Multistate implementation of guideline-based cardiac resuscitation systems of care: description of the HeartRescue project.

TitleMultistate implementation of guideline-based cardiac resuscitation systems of care: description of the HeartRescue project.
Publication TypeJournal Article
Year of Publication2013
Authorsvan Diepen S, Abella BS, Bobrow BJ, Nichol G, Jollis JG, Mellor J, Racht EM, Yannopoulos D, Granger CB, Sayre MR
JournalAm Heart J
Volume166
Issue4
Pagination647-653.e2
Date Published2013 Oct
ISSN Number1097-6744
KeywordsAmerican Heart Association, Cardiopulmonary Resuscitation, Emergency Medical Services, Humans, Incidence, Out-of-Hospital Cardiac Arrest, Practice Guidelines as Topic, Public Health, Quality Improvement, Registries, United States
Abstract

BACKGROUND: There is large and significant regional variation in out-of-hospital cardiac arrest (OHCA), and despite advances in treatment, survival remains low. The American Heart Association has called for the creation of integrated cardiac resuscitation systems of care capable of measuring and improving evidence-based care from bystanders through to hospital discharge.

METHODS: The HeartRescue Project was initiated in 2010 by the Medtronic Foundation in collaboration with 5 academic medical centers and American Medical Response. The HeartRescue Project aims to develop regional cardiac resuscitation systems of care that will implement guideline-based best practice bystander, prehospital, and hospital care with standardized data reporting linked to outcomes. The primary goal is to improve collective OHCA survival by 50% over 5 years.

RESULTS: The total population in the 5 participating states is 41.1 million. At baseline, the HeartRescue Project covers approximately 26.1 million people (63.6%) and has engaged 767 emergency medical services agencies and 269 hospitals. Data will be collected for quality improvement, to inform provider feedback, and serve to define effective strategies to improve cardiac arrest care.

CONCLUSION: The HeartRescue Project is the largest public health initiative of its kind focused entirely on cardiac arrest outcomes. The project is designed to significantly improve OHCA survival by implementing and measuring model systems of care for cardiac resuscitation.

DOI10.1016/j.ahj.2013.05.022
Alternate JournalAm. Heart J.
PubMed ID24093843
Faculty Reference: 
Bentley J. Bobrow, MD, FACEP, FAHA