b'CARES 2022 Annual Report Resuscitation Academy Lighthouse Communities Lighthouse communities represent "all-star" communities where the focus is resuscitation. They serve as beacons to other communities, providing positive examples of implementing programs to improve survival. In addition, they mentor, teach and share resources so that other communities can improve survival.Innovation Over the past three years, pilot programs of two low-dose, high-frequency simulation education programs have been implemented in Charles County, Maryland. Charles County, a southern Maryland D.C. suburb, has a population over 160,000, and responds to more than 30,000 requests for EMS service and 150-200 cardiac arrests per year. Prior to embarking on the pilot, CharlesWith expertise in life-saving procedures, a Maryland paramedic County DES completed the Resuscitation Academydemonstrates the intricacies of infant CPR. System Assessment, to measure and understand whereGiven these promising results, plans are underway to the baseline for improvement existed. They thenspread these innovative programs to other EMS systems undertook the journey to identify opportunities forin Maryland. Howard County has begun using RQI Go and improvement through implementation. One program,early adopter 911 centers are in discussions to pilot RQI-T RQI Go, an educational offering for CPR by coaching andto implement bystander CPR before EMS arrival. The goal measuring CPR performance for 15 minutes every threeis to maximize survival from cardiac arrest in every months, has shown promise by exceeding the AHAcommunity in Maryland. metrics for letter perfect CPR. Synergistically, RQI-T forMeasure to Improve telecommunicators uses similar low-dose, high-frequency simulation via coaches who deliver case-based educationUsing CARES to measure enabled us to know where we on cardiac arrest recognition and convincing callers tostarted at the beginning of our improvement journey. deliver chest compressions on victims of cardiac arrestComing full circle following our implementation, we can prior to EMS arrival. use our CARES data to visualize the impact of each Over the period of the pilots, improvements were shownsurvivor on their family, their community, and their for both EMS clinician CPR performance andworkplace.telecommunicators performance on recognition of cardiac arrest and delivery of chest compressions. At the same time, the number of non-traumatic cardiac arrest survivors in Charles County has increased during the pilotOHCA Survivors, 2017-2021innovation.Charles County, Maryland181614121086420 2017 2018 2019 2020 2021 OHCA SurvivorsA 911 dispatcher works diligently at her station, answering calls and dispatching help during emergencies. 18'