Dynamic System Status Management

System Status Management (SSM) is the fluid deployment of ambulances based on the hour-of-the-day and day-of-the-week in order to match supply, defined as Unit Hours of Utilization (UHU), with expected demand, expressed as calls for service, in the attempt to provide faster response by locating ambulances at “posts” nearer their next calls. áWhile the practice is still notáunanimously embraced by all services, it has a sound foundation both in theáresearch literature dating back to the 1980′s as well as in practice today. áExperience has shown that ambulance response times can be dramatically decreased using this type of dynamic deployment, but it is also recognized that it is possible to reduce performance when these techniques are not applied properly. áThe direction of the results of a system implementation are typically influenced by the system design, competence of the managers creating the plan, and commitment of the workforce in implementing it. áTherefore the best practice is a simple and straightforward implementation that will show positive results quickly. áThis methodology ensures a positive return on investment along with garnering the necessary buy-in from staff to make the project a success.

In his article, “System Status Management – The Fact is, It’s Everywhere“, ápublished in the Journal of EMS (JEMS) magazine back in 1989, Jack Stout explained the concept of SSM and tried toádispelácertain myths. áBased on foreseen Geographic Information System (GIS) technology and even general computing capabilities of that time, it was quite logical to assume in his Myth #2 that “no matter how thoroughly the response zone concept is fine-tuned in practice, it cannot be made to cope effectively with the dynamic realties of the EMS environment.” áBut systems implemented today around the US are capable of calculating dynamic response zones in a small fraction of a second while even being based on time-aware historic driving patterns making a truly dynamic system status management process a reality. áA practical and proven example of a dynamically functioning system status management application is the Mobile Area Vehicle Routing and Location Information System, or simply MARVLIS.

The following Slideshare presentation does an excellent job of telling the story of why and how the system works:

High Performance EMS is MARVLIS[slideshare id=8765718&w=425&h=355&sc=no]

View more presentations from hp_ems

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High Performance EMS

High Performance Emergency Medical Services (HP-EMS) systems provide effective clinical care promoting positive patient outcomes and community wellness while maintaining a focus on improving economic efficiency of the system.  This site is dedicated as a community seeking to increase agency performance by promoting useful information regarding the developing trends and improvements in the efficiency of delivering basic and advanced medical care in the field.

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Comments
Jennifer Ladd
How To Perform CPR: The Crucial Steps You Should Know (and Share!)
Loved this article/illustration (http://www.highperformanceems.com/2014/09/29/how-to-perform-cpr-the-crucial-steps-you-should-know-and-share/) for CPR of Adult, Peds, and Pets! Awesome!!!
2014-10-02 09:34:24
Steve
Static v. Dynamic: A Continuum of Cost
Except it costs money to pay for a station. Skip the station and instead put the money you would have spent on the station and instead pay your providers more AND get more providers out on the street. Fire departments are going to have a hell of a time justifying their wastes in coming years...
2014-09-30 17:48:40
HP-EMS Profile: MedStar Mobile Healthcare | Hig...
HP-EMS Profile: MedStar Mobile Healthcare
[…] What I learned from MedStar about community paramedicine and how they support their crews on my visit to their facility in Fort Worth, Texas.  […]
2014-09-23 08:52:21
Betty lou Schau
HP-EMS Profile: MedStar Mobile Healthcare
What a great article, and kudos to MedStar for leading the way in Mobile Integrated Healthcare!
2014-09-15 11:32:45
Matt Zavadsky
HP-EMS Profile: MedStar Mobile Healthcare
WOW!! What a great article! Thanks so much for recognizing the people AND technology that make these programs work, whether here, or anywhere!
2014-09-12 08:06:15

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