Systems of Care Overview and Implementation Strategies

Why Mission: Lifeline®?

For the estimated 785,000 Americans who will have their first heart attack each year and the 470,000 Americans who will have a recurrent heart attack. 

Mission Lifeline System of Care Graphic  

Mission: Lifeline Systems of Care are:

A patient-centered, multidisciplinary team focused on expediting appropriate emergency care for patients with time-sensitive conditions and are:

  • Supported by AHA Quality Improvement Staff
  • Focused on timely reperfusion
  • Regionally coordinated
  • Aimed to deliver care within the recommended AHA/ACC Guidelines

Mission: Lifeline Stages of STEMI Systems of Care Implementation

Mission Lifeline STEMI Systems of Care Pyramid 

  • Identify all contributors to the system of care
  • Propose an implementation plan
  • Form a small executive task force
  • Identify known gaps in STEMI care for the region
  • Gain consensus for uniform data collection
  • Plan implementation strategies and activities
  • Set measurable goals
  • Announce implementation  plans, strategies, activities and goals
  • Each STEMI Receiving Center, EMS agency and STEMI Referring Hospital surveys for their baseline state
  • Identify areas requiring process change at the individual facility/agency level
  • Implement process changes
  • Share strategies
  • Perform continuous evaluation of process improvement activities
  • Coordinate implementation strategies, activities and goals at a regional level
  • Survey regional processes
  • Convene stakeholders to adopt and implement like processes across the region
  • Share data (anonymized or identified)
  • Perform continuous evaluation of regional process improvement activities
  • Re-survey regional processes

Although the stages of STEMI Systems of Care Implementation are shown as hierarchical, the process is always in a dynamic state and a system of care can therefore move up or down levels based upon the ever-changing state of each participant and overall landscape of the system of care.

Mission: Lifeline STEMI Systems of Care Implementation streamlines care across a geographical region or regionalizes STEMI care. A Regional STEMI System of Care:

  • Covers a defined city, county, region, state or regions made up of portions of multiple states
  • Uses a centralized data source to observe process and clinical outcomes over time for quality improvement
  • Holds Mission: Lifeline Regional calls/meetings on a regular basis to share the latest research, best practices, data trends, tips for improved care and opportunities to improve the system of care
  • Collaboratively addresses competitive markets
  • Participates in Mission: Lifeline Regional Reports