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
Rob Lawrence
What is CAEMS and Why Should I Care?
Also catch the CAEMS panel at EMS Today in Feb 2015 also. Will have a few too name lined up for the panel.
2014-12-22 11:56:19
daleloberger
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The idea of changing administrative behavior at the very core of how they function regarding issues of safety is also seen in the promotion of a "Just Culture" in EMS. The Center for Patient Safety discusses this idea at their website: http://www.centerforpatientsafety.org/just-culture-in-ems/
2014-12-19 18:09:59
daleloberger
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How EMS can become a financially stable function of a local government is a hot topic right now. Jamie Davis discusses the NAEMT efforts towards changing the funding stream from the federal level in this podcast: http://www.mediccast.com/blog/2014/12/19/naemt-wants-congress-and-the-president-to-fund-ems/
2014-12-19 18:06:14
daleloberger
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It only takes one bad story like this: http://www.emsworld.com/video/12029267/philadelphia-paramedic-in-hot-water-over-anti-police-image to make the public question a whole service (or even incite violence.) If your service doesn't already have a social networking presence, how can you effectively counter such bad media? You need to engage before problems arise in order to have credibility and a voice when…
2014-12-18 13:51:43
Mark
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The majority of people who survive a cardiac arrest are resuscitated from ventricular fibrillation (VF) by the administration of a defibrillatory shock. This is most likely to be successful when it is given very soon after the onset of VF; emergency service personnel are often unable to arrive soon enough to help a victim. Automated…
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