The NCDR’s Chest Pain Myocardial Infarction Registry

THE PAST.The Acute Coronary Intervention and Outcomes Network (ACTION) Registry originated in 2007 from the merger of the National Registry of Myocardial Infarction registry and the Can Rapid Risk Stratification of Unstable Angina Patients Suppress Adverse Outcomes with Early Implementation of ACC/AHA Guidelines registry.1 In 2016, the American College of Cardiology (ACC) merged with the Society of Cardiovascular Patient Care, an organization focused on accreditation of high-performing cardiovascular centers; that same year the Chest Pain Myocardial Infarction (CPMI) registry expanded internationally, now including nine hospitals in Canada, United Arab Emirates, Thailand, and Pakistan.In 2017, to reflect the inclusion of unstable angina and lower risk chest pain patients, the ACTION registry was renamed the (CPMI) registry.THE PRESENT.The CPMI registry aligns with the ACC's mission to transform cardiovascular care and improve heart health and the ACC's goal to generate and deliver actionable knowledge to advance quality, equity, and value of cardiovascular care (Figure 1).The registry strives to achieve these by providing timely data to participants to promote quality initiatives and adherence to guideline-based therapies.Provider-level dashboards offer clinicians ongoing feedback and support for quality improvement, volume tracking, and sustained credentialing (eg, Maintenance of Certification with the American Board of Internal Medicine).As of December 2021, 735 U.S. hospitals participate in the CPMI registry, with 2,298,817 patient records contributed by member hospitals since the registry's initiation.RETURN ON INVESTMENT FOR REGISTRY PARTICIPATION.The registry provides access to interactive dashboards for hospitals and clinicians that benchmark their performance against the 2017 ACC/AHA Clinical Performance and Quality Measures for acute myocardial infarction (AMI) 2 with the goal of improving quality of care and clinical outcomes.In addition, statewide dashboards available through the ACC state chapters can be used to augment statewide quality of care initiatives.National Cardiovascular Data Registry (NCDR) supports participating hospitals by hosting an online learning center with resources including webinars, evidence-based tools, and monthly phone calls as well as sponsoring an annual quality summit for sharing best practices for performance and quality improvement.Participating hospitals and clinicians can take advantage of unique tools/offerings that meet Quality Payment Program requirements to earn improvement activity credit within the Merit-Based Incentive Payment System operated by Centers for Medicare & Medicaid Services (CMS).Finally, the CPMI can be used as a data source to fulfill Chest Pain Center accreditation. 3 QUALITY METRICS.Hospital performance and quality are quantified as individual performance metrics and composite measures, derived by calculating the