Reducing inconsistency and variability in emergency care processes increases chances for survival. Development of consistent processes for early risk stratification of patients with acute coronary syndrome and provision of evidence-based therapy will reduce variability. A reproducible system of care for patients with acute coronary syndrome was developed. Results show that the current mean time to electrocardiogram was 9 minutes. The percent of patients receiving aspirin within 24 hours of arrival was 96%. Average door-to-reperfusion time was less than 90 minutes in 55% of patients. Reperfusion was accomplished by percutaneous coronary intervention for 92% of patients. Mortality for patients experiencing an acute myocardial infarction decreased 30%, from 8.9% in fiscal year 2003 to 6.2% in fiscal year 2007.
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