Evaluating State Capacity to Collect andAnalyze Emergency Medical Services Data

Background. Centralized emergency medical services (EMS) data collection is critical to evaluating EMS system effectiveness, yet a general lack of EMS data persists at local, state, andnational levels. Objective. To assess state capacity to collect, analyze, andutilize EMS data. Methods. Information was gathered through state site visits andsurveys from 54 states andU.S. territories in spring 2003 regarding EMS data-collection systems. Survey results were used to create 11 broad indicators that assess state data system infrastructure, collection methods, compliance with data standards, anddata uses. Results. States andterritories on average met 59% of the EMS data system indicators, with four states meeting all 11 indicators andtwo states meeting none. Seventy-six percent of the states reported having state-level EMS data-collection systems, and78% reported having authority to collect EMS data. However, most state EMS data sets were not capturing information on all EMS incidents, andonly 46% of the states had data dictionaries containing at least three-fourths of nationally recommended EMS data elements. In addition, only 33% of the states had linked EMS data with other health data sets to analyze EMS system operations andpatient outcomes. Conclusion. While EMS data systems exist in the majority of states, continued attention andresources are needed for state-level EMS data system development to improve capacity for evaluation of emergency medical services.

[1]  Jan R Boatright.  Top issues in EMS as discussed by leading industry experts. , 2003, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[2]  J M Dean,et al.  Probabilistic linkage of computerized ambulance and inpatient hospital discharge records: a potential tool for evaluation of emergency medical services. , 2001, Annals of emergency medicine.

[3]  THE USE OF NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION UNIFORM PREHOSPITAL DATA ELEMENTS IN STATE EMERGENCY MEDICAL SERVICES DATA COLLECTION SYSTEMS , 2004, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[4]  M. Sayre,et al.  Eliminating errors in emergency medical services: realities and recommendations. , 2002, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[5]  S. Joyce,et al.  An optically scanned EMS reporting form and analysis system for statewide use: development and five years' experience. , 1991, Annals of emergency medicine.

[6]  D. Trunkey,et al.  Trauma Systems: Current Status—Future Challenges , 1988 .

[7]  K. Lohr,et al.  Emergency medical services for children , 1993 .

[8]  S. Daniel,et al.  National Highway Traffic Safety Administration , 2020, Federal Regulatory Guide.

[9]  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.

[10]  L. Moore,et al.  Measuring quality and effectiveness of prehospital EMS. , 1999, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[11]  J F Waeckerle,et al.  Domestic preparedness for events involving weapons of mass destruction. , 2000, JAMA.

[12]  E. Yano,et al.  Uniform prehospital data elements and definitions: a report from the uniform prehospital emergency medical services data conference. , 1995, Annals of emergency medicine.

[13]  J. Seidel,et al.  Emergency medical service system development: results of the statewide emergency medical service Technical Assessment Program. , 1995, Annals of emergency medicine.