Preparedness and Response to a Rural Mass Casualty Incident Workshop Summary (2011) / Chapter Skim
Currently Skimming:
6 Establishing Metrics to Assess Risk and Capabilities
6 Establishing Metrics to Assess Risk and Capabilities
Pages 65-76
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 65... ...
Though not yet adopted by states, MIECE plans to collect data regarding ground and helicopter EMS services, and hospital locations and trauma center designations, among other resources, for each segment of highway, allowing public health officials to anticipate and correct system weaknesses before an MCI occurs. The data collection 65
|
From page 66... ...
U o 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 o Crime and traffic crash data are studied to determine the most effective deployment of law enforcement resources Data Sources · ully integrated, statewide trauma systems that include data-rich, systemwide F 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)
|
From page 67... ...
The self-assessment nature of the tool lends universality to its implementation, while its online interactive workshops can provide greater guidance and context to local strategies aimed at improving MCI response. DATA SOURCES FOR DEVELOPING METRICS TO ASSESS RISKS AND CAPABILITIES What Departments of Transportation Cannot, and Can, Measure In 2009 there were about 34,000 highway fatalities, said Kelly Hardy, safety program manager with American Association of State Highway and Transportation Officials (AASHTO)
|
From page 68... ...
Greg Mears suggested that the "knowledge, skills, and abilities" approach to assessing a candidate for a job can be applied to surge capacity; knowledge is what they know about the scenario and how they can bring a resource to you; skills are what they have been trained to do, which may be technically oriented; abilities is often based on resources and equipment. Mears, medical director for the North Carolina office of EMS, explained that in North Carolina systems are pieced together, such as by matching individuals that know something relevant, but have no equipment to be able to apply that skill, with equipment and resources from somewhere else, to create functional units.
|
From page 69... ...
. Other components of mass casualty care that could be measured include access to trauma care, whether onsite, after transport, or via telemedicine; triage and treatment protocols; alternative treatment facilities for triage and stabilizing those awaiting transport; and capability and capacity for treating children and special needs populations.
|
From page 70... ...
On the provider side, efforts similar to those discussed previously in Chapters 3 through 5 were suggested: hold skills workshops, just-in-time training, trauma sabbaticals, and staff exchanges to ensure medical staff is prepared to deal with emergencies. Phillips directed participants to several databases that, while admittedly are focused on the outcome of EMS interventions, could nonetheless prove useful in developing metrics: · The Healthcare Cost and Utilization Project (HCUP)
|
From page 71... ...
Mains explained that the fully integrated system of care incorporates quality processes, best practices, and national benchmarks, as well as an extensive outreach and education program. The system has destination guidelines, patient tracking through a unified medical record system, and coordination with the state trauma system.
|
From page 72... ...
· Triage and treatment protocols · Alternative treatment facilities for triage and stabilizing those awaiting transport · Ability to treat special needs populations (e.g., pediatric) · Quantity, status, and safety of transportation assets · Effective use of strike teams Metrics Collected by Geographic Location · Ground and helicopter EMS services · Hospital locations and trauma center designations · Available resources (equipment and personnel)
|
From page 73... ...
Steps in Developing Public Health Emergency Preparedness (PHEP) Measures For its systematic approach to developing PHEP measures, the CDC first defines and describes the program, then applies evaluation tools and methods (e.g., process mapping, logic models)
|
From page 74... ...
is to strengthen America's security and resiliency by providing innovative science and technology solutions for the Homeland Security enterprise, explained James Grove, regional director of the Interagency and First Responder Programs Division in the DHS Office of Science and Technology. One of the approaches to achieving this mission is a First Responder Capstone Integrated Product Team (IPT)
|
From page 75... ...
One JCTD evaluated the Joint Combat Casualty Care System, and Grove pointed out several parallels between some of the desired capabilities of the combat care system and rural EMS: efficient management of lowdensity, high-demand field medical personnel and evacuation assets; application of medical care to the most critical casualties while monitoring and remotely caring for others; and facilitated critical medical care to forces in denied or remote areas unreachable by evacuation assets in the short term. There are metrics that will be developed for the war fighter paramedic.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.