NEMSIS TAC Update NASEMSO Mid-Year Meeting
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1 NEMSIS TAC Update NASEMSO Mid-Year Meeting March 6, 2013 Data Manager s Council
2 NEMSIS TAC Objectives Objectives Update on Data Submissions V2.2.1 New State Dashboard State Dashboard: Surveillance, Performance & Quality EMS Performance Toolkit Dashboard V3.3.1 Locked Down Release Schedule for Changes State Plans for Moving to V3 V3 Dataset Concerns - DMC
3 NEMSIS Update on Data Submissions
4 Current Status of States submitting to NEMSIS
5 NEMSIS v2.2.1 Warehouse Update State v2.2.1 submissions occur daily Every Friday the NEMSIS Production Warehouse is updated. This impacts the NEMSIS standard reports Data is a 2+ year rolling database Currently: 2011, 2012, and 2013 Every Sunday into Monday the NEMSIS Enhanced Cube is updated Currently this is data going back to 2009 to today
6 Composition of the NEMSIS Database
7 NEMSIS Database
8 NEMSIS State Submission Update (since Friday - Through NEMSIS ETL) Web Service Daily Submissions Alabama 2012 records 2013 Q1 records Pennsylvania 2012 records 2013 Q1 records Additional Records submitted after Friday, March 1 at 0600 MST Colorado 2012 Q4 59,355 Maryland 2012 Q4 101,485 North Carolina 2012 Q4 411,065 Total Additional Records submitted through March 6, 2013 ~ 925,000+ South Carolina 2012 Q4 307,359 Utah Additional records for 2012 Q4: from 33,568 to 37, Q1 33,444 Wyoming 2012 Q4 10,258
9 NEMSIS Enhanced Cube Data in the NEMSIS Enhanced Cube includes EMS Responses from 2009 through 2013
10 State Quarter 1, 2009 Quarter 2, 2009 NEMSIS Enhanced Cube Quarter 3, 2009 Quarter 4, 2009 Quarter 1, 2010 Quarter 2, 2010 Quarter 3, 2010 Quarter 4, 2010 Quarter 1, 2011 Quarter 2, 2011 Quarter 3, 2011 Quarter 4, 2011 Quarter 1, 2012 Quarter 2, 2012 Quarter 3, 2012 Quarter 4, 2012 Quarter 1, 2013 Total Total 1,303,831 1,502,312 1,651,569 1,879,724 2,311,736 2,441,061 2,564,730 2,688,857 3,657,246 3,611,695 3,990,281 3,733,812 3,945,669 4,467,393 4,457,001 2,804, ,814 47,201,510 AK ,596 5,091 7,298 7,601 7,274 7,165 7,299 5,619 5,463 6,137 4,353 67,130 AL 105, , , , , , ,875 97, , , , , , , , ,393 74,553 1,948,960 AR 47,843 53,657 53,191 45,847 56,233 75,121 75,611 65, , ,581 77,667 74,697 88,055 88, ,067,888 CO 80,625 86,371 96,960 87,708 78,104 67,743 77,648 76,874 68,732 84,912 71,586 67,299 71,419 28,352 52,714 59, ,156,405 FL 260, , , , , , , , , , , , , , , ,618 5,794,533 GA , , , , , , , , ,150,567 HI 25,610 25,160 24,670 25,186 25,971 25,042 26,144 27,404 28,438 27,292 26,909 28,595 29,720 29,413 29,452 30, ,506 IA 17,950 34,910 40,204 42,946 40,481 39,732 36,601 38,945 42,810 40,602 42,956 47,519 48,310 50,576 50,143 47, ,383 ID 6,864 12,491 14,400 14,137 13,090 18,660 17,535 20,491 21,860 16,831 22,240 17,074 29,864 27,553 32,514 29, ,877 IL 901 9,608 36,333 99, , , ,545 67,094 66,669 86, ,483 KS 3 8,070 7,944 9,765 10,310 11,443 12,289 12,886 15,109 15,864 16,136 17,339 24,419 27, ,648 MD 3 48,721 79,771 89, ,384 ME 40,475 13,844 40,337 37,270 41,248 41,639 43,157 54, ,861 56,853 59,885 54,477 57,250 58,881 68,479 66, ,084 MI 7,497 32,600 35, , , , , , , , , , , , , , ,192,664 