EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewThe top five to seven items were identified based on a combination of times identified andpriority. Graphs of the results were constructed using Microsoft Excel 2003 and GB-STATsoftware.Follow-Up Meeting with DOH and OEMSIn May of 2007, a follow-up meeting was held with the NJ Department of Health (DOH)and the NJOEMS. The TriData team met with DOH Senior Assistant Commissioner DavidGruber and Assistant Commissioner Joseph Tricarico to discuss the preliminary findings of thefocus groups and other critical issues. DOH and TriData reached consensus on the need for moreinteraction with local officials. This was discussed earlier but confirmed at this meeting.Assistant Commissioner Tricarico would coordinate a meeting between TriData and several city,town, and borough mayors from across the state. The meeting was scheduled for May 31, 2007at Robert Wood Johnson Medical School.Meeting with the MayorsOn May 31, 2007, TriData conducted a meeting with representatives from the NewJersey League of Municipalities. Meeting logistics were arranged by Assistant CommissionerTricarico (New Jersey Department of Health and Senior Services). Mayors from 30 cities,selected by DOH, were invited to attend but only three cities sent representatives.The following personnel participated in the meeting:• The Honorable Chuck Chiarello – Mayor, City of Buena Vista, NJ• Ms. Rochelle Williams – Health Officer, City of East Orange, NJ• Mr. Jim Rutala – Business Manager, City of Ocean City, NJ• Mr. Thomas Starr – Project Manager, New Jersey Office of EMS• Dr. Harold C. Cohen – Project Manager, SPC/TriData• Ms. Shania K. Flagg – Research Analyst, SPC/TriDataAlthough the attendance was less than expected, those attending engaged in productivedialogue. The most prominent issue was the financial implications of changing the EMS system.While there was consensus that municipalities needed to take more responsibility for EMS, theability to reduce financial liabilities remained a top consideration. Other subjects discussedincluded:TriData, a Division of 16September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System Review• The need to establish dialogue between agencies to convey the need for change• The need to view the situation comprehensively• The importance of EMS data and related services collection and analysis• No progress will occur without change• The establishment of basic standards applicable to all EMS personnel• The need to make New Jersey’s EMS system currentAttendees were provided copies of preliminary data for consideration by theircommunities. The data were not discussed in detail (Appendix E).Formulation of the Draft ReportThe formulation of the draft report occurred during late June 2007 with a target date forcompletion of June 30, 2007. Senior Assistant Commissioner Gruber and AssistantCommissioner Tricarico are scheduled to meet with Commissioner Jacobs on July 17, 2007.After writing and editing the chapters of the first draft, materials were sent to PresidentPhilip Schaenman for corporate review. After this review and corrections, a draft copy will besent to Assistant Commissioner Gruber.On July 15, 2007, TriData sent a complete version of the first draft to AssistantCommissioner Gruber and key DHSS and OEMS personnel. On July 19, TriData met with EMSDirector Halupke and EMS Public Health Representative Mondoro to discuss the draft andsuggest revisions.LimitationsThree major limitations led to TriData’s inability to provide the quantitative data that wewished to analyze. First, data on run-time intervals to examine response issues were generallynot available. One set of data provided to the TriData team allowed for proper analysis. Second,the New Jersey State First Aid Council (NJSFAC ) refused to provide any data on any of theirorganizations, response times of member squads, or quality management information concerningany of their member squads. The TriData team also attempted to visit NJSFAC council squads tomeet with their personnel to discuss issues. Even after offering to allow NJSFAC to select thesquads that TriData should visit, the council took no action on their request. Third, since there isno statewide PCR and non-licensed squads are not required to report data, NJOEMS was unableto provide extensive data.TriData, a Division of 17September 2007System Planning Corporation
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