Quality Improvement for Institutions


Join a Registry

Enroll in a registry or get more information.

ACTION Registry®

Join the established network for comprehensive AMI care

For over a decade, the ACTION Registry® has been the single, most trusted source for outcomes-based, continuous quality improvement focusing exclusively on high-risk STEMI/NSTEMI patients. The registry collects and delivers detailed, in-hospital clinical, process-of-care and outcomes data for patients with acute myocardial infarction (AMI). See Top 15 Reasons to Participate in the ACTION Registry.

This allows for complex decision making to maximize patient care while lowering risk and health care costs. It also helps hospitals apply the American College of Cardiology (ACC) and the American Heart Association (AHA) clinical guideline recommendations in their facilities and provides invaluable tools to measure care and achieve quality improvement goals.

By Joining the ACTION Registry, You Can:

Key Information About the ACTION Registry

You can:

  • Exchange data elements with the CathPCI Registry®v4.5
  • Meet state requirements that have adopted the ACTION Registry as their state-level measurement and reporting source
  • Profile your hospital on ACC’s patient website, CardioSmart.org, where patients and caregivers use the “Find Your Heart a Home” tool for information on cardiovascular services
  • Take advantage of the NCDR’s free, online data collection tool, or retain the option to choose among nine certified vendors to automate data capture (ARMUS, Axis Clinical, CardioPulse, Cedaron Medical, heartbase, LUMEDX, Navion, Q-Centrix and Quintiles)
  • Receive one-to-one support from experienced cardiovascular nurses Stay up to date on the latest NCDR research publications, providing valuable insight on the delivery and outcomes of cardiovascular care provided by ACTION Registry hospitals
  • Access the ACC’s quality improvement campaigns and toolkits

The ACC has launched the next generation of the Patient Navigator Program quality campaign. Patient Navigator: Focus MI delivers evidence-based best practices to improve outcomes and reduce readmissions for myocardial infarction patients. Participation is free and open to all ACTION Registry hospitals. Learn more and sign up for the program.

  • A 30-day AMI Risk Standardized Mortality report is now available. ACTION Registry data has been linked to the National Death Index (NDI) to provide hospitals information on post-discharge outcomes in a 30-day Risk Standardization Mortality report.
  • Opportunity to participate in voluntary public reporting for ACTION Registry metrics

ACTION Registry hospital participants can provide data exports in Comma Separated Value (CSV) format for external agencies like states, county health departments or other AMI programs. For hospitals using the ACC online data collection tool, CSV Export Instructions.

The Action Registry, like the entire NCDR registry suite, uses standardized, evidence-based data elements and definitions.

The ACTION Registry offers two participation levels:

  • Premier Version—Uses a comprehensive data set for monitoring AMI performance measures, medication dosing errors and risk-adjusted metrics. Premier-level participation also offers eligibility for the registry’s highest Performance Achievement Award recognition program.
  • Limited Version—Uses approximately half the data elements of the Premier Version to provide a way for hospitals to begin participating in quality and system improvement efforts and receive quality outcomes data.

The ACTION Registry supports a variety of data entry and submission options, including a complimentary online data collection tool or data collection through a certified third-party software vendor. View the list of certified software vendors. Additionally, more than 50 ACTION Registry data elements are interoperable with the NCDR’s CathPCI Registry® for sites using the same data collection tool.

The ACTION Registry offers a wealth of reporting options to support your facility’s ongoing quality improvement, including:

  • An online portal allows you to view your Institutional Outcomes Reports and use the dashboard e-reports to review a summary of performance measures and quality metrics.
  • A user dashboard that provides weekly trending data to show how your facility is performing, highlight areas for improvement and provide the capability to drill down to patient-level data.
  • Quarterly benchmark reports that compare your institution's performance with a national aggregate and include customized executive summaries that offer a big-picture review or an at-a-glance assessment.

All hospitals participating in the NCDR have a Hospital Profile on ACC’s CardioSmart.org. Through these profiles, patients, caregivers and other stakeholders are able to search, select and compare hospitals based on specific criteria, and learn about hospitals’ quality measurement efforts through the NCDR. ACTION Registry Performance Achievement Award status is also displayed on the CardioSmart.org Hospital Profile.

ACTION Registry hospitals will soon have the opportunity to participate in voluntary public reporting. Hospitals currently participating in the CathPCI Registry® or the ICD Registry have the option to voluntarily report their data on specific quality measures and publicly demonstrate their commitment to quality improvement via their hospital profile. Learn more about public reporting and the measures that have been identified.

State and county agencies working at the regional level to coordinate, monitor and drive high quality care processes and outcomes for MI patients in conjunction with other local data sources can now align hospital efforts with a national data source through the NCDR eReports State online dashboard tool. The dashboard includes national, state and regional comparison groups. For more information and a product demonstration, email NCDRCorpSolutions@acc.org and include the subject line: "NCDR eReports State."

NCDR eReports Health Systems is NCDR’s online business intelligence data report, which provides a multi-hospital view into the quality of cardiovascular care being provided within a specific health system. Learn more about NCDR eReports Health Systems.

Temp Styles

American College of Cardiology: 2400 N St. NW, Washington DC 20006