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Comprehensive Assessment of Emergency Medical Services 57 <br />and 911 /Communications Center Operations Study <br />communications and following the efforts of those responder(s) enroute to the incident and throughout <br />the on -site incident activities that follow. (More detailed discussion will be provided in Section 4 of this <br />report, The 911 /Communications Center). <br />Mutual Aid As stated in the County's EMS System Plan; Orange County Emergency Medical Services is <br />party to the North Carolina Statewide Emergency Management Mutual Aid and Assistance Agreement. <br />Reports & Reporting <br />The record keeping system for EMS providers in North Carolina is "PreMIS ", the Pre - Hospital Medical <br />Information System. Under the North Carolina EMS Rules and Regulations, every EMS System is required <br />to collect and submit (electronically) EMS data based on the North Carolina College of Emergency <br />Physician's Standards for Medical Oversight and Data Collection.' <br />PreMIS provides a method for each EMS provider in North Carolina to enter patient care data into a <br />central database. Other components of PreMIS include: billing export capabilities, technician and <br />provider tracking, and an extensive quality management toolkit.4 <br />Orange County EMS personnel currently input Patient Care Reports (PCR's) into individually issued <br />laptop computers. Data is transferred to PreMIS as soon as possible and no less than on a daily basis <br />except during weekends after which data is transmitted the following Monday. <br />EMS Facilities <br />Currently the four (4) 24 -hour Medic Units and four (4) 12 -hour Medic Units and their assigned 2- person <br />Paramedic Teams operate from five (5) designated staging locations within the County. Note that the <br />term "staging locations" is used versus the more common "EMS Base" because in reality none of the <br />staging "areas "; i.e. facilities available; were originally built or intended to accommodate EMS <br />operations. Space has essentially been found, donated for use or assumed for use as the space became <br />available. Furthermore, none of the current staging areas; i.e. facilities; can accommodate a Medic Unit; <br />i.e. ambulance, in a temperature controlled, enclosed and securable environment. <br />Figure 4 <br />EMS Unit Staging Locations <br />Unit <br />Location <br />Medic 1 <br />Revere Rd. <br />Hillsborough <br />Medic 2 <br />Roberson St. <br />Carrboro <br />Medic <br />Mason Farm Rd. <br />Chapel Hill <br />Medic <br />Mt. Willing Rd. <br />Efland <br />Medic 5 <br />[Phelps Rd. Location Pending] <br />N. Orange Co. <br />Medic <br />Eubanks Rd. <br />Chapel Hill <br />Medic <br />TBD <br />Chapel Hill <br />Medic 8 <br />Roberson St. <br />Carrboro <br />3 Pratt, Drexdal; "Required EMS Patient Care Reporting'; NCOEMS Memorandum; 2004 <br />4 North Carolina EMS Performance Improvement Center website; 2007 <br />Solutions for Local Government, Inc. 13 <br />