Arrival Performance Acute Myocardial Infarction Patients Receiving Aspirin Within 24 Hours of Hospital Arrival 120 115 110 105 100 Percent 95 90 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Nov-05 *Dec-05 *Jan-06 *Feb-06 LUHS Aspirin at Arrival Rate UHC Academic Hospitals Aspirin at Arrival Rate National Aspirin at Arrival Rate Month * Preliminary data for quality improvement purposes only Acute Myocardial Infarction Patients Receiving Beta-blocker Within 24 Hours of Hospital Arrival 120 115 110 105 100 Percent 95 90 85 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Nov-05 *Dec-05 *Jan-06 *Feb-06 LUHS Beta-Blocker at Arrival Rate UHC Academic Hospitals Beta-Blocker at Arrival Rate National Beta-Blocker at Arrival Rate Month * Preliminary data for quality improvement purposes only

Arrival Performance Percutaneous Coronary Intervention Within 120 Minutes 120 100 80 60 Percent 40 20 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Dec-05 LUHS Angioplasty within 120 minutes Rate UHC Academic Hospitals Angioplasty within 120 minutes Rate National Angioplasty within 120 minutes Rate Month * Preliminary data for quality improvement purposes only

Discharge Performance Acute Myocardial Infarction Patients Receiving Aspirin Prescription at Discharge 120 115 110 105 Percent 100 95 90 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Nov-05 *Dec-05 *Jan-06 *Feb-06 LUHS Aspirin at Discharge Rate UHC Academic Hospitals Aspirin at Discharge Rate National Aspirin at Discharge Rate Month * Preliminary data for quality improvement purposes only Acute Myocardial Infarction Patients Receiving Beta-blocker Prescription at Discharge 120 115 110 105 100 Percent 95 90 85 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Nov-05 *Dec-05 *Jan-06 *Feb-06 LUHS Beta-Blocker at Discharge Rate UHC Academic Hospitals Beta-Blocker at Discharge Rate National Beta-Blocker at Discharge Rate Month * Preliminary data for quality improvement purposes only

Discharge Performance Acute Myocardial Infarction Patients Receiving Aspirin Prescription at Discharge 120 115 110 105 Percent 100 95 90 Jul-03 Aug-03 Sep-03 Oct-03 Nov-03 Dec-03 Jan-04 Feb-04 Mar-04 Apr-04 May-04 Jun-04 Jul-04 Aug-04 Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05 May-05 Jun-05 Jul-05 Aug-05 Sep-05 *Oct-05 *Nov-05 *Dec-05 *Jan-06 *Feb-06 LUHS Aspirin at Discharge Rate UHC Academic Hospitals Aspirin at Discharge Rate National Aspirin at Discharge Rate Month * Preliminary data for quality improvement purposes only National Hospital Quality Measures Smokers Receiving Smoking Cessation Counseling for Acute Myocardial Infarction Patients Smokers Receiving Smoking Cessation Counseling for Acute Myocardial Infarction Patients 120 120 110 110 100 100 90 90 80 80 Percent 70 70 AMI Orders Implemented 60 60 50 50 Jul-03 Jul-03 Aug-03 Aug-03 Sep-03 Sep-03 Oct-03 Oct-03 Nov-03 Nov-03 Dec-03 Dec-03 Jan-04 Jan-04 Feb-04 Feb-04 Mar-04 Mar-04 Apr-04 Apr-04 May-04 May-04 Jun-04 Jun-04 Jul-04 Jul-04 Aug-04 Aug-04 Sep-04 Sep-04 Oct-04 Oct-04 Nov-04 Nov-04 Dec-04 Dec-04 Jan-05 Jan-05 Feb-05 Feb-05 Mar-05 Mar-05 Apr-05 Apr-05 May-05 May-05 Jun-05 Jun-05 Jul-05 Jul-05 Aug-05 Aug-05 Sep-05 Sep-05 *Oct-05 *Oct-05 *Nov-05 *Nov-05 *Dec-05 *Dec-05 *Jan-06 *Jan-06 *Feb-06 *Feb-06 LUHS Smoking Cessation Advice Rate LUHS Smoking Cessation Advice Rate UHC Academic Hospitals Smoking Cessation Advice Rate UHC Academic Hospitals Smoking Cessation Advice Rate National Smoking Cessation Advice Rate National Smoking Cessation Advice Rate Month Month * Preliminary data for quality improvement purposes only * Preliminary data for quality improvement purposes only