MN 86,936 94,033 97,031 99,338 94, , , , , , , , , , , ,630,193 MO 27,520 18,047 20,750 24,827 31,943 36,820 38,751 57,447 65,729 69,298 57,391 95,417 90,959 33, ,606 MP ,033 MS 8 50,935 63,742 62,769 78,091 70,764 65,938 56,428 53,496 53, ,386 71,589 62,457 88,463 93,838 92, ,110,127 NC 302, , , , , , , , , , , , , , ,608 5,372,530 ND 8,046 7,787 8,258 8,077 7,731 6,557 8,909 11,816 12,005 12,681 14,130 15,070 15,195 15,474 16,635 16, ,853 NE 14,187 14,657 16,264 16,094 14,972 22,966 24,517 20,931 19,877 28,852 30,962 31,246 25,019 30,837 31,821 32, ,574 NH 23,644 16,563 28,924 27,944 24,698 33,180 39,073 39,607 45,788 45,889 46,599 45,734 39,767 32,761 36,402 43, ,404 NJ 86,393 94, , , , , , , , , , , , , , , ,522,593 NM 19,092 26,318 25,522 30,969 69,105 67,869 74,744 68,766 70,668 72,412 65,693 75,433 58,102 82,040 79,058 80, ,534 NV 18,643 19,012 20,035 14,261 9,418 13,744 10,075 19,689 22,737 17,776 14,257 27,760 25,144 27,601 12,881 21, ,806 NY 175, , , ,675 OK 35,953 61,262 51,673 79,780 82,425 90,767 93, ,687 98,658 83, , , , , , , ,613,740 OR 1 1 4,006 4,675 7,980 6,418 23,081 PA ,484 2, , , , , , , , , ,364 3,087,789 SC 33,373 45,266 67, , , , , , , , , , , , ,665 3,367,037 SD 8,313 9,818 10,555 8,940 10,793 11,534 12,524 11,117 10,029 10,457 11,473 10,195 10,484 11,010 11,929 10, ,956 TN ,984 16,544 14,406 22,062 48,094 57,320 63,769 62,895 40,414 65,685 49,409 10, ,413 UT 40,279 42,796 40,909 38,644 44,885 51,594 53,813 49,790 50,203 51,409 59,535 53,290 55,008 53,635 57,712 33, ,070 VA , , , , , , , , ,873,330 VI 1,767 1,688 1,859 1,779 1,867 1,429 1,614 1,832 1,847 1,798 1,589 1,147 20,216 WA ,745 14,976 19,487 21,285 21,608 19,844 21,972 32,075 16,057 24,330 31,976 29, ,252 WV 6,134 13,846 22,607 65,489 95, , , , , , , , , , , ,620 1,477,791 WY ,632 6,620 7,848 7,138 10,358 10,560 11,233 60,395
11 States or Territories Expected To Submit in 2013 Data Sharing Agreements in Place working on v2.2.1 submission California Connecticut Indiana Kentucky under review NEMSIS TAC working with these states on Data Sharing Agreements Arizona Massachusetts Montana Ohio Puerto Rico Wisconsin
12 NEMSIS V2.2.1 New State Dashboards
13 State Dashboards Here s the link to the NEMSIS State Reports:
14 State Dashboard: Surveillance, Performance, & Quality
15 EMS Performance Toolkit State & Public Dashboard Clinical
16 EMS Performance Toolkit State & Public Dashboard Times
17 NEMSIS Version Locked Down February 1, 2013
18 Locked Down February 1, 2013 Version Change Release Schedule No Changes (outside of an emergency) until the next scheduled Release March 1, 2014 Process for change requests NEMSIS Version 3 Minor Revision Process Overview The goal of the NEMSIS TAC is to have the NEMSIS Version 3 be a living dataset to meet the needs of the ever changing EMS environment. Changes to the dataset will be scheduled moving forward. We will offer a mechanism and opportunity for EMS stakeholders to review the recommended changes, discuss pros and cons, and identify the impact and benefit. Please see the table below for the minor revision process for future changes to the NEMSIS Version 3 dataset.
