transports (736 to 459), task time (263 hours), miles (1939) and
charges ($314,306). 2
Given the tendency of many frequent users to access multiple
facilities for care, the collective connectedness of EMS with hospitals
and other providers affords a unique opportunity to detect abnormal
patterns of activity. Additionally, EMS information systems can serve
as regional health networks, and when linked with CAD data provide
a rich healthcare geo-database that can be mined. This position allows
EMS to detect not only frequent 9-1-1 users, but also equally vulnerable yet less noticeable individuals. The eRAP development has leveraged existing technologies to more quickly identify, rank, alert and
intervene on individuals with the greatest need.
Early RAP efforts attempted to identify and prioritize chronic 9-1-1
users by manual investigation of patient care records. However, it
quickly became apparent that accurate analysis of the overall EMS
system was impossible; painstaking chart reviews and queries con-
sumed valuable case management time. This left little choice but to
prioritize cases based on field responder complaints. Furthermore,
existing case management platforms didn’t meet the needs of RAP.
Information technology development was necessary to create a soft-
ware system tailored to RAP goals.