We know that rapid delivery of high-quality CPR is each patient’s last chance for survival – and the delivery of poor-quality CPR a preventable harm. But, in the current healthcare environment, Cardiac Arrest survival rates average less than 26%. Furthermore, there is a 42% difference in the odds of survival for patients at similar hospitals with a similar case mix. It’s clear that not all patients are receiving the high-quality CPR they need to survive. The evidence shows that CPR skills performance decays within three to six months following conventional training, which means the existing two-year educational regimen can fall short of competency shortly after receiving training. Despite the efforts of highly trained, motivated healthcare professionals across the country, patients are receiving poor-quality CPR more than 50% of the time. Lives are being lost because High-Quality CPR competence is lacking.