The Virginia Heart Attack Coalition (VHAC) is a collaborative partnership among the Virginia Chapter of the American College of Cardiology, American Heart Association, the Virginia Office of Emergency Medical Services, the Virginia Hospital and Healthcare Association, the Virginia College of Emergency Physicians, the Virginia Department of Health Heart Disease and Stroke Prevention Project, and many other partners across the state. Working to improve systems of care for the early recognition and treatment of all Virginia residents having heart attacks, the Virginia Heart Attack Coalition is helping to implement the American Heart Association’s community-based national initiative Mission: Lifeline, designed to improve the health care system’s readiness and response to ST-Elevation Heart Attack (STEMI) patients.