CorHealth Ontario would like to congratulate the 20 cardiac programs for their efforts in improving timely ST-Elevation Myocardial
Infarction (STEMI) access in Ontario. These efforts, including partnering with local paramedic services and emergency departments,
and re-enforcing key aspects of STEMI care, such as early electrocardiogram (ECG) acquisition and rapid transport to the catheterization
lab, impact the treatment and outcomes of heart attack victims every day. Since CorHealth Ontario launched the Quality Performance
Measurement & Monitoring (QPMM) Cycle in 2017, we have seen an improvement in timely access to STEMI care in the province.
The QPMM Cycle is a platform for regular dialogue around quality metrics for cardiac care between all 20 cardiac programs in Ontario,
the Local Health Integrated Networks (LHINs) and the Ministry of Health and Long-Term Care (MOHLTC). There are currently two areas of
focus in the QPMM discussions:
Timely Access to Reperfusion Therapy for STEMI, with a focus on providing timely STEMI care in order to reduce harmful delays for patients
Effective use of Diagnostic Cardiac Catheterization, with a focus on ensuring effective care for patients who may require cardiac catheterization
Discussions take place biannually and the focus of the discussions rotate between the STEMI Indicators and the Cardiac Catheterization Indicators.
October 2018 concluded one year of reporting and discussion on the STEMI Indicators, and there has been notable improvement across the STEMI system at
the provincial level during this time period. Between Q2 17/18 and Q2 18/19, there has been improvement in the following two STEMI indicators:
Percentage of STEMI Cases Presenting Directly to a Percutaneous Coronary Intervention (PCI) Hospital Achieving Time <90 Minutes from First
Medical Contact to First Balloon Inflation/Device Deployment showed a 5% overall improvement
Percentage of STEMI Cases Achieving Time <120 Minutes from Non-PCI Hospital ED Triage/Registration (Hospital Arrival) to First Balloon
Inflation/Device Deployment showed a 6% overall improvement
CorHealth Ontario would like to thank the 20 cardiac programs, LHINs and MOHLTC for their focus on quality improvement and we look forward to our
continued partnership to improve cardiac care in Ontario.