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Paramedic Information Privacy
Security & Assurance Alliance
Nick Nudell, MS, NRP
• Licensed paramedic with BA in IT Management and MS
in InfoSec
• Project Manager for national EMS Co...
Paramedic Perspectives
• 12/24/48/72 hour shifts are common
• Deployed to street corners or station based
• Responds to 0-...
Paramedic Technologies
© 2015 Paramedic FoundationImage: LifeBot®
Paramedic Data Sources
© 2015 Paramedic FoundationImage: LifeBot®
R.E.S.C.U.M.E.
© 2015 Paramedic FoundationImage: FHWA/RITA
• Response, Emergency Staging and
Communications, Uniform
Manag...
Connected Vehicles
© 2015 Paramedic FoundationVideo: FHWA/RITA
Intelligent Trans Systems
© 2015 Paramedic FoundationVideo: FHWA/RITA
Community Integration
© 2015 Paramedic FoundationVideo: PulsePoint Foundation
Paramedic Data
• Electronic Patient Care Records (ePCR) are incident based records
• National EMS Information System (NEMS...
Paramedic Data Process
• Usually given <20 minutes to ready for next call
• Draft (or final) version of record is left at ...
PIPSAA
• Formed in 2014 to address the many vulnerabilities of
paramedic data
• A first of its kind collaboration between ...
Education Model
• Department of Homeland Security model
– Awareness 101 (Tier 1)
– Operations 201 (Tier 2)
– Technician 30...
Certification Model
• Paramedic Information Management
Practitioner (PIMP)
• Oriented to bachelor’s prepared with IT
backg...
PIMP Model
• Paramedic Data Analyst (PDA)
• Paramedic Data Manager (PDM)
• Paramedic Decision Support (PDS)
• Paramedic Da...
Outreach Efforts
• Writing paramedic & management journal
articles
• Conference presentations (EMS, HIMSS, etc)
• Federal ...
Contact
Nick Nudell
PIPSAA Executive Director &
The Paramedic Foundation Board Member
(760) 405-6869
nnudell@paramedicfoun...
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Paramedic Information Privacy Security and Assurance Alliance iCERT 2015

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Paramedic data systems supporting clinical and business operations are now very sophisticated. Managing these systems requires special training and credentialing for safe and secure paramedic operations. The Paramedic Information Privacy Security & Assurance Alliance (PIPSAA) introduced this subject to the Industry Council for Emergency Response Technologies (iCERT) 2015 forum on Cybersecurity.

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Paramedic Information Privacy Security and Assurance Alliance iCERT 2015

  1. 1. Paramedic Information Privacy Security & Assurance Alliance
  2. 2. Nick Nudell, MS, NRP • Licensed paramedic with BA in IT Management and MS in InfoSec • Project Manager for national EMS Compass performance measure initiative • Federal advisory committee member • A PrioriHealth Partner and board member of the Paramedic Foundation • Executive Director of PIPSAA and the Ultra Medical Team © 2015 Paramedic Foundation
  3. 3. Paramedic Perspectives • 12/24/48/72 hour shifts are common • Deployed to street corners or station based • Responds to 0-20 calls per 24hrs • Time on task commonly 45-90 minutes • Training is moving towards degrees • Mobile medicine evolving with health reform • 900k in US working for 19k agencies caring for 45m patients annually © 2015 Paramedic Foundation
  4. 4. Paramedic Technologies © 2015 Paramedic FoundationImage: LifeBot®
  5. 5. Paramedic Data Sources © 2015 Paramedic FoundationImage: LifeBot®
  6. 6. R.E.S.C.U.M.E. © 2015 Paramedic FoundationImage: FHWA/RITA • Response, Emergency Staging and Communications, Uniform Management, and Evacuation • Oncoming Vehicles - Warns drivers of lane closing and reduced speeds when approaching incident zones. • Responder Vehicles - Warns on-scene responders of vehicles approaching the incident zone at speeds or in lanes that pose a high risk to their safety.
  7. 7. Connected Vehicles © 2015 Paramedic FoundationVideo: FHWA/RITA
  8. 8. Intelligent Trans Systems © 2015 Paramedic FoundationVideo: FHWA/RITA
  9. 9. Community Integration © 2015 Paramedic FoundationVideo: PulsePoint Foundation
  10. 10. Paramedic Data • Electronic Patient Care Records (ePCR) are incident based records • National EMS Information System (NEMSIS) is the ONLY health care data standard used nationally • Records are entered by smartphone, tablet, laptop, or station based PC • Records are NOT integrated with hospital data systems in most places • HIPAA is often inaccurately used as the excuse for data sharing obstacles • Federal HealthIT programs have not included paramedic data systems © 2015 Paramedic Foundation
  11. 11. Paramedic Data Process • Usually given <20 minutes to ready for next call • Draft (or final) version of record is left at ED for continuity of care • Data entry rules govern the process • Validation rules are applied to data for transmission • Web services are used to send records through workflow © 2015 Paramedic Foundation
  12. 12. PIPSAA • Formed in 2014 to address the many vulnerabilities of paramedic data • A first of its kind collaboration between academia, regulators, vendors, labor, and trade groups • Three primary work groups: – PIPSAA Governance – Education & Certification Development – Communication & Outreach • The “voice” of Paramedic Information Security © 2015 Paramedic Foundation
  13. 13. Education Model • Department of Homeland Security model – Awareness 101 (Tier 1) – Operations 201 (Tier 2) – Technician 301 (Tier 3) – Train The Trainer (eventually) • Virtually provided © 2015 Paramedic Foundation
  14. 14. Certification Model • Paramedic Information Management Practitioner (PIMP) • Oriented to bachelor’s prepared with IT background/skills • Setting the standard for consultants or employees who will work with paramedic data systems © 2015 Paramedic Foundation
  15. 15. PIMP Model • Paramedic Data Analyst (PDA) • Paramedic Data Manager (PDM) • Paramedic Decision Support (PDS) • Paramedic Data Integration (PDI) • Paramedic Data Protection (PDP) • Paramedic Data Governance (PDG) © 2015 Paramedic Foundation
  16. 16. Outreach Efforts • Writing paramedic & management journal articles • Conference presentations (EMS, HIMSS, etc) • Federal Agency liaison (FirstNet, SafeCom, NHTSA EMS, DOT ITS JPO, HHS ONC, HHS ASPR, WH, etc) • Website & Social Media • InfoSec consulting services © 2015 Paramedic Foundation
  17. 17. Contact Nick Nudell PIPSAA Executive Director & The Paramedic Foundation Board Member (760) 405-6869 nnudell@paramedicfoundation.org https://www.facebook.com/groups/1395516920758227/ Hashtag #PIPSAA © 2015 Paramedic Foundation

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