Project UPSTART: the Use of Procedural Standardization to Reduce Recognition to Repferfusion (R2R) Time in ST-Elevation Myocardial Infarction (STEMI)


Change is often hard, but we've worked to make implementing Project UPSTART as simple and straightforward as possible so that you can have UPSTART up and running at your hospital in less than six weeks.

Implementation consists of two processes that occur in parallel:

  1. After enrolling in the program, a detailed, site-customized STEMI ALERT Packet is developed for your hospital. We will assist you as needed.
  2. At the same time, your ED staff and physicians begin training by completing the Project UPSTART Provider Training Module. This online training module (including the exam) takes around 45 minutes to complete.

Once these tasks are done, you're ready to go! Prominently place the Screening ECG Protocol in your ED and triage areas and place your STEMI ALERT Packets in highly visible locations. The next time a STEMI occurs, your staff members will have been trained to reach for a STEMI ALERT Packet and use its contents to provide rapid STEMI treatment.

After even a few STEMI ALERTS, you'll be able to use the data collected with Data Sheets A and B to begin ongoing improvement. By using objective measurements, including precisely measured times to reperfusion for each patient, you'll have the direction needed to pinpoint areas for improvement in effectiveness and efficiency.

Upon request, we'd be glad to send you an Implementation Support Kit supplying the items needed for rapid implementation. This includes staff and physician information letters, the Project UPSTART Color Guide, various Project UPSTART publicity signs (STEMI Stop Sign, "Got STEMI?"), and additional information on the implementation process. Please check back soon to find the Implementation Support Module online.