Janet Trethewey, EdD, NREMT is the Emergency Cardiovascular Care Program manager for the state of Montana, USA. She is responsible for assisting in the development, implementation, and assessment of the emergency cardiac system of care. She works with communities, 911 dispatch centers, law enforcement agencies, EMS agencies, and hospitals to develop cohesive, data-informed systems. She provides training in High-Performance CPR, STEMI, and stroke recognition, and improved patient care to EMS agencies and critical access hospitals. Performance Improvement using data-driven assessments is a key interest for her.