CARES Annual Report 2017 | 33 Healthy People 2020 Every decade, the Healthy People initiative develops a set of objectives to improve the health of all Americans. The topic of “Preparedness” was added to the 2020 objectives, with the goal of strengthening and sustaining communities’ abilities to prevent, protect against, mitigate the effects of, respond to, and recover from incidents with negative health effects 6 . Community resilience, the ability of a community to use its assets to strengthen public health and healthcare systems, is a cornerstone of preparedness. CARES is partnering with Healthy People 2020 to focus on and promote bystander response, with the goal of increasing the rates of: • Bystander CPR for all non-traumatic cardiac arrests. • Bystander AED use for non-traumatic cardiac arrests occurring in public locations. • Survival to hospital discharge for patients who receive bystander intervention (through CPR and/or AED application). • Survival to hospital discharge for Utstein bystander patients (those with a bystander witnessed non-traumatic cardiac arrest that present in a shockable rhythm and receive bystander intervention through CPR and/or AED application). CARES is utilizing the stable 2015 cohort, comprised of the more than 500 EMS agencies that participated in the registry in 2015 and serve a population of approximately 85 million, to track these metrics longitudinally over a 5-year period (2015 through 2019). The unadjusted 2017 rates for this cohort are listed in Table 4. Table 4. CARES Healthy People Metrics, 2017 Bystander CPR 38.8% Bystander AED use in public locations 11.7% Survival to discharge among patients who received bystander CPR and/or AED application 14.0% Survival to discharge among Utstein bystander patients 37.8%