EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System Review3.00Figure 11: Scores for Public EducationPublic EducationGroup Scores Average 1.60 (Marginal)2.50Scores 1 - 52.001.501.000.500.001GroupsPrevention – In the future the success of EMS systems will be measured not only by theresults of their treatments, but also by the results of their prevention efforts. 32 Based on thisprecept, the focus groups examined the issues of prevention in EMS. Some groups concentratedon public protection issues while others emphasized EMS provider illness and injury prevention.As with other non-operational components, many lamented that these activities are oftenvictims to budget and human resource crisis. Also discussed was the need for medical directorsto be involved in this process. Are our prevention methods as sound as our treatment protocols?There is also very little evidence of outcome measurement of EMS delivered preventionactivities.The focus groups scored this component M = 1.74, SD = 0.49, that is in the marginalrange (Figure 12).32 Delbridge, T. R. in NHTSA, 1996, p. 35.TriData, a Division of 42September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewFigure 12: Scores for PreventionPreventionGroup Scores Average 1.74 (Marginal)Scores 1 - 53.503.002.502.001.501.000.500.001GroupsPublic Access – Until recently, public access to EMS was measured by whatpercentage of the community could access emergency services by dialing 911. By 1996, almost85 percent of Americans had 911 access and today’s figures are likely to be well into the 90–95percent range. New Jersey has had 100 percent 911 access for some time.For this study, public access takes on a larger dimension, not just access to 911 but alsoaccess to any part of the EMS system that the patient needs. This includes access to a trainedemergency medical dispatcher on the initial call, access to the closest appropriate unit available,direct access to appropriate medical and surgical specialty centers, and access to alternative careprograms. Public access challenges also include technological expansion such as cell phoneaccess, computer access, the future of remote access, and incorporating patient access assistdevices (call alert) into the community EMS system.Another aspect that cannot be ignored deals with cultural and demographic changes. Asin many states, many New Jersey communities are experiencing an influx of residents for whomEnglish is not their primary language. This challenge is worrisome as an oral communicationsbarrier could lead to delayed response and has already occurred in some cases.Another post-9/11, challenge to public access is accessibility to directions and careduring chemical, biological, radiological, and nuclear explosive (CBRNE) and other natural andmanmade incidents. Public access has really become multi-directional as there are newobligations concerning emergency management and EMS. Technologies including AVL locaters,reverse 911, and similar programs have become important matters within public access.Overall, the focus groups scored this component M = 2.69, SD = 0.69, indicating a ratingof emerging. This component received the highest rating of all components. A standard deviationTriData, a Division of 43September 2007System Planning Corporation
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