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NEMSIS Stroke Summary

Purpose Statement

The NEMSIS Stroke Summary Dashboard provides insight into EMS stroke recognition, assessment, response timing, communication, and transport decisions.

This dashboard helps agencies evaluate stroke-related incidents, identify performance trends, and support timely, appropriate care for patients experiencing possible stroke symptoms.

Background Information

The NEMSIS Stroke Summary Dashboard is part of the Advanced Data Insights suite and uses ePCR data aligned with NEMSIS standards.

It focuses on stroke identification, assessment, timing, routing, and case-level review. Agencies can use this dashboard to evaluate whether stroke patients are being recognized, assessed, communicated, and transported appropriately.

Users can analyze:

  • Stroke case volume and trends
  • Recognition and assessment performance
  • Response and transport timing
  • Communication and routing patterns
  • Patient demographics and symptom onset information

Important:
Advanced Data Insights dashboards are part of a paid upgrade package and may not be available to all agencies. If this dashboard is not visible, contact your Client Success Manager.

Prerequisites:

  • Access to Advanced Data Insights
  • ePCR data with stroke-related incidents properly documented
  • Accurate symptom, assessment, timing, and transport documentation

Required Permissions

Users must have appropriate permissions to access dashboards and EMS clinical data.

Typical permissions include:

  • Advanced Data Insights access
  • Dashboard view permissions
  • ePCR or EMS reporting data access

Recommended roles:

  • Administrators
  • Chiefs
  • EMS leadership
  • Clinical staff
  • QA/QI personnel
  • Training staff
  • Medical directors
  • Data analysts

Step-by-Step Guide

  1. Go to the First Due logo.
  2. Access the module stack.
  3. Select the Dashboard module.
  4. Select either Dashboards or Dashboard List.
  5. Select the NEMSIS Stroke Summary Dashboard from the drop-down list.

Dashboard Features & Highlights

Filter Options

Users can filter dashboard data by:

  • Date or date range

 

  • Patient Gender
  • Patient Age Group
  • EMS Unit Call Sign
  • Transport Disposition

 

Overview Tab

  • Provides a high-level summary of stroke-related incidents
  • Displays key case volume and performance indicators
  • Helps users quickly assess overall stroke response activity

 

Recognition and Assessment Tab

  • Reviews how stroke symptoms and assessments are documented
  • Supports analysis of stroke recognition practices
  • Helps identify opportunities to reinforce assessment protocols

System Performance and Timing Tab

  • Displays response time data numerically and visually
  • Helps evaluate timing intervals throughout the stroke response process
  • Supports identification of delays or performance trends

Communication and Routing Tab

  • Reviews communication and transport routing patterns
  • Helps evaluate whether suspected stroke patients are routed appropriately
  • Supports coordination with receiving facilities and stroke centers

Stroke Case Details Tab

  • Provides case-level information for detailed review
  • Supports QA/QI review, follow-up, and documentation validation
  • Helps users investigate individual incidents when needed

Dashboard Background and Information Tab

  • Provides dashboard context, criteria, and supporting information
  • Helps users understand how stroke cases are included and interpreted
  • Supports consistent use of dashboard data

Symptom and Onset Data

  • Tracks documented stroke symptoms and onset-related information
  • Helps evaluate the completeness of stroke documentation
  • Supports review of time-sensitive care decisions

Best Practices

  • Ensure stroke assessments and symptoms are documented consistently
  • Review response time data regularly to identify delays
  • Use case details to validate records included in dashboard trends
  • Monitor routing patterns to support appropriate transport decisions
  • Incorporate findings into stroke training and QA/QI initiatives

Avoid:

  • Relying on incomplete symptom or onset documentation
  • Ignoring timing delays shown in visual trend data
  • Reviewing aggregate metrics without validating case-level details when needed

Troubleshooting & FAQs

Why are some stroke cases missing from the dashboard?
Cases may be missing if stroke-related fields, assessments, symptoms, or transport details were not documented consistently in the ePCR.

Why are response time metrics incomplete?
Missing or inaccurate timestamps can affect response time calculations.

Can I narrow the dashboard to a specific EMS unit?
Yes. Use the EMS unit call sign filter to review activity for selected units.

Why does transport disposition matter?
Transport disposition helps agencies evaluate how suspected stroke patients were routed and whether transport outcomes align with clinical expectations.

Who should use this dashboard?
EMS leadership, clinical teams, QA/QI staff, training personnel, medical directors, and data analysts responsible for stroke care performance.