The importance of database management is high since it decides the importance of different results obtained in the past for improving results in future and thus it can be seen that improvement of quality is dependant in part on the quality and application of databases within the organization.

             Analysis.

             One of the leading reasons for death in United States is cardiovascular disease and according to Centers for Disease Control and Prevention the leading reason for death in the country is acute myocardial infarction. According to available figures, this results in 40 percent of all deaths. In general about 900,000 patients are diagnosed with the disease and about 225,000 of them die. One of the saddest points about the whole issue is that of them 125,000 pass away before receiving any medical care. These unfortunate incidents led to the formation of a core team for acute myocardial infarction by the Joint Commission for the Accreditation of Health Care Practitioners the recommendations of this committee were adopted into practice by Meridian Health. This hospital established a cardiac care process for this in 2004 which developed a process for the improvement of care. The attempt was to look into two specific measures against AMI and this was to administer aspirin and a beta blocker to the patients at the time of their admission to the hospital when they were suspected to be having AMI. (Quinn; Mannion, 2005).

             The implementation of this process took a little time and in December 2004, the second group of congestive heart failure process improvement team started implementing the decision. This was with the assistance of the information technology department and the compliance was with the decision to use angiotensin converting enzyme, otherwise called ACE inhibitors, or angiotensin receptor blockers or ARB and thus evaluate or at least document the left ventricular function in the treatment of congestive heart failure.