
The Global Heart Attack Treatment Initiative (GHATI) is dedicated to collaborating, collecting and sharing data, and utilizing tools to improve acute myocardial infarction (AMI) care for your MI patients. This international quality improvement program welcomes institutions with patients who present and are treated for MI with a focus on institutions in low- and middle- income countries.
NEW DATA COLLECTION TOOL AND SURVEY ARE LIVE!
GHATI is excited to announce that the new data collection tool and survey are live! This new reporting platform allows for transferred patient metrics, easier submissions, and quicker reports back! This is a great time to join GHATI. The GHATI team would like to thank all our participating sites and Workgroup Members on their support and commitment to the program and improving STEM-I care for all!
Interested Sites
Frequently Asked Questions
Here are some of the most frequently asked questions about joining GHATI. The GHATI Brochure provides additional details and information about joining GHATI.
- What are the benefits of participating in the GHATI program? There are many! Below are just a few of the many benefits one can expect:
- Facilitated data collection on site.
- Quarterly reports on quality metrics and data points in the inpatient setting.
- Opportunity to establish benchmarks, assess variation in performance and identify gaps in care.
- Access to expert support and QI toolkits.
- Improvement in STEMI care to MI patients.
- Collaboration and knowledge-sharing with other CV care providers.
- Is there a fee to participate in GHATI? No, there is no fee to participate in GHATI. GHATI requires time, resources, and internal organizational support at the participating facility.
- Do sites report patient health information? No, all patient health is omitted when reporting. Aggregated data (mean, median, percentage) are shared with the ACC.
- Is my site information shared? All site-specific information is blinded, and site anonymity is maintained on all reports.
- My facility is not in a LMIC, can I still participate? Yes! Participation from diverse care settings is crucial to building an invaluable data set that will advance the development and delivery of STEMI standards of care.
- Can the Clinical Champion and Administrative Champion be the same person? No. There must be two individuals involved with GHATI at each facility. This ensures that every site has two people capable of maintaining the program in case of staff changes.
- Can GHATI establish a country program? If a country wishes to sign up various sites, GHATI can work with a country coordinator to facilitate the onboarding of each interested institution. However, the program does require that each facility complete an application, sign its own contract, supply their own Site Champions, and submit their data independently. Because GHATI maintains site anonymity throughout the entire process, data and reports from each site will not be shared with the country coordinators or anyone besides the selected Site Champions.
- Is there flexibility to the number of patients reported? Ideally sites submit aggregated numbers based on all patients to ensure that reports are representative of what sites are seeing on a quarterly basis. We do understand, however, that sometimes sites are unable to report on all patients due to varying limitations of data collection on site, and therefore we ask that sites report on a minimum of 20 consecutive patients if required. If your site does not see 20 STEMI patients a quarter but you are still interested in participating, contact us at GHATI@acc.org directly.
- Does GHATI offer sites financial support to facilitate data collection? GHATI does not currently offer financial support to participating sites. We are, however, looking for options to provide this in the future to site's that require it.
How to Apply
Applying for GHATI is easy! It takes a few minutes to complete the form with the requested information. Make sure to have two individuals who are committed to being part of GHATI. To apply for the GHATI program, please fill out this form and email it to ghati@acc.org. We will respond with next steps and the onboarding process.
Get in Contact
If you have questions that were not answered in the above sections, please reach out to ghati@acc.org.
Participating Sites
Frequently Asked Questions
If you are a participating site and have questions about GHATI, please see the below questions:
- Fields are blocked in data collection sheet. Yes, some columns and cells in the data collection sheet are locked. The data collection sheet is programmed with multiple algorithms to calculate differences in time, mean, median, and other proportions automatically. The sheet is locked so that those algorithms remain intact and standardized for all GHATI facilities.
- What about protocol and IRB? There is no research protocol for GHATI as the aim is to improve the quality of care to patients with STEMI in low- and middle-income countries. Because the participating GHATI facilities are sending aggregated data only (numerator/denomination) to ACC, no individual patient's data are shared.
- Can't enter patient name into data collection sheet. The data collection sheet does not permit entering a patient's name. The field is blocked as a measure to protect patient information. If a GHATI site chooses to track a patient by name, they may do so in another document.
- The quarter is done, how do I send my data collection sheet to ACC? Please do not send the data collection sheet to ACC or any ACC team members. The spreadsheet can be considered patient identifying information, and we cannot view this information legally.
If you have a question that is not answered by the above questions, please email ghati@acc.org and we will respond accordingly.
Toolkits and Guides
GHATI has helpful toolkits and guides to support your data collection and gathering.
- For data definitions, please see the GHATI Data Definition Guide here.
- For Clinical Toolkits, please click the link here.
- For current ACC Campaigns, please click the link here.
Get in Contact
If you have questions that were not answered in the above sections, please reach out to ghati@acc.org with your questions.
GHATI Workgroup Members 2025-2026
GHATI would like to thank our 2025-2026 Workgroup members for their passion to the GHATI program. We appreciate your dedication to helping hospitals around the world improve AMI care. Thank you for all you do!
- Jaiagopal P.B., India – Chair
- Alan Fong, Malaysia – Immediate Past Chair
- Pedro Gabriel Melo de Barros, Brazil
- Rehan Malik, Pakistan
- Mary Ignacious L. Bicol, United Arab Emirates
- Jose Navarro Estrada, Argentina
- Mostafa M. Abd-Rabou, Egypt
- Tamara Kovačevic-Preradović, Republic of Srpska
- Kedir Negesso Tukeni, Ethiopia
GHATI Sites Committed to Quality Improvement
GHATI would like to congratulate the following sites for their dedication to the GHATI Program, and for consistently and continuously submitting data. Their efforts support the GHATI Program.
Abwa Heart Center
Al Fouad Cardiac Center
Assiut University Heart Hospital
Aster MedCity
Bahria Hospital
Basra Hospital
Cairo University
CEDIMAT Centro Cardiovascular
Cleveland Clinic Abu Dhabi
Clinic of Cardiology Institute of Cardiovascular Disease of Vojvodina
Clinica Bazterrica
Coimbatore Medical College and Hospital
CPE Institute of Cardiology
Department of Interventional Cardiology Medical Center Zajecar
Elkheir Hospital
Federal University Sao Paulo
Hakim Hospital
Hospital Aleman
Hospital de Clinicos de San Lorenzo
Hospital Dr Hernan Henriquez de Temuco
Hospital Estadual Mario Covas
Hospital General Docente Camilo Cienfuegos
Hospital General Docente Dr Ernesto Guevara de la Serna Cuba
Hospital General San Juan de Dios
Hospital Metropolitano de Santiago
Hospital Samaritano Barra
Hospital Samaritano Paulista
Instituto Nacional de Cardiologia Ignacio Chavez
International Cardiac Center ICC
Jakaya Kikwete Cardiac Institute
Kaohsiung Veterans General Hospital
King Abdulaziz Cardiac Center KA Medical City
Lakshmi Hospital
Meidcal Teaching Institution, Lady Reading Hospital
National Institute of Cardiovascular Diseases
National University Heart Centre
Nile Badrawy Hospital
Patel Hospital
Peshawar Institute of Cardiology
Pir Abdul Khalique Shah Jillani Institute of Medical Sciences
Saidu Group of Teaching Hospital
Sanatorio Britanico
Sarawak Heart Centre
Sheikh Kalifa Medical City
Shifa International Hospital Ltd
Tabba Heart Institute
Tehran Heart Center Tehran University of Medical Sciences|
The City Hospital
The Karen Hospital
The Nairobi Hospital
University Clinic for Cardiology Clinical Centre Skopje