scootin’ around safety: the rise of electric scooters and the data … · 2020. 4. 24. ·...
TRANSCRIPT
Scootinrsquo Around Safety The Rise of Electric Scooters and the Data Behind Them
D AV I D Z A N E M S I N J U R Y E P I D E M I O LO G I S T F O R AU S T I N P U B L I C H E A LT H AU S T I N T E X A S
A N D
K E V I N R I X M P H I N J U R Y P R E V E N T I O N C O O R D I N ATO R F O R D E L L S E TO N M E D I C A L C E N T E R AT T H E U N I V E R S I T Y O F T E X A S
M A R C H 1 2 2 0 2 0
Visionto be the recognized leader and driving force
in understanding and preventing injuries and
violence
Mission to strengthen the practice of injury and
violence prevention
wwwsafestatesorg
Emerging Transportation Modalities
Credit Emerging Mobility Injury Monitoring in San Francisco CA Utilizing Hospital Trauma Records 12019
Click to edit footer style
4
E-Scootersbull Stand up
bull Rented
bull Speeds ~15 mph
bull Electric Power
bull Dockless
DOCKLESS ELECTRIC SCOOTER-RELATED INJURIES STUDY
Austin TexasS E P T E M B E R - N O V E M B E R 2 0 1 8
E P I D E M I O L O G Y A N D D I S E A S E S U R V E I L L A N C E U N I T E P I D E M I O L O G Y A N D P U B L I C H E A L T H P R E P A R E D N E S S D I V I S I O N
A U S T I N P U B L I C H E A L T H
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Visionto be the recognized leader and driving force
in understanding and preventing injuries and
violence
Mission to strengthen the practice of injury and
violence prevention
wwwsafestatesorg
Emerging Transportation Modalities
Credit Emerging Mobility Injury Monitoring in San Francisco CA Utilizing Hospital Trauma Records 12019
Click to edit footer style
4
E-Scootersbull Stand up
bull Rented
bull Speeds ~15 mph
bull Electric Power
bull Dockless
DOCKLESS ELECTRIC SCOOTER-RELATED INJURIES STUDY
Austin TexasS E P T E M B E R - N O V E M B E R 2 0 1 8
E P I D E M I O L O G Y A N D D I S E A S E S U R V E I L L A N C E U N I T E P I D E M I O L O G Y A N D P U B L I C H E A L T H P R E P A R E D N E S S D I V I S I O N
A U S T I N P U B L I C H E A L T H
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Emerging Transportation Modalities
Credit Emerging Mobility Injury Monitoring in San Francisco CA Utilizing Hospital Trauma Records 12019
Click to edit footer style
4
E-Scootersbull Stand up
bull Rented
bull Speeds ~15 mph
bull Electric Power
bull Dockless
DOCKLESS ELECTRIC SCOOTER-RELATED INJURIES STUDY
Austin TexasS E P T E M B E R - N O V E M B E R 2 0 1 8
E P I D E M I O L O G Y A N D D I S E A S E S U R V E I L L A N C E U N I T E P I D E M I O L O G Y A N D P U B L I C H E A L T H P R E P A R E D N E S S D I V I S I O N
A U S T I N P U B L I C H E A L T H
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Click to edit footer style
4
E-Scootersbull Stand up
bull Rented
bull Speeds ~15 mph
bull Electric Power
bull Dockless
DOCKLESS ELECTRIC SCOOTER-RELATED INJURIES STUDY
Austin TexasS E P T E M B E R - N O V E M B E R 2 0 1 8
E P I D E M I O L O G Y A N D D I S E A S E S U R V E I L L A N C E U N I T E P I D E M I O L O G Y A N D P U B L I C H E A L T H P R E P A R E D N E S S D I V I S I O N
A U S T I N P U B L I C H E A L T H
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
DOCKLESS ELECTRIC SCOOTER-RELATED INJURIES STUDY
Austin TexasS E P T E M B E R - N O V E M B E R 2 0 1 8
E P I D E M I O L O G Y A N D D I S E A S E S U R V E I L L A N C E U N I T E P I D E M I O L O G Y A N D P U B L I C H E A L T H P R E P A R E D N E S S D I V I S I O N
A U S T I N P U B L I C H E A L T H
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Emerging Issue = E-Scooters
bull Arrived in Austin on April 5 2018
bull Local hospitals and EMS noticed injuries
bull Types of injuries Risk Factors
Click to edit footer style
6
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Methodology
bull Place City of Austin Texas
bull Timeframe September 5 ndash November 30 2018
bull Persons sustained injury related to e-scooter amp identified through
keyword searches
bull Austin-Travis County Emergency Medical Services
bull Hospital Emergency Department chief complaints from syndromic surveillance
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Data Collection
bull Patient interviews through telephone questionnaire
bull Demographic
bull Clinical
bull User-specific
bull Environmental
bull Supplemented with
bull EMS call reports
bull Medical charts when available
bull Publicly available Fleet Data (Austin Transportation Department)
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Data Sources Flow ChartEMS
198
165
93 70 108
33 screened out (medical mobility etc)
Syndromic (ED)
185
Since some patients appeared in both EMS and ED data sets or had multiple visits incidents were de-duplicated
EMS Only Both EMS and ED ED Only
271 patients injured potentially on e-scooters
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Outreach Methods and Results
155
24588116
28
271
600+ calls
~200 letters mailed
69 text messages sent
130 Lexus Nexus Searches
contact rate 63
had contact information
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
271 injured persons
160 rented dockless electric scooter
associated injuries
32 electric scooter associated injuries
192 injured persons
190 riders 125 interviewed
65 medical chartsATCEMS reports reviewed
2 non-riders
1 person interviewed
1 medical chart reviewed
46 scooter associated injuries
32 not included in study
1 unknown
Outcomes of Classifying Persons
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Epi-Curve for the 190 Confirmed amp Probable Riders
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Injury Rate
From September 5 ndash November 30 2018bull 936110 e-scooter trips
bull 190 injured ridersbull Transported to hospital via EMS or reporting to a hospital ED
Approximately 20 persons injured per 100000 e-scooter trips
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Letrsquos get to know the injured ridershellip
bull Over half (55) were males
bull Ranged in age from 9 to 79 years
bull Nearly half (48) were 18 to 29 years of age
