“On Father’s Day, my dad collapsed onto the kitchen floor. While on the phone with 911, he stopped breathing and died. The dispatcher explained how to do CPR, and I remembered my training from babysitter class. It took seven minutes for help to come. I learned later that starting CPR quickly kept the oxygen flowing to my dad’s heart and saved his life.”
- Katie

Take Heart America

Outcomes

Helping more people survive by tracking results.
By accurately measuring outcomes across Take Heart America communities, we can quickly identify points of care that can be improved by implementing the Bundle of Care. Data collection and regular analysis of findings assist in ensuring the safe and quality care necessary to save even more lives. We can study what works best and what doesn’t, including how the presence, absence or timeliness of Take Heart America strategies contributes to saving more people from cardiac arrest.

One of the most important metrics is the total number of cardiac arrest patients and the number who survive with good brain function to hospital discharge. Data is collected and tracked on all 911 calls and actions taken by care providers, including time from dispatch to the scene, time from 911 call to start of CPR, time to AED placement and use, duration of CPR, the quality of CPR performed, the number of personnel at the scene, the method of airway management, use of ITD and other CPR adjuncts, and the method(s) of CPR used. Specifics are also collected for in-hospital cardiac arrest events, outcomes and post-discharge activities.

It is preferred that Take Heart America community site leaders participate in the Cardiac Arrest Registry to Enhance Survival (CARES) to collect and study their cardiac arrest related data. If CARES is not available to them, Take Heart America communities collect data that aligns with the CARES data points. Site champions and their team of experts regularly analyze the data to identify areas of improvement, including service delivery.

Cardiac arrest data points include:
• Patient age and gender
• Presumed cardiac etiology
• Initial Rhythm: VF/VT, Asystole, PEA
• Witnessed by bystander
• Lay or public CPR
• AED
• Witnessed by first responder and/or EMS
• 911-BLS average response time
• ITD (ResQPOD)
• ACD CPR
• Automated CPR (what type)
• ROSC
• Hypothermia
• Cardiac catheterization (revascularization yes/no)
• ECMO
• ICD
• Hospital discharge
• CPC at discharge

Data should be reported in one of two ways, to be agreed upon by the site champion and Take Heart America executive staff. Data is reported annually in aggregate with the following breakdowns:
• All patients
• For each initial rhythm, the number/percentage of patients who received bystander
CPR, witnessed by bystander, witnessed by EMS, ITD, AED, LUCAS, hypothermia,
ROSC, and hospital discharge
• A full (de-identified) report for each of the above data points for each survivor.
If this option is chosen, THA will discuss exclusionary criteria with the site.

Lastly, data is reported annually by submitting a de-identified spreadsheet to Take Heart America with all OHCA patients worked by EMS that, at minimum, provides all data points listed above.

Find out more about data collection for Take Heart America community sites.

Outcomes

© 2017 Take Heart America