ITS and Transportation Safety: EMS System Data Integration to Improve Traffic Crash Emergency Response and Treatment

This investigation is in response to the requirement for Strategic Highway Safety Plans (SHSPs), legislated by SAFETEA-LU, to address the need for data systems to allow for evidence-based safety planning. This study evaluates the use of information systems and intelligent transportation systems across the emergency response continuum of care to vehicle crash emergencies. Organizations that participate in the emergency response process often have siloed IT systems and are not able to share data with other agencies and organizations. An integrated system to produce data for real-time decision making and holistic performance and clinical analysis currently does not exist, but has the potential to improve emergency response and patient care. Proposed in this study is an Integrated Crash Trauma Information Network (ICTN) to allow for integrated information exchange. This study uses data collected from prior studies conducted in Minnesota, a literature review, case studies in Minnesota, and an in-depth analysis of the benefits of linking IT systems, the SHSP, Emergency Medical Services (EMS), 911, Trauma systems, and health information systems. A case study analysis was conducted across three overlapping dimensions to assess current challenges and potential benefits to integrated information sharing: operational, organizational, and governance. The study found potential health provision and data analysis benefits to integrated information sharing and posited a normative architecture to guide the design of systems to better use and analyze crash data. The design and development of a "proof of concept" system is recommended for the next phase of research.

[1]  P. Carr,et al.  Relationships of gender and career motivation to medical faculty members' production of academic publications , 1998, Academic medicine : journal of the Association of American Medical Colleges.

[2]  C. Harrington,et al.  Case Study: Development of and Stakeholder Responses to a Nursing Home Consumer Information System , 2005, American journal of medical quality : the official journal of the American College of Medical Quality.

[3]  Tuure Tuunanen,et al.  Wide Audience Requirements Engineering (WARE): A Practical Method and Case Study , 2008 .

[4]  H W Meislin,et al.  Development of an electronic emergency medical services patient care record. , 1999, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[5]  Samir Chatterjee,et al.  A Design Science Research Methodology for Information Systems Research , 2008 .

[6]  Linda K. Moore An Emergency Communications Safety Net: Integrating 911 and Other Services , 2006 .

[7]  Jonathan Walker,et al.  The Crash Outcome Data Evaluation System (CODES) , 1996 .

[8]  Valentina Casola,et al.  Java Authentication and Authorization Service (JAAS) , 2010 .

[9]  Martin Bichler,et al.  Design science in information systems research , 2006, Wirtschaftsinf..

[10]  N Clay Mann,et al.  Are statewide trauma registries comparable? Reaching for a national trauma dataset. , 2006, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[11]  Dale N. Hatfield,et al.  A REPORT ON TECHNICAL AND OPERATIONAL ISSUES IMPACTING THE PROVISION OF WIRELESS ENHANCED 911 SERVICES , 2003 .

[12]  Robert O. Briggs,et al.  EasyWinWin: managing complexity in requirements negotiation with GSS , 2002, Proceedings of the 35th Annual Hawaii International Conference on System Sciences.

[13]  D. Clark,et al.  Motor vehicle crash fatalities in the elderly: rural versus urban. , 2001, The Journal of trauma.

[14]  Clive Seligman,et al.  Affect and the overjustification effect. , 1984 .

[15]  A. Idris,et al.  Barriers to dispatcher-assisted telephone cardiopulmonary resuscitation. , 2003, Annals of emergency medicine.

[16]  H. D. Watson At 14 , 1979 .

[17]  J. Turner Human Emotions: A Sociological Theory , 2007 .

[18]  Thomas A. Horan,et al.  Time-critical information services , 2007, Commun. ACM.

[19]  Ronald K. Mitchell,et al.  Toward a Theory of Stakeholder Identification and Salience: Defining the Principle of who and What Really Counts , 1997 .

[20]  Ann C. Greiner,et al.  The 1st Annual Crossing the Quality Chasm Summit: A Focus on Communities , 2004 .

[21]  Thomas A. Horan,et al.  Performance Information Systems for Emergency Response: Field Examination and Simulation of End-To-End Rural Response Systems , 2005 .

[22]  D. Clark,et al.  Predicted effect of automatic crash notification on traffic mortality. , 2002, Accident; analysis and prevention.

[23]  David M Williams Jems 2008 200 city survey: the future is your choice. , 2009, JEMS : a journal of emergency medical services.

[24]  D. Bomba,et al.  A description of handover processes in an Australian public hospital. , 2005, Australian health review : a publication of the Australian Hospital Association.

[25]  Murray Turoff,et al.  Human-computer interaction , 2007, Commun. ACM.

[26]  Richard Baskerville,et al.  Diversity in information systems action research methods , 1998 .

[27]  Drew E. Dawson,et al.  National Emergency Medical Services Information System (NEMSIS) , 2006, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[28]  Mark D. Abkowitz,et al.  Transportation and Emergency Services: Identifying Critical Interfaces, Obstacles, and Opportunities , 2006 .

[29]  Henning Schulzrinne,et al.  An Enhanced VoIP Emergency Services Prototype , 2006 .

[30]  William B Lober,et al.  A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours. , 2005, Journal of the American College of Surgeons.

[31]  John C.S. Tang,et al.  The effects of size and information technology on hospital efficiency , 2004 .

[32]  G B Hall,et al.  Assessment of ambulance response performance using a geographic information system. , 1999, Social science & medicine.

[33]  Mehdi Jazayeri,et al.  Some Trends in Web Application Development , 2007, Future of Software Engineering (FOSE '07).

