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 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
daleloberger
We Need Some New Stories
A thoughtful response by Caitlyn Armistead in rebuttal: http://caitlynarmistead.blogspot.com/2014/11/tell-me-old-stories.html?showComment=1417016415539#c8401466510366332407
2014-11-26 10:41:49
daleloberger
EMS Deployment Community of Practice
A reader offered up this link to multiple fire department EMS analysis reports over time: https://sites.google.com/site/standardsofcoverfire/
2014-11-16 17:51:01
Rob Lawrence
Quick Thoughts from EMS World Expo 2014
In my High Performance EMS session I presented 'Robs 10 top tips' or Healthy Habits of High Performing Systems'. I majored on key elements of business practice, organizational performance and clinical excellence required in any high performing system, EMS or otherwise. My ten top tips were as follows: 1. Economic Efficiency. - money is getting…
2014-11-16 08:59:44
CJ Ewell
Is our success a sign of our failure?
A couple things- first, your discussion has nothing to do with schizophrenia and it does a disservice to your readers and the mentally ill to use this term inappropriately. Second, people need access to appropriate primary care options. Delivering these services in an expensive vehicle with a revolving cast of providers is a stop-gap, not…
2014-11-04 15:56:29
Phil Jordon
Impressions of the Ferno iN/X
John Staymose- You're only half correct on the weight issue. If you are lucky enough to work for an agency that has the Stryker lift system as well as the power cot, you do indeed enjoy having to do very little lifting. However, there are instances when your conclusion is erroneous. The major instance is…
2014-11-03 15:03:16

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