National EMS Database

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National EMS Database
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National Association of State EMS Directors
(NASEMSD)

• Vision
• ..providing vision and leadership in the
  development and improvement of EMS systems and
  national EMS policy.

• State EMS Directors
• 50 states and the territories
• Lead national organization for EMS
• Neutral party

3
Emergency Medical Services for Children (EMSC)

• EMS Partnership for Children Consortium Project
  with NASEMSD
• Through NHTSA

4
Team

• NASEMSD
• Project Management
• Regional Meetings
• Operational Support
• Greg Mears, MD
• Principle Investigator
• NEDARC
• Clay Mann, PhD, Co-Investigator
• Mike Dean, MD, Co-Investigator
• Technical Assistance

5
Consensus

• Professional Organizations
• AAA
• ACEP
• ACS-COT (NTDB)
• AHA (NRCPR)
• EMSOP
• IAFC
• IAFF
• NAEMD
• NAEMSP
• NASEMSD
• NENA

• Federal Partners
• CDC
• FEMA
• HRSA-EMSC
• HRSA-EMSC/NEDARC
• HRSA-EMSC/NRC
• HRSA-ORHP
• HRSA-Trauma/EMS
• NHTSA

6
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
• EMS Interoperability

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The NEMSIS Contract

• Revise The NHTSA PreHospital Dataset
• Create a physical database schema with XML
  linkage
• Define the National EMS Information System
  Dataset
• Develop potential business models for funding and
  implementation

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NEMSIS Components
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Information Chain of Survival
Crash
EMS
Hospital
ED
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Data Sources

• National
• State
• Local
• Linkage

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Where we want to be

• Electronic data collection
• Uniform dataset with definitions
• Patient care
• Technician
• System
• Workflow oriented
• No dual entry
• Data comes from the source
• CAD
• Medical Devices

• The health care components are linked
• Hospital
• Dispatch
• Public Health
• Public Safety
• Quality Improvement
• Benchmarking
• Community based
• Information is passed to the State office of EMS
  for finance and policy decisions

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NEMSIS XML Schema Definitions

• Each data element defined in relation to its
  place in the dataset
• Chameleon Namespace Design

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NEMSIS XSD

• Demographic XSDs
• Agency
• General
• Contact
• MD
• Configuration
• Station
• Vehicle
• Personnel
• Medical Devices

• Dataset XSDs
• Recordset
• Unit
• Agency
• Call
• Personnel
• Times
• Billing
• Scene
• Situation
• Etc

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Role in Interoperabilty

• Patient care oriented
• Of great potential value in data (and voice)
  interoperability

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National EMS Information System

• WWW.NEMSIS.ORG