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OFFICE OF EMERGENCY MEDICAL SERVICESOEMS COMMUNICATIONS STATEMENT 17-07Date:July 20, 2017To:All Connecticut certified & licensed EMS OrganizationsFrom:Raffaella Coler RN, MEd.Director, Office of Emergency Medical ServicesAnn Kloter, MPHEpidemiologistRe:NEMSIS v3 updateWe would like acknowledge the EMS providers who have worked on the data dictionary code lists –thanks to their help, we have the first hospital and ED codes.We are providing an update on our conversion of EMS data to NEMSIS v3.4.0. Attached you will findthree reference documents (also available on the CEMSTARS page of the OEMS website):1) Hospital and ED destination codes - This spreadsheet gives the data entry code (NUMERIC),name, address, state, zip and other information for acute care hospitals we have transported to inConnecticut, Rhode Island, Massachusetts and New York. The listing includes entries forConnecticut free-standing EDs that we transport to, as well as a generic number for Air Transportlanding zones (990001) and for other categories of facilities (999999).2) Disposition (e.Disposition) fields in NEMSIS 3.4.0 – This table explains the use of Dispositionfields and proposed edits; this is the context in which your hospital code and related informationcollected.3) Excerpt from the NEMSIS data dictionary – This reference table includes the meanings ofMandatory, Required, Recommended and Optional.We continue to work on many aspects of transition to collection of EMS data in a new central site.Although we cannot have everything ready at once, we will continue to give you updates throughout theprocess.CONTINUED ON NEXT PAGEPhone: (860) 509-8000 Fax: (860) 509-7184410 Capitol Avenue, P.O. Box 340308Hartford, Connecticut 06134-0308www.ct.gov/dphAffirmative Action/Equal Opportunity Employer
The following are our expectations; that: you are submitting 2017 data in NEMSIS version 3.4.0 now; software vendors have user logins and can see data submission reports generated by the centralsite; manual submitters can also login and see what happened to their data submissions.2017 Data is submitted to the central site usually within 30 days of the event. Ann Kloter is contacted directly for any concerns. you will continue to check the CEMSTARS page of the OEMS website for additionalinformation.We are awaiting additional database tools for both EMS agencies and for OEMS. Additional code listsand information will be provided as it becomes available.Thank you for your continued support and patience as we continue in the EMS data journey.
CONNECTICUTMedicare 28070006070005070024070021070022OUT OF STATEMedicare 220163330024330234330304Enter 02170022Enter 220065220163330024330234330304Enter yellow highlighted codes as numerics into ePCRACUTE CARE HOSPITALSHospital NameBRIDGEPORT HOSPITALBRISTOL HOSPITALCHARLOTTE HUNGERFORD HOSPITALCONNECTICUT CHILDRENS MEDICAL CENTERDANBURY HOSPITALDAY KIMBALL HOSPITALGREENWICH HOSPITAL ASSOCIATIONGRIFFIN HOSPITALHARTFORD HOSPITALHOSPITAL OF CENTRAL CONNECTICUTBRADLEY MEMORIAL HOSPITALHOSPITAL OF ST. RAPHAELJOHN DEMPSEY HOSPITALJOHNSON MEMORIAL HOSPITALLAWRENCE & MEMORIAL HOSPITALMANCHESTER MEMORIAL HOSPITALMIDDLESEX HOSPITALMIDSTATE MEDICAL CENTERMILFORD