A strategic framework for selecting a multi-site AED program

A strategic framework for selecting a multi-site AED program

Each year in the U.S., sudden cardiac arrest strikes an estimated 236,400 times at home (excluding the workplace), 57,050 times in public settings, 36,050 times in nursing homes, and 10,000 times on the job. For operations, procurement, and safety leaders in a multi-site organization, those 10,000 workplace events represent a dispersed threat you must control. Protecting your team requires more than deploying a handful of AEDs, it demands a unified, scalable emergency response program that ensures consistent readiness and oversight at every facility, from corporate headquarters to regional warehouses.

Most advice on choosing an AED is built for a single office. It fails to address the complex logistical challenges you face, standardizing equipment, ensuring consistent compliance across state lines, and managing training for a dispersed workforce. A generic approach isn’t just insufficient, it’s a liability.

This guide provides a strategic framework specifically for leaders like you. We will break down the five essential pillars for evaluating and implementing a multi-site AED program that is not only effective but also efficient and easy to manage.

Pillar 1: Centralized command and control

Managing a fleet of AEDs across multiple locations using spreadsheets and manual calendar reminders is a recipe for failure. Consumables like batteries and electrode pads have different expiration dates for each device. Keeping track manually is inefficient and creates significant risk of a device failing at the critical moment.

A modern AED program must be built on a single source of truth. The foundation of any multi-site program should be a centralized software dashboard that provides a complete overview of your entire fleet.

When evaluating a centralized management system, look for these core capabilities:

  • Fleet overview:
    A map or list view showing the exact location and current status of every AED in your portfolio.
  • Automated tracking:
    Real time monitoring of battery life and pad expiration dates for every device.
  • Status alerts: 
    Proactive notifications for readiness issues, maintenance needs, or when a device cabinet is opened.
  • Role based access:
    The ability to grant different levels of access to regional managers or on site safety coordinators while maintaining central oversight.

Without a centralized command center, you are not managing a program, you are simply managing a collection of boxes.

Pillar 2: Ironclad compliance and medical oversight

Navigating the patchwork of state by state AED laws is one of the biggest challenges for multi-site organizations. Each state has different requirements for device registration with local Emergency Medical Services (EMS), post use reporting, and required training. Failing to comply in even one location can expose your entire organization to significant legal and financial liability.

An effective multi-site program offloads this burden. Your program partner should manage all state specific EMS registrations and ensure every device placement meets local regulations.

Furthermore, every credible AED program operates under physician led medical direction. This means a licensed physician oversees the program, writes the necessary prescriptions for each device, and reviews event data after an AED is used. This is not just a best practice, it is a non-negotiable component of a defensible and compliant program that protects both your employees and your organization.

Pillar 3: Automated readiness and maintenance

An AED is only valuable if it is ready to work. The primary failure point for most AED programs is human error, specifically neglecting to replace expired supplies. A recent study found that a staggering 50% of employees don’t even know where their office AED is located, which highlights a profound gap in internal program management.

Automation is the key to ensuring 100% readiness across all locations. A robust program moves beyond manual checks and leverages technology to guarantee every device is functional. 

Key features include:

  • Automated alerts:
    Email or text notifications sent well in advance of battery or pad expiration dates. 
  • Mobile inspections: 
    A simple mobile app that allows on site personnel to conduct and log routine readiness checks in seconds. This eliminates paper logs and provides a digital audit trail.
  • Post use support:
    After an emergency, the system should include immediate support for downloading event data for medical review, shipping a loaner device to prevent readiness gaps, and automatically replenishing used supplies.

If your AED is beeping or chirping, it is a sign that manual processes have failed. A fully managed program prevents these issues before they start.

Pillar 4: Consistent and scalable training

Deploying an AED is only half the battle. Your employees must have the confidence and skills to act decisively in an emergency. For a multi-site organization, ensuring consistent, high quality training presents a major logistical hurdle. The training your team receives in one city should be identical to the training delivered in another.

Look for a partner with a nationwide network of certified instructors who can provide standardized on site training in CPR, AED use, and first aid. This ensures every employee learns the same life saving protocols, regardless of their location.

Beyond initial certification, your management platform should also track the certification status of all trained responders across your organization. It should automatically notify managers and employees when certifications are nearing expiration, simplifying the process of scheduling refresher courses and maintaining a prepared response team. Proper AED placement and visible signage are also critical components of a comprehensive response plan.

Pillar 5: Scalability and future proofing

Your business is dynamic. You might open new locations, acquire other companies, or expand into new regions. Your AED program needs to be flexible enough to grow with you. Being locked into a single AED brand or a management system that cannot scale is a strategic mistake.

