Performance Indicators Develpment in Operational Level for Pre-hopital EMS in Thailand
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This document discusses the development of performance indicators for pre-hospital emergency medical services (EMS) in Thailand. The researchers identified success factors from Thailand's national EMS strategy plan and used them to develop 28 performance indicators for operational level EMS. The success factors focused on infrastructure and information technology development. The performance indicators can be used as guidelines to improve operational work and provide standardized, efficient EMS to people in both normal and disaster situations.
![Journal of Public Health and Development
Vol. 7 No. 2 -
May August 2009
Table1 Procedure of standard and weight determination
Procedure Meaning Weight Reference
Score
(=I)
Validity To evaluate real operation ability 0.30 [I]
Easily understood To evaluate meaning or description 0.20 [21
communication for easily understanding
Success ability To evaluate application and success 0.10 111
possibility
Availability and To evaluate completion and sufficiency 0.10 [I]
Accuracy of data in data collection
Comparability of To evaluate comparability of KPI with 0.10 [I]
KPI other provinces or in the past
Quantitative To evaluate type of data in operation 0.10 [21
data collection
Cause & Effect To evaluate cause and result relation 0.05 121
Linkage with goal of strategy plan
Tmly To evaluate suitability of frequency in 0.05 [I]
data collection](https://image.slidesharecdn.com/emergencymedicalservices-091215215453-phpapp02/85/Performance-Indicators-Develpment-in-Operational-Level-for-Pre-hopital-EMS-in-Thailand-4-320.jpg)
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Performance Indicators Develpment in Operational Level for Pre-hopital EMS in Thailand
- 2. Journal of Public Health and Development Vol. 7 No. 2 May - August 2009 The Performance Indicators Development in operational level for pre-hospital EMS in Thailand Napisporn Memongkol Runchana Sinthavalai Nattapong Seneeratanaprayune Weerawat Ounsaneha Chanisada Choosuk ABSTRACT The objective of this research is to develop the performance indicators (PIS) in operational level for the Pre-hospital Emergency Medical Service (EMS) system in Thailand. Nevertheless, Success Factor (SF) was identified by Strategic Map (SM), which was analyzed from main objective in National Strategy Plan of developing EMS (2008 - 2012) of Emergency Medical Institute of Thailand (EMIT). Then, PIS were developed from SF and SM. The results showed that only the first strategy of Infrastructure and information technology development was suited for developing PISin operational level. Besides, the success factor was the development of various infrastructure (people can received stan- dard and efficient EMS thoroughly both in regulation and disaster conditions). Finally, twenty-eight performance indicators in operational level were developed using the analy- sis of strategy map and success factors. Those PIScan be used as a guideline to improve operational work. Keyword Emergency medical services Performance indicators Success factor
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- 4. Journal of Public Health and Development Vol. 7 No. 2 - May August 2009 Table1 Procedure of standard and weight determination Procedure Meaning Weight Reference Score (=I) Validity To evaluate real operation ability 0.30 [I] Easily understood To evaluate meaning or description 0.20 [21 communication for easily understanding Success ability To evaluate application and success 0.10 111 possibility Availability and To evaluate completion and sufficiency 0.10 [I] Accuracy of data in data collection Comparability of To evaluate comparability of KPI with 0.10 [I] KPI other provinces or in the past Quantitative To evaluate type of data in operation 0.10 [21 data collection Cause & Effect To evaluate cause and result relation 0.05 121 Linkage with goal of strategy plan Tmly To evaluate suitability of frequency in 0.05 [I] data collection
- 5. ,---------------------- I I n 1 I Man I I I I I I MachinrlMaterialI I I I I I I Strategic I I I Equipmenr I I I I I MethodlProcedure I I I Planning I I I I Conlrol I I I Network I I I I Organization I I I I I I Factor I Quantity I I I I Quality I I I I Timely I I I I Cost I I I I Safely I I I Satisfaction Figure 1 Success factor analysis diagram
- 6. Journal of Public Health and Development Vol. 7 No. 2 May - August 2009 VV16fll~~iq &fla'l? w 4 - naAmili'n:aiuuhinii 2.90 ntiiuu iui~u~a$Tmi~liiwui:nu~iw~pInis0d"7 ~ ~ ~ G ~ m w a n i s i i i i a ' u ~ i~ O L ~ D u I ~ E ~ Z infusinIs:aGu~iQ1"~waiuq dia$llnziruu dsziu'uhi ~mu~a%Tn$n"odll4unis d 4 ~ d ~ d u i n $ ~5mdaunaiunssunp $0 n ~~~nirIWYu?nisnir~iwnbqnia'ui~ d s : ~ i n s %~nziiuuiw'i6u n:iiuu 1.80 w 4 - , ¶ A d audosmnna~am~tndia"bia:w"oun~nan Y 6~snis?m!8oiisGiima~u%-~fis?i'~iiiua%.~ iozdszaunaiudii?ol$uin iia:lin~m- n~sdn'uk~ds:n.r6uodiiwu~~sninm$ msri.Nuimsbiwnbqnia"uibdd~i~ wfl. dYW w 4 2551-2555 i~ui4uan"un"u6avamaa~u q & ~ f f e c Linkage t M~E~.IIMFI:~~uu~II: IW
- 7. Table 2 KPIs evaluation of Khon Kaen Province Criterion 2 .d 1 . Ratio of service (FR : ALSI-BLS) 2. Percentage of informing on EMS number (1669) 3. Percentage of patient satisfaction ofthe service provided by community EMS 4. I n f m - Dspatdung s 2 minutes 5 . Dispatching - Depart from ambulance station s 60 seconds 6. From ambulance station to the scene r 10 minutes 7. Response Time at the scene care s 10 minute 8. Fromthescene tonearathospital s 10 minute 9. Percentage of successibility of cardiopulmonary resuscitation 10. Ratio of number of service compare with popul ati on 1 1. Percentage ofnon-appropnable care (air way protection, bleeding control, immobilization, TV fluid catheterizations) 12. Percentage of urban patient delivered to Emergency Room ~ t EMS h 13. Percentage of local administration cooperation with EMS
