Monticello, Ind. — People who live in rural communities live an average of three years fewer than urban counterparts and have a 40% higher likelihood of developing heart disease and face a 30% increased risk for stroke mortality, according to an American Heart Association’s presidential advisory on rural health. Indiana University Health White Memorial Hospital is committed to changing that.
For its efforts to optimize stroke care and reduce gaps in rural health outcomes, IU Health White Memorial has received the American Heart Association’s Get With The Guidelines® - Stroke Rural Recognition Gold award.
Stroke is the No. 4 cause of death and a leading cause of disability in the U.S, according to the American Heart Association’s 2026 Heart Disease and Stroke Statistics Report. A stroke occurs when a blood vessel supplying the brain is blocked by a clot or ruptures, preventing blood and oxygen from reaching brain tissue. When this happens, brain cells begin to die. Early detection and rapid treatment are critical to improving survival, minimizing disability and supporting faster recovery.
The American Heart Association recognizes the importance of health care services provided to people living in rural areas by rural hospitals that play a vital role in initiation of timely evidence-based care. For that reason, all rural hospitals participating in Get With The Guidelines - Stroke are eligible to receive award recognition based on a unique methodology focused on early acute stroke performance metrics.
“This award is a testament to the collaboration, expertise and dedication of our entire care team,” says Leslie Holdcraft, stroke program coordinator for White Memorial Hospital. “Our patients deserve access to exceptional stroke care, regardless of where they live. We remain committed to providing timely, guideline-directed treatment that supports the best possible outcomes for the communities we serve.”
This recognition goes to hospitals for their commitment to acute stroke care excellence, demonstrated through performance on guideline-directed measures including intravenous thrombolytic therapy, timely hospital inter-facility transfer, dysphagia screening, symptom timeline and deficit assessment documentation, emergency medical services communication, brain imaging and stroke expert consultation.
“Patients and health care professionals in rural communities face unique health care challenges and opportunities,” says Karen E. Joynt Maddox, M.D., MPH, chair of the American Heart Association Quality Oversight Committee and co-author on the Association’s advisory on rural health. “IU Health White Memorial has advanced the important work of improving care for all Americans, regardless of where they live.”
White Memorial also received the American Heart Association’s Get With The Guidelines® - Stroke Gold Plus quality achievement award for its commitment to ensuring people experiencing stroke receive timely, appropriate treatment based on nationally recognized, research-based guidelines, ultimately helping to save lives and reduce disability.
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