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EMS Briefing: Constituency Update and Data Committee Progress - September 30

Get the latest updates on the EMS Bureau, Data Committee, EMSTARS program, and NEMSIS database. Learn about education/training opportunities, outreach efforts, and the current status of the data mart project.

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EMS Briefing: Constituency Update and Data Committee Progress - September 30

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  1. Constituency Briefing Wednesday September 30 Naples, Florida

  2. INTRODUCTIONS/WELCOME Stephanie Daugherty Brenda Clotfelter Steve McCoy

  3. Bureau Update Data Committee Update EMSTARS Update NEMSIS Update Strategic Plan review TODAY’S BRIEFING

  4. Bureau Update Steve McCoy

  5. Subcommittee ReportsDefinitionsEducation/TrainingOutreach

  6. Survey Results • Participation intent • 8 – target 12/09 • 7 – target 6/10 • 2 – target 12/10 • 4 – already submitting • 14 – undecided • Primary/Secondary Reasons • Cost • Local issues • Increase in # of data items to collect Education/Training • Surveyed 106 non committed agencies • Received 35 responses • How can Data Committee help? • Funding/Grant assistance • Training • Reports

  7. Outreach 59 additional Agencies committed How can we help? What’s the target dates for startup?

  8. EMSTARS Update • Participation • Data Mart • One-on-one agency visits • Website/Reference Material • Grant Funds

  9. Esc. Holmes Jackson SantaRosa Okal. Nassau Wash. Walton Gadsden Jeff. Hamilton Calhoun Madison Bay Leon Duval Baker Suw. Liberty Wakulla Col Taylor Clay Un Gulf Laf. Brad St. Johns Franklin Gil. Alachua Putnam Dixie Flag. Levy Marion Volusia Lake Citrus Sum. Sem. Hern. Orange Pasco Osceola Hills. Polk Brev. Pine. In. Riv Manatee Okee. Hardee St.Lucie Highland Sara. Deso. Martin Char. Glades Lee PalmBeach Hendry Broward Collier Dade Monroe EMSTARS – Current Participation 266 Licensed EMS Agencies 102 Agencies 59 additional commitments 38% of all agencies 40% of total runs 1,300,075 Incidents

  10. EMSTARS Updates The Unmet Need Access to information on a real time or near real-time basis for decision support, analysis and reporting • Need for ad-hoc query access to all data fields within the database • Need for daily access to data • Need to link and integrate data from other sources

  11. EMSTARS Updates – Data Mart • Terminology • Data Repository / Warehouse - the queryable data sources and/or integrated data stores which provide the foundation of a enterprise DW/BI solution. • Data mart - a database which is a complete subset of the overall data warehouse for a single business process or a group of related business processes.

  12. EMSTARS Updates – Data Mart • Scope • A subset of EMS incident level data placed into an integrated architecture for a decision support solution to address the improved analysis and reporting needs of the EMSTARS program.

  13. Data Repository/Warehouse EMSTARS Updates – Data Mart Data Sources Data Stores / Data Marts EMSTARS Data Mart EMSTARS Data Base Other DEMO Analysis/ Reporting Services DOT HSMV Trauma Cross functional data mining & multidimentional analysis & Standard or Adhoc report/ queries AHCA

  14. EMSTARS Updates – Data Mart • Current Status • Hardware/software procurement in progress – Grant • Data Modeling in progress • Target completion – March 2010 • End Result • Initial iteration will provide a fully functional data mart that can be used to support the analysis and decision-making requirements of the business

  15. Long Range Goal • A repository of health-related information • Primarily patient- or “encounter”- outcome based • Common fields and uniform formatting to facilitate “linking” with other data sets

  16. Agency One-on-One Visits • Jacksonville Fire Rescue • Okaloosa Co. EMS • Liberty Co. EMS • Data Collections Processes • Medic Entry • Uploads & validation • Flagged fields • Admin Functions • Closed call rules • Data mapping • Extract creation • Integration issues • EMSTARS Program • Key User role • Submission timeliness • Correction of flagged fields • Review of demographics • General discussion AGENDA • Other Target Agencies to visit • Villages • Ocoee • Rural Metro • Volusia Co. • South Daytona • Naples • Madison • Lifeflight • MCT Express • Davie • Tequesta • Boca Raton Fire • Daytona

  17. EMSTARS Updates Web Site & Reference Materials

  18. EMSTARS Updates Grant Funds • 2009 – 2010 DOT Grant • Continued Project Staff Augmentation • Travel funds • Hardware/software to complete pilot • $200,000 EMS agency sub grants • Family Health/CDC • Data Committee meeting/travel • Training Workshops (9/$28,535)

