Heart attack report submission
All STEMI receiving centers are required to report heart attack data to a national registry and then submit quarterly reports to the department. PCI (Percutaneous Coronary Intervention) centers and heart attack referral centers are encouraged to report to a national heart attack registry and share quarterly reports with the department.
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Facility name (per licensure)
Facility contact email
Alternate facility contact email
Facility certification or accreditation in heart attack care
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National accrediting or certifying organization (Select all that apply)
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Select the national registry option below. The department is only authorized to receive reports from the NCDR registry at this time. If you submit to another registry, please type that registry into the "other" option and skip the option to upload a quarterly report.
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Reporting period in year and quarter format (YYYYQ1 )
Complete submission of the report.
1) Complete this application by clicking submit.
2) Email the quarterly report in pdf format to: lisa.domenico@state.co.us.
For additional information contact
Lisa Domenico
Trauma Designation and Fiscal Coordinator
lisa.domenico@state.co.us
303 562 8691


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