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Letter to Corporate Leaders![]() December, 1993 Dear CEO, Early heart attack care makes sense when seen in the setting of America's #1 health problem that has not changed in position since the turn of the century. No longer can we expect the public to expect hospital emergency rooms not to be properly prepared for the benefits of early heart attack care especially as seen with timely thrombolytic therapy and futuristically benefits from cardioprotecting ischemic patients and preventing them from having a heart attack. Many forces which will be looking for efficiency of these delivery systems (See HCFA - Medicare monitoring). Not all emergency rooms are created equal and it becomes very important to take a look at what is being accomplished in one's hospital. Continuous quality improvement focuses on process failure and works to provide process solutions that bring all players together. Nowhere is this more important than in the heart attack problem. Here the game plan will have to involve the public as well. The interface of the public, emergency room, and cardiology services demand that the best of these relationships be carried out. Chest pain centers have been developing across the United States in an effort to get the ball rolling and moving in the direction of more focused attention on the heart attack patient and stream lining the management of chest pain patients. With this thought in mind, information on how this can be carried out both within the hospital as well as educational outreach message to the community are available free for your review to see how this may fit part of your hospital's approach to the heart attack problem in your community. Together we can make a difference and hopefully reduce heart attack to being #2 before the end of the century. Enclosed please find an article dealing with the potential of this Early Heart Attack Care Movement. Please visit our booth at the American Heart Association meeting in Atlanta, Georgia, November, 1993 and the American College of Cardiology in March,1994. Sincerely,
Raymond D. Bahr, M.D., FA.C.P.
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