The ideal program management platform is hardware agnostic, meaning it can monitor and manage AEDs from all six FDA approved manufacturers, including Philips, ZOLL, and Physio-Control. This allows you to standardize your management process even if you have a mixed fleet of devices from a recent acquisition. This flexibility ensures you can always choose the right device for each environment, from a rugged model for a manufacturing plant to a simple device for an office, without complicating your oversight.

The solution built for multi-site challenges

This five pillar framework isn’t a theoretical model. It’s the blueprint we used to design the AED Total Solution. We created this platform specifically to solve the complex challenges faced by enterprise clients with distributed operations.

Our solution delivers on all five pillars:

  1. Centralized control:
    Our intuitive web portal and mobile app give you a single dashboard to see the status of every AED across all your sites.
  1. Compliance:
    We handle all physician oversight and state by state EMS registrations to ensure you remain fully compliant and protected.
  1. Automated readiness:
    You receive automatic alerts for expiring supplies, and our post event service ensures you are never without a working device.
  1. Scalable Training: 
    Our national network provides consistent, high quality CPR/AED and first aid training at any of your locations.
  1. Future proofing: 
    Our platform is brand agnostic, allowing you to manage a diverse fleet of devices and scale your program seamlessly as your organization grows.

Building the business case from cost to investment

An AED program is not a cost center, it is a critical investment in the safety of your people and the continuity of your operations. When seeking budget approval, framing the conversation around risk mitigation and return on investment is key.

Without an AED, the survival rate from sudden cardiac arrest is a grim 7%. With immediate CPR and the use of an AED, that rate can climb as high as 50%. This dramatic increase in survival not only saves lives but also significantly reduces corporate liability, potential lawsuits, and damage to brand reputation that follows a workplace tragedy.

A centrally managed program also delivers a clear return on operational efficiency. It eliminates hundreds of hours of manual labor spent tracking assets, managing compliance paperwork, and coordinating training, freeing up your team to focus on other core responsibilities. When considering the total cost of ownership, a managed solution is almost always more cost effective than a piecemeal, in house approach.

Frequently asked questions

Q: Can we use our existing AEDs with your management program?
A: Yes. The AED Total Solution platform is hardware agnostic. It is designed to manage devices from all six FDA approved manufacturers. We can easily enroll your existing fleet into our system to provide you with immediate centralized oversight.

Q: What does a managed program cost
A: Pricing is typically a subscription model based on the number of devices under management. This predictable cost covers all aspects of the program, including software access, medical direction, compliance management, and automated alerts.  

Q: Why do we need physician medical direction if AEDs are easy to use?
A: Medical direction is a legal requirement in many states and a crucial component of liability protection. It ensures your program adheres to medical best practices, includes a valid prescription for each device, and provides for post event data review, which can be vital for patient care and program improvement.

Q: We have safety managers at each site. Why can’t we just manage this in house?
A: While on site managers are essential for physical inspections and response, relying on them for compliance, expiration tracking, and training coordination across an entire enterprise is inefficient and risky. A centralized system ensures no single point of failure can compromise your entire program. It creates consistency and a verifiable audit trail that manual processes simply cannot match.

Q: How long does implantation take for a multi-site rollout?
A: Our dedicated account managers work with you to create a phased rollout plan tailored to your organization. After an initial discovery call to assess your sites and needs, we can begin enrolling devices and scheduling training immediately. The process is designed to be streamlined and minimize disruption to your operations.

Disclaimer for information purposes only:

Our website provides information for general knowledge and informational purposes only. We do not offer medical advice, diagnosis, or treatment. Readers should consult with qualified healthcare professionals for personalized medical advice.

While we endeavor to ensure the accuracy and reliability of the information provided, we do not guarantee its completeness or suitability for any specific purpose. The use of this website is at the reader’s own risk.

By accessing and using this website, you agree to indemnify and hold harmless the website owners, authors, contributors, and affiliates from any claims, damages, liabilities, losses, or expenses resulting from your use of the information presented herein.

Picture of Michelle Clark, RN ICU/CCU
Michelle Clark, RN ICU/CCU
As a seasoned Nurse (RN) in Critical Care, CCU (Cardiac Care Unit), and ICU (Intensive Care Unit) with nearly three decades of experience, specializing in Cardiopulmonary care, I've embarked on a new path as a trusted figure in the realm of sudden cardiac arrest and first aid. With a profound dedication to patient well-being honed throughout my nursing career, I now utilize my expertise to enlighten and empower others in life-saving methods. Leveraging my comprehensive understanding and proficiency in critical care, I endeavor to leave a lasting imprint in healthcare by promoting awareness and offering practical guidance.
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