EMS Performance Improvement Toolkits by dfhdhdhdhjr

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									           South Carolina EMS
              Data System
         www.SCEMSData.org
       The EMS Performance Improvement Center
                          and
The South Carolina Department of Health and Environmental
                         Control
            The History
Need for Standardized EMS Data
 Local
 State
 National
Development of NEMSIS
The Duke Endowment’s History with EMS
North Carolina’s EMS Data History
The Partnership
                       Event/
                                     Access 911
                     Recognition


      Prevention/
                                                  Dispatch
       Education




                                                       First
Rehabilitation
                                                     Responder




       Specialty                                    EMS
        Center                                    Response


                    Specialty Care   Emergency
                      Transport      Department
                                                                 3
              The Project
2 Year Project
Funding to the SC
Division of EMS and
Trauma
Year 1
  12 EMS Agencies
  ~50% of SC
  Population
Year 2
  Remainder of State
                   The Vision
                              EMS is local
                              Quality is the target
                                System
Resources           Quality
                                Patient
                              Data drives
                              Resources
                              Resources provide
            Data              Quality
               State Pulse
There is no data for:
  Resource planning
  Budget justification
  System-wide
  evaluation
  Injury prevention
  programs
  Target support and
  assistance
               The Need
Justify/Obtain      Planning
Resources           Healthcare System
Recruit/Maintain    Development
Personnel           Disaster Management
Patient Care        Public Health
Advocacy            Surveillance
Education           National Database
Funding             Participation
                    Research
 State: Where we want to be

State EMS database on every EMS
patient encounter
Electronic data transmission
Privacy and confidentiality protection
  System and patient
Statutory authority
    Current
EMS Data System
Implementation Leadership
 The Duke Endowment
 The South Carolina Department of Health
 and Environmental Control
 The EMS Performance Improvement
 Center
Year 1 EMS Agencies
SC EMS Data System
          PreMIS

PreHospital Medical Information
            System
National EMS Information
         System
    www.nemsis.org
 New Version 2 Web Application

New record entry
logic based on the
type of event.
Only requires the
data elements
specific to the
event.
Quickest, most
complete data
entry tool we have
seen in use.
Credentialing Information System
Disaster Management with
         SMARTT
Web-Based Disaster Management and
Communications Tool
 Hospital Beds
 Hospital Resource Service Capability
 EMS Personnel Resources
 EMS Vehicles
 Surge Capacity for Hospitals and EMS
 Agencies
      SMARTT Activation
In the event of a disaster or emergency
  SMARTT Activated
    Email
    Text messaging or pager
  Provide and collect information
  Real-Time reports to locate and distribute
  resources as required
EMS
Performance
Improvement
Toolkits
Six Sigma meets Public Health

 Detailed Report                         EMS
                        Implement       Toolkit
 Evaluates an EMS      Intervention     Reports
 specific topic
    Patient Care
    Service Delivery
    Personnel
    Performance
 Benchmarking with
 state and similar
 systems
 Recommendations for
 improvement                            Analyzed
                            Identify       And
 Continuous use          Intervention     Trend
                                         Results




                                                   28
    EMS
Acute Trauma
    Care
   Toolkit


               29
EMS Trauma Care Toolkit
  EMS System Characteristics
  Data Quality
  County Injury Statistics
  EMS System Capability
  EMS System Performance
  EMS Personnel Performance
  EMS Patient Outcomes
  EMS Injury Prevention
Know your Community




                      31
                 Fatal Injury Rates
           EMS Systems by 90% Fractal Total EMS Response Time

                     Total 90% Fractal EMS Response Time    Injury Fatality Rate
    EMS System
                                    (mm:ss)                (deaths/100,000 Pop)

Top 10 Average                     14:00                          62.4

Bottom 10 Average                  35:12                          75.0

  There is a 21:12 (151%) difference between the top 10
  and bottom 10
  There is a 20% increase in the injury fatality rate
  The average EMS System Total Response Time for
  North Carolina is 21:40 (mm:ss).
                                                                              32
Injury Statistics
Skills Performed
Injury Prevention
 2008 Implementation Plan
Configuration of CIS    In Progress
  EMS Agency              Active
  State EMS Functions     September
PreMIS Configuration    Active
  Sample File Testing     Active
  Data Submission         Active
PreMIS Report           September
Access
EMS Toolkit Testing     October-December
                The Future
South Carolina EMS Data System
  All EMS events by December 31, 2009
  Used daily Locally
    Quality Management/Performance Improvement
       EMS Service Delivery
       Personnel
       Patient Care
  Used by State
    Resources
    Education
    Funding
  National EMS Database
Linkage
 Project Contacts
        Cindy Raisor
 SC EMS Data Project Coordinator
     craisor@emspic.org
         919-923-1529

       Taffney Hooks
 SC Division of EMS and Trauma
    HooksTS@dhec.sc.gov
          803-545-4866

www.EMSPIC.org

								
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