What is Success? The power of consistency: a road map to developing a culture of excellence in OHCA care, an 11-year review

Friday, December 1, 2023

2:45 PM – 3:00 PM PST

Location: Sunset Rooms 1 - 3

Primary Presenter(s)

Matt Shaw, MPH, FP-C, CCP-C, NREMT-P (he/him/his)

Battalion Chief
Guardian Medical Transport
flagstaff, AZ, United States

Disclosure(s): No financial relationships to disclose

Co-Presenter(s)

Iv Godzdanker, MD

Emergency Medicine Physician
Flagstaff Medical Center
Flagstaff, Arizona, United States

Disclosure information not submitted.

Disclosure(s):

Matt Shaw, MPH, FP-C, CCP-C, NREMT-P: No financial relationships to disclose

Summary: Attendees will learn how to create a local culture of excellence in OHCA care. Learn how to overcome common hurdles, tips to engage staff and, to defend the expense in agency time, money and energy by focusing on CPR metric-based outcome measures.

Synopsis: High-Performance CPR (HP-CPR) is known to improve survival rates. However, despite the underlying simplicity of HP-CPR, it can be expensive and complex to implement and maintain, requiring intensive ongoing training, monitoring, and organizational focus. Competing organizational goals can make it difficult to maintain the culture of excellence needed to sustain a HP-CPR program. Most agencies are not large enough to statistically demonstrate significant improvements in patient outcomes and thus justify the expense.

Attendees will receive a road map to create a culture of excellence in OHCA care at their agency. You’ll get
guidance on how to overcome common hurdles and tips on how to engage staff. Most importantly, youi’ll learn how defend the expense in agency time, money and energy by focusing on CPR metric-based outcome measures rather than solely discharge to neurologically intact survival.

Using Guardian Medical Transport, an Arizona-based ambulance service, as a case study, presenters highlight Guardian’s successes as well as the the hurdles it has overcome in developing its own culture of excellence in OHCA care. You’ll learn how it measures success while consistently providing the highest quality OHCA care to every patient.

Learning Objectives:

To inspire others to think differently about how EMS agencies measure success in out of hospital cardiac arrest care.
To demonstrate how we used a novel roadmap to build and maintain a culture of excellence in OHCA care in our region.
We will share our experiences, lessons learned and hurdles we have overcome with the goal of attendees being able to replicate our success in their communities and agencies.
This presentation will include ways to educate citizens that can lead to a comprehensive change to a culture of excellence and improved CPR training in the community, schools and workplace.
This presentation will include components of a high quality collaborative cardiovascular and resuscitation program in a dispatch, EMS and / or healthcare system that has demonstrated improvement in survival from SCA.
This presentation will include strategies for implementing data collection and quality improvement programs in an ECC system to support accountability and reporting.