GIS for EMS

Both acronyms (GIS and EMS) represent not just technologies, but fields of study and service that have very old roots even though each can trace their modern form to research starting in the 1960s. áBoth have witnessed explosive growth and application far beyond their original vision. áBut most importantly,áthese two names definitely belong together.

Those who have any knowledge of Geographic Information Systems (GIS) will often think first of maps at the mention of its name. áMaps, however, are simply the form GIS professionals use to express the actual work done with a GIS. áThat work consists of maintaining a descriptive spatial database and using that database to perform analysis that answers real-world questions or solves domain specific problems. áThere are many examples of how it can be applied, but here we will discuss just those in support of Emergency Medical Services (EMS).

At the very simplest end of the spectrum is printed mapbook production. áBecause GIS “maps” are stored as data rather than graphics, they are easily edited and symbolized in different ways to meet different objectives. áFor use in ambulances, maps should be quick references primarily showing roads (with street names and block addresses) and landmarks essential for navigation. áStreet index creation is an automated function of the GIS that can make a printed book of maps more useful for crews attempting to find a specific street. áBetter still is an interactive map – one that can locate your current position using GPS and can automatically search an address (a process called “geocoding” or “geovalidation“) and recommend an efficient route between these two points. áThis function is manual in printed form but interactively can leverage historic “time-aware” traveláimpedancesá(the actual time it takes to travel a certain road segment in a specific direction given the current time of day based on your own past experience) and even access known road closures due to ongoing accidents or scheduled construction to provide realistic travel times and routes given current conditions. áThe database can also be used to locate not just the closest vehicle, but make unit recommendations based on additional criteria such as special equipment or training. áWhen these interactive maps are used with ruggized touch-screen computers or new tablet devices, you have a powerful combination that can also support ePCR charting or other applications.

When a fleet of ambulances can provide positional and status information to the call center, the dispatchers have a betterásituationaláawareness of the functioning system in real time. áThen by using additional GIS functionality to map previous incidents, a “hotspot” map (a map showing the areas of highest likeliness for generating a call) can be created to forecast future demand using simple predictiveáanalytics. áIn the past, some organizations have poorly implemented a form of System Status Management (SSM) that failed to meet the objective of increasing efficiency and left many paramedics soured on the idea of post moves. áEffective implementations (some highlighted in past blogs here) have shown that Jack Stout’s idea can be properly done in almost any system using modern technology. áMoreover, by positioning ambulances closer to their next call, not only is response time reduced but the incentive to be hasty in that response is also reduced leading to less risk in travel.

Beyond these daily tactical applications of GIS, there are many potential strategic ones. áPreventing a call is better than an emergency response at any speed. áBy looking beyond just the calls for service in the coming hour, we can begin to look further into the future and recognize specific risks of target lifestyle groups. áPreventive care or community wellness programs can be directed at the most vulnerable populations to maximize the investment of such a program. áLocating groups with increased potential for cardiac problems can aid in locating a blood pressure screening event as one example. áSome agencies have turned to GIS to help them find new recruits or volunteers. áI encourage you to communicate with your local GIS staff and let them know how they can help you. áAfter all, assisting you to become more efficient helps them show value as well. áYou do not need to know the details behind the analytical tools, it is your existing knowledge of the community and its needs that will help your GIS staff address them. áIf you lack those resources locally, or have specific questions, please make a comment below and I will follow up with you directly.

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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
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
Laura Lant
Is our success a sign of our failure?
Interesting article, hit alot of points that are actual reality today - things realized but maybe not been focused on - I feel some of the issue is comunication and community education - we know what we do as providers and why we do it but does everyone else ? What is their actual perception?…
2014-11-02 07:48:53

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