Constituency Briefing Wednesday September 30 Naples, Florida

INTRODUCTIONS/WELCOME Stephanie Daugherty Brenda Clotfelter Steve McCoy

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

Bureau Update Steve McCoy

Subcommittee Reports Definitions Education/Training Outreach

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

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

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

59 additional commitments EMSTARS – Current Participation 266 Licensed EMS Agencies 102 Agencies 1,300,075 Incidents 38% of all agencies 40% of total runs

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 EMSTARS Updates The Unmet Need

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.

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.

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

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

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

EMSTARS Updates Web Site & Reference Materials

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)

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

Composition ( ) National Database As of 9/09 # 3 North Carolina3,300,002 Minnesota868,203 Florida694,696 Colorado381,590 Alabama294,216 Iowa271,628 New Hampshire160,415 Nevada136,608 Maine135,872 Missouri131,654 Utah109,896 Nebraska97,925 New Jersey85,292 North Dakota83,854 New Mexico35,877 South Carolina34,001 Hawaii22,935 Idaho6,971 Oklahoma3,844

NEMSIS Update  Next version – October 16 th  2 nd draft will include values (no codes)  3 rd 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

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 NEMSIS 3.0 Update Common Null Values

NEMSIS Update Q  Final Draft Version 3 Completed  Final Draft Version 3 HL7 Completed  NEMSIS Version 3 XSD draft posted  Q  Final NEMSIS Version 3 XSD Finalized  Final NEMSIS Version 3 Compliance Process Posted  HL7 Balloting on Domain Analysis Model (DAM)

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

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

Strategic Plan – Objective 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: 1.On-going operations – Data Unit 2.Data Dictionary Maintenance & Improvements – Data Committee 3.Outreach/Education/Training– Data Committee & Data Unit Data Committee

Strategic Plan – Objective 1.3  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: 1.Data Warehouse 2.Data Linkage Data Committee

Strategic Plan – Objective Achieve EMSTARS compliance and participation from 50% of licensed providers  50% agencies compliance to live EMSTARS reporting (06/30/09) Current Action Plan Summary Bureau of EMS – Data Unit Actions relating to: 1.On-going operations – Data Unit 2.Data Dictionary Maintenance & Improvements – Data Committee 3.Outreach/Education/Training– Data Committee & Data Unit

Strategic Plan – Objective 1.5  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: 1.Data Warehouse 2.Data Linkage Data Committee

Strategic Plan – Objective Achieve 70% EMSTARS compliance and participation  70% Compliance to live EMSTARS reporting (12/31/2010) Current Action Plan Summary Bureau of EMS – Data Unit Actions relating to: 1.On-going operations – Data Unit 2.Data Dictionary Maintenance & Improvements – Data Committee 3.Outreach/Education/Training– Data Committee & Data Unit

Strategic Plan – Objective 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) Actions relating to: 1.Defining definitions / Data Dictionary Maintenance & Improvements – Data Committee 2.Assessing Implementation impacts – Data Committee & Data Unit 3.Implementation recommendations – Data Committee Current Action Plan Summary Data Committee

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

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

ObjectiveMeasureStrategiesLeadResourceTimeline 2.1 Improve Leadership effectivenes s 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 DCEMS Data Unit On- going Strategic Plan Updates

ObjectiveMeasureStrategiesLeadResourceTimeline 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/mainta in all data elements in Florida Data Dictionary consistent with National mandatory requirements DCEMS Data Unit On- going Strategic Plan Updates

ObjectiveMeasureStrategiesLeadResourceTimeline 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 DCEducation /Training Subcomm ittee, EMS Data Unit On-going Strategic Plan Updates

ObjectiveMeasureStrategiesLeadResourceTimeline 2.4 Support the achievement of NHTSA participation targets for Florida’s 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 DCOutreach, Education /Training Subcomm ittee, EMS Data Unit On- going Strategic Plan Updates

ObjectiveMeasureStrategiesLeadResourceTimeline 2.5 Improve access to EMS incident level data for evaluation and benchmar king 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 Data Unit DOH ITOn- going Strategic Plan Updates

ObjectiveMeasureStrategiesLeadResourceTimeline 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 Data Unit Data Comm. DOH IT Trauma ACHA DOT On- going Strategic Plan Updates

EMRC Update Dr. Joe Nelson Steve McCoy

CLOSING / OPEN DISCUSSION