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NEMSIS: The Project and the Center

NEMSIS: The Project and the Center. Paige Nielsen, BS NEMSIS Technical Assistance Center. Overview. Need for standardized data NEMSIS Two primary objectives for ONE PURPOSE Where we are today Elements NEMSIS collects related to Stroke victims. Why is EMS Data Collection Difficult?.

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NEMSIS: The Project and the Center

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  1. NEMSIS: The Project and the Center Paige Nielsen, BS NEMSIS Technical Assistance Center

  2. Overview • Need for standardized data • NEMSIS • Two primary objectives for ONE PURPOSE • Where we are today • Elements NEMSIS collects related to Stroke victims

  3. Why is EMS Data Collection Difficult? Mark Bess Work Address: 24 6 Montgomery Street Salt Lake City, UT Antonia Marie Pilaski Alias: Toni Pilaski Marie Pilaski Address: 33 Prince Regent Street Salt Lake City, UT Antonia Pilaski Trauma Center Address: 450 1st Avenue, Salt Lake City, UT Antonia Marie Pilaski Alias: Toni Marie Response Address: 39 Prince Regent Street Salt Lake City, UT Antonia Pilaski First Hospital Address: 245 Chipeta Way, Murray, UT 9-1-1 call place from the residence EMS responds to neighbour's house Marie is transported to nearest hospital 15 hours later, Marie transferred to a trauma center A domestic dispute with fiancée arrested at work Who Know’s Marie’s Story?

  4. Status Among States Source: NEMSIS TAC Capability Survey, 2006

  5. The Need • EMS Education • Curriculums • Local Education • EMS Outcomes • Something other than death • System evaluation • EMS Research • Generate hypothesis • Evaluate cost-effectiveness • Identify problems and target issues • EMS Reimbursement • National fee schedule and reimbursement rates

  6. NEMSIS Purposes • Compose a Uniform Dataset • Demographic dataset (EMS System) • EMS dataset (EMS Event) • Ensure the Portability of Data • XML (eXtensible Markup Language ) • XSD (XML Schema Definition)

  7. NEMSIS Overview

  8. Where are we?

  9. States Using the NHTSA Standard EMS Data Dictionaries 100% Compliant with NHTSA 2.2 EMS Data Dictionaries not 100% Compliant States not Reporting

  10. National EMS Database

  11. NEMSIS TAC • To facilitate the collection of EMS data from States and Territories to create the National EMS Database. • Two campuses • Ten staff • NEDARC is offering assistance • Small grant opportunities

  12. www.nemsis.org

  13. Funds Available ! • Money provided by NHTSA ($255,000) • Uses: • To aid states over the hurdle of submitting data to the National EMS Repository • Additional programming • Software modifications • Needed consensus meetings • Section 408 funds

  14. Facilitate a Focused Effort • Strategic Plan built around a one-month timeline: • Full dedication of the NEMSIS Team • Designed to built momentum and relationships

  15. Collected Elements Related to Stroke Victims • E03_01: Complaint Reported by Dispatch • 480 – Fall Victim • 550 – Unconscious/Fainting • 535 – Stroke/CVA • E09_12: Chief Complaint Organ System • 1355 – CNS/Neuro • 1385 – Psych • E09_13: Primary Symptom • 1415 – Change in responsiveness • 1460 – Menta/Psych

  16. Collected Elements Related to Stroke Victims (cont.) • E09_14:Other Associated Symptoms • 1415 – Change in responsiveness • 1460 – Mental/Psych • E09_15: Providers Primary Impression • 1730 – Stroke/CVA • E09_16: Providers Secondary Impression • 1730 – Stroke/CVA

  17. Collected Elements Related to Stroke Victims (cont.) • E23_09: Research Survey Field • Allows states to add on additional variables • E23_02: Potential Registry Candidate • Can be an additional fields for state data systems to flag patients for specific registries

  18. Conclusion • The NEMSIS Standard is here to stay • The efforts of the EMS community (plus the standards) will improve patient care • Data collection and evaluation are the first steps in continuous improvement

  19. T H A N K YOU

  20. Available Resources Paige Nielsen (801) 581-7373 Michael Ely (801) 585-9761

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