PMID- 24844719 OWN - NLM STAT- MEDLINE DCOM- 20150916 LR - 20191027 IS - 1710-2774 (Print) IS - 1710-2774 (Linking) VI - 17 IP - 1 DP - 2014 TI - Toronto Heart Attack Collaborative: an administrative model that facilitated a successful city-wide integration initiative. PG - 36-41 AB - 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. CI - Copyright (c) 2014 Longwoods Publishing. FAU - Young, Justin AU - Young J AD - Project manager at the University Health Network in Toronto, ON. FAU - McLellan, Barry AU - McLellan B AD - President and chief executive officer at the Sunnybrook Health Sciences Centre in Toronto, ON. FAU - Escaf, Marnie AU - Escaf M AD - Senior vice president and executive lead at the Princess Margaret Cancer Centre, University Health Network in Toronto, ON. FAU - Dzavik, Vladimir AU - Dzavik V AD - Interim head of the Division of Cardiology at the University Health Network and Mount Sinai Hospital in Toronto, ON. FAU - Michaud, Susan AU - Michaud S AD - Director of pperations at the Schulich Heart Centre at the Sunnybrook Health Sciences Centre in Toronto, ON. FAU - Newton, Janet AU - Newton J AD - Senior clinical director at the University Health Network in Toronto, ON. FAU - Newman, Erone AU - Newman E AD - Program director in the Heart and Vascular Program at St. Michael's Hospital in Toronto, ON. LA - eng PT - Journal Article PL - Canada TA - Healthc Q JT - Healthcare quarterly (Toronto, Ont.) JID - 101208192 MH - Cooperative Behavior MH - Emergency Medical Services/*organization & administration/standards MH - Humans MH - *Models, Organizational MH - Myocardial Infarction/*therapy MH - Ontario MH - Percutaneous Coronary Intervention MH - Treatment Outcome MH - Urban Health Services/organization & administration EDAT- 2014/05/23 06:00 MHDA- 2015/09/17 06:00 CRDT- 2014/05/22 06:00 PHST- 2014/05/22 06:00 [entrez] PHST- 2014/05/23 06:00 [pubmed] PHST- 2015/09/17 06:00 [medline] AID - 10.12927/hcq.2014.23745 [doi] PST - ppublish SO - Healthc Q. 2014;17(1):36-41. doi: 10.12927/hcq.2014.23745.