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Analysis of EMS data from January 2018, focusing on incidents involving altered mental status, chest pain, and medical vs. injury transport modes. Key performance measures and resource allocation insights are included.
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NEMSIS Version 3 Data • Incident Date: January 1 2018 – January 31 2018 • Type of Response (eResponse.05): 911 Response (Scene) • Total # of Agencies: 148 • Total # of Responses: 30,829
Altered Mental Status and BGL • Total # calls with ‘Altered Mental Status’ as Primary Impression (eSituation.11 – Provider Primary Impression): • 647 • Total # calls with ‘Altered Mental Status’ as Primary Impression AND at least 1 BGL reading documented (eVitals.18 - Patient Blood Glucose Level): • 535 • Percent Altered Mental Status with BGL Reading: • 83%
Chest Pain and 12 Lead • Total # calls with ‘Chest Pain’ as Primary Impression (eSituation.11 – Provider Primary Impression): • 348 • Total # calls with ‘Chest Pain’ as Primary Impression AND contains at least one ‘12 lead’ documented (eProcedures.03 - Procedure): • 100 • Percent Chest Pain with 12 Lead: • 29%
Chest Pain and 12 Lead cont’d • Total # calls with ‘Chest Pain’ as Primary Impression (eSituation.11 – Provider Primary Impression) AND Incident Crew contains ‘Paramedic’ (eCrew.02 – Incident Crew Member Level): • 290 • Total # calls with ‘Chest Pain’ as Primary Impression AND at contains least one 12 lead documented (eProcedures.03 - Procedure): • 77 • Percent Chest Pain with 12 Lead AND Paramedic: • 27%
Chest Pain and 12 Lead cont’d • Total # calls with ‘Chest Pain’ in Primary Impression (eSituation.11 – Provider Primary Impression) AND Level of Care of this Unit equals ‘Paramedic’ (eResponse.15 – Level of Care of This Unit) AND Non-Trauma patient (eSituation.02 – Possible Injury) AND Treated, Transported by this EMS Unit (eDisposition.12 – Incident/Patient Disposition): • 624 • Total # calls with ‘Chest Pain’ in Primary Impression AND at contains least one 12 lead documented in procedures (eProcedures.03 - Procedure) OR vitals (eVitals.04 – ECG Type): • 496 • Percent Chest Pain with 12 Lead AND Paramedic: • 80%
Medical vs Injury Transport Mode • Treated and Transported by This EMS Unit (eDisposition.12 – Incident/Patient Disposition) • ~75% Medical / ~25% Trauma (eSituation.02 – Possible Injury)
Resources • Washington Key Performance Measures • http://ncecc.net/wp-content/uploads/2012/03/WA-State-EMS-KPI-Spreadsheet-Update-20170126.pdf • NEMSIS Data Dictionary • https://nemsis.org/media/nemsis_v3/release-3.4.0/DataDictionary/PDFHTML/DEMEMS/index.html • EMSDataSet Level = National and State (269 Data Elements)
Questions? Contact Information: Amber Viitanen - EMTS Data Section Manager amber.viitanen@state.co.us 720.633.5653 Scott Beckley - Lead Data Analyst scott.beckley@state.co.us 303.692.2851 Eric Lucas - EMTS Data Coordinator eric.lucas@state.co.us 303.692.2906 Dale Knochenmus - Statistical Analyst dale.knochenmus@state.co.us 303.692.2867