  19. NEMSIS UPDATE Brenda Clotfelter & Stephanie Daugherty • General Update on National Database • Update on NEMSIS 3.0

  20. Composition (2007-2009)National Database As of 9/09 # 3

  21. NEMSIS Update • Next version – October 16th • 2nd draft will include values (no codes) • 3rd Draft (Q1 2010) • National Recommended Data Set • Estimated 100 data elements • State Recommended Data Set • Minimum data set • States can add elements from National Data Dictionary to meet their needs • Recommended National and State Data Set • Based on Performance Measures

  22. NEMSIS 3.0 UpdateCommon Null Values Version 2 • Not Reporting • Not Recorded • Not Known • Not Applicable • Not Available Version 3 • Not Reporting • Not collecting • Hard coded in software • User will not see the element if it is coded as ‘Not Reporting’ • Not Recorded • User will see data element • Element not filled in • Blank • Not Applicable • Will cover • Not Known • Not Available • Not Applicable

  23. NEMSIS Update Q1 2010 • Final Draft Version 3 Completed • Final Draft Version 3 HL7 Completed • NEMSIS Version 3 XSD draft posted • Q2 2010 • Final NEMSIS Version 3 XSD Finalized • Final NEMSIS Version 3 Compliance Process Posted • HL7 Balloting on Domain Analysis Model (DAM)

  24. Strategic Plan • Review of CurrentStrategic Objectives & Action Plan Status • Summary/Review of drafted updates to Strategic Plan

  25. Strategic Plan – Objective 1.1 1.1 Improve Leadership Effectiveness of the EMS Advisory Council EMSAC – Lead with many measures, primarily participation related

  26. Strategic Plan – Objective 1.2 Data Committee 1.2 All pilot and charter agencies transition to live EMSTARS reporting • 50% Compliance to live EMSTARS reporting (7/31/2008) Note: Pilot and Charter terms no longer utilized Current Action Plan Summary • Actions relating to: • On-going operations – Data Unit • Data Dictionary Maintenance & Improvements – Data Committee • Outreach/Education/Training– Data Committee & Data Unit Close

  27. Strategic Plan – Objective 1.3 Data Committee • 1.3 Successfully link EMSTARS incident level data with AHCA hospital discharge and ED data • % of EMS events linked to hospital data (6/30/2009) Current Action Plan Summary • Actions relating to: • Data Warehouse • Data Linkage In Progress

  28. Strategic Plan – Objective 1.4 Bureau of EMS – Data Unit 1.4 Achieve EMSTARS compliance and participation from 50% of licensed providers • 50% agencies compliance to live EMSTARS reporting (06/30/09) Current Action Plan Summary • Actions relating to: • On-going operations – Data Unit • Data Dictionary Maintenance & Improvements – Data Committee • Outreach/Education/Training– Data Committee & Data Unit In Progress

  29. Strategic Plan – Objective 1.5 Data Committee • 1.5 Successfully link EMSTARS incident level data with State Trauma Registry Data • % of EMS events linked to Trauma Registry data (12/31/2009) Current Action Plan Summary • Actions relating to: • Data Warehouse • Data Linkage In Progress

  30. Strategic Plan – Objective 1.6 Bureau of EMS – Data Unit 1.6 Achieve 70% EMSTARS compliance and participation • 70% Compliance to live EMSTARS reporting (12/31/2010) Current Action Plan Summary In Progress • Actions relating to: • On-going operations – Data Unit • Data Dictionary Maintenance & Improvements – Data Committee • Outreach/Education/Training– Data Committee & Data Unit

  31. Strategic Plan – Objective 5.3 Data Committee 5.3 Changes to EMSTARS Data Dictionary and Disaster Response Tracking System to be able to capture EMS off load and Diversion times • All data elements needed to capture EMS off load and diversion times accepted by the EMS Advisory Council (6/01/2010) Current Action Plan Summary In Progress • Actions relating to: • Defining definitions / Data Dictionary Maintenance & Improvements – Data Committee • Assessing Implementation impacts – Data Committee & Data Unit • Implementation recommendations – Data Committee

  32. Strategic Plan Summary of Updates • Movement of Objective 1.1 Improve Leadership Effectiveness of the EMS Advisory Council to its own goal • Revision of goal statement – now goal # 2 • More realistic, achievable objectives established

  33. Strategic Plan Updates Goal 2 Improving EMS data collection and participation through advocacy, outreach, and improved accessibility to EMS incident-level data

  34. Strategic Plan Updates

  35. Strategic Plan Updates

  36. Strategic Plan Updates

  37. Strategic Plan Updates

  38. Strategic Plan Updates

  39. Strategic Plan Updates

  40. EMRC Update Dr. Joe Nelson Steve McCoy

  41. CLOSING / OPEN DISCUSSION

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