How to use data in your CAD and ePCR to improve Operational and Clinical performance as presented at 2013 EMSToday!

1. GETTING MORE FROM LESS
How to use data in your CAD and ePCR
to improve Operational and Clinical
performance
Nick Nudell &Todd Stout

2. Agenda
 Introductions
 Objectives
 Framework / Approach / Principles
 Operational Options to vote on
 Clinical Options to vote on
 Selected OperationalTopic / Case
 Selected ClinicalTopic / Case
 Summary and Q & A

3. Introductions
 Nick Nudell
 Todd Stout
 You
 OrganizationType
 Have CAD?
 Have ePCR or Clinically-oriented RMS

4. Nick Nudell
 14Years in EMS
 Volunteer EMR/EMT, Rural/Urban CCEMTP, educator,
author, planner, regulator & consultant
 Consultant to NHTSA & many states
 EKGNERD
 NQF, NEMSAC, SAE, NEMSMA, Advocates,
CLIR/EVENT, IRCP, & others
 FirstWatch® - RealTime EarlyWarning System
 Clinical, Systems & Quality Specialist
 Monitor real time Public Safety data from more than 130
sites in the US and Canada
 Process more than 50,000 incidents per day

5. Todd Stout
 32 years in EMS & related Jobs
 Stockboy, EMT, Paramedic, flight medic, consultant
(SSM), public manager, corporate manager
 CAD vendor customer service manager
 Stout Solutions – reports & consulting
 FirstWatch® - RealTime EarlyWarning System
 Monitor real time Public Safety data from more than
130 sites in the US and Canada
 Process more than 50,000 incidents per day

6. Why Should You Care?
 As an EMS provider, you owe your
community the highest quality service
possible.
 Patients assume a competent provider
equipped to meet their needs will show up in
a timely manner.
 For the person in need, failure is not an
option.

7. Quality is…
Delivering the service your community,
customers and patients want and need, every
time.

8. Quality is NOT…
… just a buzzword!

9. A Quality Framework
Measure
Investigate
Identify
Issues
Take
Action

10. CAUTION: Avoid
 Knee Jerk Reactions
 A simple problem can be made much worse if we
respond with blame
 $10 fixes for $0.10 Problems
 Keep in mind the severity of an issue

11. Identify
System Issues vs. People Issues
 System issues will probably require a fix that
is applied to the whole system
 People issues should be addressed with the
individual.

12. Operational options to vote on
 Communications center performance
 Out-of-chute time performance
 Hospital transfer of care performance

13. Clinical options to vote on
 Clinical Performance Measures
 Continuous Quality Improvement
 Sentinel Alerts

14. Operational option 1
 Communications center performance
 Details that may take a few slides

15. Operational option 2
 Out-of-chute time performance
 Details that may take a few slides

16. Operational option 3
 Hospital transfer of care performance
 Details that may take a few slides

17. Clinical option 1
 Clinical Performance Measures

18. Clinical option 1

19. Clinical option 1

20. Clinical option 1

21. Clinical option 2
 Continuous Quality Improvement

22. Clinical option 2

23. Clinical option 2

24. Clinical option 3
 Sentinel Alerting

25. Clinical option 3

26. Clinical option 3

27. Summary
 Data is cool, using it is cooler
 Pick an important problem that you can
actually change
 Fix the system first

28. Q & A…
ThankYou!
Please fill out and hand in your surveys & cards
Contact information
Nick Nudell
nick@priorihealth.com
Todd Stout
tstout@firstwatch.net