Document Type

Policy Brief

Publication Date



MRHRC, rural, EMS, emergency medical services, Flex, USM Aging Initiative, Health and Wellness


This policy brief summarizes the evidence for regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). These systems of care have both a quality improvement and a systems development focus and provide a valuable opportunity for State Flex Programs to engage CAHs and EMS in rationalizing and improving STEMI care for rural residents. This brief discusses the vital role that rural EMS agencies and CAHs can play in regional systems of STEMI care and highlights the work of four State Flex Programs in this area. It provides a resource to State Flex Programs interested in developing interventions to engage rural EMS agencies, CAHs, and other hospitals in developing regional systems of care. More detailed information is available in the associated Flex Briefing Paper no. 29, available on the Flex website at: http://flexmonitoring.or g.

This work is part of a series of Flex Monitoring Team briefs whose purpose is to identify and assess evidence-based interventions for use by State Flex Programs, CAHs, and EMS units.



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