Exploring Strategies to Improve Cardiac Arrest Survival Proceedings of a Workshop (2017) / Chapter Skim
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7 Effective Collaboration for Cardiac Arrest
7 Effective Collaboration for Cardiac Arrest
Pages 99-112
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From page 99... ...
. Recommendation 8 from the IOM report describes the creation of a National Cardiac Arrest Collaborative, which could be used to bring unity to the resuscitation field, define shared goals, and continue the momentum that was created following the release of the IOM's report (see Box 7-1)
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From page 100... ...
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. The Collab orative should • rovide a platform for information exchange about key successes and fail p ures in different systems and settings and for stakeholder communication about new research findings and initiatives; • onvene working groups on short- and long-term national research priori c ties for cardiac resuscitation and postarrest care, which focus on critical knowledge gaps (e.g., the impact of care transitions; the organization, composition, and training of resuscitation teams; optimal timing of initial neurological evaluation; and appropriate withdrawal-of-care protocols)
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From page 101... ...
At that point, Whittemore said, the members of Vision 2020 determined that they needed to reorganize themselves to better accommodate the expanded membership and to strategically implement the recommendations from the IOM report. The primary objective of the reorganization was to establish effective, efficient operations and a structure that would streamline priority setting and decision making, improve leadership and accountability, and maximize joint fundraising activities.
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From page 102... ...
During the dissemination meeting, the Epilepsy Leadership Council also described how it has collaborated to develop plans and priorities for research, education, and advocacy activities across the epilepsy field. Whittemore reflected on some of the challenges that have faced the Epilepsy Leadership Council as it has evolved, noting that the board members are all volunteers who are busy with full-time jobs, running their own organization, or doing both.
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From page 103... ...
For example, trauma, stroke, and cardiac arrest all occur without warning and have a limited timeframe for effective response and intervention, and they all require a multidisciplinary team to provide and improve care. Based on these similarities and the lessons that can be leveraged from trauma and stroke centers, Alberts hypothesized that "a national network of cardiac arrest centers will improve the care and outcomes of patients with cardiac arrest." Since the development of trauma and stroke centers, studies have demonstrated improved patient outcomes.
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From page 104... ...
104 FIGURE 7-1 Distribution of level I or level II trauma centers across the United States accessible by ambulance or helicopter. SOURCE: Presented by Mark Alberts, July 12, 2016, A Dissemination Workshop on the Report Strategies to Improve Cardiac Arrest Survival: A Time to Act (citing Branas et al., 2005)
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From page 105... ...
However, the shared goal is to keep the process moving forward and come to a consensus on a final product that all of the member organizations will support. In 2000 the Brain Attack Coalition launched an initiative to recognize hospitals that provide high-quality stroke care as designated stroke centers.
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From page 106... ...
He said that approximately a third of hospitals indicated they had no problem being bypassed and would rather not receive stroke patients because stroke was not an area of interest. If the resuscitation field decides to pursue a similar model, Alberts speculated there would be a comparable response from hospitals regarding cardiac arrest care in designated centers.
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From page 107... ...
When inevitable disagreements occur among coalition members, Alberts said, "always ask ‘what's best for the patient? ' The answer will guide you to the best path forward." BREAKOUT SESSION REPORTS: ESTABLISHING A CARDIAC ARREST COLLABORATIVE Tom Aufderheide, Richard Bradley, and Lance Becker, Planning Committee Members2 Tom Aufderheide, Lance Becker, and Richard Bradley facilitated the three breakout sessions that focused on establishing a cardiac arrest collaborative -- Recommendation 8 in the IOM's report (see Appendix A)
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From page 108... ...
Other participants encouraged the collaborative to develop a set of toolkits and other materials for EMS systems and hospitals to use in deploying continuous quality improvement programs at local and regional levels. Aufderheide suggested that a collaborative could induce cultural changes related to the public, EMS systems, and hospitals and could also serve as a platform for funding opportunities.
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From page 109... ...
, professional athletes, and professional sports organizations (e.g., National Football League) SOURCE: Presented by Tom Aufderheide, Lance Becker, and Richard Bradley, July 12, 2016, A Dissemination Workshop on the Report Strategies to Improve Cardiac Arrest Survival: A Time to Act.
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From page 110... ...
Becker called for establishing cardiac arrest as a reportable condition and suggested that the collaborative could play a role in advocating for updated diagnostic and billing codes. Another long-term priority, reported Becker, could be to adapt the Brain Attack Coalition model and develop a three-tiered designation system for hospitals that provides high-quality cardiac arrest care from basic to advanced levels.
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From page 111... ...
2010. Effectiveness of primary and comprehensive stroke centers: PERFECT stroke: A nationwide observational study from Finland.
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