from 68.3% to 70.0% due to data file updates. Hospitals can resubmit data as they discover new records or revise records already submitted. The target was adjusted from 75.1% to 77.0% to reflect the revised baseline using the original target-setting method. In 2018, the data source name was changed from Acute Coronary Treatment and Intervention Outcomes Network-Get With the Guidelines to Acute Coronary Treatment and Intervention Outcomes Network Registry.