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EMS in SC. More than 200 services Mix of County, Private
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1. Strengthening EMS Systems of Care 2007 HDSP State Programs Training Atlanta, Georgia
3:30-5:00 PM Sept. 18, 2007
Dory Masters, M.Ed., CHES
Director, Heart Disease & Stroke Prevention
Community Health and Chronic Disease Prevention
SC Dept. Health & Environmental Control
2. EMS in SC
4. Different Regional Structures
5. HDSP-EMS Collaboration Important partners and EMS champions
EMS Division, SC DHEC
SC EMS Association - Board
SC EMS Educators Association
Doug Silk, NREMT-P
American Heart /American Stroke Association
6. 2007 South Carolina EMS Capacity survey Victor Grimes & Khosrow Heidari
Div of Emergency Medical Services &
Chronic Disease Epidemiology
7. Describe the EMS Community EMS Agencies
Number
Level of service
Location
Size
Volume
EMS Personnel
Numbers
Level (EMT, EMT-Intermediate, EMT-Paramedic
Location
Patients
Number of events
Number of patients
Numbers based upon population and service area
8. Survey Methodology: Paper and pencil
N = 190 ? 46 County + 144 Other
n = 103 completed response (54%)
County EMS: 27 ? 59% response rate
Other EMS: 76 ? 53% response rate
9. Software utilization? (based on n=103 responses) Yes: 38% computer data enter:
26 commercial,
5 State developed and
5 in-house software to enter PCR data
No: 62%
10. What land mass does your agency provide service for? (based on n=82 Primary responses)
11. How many Square miles are in the service area:
12. What is the population of the area that your system serves (the resident population)? (based on n=82 Primary responses)
13. How many EMS 911 dispatches and patient contacts did your service have in the last 6 months (July to December), including all types of calls? (based on n=82 Primary responses)
14. Survey Conclusions: The majority (59%) of the primary respondents do not use any software for their data entry.
71% of those who do their own data entry use a commercially developed product and arent considering changing it within next year.
The largest data documentation of the calls takes place at the station, then at the hospital by primary EMS.
The majority of the written documentation usually takes place within 30 minutes (socially desirable response?) by EMS personnel.
15. National Efforts
16. Active Data System Status
17. Lessons Learned Other States Legislation: need support for an electronic data system
Funding: need $ for maintenance, personnel, upgrades & hardware
Human Resources: qualified people are needed for technical development, system design, program management, training, marketing and other
Hardware:
EMS Data Warehouse,
EMS data via Internet
Data Entry Equipment
Software (in house, commercial . . .etc)
Training
Marketing
Implementation
Maintenance
Reporting
18. Standard Protocols
SC EMS Board Adopted Univ. of Miamis Emergency Neurologic Deficit Exam (MEND) as part of statewide protocols (2002)
MEND training approved for CEUs by SC EMS Advisory Council (2003)
MEND checklist incorporated in EMS training curriculum (National)
MEND rebranded ASLS
Advanced Stroke Life Support
19. Provider Training AHA/ASA Operation Stroke sponsored 1 EMT-P in Univ. of Miamis Emergency Neurologic Deficit (MEND) master train the trainer course (2003)
Operation Stroke disbanded (2004)
?How to sustain MEND course & support instructors?
20. Training Process SC HDSP sponsored MEND TTT course at the SC Annual Emergency Care Symposium (FY 04)
SC HDSP sponsored 4 regional MEND trainings (FY 05)
SC HDSP and HDSP funded regions sponsored 4 regional ASLS trainings (FY 06)
SC HDSP and HDSP funded regions sponsored 4 regional ASLS-H trainings (FY 07)
SC HDSP committed to ongoing ASLS-H support priority with hospitals pursuing JCAHO Stroke Center and disparate areas
22. ASLS Train the Trainer Challenges Secondary trainings
Training support/advocacy (EMS service level)
Training materials availability/costs
Tracking/reporting of trainings not comprehensive as reporting not required by Division of EMS
Individual EMS provider CE records updated with recertification (3 yr) at state system level
State EMS CE system not electronic or easily searchable
Registry of trainers & courses
Current trainer registry not within EMS system
Current ASLS-H trainer courses coordinated by HDSP
23. Activity: Data linkage Less than 30 services report electronically
Capacity to link to hospital records exist but so do challenges
Financial (local & state)
Proprietary feelings
24. Next Steps Regional ASLS Hospital course
Targets pre-hospital & hospital providers
Supported by HD&SP funded regions
Explore additional venues for education
Data linkage
Impact & outcome measures
26. Conclusion Establishing a strong relationship with the EMS Division staff is essential in developing successful policy to enhance EMT capacity
Cultivating such a relationship requires a long term vision, mutual trust and respect.
Future activities will focus on
ED staff
NEMSIS
Rehab centers
27. EMS providers eager for continuing education
Systems changes seen at county level
Protocol changes
Annual training requirements for staff
Must link data (our biggest challenge)
28. Thank You! Check us out
www.scdhec.gov/hdsp