HomeMy WebLinkAbout911-system-redesign-march-technology-summary-findingsEMS 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
Summary
Findings
Alameda County
EMS System
Redesign
Technology
Group
Integrate Next Gen
9-1-1 (TEXT to 911)
Full HDE Data Sharing (PSAP to patient discharge) to ensure 100% stakeholder participation
Continue to use IAED as the prioritization method for dispatching 9-1-1 system responses
Incorporate an MD or RN into the Dispatch Center to assist with Alternative Destination and Transport Method decisions
Integrate Behavioral Health into the dispatch process including access to Community Health Records/follow-up visits through a web-based APP
Allow field staff to destination decisions based on patient needs and “real time” facility status
Create a “Triage System” for the Hospital EDs to support EMS system stability
EMS Agenda 2050https://www.ems.gov/projects/
ems-agenda-2050.html
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.
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…