Networks for improving care in patients with acute coronary syndrome: A framework

Acute Card Care. 2014 Jun;16(2):41-8. doi: 10.3109/17482941.2014.881502. Epub 2014 Mar 21.

Abstract

In recent years, it has become evident that the level of guideline adherence in patients presenting with acute coronary syndrome (ACS) is highly correlated with patient outcomes. Unfortunately, guideline adherence is low in some geographic areas and especially in those patients at high-risk. Regional networks including ambulance systems and hospitals with catheterization laboratories are able to increase guideline adherence and patient outcomes by streamlining the critical pre- and intra-hospital processes as well as improving timely access to invasive procedures and recommended medication. Successful organization of an ACS network requires engagement of multiple stakeholders to create effective solutions for the specific local setting. There is no 'one-size-fits all' strategy to set-up and successfully run an ACS network. We present a framework for how to set up and organize an effective ACS network, delivering guideline-based care to improve patient outcomes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acute Coronary Syndrome / therapy*
  • Austria
  • Delivery of Health Care, Integrated / organization & administration*
  • Delivery of Health Care, Integrated / standards*
  • Guideline Adherence*
  • Humans
  • Minnesota
  • Myocardial Infarction / therapy
  • Netherlands
  • North Carolina
  • Quality Indicators, Health Care
  • Secondary Prevention
  • Treatment Outcome