19 NEMSIS Version 3 Minor Revision Schedule Policy
20 NEMSIS Version 3 Minor Revision Schedule - Example Example of the /15 NEMSIS Version 3 Minor Revision Schedule: V3 Minor Revision Process 1. Public feedback/recommendations for the next minor revision. à send via to Jorge & Karen a. Jorge.Rojas@hsc.utah.edu b. Karen.Jacobson@hsc.utah.edu 2. NEMSIS TAC will review the requested changes with EMS stakeholders. 3. V3 Software Developer s Meeting - Review requests - Discuss changes & impact 4. NEMSIS TAC post Final Draft changes for public comment 5. NEMSIS TAC makes necessary revisions and posts Official Release to v3.x.x by March 1, EMS Software Development Companies implement the March 1, changes in their products and have them available to their clients by January of the next year. TIMELINE 1. Now through July 31, August through November October 2013 (TBD) 4. December 2013 through January 31, March 1, January 1, 2015
21 NEMSIS State Movement to Version 3
22 State Movement to v3 NEMSIS TAC Questionnaire Will be sent out March 2013 Reason: Assist States and NEMSIS TAC on planning Post information on NEMSIS website è Decrease calls from vendors to each state!! J Questions include: Have you started planning for transition to Version 3?
23 State Movement to v3 NEMSIS TAC Questionnaire (cont d) Questions include: Have you done any of the following (select all that apply): Formed a data committee or work group Reviewed and identified the state elements for collection No When do you plan for the State Data Collection System to be up and running?
24 State Movement to v3 Open Discussion Updates NASEMSO DMC March 5, 2013 State Plan for v3 Transition STATE/Territory v2 Closure Date v3 Go Live Date v3 Transition Timeline Data Elements Identified Data Work Group in Place Mand CustomConcern / Comment Alabama Alaska American Samoa Arizona Arkansas California Colorado Going through infrastructure work right now with v2; agencies not yet submitting for various reasons. Working with Connecticut Testing July Wunknown Yes. No data dictionary yet. Yes. Has been dormant for a coyes unknowvendor on v3. Delaware District of Columbia testing with beta agencies April/May Transition July 2013 to December have been waiting for v3 to be finalized for a few years. Intermedix new system. Meeting with Florida 12/31/2014 Jul Yes Yes No. VoYes, covendor bi- weekly. Georgia Guam Hawaii Idaho Illinois
25 State Movement to v3 NEMSIS State SharePoint communication tool
26 NEMSIS V3 Dataset Concerns State Level 1. Custom Elements 2. Destination IDs: NPI Codes
27 Using V3 Custom Elements Open Discussion State s may identify custom elements to capture needs not met by the v3 dataset State custom elements and schematron rules will be submitted to the NEMSIS TAC for review NEMSIS will host a Custom Element library for review: searchable webpage under development NEMSIS will post each State s custom elements on the State v3 page
28 V3 Destination IDs: NPI Codes Open Discussion Discussion included options and potential benefits to using National Provider Identifiers for the healthcare facility codes. Ø Pros: NPI codes could be used across states (as EMS agencies transport patients across borders) Potential ease of use for EMS software vendors and states Ø Cons: Healthcare facilities have multiple NPIs for specific locations at one address The same NPI code can be used for healthcare facilities with different locations
29 V3 Destination IDs: NPI Codes Ø Cons: NPI codes are only assigned to healthcare facilities billing CMS NPI not needed to bill DECISION: Use State assigned codes for licensed healthcare facilities. Other descriptors and codes can be created by each state (e.g. private residence, etc.) Each state will provide a list to NEMSIS. State facility/destination lists will be posted on each state s NEMSIS page.
30
31 Updated Support Page
32 New State Version 3 Page This is the new page for v3 State Information and NEMSIS National Library
33 NEMSIS Questions??
34 Questions?? Karen E. Jacobson, BA, NREMT-P NEMSIS Director University of Utah, School of Medicine Department of Pediatrics, Critical Care Intermountain Injury Control Research Center NEMSIS Project PO Box Salt Lake City, UT Leadership Skills For State EMS Officials Workshop
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