PRINTER'S NO. 4063
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE RESOLUTION
No.
1096
Session of
2018
INTRODUCED BY F. KELLER, BENNINGHOFF, BIZZARRO, BOBACK, BURNS,
CALTAGIRONE, SCHLEGEL CULVER, DiGIROLAMO, DRISCOLL, DUSH,
FARRY, HENNESSEY, HILL-EVANS, JAMES, LONGIETTI, MILLARD,
NEILSON, PICKETT, READSHAW, RYAN, SONNEY, THOMAS, WARREN,
WATSON AND YOUNGBLOOD, SEPTEMBER 25, 2018
INTRODUCED AS NONCONTROVERSIAL RESOLUTION UNDER RULE 35,
SEPTEMBER 25, 2018
A RESOLUTION
Designating the week of October 15 through 19, 2018, as "CARES
Recognition Week" in Pennsylvania.
WHEREAS, Out-of-hospital cardiac arrest (OHCA) is a leading
cause of death in the United States; and
WHEREAS, A network of 9-1-1 dispatchers who notify
appropriate emergency medical services units contributes to OHCA
survival; and
WHEREAS, Delivery of effective cardiopulmonary resuscitation
or defibrillation further contributes to OHCA survival; and
WHEREAS, Access to immediate definitive care further
contributes to OHCA survival; and
WHEREAS, In 2004, the Centers for Disease Control and
Prevention partnered with Emory University School of Medicine's
Department of Emergency Medicine to produce a national registry
of OHCA emergency treatment and outcome data; and
WHEREAS, This partnership developed in response to an
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American Heart Association call for a central repository to
monitor and evaluate the OHCA continuum of care; and
WHEREAS, A data system known as the Cardiac Arrest Registry
to Enhance Survival (CARES) was established to examine key
performance measures such as response times, specific elements
of care and patient outcomes; and
WHEREAS, Data sources include 9-1-1 call centers, emergency
medical services units and receiving hospitals; and
WHEREAS, The 9-1-1 call centers record an incident address,
time of a call and time of dispatch; and
WHEREAS, Emergency responders enter data when their efforts
are presumptively due to cardiac disease; and
WHEREAS, A receiving hospital enters a definitive patient
care report, including a cerebral performance category score;
and
WHEREAS, A secure reporting process conforms to Health
Insurance Portability and Accountability Act requirements; and
WHEREAS, Data collection and aggregation methods preclude
personal identifying information in order to protect
confidentiality and anonymity; and
WHEREAS, CARES quality assurance secures data accuracy and
integrity; and
WHEREAS, All authorized users participate in standardized
training; and
WHEREAS, A 2005 pilot program in Atlanta, Georgia, resulted
in dramatically improved survival rates within the first two
years; and
WHEREAS, An expanded program, serving nearly 106 million
patients through the efforts of 1,400 emergency medical services
agencies and 1,800 hospitals, includes 24 statewide registries
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and community sites in 18 states; and
WHEREAS, CARES reporting identified 76,215 nontraumatic OHCA
events in 2017; and
WHEREAS, This reporting reflects the percentage of patients
for whom a bystander performed cardiopulmonary resuscitation,
38.2%, and patients for whom a bystander applied an automated
external defibrillator, 11.4%; and
WHEREAS, This reporting further reflects a 7.3-minute median
response time, 28.1% survival rate to hospital admission and
10.4% survival rate to hospital discharge; and
WHEREAS, Among surviving individuals, 80.4% had a positive
neurological outcome; and
WHEREAS, The Commonwealth's Statewide registry is essential
to the development and evaluation of OHCA protocols; and
WHEREAS, The Commonwealth has a stake in identifying parts of
the CARES system that work and parts that could work better; and
WHEREAS, The Commonwealth has a stake in promoting
interoperability among the 122 participating emergency medical
services units; and
WHEREAS, The House of Representatives affirms that the CARES
data entry and reporting processes optimize OHCA treatment and
survival; and
WHEREAS, The House of Representatives commends participants
in this Commonwealth whose data and reporting strengthen the
continuum of care for a widespread public health problem; and
WHEREAS, The House of Representatives notes our
responsibility to highlight a system that standardizes and
maintains data to increase OHCA survival rates; therefore be it
RESOLVED, That the House of Representatives designate the
week of October 15 through 19, 2018, as "CARES Recognition Week"
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in Pennsylvania; and be it further
RESOLVED, That a copy of this resolution be transmitted to
Kimbra Snoop, CARES coordinator for the Commonwealth of
Pennsylvania, 523 Dell Street, Bellefonte PA 16823.
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