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!