Mission: Lifeline® EMS Recognition

Mission: Lifeline EMS recognition is a program designed to showcase Emergency Medical Service organizations across the nation for excellent STEMI care. Prehospital personnel are the first providers of care to patients suffering from cardiac emergencies. The role of EMS in the system-of-care for these patients is crucial and often sets the course for the patient's outcome. The Mission: Lifeline EMS recognition program is launched in 2014 and continues to celebrate the achievement of the pre-hospital providers and their collaboration with each other and destination hospitals specific to STEMI patient care.

Why Participate in Mission: Lifeline EMS Recognition?

Mission: Lifeline connects EMS providers, referring (non-PCI) hospitals and receiving (PCI-capable) centers in a coordinated system of care. The program also assists EMS agencies in getting the feedback needed to understand how the system of care is working and provides evidence-based metrics to measure the system's performance.  

2020 Mission: Lifeline EMS Recognition

The Mission: Lifeline team at the American Heart Association is excited to continue recognizing EMS agencies for applying the most up-to-date evidence-based treatment guidelines to improve care and outcomes in the communities served. 

A unique application link will provide access to an open-ended application that provides an interactive and efficient way to collect data, receive quality improvement consultative services and apply for EMS recognition. EMS agencies will now be able to enter data for previous quarters prior to the end of the calendar year and track performance adherence to required Mission: Lifeline EMS recognition measures. All information and data entered is automatically saved within the application when the browser is closed, and the application can be re-accessed as needed prior to final submission.

2019 Mission: Lifeline EMS recognition applicants are automatically provided a unique application link for the 2020 recognition year. For agencies that did not apply in 2019 and would like a unique application link to apply for 2020 recognition please use the 2020 M:L EMS Recognition Application Link Request form(link opens in new window) to request a link and one will be provided.

For questions please email Missionlifeline@heart.org or reach out to your local AHA Quality and Systems Improvement Director.  


View 2019 Recognition Recipients (PDF)


2020 Mission: Lifeline EMS Recognition Measures

There are four required Mission: Lifeline EMS recognition measures and one optional plus measure. The table below is a quick glimpse at these measures and the impact each have on the care and outcomes of the patient.

2020 Mission: Lifeline EMS Recognition Measure Measure Impact to Care and Outcomes
Measure 1: 12 Lead ECG Acquisition Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion
Measure 2: Percentage of hospital notifications or 12 Lead ECG transmissions suggesting a STEMI alert, performed within 10 minutes of the first STEMI positive 12 Lead ECG in the field. Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion
Measure 3: EMS FMC to PCI ≤90 minutes and/or EMS FMC to PCI ≤120 minutes when transport time ≥45 minutes and Door to Balloon ≤30 minutes Coordination of care between EMS and the STEMI Receiving Centers
Measure 4: Arrival at STEMI Referring Hospital to Lytic administration ≤30 minutes or EMS FMC to PCI of the transfer patient ≤120 minutes Coordination of care between EMS and the STEMI Referring hospitals
Plus Measure (Optional): Percentage of 12 Lead ECG's performed within 10 minutes of EMS FMC on patients with chest pain/ACS symptoms who are ≥35 years of age Early 12 Lead acquisition → Early recognition of STEMI → Early Notification to the ED → Early Activation to the Cath Lab → Timely Reperfusion

2020 Mission: Lifeline EMS Recognition Tools and Resources

Get Involved in the Mission: Lifeline Social Community Today

  1. Join the Mission: Lifeline Network(link opens in new window) and engage with other EMS agencies and hospitals participating in Mission: Lifeline. This network is free of charge and is an open forum for connecting with peers, best practice sharing, receiving guideline and Mission: Lifeline program updates, announcements and other useful information regarding systems of care.
  2. Like our Mission: Lifeline Facebook(link opens in new window) page and connect with us via social media.
  3. Reach out to MissionLifeline@heart.org or your local AHA representative and get assistance with data collection and review as well as more information on local events, regional meetings, etc.