A treatment plan for the acute care of ST Elevation Myocardial Infarction (STEMI) has been launched within a large rural district of Tamil Nadu, India. Taking advantage of recent changes, such as the GVK EMRI ambulance system and the government insurance program in Tamil Nadu, the program’s early data demonstrate an improvement in the quality of acute STEMI care by dramatically decreasing the time from symptom onset to hospital arrival and subsequent receipt of Percutaneous Coronary Intervention (PCI). KMCH Hospital is one of the major center for this study and many poor patients are getting benefited through this program.