Finding The Answers That Are Right Under Your Feet
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Nick Nudell, Chief Data Officer at The Paramedic Foundation, discusses the complexities of EMS systems and emphasizes the importance of effective data management for performance improvement. The document provides an overview of performance measurement using examples like the stroke and trauma performance metrics, highlighting the significance of compliance and benchmarking for paramedic self-improvement. It concludes with a call to action for better system management and contact information for further inquiries.
Finding The Answers That Are Right Under Your Feet
- 1. #ZOLLSUMMIT Nick Nudell, MS, NRP Chief Data Officer The Paramedic Foundation #ZOLLSUMMIT Finding the Answers that are Right Under your Feet
- 2. #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
- 3. #ZOLLSUMMIT Navigating EMS systems challenges
- 4. #ZOLLSUMMIT EMS systems are complex Managing without information is crazy!
- 5. #ZOLLSUMMIT Where do you start?
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- 16. #ZOLLSUMMIT How do you get there? Dig deeper!
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- 18. #ZOLLSUMMIT What about everyone else?
- 19. #ZOLLSUMMIT Real time system management
- 22. #ZOLLSUMMIT How do you measure up?
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- 25. #ZOLLSUMMIT What is a performance measure? Measurement Domain Clinical Area Topic Family of Measures Structure Process Outcome Balancing Measure Formula Denominator Numerator =Score
- 26. #ZOLLSUMMIT Structure Process Outcome Stroke 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.
- 29. #ZOLLSUMMIT 0 5 10 15 20 25 30 5/14 6/14 7/14 8/14 9/14 10/14 11/14 12/14 1/15 2/15 3/15 4/15 5/15 6/15 7/15 8/15 9/15 10/15 11/15 12/15 1/16 2/16 3/16 4/16 5/16 TotalIncidents Month Number of Cardiac Arrests Per Month Total Incidents Median
- 35. #ZOLLSUMMIT 0 20 40 60 80 100 ProtocolCompliancePercentage Month Compliance with Cardiac Arrest Bundle Protocol Compliance % Median CL 0.412 0.5273 UCL 0.946 1.1315 0.0000.000 0.200 0.400 0.600 0.800 1.000 1.200 1.400 1.600 5/14 6/14 7/14 8/14 9/14 10/14 11/14 12/14 1/15 2/15 3/15 4/15 5/15 6/15 7/15 8/15 9/15 10/15 11/15 12/15 1/16 2/16 3/16 4/16 5/16 Percentage-ROSCatAnyTime Month ROSC at Any Time During Cardiac Arrest CL 0.6125 UCL 1.2636 0.000 0.500 1.000 1.500 2.000 5/14 6/14 7/14 8/14 9/14 10/14 11/14 12/14 1/15 2/15 3/15 4/15 5/15 6/15 7/15 8/15 9/15 10/15 11/15 12/15 1/16 2/16 3/16 4/16 5/16 Percentage-Capnography AfterAirway Month Capnography Used After Airway Placed CL 0.8380.838 0.9939 UCL 1.5251.600 1.8235 LCL 0.1520.076 0.1644 0.000 0.500 1.000 1.500 2.000 2.500 5/14 6/14 7/14 8/14 9/14 10/14 11/14 12/14 1/15 2/15 3/15 4/15 5/15 6/15 7/15 8/15 9/15 10/15 11/15 12/15 1/16 2/16 3/16 4/16 5/16 Percentage-Monitordata uploaded Month Percentage of Cardiac Arrests Where Monitor Data Was Uploaded
- 40. #ZOLLSUMMIT For more information please contact: Nick Nudell Chief Data Officer – The Paramedic Foundation Project Manager – EMS Compass Initiative nnudell@paramedicfoundation.org (760) 405-6869 EMSnerd.com EMSCompass.org https://twitter.com/RunMedic Image Credits: ZOLL, MCHD, FirstWatch, Google, EMSCompass
Editor's Notes
- #30: This is a run chart that is just a count of the number of cardiac arrests each month. Obviously May 16 data is incomplete since the month is not done yet.
- #36: This is a simple run chart showing the percentage of compliance with the complete cardiac arrest bundle for this organization. It looks like they have a bit of room for improvement.