Cardiac Arrest Collaborative Town Hall - Citizen CPR
Transcript of Cardiac Arrest Collaborative Town Hall - Citizen CPR
Why Are We Here Today?
Tom P. Aufderheide, MD, MS Professor of Emergency Medicine
Medical College of Wisconsin
Lance Becker, MD Professor and Chair, Department of Emergency Medicine
North Shore University Hospital/LIJ Medical Center
1. PublishedinJune,20152. Firstcomprehensive
assessmentofcardiacarrestfromana=onal,publichealthperspec=ve
3. Bestevalua=onofna=onalcardiacarreststa=s=cstodate
StrategiestoImproveCardiacArrestSurvival:ATimetoAct
ImprovedFunc=onallyFavorableSurvival
1.EstablishaNa=onalCardiacArrestRegistry
2.CreateaCultureofAc=onThroughPublicAwarenessandTraining
3.EnhanceCapabili=esandPerformanceofEMS
4.SetNa=onalAccredita=onStandardsforHospitalsandHealthCareSystems
5.AdoptCon=nuousQualityImprovementPrograms
6.AccelerateResearchonPathophysiology,NewTherapies,andTransla=on
7.AccelerateResearchonEvalua=onandAdop=onofTherapies
8.CreateaNa=onalCardiacArrestCollabora=ve
WorkshopConsensus
1. PublishedinOctober,20162. Iden=fiedconsensus
opinionfromcardiacarreststakeholders
3. Iden=fiedbarrierstoprogress,poten=alstrengths,andpriori=es
4. Recommendedforma=onofaNCACtomakeprogressonna=onalimplementa=onoftheIOMrecommenda=ons
NextSteps?
Na=onalCardiacArrestCollabora=veConcepts
• Inthebeginning,keepmembershipsmall.Themembershipwillgrowandevolveover=me.
• Haveaclear,discretepurposeandstayfocusedonthatpurpose.
• Donottrytoachievetoomanyobjec=vesatonce.Bychoosingini=alac=vi=escarefully,strategicinvestmentscanensuresuccess.
• Donotreplicateeffortsofmemberorganiza=onsorbuildnewinfrastructurewhereinfrastructurealreadyexists.
• Leveragetheavailableexper=seandresourcesofthememberorganiza=onswheneverpossible.
Recommendation 8. Create a National Cardiac Arrest Collaborative
The American Heart Association and the American Red Cross—with the U.S. Department of Health and Human Services and other federal agencies, national and international resuscitation councils, professional organizations, private industry, and patient advocates—should establish a National Cardiac Arrest Collaborative to unify the cardiac arrest field, identify common goals, and build momentum within the field to ultimately improve survival from cardiac arrest with good neurologic and functional outcomes.
NCACExecu=veCommi^eeNa=onalCardiac
ArrestCollabora=veExecu=veCommi^ee
Cli_onCallaway,MD(Co-ChairAmericanHeart
Associa=on)
LanceBecker,MD
(IOMreportAuthor)
TomAufderheide,MD
(IOMreportauthor)
LanaGent,PhD(AHAStaffLead)
JonathanEpstein(RedCrossStaff
Lead)
JeremeyBrown(NIH)
TBD(Co-ChairDepartmentofHealthand
HumanServices)
RichardBradley,MD(Co-ChairAmericanRedCross)
Execu&veCommi-ee
(5-10)
LeadershipCommi-ee
(15-30)
GovernmentalAgencies
ExternalAdvisoryCommi-ee
CommissionedWorkingGroupsRecommenda&on1Recommenda&on2Recommenda&on3Recommenda&on4Recommenda&on5Recommenda&on6Recommenda&on7
PrototypeOrganiza=onalChart
Na=onalCardiacArrestCollabora=veConcepts
• Establishesworkinggroupstoaddressaddi=onalIOMrecommenda=ons/issuesandmonitorsprogress
• Managesandassuresnoconflictofinterest• Doesnotimpedeindependentstakeholderini=a=ves• Focusongoalsnotachievedseparatelythathave
poten=alforsuccessapproachedasacoali=on• Staycenteredandalwaysguidefinaldecisionsonwhat
isbestforthepa=ent• Drawstrategiesfromsuccessfulpriorna=onal
ini=a=ves(BrainA^ackCoali=on)
Na=onalCardiacArrestCollabora=veConcepts
• CommitmentandresponsibilityforachievingalloftheIOMrecommenda=onsna=onally
• Rela=velysmallcore:collabora=ve,facile,andcapableofefficientdecision-making
• Includescardiacarreststakeholderorganiza=onsacrossthespectrumofthechainofsurvivalandkeygovernmentalagencies
• Ac=velypursueexper=seoutsidethefieldofcardiacarresttoshapeitsini=a=vesandac=onplans
• Inclusiveinputgenera=ngaunifiedvoiceandac=onplans(shortandlong-term)
FirstMee=ngoftheNCAC• TookplaceMay11,2017
– OfficeofEmergencyCareResearchinBethesda,MD• Topic:UniversalCardiacArrestMessaging• Stakeholders
– AHA,ARC,DHHS,CDC,NIH,NHTSA,NAEMSP,JEMS,CCPRF,HeartRescue,GlobalResuscita=onAcademy,TakeHeartAmerica,SCAF,cardiacarrestsurvivors,USAToday,ParentHeartWatch,Na=onalAssocia=onofEMSOfficials,BrainA^ackCoali=on,mediaexpertsfromaroundthena=on,andothers
• Purposeofthemee=ng– Forma=onoftheini=alframeworkfortheNa=onalCardiacArrestCollabora=ve
– Addressunifiedna=onalmessagingforcardiacarrest
ChangingaCultureofInac=ontoaCultureofAc=on
NCACProgress• TheNa=onalCardiacArrestCollabora=ve(NCAC)hasbeenestablished!
• ThefirstNCACmee=ngtookplaceMay11,2017inBethesda,MD
• TheNCACcommissionedit’sfirstworkinggroup:UniversalNa=onalMessaging– Changingacultureofinac=ontoacultureofac=on– Thepublic,providers,andpolicymakers– Workinggroupmee=ngregularlyanddevelopingprototypemessaging
– WillbepresentedlaterbyLanaGent,PhD
SecondNCACMee=ng• SecondNCACMee=ng:EmergencyCardiovascular
CareUpdateConference(ECCU)2017,December5-8,NewOrleans.LA
• December5,20179am-2pm• Na=onalCardiacArrestDatabase• Invita=ononly
• December5,20172:30pm-4:30pm• OpenTownHallMee=ng
Na=onalRegistry:Beginningofalongjourney…
Stakeholders– CreateWorkingGroup
Science/Technology/MethodologyFunding/Sustainability Createamandate
Poli=cs/Advocacy
DataIN/DataOUTHoldingsecuredataAnalysisandrepor=ngDatabasegovernanceQualityAssuranceTransparency
PublicRepor=ngUniversal
UnfundedMandate?Leveragedfunding,Industrysupport,
GovSupportCDC,FDA,States
AdvocacyVoicesofsurvivors
andnon-
survivorsPa=entfocusedPoli=cians
So…WhyAreWeHere?
• Updateonprogress• Provideaforumfordiscussion• Derivefeedbackfromstakeholders
• To download the report and view additional resources, visit: www.iom.edu/cardiacarrest
• To purchase a paperback copy of the report, visit: http://www.nap.edu/
Suggested citation: IOM (Institute of Medicine). 2015.Strategies to improve cardiac arrest survival: A time to act. Washington, DC: The National Academies Press.
Thank you!