Constituency Briefing Wednesday September 30 Naples, Florida
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Transcript of Constituency Briefing Wednesday September 30 Naples, Florida
Constituency Briefing
Wednesday September 30 Naples, Florida
INTRODUCTIONS/WELCOME
Stephanie DaughertyBrenda Clotfelter
Steve McCoy
TODAY’S BRIEFING
Bureau Update
Data Committee Update
EMSTARS Update
NEMSIS Update
Strategic Plan review
Bureau Update
Steve McCoy
Subcommittee Reports
DefinitionsEducation/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 12/097 – target 6/102 – target 12/104 – already submitting14 – 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
Esc. SantaRosa
Okal.
Walton
HolmesJackson
Wash.
Bay
Gulf
Calhoun
Gadsden
Leon
Liberty
Franklin
Wakulla
Jeff.Madison
Taylor
Hamilton
Suw.
Laf.
Dixie
Col
Baker
Nassau
Duval
UnBrad
Clay St. Johns
PutnamAlachuaGil.
Levy
Marion
Flag.
Volusia
Lake
Sem.
Orange
Osceola
In. Riv
St.Lucie
Martin
Brev.
Citrus
Hern.Sum.
Pasco
Hills.Polk
Manatee Hardee
Pine.
Deso.
Highland
Okee.
GladesChar.
Sara.
Lee Hendry
Collier
PalmBeach
Broward
Dade
Monroe
59 additional
commitments
EMSTARS – Current Participation
266 Licensed EMS Agencies
102Agencies
1,300,075Incidents
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.
SQL 2008Analysis Services
Data Sources
OtherDEMO
DOT
Trauma
HSMV
AHCA
EMSTARSData Base
DataRepository/Warehouse
Analysis/Reporting Services
Data Stores / Data Marts
Cross functional data mining & multidimentional analysis
&Standard or
Adhoc report/ queries
EMSTARSData Mart
EMSTARS Updates – 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
VillagesOcoeeRural Metro Volusia Co.South DaytonaNaples MadisonLifeflightMCT ExpressDavieTequestaBoca Raton FireDaytona
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 (2007-2009)National Database
As of 9/09# 3
North Carolina 3,300,002
Minnesota 868,203
Florida 694,696Colorado 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
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
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 UpdateCommon Null Values
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)
Strategic Plan
Review of Current Strategic Objectives & Action Plan Status
Summary/Review of drafted updates to Strategic Plan
Strategic Plan – Objective 1.1
1.1 Improve Leadership Effectiveness of the EMS Advisory Council
EMSAC – Lead with many measures,
primarily participation related
Strategic Plan – Objective 1.2
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:
1. On-going operations – Data Unit2. Data Dictionary Maintenance & Improvements – Data Committee3. 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 SummaryActions relating to:
1. Data Warehouse2. Data Linkage
Data Committee
Strategic Plan – Objective 1.4
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
Bureau of EMS – Data Unit
Actions relating to:
1. On-going operations – Data Unit2. Data Dictionary Maintenance & Improvements – Data Committee3. 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 SummaryActions relating to:
1. Data Warehouse2. Data Linkage
Data Committee
Strategic Plan – Objective 1.6
1.6 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 Unit2. Data Dictionary Maintenance & Improvements – Data Committee3. Outreach/Education/Training– Data Committee & Data Unit
Strategic Plan – Objective 5.3
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)
Actions relating to:
1. Defining definitions / Data Dictionary Maintenance & Improvements – Data Committee2. Assessing Implementation impacts – Data Committee & Data Unit3. 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
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 subcommitteeFormalize attendance rating score, monitoring and reporting processDevelop/Implement Mentoring/ Succession PlanLeadership OrientationCommittee Member Orientation
DC EMS Data Unit
On-going
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 CouncilFlorida 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
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 collectionDefine 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
Strategic Plan Updates
Objective Measure Strategies Lead Resource Timeline
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 participationConduct annual surveys to identify agency participation targets and agency assistance needsProvide implementation assistance to agencies seeking participation assistance
DC Outreach, Education/
Training Subcommittee, EMS Data Unit
On-going
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 definitionsMaintain resources for report developmentCollaborate with DOH IS to create data warehouse/data mart solution
EMS DataUnit
DOH IT On-going
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 agenciesEstablish technical environment to enable data linkages and sharingUtilize 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
Strategic Plan Updates
EMRC Update
Dr. Joe Nelson
Steve McCoy
CLOSING / OPEN DISCUSSION