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EMS ANALYTICS
EMS AGENCY
Demo County EMS
Triage to Alternate Destination (TAD) Dashboard
Policy PD# xxxx  ·  NEMSIS 3.5 / 3.5.1  ·  2026-1Q
DashboardMedical Director FindingsDefinitions
How each Triage-to-Alternate-Destination measure is computed from the NEMSIS export, with the data elements each one reads. The authorised facility list, emergency-response codes, bounce-back window, deviation value sets, and targets are all editable in tad_config.py.
Three Population Layers
Every metric runs on the correct subset. Layer 1 = all emergency-response encounters (eResponse.05). Layer 2 = TAD transports: a Layer-1 encounter transported by this unit (eDisposition.30) to an authorised alternate-destination facility. Layer 3 = everything else. Layer 1 is the denominator for transport rate.
Related Elements
eResponse.05eDisposition.30
Authorised TAD Destination
A transport whose destination facility code is on the approved list. The destination type (Mental Health or Sobering Center) comes from that code. A VA-style facility only counts when the destination type (eDisposition.21) equals the configured value — otherwise it was a regular hospital transport. The facility list and qualifier are editable in tad_config.py.
Related Elements
eDisposition.01eDisposition.02eDisposition.21
Transport Rate
TAD transports as a percentage of all emergency encounters (Layer 2 ÷ Layer 1). Non-transports and their refusal/release reasons are tracked separately.
Related Elements
eDisposition.30eDisposition.31
72-Hour Bounce-Back
A patient who had a TAD transport and any EMS encounter within 72 hours afterward. Confirmed = exact LAST|FIRST|DOB match. Probable (QA review) = DOB exact plus name similarity at or above the configured threshold. Patient-identifiable detail lives only in the QA sheet, never in the dashboard.
Related Elements
ePatient.02ePatient.03ePatient.17eTimes.03
Protocol Deviation Flags
TAD transports that may not have met alternate-destination criteria. Flag A: altered patient at any TAD destination (impression, symptom, OR acuity too high — all three checked independently). Flag B: overdose routed to the sobering center (belongs at an ED). Flag C: dystonic reaction at any TAD destination. Value sets are editable in tad_config.py.
Related Elements
eSituation.11eSituation.09eSituation.13
Response & Transport Times
Median minutes for dispatch→scene, scene→destination, transfer of care, and total unit time, computed on TAD transports. Intervals outside the configured sanity bounds are dropped.
Related Elements
eTimes.03eTimes.06eTimes.11eTimes.12eTimes.13
Chief Complaint & Acuity
Primary symptom grouped into Behavioral Health, Substance Use, or Other, plus the initial patient-acuity distribution. Together they describe who is being routed to alternate destinations.
Related Elements
eSituation.09eSituation.11eSituation.13
Demographics
Age groups and sex for TAD patients, for equity review across the alternate-destination population.
Related Elements
ePatient.15ePatient.25
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