Evidence-based Clinical Care: Acute Myocardial Infarction Clinical Pathway

The course covers the revisions to Baptist Health’s acute myocardial infarction (AMI) clinical pathway, including the definition and universal classification of AMI, updates to the high-sensitivity troponin emergency department clinical pathway, levels of chest pain algorithms, and updates to the AMI power plans.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Original Release Date: May 2023
Review Date: September 2023

Target Audience

Cardiologists, Interventional Cardiologists, Emergency Department Physicians, Hospitalists, Intensivists, Anesthesiologists, General Surgeons, Nurse Practitioners, Physician Assistants, Nurses, Cardiovascular Technicians, Healthcare Administrators/Leaders and HIM/Medical Record Coders.

Learning Objectives

  • Recognize the necessity of Baptist Health’s standardization of treatment options for acute myocardial infarction (AMI) based on current evidence-based practices.
  • Implement current AMI clinical pathways and power plans consistently in the acute care settings.
  • Adhere to the definition of AMI and universal classification of myocardial infarction (MI) – developed by a national consensus of experts – to improve medical record clinical documentation and coding.
  • Utilize the Chest Pain Code Rescue protocol effectively.
  • Identify alternative treatment options for AMI patients when percutaneous coronary intervention (PCI) is not an appropriate intervention.
  • Explain the latest high-sensitivity troponin emergency department clinical pathway updates.
Additional information
Bibliography: 
  • EJ, B. (2017). Blaha MJ. Chiuve SE. Cushman M. Das SR. Deo R. de Ferranti SD et al. Heart-Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association. Circulation, 135,10.
  • ESC Committee for Practice Guidelines (CPG), Jeroen J. Bax (CPG Chairperson)(The Netherlands), Helmut Baumgartner (Germany), Claudio Ceconi (Italy), Veronica Dean (France), Christi Deaton (UK), ... & Mendis, S. (2012). Third universal definition of myocardial infarction. Journal of the American College of Cardiology, 60(16), 1581-1598.
  • Goyal, A., Gluckman, T. J., & Tcheng, J. E. (2017). What’s in a Name? The New ICD-10 (10th Revision of the International Statistical Classification of Diseases and Related Health Problems) codes and type 2 myocardial infarction. Circulation, 136(13), 1180-1182.

 

Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.

Course Summary
Available credit: 
  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Course opens: 
05/01/2023
Course expires: 
04/30/2026

Jonathan Dunn, M.D.
Cardiologist
Miami Cardiac & Vascular Institute
Miami, Florida

Jody Murray, APRN-BC
Director of Advanced Practice Providers
Miami Cardiac & Vascular Institute
Baptist Health South Florida
Miami, Florida

Jonathan Dunn, M.D., conference director and faculty, faculty for this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Jody Murray, APRN-BC, faculty of this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Tarak Rambhalta, M.D., conference director of this educational activity, has no relevant financial relationships with ineligible companies* to disclose.

Content Reviewers

Ricardo Cury, M.D., is a consultant for GE Healthcare, Covera Health, and Cleerly, and a stockholder of Cleerly. 

Marcus St. John, M.D., is a consultant for ZOLL. 

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.

*Ineligible companies - Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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American Board of Surgery - Maintenance of Certification (MOC) - Accredited CME -  Vascular Surgery

Successful completion of this CME activity, which includes participation in the evaluation component, enables the learner to earn credit toward the CME of the American Board of Surgery’s Continuous Certification program. It is the CME activity provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit.

Your participation information will be shared with specialty boards through the ACCME's PARS reporting system. Successful completion of a course examination is required. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Available Credit

  • 1.00 ABS MOC II
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 General certificate of attendance
  • 1.00 Nurse Practitioners
  • 1.00 Florida Board of Nursing
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

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Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.