22 In 2023, supported by the CDC CARES Expansion and Modernization Grant, CARES set out to modernize. For more than two decades, CARES has served as the nation’s most comprehensive source of out-of- hospital cardiac arrest (OHCA) data. As participation has expanded, with more agencies, hospitals, and states contributing data than ever before, the volume and complexity of the data have grown substantially. This growth placed increasing demands on the legacy system’s capacity and performance, highlighting the need for a refreshed platform. As a result, development of the NextGen CARES platform began. While groundbreaking at the time of its launch, the original software was not designed for the scale CARES has reached today. Supporting thousands of users across diverse stakeholder groups became increasingly complex, and its agency-centric structure no longer fully reflected the collaborative nature of modern CARES participation. At the same time, evolving cybersecurity, regulatory compliance, and reliability expectations called for greater flexibility and resilience than the legacy architecture could readily provide. Modernization is more than a technical upgrade; it is a strategic investment in the future of CARES. NextGen provides the scalability, stronger security, and improved adaptability needed to sustain and advance the CARES mission for decades to come. MODERNIZING CARES As CARES continues to grow and evolve, so must the systems that support it. Modernization marks a pivotal step forward in ensuring the registry can continue to meet the needs of its expanding users while advancing its mission. At the center of this effort is a modernized software platform, strengthening the national infrastructure for cardiac arrest measurement and positioning CARES for the future. Why CARES Modernized NextGen CARES represents a complete platform transformation, modernizing both the underlying technology and the overall user experience. A modern, scalable, and flexible system architecture has replaced the limitations of the legacy infrastructure, creating a stable, high-performing foundation designed to support growth, sustain innovation, and meet the evolving needs of CARES and its users. How CARES Modernized
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