Introduction  

Welcome to the D2B: An Alliance for Quality Implementation Manual. The purpose of this manual is to provide participants with the evidence-based strategies and supporting tools necessary to reduce door-to-balloon times. The manual also details the processes for creating an environment for change and implementing these focused strategies.

The Manual, which was assembled by a group of experts in the fields of cardiology, emergency medicine, nursing and quality improvement sciences, is intended as a resource. Participants are encouraged to print out the documents to have handy throughout implementation efforts. It is segmented into the following areas:

• D2B Overview
• Creating Change
• Project Support and Approval
• Creating Your Team
• Action Plan
• Tool Kit
• Data Monitoring and Feedback. 

Please email d2bstaff@acc.org with any questions or comments.