Data Managers Council Documents & Resources
- State EMS, Injury Prevention/Trauma, Highway Safety (document compiled July 2016)
- The Effect of an Ambulance Diversion Ban on Emergency Department Length of Stay and Ambulance Turnaround Time. Annals of Emergency Medicine, March 2013. Massachusetts became the first state in the nation to ban ambulance diversion in 2009. It was feared that the diversion ban would lead to increased emergency department (ED) crowding and ambulance turnaround time. This article seeks to characterize the effect of a statewide ambulance diversion ban on ED length of stay and ambulance turnaround time at Boston-area Eds.
- "No Diversion": A Qualitative Study of Emergency Medicine Leaders in Boise, MA, and the Effects of a Statewide Diversion Ban Policy. Annals of Emergency Medicine, 2013. This article examines the attitudes of emergency department (ED) key informants about the perceived effects of a statewide ban on ambulance diversion on patients, providers, and working relationships in a large urban emergency medical system.
- What Is Data Good For? (EMS World, August 2013)
- Health Information Exchange Issue Brief: National Emergency Medical Services Use Cases.Office of the National Coordinator for Health Information Technology (ONC).This report sets the stage for discussion and collaboration among Emergency Medical Service (EMS) agencies, Health Information Exchange (HIE) organizations, and the health communities and customers they serve. The primary audiences are EMS and HIE entities and their many clients. Perhaps the most important anticipated benefits from the implementation of these, or related, use cases are the many lives that could benefit from increased and improved sharing of information between these organizations in support of the communities they serve. (October 2015)
- Deciding on ePCR Software: A Checklist for EMS Agencies. Developed with input from state data managers across the country, the purpose of this checklist is to help EMS agencies make educated decisions when choosing an electronic patient care reporting (ePCR) vendor. (revised 02/26/15)
- Extended Data Definitions, NEMSIS Version 3.4.0 (May 2016) This document represents an effort to continue the process of defining field values, which was started with NEMSIS v2.2.1. The NASEMSO Data Managers Council (DMC), with help from the NEMSIS Technical Assistance Center (TAC), built off the extended data definitions contained in the 2008 Extended Definition Document, NEMSIS 2.2, to create value definitions contained in the NEMSIS v3.4.0 dataset. The DMC and NEMSIS TAC are confident that this document will continue to promote the development, standardization, and improvement of state and national EMS data systems.
NEMSIS 3 Validation Rules Update Webinar (Feb. 5, 2014)
Webinar Audio Recording | PPT Presentation
An ambulance should not leave the scene before it arrives at the scene. But how do we describe and enforce that in a standard way across all ePCR products? NEMSIS 3 uses a standard called Schematron to do it. During the Fall of 2013, a group of state EMS data managers developed a list of approximately 300 constraints that they proposed should be enforced on every NEMSIS 3 record nationally. In this webinar, Joshua Legler provides a tour of the newly updated national Schematron files and how they implement the constraints proposed by the state data managers. He also highlights portions of the completely rewritten NEMSIS 3 Schematron Guide that will help states with validation rule development, and points out the Schematron Development Kit that can be used by state vendors/contractors to implement state validation rules in Schematron.
- Data Validation in the NEMSIS XML Standard: Using the XML Schema & Schematron. Josh Legler, November 2013. This guide provides a refresher on XML in general and then covers validation using the XML Schema (XSD), validation using Schematron, Schematron rule design considerations, and Schematron performance.
- State EMS Office Data Manager Assessment: NASEMSO 2013 Status Report
- 2011 NASEMSO Data Managers Survey Results (March 2012)
Data Manager Job Description
- State EMS Data Manager Job Description (NASEMSO DMC, Oct 2013)
Data Suppression Guidelines
- Method to Assess Identifiability in Electronic Data Files. American Journal of Epidemiology Article | Records Uniqueness Software Program (SAS script)
- Guidelines for Generating and Maintaining Public Use Microdata Files (August 2007), Illinois Department of Public Health, Division of Epidemiologic Studies.
- Utah Department of Health Data Suppression Decision Rules Workgroup. Report of Guidelines for Data Result Suppression (October 2009).
Health Information Exchanges
- Sustaining State Health Information Exchange: A State Toolkit, a report commissioned by the National Governors Association Center for Best Practices State Alliance for e-Health.
- Illinois: Average (Median) Response Times by County
- North Dakota: Ambulance Map (under construction)
- Washington: Hospital Designations & Response Areas
- Patient Identification and Matching Initiative Stakeholder Meeting (Dec. 16, 2013) Audacious Inquiry, Innovative Management and Technology Consulting.
Performance/Quality Improvement Guides
- Quality Assurance Reports | Emergency Medical Services, 2015 Annual Report
- An Introduction to EMS Agency Performance Improvement. Created for EMS agencies who are beginning a performance improvement program, this guide was developed with stakeholders to serve as a resource for Arizona's EMS agencies.
- The Operational Excellence Program is in its infancy stage of data collection. This program was developed to provide ambulance providers with fiscal and organizational benchmarks for the state. A data dictionary, measures, and a data collection tool can be found here.
- California: Emergency Medical Services System Quality Improvement Program Model Guidelines. The purpose of these guidelines is to provide a model for the development and implementation of a Quality Improvement Program for the delivery of EMS for EMS service providers, the local EMS agencies (LEMSA), Base Hospitals/Alternate Base Stations, the EMS Authority (EMSA), and their respective personnel. This is a model program, which will develop over time with individual variances based on available resources.
- North Dakota:
- Basic Introduction to Quality booklet | Basic Quality Check List
This Basic Quality Kit was designed to help rural ambulance services take a practical approach to quality and begin to identify and monitor key performance indicators. The kit was designed to help rural ambulance service leaders take a look at their services from the perspective of their customers as the patients. It was also designed to promote thinking about how to ensure that an ambulance service is consistently providing the quality of services patients and customers want and need. It includes a booklet that introduces basic quality concepts and a check List for beginning a rural ambulance service quality program.
- Basic Introduction to Quality booklet | Basic Quality Check List
Performance Measures & Reports
- Arizona: Quality Assurance Reports
- Illinois: Reports, Tables, Maps, and Other Data Displays
- Indiana: EMS Registry Reports | Trauma Registry Reports
- Massachusetts: Agency reports with run volumes (click on the About tab)
- Ohio: 2014 EMS Incident Reporting System Annual Data Report (June 2015)
- Oklahoma: Data Report
- Texas: Data and Statistics