The American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Silver award recognizes efforts to address the unique health needs of rural communities
RAPID CITY, SD (Aug. 25, 2026) — 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. Monument Health is committed to changing that.
For its efforts to optimize stroke care and reduce gaps in rural health outcomes, Monument Health has received the American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Silver 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.
“We are proud that our teams at Monument Health are being recognized for the important work we do every day to improve the lives of people in Western South Dakota who are affected by stroke, giving them the best possible chance of recovery and survival,” said Thomas Worsley, Monument Health President of Spearfish Hospital and Hills Markets. “With hospitals in rural communities, we face challenges such as extended interfacility transportation times and limited staffing resources. We have made it a priority to ensure those challenges never compromise the standard of care our stroke patients receive. Rural communities deserve high-quality stroke care. I’m proud of our team’s commitment to stroke care excellence and this achievement.”
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 Western South Dakota face unique health care challenges and opportunities,” said 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. “Monument Health has advanced the important work of improving care for all Americans, regardless of where they live.”
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About Monument Health
Headquartered in Rapid City, S.D., Monument Health is a community-based health care system with a mission to make a difference, every day. The system offers care in 31 medical specialties and serves 14 communities across western South Dakota and in eastern Wyoming. With over 6,300 physicians and caregivers, Monument Health is composed of 5 hospitals and more than 40 medical clinics and specialty centers. Monument Health is a member of the Mayo Clinic Care Network.
About Get With The Guidelines®
Get With The Guidelines® is the American Heart Association/American Stroke Association’s hospital-based quality improvement program that provides hospitals with the latest research-based guidelines. Developed with the goal of saving lives and hastening recovery, Get With The Guidelines has touched the lives of more than 18 million patients since 2001. For more information, visit heart.org.