Innovation in Data Abstraction, Education, and Consistent Application of Best Practice Guidelines: Experience and Real-World Results from a University Hospital in a Cost-Centric Environment.

Background: Adhering to core measures and consistent application of best practice guidelines in patients with acute coronary syndromes is challenging for hospitals.

Methods: A task force addressed gaps in care and adherence to guidelines, and included Emergency Medical Services (EMS) in the decision pathway.

Results: Previously, our institutional performance on most core metrics was in the lower tertile nationally.