EMS System Review - State of New Jersey

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State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewTable 5: Travel Times for Career and Volunteer ProvidersCareerVolunteer1 stArrivingOverall1 stArrivingOverallResponse Count * 21,176 46,088 2,478 4,585Mean 5:56 6:33 5:19 5:3490th Percentile 10:00 11:03 9:30 10:04* Response count includes records with valid time stamps only.Travel times were also examined by incident type, and the results are shown in Table 6.BLS companies had shorter travel times than ALS and Critical Care providers, likely because ofthe larger number of BLS providers, allowing for smaller first due areas.Table 6: Travel Times for BLS, ALS, and Critical Care ResourcesBLS ALS Critical CareResponse Count * 31,113 17,025 2,531Mean 5:50 7:34 6:3890th Percentile 9:45 12:52 11:16* Response count includes records with valid time stamps only.Total Response – “Total response time” includes both turnout and travel. It beginswhen the unit is assigned to an incident and ends when that unit arrives on scene. Normally, totalresponse time would include the call processing and dispatch time segments as well (extendingfrom initiation of the 911 call to on scene arrival), but call processing and dispatch could not becalculated from the available data.Table 7 shows the total response times for career and volunteer agencies. Mean responsetimes for each group are very similar, while volunteer response times increase at a greater rate atthe higher percentiles.TriData, a Division of 94September 2007System Planning Corporation
State of New Jersey, DHSS, OEMSConsulting Services: EMS System ReviewTable 7: Total Response Times for Career and Volunteer ProvidersCareerVolunteer1 stArrivingOverall1 stArrivingOverallResponse Count * 21,165 46,077 2,478 4,583Mean 7:25 8:01 7:39 7:5990th Percentile 11:43 12:48 13:11 13:40* Response count includes records with valid time stamps only.The ability to provide this type of analysis was accomplished based on CAD data from adispatch center. Patient care information would allow for further analysis of what EMS does.SummaryThe New Jersey EMS system is in need of an overhaul. The state’s investment into theEMS system is the only way that significant change is likely to occur. The senior EMS officialshould be at the assistant commissioner level. In order for the state oversight organization tomake adaptive instead of technical decisions, a regional approach should be adopted. This allowsfor decision making at the appropriate level.County governments should be encouraged to become involved in the oversight of EMS.Investment of dollars at this level may improve the EMS economies of scale and benefit localmunicipalities. Above all, it will likely guarantee good EMS care to the citizens of New Jersey.As part of the change needed there is a critical need to overhaul the state EMSinformation system. A requirement should be put in place for the submission and analysis ofEMS data. Analyzing what EMS does is a key to determining an appropriate system design andprovides a true picture of what happens.TriData, a Division of 95September 2007System Planning Corporation
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