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.

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