The RACI Matrix And FICEMS Project Management

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The RACI Matrix and FICEMS Project ManagementA RACI matrix is a project management tool that clearly depicts the functions of specific parties or roles inthe performance of particular actions or tasks. Use of a RACI matrix can help ensure that all parties bothhave input into and are aware of the duties expected of them. For each action, an organization may beassigned one of the positions shown in the table below:ResponsibleAccountableConsultedInformedthat actuallyfinally answerableinputs are solicitedwhom the outcome isThe role or rolesperform the actionrequired by thetask.The role that isfor the task.Who is “on theWho has the action hook” for thison this activity?activity?The role or roles whose The role or roles toprior to the task.With whom do wecommunicatedfollowing completion.have to clear this?Who needs to knowWhat is their input?about this?Several additional guidelines should be followed in the creation of a RACI matrix: Designate only one role as “accountable” for each activity. (There may be multiple roles deemed“responsible,” “consulted,” or “informed” for each activity.)Reduce, to the extent possible, the number of “consulted” and “informed” parties.Ensure that roles deemed “accountable” possess the necessary corresponding authority.Assign “responsible” and “accountable” to the lowest possible levels within an organization.A RACI matrix can be an invaluable tool for any organization, particularly one, such as FICEMS, thatcomprises many distinct component entities. This matrix serves to coordinate and streamline the efforts ofinvolved parties and to promote an atmosphere of accountability. In the context of FICEMS, the elements ofthe strategic plan can be tracked and monitored using the RACI matrix on the following page.

R ResponsibleA AccountableC ConsultedI InformedGoal 2: Data-driven and evidence-based EMS Systems that promote improved patient care qualityActivityDec. 2014Sept. 2014Provide a briefing to FICEMSon the status of EBGdevelopment andimplementation EBG ModelGuidelines EBGImplementation EBG NationalStrategy PublicationsSubmit newly published EBGguidelines to the NationalGuideline Clearinghouse Assess quarterly forpublished EBGguidelines to besubmittedTimeframeObjective 2.1: Support the development, implementation, and evaluation of evidence-based guidelines (EBGs) according to the NationalPrehospital EBG Model ProcessHHS/HRSADOTDHS HHS HHS HHS/NIH HHS HHS DoD HHS/HRSA QIHSDoDCCIORHPCMS

Dec. 2014Oct. 2014Update FICEMS regardingNIH-OECR initiatives Ethical andregulatory issuesregarding informedconsent inemergency caresetting Feasibilitydeveloping anemergency careresearch network(EMS/ED) Highlight currentemergency carenetworks: PECARN,NETT, ROCExplore opportunities toevaluate current EBGguidelines (i.e., preventabledeath analysis) Consider activeshooter events anduse of externalhemorrhage control Identify otherpotential guidelinesthat allow forsystem levelevaluationACICRCRIRCIRI

Sept. 2014RRNov. 2014CCDec. 20142014/5Identify mechanisms todisseminate published EBGsto stakeholders Identify Federaldistributionchannels Partnership withstakeholdersExplore options fordeveloping performancemeasures that support EBGimplementation through theORHP for FLEX grants andCAHsProvide briefing to FIECMSdescribing improvements inresponses to active shootersituations resulting fromimplementation of externalhemorrhage control EBG.Prepare and present awebinar on Why EMS needsEvidence-based Guidelinesfor the FICEMS webinarseriesCRRCCICRRIICICI

FICEMS Objective 2.2R ResponsibleA AccountableC ConsultedI InformedGoal 2: Data-driven and evidence-based EMS Systems that promote improved patient care qualityObjective 2.2: Promote standardization and quality improvement of prehospital EMS data by supporting theDevelop and present a(I)concise report to FICEMSto update on status ofNEMSIS implementation.-States reporting toNational Database &% AgenciesChallengesencounteredExamples of Use ofNEMSIS and NextSteps.Prepare background(R)materials (including2008 FICEMS action) anddraft Recommendation toFICEMS for Inclusion ofsupport for transition toNEMSIS Version 3 ingrant guidance forvarious )(R)(I)(C)QuinataSternHorahanMcHenry (C)(I)QuinataHorahanMcHenry CDHS/OHANHTSAASPRUSFATWGFICEMSadoption and implementation of NEMSIS-compliant systems.M(I)12/2014

FICEMS Objective 2.2Federal grant programs.-Prepare draftmaterials for TWGapprovalTWG submitproposed policyaction to FICEMSFollowing FICEMSapproval, preparedraft FICEMS lettersto agenciesReport to FICEMS onAgency responsesreceivedProvide an annual report (I)to FICEMS on statestransitioning to NEMSISVersion 3.(Report can also beposted on )QuinataHorahanMcHenry MollersHandleyMorrison(I)12/2014

