2006 CDC Field Triage Decision Scheme Implementation Project

1. 2006 CDC Field Triage Decision Scheme Implementation Project Evaluation Findings and State Success Stories August 30, 2012

2. About the Field Triage Project Funding through CDC Injury Center in 2009-2011 to support and evaluate the implementation of the Field Triage Decision Scheme in three (3) states, with coordination and outreach from relevant national organizations

3. Project Activities National organization meeting (Nov 2009); State team planning meeting (May 2010); Development and implementation of plan to implement the field triage decision scheme (9 months); Technical assistance (monthly calls) and financial resources (up to $18,000) to support implementation; and Evaluation

4. Evaluation Questions • What is the context in which the 2006 Field Triage Decision Scheme is being implemented in each state? • To what extent did states adhere to their action plans as determined during the May 2010 meeting? After 6 months, did they accomplish the goals they set for themselves? • To what extent do factors identified by the national organizations (e.g. local politics, overtriage/undertriage, linked data, definition of successful implementation, time, distance, resources, and other factors that emerge from the national organization surveys) facilitate or inhibit the adoption and implementation of the 2006 Field Triage Decision Scheme in each state? What other factors emerge? • To what extent do the states anticipate continuing work and expanding their action plans? To what extent do they perceive that the changes they made according to the action plans will be sustainable in their state? • What is the role of the national organizations in assisting states to adopt and implement the 2006 Field Triage Decision Scheme? To what extent did the November 2009 and 2010 meetings reinvigorate their efforts in promoting the Decision Scheme?

5. Kansas Success Strategies: Host multidisciplinary educational meetings Foster stakeholder group collaboration Build targeted communication networks for EMS agencies

6. Massachusetts Market event well in advance and at every opportunity Address stakeholder concerns and political pressures prior to the conference Have relevant and engaging content for all stakeholder groups in attendance

7. Michigan Success Strategies: Access to a knowledgeable State EMS Data Manager Participate in and impact the revision process of the NEMSIS Data Dictionary Commitment of EMS Agencies and hospitals in the field triage pilot project

8. Facilitators and Barriers State interest and dedication to the project; Existing infrastructure; Broad based teams; Personal contacts; Securing stakeholder buy-in; Focus on patient outcomes; and Support of partner agencies Short project timeframe; Lack of clarity within the Decision Scheme criteria; Local factors; Data issues; and Training issues

9. Key Findings • The contexts within which the three state teams conducted their work varied greatly. • Many of the goals and objectives the states and national organizations set out to accomplish in their action plans were achieved within even the short implementation timeframe. • Although strong relationships and communication networks among medical practitioners existed in most of these states at the beginning of the mini-grant cycle, these relationships appear to have grown even stronger and the networks even broader. • A focus on patient outcomes was useful in setting the stage for productive conversations and bringing providers to the table to participate in implementation process. • The dedicated funds, time, and attention that were provided through this grant allowed states to detect areas where additional attention was needed to successfully implement and sustain the use of the Decision Scheme in EMS systems.

10. Contact Information Amber Norris Williams Executive Director Safe States Alliance 2200 Century Parkway, Suite 700, Atlanta, GA 30345 amber.williams@safestates.org| www.safestates.org Phone: (770) 690-9000 | Fax: (770) 690-8996 | Mobile: (678) 895-5086