HOSPITAL, INCNORWALK HOSPITAL ASSOCIATIONROCKVILLE GENERAL HOSPITALSAINT MARYS HOSPITALSHARON HOSPITALST FRANCIS HOSPITAL & MEDICAL CENTERST VINCENT'S MEDICAL CENTERSTAMFORD HOSPITALWATERBURY HOSPITALWILLIAM W BACKUS HOSPITALWINDHAM COMM MEM HOSP & HATCH HOSPYALE-NEW HAVEN HOSPITALACUTE CARE HOSPITALSHospital NameBAYSTATE MEDICAL CENTERBERKSHIRE MEDICAL CENTERFAIRVIEW HOSPITALHARRINGTON MEMORIAL HOSPITALHOLYOKE MEDICAL CENTERHUBBARD REGIONAL HOSPITALMERCY MEDICAL CENTERNOBLE HOSPITALUMASS MEDICAL CENTERMT. SINAI HOSPITAL, QUEENSWESTCHESTER MEDICAL CENTERWHITE PLAINS HOSPTIAL
410007410013FREE-STANDINGAssigned ES990001OTHERDESTINATIONS999999410007410013Enter asNUMBER799017990279903799047990579906Enter asNUMBER990001Enter asNUMBER999999RHODE ISLAND HOSPITALWESTERLY HOSPITALCT Free-Standing EDs THAT EMSHospital NamePlainfield Emergency Care CenterPequot Health CenterMarlborough Medical CenterShoreline Medical CenterYale-New Haven Shoreline Medical CenterHungerford Emergency and Medical CareAIR TRANSPORT GENERICLanding Zone for Air TransportPatient Transported to Another Facility which
merics into ePCRCONNECTICUTAddress267 GRANT STREETBREWSTER RD540 LITCHFIELD ST282 WASHINGTON STREET24 HOSPITAL AVE320 POMFRET STREET5 PERRYRIDGE RD130 DIVISION ST80 SEYMOUR STREET100 GRAND STREET81 MERIDEN AVENUE1450 CHAPEL STREET263 FARMINGTON AVE201 CHESTNUT HILL RD365 MONTAUK AVE71 HAYNES ST28 CRESCENT ST435 LEWIS AVENUE300 SEASIDE AVENUE24 STEVENS STREET31 UNION ST56 FRANKLIN ST50 HOSPITAL HILL ROAD, PO BOX 789114 WOODLAND STREET2800 MAIN ST30 SHELBURNE ROAD64 ROBBINS ST326 WASHINGTON ST112 MANSFIELD AVENUE20 YORK STOUT OF STATEAddress759 CHESTNUT STREET725 NORTH STREET29 LEWIS AVENUE100 SOUTH STREET575 BEECH STREET340 THOMPSON ROAD271 CAREW STREET115 W. SILVER STREET55 LAKE AVENUE NORTH25-10 30th AVENUE100 WOODS ROAD41 EAST POST PUTNAMGREENWICHDERBYHARTFORDNEW BRITAINSOUTHINGTONNEW HAVENFARMINGTONSTAFFORD SPRINGSNEW ERBURYNORWICHWILLIMANTICNEW CTCTCTCTCTCTCTCTCTCTZIP 6504County NDHAMFAIRFIELDNEW HAVENHARTFORDHARTFORDHARTFORDNEW HAVENHARTFORDTOLLANDNEW LONDONHARTFORDMIDDLESEXNEW HAVENNEW HAVENFAIRFIELDTOLLANDNEW HAVENLITCHFIELDHARTFORDFAIRFIELDFAIRFIELDNEW HAVENNEW LONDONWINDHAMNEW HAVENCitySPRINGFIELDPITTSFIELDGREAT FIELDWORCESTERASTORIAVALHALLAWHITE PLAINSStateMAMAMAMAMAMAMAMAMANYNYNYZIP Code County 11021059510601
593 EDDY STREET25 WELLS STREETTRANSPORTS TOAddress582 Norwich Road52 Hazelnut Hill Road12 Jones Hollow Road250 Flat Rock Place111 Goose Lane115 Spencer Street, #8IS NOT acute care hospital or free-standing CTCTCTZIP Code063740634006447064980643706098County NameWINDHAMNEW LONDONHARTFORDMIDDLESEXNEW HAVENLITCHFIELD
Hospital TypeAcute CareAcute CareAcute CarePediatricAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareHospital TypeAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareAcute CareHas FreeStanding ED?NNYNNNNNNNNNNNYNYNNNNNNNNNNYNNHas FreeStanding maCenter?YYNNNNNNYNYNTRAUMA LEVELLevel 2 AdultLevel 1 PediatricLevel 2 AdultLevel 1 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 2 AdultLevel 1 Adult, Level 1 PedTRAUMA LEVELLevel 1 Adult, Level 2 PedLevel 3 AdultLevel 1 Adult, Level 2 PedLevel 1 and Burn Unit
