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R McIntire, Jefferson School of Population Health, Thomas Jefferson University, Philadelphia, PA.


In order to improve outcomes for heart attack patients in the city of Philadelphia, PA, The American Heart Association has spearheaded an initiative to standardize treatment for out-of-hospital heart attack patients at local hospitals. This study identified the perceptions of healthcare providers who work in emergency care in Philadelphia on the adoption and implementation of this initiative at their hospital. This project utilized semi-structured in-depth interviews to examine key stakeholders’ opinions on the subject matter. Participants were identified through snowball sampling. Interviews were recorded by phone, transcribed and themes were identified through multiple phases of analysis. Results from the study identified key facilitators to the adoption and implementation of standardized protocols for emergency cardiac care for health systems. Facilitators identified included: continuous communication across multi-disciplinary teams (both internally and externally): citywide collaboration and the importance of evidence to gain support from the medical community. Several barriers were identified as deterrents to the adoption and implementation of a coordinated and standardized system of care including: cost, lack of communication, technological issues, and delays in systems rollouts. Results from the research underscored healthcare providers’ views of the current landscape of emergency care including the importance of continuous quality improvement initiatives for cardiac emergency care and the benefits of pre-hospital ECG (electrocardiogram) transmission for STEMI care. The study’s findings contribute to the growing body of research on coordinated systems to improve health outcomes for out-of-hospital heart attack patients.

Presentation: 28 minutes