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NEMSIS Update Joint National EMS Leadership Teleconference August 23, 2007 1 NEMSIS Update Joint National EMS Leadership Teleconference August 23, 2007 1

NEMSIS Update Topics • • Technical Assistance to States Financial Assistance to States Contributions NEMSIS Update Topics • • Technical Assistance to States Financial Assistance to States Contributions to the National EMS Database Status of Compliance Testing National Reporting Plan (samples) Revision to NHTSA 3. 0 National Agenda Items 2

Technical Assistance to States • Direct Technical Assistance – Conducted site visits in 17 Technical Assistance to States • Direct Technical Assistance – Conducted site visits in 17 states • 2 additional state contacts while conducting another visit – 48 states received direct assistance – Participation in state meetings – Creation of state-specific tools (i. e. , Validator and Mapper software tools) – Collaboration with NEDARC 3

Technical Assistance to States • Indirect Technical Assistance – NEMSIS website accessed over 6, Technical Assistance to States • Indirect Technical Assistance – NEMSIS website accessed over 6, 000 times • Software Contact List • Wolfberg Letter (HIPAA) • National Reports – List Server Messages / Google User Group – Software Compliance Testing 4

NEMSIS Update - Utah • Website Activity – Top Downloads (March, 2007) • • NEMSIS Update - Utah • Website Activity – Top Downloads (March, 2007) • • • EMS Data Validator Quick Reference V 4 (doc) – 332 NEMSIS Data Dictionary v. 2. 2. 1 (pdf) – 308 NEMSIS Data Elements and Values v. 2. 2. 1 (xls) – 187 EMS Law Tracker 000 (doc) – 157 NEMSIS Data Elements Definitions v. 2. 2. 1 (xls) – 138 NEMSIS Data Dictionary v. 2. 2. 1 (doc) – 138 Final NHTSA V 2. 2. 1 Compliance Policy 4 -28 -2006 (pdf) – 131 NEMSIS XSDs v 2. 2. 1 (zip) – 117 NEMSIS Compliance Task List 001 (pdf) – 84 NEMSIS Colorado (ppt) – 80 5

Financial Assistance to States • States Requesting 408 Funding for NEMSIS – AL, AR, Financial Assistance to States • States Requesting 408 Funding for NEMSIS – AL, AR, AS, AZ, CA, CO, CT, FL, HI, ID, IN, KS, LA, ME, MI, MN, MO, MS, MT, NE, NJ, NM, OH, OK, PA, PR, RI, SD, TN, UT, VT, WA, WI, WY. • 33 States • 1 Territory 6

Contributions to the National EMS Database • • • New Hampshire: 56, 892 Minnesota: Contributions to the National EMS Database • • • New Hampshire: 56, 892 Minnesota: 104, 715 North Carolina: 762, 156 Nevada: 1, 934 Utah – beginning in September Nebraska – beginning in September Currently Contains 925, 697 Records! 7

Other Short List States • • • Idaho: submit late September New Jersey: submit Other Short List States • • • Idaho: submit late September New Jersey: submit November Tennessee: submit in the fall North Dakota: asking vendor to submit Delaware: ready to submit late summer Maine: waiting for law to apply Other Image. Trend states: GA, NE, NM, WA, WI, MO Other Media states: HI, ID, IA, ND, MH 8

Status of Compliance Testing 9 Status of Compliance Testing 9

Gold Certification Accu. Med Billing Accu. Med. Web Version 3. 7 Image. Trend EMS Gold Certification Accu. Med Billing Accu. Med. Web Version 3. 7 Image. Trend EMS State Bridge Version 3. 0 ACS-Firehouse Software Version 7. 0 Iatroware Iatro. Chart EMS Version 1. 01 BIO-Key Fire. RMS Version 4. 3 IMC, Inc. EMS Transport Colleton Software MICS Version 1. 0. 5 Media EMStat Web. CUR Gold Version 1. 0 Digital Innovations Collector EMS Server Version 4. 1 Ortivus Sweet Field Data w/NEMSIS Version 5. 3 ems. Charts Version 2. 2 ems. Charts Pocket Version 2. 2 ems. Charts Mobile Version 2. 2 RAM Software AIM e. PCR w/NEMSIS Version 4. 1 Grayco Systems EMSIS Rover Version 2. 1. 0 EMSIS Provider Version 2. 7. 0 EMSIS Server Version 2. 1. 0 Sansio (formerly Scan. Health) Health. EMS Version 4. 1 Vital Data Technology NEMSIS PCR Bridge Version 1. 0 10

Silver Certification Allegheny R & D EMMA Version 6. 0 ESO Solutions ESO Pro Silver Certification Allegheny R & D EMMA Version 6. 0 ESO Solutions ESO Pro Version 1. 2 American Ambulance Simon Version 11. 0 FATPOT Technologies Enfuego Version 1. 4. 8 Business Micro Resources Corp Fire. Tools EMS Corporate Technologies, LLC ESS/Ambulance Documed Systems Emergency-Pro Version 4. 0 Healthware Solutions EMS Solution Suite Version 5. 7 w/NEMSIS Intermedix EMS 2006 Version 1. 0 Medical Claims Assistance EPIC Version 1. 0. 0. 0 Emergency Reporting ERS Version 4. 0 Medusa Medical Siren e. PCR Version 2. xx Siren e. PCR Version 3. xx Emergency Technologies Inc. Visual EMS Version 5. 3 OPEN Incorporated Safety. PAD Version 2. 7 Emergi. Data Rescue. Medic EMS Consultants Automated Run Tracking (ART) Version 6. 2 EMS Data Systems EMScan Version RMP-2. x EMScan Version AR-2. x People. Force NJSFACts Version 2. 0 Purvis Systems FDManager Version 3. 2 Vital Data Technology Web. PCR Version 2. 0 Zoll Data Systems Rescue. Net Tablet. PCR Version 4. 0. 2. 81 11

National Reporting Plan • Develop “real time” state and national reports – Report Domain National Reporting Plan • Develop “real time” state and national reports – Report Domain • • • Data Quality reports Demographic reports Elapsed Time reports Medical and Trauma reports Disposition reports Agency reports Cardiac Arrest reports Financial Aspects reports Delay reports Ad-hoc reports Develop a “real-time” searchable data query system for emphasis areas – Cardiac Arrest – Trauma • Develop “real-time” data cubes to facilitate multi-dimensional data models with a rapid execution time. 12

National Report Sample 13 National Report Sample 13

National Report Sample 14 National Report Sample 14

National Report Sample 15 National Report Sample 15

National Report Sample 16 National Report Sample 16

National Report Sample 17 National Report Sample 17

Challenges • Completeness of state data • Identifying a core set of reports • Challenges • Completeness of state data • Identifying a core set of reports • Precision of FIPS codes • Be compliant with our latest version (NTHSA 2. 2. 1) 18

Revision to NHTSA 3. 0 • The revision process will begin Spring 2008 – Revision to NHTSA 3. 0 • The revision process will begin Spring 2008 – Lead by Greg Mears • Fix existing errors in the 2. 2. 1 dataset • Consider the additional of modules (e. g. , workforce) • Facilitate national research (e. g. , CDC triage scheme) – Process will be more electronic • Wiki, teleconferences, involve vendors – Product available in 2010 19

National Agenda Items • Seeking Federal Security Certification 20 National Agenda Items • Seeking Federal Security Certification 20

National Agenda Items • Seeking Validation through an SDO 21 National Agenda Items • Seeking Validation through an SDO 21

Questions 22 Questions 22