Development of systems of care for ST-elevation myocardial infarction patients: executive summary.

Extending revascularization to all ST-elevation myocardial infarction (STEMI) patients who could benefit from it requires both the rethinking of significant aspects of what is being done now and the development of new thinking for patients for whom such care requires system innovations. Such rethinking and restructuring involves how services are purchased, how payments are made, and how accountability is met. This article focuses on the role of purchasers and payers* in providing primary percutaneous coronary intervention (PCI) for STEMI patients.