Heart Systems of Care
The Kentucky Heart Disease and Stroke Prevention Task Force’s Heart Systems of Care committee collaborate with various health care sites throughout Kentucky to implement statewide, evidence-based integrated cardiovascular health delivery systems to improve statewide cardiovascular systems of care. This implementation occurs through two prioritized strategies:
- Identifying and improving current heart systems of care
- Engaging receiving hospitals to work with its referral base to improve patient outcomes
Our Mission
Heart Systems of Care emphasizes standardized ST-Segment Elevation Myocardial Infarction (STEMI) transport and care through the use and adoption of national quality assurance initiatives that focus on acute cardiovascular care. This process of standardization focuses also on continuous EMS education, training, and feedback in order to optimize outcomes. Necessary engagement with the Kentucky Board of Emergency Medical Services (KBEMS) is provided through Heart Systems of Care in order to accomplish these outcomes. Through consistent collaboration with KBEMS, Heart Systems of Care focuses on reviewing and recommending evidence-based cardiovascular practices. There is additionally an emphasis on referral compliance and standardization to improve patient outcome and transfer policies.
In addition to system and process outcomes, patient education is provided to patients, families, and the public on recognizing the signs and symptoms of Acute Myocardial Infarction (AMI) and the need to call 911 immediately. Education is an important component used by Heart Systems of Care to prevent and improve cardiovascular outcomes throughout Kentucky.
Heart Systems of Care Resources
The Heart Systems of Care Library of Resources has a variety of documents, links, and helpful tools available for download.
Guidelines and Publications
The links and documents below have been approved by the Heart Systems of Care committee for use.
Please select to open. Download and print or share these resources as appropriate.
- Online Articles
- A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
- O’Gara PT, Kushner FG, Ascheim DD, Casey DE Jr, Chung MK, de Lemos JA, Ettinger SM, Fang JC, Fesmire FM, Franklin BA, Granger CB, Krumholz HM, Linderbaum JA, Morrow DA, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Tommaso CL, Tracy CM, Woo YJ, Zhao DX. 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2013;61:e78–140
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- A Report Of The American College Of Cardiology/American Heart Association Task Force On Practice Guidelines
- Amsterdam EA, Wenger NK, Brindis RG, Casey DE Jr, Ganiats TG, Holmes DR Jr, Jaffe AS, Jneid H, Kelly RF, Kontos MC, Levine GN, Liebson PR, Mukherjee D, Peterson ED, Sabatine MS, Smalling RW, Zieman SJ. 2014 AHA/ACC guideline for the management of patients with non–ST-elevation acute coronary syndromes: a report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2014;64:e139–228.
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- Levine GN, O’Gara PT, Bates ER, Blankenship JC, Kushner FG, Ascheim DD, Bailey SR, Bittl JA, Brindis RG, Casey DE Jr, Cercek B, Chambers CE, Chung MK, de Lemos JA, Diercks DB, Ellis SG, Fang JC, Franklin BA, Granger CB, Guyton RA, Hollenberg SM, Khot UN, Krumholz HM, Lange RA, Linderbaum JA, Mauri L, Mehran R, Morrow DA, Moussa ID, Mukherjee D, Newby LK, Ornato JP, Ou N, Radford MJ, Tamis-Holland JE, Ting HH, Tommaso CL, Tracy CM, Woo YJ, Zhao DX. 2015 ACC/AHA/SCAI focused update on primary percutaneous coronary intervention for patients with ST-elevation myocardial infarction: an update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Society for Cardiovascular Angiography and Interventions. J Am Coll Cardiol 2016;67:1235–50.
