BOX 6-1

Suggested Resources That Could Be Leveraged for Assessment of Transportation-Related Road Risks and Response Capabilities


  • NASEMSO Model Inventory of Emergency Care Elements (MIECE)

    • A method of expressing and comparing risk based on resources

  • NASEMSO Event Response Readiness Assessment (ERRA)

    • 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.

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