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Emergency Medical Services at the Crossroads
National EMSC Data Analysis Resource Center (NEDARC)
NEDARC is a technical resource for EMS-C grantees and state EMS offices, focused on assisting them in developing their capabilities to collect, analyze, and utilize EMS and other health care data, with the ultimate goal of improving the quality of care provided by state EMS and trauma systems. Established in 1995 through the EMS-C program, NEDARC assists EMS offices in establishing research designs, determining what data to collect, selecting a collection tool, storing the data, overcoming barriers to collection, coordinating data from other systems or agencies, converting data to a standard dictionary, formatting them to conform to a data model, and cleaning or standardizing and aggregating them (NEDARC, 2006). NEDARC also assists in disseminating model data systems from states that have developed such systems.
gency Care Applied Research Network (PECARN), the first federally funded multi-institutional network for research in pediatric emergency medicine (PECARN, 2004), as well as the National EMSC Data Analysis Resource Center (NEDARC), which helps states collect and analyze data on pediatric EMS systems and populate the pediatric trauma registry (see Box 7-3). HRSA’s Trauma-EMS Systems Program and Office of Rural Health Policy have also supported research efforts in emergency care.
Centers for Disease Control and Prevention
The National Center for Injury Prevention and Control (NCIPC) was established at CDC in 1992 as the lead federal agency for injury prevention. Its extramural research program funds and monitors research in all three phases of injury control: prevention, acute care, and rehabilitation. Research supported by the program focuses on the broad-based need to control morbidity, disability, death, and costs associated with injury. CDC’s recently completed Acute Injury Care Research Agenda (CDC, 2005) was developed with extensive input from academic research centers, national nonprofit organizations, and other federal agencies with a stake in injury prevention. The report included seven recommendations for research areas, including the components of trauma systems and disaster preparedness. In addition, CDC’s National Center for Chronic Disease Prevention is funding the Cardiac Arrest Registry to Enhance Survival (CARES) project (discussed in Chapter 3).