FICEMS Objective 3.3R ResponsibleA AccountableC ConsultedI InformedGoal 3: EMS systems fully integrated into State, territorial, local, tribal, regional, and Federalpreparedness planning, response, and recoveryObjective 3.3: Improve EMS system preparedness for all-hazards, including pandemic influenza,Serve as a liaison and(A)convene respectiveagency partnersinvolved in the grantalignment process andsupport grant alignmentwith EMS guidance andother technicalassistance. KevinGamRay(R)(R)(R)HorahanWijetunge MollersPlan and convene a meetingof agency grant staff toexplore grant alignmentopportunities (e.g. outputs:agenda, list of meetinginvitees, meeting objectives,etc.)Draft report to FICEMS ongrant alignment.Implement action steps (A)in the FICEMS MUCCimplementation planscheduled to becompleted by DecemberGamWijetunge(R)SherlineLee (R)HRSADoDCDCDHS/OHANHTSAASPRUSFATWGFICEMSthrough support of coordinated multidisciplinary planning for disasters.TheresaMorrison-Quinata(R)

2018 FICEMS Objective 3.3Prepare a report to FICEMSon the MUCCimplementation plan (e.g.Identify opportunities forimprovement, next steps,etc.)Recommend to the TWGstandard operatingprocedures for sharingpreparedness andresponse informationwith FICEMS “What would FICEMS like toknow?”Completion of CDCMedSurge frameworkfor EMS. Update to TWG on project inFall 2014 in advance ofDecember FICEMS rst draft available to coreplanning team/SMEplanning team Fall 2014Develop DHS/NASEMSOEMS DomesticPreparedness Gaps andSolutions DocumentRayMollers(A)Develop Response toIED Active ShooterEvents guidanceExplore interfacebetween innovative EMSmodels (i.e.: CP/MIHC)and preparedness. ASTHO report on legal andregulatory barriers (A)RayMollers(R)

FICEMS Objective 3.3Funding OpportunityAnnouncement released for“Promoting Innovation inEmergency MedicalServices” (DTNH22-14-R00029)Explore nationalstandard for masscasualty patient trackingKevinTimExplore preparednesscomponent of EMSData/HIE(C)KevinSusan(A)(A)(R) Proposal submitted toPatient Centered OutcomesResearch Trust Fund forgrants/cooperativeagreements in May 2014 todevelop infrastructure toallow outcomes researchthat is facilitated by bidirectional data flow (incoordination with DataCommittee).Enhance coordinationbetween FICEMSpartners and theNational IntegrationCenter Arrange a briefing on theNIC for the ikeKevinGam(A)(I)(I)Stern HorahanWijetungeSherlineLee (I)

FICEMS Objective 6.3R ResponsibleA AccountableC ConsultedI InformedGoal 6: Work toward well-educated and uniformly credentialed EMS workforceObjective 6.3 : Work with State EMS Offices to support the transition of military EMS providers to civilianpracticeAction ItemsTimeframeLead an EMS MilitaryCredentialing andLicensing FederalWork GroupDevelop fact sheeton EMS careers foruse at DoD TransitionAssistance Program(TAP) Centers andDepartment of Labor(DOL) American JobCenters.Identify anddocument bestpractice academicprograms totransition militaryMedics into certifiedcivilian EMTParamedics.Encourage otheracademic institutionsto adopt these bestpractices.Teleconference withnational EMSorganizations,VeteransOrganizations andothers to continueacquainting themwith the gDrewMargolis r(C)ErnestMitchell(I)GreggDrewMargolis r(C)(I)ErnestMitchell(I)GreggDrewMargolis r(C)(C)ErnestMitchell(I)GreggDrewMargolis Dawson(I)(A)RayMollers(C)MarionCain (R)KarenNesseler(I)

FICEMS Objective 6.3medical serviceseducation of themilitary including theservices andinformation availablemilitary EMS training.Convene byconference call nonFederal EMSstakeholders todiscuss military EMSlicensing andcredentialing issuesand exploreopportunities forincreasing civilianEMS employment ofveterans.Disseminateinformation aboutthe Joint ServiceTranscript (JST) toEMS argolis Dawson(C)(A)RayMollers(C)MarionCain ggDrewMargolis r(I)ErnestMitchell(I)GreggDrewMargolis r(I)Develop and adopt aJuneposition statement of2014the Federal InteragencyCommittee onEmergency MedicalServices (FICEMS) towork with State EMSOffices in supportingthe transition ofseparating militarymedics to civilianpractice.DrewDawson(R)

The RACI Matrix and FICEMS Project Management . A RACI matrix is a project management tool that clearly depicts the functions of specific parties or roles in the performance of particular actions or tasks. Use of a RACI matrix can help ensure that all parties both have

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