The Cardiac System of Care project aims at improving the efficiency and the effectiveness of the cardiac
system of care in the seven states funded by The
Leona M. and Harry B. Helmsley Charitable Trust: Iowa, Minnesota,
North Dakota, South
Dakota, and Wyoming. All seven states
are challenged with providing cardiac care to a small population spread across a large area. The rural
healthcare delivery grants, however, allow these states to invest in initiatives to strengthen the efficiency
of the cardiac system of care. One example is the investment in LUCAS® 2
mechanical cardiopulmonary resuscitation (CPR) devices, which may prove especially useful in rural areas with
long hospital transportation times and stressed emergency medical resources.
Streamlined coordination between subsystems depends on strong leadership, highly trained staff and bystanders,
interoperable information technology systems, commitment and continuous quality improvement efforts, and a
culture of excellence. All of these attributes must be continually monitored and evaluated to ensure the maximal
system efficiency and effectiveness.
With respect to the LUCAS® 2 mechanical CPR devices:
Monitor statewide distribution and share lessons learned to streamline distribution.
Evaluate trainings to ensure pre-hospital and hospital health professionals are competent and
Capture the impact using qualitative methods.
Collect data on non-patient outcomes.
Provide usable recommendation reports as needed.
With respect to the cardiac care system of care:
Define system processes necessary for efficient and effective cardiac care.
Assess the system feedback mechanisms to ensure they are providing credible and timely data needed
for continuous quality improvement.
Evaluate critical system attributes necessary for system efficiency and effectiveness, including:
leadership, culture, training, and information technology.