[34]  ED information technology: what's it mean for EMS? , 2007, EMS magazine.

[35]  J. Wiler,et al.  Optimizing emergency department front-end operations. , 2010, Annals of emergency medicine.

[36]  Rohit Verma,et al.  Research opportunities in service process design , 2002 .

[37]  Steve Sawyer,et al.  Mobility and the first responder , 2004, CACM.

[38]  H. Meislin,et al.  Prehospital data entry compliance by paramedics after institution of a comprehensive EMS data collection tool. , 1990, Annals of emergency medicine.

[39]  Mohan V. Tatikonda,et al.  New service development: areas for exploitation and exploration , 2002 .

[40]  Xiang Yao,et al.  The Design of a Dynamic Emergency Response Management Information System (DERMIS) , 2004 .

[41]  P. Cameron,et al.  Road traffic injuries in the elderly , 2005, Emergency Medicine Journal.

[42]  Kathryn M McDonald,et al.  Consumer-Oriented Strategies for Improving Health Benefit Design , 2007 .

[43]  J. Svenson Patterns of use of emergency medical transport: a population-based study. , 2000, The American journal of emergency medicine.

[44]  Thomas A. Horan,et al.  Devising an architecture for time-critical information services: inter-organizational performance data components for emergency medical service (EMS) , 2007, DG.O.

[45]  Thomas A. Horan,et al.  Managing IT Collaboration in Multi-Organizational Time-Critical Services , 2010, MIS Q. Executive.

[46]  Benjamin L. Schooley,et al.  Towards end-to-end government performance management: Case study of interorganizational information integration in emergency medical services (EMS) , 2007, Gov. Inf. Q..

[47]  J. Zhang,et al.  Age-specific patterns of factors related to fatal motor vehicle traffic crashes: focus on young and elderly drivers. , 1998, Public health.

[48]  Georg Göbel,et al.  A MeSH based intelligent search intermediary for Consumer Health Information Systems , 2001, Int. J. Medical Informatics.

[49]  Tuure Tuunanen,et al.  Challenges of Consumer Information Systems Development: The Case of Interactive Television Services , 2008, Advances in Information Systems Research, Education and Practice.

[50]  Matt Stephens,et al.  Agile Development with ICONIX Process: People, Process, and Pragmatism , 2005 .

[51]  George Bahouth,et al.  Injury identification: priorities for data transmitted , 2005 .

[52]  J. Zhang,et al.  Factors affecting the severity of motor vehicle traffic crashes involving elderly drivers in Ontario. , 2000, Accident; analysis and prevention.

[53]  William Brady,et al.  Information transfer from prehospital to ED health care providers. , 2008, The American journal of emergency medicine.

[54]  Linda D Dodge Greater Expectations: The Department of Transportation is Leading an Effort to Help Chart the Course for Tomorrow’s 9-1-1 Network , 2007 .

[55]  Brian Hilton,et al.  Devising and Deploying SafeRoadMaps: Communicating Public Health Issues Related to Rural and Urban Road Transportation Safety Through GIS-Based Mashups , 2009 .

[56]  Dispatcher-assisted cardiopulmonary resuscitation and survival in cardiac arrest. , 2002 .

[57]  W. Cordell,et al.  Emergency department workplace interruptions: are emergency physicians "interrupt-driven" and "multitasking"? , 2000, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[58]  A P Pearce,et al.  Emergency medical services at the crossroads , 2009, Emergency Medicine Journal.

[59]  Thomas A. Horan,et al.  CrashHelp: A GIS tool for managing emergency medical responses to motor vehicle crashes , 2010, ISCRAM.

[60]  Alan R. Hevner,et al.  Design Science in Information Systems Research , 2004, MIS Q..

[61]  L. McCaig,et al.  Analysis of ambulance transports and diversions among US emergency departments. , 2006, Annals of emergency medicine.

[62]  Lee Munnich,et al.  Rural Transportation Safety and the Strategic Highway Safety Plan: An Examination of Select State Programs and Practices , 2008 .

[63]  Gary J. Grimes,et al.  Information Infrastructure for Emergency Medical Services , 2005, AMIA.

[64]  José A. Pino,et al.  Mobile computing in urban emergency situations: Improving the support to firefighters in the field , 2011, Expert Syst. Appl..

[65]  Richard Baskerville,et al.  Special issue on action research in information systems: making is research relevant to practice--foreword , 2004 .

[66]  Samer Faraj,et al.  Communication technology in trauma centers: a national survey. , 2006, The Journal of emergency medicine.

[67]  Brian Hilton,et al.  Integrated Patient Health Information Systems to Improve Traffic Crash Emergency Response and Treatment , 2009 .

[68]  Todd B Taylor,et al.  Information management in the emergency department. , 2004, Emergency medicine clinics of North America.

[69]  Thomas A. Horan,et al.  A Normative Enterprise Architecture for Guiding End-to-End Emergency Response Decision Support , 2010, Int. J. Inf. Syst. Crisis Response Manag..

[70]  Scott M Wright,et al.  Motivating factors for academic physicians within departments of medicine. , 2004, Mayo Clinic proceedings.

[71]  Roger Levine,et al.  Peer Evaluation of the Professional Behaviors of Emergency Medical Technicians , 2005, Prehospital and Disaster Medicine.

[72]  Joseph F. Coughlin Not Your Father's Auto Industry? Aging, the Automobile, and the Drive for Product Innovation , 2004 .