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EMS Compass Initative

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Through the EMS Compass initiative, the EMS community will develop tools that can be used to measure EMS system performance and the quality of patient care. This will lead to unprecedented capability for local EMS agencies, systems, regions and states to assess conditions and embark on widespread improvement.

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EMS Compass Initative

  1. 1. Improving Patient Care Through Evidence Based Performance Measures
  2. 2. • An open, collaborative two-year effort, funded by the National Highway Traffic Safety Administration (NHTSA) led by the National Association of State EMS Officials (NASEMSO) • Define and develop a sustainable process to design EMS performance measures primarily using National Emergency Medical Services Information System (NEMSIS) version 3 data • Develop a core set (5-7) of evidence based patient care and safety related performance measures for use by all EMS providers to support a culture of performance improvement in EMS EMS Compass is:
  3. 3. EMS Compass is not: • Developing measures in order to punish “poor performers” or discredit them in their communities • Submitting measures to the NQF or CMS • Proposing that measures be used for anything other than improvement of patient care and safety • Developing a comprehensive list of measures to address every aspect of EMS • Directing how local, state or federal agencies or payers may choose to utilize the measures once they become available
  4. 4. 1994 Uniform Prehospital EMS Dataset 2001 NEMSIS Inception 2005 v2.2 update 2018 v3.4 cutover History of EMS Data & Quality Systems 2009 NHTSA – EMS Performance Measures Based on V2.2 1997 NHTSA - A Leadership Guide to Quality Improvement NEMSIS = National EMS Information System Managed by the University of Utah’s Technical Assistance Center
  5. 5. NEMSIS Datasets Supporting Performance Measurement Local Agency State National What can you do with your data? NEMSIS = National EMS Information System Managed by the University of Utah’s Technical Assistance Center
  6. 6. Call For Measures Public & Expert Input Prioritization Evidence Review Measure Design Measure Testing •Vendor technical testing •Public testing & input Steering Committee Approval Measure Design Process: A Continuous Cycle
  7. 7. What is a performance measure? Measurement Domain Clinical Area Topic Family of Measures Structure Process Outcome Balancing Measure Formula Denominator Numerator =Score
  8. 8. EMS Compass Domains Domains Example Possible Clinical Areas & Topics Patient and Family Engagement Customer satisfaction, parent/family involvement, patient experience Patient Safety Stretcher drop rate, adverse event rate, ambulance crash rate, deteriorating patient (early warning), infection control/hand hygiene Care Coordination Matching care to need, access Population/Public Health Volumes, symptoms onset to 911, requests per capita Efficient Use of Healthcare Resources Cost per capita/patient, tax dollars per capita, patient utilization rate, patient contact time reliability, crash scene time Clinical Process/ Effectiveness Stroke, STEMI, SCA, trauma, RAD, sepsis, CHF, pain management, hypoglycemia, seizures, COPD, mental health, anaphylaxis , provider skill success rate EMS Workforce* Turnover/Retention, vacancy rate, productivity, Compensation Comparator, injury rate, lost work days rate, education, R&R, certification & licensure, safety (near miss reporting, policies, etc), provider safety EMS Fleet* Vehicle miles traveled (VMT) rates EMS Data* NEMSIS submission rate, data integrity *EMS Convenience Domains that are outside the NQS original six but may prove to be necessary for EMS performance measurement.
  9. 9. EMS Measure Considerations EMS Compass Priority Criteria – Importance to Measure and Report – Feasibility – Scientific acceptability of measure properties – Usability and Use – Comparison to related or Competing measures. Data source from the NEMSIS Version 3 data whenever possible.
  10. 10. Overall Org Chart Steering Committee (Bob Bass, MD) Measure Design Group (Dave Williams, PhD) Technology Developers Group (Debbie Gilligan) Stakeholder Communication Group (Keith Griffiths, BA) Project Execution Group (Dia Gainor, MPA) Federal Partners Project Staff: Nick Nudell, MS, NRP – Project Manager Zoe Renfro, BA – Project Staff
  11. 11. Initiative Activity Schedule Oct. 2014: Project Started Jan. 2015-July 2016: 24 work meetings May 2015: Call For Measures Open April 2016: Conduct Blue Ribbon Panel July 2016: Submit to peer review journal Aug. 2016: Publish NASEMSO document Sept. 2016: Completion of this phase
  12. 12. For more information please contact: Nick Nudell Project Manager – EMS Compass Initiative nick@nasemso.org (760) 405-6869 EMSCompass.org https://www.facebook.com/EMSCompass https://www.linkedin.com/company/ems-compass https://twitter.com/EMSCompass #EMSCompass

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