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An Organizational Framework for the AMI ACC-GAP^TM Project

Cecelia K. Montoye, RN, MSN, CPHQ^_*, Kim A. Eagle, MD, FACC^,_* on behalf of the Michigan ACC-GAP^TM Investigators, ACC-GAP^TM Steering Committee, and the American College of Cardiology

^_* St Joseph’s Mercy Hospital, Ann Arbor, Michigan
University of Michigan Cardiovascular Center, Ann Arbor, Michigan

View larger version (18K): [in a new window]   Figure 1 The American College of Cardiology Acute Myocardial Infarction Guidelines Applied in Practice (ACC AMI-GAP) project merges a research model with a collaborative model for improvement with all participants implementing the same intervention (ACC AMI-GAP tool kit) and aggregate pre- and post-measurement occurring within the same time frame. Learning sessions focus on increasing the use of the GAP tools and successful implementation of project phases of planning, tool implementation, monitoring tool use, remeasurement, and results. The Breakthrough Series Collaborative Model © 2001 Institute (12).

View larger version (24K): [in a new window]   Figure 2 Adherence to early indicators in patients with and without evidence of the use of standardized admission orders, and adherence to late indicators in patients with and without the evidence of use of the standardized discharge form.