Acute CareAcute CareHospital TypeFree-standing EDFree-standing EDFree-standing EDFree-standing EDFree-standing EDFree-standing ED?YLevel 1 Adult, Level 2 Ped?NIs FreeTraumaStanding ED? Center?TRAUMA LEVELYNNAYNNAYNNAYNNAYNNAYNNANA
DISPOSITION (eDisposition) fields in NEMSIS 3.4.0 dataDocumenting where EMS took patients allows us to correctly categorize calls outcomes and to follow the care continuum from pre-hospital care to emergency department oracute hospital inpatient care. Performance measures that use this data include AIRWAY, CARDIAC ARREST, PEDIATRIC, RESPONSE, STEMI, STROKE and TRAUMA.TIP: Incident/Patient Disposition (eDisposition.12) 2016 data shows some EMS agencies are setting Incident/Patient Disposition default “Cancelled”, while othersdefault to “No Patient Found”. There should not be information for medications and other treatment/examination for “cancelled” calls or “no patient found”!!Field NameUsageLabelConstraintsProposed d To,free text 2-50Mandatory if EMS transported patient.NAMEor use a picklistMay enter NOT value or blank only if there is no patient.May be populated from the list in dFacility.02 (Facility Name)Please use a picklist whenever possible.text; Use CTHOSPITAL rred To,CODEMandatory if EMS transported patient.Use CT list for to acute care hospital or emergency care clinic.If patient transported to facility that is NOT acute care hospitalor free-standing ED), enter 999999.Enter a NOT Value or leave blank ONLY if there is no patient.eDisposition.05RequiredDestination STATEANSI code orNEMSIS NOT VALUEMandatory if EMS unit transported patient: based on ANSI Code.May be auto-populated if list created in dFacility.09 (Facility State)ANSI code (American National Standards Institute):e.g., CT 09; MA 25; NY 36; RI 44; NJ uiredRequired# Patients Transported, this EMS UnitIncident/Patient DispositionEMS Transport MethodTransport Mode from SceneAdditl Transport mode descriptorsFinal Patient AcuityReason for Choosing DestinationType of DestinationHospital In-patient DestinationIntegerNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTNEMSIS CODE LISTRequired if patient transported by EMS unit.Data submitted to OEMS must use the NEMSIS CODE LISTRequired if patient transported by EMS unit.Required if patient transported by EMS unit.Required if patient transported by EMS unit.Required if patient transported by EMS unit.Required if patient transported by EMS unit.Required if patient transported by EMS unit.Expect if eDisposition.21 is coded Hospital Non ED Bed
What NEMSIS means about data collection (excerpted from NEMSIS data dictionary version 3.4.0)Indication of when the data element is expected to be collected.Mandatory Must be completed and does not allow for NOT valuesRequired Must be completed and allows NOT valuesRecommended Does not need to be completed and allows NOTvaluesOptional Does not need to be completed and does not allow for NOT valuesFor further information, please visit the NEMSIS web n-3/version-3-data-dictionaries/
2) Disposition (e.Disposition) fields in NEMSIS 3.4.0 - This table explains the use of Disposition fields and proposed edits; this is the context in which your hospital code and related information collected. 3) Excerpt from the NEMSIS data dictionary - This reference table includes the meanings of Mandatory, Required, Recommended and Optional.
