The Outpatient Domain currently made up of four different measures.  The first area focuses on the treatment of Acute Myocardial Infarction and consists of two different measures.  If indicated, is Fibrinolytic Therapy received within 30 minutes of arrival is the first measure.  The second measure looks at the time it takes to transfer a patient to another facility for Acute Coronary Intervention.  The second area of focus is Emergency Department throughput.  This area is measured by the median time from ED arrival to ED departure for Discharged patients and the final measure is the number of ED patients that left without being seen by a provider per year.