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

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

7. 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)

8. NEMSIS Overview

10. Where are we?

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

13. National EMS Database

14. 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

15. www.nemsis.org

16. 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

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

18. 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

19. 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

20. 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

21. 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

22. THANKTHANK YOUYOU

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