Where and how healthcare is delivered has changed significantly in recent years—the trend towards shorter inpatient stays and more frequent transfers from hospitals to alternative care settings is likely to continue. “As more healthcare is delivered outside the walls of acute-care hospitals, we must understand that leaders across the care continuum need to move beyond the traditional activity of simply getting CPR cards and really invest in the kind of training that their employees need—the kind of training that saves lives and improves outcomes,” states Donna Haynes, a former National Resuscitation Coach at HealthStream.
Why is improving resuscitation so important for the care continuum? It’s no secret that resuscitation rates are grim across the spectrum of healthcare. In continuum care settings, they range from a shocking 2 to 11 percent, which is much more dire even than that in hospitals, where survival rates still range from a paltry 18 to 24 percent. Even when a victim does survive, nearly one in two will have newly developed impairments as a result of cardiac arrest. Both acute- and continuum care organizations are challenged to improve resuscitation rates while also maintaining patient functionality afterwards.
Challenges for Resuscitation across the Care Continuum
It is important to understand that the continuum of care encompasses a vast array of settings, including home health, hospice, ambulatory surgery centers, dialysis centers, behavioral health facilities, long-term care, assisted living facilities, and clinics. Care varies widely across the continuum from a traditional hospital environment, and these settings face unique challenges, including:
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