Toronto Heart Attack Collaborative: an administrative model that facilitated a successful city-wide integration initiative.
This article provides a description of the administrative model that enabled a city-wide integration effort between Greater Toronto Area hospitals and Toronto Emergency Medical Services in the care of patients within the city of Toronto with ST elevation myocardial infarction (STEMI). This administrative structure, known as the Toronto Heart Attack Collaborative (THAC), enabled universal 24/7 access to primary percutaneous coronary intervention within Toronto, improving patient efficacy and outcomes. The lessons and administrative enablers from this experience may be useful for regions that are embarking on multi-centre integration efforts. This article presents a five-year perspective on the THAC integration effort.
Project manager at the University Health Network in Toronto, ON.
Justin
J
Young
President and chief executive officer at the Sunnybrook Health Sciences Centre in Toronto, ON.
Barry
B
McLellan
Senior vice president and executive lead at the Princess Margaret Cancer Centre, University Health Network in Toronto, ON.
Marnie
M
Escaf
Interim head of the Division of Cardiology at the University Health Network and Mount Sinai Hospital in Toronto, ON.
Vladimir
V
Dzavik
Director of pperations at the Schulich Heart Centre at the Sunnybrook Health Sciences Centre in Toronto, ON.
Susan
S
Michaud
Senior clinical director at the University Health Network in Toronto, ON.
Janet
J
Newton
Program director in the Heart and Vascular Program at St. Michael's Hospital in Toronto, ON.
Erone
E
Newman
D003299:Cooperative Behavior; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D017146:Models, Organizational; D009203:Myocardial Infarction / Q000628:therapy*; D009864:Ontario; D062645:Percutaneous Coronary Intervention; D016896:Treatment Outcome; D019037:Urban Health Services / Q000458:organization & administration