HomeMy WebLinkAbout911-system-redesign-january-meeting-technologyEMS System
Redesign
Group Members
Andy Sulyma, LEMSA
Warren Fitzgerald, HFD
David Buckley, AFD
Jodee Ayers, LPFD
Rosa Ramos, ACRECC/ACFD
Rebecca Rozen, Hospital Council
Evan Befus, AMR (IFT)
David McPartland, BFD
Yolanda Takahashi, LEMSA
Eric Anido, Falck
Joe Greaves, ACCMA
Hannah Robbins, ACCMA
Michael Jacobs, LEMSA
EMS Agenda 2050
EMS Agenda 2050 is the result
of a collaborative and
inclusive two-year effort to
create a bold plan for the
next several decades. The
new Agenda for the Future
envisions people-centered
innovative possibilities to
advance EMS systems.
https://www.ems.gov/projects/ems
-agenda-2050.html
Next Generation
911
Initiative aimed at updating
the 9-1-1 service
infrastructure to improve
public emergency
communications services in a
growingly wireless mobile
society. It will enable the
public to transmit via phone,
text, images, video and data
to the 9-1-1 center (PSAP).
ACRECC is on the cusp of
rolling this out.
Medical Priority Dispatch System (MPDS)
and TeleHealth in the Dispatch Center
Skilled, certified dispatchers already utilize cutting-edge MPDS tools to accurately prioritize the nature of the caller’s complaint or emergency
Staffing a fulltime MD or RN with specific ED and MPDS training (either REMOTELY or WITHIN the dispatch center) to further assist with triaging responses (comparable to an RN Advice Line)
Continue to allow EMS field personnel’s sound discretion to assess and refer low-acuity patients to alternate destinations or assist with follow-up through Community Paramedicine.
Behavior Health
Patients:
Destinations
Based on Patient
Needs
Creation of an App to access the
Community Health Records and
link the assigned caregiver to
track patient in real-time.
Allow the CATT team or other
EMS resource to alert the
caregiver to arrange for
alternative treatment or
destination.
Integrate the App to allow EMS
personnel to schedule appts for
BH patients with BH facilities for
follow-up.
9-1-1 Patients:
Destinations
Based on Patient
Needs
“Triage-System” for Hospital
Emergency Departments
RED YELLOW GREEN BLACK
Give the transport ambulances
the ability to see real-time bed
availability
Allows EMS personnel to use
sound, clinical judgment on
which hospital the patient can
best be served while allowing the
ambulance resource back into
the EMS System in the most
efficient time domain
Foundations
HDE/Data Sharing
Creating A-Z throughput from
initial dispatch to hospital
discharge (Jacobs)
NEMSIS Data Collection: EHR,
CAD, CFIRS, and Hospital
Platforms
Ability for all EMS Managers to
have real-time data access for
Quality Improvement/Quality
Assurance
...there’s more
East Bay Regional Communications
System Authority (EBRCSA)
All ALCO resources have
interoperability
On-scene tablet-based device using
WI-FI with the ability for the FD,
ambulance, and the ED to securely
share data
Automatic Vehicle Location (AVL)
for all resources, including BLS/IFT
resources (for surge and MCI, etc)
Questions…