ABSTRACT

Leonard Davis Institute Issue Brief, Volume 17, Issue 3, November 2011   [open pdf - 170KB]

This Issue Brief summarizes State of Mississippi's data to assess characteristics that affect the process and outcomes of Emergency Medical Services care performance. Emergency Medical Services (EMS) networks respond to, stabilize, and transport patients experiencing acute medical symptoms or trauma. They play a pivotal role in saving lives and ensuring timely transport of patients in need of advanced medical care. EMS systems provide pre-hospital care for more than 18 million patients each year. The systems vary in their ownership, structure, and personnel, but their goal is the same: to get patients to definitive care as soon and as safely as possible. Transport services are provided by fire department agencies, private ambulance services, or hospital-based agencies. Response time (time from initial dispatch to arrival on the scene) and total pre-hospital time are recognized quality measures in EMS. For example, faster response times generally improve a patient's likelihood of surviving an out-of-hospital cardiac arrest. For trauma patients, the first hour of care (also known as the 'golden hour' from incident to hospital treatment) is usually considered critical. Despite general agreement on these process measures of EMS quality, little is known about the factors that affect quality. Do more experienced or skilled personnel provide higher-quality care? Are county-level characteristics, such as population density, racial composition, or income, associated with performance? Are there racial disparities in the process or outcomes of EMS?

Report Number:
LDI Issue Brief Volume 17, Issue 3, November 2011
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Date:
2011-11
Copyright:
Leonard Davis Institute of Health Economics. Posted here from Lessons Learned Information Sharing database (LLIS). Documents are for personal use only and copyright laws apply.
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Lessons Learned Information Sharing (LLIS)
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pdf
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