National EMS Research Agenda

1
National EMS Research Agenda

• Implementation Symposium
• June 3rd and 4th, 2002
• Alexandria, VA
• Greg Mears, MD FACEP
• Principal Investigator
• National EMS Information System
• University of North Carolina-Chapel Hill

2
Recommendation 7

• There should be standardized data collection
  methods at local, regional, state, and national
  levels.
• These data must be devoid of information that
  allows individual patient identification.
• All EMS provider agencies should adopt the
  Uniform Prehospital Data Elements for data
  collection.

3
The Paradigm
1996
1973
4
The Stressors

• Numbers
• Spectrum
• Quantity
• Quality
• Education
• Reimbursement

5
The Accountability

• Service
• Response Times
• Productivity
• Liability
• Other Contract markers
• Quality
• Service
• Patient Care
• Cost (Value)
• Partnerships
• Component of the larger health care system

6
The Customer vs. Product

• Customer
• Service Population
• Individual patient
• Physicians
• HMOs
• Hospitals
• Political entities

• Product
• Clinical Care
• Service
• Preparedness
• Resource
• Dependability
• Reliability

7
The Data

• Data must be derived from standard definitions
  and collected in a uniform manner.
• National EMS Information System
• Standard National Dataset
• Version 2.0 of the NHTSA Dataset
• Standard Definitions
• Data
• Local
• State
• National

8
Quality Management vs. Research

• Patient Care
• System Evaluation
• Resource Tracking
• Personnel Performance

9
Privacy, Security, and Confidentiality

• Patient
• System
• Personnel

10
The Conclusion

• Its not the transport, its the service.
• Objective data Objective decisions

11
If you dont have a question you cant find an
answer.
12
You cant manage what you cant measure.
13
The significant problems we face cannot be
solved at the same level of thinking we were at
when we created them. Albert Einstein