City of Austin Performance Report 2015-16

Percent of Patients in Cardiac Arrest from Cardiac Causes Delivered to an Appropriate Medical Facility with a Return of Circulation 

Measure Description
This measure is the percentage of patients who experience full cardiac arrest caused by heart-related issues (excluding trauma), who are delivered to an appropriate medical facility with a return of circulation while under the care of Austin/Travis County Emergency Medical Services (ATCEMS).
Calculation Method
This measure is calculated by analyzing the medical records of cardiac arrest patients to identify which patients experienced a heart-related issue (excluding trauma) leading to the cardiac arrest. The number of patients with cardiac arrests caused by cardiac causes delivered to an appropriate medical facility with a return of pulse is divided by the total number of presumed cardiac patients transported. From FY 2009-10 through FY 2012-13, the data was calculated and reported by Office of the Medical Director. Beginning in FY 2013-14, data is calculated and reported by ATCEMS.
FY 2015-16 Results
In FY 2015-16, 33.1% of cardiac arrests due to presumed cardiac etiology were delivered to an appropriate medical facility with a pulse, exceeding the anticipated goal of 30%.
Assessment of Results
To ensure that employees offer outstanding medical care to cardiac arrest patients, ATCEMS invests time and resources in training medics through annual mandatory Continuing Education (CE) and providing them with the right tools and equipment. Overall, performance in FY 2015-16 is higher than the previous fiscal year.
Additionally, other circumstances such as patient history, availability of early CPR, and defibrillation prior to ATCEMS arrival may impact patient outcome. As a result, there can be a lot of variation with cardiac arrest survival and return of pulse data.
Next Steps
ATCEMS continues to prioritize community outreach to increase awareness of recognition and implementation of early CPR through the Hands-Only CPR program, a compression only technique. In addition, ATCEMS creates and distributes public service announcement materials about the importance of early CPR.
Contact Information
For more information contact Jasper Brown, Chief of Staff, at (512) 972-7201.