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Dr. Greg Mears | January 31, 2019
I hope everyone had a great holiday season and a positive start in this new year.
In last month’s blog, we reviewed several key events and topics that impacted EMS in 2018. This month let’s highlight a few data and technology trends that will continue to evolve within EMS and healthcare in 2019.
The Boundaries of Software and Devices are Merging
Each year, the boundary between software and devices becomes more blurred. The movement toward cloud based (software as a service) solutions, and the development of smart devices that are personal, monitor, diagnosis, collect data and provide real-time analytics will continue to drive EMS and all of healthcare.
Through these devices and software, people-centered care, as described in the EMS Agenda 2050 will begin to emerge.
EMS will widely be able to access FirstNet, the nation’s new public safety communications platform. FirstNet will provide the connectivity and bandwidth to empower data, telemedicine, and secure communication.
Operational and Clinical Outcomes
Data will continue to be critical to EMS operations and clinical care. That being said, there will be increasing challenges in how to manage, analyze, and apply it.
With a new version of NEMSIS (V3.5) arriving in 2019, there will be more emphasis on outcomes. There are also several initiatives underway to automate data transmission and analytics within specialty registries such as CARES and the American Heart Association’s “Get With the Guidelines” quality improvement programs.
Interoperability and Health Information Exchange
Another key to success for EMS in 2019 will be interoperability with other healthcare providers and electronic health records. Standards such as HL7 and IHE, along with regional, state, and national health information exchanges will allow EMS to better exchange important patient demographic and health information.
Although Interoperability is improving for EMS, there is still much work to be done.
Data and Analytics
To get meaningful and timely information from the data requires the correct analytic software that is user friendly. Dashboards, analytical, and other informational reports should have the ability to be scheduled and alert the user based on the users needs across multiple types of devices.
Along with FirstNet, EMS communications will continue to evolve in 2019. With the increased bandwidth, telemedicine will gain more traction. More EMS agencies will move from notebook computers to smartphone or tablet-based communication (voice, SMS, video, GIS) tools.
The number of devices and implantation models will vary, but the individual cost will be significantly less.
Clinical Decision Support Will Become More Prevalent
EMS is one area of healthcare that has a great opportunity to implement clinical decision support. Clinical decision support is very much like an automated protocol or treatment guideline. The goal is to help streamline the documentation process and provide feedback or guidance as appropriate.
It can also be effective in standardizing care, improving quality, and reducing errors across a large workforce.
Payment Reform Will Continue to Evolve
Payment reform for EMS and healthcare will continue to evolve in 2019. Revenue management software must continue to improve to take as much of the guesswork out of managing both personnel and financial resources efficiently and effectively.
The number of payer’s that will reimburse EMS for non-transport or non-emergency department transports will continue to increase. Reimbursement for community paramedicine and mobile integrated health services will also improve.
2019 will be an active and interesting year. Change within technology, EMS operations, clinical care, reimbursement, and policy will continue to progress in parallel, although at difference paces.
I look forward to seeing your comments, additional ideas, and feedback.
Dr. Mears joined ZOLL in 2012 as Medical Director. He has been an emergency medical services physician, educator, and specialist in performance improvement for more than 20 years. He demonstrates a passion for building integrated systems of care and for using real-time data to drive EMS operational and clinical decisions. In 2008, the Journal of Emergency Medical Services recognized Dr. Mears as the Top Innovator in EMS. Prior to joining ZOLL, Dr. Mears served as the Director of Innovation for the Department of Emergency Medicine at the University of North Carolina at Chapel Hill where he was a clinical professor of emergency medicine. In addition, he served as the North Carolina State EMS Medical Director for 13 years and was the creator and Medical Director of the Emergency Medical Services Performance Improvement Center (EMSPIC). Dr. Mears received his medical degree from the University of Missouri and completed his residency in emergency medicine at the Wake Forest University. Dr. Mears was the original principal investigator for the National EMS Information System (NEMSIS), the standard for EMS data and medical record systems, from 2001 to 2006, coinvestigator/ medical director for the project until 2011, and has served on the advisory board since 2011. He recently completed the National EMS Assessment, funded by National Highway Traffic Safety Administration (NHTSA), which serves as a key resource for EMS policy and development. He is a member of and has served in leadership roles of multiple professional organizations including American College of Emergency Physicians (ACEP), National Association of EMS Physicians (NAEMSP), and National Association of State EMS Officials (NASEMSO).
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