Cornell University Tompkins County EMS Team System Overview

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Cornell University Tompkins County EMS Team System Overview Presentation 10 October 2017

Cornell University Tompkins County EMS Team System Overview Presentation 10 October 2017

Cornell University Agenda • System Engineering Tools – Influence Diagram – IDEF 0 –

Cornell University Agenda • System Engineering Tools – Influence Diagram – IDEF 0 – Mind Mapping • System Goals – Elicitation Activity #1 • System Requirements – Elicitation Activity #2 • Proposed Solution Structure • Future Steps 2

Cornell University Influence Diagram State Regs Federal Regulations Hospital(s) Regional Regs County Regs 911

Cornell University Influence Diagram State Regs Federal Regulations Hospital(s) Regional Regs County Regs 911 -EMS System Roads Local Government Community Tax payers Volunteer population Demand population Culture 3

Cornell University IDEF 0 Model Constraints/ Limitations Inputs Function Outputs Resources/ Mechanisms 4

Cornell University IDEF 0 Model Constraints/ Limitations Inputs Function Outputs Resources/ Mechanisms 4

Cornell University Organizational IDEF 0 Government Regulations/ Policy/ Law Mutual Aid Agreement Transportation Network

Cornell University Organizational IDEF 0 Government Regulations/ Policy/ Law Mutual Aid Agreement Transportation Network Standard Care/ Shared Understanding Budget/ Funding Patient Requires Care County Population Provide Emergency Medical Services Patient Calls 911 A 0 Basic Lifesaving/ First Response Non-Emergency Assistance Advanced Lifesaving Transportation to Hospital Local Police Departments Local Fire Departments Volunteer Marketing Response Levels 911 Dispatch Ambulance Company 5

Cornell University Mind Mapping 6

Cornell University Mind Mapping 6

Cornell University System Goals Acute Demand Shared Vision/ Manage Expectations Engage/ Develop/ Recruit Optimize

Cornell University System Goals Acute Demand Shared Vision/ Manage Expectations Engage/ Develop/ Recruit Optimize Resources Address daytime shortages immediately Make the EMS system reliable for the patient Increase the number of volunteers in Tompkins County Maximize the effectiveness of current resources Manage expectations in policy for the public Increase retention of volunteers in Tompkins County Provide a Rescue Squad First Responder Volunteer initially, every time Reduce stress on the emergency room and ambulances Create a shared understanding of procedure for local government Loosen regulatory constraints Make the EMS system cost effective Decrease non-emergency calls Make the patient happy with care from initial assessment to arrival at the hospital 7

Cornell University System Requirements Activation/ Response First Response Life Saving Care Transportation Receive call

Cornell University System Requirements Activation/ Response First Response Life Saving Care Transportation Receive call from patient Respond with lowest tiered asset Follow all regional, state, federal laws Transport to hospital, if “necessary” Associate response code Arrive at patient “quickly” Assess for further care Minimize transportation time to hospital Identify assets available Communicate continuously Retain mass casualty incident plan Patient-care transfer at hospital Send First Responder Use pre-existing transportation network Maximize care to patient population Hospital treats patient Retain redundant response “capacity” Provide update to patient if delayed Retain mutual aid agreement Understand effect of hazardous weather on operations Provide “appropriate” response for nonemergency calls 8

Cornell University Proposed Solution Structure • Develop several solution options to each sub-problem •

Cornell University Proposed Solution Structure • Develop several solution options to each sub-problem • Present options, with associated projected outcomes, “buffet-style” • Work collaboratively to choose final solution preference Feb ‘ 18 Dec ‘ 17 Sub-Problems Solution Options May ‘ 18 Solution Preferences Complete Solution Problem Choose Optimize & Compile Choose 9

Cornell University Future Steps • Continue Literature Review- Generate Recommendations – – Volunteer Retention

Cornell University Future Steps • Continue Literature Review- Generate Recommendations – – Volunteer Retention Regulatory Adjustments Certification Procedures Best Practices • Data Collection and Methodology – Acute Issues (When? / Where? ) • Solution Option Development – – – Straw Man Engine 99 County Volunteer Force County Certification Process Blend • Identify and Implement Solution Preferences 10

Cornell University Questions 11

Cornell University Questions 11