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What's Working
Code Heart: Reducing Time to PCI at Memorial Regional Hospital
Changes in the national hospital quality measures taking effect this summer will challenge hospitals to reduce the time from a heart attack patient's arrival to receiving an angioplasty to just 90 minutes. Many hospitals struggle to consistently meet the time to PCI (percutaneous coronary intervention) current goal of two hours.
Memorial Regional Hospital in Broward County, Florida, an Expecting Success grantee, is making steady improvements toward that goal with its Code Heart process. Rather than a mere sequential process, Code Heart requires a collaborative effort across physician and staff levels to improve the time to PCI.
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Spotlight On...

Memorial Healthcare System is a five-hospital system in Southeast Florida serving a population of about 700,000 people. Memorial Regional Hospital, the System's flagship hospital, is home to the Cardiac and Vascular Institute, which offers clinical cardiology, invasive and interventional cardiology, electrophysiology, cardiac surgery, interventional radiology, vascular surgery, interventional vascular medicine and a 12-week Cardiac Rehabilitation Program.
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Disparities Dialogue
Awareness: First Step Toward Eliminating Disparities
An Institutional Readiness for Change assessment, part of the Expecting Success program, aims to help hospitals identify and address disparities in care. Ann McAlearney, Sc.D., M.S., spoke with 200 clinicians, managers and executives at 10 hospitals about how they identify disparities, discuss gaps in care with staff and make reducing disparities part of a hospital's culture.
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What's Working
The Healthy Heart Team: Managing Heart Failure Patients in Detroit
To meet the health care needs of its heart failure patients and to reduce their readmission rates, Sinai-Grace Hospital in Detroit launched a multidisciplinary, community-based Healthy Heart Team (HHT).
The HHT consists of a nurse, pharmacist and social worker who rotate among four locations in the community to provide patients with onsite care. A collaborative agreement between primary care physicians and the HHT allows for joint management of Sinai-Grace's heart failure patients.
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Spotlight On...

The 1999 merger of two community hospitals, Sinai Hospital and Grace Hospital, created Detroit's Sinai-Grace Hospital. Located in the city's northwest section, it is the area's leading community academic hospital with nearly 215,000 patients each year. Sinai-Grace's Comprehensive Heart Center provides patients with surgery, cardiac rehabilitation, help in managing heart disease and more.
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From the Director
Six Months and Making Progress by Bruce Siegel, M.D., M.P.H.
In just six months, the 10 Expecting Success hospitals are making significant strides toward improving the quality of their cardiac care while also reducing racial and ethnic disparities. Dr. Bruce Siegel addresses some of the best practices he's seen over the past few months and how hospitals nationwide can utilize this knowledge to improve quality and reduce disparities.
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RWJF Perspective
Expecting Success: One of Several Projects Sharing Promising Strategies
The Expecting Success program is a critical component of the Robert Wood Johnson Foundation's (RWJF) overall strategy to reduce racial and ethnic disparities in health care, because the Foundation needs hospitals and others to lead the way on testing what strategies are most likely to improve care for their minority patients. However, Expecting Success also works in collaboration with other RWJF programs to share lessons about promising strategies to reduce racial and ethnic gaps in care.
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