b"CARES 2022 Annual ReportCARES in Action Resuscitation Academy Lighthouses: Beacons of Light By Tegan Hampton, MHA, Resuscitation Academy Network Manager The Resuscitation Academy Foundation (RAF) was founded in 2008 to transfer Seattle/King County's lessons on optimizing an EMS system's chain of survival. Twice per year, EMS leaders from around the world gather in Seattle to learn and exchange ideas on how to save more lives. Our ultimate mission is to create a world where no one dies from cardiac arrest. To help achieve this mission, the RAF created the Lighthouse program. Today, there are 10 lighthouses across the United States with this designation. They are communities who volunteer to take this mission on with us because of their passion for saving lives. Lighthouses help expand the organization's reach and amplify its work. Organizations must embody the 10 Steps to achieve Lighthouse designation. Criteria include providing low-dose, high-frequency high-performance CPR and telephone CPR training; providing regular and non-punitive feedback to responders; entering data into a registry; and committing to constant improvement. In additionand cruciallythey must commit to helping other communities improve, and to be true beacons of leadership in their regions.Two of our LighthousesMaryland and Kentuckyshare their stories about local measurement and QI efforts below. We are honored to work with both of them, as well as with all of our RA Lighthouses, and we are grateful for their support. Jessamine County: It Takes a System to Save a Victim By Jamie Goodpaster, Chief of EMS, Jessamine County EMS, KentuckyJessamine County EMS started its journey to improveWe wanted to ensure that we had the highest quality survival in March of 2018. The Kentucky Board of EMSdata for our CARES registry. This meant that we needed selected four individuals to attend the Resuscitationour independent PSAP center, Jessamine County E911, Academy Leadership Program in Seattle, Washington.to buy in to not only CARES, but also telecommunicator One of the individuals selected was Jessamine CountyCPR and rapid dispatch. They quickly became partners EMS Chief, Jamie Goodpaster. The RA program providedwith our agency and made our mission their own. We remarkable insight into how to improve cardiac arrestbegan using the DA-CPR section of CARES as a survival. To this day, it remains our manual for success.framework for the data we needed to obtain from our Despite leadership buy-in and a roadmap for navigatingPSAP and developed internal processes for obtaining the the elements of improved survival, we needed aaudio recordings and CAD data, which in turn catalyzed program coordinator that would spearhead thea change in T-CPR protocols, standardized T-CPR training initiatives outlined by the Resuscitation Academy. Infor all dispatchers, and a process for reviewing the data December 2018, Floyd Miracle was hired as Clinicaland identifying areas for improvement. Manager and was given the primary directive to improve cardiac arrest survival within Jessamine County. He hit the ground running within four months he had attended the Resuscitation Academy Leadership Program, and within six months we had enrolled in CARES and were submitting data. We quickly tackled many of the steps to improve cardiac arrest survival. Notably, we started with the step that we felt would provide the highest yield: establish a cardiac arrest registry. In lieu of creating our own registry, we felt that it was imperative to meet the highest quality standard and to have a reliable, evidence-based infrastructure to streamline our data collection processes and isolate specific quality improvement objectives. It was evident from the outset that we could not accomplish our goals without bringing major community stakeholders together. Paramedics from Jessamine County EMS hone their life-saving skills through a CPR training exercise.16"