EMS System Review - State of New Jersey

More documents

Recommendations

Info

State of New Jersey, DHSS, OEMSConsulting Services: EMS System Revieworganization identifies existing gaps in training or equipment and to notify the District of whichactions should be taken to remedy the situation.MethodologyThe diversity of EMS constituencies offered many viewpoints and sources ofinformation. TriData developed a method to examine each constituency with the priority ofaccurately reporting information.TriData conducted a four phase analysis using: interviews of key leaders, 13 focus groupsof organizational and provider constituents, interviews with NJOEMS officials, and thetriangulation of data in order to prepare the draft report.Interviews were conducted using open-ended questioning methods that encouraged therespondent to explain issues in detail. We assured participants that individual names would notbe associated with specific statements. Notes were taken by project team members and used toprovide direction for the focus groups. Focus groups were conducted using a nominal groupprocess technique. All members, regardless of rank or provider level, had equal voting rights.Any issues requiring a vote were confidential, even between providers from the sameorganization. 16,17Interviews of Key Leaders – In order to achieve buy-in to the process, TriDatadecided to interview key leaders from various New Jersey EMS organizations. Theseorganizations were chosen in consultation and agreement with the New Jersey Office of EMS.Key leaders were selected from organizations that included government regulators, volunteerproviders, physicians, commercial EMS agencies, fire service officials, air medical providers,nurses, administrators, and commercial providers (Appendix D).All interviews were conducted at the New Jersey Office of EMS in Trenton, NJ with theexception of one that was conducted by telephone. The interviews were conducted by the projectmanager and senior consultants. Most interviews were witnessed by the state OEMS projectmanager. Leaders who were interviewed were asked to comment on the strengths andweaknesses of the EMS system, what they expect from the study, and what should occur tofacilitate change.16 Mycoted. (2006). Improved Group Process Techniques. Retrieved from:http://www.mycoted.com/Improved_Nominal_Group_Technique, p. 1.17 Sample, J.A. (1984). Nominal Group Technique: An alternative to Brainstorming. Journal of Extension, 22(2), 1-3.TriData, a Division of 12September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewDuring the interviews of key leaders, TriData explained the proposed focus groupstructure and asked these leaders for buy-in into the process without committing to support ofany outcome. Each key leader offered their support and organization’s participation in the focusgroup process. Key leaders were also given contact information for the project manager and wereencouraged to establish contact as necessary.Focus Group Meetings – During February and March of 2006, 13 focus groups wereheld with constituent groups that represented New Jersey EMS. Seven groups representing keyorganizations and six groups representing different provider levels each participated in a focusgroup. Participants in the organizational constituents groups were chosen by leaders from withinthe group. NJOEMS officials chose participants from the provider groups by advertising theopportunity on their website, requesting applications, and choosing participants that representeddifferent geographic locations and delivery models. Figure 1 lists the 13 focus groups that wereconducted.Figure 1: 13 Focus GroupsOrganization Focus GroupsNew Jersey State First Aid CouncilNew Jersey Medical Transportation Assn.New Jersey State EMS CoordinatorsNew Jersey State Fire Chiefs Assn.New Jersey State Paramedic Assn./New JerseyState Hospital AssociationNew Jersey Air Medical AssociationNew Jersey EMS Medical DirectorsProvider Focus GroupsEMTsParamedicsEMS DispatchersEMS AdministratorsEMS EducatorsCritical Care ProvidersFocus Group Subject Matter – Focus groups were conducted at the AllentownVolunteer First Aid Squad in Allentown, NJ. This location was chosen by NJOEMS due to itscentral location. Each group contained between six and 14 participants and was facilitated bytwo or three TriData facilitators. Each session lasted approximately eight hours and was dividedinto two sessions. During the morning session, the group evaluated the NJ EMS system based onpresent conditions. During the afternoon session, groups offered suggestions for improvementand prioritized these suggestions.The morning session began with an orientation by the TriData project manager. Thisincluded the background of the project, an introduction to the reference documents, a review ofthe process, and the evaluation form. Each participant was provided a reference manual thatcontained the following references:TriData, a Division of 13September 2007System Planning Corporation
Page 3 and 4: State of New Jersey, DHSS, OEMSCons
Page 5: State of New Jersey, DHSS, OEMSCons
Page 15: State of New Jersey, DHSS, OEMSCons
Page 67 and 68:
State of New Jersey, DHSS, OEMSCons
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
EMS ResearchState of New Jersey, DH
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171:
show all

EMS System Review - State of New Jersey

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?