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Figure 1 The American College of Cardiology Acute Myocardial Infarction Guidelines Applied in Practice (ACC AMI-GAP) project merges a research model with a collaborative model for improvement with all participants implementing the same intervention (ACC AMI-GAP tool kit) and aggregate pre- and post-measurement occurring within the same time frame. Learning sessions focus on increasing the use of the GAP tools and successful implementation of project phases of planning, tool implementation, monitoring tool use, remeasurement, and results. The Breakthrough Series Collaborative Model © 2001 Institute (12).