Constituency Briefing

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• Constituency Briefing
• Wednesday
• September 30
• Naples, Florida

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INTRODUCTIONS/WELCOME

• Stephanie Daugherty
• Brenda Clotfelter
• Steve McCoy

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TODAYS BRIEFING

• Bureau Update
• Data Committee Update
• EMSTARS Update
• NEMSIS Update
• Strategic Plan review

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Bureau Update

• Steve McCoy

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Subcommittee ReportsDefinitionsEducation/Train
ingOutreach
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Education/Training

• Surveyed 106 non committed agencies
• Received 35 responses

• How can Data Committee help?
• Funding/Grant assistance
• Training
• Reports

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Outreach
59 additional Agencies committed
How can we help? Whats the target dates for
startup?
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EMSTARS Update

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

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EMSTARS Current Participation
266 Licensed EMS Agencies

102 Agencies
59 additional commitments
38 of all agencies 40 of total runs
1,300,075 Incidents
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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

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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.

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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.

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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
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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

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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

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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

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EMSTARS Updates

• Web Site Reference Materials

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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)

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NEMSIS UPDATE
Brenda Clotfelter Stephanie Daugherty

• General Update on National Database
• Update on NEMSIS 3.0

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Composition (2007-2009)National Database
North Carolina 3,300,002
Minnesota 868,203
Florida 694,696
Colorado 381,590
Alabama 294,216
Iowa 271,628
New Hampshire 160,415
Nevada 136,608
Maine 135,872
Missouri 131,654
Utah 109,896
Nebraska 97,925
New Jersey 85,292
North Dakota 83,854
New Mexico 35,877
South Carolina 34,001
Hawaii 22,935
Idaho 6,971
Oklahoma 3,844
As of 9/09
3
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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

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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

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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)

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Strategic Plan

• Review of Current Strategic Objectives Action
  Plan Status
• Summary/Review of drafted updates to Strategic
  Plan

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

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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

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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

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Strategic Plan Updates
Goal 2
Improving EMS data collection and participation
through advocacy, outreach, and improved
accessibility to EMS incident-level data
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.1 Improve Leadership effectiveness and participation of Data Committee of committee members who fulfill their term 85 attendance rating score of committee members attending meetings (including conference calls) Annual review of bylaws/operations to ensure effective operation of subcommittee Formalize attendance rating score, monitoring and reporting process Develop/Implement Mentoring/ Succession Plan Leadership Orientation Committee Member Orientation DC EMS Data Unit On-going
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.2 Maintain statewide standards for data collection for EMS incident level data All Florida Data Dictionary data elements defined and accepted by EMS Advisory Council Florida Data Dictionary maintained and consistent with National mandatory data collection requirements Use the expertise of the Data Committee to review/define/maintain all data elements in Florida Data Dictionary consistent with National mandatory requirements DC EMS Data Unit On-going
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.3 Provide advocacy and outreach for statewide data collection of outreach events provided by or sponsored by Data Committee Use the expertise of the Data Committee to identify outreach opportunities/events for the advocacy, outreach, education/training for statewide data collection Define consistent training and education curriculum and delivery mechanisms Work closely with remaining agencies to ensure smooth transition implement lessons learned from startup DC Education/Training Subcommittee, EMS Data Unit On-going
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.4 Support the achievement of NHTSA participation targets for Floridas statewide data collection system of annual increase in agency participation Work closely with Bureau of EMS, Data Unit in Federal grant justification for enabling EMS agencies participation Conduct annual surveys to identify agency participation targets and agency assistance needs Provide implementation assistance to agencies seeking participation assistance DC Outreach, Education/Training Subcommittee, EMS Data Unit On-going
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.5 Improve access to EMS incident level data for evaluation and benchmarking activities reports available for evaluation and benchmarking Collaborate with EMRC on report definitions Maintain resources for report development Collaborate with DOH IS to create data warehouse/data mart solution EMS DataUnit DOH IT On-going
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Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
2.6 Link EMSTARS incident-level data with other state data for outcome assessments linked data sets Establish relationship to share data between agencies Establish technical environment to enable data linkages and sharing Utilize expertise of Data Committee to Identify data linkage requirements for linking incident level data for outcome assessments EMS DataUnit Data Comm. DOH IT Trauma ACHA DOT On-going
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EMRC Update

• Dr. Joe Nelson
• Steve McCoy

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CLOSING / OPEN DISCUSSION