Clinical ResearchTreatment Standards for Acute InfarctionGuideline-Based Standardized Care Is Associated With Substantially Lower Mortality in Medicare Patients With Acute Myocardial Infarction: The American College of Cardiology’s Guidelines Applied in Practice (GAP) Projects in Michigan
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On behalf of the American College of Cardiology Foundation (Bethesda, Maryland) Guidelines Applied in Practice Steering committee: Raymond J. Gibbons, MD, FACC, (Chair), Christopher P. Cannon, MD, FACC, Richard A. Chazal, MD, FACC, James T. Dove, MD, FACC, Kim A. Eagle, MD, FACC, Arthur Garson, Jr., MD, MPH, MACC, Rick A. Nishimura, MD, FACC. The Guidelines Applied in Practice projects for AMI care were supported by unrestricted grants from the national American College of Cardiology Foundation, the Michigan Chapter of the American College of Cardiology, the Centers for Medicare & Medicaid Services, Michigan Peer Review Organization, Pfizer, Inc., AstraZeneca, the Greater Detroit Area Health Council, the Greater Flint Health Coalition, the Mardigian Foundation, and the University of Michigan. The analyses on which this publication is based were performed under contract number 500-02-MI-02, “Utilization and Quality Control Quality Improvement Organization for the state of Michigan” and sponsored by the Centers for Medicare & Medicaid Services, Department of Health and Human Services. The content of this article does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. government. The authors assume full responsibility for the accuracy and completeness of the ideas presented. The article is a result of the Health Care Quality Improvement Program initiated by the Centers for Medicare & Medicaid Services, which has encouraged identification of quality improvement projects derived from analysis of patterns of care, and therefore required no special funding on the part of this contractor. Ideas and contributions to the authors concerning experience in engaging with the issues presented here are welcomed.