Identifying High Arrest Neighborhoods to Decrease Disparities in Survival (HANDDS)

Scope of the Problem

Out-of-hospital cardiac arrest (OHCA) kills 300,000 individuals per year and is the leading cause of death among adults in the U.S. It turns out that survival rates are highly dependent on your neighborhood - its demographic factors, socio-economic conditions, bystander CPR rate and access to appropriate emergency medical care. The first step toward improving survival rates and addressing equity issues is to help residents and health advocates to better understand the factors that put their neighborhoods at higher risk for cardiac events.

What We Know

  • For every 30 people who receive bystandar CPR, one life will be saved.
  • Communities that increase bystandar CPR increase OHCA survival.
  • Despite public education campaigns, only a quarter of all people receive CPR
  • Targeting CPR training and cardiac arrest awareness in the neighborhoods that need it most can save thousands of lives every year.

What We Don't Know

In real-time, can we identify, intervene and measure our impact in those areas that need CPR training and education the most?

Proposed Solution

We propose a three phase approach to identify, implement and track your success in increasing bystandar CPR and survival.
PHASE 1: IDENTIFY
Use EMS-level data to map OHCA events in the community, calculate baseline metrics, and conduct spatial analysis to identify high-risk neighborhoods and possible sites for targeted CPR education and training.
PHASE 2: IMPLEMENT
Work with residents of high-risk neighborhoods to identify barriers to CPR and design/implement CPR education and training based on community input.
PHASE 3: TRACK
Use real-time analysis of data to visually display dashboard metrics of success (OHCA survival, bystandar CPR) using the web mapping application.

Summary

This project is just beginning, but we expect big things. We're looking to provide a map of "on-the-ground" conditions in your neighborhood and show how it stacks up to others in the Columbus area. You'll be able to add comments to the map indicating where things are good or bad, and where some level of help is needed. We also want to make the map as easy to use as possible.

All this will take time, so check back often!