National EMS Dashboard: Traffic Crashes Susan McHenry, MS Program Analyst NHTSA - Office of EMS Jeremy Kinsman, MPH ASPPH Public Health Fellow NHTSA – Office of EMS August 9, 2016

Summary National EMS Information System (NEMSIS) National EMS Database National EMS Dashboard: Traffic Crashes Project Goals Overview Tutorial

National EMS Information System NEMSIS is a national effort to standardize the patient care data collected by EMS agencies. Data Standard and Data Dictionary (first published in 2001) Standard for Data Transmission (XML) National EMS Database Achieved HL7 certification and approval as an ANSI standard to facilitate integration of the EMS record with the hospital record Such a Database Will Be Useful In: Developing Nationwide EMS Training Curricula Evaluating Patient and EMS System Outcomes Facilitating Research Efforts Determining National Fee Schedules and Reimbursement Rates Addressing Resources for Disaster and Domestic Preparedness Providing Valuable Information on Other Issues or Areas of Need Related to EMS Care

National EMS Information System National Cube National 55 elements  Available for report queries State Access to Cube State EMS Office has access to 8 more  63 elements 83 National Elements (75 EMS Event elements) 400 + elements

The National EMS Database Today’s Database EMS Records are collected from 49 States and Territories >25 million per year or 79% of all EMS calls Full database available at www.NEMSIS.org Underutilized by researchers and traffic safety professionals A Unique Dataset Person-based records from electronic patient care records Records are populated by medical professionals No statistical estimates – these are raw and unweighted numbers from participating states and agencies EMS Data is the Last Piece of the Traffic Safety Puzzle Answers questions about life-saving efforts after the crash MA, DE, TX, DC, OH, Mariana Islands, Puerto Rico 18 states submit 100% and 8 more are submitting more than 90% of data

EMS Dashboard: Traffic Crashes Project Goals To highlight National EMS Database information that is meaningful for traffic safety professionals and increase transparency of data To demonstrate the value of the National EMS Information System (NEMSIS) as a unique set of crash, victim, injury, and prehospital-care data from the perspective of EMS systems To spark innovative research and new partnerships among traffic safety and EMS professionals in efforts to reduce fatalities and serious injuries

EMS Dashboard: Traffic Crashes Easy to Use and Interactive Presents big data in a meaningful way Follows Components of an EMS Response Response On Scene Care Transport to Hospital Patient Demographics and Crash Information Helps users understand what EMS data is available and where to go for more information Excites traffic safety and public health professionals about EMS data Important as new version of NEMSIS data standard is implemented this year So let’s take a look then follow a group of bicycle crashes

EMS Dashboard: Traffic Crashes EMS Activations Inclusion Criteria Service Request: 9-1-1 response Dispatch Complaint: traffic accident Exclusion Criteria Service Request: inter-facility transfers, intercepts, medical transport, mutual aid, stand by Patient Disposition: activation cancelled, no patient found

EMS Dashboard: Traffic Crashes Tutorial Tableau Public Development Server

For More Information…. Visit EMS.gov and NEMSIS.org Susan McHenry, MS Program Analyst NHTSA - Office of EMS Susan.Mchenry@dot.gov Jeremy Kinsman, MPH ASPPH Public Health Fellow NHTSA – Office of EMS Jeremiah.Kinsman.ctr@dot.gov