. "6 Establishing Metrics to Assess Risk and Capabilities." Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press, 2011.
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Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary
BOX 6-1
Suggested Resources That Could Be Leveragedfor Assessment of Transportation-RelatedRoad Risks and Response Capabilities
Tools
NASEMSO Model Inventory of Emergency Care Elements (MIECE)
A method of expressing and comparing risk based on resources
Self-assessment tool to identify opportunities for improvement and advanced planning for MCIs
The CDC’s development of metrics to assess achievement of Public Health Emergency Preparedness (PHEP) Cooperative Agreements
AASHTO Highway Safety Manual
Provides models for predicting the impact of infrastructure changes
AAA Foundation for Traffic Safety U.S. Road Assessment Program
Data on crashes, fatalities, and serious injury are being used to develop risk maps of roadways
U.S. Joint Forces Command, Joint Concept Technology Demonstrations (JCTD)
Military approach to rapid assessment and implementation of concepts and technology solutions for joint warfare (including medical support)
NHTSA Data-Driven Approaches to Crime and Traffic Safety
Crime and traffic crash data are studied to determine the most effective deployment of law enforcement resources
Data Sources
Fully integrated, statewide trauma systems that include data-rich, systemwide trauma registries (e.g., Centura Health Trauma System which represents the largest health care system in Colorado and aggregates rural MCI and patient outcomes data)
Healthcare Cost and Utilization Project (HCUP) database
Includes health statistics and information on hospital inpatient and emergency department utilization
Regional or state dispatch data systems
Contain event logs and location information across fire departments, EMS, and law enforcement
necessary to populate MIECE will better identify metrics associated with MCI preparedness and response, as well as the channels by which and the personnel to whom that data are available. The primary user of this information would be the state EMS offices. Gainor noted that the data are not intended to create automatic solutions (i.e., for an area where there is not a high count of helicopters, that does not mean that more helicopters is the answer); the information is meant to provide better information to decision makers to develop the policies and plans needed to mitigate the associated risk.
