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NASEMSO 2018 Annual Meeting

May 21-24, 2018
Providence, RI


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Dec. 2017
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The National Association of State EMS Officials is the lead national organization for EMS, a respected voice for national EMS policy with comprehensive concern and commitment for the development of effective, integrated, community-based, universal and consistent EMS systems. Read more...


Fatigue in EMS Risk Management Guidelines Go Live

(01/11/18) Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients’ homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as “just part of the job.“

The number of fatigue-related safety incidences involving EMS personnel and their patients is on the rise. Recent research shows that more than half of emergency medical services (EMS) personnel report severe mental and physical fatigue while at work, poor sleep quality, and poor recovery between shifts. Half of EMS personnel obtain less than 6 hours of sleep per day. The industry has a fatigue problem, yet few have developed solutions informed by the evidence or best practice.

NASEMSO has partnered with a team led by University of Pittsburgh School of Medicine scientists to develop new fatigue guidelines published early online in the journal Prehospital Emergency Care. The aim of the guidelines is to mitigate the effects of fatigue with recommendations based on a comprehensive evaluation of the best available evidence related to numerous fatigue mitigation strategies such as using caffeine and napping during shifts.
Evidence Based Guidelines for Fatigue Risk Management in Emergency Medical Services are now online, and and all companion materials, including background information, systematic reviews, evidence tables, and expert commentaries are also available.

NASEMSO Mourns the Loss of Esteemed Colleague Tom Nehring

(01/03/18) NASEMSO is saddened to learn of the unexpected loss of a friend and colleague, Tom Nehring. Tom began his career in EMS in the early 1970s as one of North Dakota’s first nationally registered paramedics. He was a leader in the development of paramedic training programs in North Dakota and a founder and first president of the North Dakota EMS Association. Throughout his career, he served in a number of leadership roles in healthcare, hospitals and EMS, including director of the Division of Emergency Medical Systems and Trauma in the North Dakota Department of Health. As a member of NASEMSO’s Board of Directors, Tom was always the first to volunteer for committees and projects, particularly when they served the best interests of rural EMS. He recently served as the co-chair for the Joint Committee on Rural EMS Care, an organizational link between NASEMSO and the State Offices of Rural Health. Tom retired from his position as a state EMS director in 2017. He will be greatly missed. online obituary notice

NASEMSO Seeks Feedback on Revised Portions of 2007 National EMS Scope of Practice Model

(12/12/17) NASEMSO is soliciting feedback on revised portions contained in the 2007 National EMS Scope of Practice Model. A subject matter expert panel has determined that clinical practice decisions must be based on the level of cognitive and psychomotor preparation of EMS personnel.

Draft 2 is intended to reflect an improved description of the spectrum of EMS levels from the 2007 Practice Model. Once community consensus has been reached on these descriptions, the assignment of skills and tasks will be accomplished for a comprehensive final draft and provided for public comment in spring 2018.

In addition, it was determined that guidance is needed to explain the general recommendations and procedures applicable when emergent changes to sustain and strengthen national preparedness for public health, military, and domestic emergencies need to occur to the National EMS Scope of Practice Model (SoPM) between regular revision cycles.

National engagement provides interested parties with an opportunity to comment on the draft to ensure that the document reflects the collective expertise and experience of the whole community. Please provide feedback online by 5:00 p.m. EST, Feb. 10, 2018.


|EMS News & Resources

New Infographic — EMS Providers: How to Stay Safe on the Job

(01/09/18) EMS providers are critical to public health and safety. This National Institute for Occupational Safety and Health (NIOSH) resource, co-branded with the National Highway Traffic Safety Administration (NHTSA) Office of EMS, recommends ways that EMS providers can prevent injuries. Download the infographic.

Information Concerning Utah Health Information Network (UHIN) and Their Successful Integration of EMS data with Their HIE

Note from NASEMSO: (01/17/18) The information we distributed below on the Utah Health Information Network (UHIN) was written by the project’s coordinator and reprinted at the request of the Office of National Coordinator for Health IT who awarded the grant for Utah to implement the system. NASEMSO acknowledges that several EMS software vendors can provide this capability, and references in the article should not be construed as a NASEMSO endorsement of a particular vendor. We apologize for the confusion.

(01/03/18) When you think of health information exchange (HIE), you probably think of doctors receiving hospital admission and discharge alerts, or accessing critical medical records. But in Utah, one ambulance service is using HIE in an innovative way. Gold Cross Ambulance in Salt Lake City, uses the data in Utah’s HIE for quality improvement and training.

Through ESO, its patient care reporting system (PCR is the emergency medical service industry’s equivalent to EHR), Gold Cross is one of the over 500 data sources submitting to UHIN’s CHIE, the state-designated HIE in Utah. The system-agnostic, bi-directional feed allows Gold Cross crew members to receive patient outcomes.

How It Works
Through ESO, UHIN pushes outcome information to the Gold Cross home screen dashboard, which includes a tab for crew members to view new patient outcomes. The information includes the patient demographics, EMS record number, and disposition point (i.e. where the patient was released - to their home, a care facility, etc.). It also includes the crew member’s cited reasoning for treatment that is chosen from a list of pre-determined options, and provides the ER physician’s actual diagnosis.

What It Provides
This information provides the Gold Cross crew members the opportunity to understand when their cited reasons for treatment differ from the actual diagnosis. Moreover, it offers invaluable training opportunities — whether it is as simple as reviewing coding procedures or helping crew members understand symptoms.

Equally important, these pushed outcomes provide crew members with a plethora of additional advantages, including confirmation of their initial assessment, positive reaffirmation of their skill set, and increased job satisfaction. Additionally, this HIE-generated information can offer important closure to crew members, who previously had no means of knowing what happened to the patients for whom they provided preliminary care. This resolution is especially important for crews responding to calls on children and the elderly.

Through ESO, Gold Cross’s quality director is also able to view a report of all hospital diagnoses, cross referenced with the percentage of those diagnoses cited by their EMS crew. This information allows for trend analysis and the determination of what, if any, additional training may be necessary.

Going Forward
Going forward, Gold Cross hopes to use the data it receives from the CHIE to create prevention programs. It is already working with UHIN and other community partners on fall preventions. Another potential use of the data would be internal clinical studies to provide for greater quality protocol development and improved patient care.

This innovative exchange of data was made possible as part of an ONC grant UHIN received in 2015 to advance interoperability. The grant allowed for the bi-directional exchange of data between Gold Cross and the CHIE.

NASEMSO Partnering with California EMS Authority on the Health Information Exchange Network
NASEMSO is partnering with the California EMS Authority to lead a national group to promote greater connectivity and interoperability between the target audiences of EMS agencies and hospitals to improve transitions of patient care through the sharing of electronic patient information.

State EMS offices are the logical place to champion this effort. Moreover, as a result of the opportunity for Medicaid funding for EMS onboarding and data analytics through Sept. 30, 2021, state EMS offices may be well-positioned to take advantage of this opportunity.

For those interested in participating in the Health Information Exchange Workgroup, please contact Joe Ferrell at joe@nasesmo.org.

The material published on the NASEMSO Web site is for informational purposes only. NASEMSO does not support, endorse or recommend any position, product or service unless explicitly stated.