The American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Gold award recognizes efforts to address the unique health needs of rural communities
July 2025 — 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 — a gap that has grown over the past two decades.[1],[2] HCA Florida Raulerson Hospital is committed to changing that.
For efforts to optimize stroke care and eliminate rural health care outcome disparities, HCA Florida Raulerson Hospital has received the American Heart Association’s Get With The Guidelines® – Stroke Rural Recognition Gold award.
The American Heart Association, the world’s leading nonprofit organization focused on heart and brain health for all, 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’re proud to be recognized for the work we do every day to improve stroke care in Okeechobee,” said Brian Melear, CEO. “Every community deserves high-quality stroke care, and I’m proud of our team’s commitment to excellence always.”
The award recognizes hospitals for their efforts toward acute stroke care excellence demonstrated by composite score compliance to guideline-directed care for 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 Okeechobee face unique health care challenges and opportunities,” said Karen E. Joynt Maddox, M.D., MPH, co-author on the American Heart Association’s presidential advisory on rural health. “HCA Florida Raulerson Hospital has furthered this important work to improve care for all Americans, regardless of where they live.”
About HCA Florida Healthcare
HCA Florida Healthcare, a part of HCA Healthcare, is a family of more than 650 affiliated sites of care, including hospitals, physician practices, freestanding emergency rooms and urgent care centers. As one of the state’s leading healthcare networks, HCA Florida Healthcare’s 11,100 experienced doctors and more than 84,000 colleagues work together to deliver equitable, evidence-based collaborative care through more than 12 million patient encounters annually. HCA Florida Healthcare is committed to improving more lives in more ways and giving back to the communities it serves. In 2024, the network provided more than $1 billion in uncompensated care and contributed more than $3.7 million to community organizations across the state. In addition, HCA Florida Healthcare offers patients access to highly trained specialists, including the state’s most comprehensive cardiovascular network. A strong advocate for the next generation of healthcare professionals, HCA Florida Healthcare is a leader in in training future healthcare professionals, offering 151 Graduate Medical Education (GME) programs at 27 different hospitals with more than 2,400 residents. For more information, please visit HCAFloridaHealthcare.com
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 14 million patients since 2001. For more information, visit heart.org.
[1] American Heart Association. American Heart Association issues call to action for addressing inequities in rural health. February 10, 2020. https://newsroom.heart.org/news/american-heart-association-issues-call-to-action-for-addressing-inequities-in-rural-health; American Heart Association. Public Health AmeriCorps to address health inequity in rural communities. April 6, 2022. https://newsroom.heart.org/news/public-health-americorps-to-address-health-inequity-in-rural-communities.
[2] Harrington R, et al. Call to Action: Rural Health: A Presidential Advisory From the American Heart Association and American Stroke Association. Circulation. 2020;141:e615–e644.















