Constituency briefing wednesday september 30 naples florida
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Constituency Briefing Wednesday September 30 Naples, Florida. INTRODUCTIONS/WELCOME. Stephanie Daugherty Brenda Clotfelter Steve McCoy. Bureau Update Data Committee Update EMSTARS Update NEMSIS Update Strategic Plan review. TODAY’S BRIEFING. Bureau Update. Steve McCoy.

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Constituency briefing wednesday september 30 naples florida

Constituency Briefing

Wednesday

September 30

Naples, Florida


Introductions welcome

INTRODUCTIONS/WELCOME

Stephanie Daugherty

Brenda Clotfelter

Steve McCoy


Today s briefing

Bureau Update

Data Committee Update

EMSTARS Update

NEMSIS Update

Strategic Plan review

TODAY’S BRIEFING


Bureau update

Bureau Update

Steve McCoy


Subcommittee reports definitions education training outreach

Subcommittee ReportsDefinitionsEducation/TrainingOutreach


Education training

Survey Results

  • Participation intent

    • 8 – target 12/09

    • 7 – target 6/10

    • 2 – target 12/10

    • 4 – already submitting

    • 14 – undecided

  • Primary/Secondary Reasons

    • Cost

    • Local issues

    • Increase in # of data items to collect

Education/Training

  • Surveyed 106 non committed agencies

  • Received 35 responses

  • How can Data Committee help?

    • Funding/Grant assistance

    • Training

    • Reports


Outreach

Outreach

59 additional

Agencies committed

How can we help?

What’s the target dates for startup?


Emstars update

EMSTARS Update

  • Participation

  • Data Mart

  • One-on-one agency visits

  • Website/Reference Material

  • Grant Funds


Emstars current participation

Esc.

Holmes

Jackson

SantaRosa

Okal.

Nassau

Wash.

Walton

Gadsden

Jeff.

Hamilton

Calhoun

Madison

Bay

Leon

Duval

Baker

Suw.

Liberty

Wakulla

Col

Taylor

Clay

Un

Gulf

Laf.

Brad

St. Johns

Franklin

Gil.

Alachua

Putnam

Dixie

Flag.

Levy

Marion

Volusia

Lake

Citrus

Sum.

Sem.

Hern.

Orange

Pasco

Osceola

Hills.

Polk

Brev.

Pine.

In. Riv

Manatee

Okee.

Hardee

St.Lucie

Highland

Sara.

Deso.

Martin

Char.

Glades

Lee

PalmBeach

Hendry

Broward

Collier

Dade

Monroe

EMSTARS – Current Participation

266 Licensed

EMS Agencies

102

Agencies

59

additional

commitments

38% of all agencies

40% of total runs

1,300,075

Incidents


Constituency briefing wednesday september 30 naples florida

EMSTARS Updates

The Unmet Need

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 data mart

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 mart1

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.


Emstars updates data mart2

Data

Repository/Warehouse

EMSTARS Updates – Data Mart

Data Sources

Data Stores / Data Marts

EMSTARS

Data Mart

EMSTARS

Data Base

Other

DEMO

Analysis/

Reporting

Services

DOT

HSMV

Trauma

Cross functional data mining & multidimentional analysis

&

Standard or

Adhoc report/ queries

AHCA


Emstars updates data mart3

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

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

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

    • Villages

    • Ocoee

    • Rural Metro

    • Volusia Co.

    • South Daytona

    • Naples

    • Madison

    • Lifeflight

    • MCT Express

    • Davie

    • Tequesta

    • Boca Raton Fire

    • Daytona


Emstars updates

EMSTARS Updates

Web Site & Reference Materials


Emstars updates1

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

    NEMSIS UPDATE

    Brenda Clotfelter

    &

    Stephanie Daugherty

    • General Update on National Database

    • Update on NEMSIS 3.0


    Composition 2007 2009 national database

    Composition (2007-2009)National Database

    As of 9/09

    # 3


    Nemsis update1

    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


    Nemsis 3 0 update common null values

    NEMSIS 3.0 UpdateCommon Null Values

    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


    Constituency briefing wednesday september 30 naples florida

    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

    Strategic Plan

    • Review of CurrentStrategic Objectives & Action Plan Status

    • Summary/Review of drafted updates to Strategic Plan


    Strategic plan objective 1 1

    Strategic Plan – Objective 1.1

    1.1Improve Leadership Effectiveness of the

    EMS Advisory Council

    EMSAC – Lead with many measures,

    primarily participation related


    Strategic plan objective 1 2

    Strategic Plan – Objective 1.2

    Data Committee

    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:

    • On-going operations – Data Unit

    • Data Dictionary Maintenance & Improvements – Data Committee

    • Outreach/Education/Training– Data Committee & Data Unit

    Close


    Strategic plan objective 1 3

    Strategic Plan – Objective 1.3

    Data Committee

    • 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 Summary

    • Actions relating to:

    • Data Warehouse

    • Data Linkage

    In Progress


    Strategic plan objective 1 4

    Strategic Plan – Objective 1.4

    Bureau of EMS – Data Unit

    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

    • Actions relating to:

      • On-going operations – Data Unit

      • Data Dictionary Maintenance & Improvements – Data Committee

      • Outreach/Education/Training– Data Committee & Data Unit

    In Progress


    Strategic plan objective 1 5

    Strategic Plan – Objective 1.5

    Data Committee

    • 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 Summary

    • Actions relating to:

    • Data Warehouse

    • Data Linkage

    In Progress


    Strategic plan objective 1 6

    Strategic Plan – Objective 1.6

    Bureau of EMS – Data Unit

    1.6 Achieve 70% EMSTARS compliance and

    participation

    • 70% Compliance to live EMSTARS reporting (12/31/2010)

    Current Action Plan Summary

    In Progress

    • Actions relating to:

      • On-going operations – Data Unit

      • Data Dictionary Maintenance & Improvements – Data Committee

      • Outreach/Education/Training– Data Committee & Data Unit


    Strategic plan objective 5 3

    Strategic Plan – Objective 5.3

    Data Committee

    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)

    Current Action Plan Summary

    In Progress

    • Actions relating to:

    • Defining definitions / Data Dictionary Maintenance & Improvements – Data Committee

    • Assessing Implementation impacts – Data Committee & Data Unit

    • Implementation recommendations – Data Committee


    Strategic plan1

    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

    Strategic Plan Updates

    Goal 2

    Improving EMS data collection and participation through advocacy, outreach, and improved accessibility to EMS incident-level data


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Constituency briefing wednesday september 30 naples florida

    Strategic Plan Updates


    Emrc update

    EMRC Update

    Dr. Joe Nelson

    Steve McCoy


    Closing open discussion

    CLOSING / OPEN DISCUSSION


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