Medical Director Findings

Medical Director Summary — 2026-1Q

In 2026-1Q, the registry captured 41 patients, of whom 31 (75.6%) had a confirmed STEMI final diagnosis and 8 were NSTEMI. 24 arrived by EMS. Among confirmed STEMIs arriving by EMS, 15 of 17 had a STEMI alert activated (88.2%, below the 95% target). FMC-to-ECG median was 12.0 min with 40.0% within 10 minutes; FMC-to-PCI median 99.5 min with 30.6% within 90 minutes. PCI was performed in 29 cases (70.7%). Survival was 95.1%. Discharge compliance among STEMI survivors: statin 93.3%, beta blocker 90.0%. Compared with 2025-4Q, alert compliance held 0.0 points.

Focus Areas This Quarter

Action Items

2 confirmed STEMI(s) arrived by EMS with no alert activated — itemized in Flagged Incidents by facility.

Alert compliance (88.2%) is below the 95% target.

25 case(s) exceeded 90 minutes FMC-to-PCI (median 99.5 min).

Quarter-over-Quarter Change — 2025-4Q → 2026-1Q

Trend vs Prior Quarter

Alert compliance held steady ▬ 0.0 pts (88.2% → 88.2%)

PCI rate held steady ▬ 0.0 pts (70.7% → 70.7%)

Survival held steady ▬ 0.0 pts (95.1% → 95.1%)

Statin at discharge held steady ▬ 0.0 pts (93.3% → 93.3%)

Beta blocker at discharge held steady ▬ 0.0 pts (90.0% → 90.0%)

Confirmed STEMIs unchanged ▬ 0 (31 → 31)

NSTEMIs unchanged ▬ 0 (8 → 8)