Illiana RACER - When Every Second Counts

Brought to you by Union Hospital’s Richard G. Lugar Center for Rural Health

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2Our History

3Our Mission

“… to advance rural health through education, innovation, and collaboration."

4Rural Access to Emergency Devices (RAED)

U. S. Department of Health and Human Services (DHHS) Health Resources and Services Administration (Grant# H3DRH26506)

Federally Funded by HRSA

Target Population – Rural High Risk Populations

Goal – Decrease Cardiac Mortality

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Does Every Second Really Count?

359,400 Emergency Medical Services (EMS)- assessed cardiac arrests outside of a hospital setting annually less than 10% of victims survive.

Immediate cardiopulmonary resuscitation (CPR) and early defibrillation, with an automated external defibrillator (AED), can more than double a victim’s chance of survival.

For every minute that passes without CPR and defibrillation, however, the chances of survival decrease by 7–10%.

The 2013 Update of AHA’s Heart Disease and Stroke Statistics shows that 23% of out-of-hospital cardiac arrests are "shockable" arrhythmias, or those that respond to a shock from an AED,

Communities with comprehensive AED programs that include CPR and AED training for rescuers have achieved survival rates of nearly 40% for cardiac arrest victims. (AHA, 2014)

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Identifying the Need

Cardiac

Death Rate

• High Risk Populations • Centers for Disease Control

EMS Respo

nse Times

• All Volunteer Ambulance Services• Prolonged Drive Time to remote terrain

Risk Factor

s

• Obesity, Poor Nutrition • Lack of Exercise, Smoking

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EMS Response Times

8The Need

9Geography

10Death Rates per 100,000

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Parke County, Indiana

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Clark County, Illinois

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Vermillion County, Indiana

14Grant Writing

• Prioritization based on grant guidance• Evaluate EMS response times • Geographical barriers to survival • Cardiopulmonary Resuscitation (CPR) training

• Competitive with areas with frontier designations• Incorporate isolated rural areas including state parks

15Illiana RACER Team

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Begin with the end in mind… Sustainability

Engage PartnersDevelop

Community Plan

Change CultureIncrease AwarenessIdentify Priorities

CommunitiesLeading

Accountability

17The Team

18The Plan

CPR AED

TrainingPublic Awareness

IntegrationMapping Signage

Culture Shift

Sustainability Financial

AccountabilityLives Saved!

19In the Community

20Current Progress

CPR Trained • Healthcare Provider• Heartsaver• Family and Friends• Hands-Only

Mapping • Counties partner to

map all AEDs to dispatch GIS for rapid response

AEDs• Parke • Clark• Vermillion • State Parks

21The Future

Complete Community Needs Assessment

Reassess Community Response Times, Cardiac Mortality, and Community Resources

Write Non-Competing Continuation

Engage Partners Prioritize NeedsPlan Year 2

Replicate Process

Engagement of both New and Present Partners

Our team is here to help ! Our Team

For questions regarding the Illiana RACER project at Union Hospital Inc. please contact a member of the team at (812) 238 -7479 or visit our website at http://www.lugarcenter.org

Joe Biggs, PhD HSPP Angela Powell, MSN, RN Hicham Rahmouni, MBA Jacqueline Mathis, MS

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Special Thanks and Recognition

• Health Resources and Services Administration (HRSA)

• Indiana State Parks Department

• Office of Rural Health Policy (ORHP)

• American Heart Association

• Indiana University School of Medicine

• All Project Stakeholders and Partners

24Questions

25Thank You

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References

• American Heart Association Cardiac Moratilty (2014). Retrieved from http://www.heart.org/HEARTORG/

• Centers for Disease Control (2013). Retrieved from http://www.cdc.gov/datastatistics/