The American Heart Association has stated in 2013, poor quality CPR is a preventable harm. In 2018, Education Strategies to Improve Survival from Cardiac Arrest was published and described a roadmap to improving cardiac arrest survival through more effective education applied to implementing programs to maximize survival. A novel partnership was created between the Resuscitation Academy, the American Heart Association and Laerdal to pilot two innovative programs to improve survival. These programs were piloted in five EMS programs worldwide; the experience of one of the first US pilot EMS agencies will be outlined. This presentation will describe the development, roll-out and results of a pilot program to improve survival from cardiac arrest using low-dose, high-frequency simulation education to improve Emergency Medical Dispatchers recognition of cardiac arrest and provision of telephone CPR instructions.