#ZOLLSUMMIT

Nick Nudell, MS, NRPChief Data OfficerThe Paramedic Foundation

#ZOLLSUMMIT

Finding the Answers that are Right Under your Feet

#ZOLLSUMMIT

Nick Nudell, MS, NRP• Critical Care Paramedic• Chief Data Officer• Bachelors IT Management• Master’s Information Security• Information Systems – Analytics & Decision Science

Doctoral Student• Systems, Evaluation, Information & Performance

Improvement Consultant• EMS Compass architect & project manager• http://emsnerd.com http://twitter/runmedic

#ZOLLSUMMIT

Navigating EMS systems challenges

#ZOLLSUMMIT

EMS systems are complexManaging without information is

crazy!

#ZOLLSUMMIT

Where do you start?

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

#ZOLLSUMMIT

How do you get there? Dig deeper!

#ZOLLSUMMIT

#ZOLLSUMMIT

What about everyone else?

#ZOLLSUMMIT

Real time system management

#ZOLLSUMMIT

Dashboards

#ZOLLSUMMIT

Decision Aids

#ZOLLSUMMIT

How do you measure up?

#ZOLLSUMMIT

#ZOLLSUMMIT

Performance Measures

Outcomes

Processes

Structures

#ZOLLSUMMIT

What is a performance measure?

Measurement Domain

Clinical Area

Topic

Family of MeasuresStructure

Process

Outcome

Balancing

Measure FormulaDenominator Numerator =Score

#ZOLLSUMMIT

Structure

Process

OutcomeStroke Bundle of Care

For positive stroke assessment, average

time from LKW to arrival at stroke

center

Documentation of LKW

Positive stroke Assessments

transported to Stroke Center

Blood Glucose for Positive Prehospital Stroke Assessment

Notification of stroke team

Suspected Stroke Receiving Prehospital

Stroke Assessment

Performance Measure Example: Stroke-7 Bundle of Care*

Stroke-1 Stroke-2 Stroke-3 Stroke-4

Stroke-7

Stroke-5

Stroke-6

*For illustration only. This does not represent a final measure and may change significantly before it becomes finalized.

#ZOLLSUMMIT

Stroke performance measurement

#ZOLLSUMMIT

Trauma performance measurement

#ZOLLSUMMIT

5/14

7/14

9/14

11/141/1

53/1

55/1

57/1

59/1

511/1

51/1

63/1

65/1

60

5

10

15

20

25

30

Number of Cardiac Arrests Per Month

Total IncidentsMedian

Month

Tota

l Inc

iden

ts

#ZOLLSUMMIT

Reduce variability

#ZOLLSUMMIT

Paramedic self-improvement

#ZOLLSUMMIT

Paramedic benchmarking

#ZOLLSUMMIT

Compliance monitoring

#ZOLLSUMMIT

Performance monitoring

#ZOLLSUMMIT

5/14

7/14

9/14

11/14

1/15

3/15

5/15

7/15

9/15

11/15

1/16

3/16

5/16

0

20

40

60

80

100

Compliance with Cardiac Arrest Bundle

Protocol Compliance % Median

Month

Prot

ocol

Com

plia

nce

Perc

enta

ge

0.000

0.010

0.020

0.030

0.040

0.050

0.060

0.070

0.080

0.000

ROSC at Any Time During Cardiac Arrest

Month

Perc

enta

ge -

ROSC

at A

ny T

ime

0.0000.0200.0400.0600.0800.1000.1200.140

Capnography Used After Airway Placed

MonthPerc

enta

ge -

Capn

ogra

phy

After

Ai

rway

0.0000.0500.1000.1500.2000.2500.3000.3500.400

LCL

0.152

0.076

0.1644

Percentage of Cardiac Arrests Where Mon-itor Data Was Uploaded

MonthPerc

enta

ge -

Mon

itor d

ata

up-

load

ed

#ZOLLSUMMIT

Daily management reports

#ZOLLSUMMIT

System management

#ZOLLSUMMIT

Delaying is costly!

#ZOLLSUMMIT

Delays cost!

#ZOLLSUMMIT

For more information please contact:

Nick Nudell

Chief Data Officer – The Paramedic Foundation

Project Manager – EMS Compass Initiative

nnudell@paramedicfoundation.org

(760) 405-6869EMSnerd.com EMSCompass.org

https://twitter.com/RunMedicImage Credits: ZOLL, MCHD, FirstWatch, Google, EMSCompass