Longview Regional Medical Center (LRMC) has long had a well-designed and fully func- tioning process for identifying and rapidly treating STEMI patients. The hospital was meet- ing its goal of keeping door-to-reperfusion times under 60 minutes; as a result, patient outcomes were generally very good. Despite their satisfactory performance, the teams at LRMC believed they could reduce their treatment times even further to improve patient outcomes. “Our EMS partners work so hard,” said Brian Hopkins, RN, the hospital’s Director of Emer- gency Services, “and we were seeing delays in time-to-treatment in the ER because the process to access and share field EKGs was flawed.” The LRMC team took a critical look at its process and determined that improving communication between EMS crews, emer

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