- 8. Journal of Public Health and Development Vol. 7 No. 2 May - August 2009 Strategic dimensions I . Infrastructure and information technolocy development T o develop infrastructure that people can + Develop emergency room receive a standard emergency medical service -b throughout and efficiency both in normal and -b Develop E M S - disaster situation and emergency medical information system + Develop disaster m a n a g e m e n t + Develop data base system 8: IT b 2 . Develop m a n a g e m e n t mechanism and financial system T o develop a n d reinforce m a n a g e m e n t mechanism o f + standard emergency medical and efficiency T o develop financial mechanism to m a n a g e a emergency medical thoroughly and efficiency 3. Staff develnpment T o dislrihute e m e r z e n c y medical staff throughoul and -b sufficient T o improve the capability o f the emergency medical -b supporting staffs to take care the emergency patient + 4. K n o w l e d ~ e construct and management T o get a k n o w l e d g e that harmonize with Thailand context to m a k e decision in the policy level. administrative level and practical le'el of the E M S system using clearly evident and systematic collected knowledge that u p to date a n d consistent with social surrounding of the country a n d locality Y T o develop the network a m o n g research institutes, researchers, and knowledge managers o f the E M S continuity b 5. Develop networks and promote the participants role T o develop network and promote the related partner to design, develop and e ~ a l u a t ethe E M S syslem for a standard and efficiency both in normal and disaster situations Figure 2 National strategy plan of developing EMS in 2008 - 2012 B.C.
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- 10. Journal of Public Health and Development Vol. 7 No. 2 May - August 2009 Table 3 Minor objectives of infrastructureand information technology development Components Minor ob-jectives Pre-Hospital EMS To develop the staff by training and evaluation for increasing the number of staff to cover all local administration To develop the knowledge revision mechanism for staff To develop the tool and vehicle in order to have efficiency and safety standard To develop the system of efficiency revision of tool and vehicle To make the organization chart and job description of staff To satisfy staff To reduce the time to the scene according to the topography To develop the standard operation procedure To develop communication equipment, data collection and evaluation program To develop the easily calling number and the reserved network for informing To increase the number of people acknowledgmentand accept the EMS system To develop the capability of people can evaluate and inform the situation To increase the number of doctor in command control center for controlling the staff and operational unit To develop the motivation mechanism for all hospitals to be the EMS network Management system in disaster condition Management system To develop the staff for making the acknowledgment about in disaster condition disaster management, related law and operation obligation To prepare the material, tool and vehicle ready for disaster condition operation To develop the operation and obligation approach for disaster condition To promote the hospitals and related organizations making the mitigation plan for disaster in each area To increase the training for operation in disaster condition To develop the communication system for help support in each area To set up the operation network system in disaster condition
- 11. Table 4 Performance indicators in operational level for EMS T ~ e s Dimensions a l Perfarmance Indic abrs (d rn P: 1. Percentge oflocal administration organizati on s m&ng staE for training and passed standard training course 2. Percentge ofregisteredlocal operati anal units 3 . Percentge of operati onal unit having operaion results 4 . Percentge of operational units hming motivation system 5. Percentge of operation of local operational units a€ter informedfrom command control center 6. Percentge of operational unit h wing standard welfare system 7. Percentge of satisfiedstaffs in operation 8. Percentge of operational units passing the equipment and vehicle stm dard evaluation system 9. Percentge of operational units using equipment and vehicle standard manual 1 0. Percentage of operati ma1 unit having prepar;tion procedure 11. Percentage of operation having standard time to scene on the topography standard 1 2. Percentage of operation h wing standard time at scene according to injury level 1 3. Number of D ead Case conference 14. Percentage of ABC standard operati on
- 12. Journal of Public Health and Development Vol. 7 No. 2 May - August 2009 Table 4 Performance indicators in operational level for EMS (Cont.) Types Dimensions Q) d Per farmance Indicators rn 15. Percentage of operation using standard time to definite c are 16. Percentage of reporting to emergency room before arriving the hospital 17. Percentage of operational unit and command control c enter having organization ch art 18. Number of 1ate response calling fiom random check 19. Number of no response calling fiorn command control center 20. Number of EMSpublic relitionsplan 2 1. Percentage of people in province recogniz dEMS 22. Percentage of emergency call (1669) 23. Percentage of EMS in total medical s ervi ces 24. Percentage of people remember EMS number (1669) 25. Percentage of reporting using provincial standard time 2 6. Percentage of command passing the standard (under triag e/over tri age) 27. Percentage of command - using provincial standard time 2 8. Responding by rad o receiver ritio Remark : A = Provincial public he dth off1ce B = Local admmstration C = Command control center D = Operational unit
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