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Accredited Hospitals Give Better Care for Heart Attack

Medicare and Medicaid core measures for acute myocardial infarction more likely to be met

THURSDAY, July 24 (HealthDay News) -- Hospitals with Society of Chest Pain Centers' accreditation are more likely than non-accredited hospitals to comply with Medicare and Medicaid core measures for acute myocardial infarction, according to a report published in the July 15 issue of the American Journal of Cardiology.

Michael A. Ross, M.D., of Emory University School of Medicine in Atlanta, and colleagues analyzed data on 4,197 hospitals with reported measures for acute myocardial infarction, of which 178 (4 percent) had accreditation, and 4,019 (96 percent) did not. Accredited hospitals were more likely to be teaching hospitals in urban areas with more beds than their non-accredited counterparts.

The researchers report that compliance with all eight acute myocardial infarction measures was significantly higher at accredited versus non-accredited hospitals, although both types of hospitals had similar performance for delivery of thrombolytic reperfusion therapy for acute ST elevation acute myocardial infarctions less than 30 minutes after arrival.

"Looking at the percentage of United States hospitals that are accredited is somewhat misleading because of the relatively large proportion of 'smaller' hospitals in the United States. At the time of this analysis, one-third of all United States hospitals had less than 100 beds," the authors write. "However, the absolute number of accredited hospitals studied was large enough to provide meaningful information on this new category of hospitals."

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