finding the answers that are right under your feet
TRANSCRIPT
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Nick Nudell, MS, NRPChief Data OfficerThe Paramedic Foundation
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Finding the Answers that are Right Under your Feet
#ZOLLSUMMIT
Nick Nudell, MS, NRP• Critical Care Paramedic• Chief Data Officer• Bachelors IT Management• Master’s Information Security• Information Systems – Analytics & Decision Science
Doctoral Student• Systems, Evaluation, Information & Performance
Improvement Consultant• EMS Compass architect & project manager• http://emsnerd.com http://twitter/runmedic
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Navigating EMS systems challenges
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EMS systems are complexManaging without information is
crazy!
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Where do you start?
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How do you get there? Dig deeper!
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What about everyone else?
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Real time system management
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Dashboards
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Decision Aids
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How do you measure up?
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Performance Measures
Outcomes
Processes
Structures
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What is a performance measure?
Measurement Domain
Clinical Area
Topic
Family of MeasuresStructure
Process
Outcome
Balancing
Measure FormulaDenominator Numerator =Score
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Structure
Process
OutcomeStroke Bundle of Care
For positive stroke assessment, average
time from LKW to arrival at stroke
center
Documentation of LKW
Positive stroke Assessments
transported to Stroke Center
Blood Glucose for Positive Prehospital Stroke Assessment
Notification of stroke team
Suspected Stroke Receiving Prehospital
Stroke Assessment
Performance Measure Example: Stroke-7 Bundle of Care*
Stroke-1 Stroke-2 Stroke-3 Stroke-4
Stroke-7
Stroke-5
Stroke-6
*For illustration only. This does not represent a final measure and may change significantly before it becomes finalized.
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Stroke performance measurement
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Trauma performance measurement
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5/14
7/14
9/14
11/141/1
53/1
55/1
57/1
59/1
511/1
51/1
63/1
65/1
60
5
10
15
20
25
30
Number of Cardiac Arrests Per Month
Total IncidentsMedian
Month
Tota
l Inc
iden
ts
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Reduce variability
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Paramedic self-improvement
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Paramedic benchmarking
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Compliance monitoring
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Performance monitoring
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5/14
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9/14
11/14
1/15
3/15
5/15
7/15
9/15
11/15
1/16
3/16
5/16
0
20
40
60
80
100
Compliance with Cardiac Arrest Bundle
Protocol Compliance % Median
Month
Prot
ocol
Com
plia
nce
Perc
enta
ge
0.000
0.010
0.020
0.030
0.040
0.050
0.060
0.070
0.080
0.000
ROSC at Any Time During Cardiac Arrest
Month
Perc
enta
ge -
ROSC
at A
ny T
ime
0.0000.0200.0400.0600.0800.1000.1200.140
Capnography Used After Airway Placed
MonthPerc
enta
ge -
Capn
ogra
phy
After
Ai
rway
0.0000.0500.1000.1500.2000.2500.3000.3500.400
LCL
0.152
0.076
0.1644
Percentage of Cardiac Arrests Where Mon-itor Data Was Uploaded
MonthPerc
enta
ge -
Mon
itor d
ata
up-
load
ed
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Daily management reports
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System management
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Delaying is costly!
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Delays cost!
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For more information please contact:
Nick Nudell
Chief Data Officer – The Paramedic Foundation
Project Manager – EMS Compass Initiative
(760) 405-6869EMSnerd.com EMSCompass.org
https://twitter.com/RunMedicImage Credits: ZOLL, MCHD, FirstWatch, Google, EMSCompass