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- Levine GN, Bates ER, Bittl JA, Brindis RG, Fihn SD, Fleisher LA, Granger CB, Lange RA, Mack MJ, Mauri L, Mehran R, Mukherjee D, Newby LK, O’Gara PT, Sabatine MS, Smith PK, Smith SC Jr. 2016 ACC/AHA guideline focused update on duration of dual antiplatelet therapy in patients with coronary artery disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines: an update of the 2011 ACCF/AHA/SCAI guideline for percutaneous coronary intervention, 2011 ACCF/AHA guideline for coronary artery bypass graft surgery, 2012 ACC/AHA/ACP/AATS/PCNA/SCAI/STS guideline for the diagnosis and management of patients with stable ischemic heart disease, 2013 ACCF/AHA guideline for the management of ST-elevation myocardial infarction, 2014 ACC/AHA guideline for the management of patients with non–ST-elevation acute coronary syndromes, and 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery. J Am Coll Cardiol 2016;68:1082–115;
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- A Report of the ACCC/AHA Task Force of Performance Measures
- Jneid H, Addison D, Bhatt DL, Fonarow GC, Gokak S, Grady KL, Green LA, Heidenreich PA, Ho PM, Jurgens CY, King ML, Kumbhani DJ, Pancholy S. 2017 AHA/ACC clinical performance and quality measures for adults with ST-elevation and non–ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Performance Measures. J Am Coll Cardiol. 2017;70:2048–90
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- James G. Jollis, MD, Hussein R. Al-Khalidi, PhD, Mayme L. Roettig, RN, MSN, Peter B. Berger, MD, Claire C. Corbett, MMS, Shannon M. Doerfler, PhD, Christopher B. Fordyce, MD, MHS, MSc, Timothy D. Henry, MD, Lori Hollowell, BSN, Zainab Magdon-Ismail, DrPH, Ajar Kochar, MD, James J. McCarthy, MD, Lisa Monk, RN, MSN, Peter O’Brien, MD, Thomas D. Rea, MD, Jay Shavadia, MD, Jacqueline Tamis-Holland, MD, B. Hadley Wilson, MD, Khaled M. Ziada, MD, and Christopher B. Granger, MD. Impact of Regionalization of ST-Segment–Elevation Myocardial Infarction Care on Treatment Times and Outcomes for Emergency Medical Services–Transported Patients Presenting to Hospitals With Percutaneous Coronary Intervention. Circulation. Volume 137, Issue 4, 23 January 2018, Pages 376-387
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Jacobs AK, Murtuza JA, Best PJ et al. AHA policy statement: systems of care for ST-segment-elevation myocardial infarction. Circulation. 2021;144:e310–e327.
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- Meeting Minutes
The documents below have been approved by the Heart Systems of Care committee for use.
Please click “download” to print and distribute these resources as necessary.
- Heart Systems of Care Meeting Agenda 09-22-2022
- Kari Moore’s Presentation Slides – SEQIP Overview 2022
- This meeting’s focus was collaboration among competing hospitals statewide to impact performance measures and process improvement: The Kentucky SEQIP experience. Kari Moore was our featured speaker, graciously sharing her wealth of experience leading the implementation of a Stroke Systems of Care in Kentucky. Kari is the Director of Outreach and Community Scholarly Engagement and the Director of UofL Health Stroke Program Quality & Patient Safety at the Department of Neurology in the University of Louisville Hospital.
- Heart System of Care Orientation
The documents below have been approved by the Heart Systems of Care committee for use.
Please click “download” to print and distribute these resources as necessary.
- Professional Organizations
The links and documents below have been added for your convenience.
Please select to open. Share these as appropriate.
- Patient Education
The documents below have been approved by the Heart Systems of Care committee for use.
Please click “download” to print and distribute these resources as necessary.
- Resuscitation Science
The documents below have been added for your convenience.
Please click “download” to print and distribute these resources as necessary.
- Online Articles
- Cardiac Arrest: A Treatment Algorithm for Emergent Invasive Cardiac Procedures in the Resuscitated Comatose Patient
Committee Co-Chairs
Clara Robertson
RN, BSN, CCRN
A bit about me is that I graduated nursing school in 2013. I’ve worked Med/Surg, Cardiac telemetry and CICU before becoming the Cardiovascular Coordinator for Baptist Health Hardin in 2022. I have always had a deep interest in all things cardiac, and helping anyone understand their heart health is the best part of the job. Getting to connect with other folks involved in so many different ways in cardiac care in Kentucky is exciting and an honor. I hope we can reach more Kentuckians together.
Greg Brislin
MS
Greg is the Program Manager for the Chest Pain Program for UofL Health Jewish Hospital. He has worked throughout the UofL Health system in many roles and facilities. His current responsibilities include managing Chest Pain, MI and Resuscitation accreditation for Jewish Hospital, providing oversite for all Chest Pain accreditation processes for all facilities in the UofL Health system, participating as a member of the steering committee for UofL Health Cardiogenic Shock program and Heart Board as well as coordinating all outreach education and training for community and EMS partners.
Greg has worked with the KHDSPTF for 2 years and also sits on the KYBEMS Stroke and Heart Disease Sub-Committee.
Greg was nominated and was one of 4 finalists for the AHA Live Fierce Stand for All Award 2023 and has received 2 Ambassador awards for community outreach from UofL Health.
Greg’s background is in Exercise Physiology and was involved as a Strength Coach for the UofL Men’s and Women’s Basketball and Women’s Volleyball teams in the 90’s. He spent 16 years as the Chair of the Physiology Resource Advisory Team for USA Volleyball and is well published in books, articles, and peer-reviewed journals for both sport and Exercise Science.
Greg lives in Louisville with his wife and has 4 grown children. He holds black belts in several martial arts, plays guitar and bass and is an aspiring blacksmith.