Transcript Document

Current Status of
States
14 States Currently Reporting
States:
2007
1
AL
2008
2009
Total
2
3
4
1
2
3
4
1
1,602
9,232
46,962
173,441
187,247
139,058
77,659
4,664
10,988
59,247
94,267
147,829
98,277
FL
639,865
410,608
IA
32,118
37,754
34,004
32,588
31,312
32,209
ME
8,181
8,219
10,782
18,935
17,860
17,038
27,797
30,382
139,194
MN
38,290
47,480
92,519
28,272
51,876
53,379
83,084
81,034
580,634
32,058
33,500
36,225
301,441
MO
199,985
101,783
NC
195,496
223,301
245,263
247,772
278,757
292,677
ND
10,826
10,891
11,390
11,040
11,600
11,478
67,225
NE
6,525
6,543
9,002
6,681
13,808
13,759
56,318
NH
19,698
18,806
19,848
18,183
20,395
16,869
191,036
NM
NV
8,218
8,866
8,410
6,190
5,932
4,314
Total
3,692,633
9,234
17,452
4,427
38,139
OK
UT
309,297
1,922
1,922
112,625
10,545
12,464
14,646
11,753
15,418
14,577
16,368
14,789
330,545
375,470
463,864
487,365
745,106
824,989
710,468
524,317
4,664
6,249,419
Six more expected this
Submission Cycle
1.
2.
3.
4.
5.
6.
Colorado
Idaho
Hawaii
New Jersey
South Carolina
Washington
Next Submission Cycle
1.
2.
3.
4.
5.
6.
7.
Illinois
Alaska
Arizona
West Virginia
Texas
Georgia
Massachusetts
35 to 41 will be
submitting by the
end of 2009 or in the
first quarter of 2010
Specific Data Needs
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STEMI System of Care Data Elements
Stroke System of Care Data Elements
Cardiac Arrest Data Elements
Airway Data Elements
Mechanism of Injury and Cause of
Injury Documentation
• Documentation of Medications
• New Procedures and/or Devices
Added Procedures
Variables for Performance
Measures
Development of a Research Dataset
• Variables available for release
• Variables available with IRB approval
– Limited dataset
• Variables available with coding
(masking)
• Variables NOT available
Variables Available for Release
Level of Service
Organizational Type
Organization Status
Type of Service Requested
Primary Role of the Unit
Type of Dispatch Delay
Type of Response Delay
Type of Scene Delay
Type of Transport Delay
Type of Turn-Around Delay
Response Mode to Scene
Complaint Reported by
Dispatch
PSAP Call Date/Time
Unit Notified by Dispatch D/T
Unit En Route Date/Time
Unit Arrived on Scene Date/Time
Arrived at Patient Date/Time
Unit Left Scene Date/Time
Patient Arrived at Destination D/T
Unit Back in Service Date/Time
Unit Back at Home Location D/T
Gender
Race
Age and Age Units
Variables Available for Release
Mass Casualty Incident
Incident Location Type
Prior Aid
Prior Aid Performed by
Outcome of the Prior Aid
Possible Injury
Cardiac Arrest
Cardiac Arrest Etiology
Resuscitation Attempted
Barriers to Patient Care
Alcohol/Drug Use Indicators
Medication Given
Medication Complication
Procedure
Number of Procedure
Attempts
Procedure Successful
Procedure Complication
Incident/Patient Disposition
Transport Mode from Scene
Ancillary and Computed Variables
Elapsed Chute Time
Elapsed Response Time
Elapsed Scene Time
Elapsed Transport Time
Elapsed Turn-Around Time
Elapsed Total EMS Run Time
CDC Mortality Data (by CT)
Injury mortality rates
Heart disease mortality rates
Sudden cardiac death rates
Stroke mortality rates
U.S. Census Data
Population demographics
Social characteristics
Economic characteristics
Geographic characteristics
Other Data
USDA Urban Influence Codes
EMS agency profile codes
etc.
Variables Questionable Release 2008
EMD Performed (68%)
ED Disposition (82%)
Ethnicity (33%)
Hospital Disposition (84%)
Primary Method of Payment (51%)
CMS Service Level (36%)
Number of Patients at Scene (14%)
Chief Complaint Anatomic Location (52%)
Chief Complaint Organ System (52%)
Primary Symptom (40%)
Provider’s Primary Impression (51%)
Provider’s Secondary Impression (74%)
Reason Choosing Destination (29%)
Type of Destination (19%)
Variables Available with Approval
Patient's Home Zip Code (first 3 digits only)
Incident ZIP Code (first 3 digits only)
Total Service Size Area
Total Service Area Population
911 Call Volume per Year
EMS Dispatch Volume per Year
EMS Transport Volume per Year
EMS Patient Contact Volume per Year
Variables Available with Masking
Patient's Home Zip Code
Incident ZIP Code
Agency Zip Code
EMS Agency Number
EMS Agency State
EMS Agency County
Software Creator
Software Creator
Software Name
HIPAA Compliant and Attention to
small cells
Process for Release of Data
• Request for Data
– Complete terms and agreements
– Complete NEMSIS application form
– Submit on website
• Request receipt, logging and tracking
– Done in eRoom©
Development of Data Handbook
Movement to
Version 3
Version 3 Roadmap
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Dataset Revision
XML Revision
Movement to HL7
New Compliance Process
– Use of dataset
– Data Transmission Standard
– Business Logic Requirement
• Data Completion
• Data Quality
• User Experience
Version 3 Timeline
• Q1-2009
– Software Developers Meeting
– Template Version 2.2.1 to HL7
– Meeting with HL7 on mapping issues
• Q2-2009
– Draft of Changes based on Web Comments
– Meeting of Task Force with NASEMSO MidYear Meeting
– Initial Draft of Version 3.0 Posted for
Comment
Version 3 Timeline Continued
• Q3-2009
– Web Comments on Initial Draft
– Version 3 Compliance Process Draft
– Software Developers Meeting
• Q4-2009
– Task Force Meeting at NASEMSO Conference
– Second Draft of Version 3 Posted for
Comment
– Comments on Compliance Process Draft
– First NEMSIS HL7 Draft Completed
Version 3 Timeline Continued
• Q1-2010
– Final Draft of Version 3 Completed
– Final Draft of Version 3 HL7 Completed
– NEMSIS Version 3.0 XSD Draft Posted
• Q2-2010
– Final NEMSIS Version 3.0 XSD Finalized
– Final NEMSIS Version 3.0 Compliance
Process Posted
Thoughts?