HeartCode Complete vs. RQI: Understanding the Best Training Solution for BLS, ACLS, and PALS Certification

In the world of healthcare, staying current with life-saving skills like Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) is not just mandatory—it’s crucial to saving lives. As resuscitation science evolves, so do the training methods. Two of the most popular and effective American Heart Association (AHA) options available today are HeartCode Complete and RQI (Resuscitation Quality Improvement).

But what’s the difference between HeartCode Complete and RQI? Which one is right for your facility or personal certification? We will break down the key differences, discuss the benefits of each, and help you decide which is better suited for BLS, ACLS, or PALS training.

What is HeartCode Complete?

HeartCode Complete is a blended learning program that combines online eLearning modules with hands-on skills assessments, typically every two years. The HeartCode platform is used for BLS, ACLS, and PALS certification and renewal and is one of the most widely accepted formats in hospitals, clinics, and healthcare systems.

Key Features of HeartCode Complete:

  • Self-Paced eLearning: Participants complete the cognitive portion online through an engaging, adaptive learning system.

  • Hands-On Skills Check: After completing the online modules, learners perform a skills session on a simulation station with a voice-assisted manikin or with a certified instructor.

  • Flexible Completion: Learners can complete the course over multiple sessions at their own pace.

  • AHA Certification: On successful completion, learners receive an official AHA provider card valid for two years.

What is RQI (Resuscitation Quality Improvement)?

RQI is an innovative, competency-based CPR training method developed by the AHA and Laerdal Medical. Unlike traditional certification methods that require training every two years, RQI promotes low-dose, high-frequency practice with quarterly training modules.

Key Features of RQI:

  • Quarterly Skills Sessions: Providers perform short, skills-based assessments every three months using a simulation station or “RQI cart.”

  • Real-Time Feedback: Manikins provide immediate metrics on compression depth, recoil, ventilation, and rate.

  • Online Cognitive Learning: A self-directed eLearning portion is included for BLS, ACLS, and PALS.

  • 24/7 Access: RQI stations are available at any time, making scheduling easier for shift workers.

RQI vs. HeartCode Complete: Head-to-Head Comparison

Feature RQI (Resuscitation Quality Improvement) HeartCode Complete
Training Frequency Quarterly (every 90 days) Every 2 years
Format In-hospital or training center, self-directed using simulation stations Blended learning: online modules + in-person skills check
Feedback Real-time performance feedback from manikins Feedback during hands-on skills session
AHA Certification Maintained continuously through assessments Issued every 2 years upon course completion
Suitable For Clinical staff with frequent patient contact Individuals, small clinics, students, or facilities with limited access to RQI stations
Skills Retention Focus High—through repetition and muscle memory Moderate—relies on periodic refreshers

Benefits of RQI for BLS, ACLS, and PALS

1. Improved Skills Retention

The “low-dose, high-frequency” model helps healthcare providers build muscle memory, which is essential during real-life code situations. Research shows that skills begin to degrade just months after training. RQI combats this with consistent practice.

2. Real-Time Data and Feedback

RQI stations provide measurable performance metrics. Participants can see compression rates, recoil, and ventilation data, giving them a clear path for improvement.

3. Increased Convenience

With 24/7 access to simulation stations, staff can complete modules on their schedule. This flexibility helps reduce the need for external instructors or scheduled classroom sessions.

4. Ongoing Compliance

Because assessments are required quarterly, RQI ensures that staff are always in compliance with current BLS, ACLS, and PALS standards, not just during the recertification year.

Benefits of HeartCode Complete for BLS, ACLS, and PALS

1. Flexible Learning Experience

Participants can take the cognitive portion at their own pace. This is ideal for busy healthcare professionals or students juggling coursework, clinicals, or shift work.

2. Widespread Availability

HeartCode Complete is accessible from any computer with internet access. It’s widely accepted across healthcare systems and educational institutions.

3. Cost-Effective for Small Facilities

Organizations without the infrastructure for RQI simulation stations can easily implement HeartCode Complete without additional hardware or space requirements.

4. Structured Learning Path

The adaptive learning platform tailors the content to the learner’s knowledge, ensuring efficient learning and reinforcing key concepts.

Which Should You Choose for BLS, ACLS, or PALS?

Choose RQI if:

  • You are part of a hospital or health system with a large clinical staff.

  • You want ongoing compliance and skill reinforcement.

  • Your facility can invest in RQI carts and infrastructure.

  • You’re focused on improving outcomes from in-hospital cardiac arrest.

Choose HeartCode Complete if:

  • You’re an individual learner or part of a smaller healthcare facility.

  • You prefer less frequent training (every 2 years).

  • You’re looking for a cost-effective, scalable training solution.

  • You want flexibility without the need for physical simulation stations.

How RQI and HeartCode Support BLS, ACLS, and PALS Learning Objectives

Both RQI and HeartCode Complete are aligned with the American Heart Association’s 2020 Guidelines for CPR and ECC. They provide effective training for all three core disciplines:

Basic Life Support (BLS)

  • Focuses on high-quality chest compressions, early AED use, and team dynamics.

  • Both RQI and HeartCode provide realistic CPR simulations with metric feedback for skill mastery.

Advanced Cardiovascular Life Support (ACLS)

  • Covers advanced airway management, pharmacology, and rhythm recognition.

  • RQI offers more frequent practice of critical scenarios, while HeartCode allows review and testing of algorithms through adaptive online learning.

Pediatric Advanced Life Support (PALS)

  • Teaches systematic approach to pediatric assessment, effective respiratory management, and shock treatment.

  • Both platforms include pediatric-specific simulations and case-based learning.

Final Thoughts: RQI vs. HeartCode Complete

Whether you choose RQI or HeartCode Complete, you’re committing to high-quality training that can make a real difference during emergencies. The choice often depends on the size of your organization, your training goals, and the resources available.

RQI stands out for continuous skill reinforcement and organizational compliance, while HeartCode Complete offers flexibility, accessibility, and simplicity—ideal for many individual learners and smaller facilities.

Either way, you can rest assured that you’re choosing an AHA-backed solution that supports excellence in BLS, ACLS, and PALS education.

Frequently Asked Questions (FAQ)

Is RQI recognized for AHA certification?

Yes. RQI is a valid method for maintaining AHA certification, as long as all quarterly modules are completed on time.

How do I access a HeartCode Complete course?

You can register through an AHA Training Center like us, complete your online modules and schedule a time slot for your skills verification at one of our convenient self-service simulation stations.

Can I use both RQI and HeartCode at the same facility?

Yes. Some hospitals use a hybrid model where certain staff are enrolled in RQI while others use HeartCode Complete based on job roles or logistical needs.

Ready to Renew Your BLS, ACLS, or PALS Certification?

Whether you prefer the quarterly consistency of RQI or the flexibility of HeartCode Complete, choosing the right training method is key to your success and confidence in emergencies.

If you’re a healthcare organization considering implementation, or an individual seeking to renew your certification, connect with Project Heartbeat today to learn more about BLS, ACLS, and PALS certification options that best meet your needs.