constituency briefing wednesday september 30 naples, florida

Constituency Briefing

Wednesday September 30 Naples, Florida

INTRODUCTIONS/WELCOME

Stephanie DaughertyBrenda Clotfelter

Steve McCoy

TODAY’S BRIEFING

Bureau Update

Data Committee Update

EMSTARS Update

NEMSIS Update

Strategic Plan review

Bureau Update

Steve McCoy

Subcommittee Reports

DefinitionsEducation/Training

Outreach

Education/Training

Surveyed 106 non committed agencies Received 35 responses

Primary/Secondary Reasons• Cost• Local issues• Increase in # of data items to collect

Participation intent

8 – target 12/097 – target 6/102 – target 12/104 – already submitting14 – undecided

Survey Results

How can Data Committee help?

• Funding/Grant assistance• Training• Reports

59 additional Agencies committed

Outreach

How can we help?

What’s the target dates for startup?

EMSTARS Update

Participation

Data Mart

One-on-one agency visits

Website/Reference Material

Grant Funds

Esc. SantaRosa

Okal.

Walton

HolmesJackson

Wash.

Bay

Gulf

Calhoun

Gadsden

Leon

Liberty

Franklin

Wakulla

Jeff.Madison

Taylor

Hamilton

Suw.

Laf.

Dixie

Col

Baker

Nassau

Duval

UnBrad

Clay St. Johns

PutnamAlachuaGil.

Levy

Marion

Flag.

Volusia

Lake

Sem.

Orange

Osceola

In. Riv

St.Lucie

Martin

Brev.

Citrus

Hern.Sum.

Pasco

Hills.Polk

Manatee Hardee

Pine.

Deso.

Highland

Okee.

GladesChar.

Sara.

Lee Hendry

Collier

PalmBeach

Broward

Dade

Monroe

59 additional

commitments

EMSTARS – Current Participation

266 Licensed EMS Agencies

102Agencies

1,300,075Incidents

38% of all agencies

40% of total runs

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

The Unmet Need

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 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.

SQL 2008Analysis Services

Data Sources

OtherDEMO

DOT

Trauma

HSMV

AHCA

EMSTARSData Base

DataRepository/Warehouse

Analysis/Reporting Services

Data Stores / Data Marts

Cross functional data mining & multidimentional analysis

&Standard or

Adhoc report/ queries

EMSTARSData 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

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

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

VillagesOcoeeRural Metro Volusia Co.South DaytonaNaples MadisonLifeflightMCT ExpressDavieTequestaBoca Raton FireDaytona

EMSTARS Updates

Web Site & Reference Materials

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

• General Update on National Database

• Update on NEMSIS 3.0

Brenda Clotfelter&

Stephanie Daugherty

Composition (2007-2009)National Database

As of 9/09# 3

North Carolina 3,300,002

Minnesota 868,203

Florida 694,696Colorado 381,590

Alabama 294,216

Iowa 271,628

New Hampshire 160,415

Nevada 136,608

Maine 135,872

Missouri 131,654

Utah 109,896

Nebraska 97,925

New Jersey 85,292

North Dakota 83,854

New Mexico 35,877

South Carolina 34,001

Hawaii 22,935

Idaho 6,971

Oklahoma 3,844

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

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

NEMSIS 3.0 UpdateCommon Null Values

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

Review of Current Strategic Objectives & Action Plan Status

Summary/Review of drafted updates to Strategic Plan

Strategic Plan – Objective 1.1

1.1 Improve Leadership Effectiveness of the EMS Advisory Council

EMSAC – Lead with many measures,

primarily participation related


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:

1. On-going operations – Data Unit2. Data Dictionary Maintenance & Improvements – Data Committee3. Outreach/Education/Training– Data Committee & Data Unit

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 SummaryActions relating to:

1. Data Warehouse2. Data Linkage

Data Committee


1.4 Achieve EMSTARS compliance and

participation from 50% of licensed providers 50% agencies compliance to live EMSTARS

reporting (06/30/09)


Bureau of EMS – Data Unit




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 SummaryActions relating to:

1. Data Warehouse2. Data Linkage

Data Committee


1.6 Achieve 70% EMSTARS compliance and

participation 70% Compliance to live EMSTARS reporting

(12/31/2010)


Bureau of EMS – Data Unit




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)


1. Defining definitions / Data Dictionary Maintenance & Improvements – Data Committee2. Assessing Implementation impacts – Data Committee & Data Unit3. Implementation recommendations – Data Committee


Data Committee

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

Goal 2

Improving EMS data collection and participation through advocacy, outreach,

and improved accessibility to EMS incident-level data

Objective Measure Strategies Lead Resource Timeline

2.1 Improve Leadership effectiveness and participation of Data Committee

% of committee members who fulfill their term

85 % attendance rating score of committee members attending meetings (including conference calls)

Annual review of bylaws/operations to ensure effective operation of subcommitteeFormalize attendance rating score, monitoring and reporting processDevelop/Implement Mentoring/ Succession PlanLeadership OrientationCommittee Member Orientation

DC EMS Data Unit

On-going



2.2 Maintain statewide standards for data collection for EMS incident level data

All Florida Data Dictionary data elements defined and accepted by EMS Advisory CouncilFlorida Data Dictionary maintained and consistent with National mandatory data collection requirements

Use the expertise of the Data Committee to review/define/maintain all data elements in Florida Data Dictionary consistent with National mandatory requirements

DC EMS Data Unit

On-going



2.3 Provide advocacy and outreach for statewide data collection

# of outreach events provided by or sponsored by Data Committee

Use the expertise of the Data Committee to identify outreach opportunities/events for the advocacy, outreach, education/training for statewide data collectionDefine consistent training and education curriculum and delivery mechanisms Work closely with remaining agencies to ensure smooth transition; implement lessons learned from startup

DC Education/Training

Subcommittee, EMS Data Unit

On-going



2.4 Support the achievement of NHTSA participation targets for Florida’s statewide data collection system

% of annual increase in agency participation

Work closely with Bureau of EMS, Data Unit in Federal grant justification for enabling EMS agencies participationConduct annual surveys to identify agency participation targets and agency assistance needsProvide implementation assistance to agencies seeking participation assistance

DC Outreach, Education/

Training Subcommittee, EMS Data Unit

On-going



2.5 Improve access to EMS incident level data for evaluation and benchmarking activities

# reports available for evaluation and benchmarking

Collaborate with EMRC on report definitionsMaintain resources for report developmentCollaborate with DOH IS to create data warehouse/data mart solution

EMS DataUnit

DOH IT On-going



2.6 Link EMSTARS incident-level data with other state data for outcome assessments

# linked data sets

Establish relationship to share data between agenciesEstablish technical environment to enable data linkages and sharingUtilize expertise of Data Committee to Identify data linkage requirements for linking incident level data for outcome assessments

EMS DataUnit

Data Comm.

DOH IT

Trauma

ACHA

DOT

On-going


EMRC Update

Dr. Joe Nelson

Steve McCoy

CLOSING / OPEN DISCUSSION

constituency briefing wednesday september 30 naples, florida

Documents

data fields

data need

data sets slide

data items

functional data mart

data committee help

overall data warehouse

business slide