What initiatives are available to reduce hospital treatment delays?
To reduce hospital treatment delays, the American College of Cardiology (ACC) initiated the Door-to-Device (D2B) Alliance in 2006 to improve door-to-device times in patients with ST-elevation myocardial infarction (STEMI). The goal of the D2B Alliance was for participating percutaneous coronary intervention (PCI)-capable hospitals to achieve a D2B time of 90 minutes for at least 75% of nontransferred patients with STEMI. In 2007, the American Heart Association (AHA) launched Mission: Lifeline to improve health system readiness and response to STEMI with a focus on the continuum of care from emergency medical services (EMS) activation to primary PCI.