NEMSIS TAC Update NASEMSO Mid-Year Meeting March 6, 2013 Data Manager s Council
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
NEMSIS Update on Data Submissions
Current Status of States submitting to NEMSIS
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
Composition of the NEMSIS Database
NEMSIS Database
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 37,236 2013 Q1 33,444 Wyoming 2012 Q4 10,258
NEMSIS Enhanced Cube Data in the NEMSIS Enhanced Cube includes EMS Responses from 2009 through 2013
State Quarter 1, 2009 Quarter 2, 2009 NEMSIS Enhanced Cube 2010 2013 2009 2011 2012 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 2,804,779 189,814 47,201,510 AK 217 422 595 2,596 5,091 7,298 7,601 7,274 7,165 7,299 5,619 5,463 6,137 4,353 67,130 AL 105,188 121,087 124,867 113,833 116,592 120,572 106,875 97,872 103,655 109,685 107,903 116,720 126,995 135,560 133,610 133,393 74,553 1,948,960 AR 47,843 53,657 53,191 45,847 56,233 75,121 75,611 65,016 129,691 136,581 77,667 74,697 88,055 88,440 238 1,067,888 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 59,355 3 1,156,405 FL 260,805 255,974 277,772 298,247 356,910 360,509 364,471 366,003 438,194 441,309 425,915 274,180 254,709 563,232 586,685 269,618 5,794,533 GA 40 10 8 243,795 228,823 243,342 240,094 295,044 302,751 300,335 295,905 420 2,150,567 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 30,303 197 435,506 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 47,619 79 662,383 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 29,272 1 314,877 IL 901 9,608 36,333 99,918 121,221 138,303 126,545 67,094 66,669 86,673 218 753,483 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 27,071 188,648 MD 3 48,721 79,771 89,888 1 218,384 ME 40,475 13,844 40,337 37,270 41,248 41,639 43,157 54,168 105,861 56,853 59,885 54,477 57,250 58,881 68,479 66,175 85 840,084 MI 7,497 32,600 35,423 124,411 177,562 177,290 241,931 253,156 320,467 244,415 288,601 255,585 252,774 251,598 284,442 244,883 29 3,192,664 MN 86,936 94,033 97,031 99,338 94,574 100,987 106,434 106,712 114,927 114,656 124,302 118,612 119,708 122,638 129,255 50 1,630,193 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 33,707 668,606 MP 4 716 784 507 487 495 365 226 603 910 936 6,033 MS 8 50,935 63,742 62,769 78,091 70,764 65,938 56,428 53,496 53,999 145,386 71,589 62,457 88,463 93,838 92,210 14 1,110,127 NC 302,230 342,418 339,080 339,071 360,603 366,383 371,960 367,941 364,173 360,078 384,595 359,865 321,700 381,825 410,608 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 16,442 40 184,853 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 32,372 375,574 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 43,827 4 570,404 NJ 86,393 94,966 121,919 137,556 186,689 209,594 209,783 222,312 256,699 262,079 277,493 277,084 288,092 298,744 304,470 288,717 3 3,522,593 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 80,738 5 966,534 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 21,757 16 294,806 NY 175,402 135,770 201,936 549 18 513,675 OK 35,953 61,262 51,673 79,780 82,425 90,767 93,169 175,687 98,658 83,040 104,423 103,929 110,832 207,652 118,241 116,248 1 1,613,740 OR 1 1 4,006 4,675 7,980 6,418 23,081 PA 1 2 203 93 293 476 7,484 2,575 172,868 198,617 411,889 397,711 420,931 453,103 477,579 440,600 103,364 3,087,789 SC 33,373 45,266 67,733 123,810 259,852 282,106 269,157 278,430 285,648 287,408 291,085 275,597 282,354 300,553 284,665 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 10,745 40 169,956 TN 1 115 790 1,984 16,544 14,406 22,062 48,094 57,320 63,769 62,895 40,414 65,685 49,409 10,925 454,413 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 33,568 777,070 VA 44 37 37 124 216,068 213,620 215,941 228,469 240,754 272,879 244,550 240,790 17 1,873,330 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 1 1 1 15,745 14,976 19,487 21,285 21,608 19,844 21,972 32,075 16,057 24,330 31,976 29,894 269,252 WV 6,134 13,846 22,607 65,489 95,686 111,068 120,284 104,799 119,301 121,263 118,816 116,041 107,861 122,101 110,875 121,620 1,477,791 WY 3 1 2 6,632 6,620 7,848 7,138 10,358 10,560 11,233 60,395
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
NEMSIS V2.2.1 New State Dashboards
State Dashboards Here s the link to the NEMSIS State Reports: http://nemsis.org/reportingtools/reports/statereporting.html
State Dashboard: Surveillance, Performance, & Quality
EMS Performance Toolkit State & Public Dashboard Clinical
EMS Performance Toolkit State & Public Dashboard Times
NEMSIS Version 3.3.1 Locked Down February 1, 2013
Locked Down February 1, 2013 Version 3.3.1 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.
NEMSIS Version 3 Minor Revision Schedule Policy
NEMSIS Version 3 Minor Revision Schedule - Example Example of the 2013-2014/15 NEMSIS Version 3 Minor Revision Schedule: V3 Minor Revision Process 1. Public feedback/recommendations for the next minor revision. à send via email 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, 2014 6. 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, 2013 2. August through November 2013 3. October 2013 (TBD) 4. December 2013 through January 31, 2014 5. March 1, 2014 6. January 1, 2015
NEMSIS State Movement to Version 3
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?
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?
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; 12-13 agencies not yet submitting for various reasons. Working with Connecticut Testing July 2013. 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 2013. 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- 13 2014. Yes Yes No. VoYes, covendor bi- weekly. Georgia Guam Hawaii Idaho Illinois
State Movement to v3 NEMSIS State SharePoint communication tool
NEMSIS V3 Dataset Concerns State Level 1. Custom Elements 2. Destination IDs: NPI Codes
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
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
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.
www.nemss.org
Updated Support Page
New State Version 3 Page This is the new page for v3 State Information and NEMSIS National Library
NEMSIS Questions??
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 581289 Salt Lake City, UT 84158 801-585-1631 Karen.Jacobson@hsc.utah.edu www.nemsis.org Leadership Skills For State EMS Officials - 2012 Workshop