1. Illiana RACER - When Every Second Counts Brought to you by Union Hospital’s Richard G. Lugar Center for Rural Health 1

2. Our History 2

3. Our Mission 3 “… to advance rural health through education, innovation, and collaboration."

4. Rural 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 4

5. Does Every Second Really Count? 5 359,400 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)

6. Identifying the Need Cardiac Death Rate High Risk Populations Centers for Disease Control EMS Response Times All Volunteer Ambulance Services Prolonged Drive Time to remote terrain Risk Factors Obesity, Poor Nutrition Lack of Exercise, Smoking 6

7. EMS Response Times 7

8. The Need 8

9. Geography 9

10. Death Rates per 100,000 10

11. Parke County, Indiana 11

12. Clark County, Illinois 12

13. Vermillion County, Indiana 13

14. Grant 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 14

15. Illiana RACER Team 15

16. Begin with the end in mind… Sustainability 16 Engage Partners Develop Community Plan Change Culture Increase Awareness Identify Priorities Communities Leading Accountability

17. The Team 17

18. The Plan CPR AED Training Public Awareness Integration Mapping Signage Culture Shift Sustainability Financial Accountability Lives Saved! 18

19. In the Community 19

20. Current 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 20

21. The Future Complete Community Needs Assessment Reassess Community Response Times, Cardiac Mortality, and Community Resources Write Non-Competing Continuation Engage Partners Prioritize Needs Plan Year 2 Replicate Process Engagement of both New and Present Partners 21

22. 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.orghttp://www.lugarcenter.org Joe Biggs, PhD HSPP Angela Powell, MSN, RN Hicham Rahmouni, MBA Jacqueline Mathis, MS

23. 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 23

24. Questions 24

25. Thank You 25

26. References American Heart Association Cardiac Moratilty (2014). Retrieved from http://www.heart.org/HEARTORG/http://www.heart.org/HEARTORG/ Centers for Disease Control (2013). Retrieved from http://www.cdc.gov/datastatistics/ 26