T HE IMPORTANCE OF PROBLEM Cardiovascular disease is the nr. 1 „killer” in contemporary world, with about 16 millions deaths yearly [1]. In cardiovascular disease deaths top, our country is mentioned on the third place in the world. Acute myocardial infarction, and especially the clinical form with ST segment elevation on ECG (STEMI: ST Elevation Myocardial Infarction) is the main contributor of disease burden, as the number of specific deaths express. The level of mortality by cardiovascular disease is slightly decreased in high income countries; in contrast, in developping countries, this level continues to increase. In front of this cardiovascular disease aggression, complex measures are needed, including performant medical institutions. The MATUCC need of development is legitimate by the notable cardiovascular mortality decrease in high income countries. E. Braunwald, probably the greatest cardiologist ever, called this type of units „the most important progress in infarction treatment” [2]. Now is the time that also in our country, as an European Union member, to develop MATUCC. I NTERNATIONAL CONTEXT During 60s, as a result of the increase of AMI incidence, raise the „MATUCC” precursors, the coronary care units. This fact lead to a higher diagnosis accuracy, critical patients monitoring, as also optimization of the therapy of infarction and its complications. In a recent review, Widimsky displays data of in-hospital global mortality by STEMI in european countries, our country being placed a bit over 8% [3] (Figure 1). N ATIONAL CONTEXT Starting with 70s, the coronary care units raised in our country, firstly in university centers, then in county hospitals, Monitoring and Intensive Coronary Care Units. The RO_STEMI registry displays an increased STEMI (ST Elevation Myocardial Infarction) prevalence in our country, our center reporting to national statistics about 200 cases yearly [4]. Where is positioned RO-STEMI within international STEMI in the last decade? Comparing our data with those from Euro Heart Survey registries, it’s obvious that in our country the number of STEMI is increasing. More precisely, by the 271 patients enrolled in Euro Heart Survey Acute Coronary Syndromes Snapshot Registry (7- 13/DEC/2009), number that includes our center contribution, România finally took the third place among 47 countries in number of STEMI topic. Revisiting the in-hospital mortality in Europe, România displayed a value of 8,1 %. At the decrease of this 11 HOSPITAL MANAGEMENT Management in health XIX/1/2015; pp. 11-15 A MODEL OF OPTIMISING ACTIVITY IN A MODEL OF OPTIMISING ACTIVITY IN A MODEL OF OPTIMISING ACTIVITY IN EMERGENCY HOSPITALS’ MATUCC TYPE EMERGENCY HOSPITALS’ MATUCC TYPE EMERGENCY HOSPITALS’ MATUCC TYPE DIVISIONS DIVISIONS DIVISIONS The MATUCC (Monitoring and Advanced Treatment Units of Critical Cardiac patients) concept launched in 2010 by the Romanian Ministry of Health aims an increase of quality standards in coronary care in Romania. The MATUCC of Emergency County Hospital Pitesti was founded in 2013 in the current building. Learning from the experience of some prestigious hospitals, we conceived a new model of MATUCC, more appropriate to the new standard of care for the critical coronary patient in an Emergency Hospital. The present paper displays the new model created in our hospital, harmonized with regulatory authorities exigencies published in 2012, model that may be uptaken and adjusted for other Romanian hospitals. Keywords: MATUCC, new standard, emergency zonal hospital Adrian TASE 1,2 , Sorina HONŢARU 1, 3 , Cristina STOCHECI 1, 2, 4 1 University of Piteşti, 2 Emergency County Hospital Piteşti, 3 Public Health Authority Argeş, 4 County Health Assurance House Argeş Figure 1- In-hospital mortality in STEMI accross Europe