bull Most (60) resided in Austin
bull Most (60) received training via scooter companiesrsquo phone application
bull Only one rider (lt1) was wearing a helmet
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Scooter Rides Before Injury
0
5
10
15
20
25
30
35
0 rides (first time riders) 1-9 rides 10-29 rides ge30 rides
Perc
ent
of
Inte
rvie
wed
Rid
ers
Number of Rides Before Injury
33 - First time e-scooter rider
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
How serious were the injuries
bull 14 of injured riders were hospitalized
bull 42 of the 190 riders had a serious injurybull National Transportation Safety Boardrsquos definition includes a minimum of
bull fracture (excluding nasal finger toe)
bull nerve tendon or ligament injuries
bull 48+ hours in hospital
bull severe bleeding
bull andor organ damage
bull 7 sustained a traumatic brain injury
bull No deaths
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Injury Body Locations
bull Head ndash 48
bull Face ndash 40
bull Upper Limbs ndash 70
bull Chestabdomen ndash 18
bull Lower limbs ndash 55
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Bone Fracture Locations
78 persons (41) sustained at least one fracture
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Geographic Characteristics
bull Downtown Austin ndash 31
bull University of Texas at Austin campus ndash 16
bull Injured while riding scooter
bull On street ndash 55
bull On sidewalk ndash 33
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Map of Downtown AustinE-Scooter Injury Locations Based on Case Definitions
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
When were riders injured
0
5
10
15
20
25
30
35
40
45
Sunday Monday Tuesday Wednesday Thursday Friday Saturday
Nu
mb
er o
f In
jure
d R
ider
s
Day of the Week
bull About 2 injuries per day
bull Saturday or Sunday ndash 39
bull 600pm - 600am ndash 39
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Higher injury rates observed starting at
9pm ndash 11pm
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Circumstances of incidents
bull Motor vehicle ndash 16
bull Curb ndash 10
bull Inanimate object ndash 7
bull Collided with a motor vehicle ndash 10
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Additional Information
bull Possible scooter malfunction ndash 19
bull Drinking alcohol beverages within 12 hours preceding injury ndash 29
bull Excessive speed ndash 37
bull Believed surface conditions contributed to the incident ndash 50
24
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Acknowledgements
bull Austin-Travis County EMS
bull 9 area hospitals
bull Austin Transportation Department
bull Texas Department of State Health Services
bull Injured individuals that we interviewed
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Acknowledging the Team
Austin Public Health Centers for Disease Control and Prevention
Jeff Taylor Laurel Harduar Morano
David Zane Talia Pindyck
Alice Tisdale Sara Blythe Ballard
Jessica Stradford Anjoli Anand
Ashley Hawes Alexis Peterson
Flor Hernandez-Ayala Erin Sauber-Schatz
Marissa Paz
Rachel Holder
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
So you just heard about the Austin Public Health Projectbull RECOMMENDATION
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Why is it important to have consistent data with new technology
1 Patient Identification
2 Correct assignment of injury mechanisms
3 Consistency with language and verbiage
4 Epidemiological Research
5 Injury Pattern and Severity Research
6 Consistency across trauma registries and registrars
7 Injury Prevention Interventions
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Dell Seton Medical Center-Austin TX Adult Level 1 Trauma Center(May 2018-January 2019)
22
19
11
23
34
Head
Face
Thoracic
Abdominal
Upper
Extremity
N=65
Admissions
1st Reported Death in
Austin February 2 2019
Similar mobility death
February 6 2019
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
ICD-10 CM Has the answers Or Does it
bullTypically the ICD-10CM codes are a hospitals best friend for datahellip Right
bullBut what happens when the thing want to code didnrsquot exist when the codes were created
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
How do we know we are telling the same story
bull 22 Trauma Service Areas in Texas
bull GETAC Injury Prevention and Public Education Committee allows launched state wide survey through Regional Advisory Councils (RACs)
bull RACs are composed of both hospital and pre-hospital community organizations
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Who Responded (N=85)
Pre-
Hospital
46Hospital
53
Other
1
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
If you were interested are you currently able to abstract from a local database information on the patients your organization has cared for who have been injured in a scooter crash (in percent)
0
10
20
30
40
50
60
Yes No
Remember our first step to look at our data
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
When a person presents to your hospital as a result of a motorized dockless scooter related injury what ICD-10 code are you using to capture the injury
V0018
2 V0083
5V0089
5
I do not know
78
Other
10
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Given this information What did we do
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
So what did we decided on
Accident on other rolling-type pedestrian conveyance
Falling from other rolling-type pedestrian conveyance
Pedestrian on other rolling-type pedestrian conveyance colliding
with stationary object
Other accident on other rolling-type pedestrian conveyance
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Is this the right code
For Us
For You Probably But
Maybe No
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Recommendations1 Make sure everyone is on the same page knowing what we are
talking about
2 Decide with other stakeholders on one coding system universally in your area
3 Ensure that this is taken to decision makers and people who can push the information out
4 Follow up to ensure
5 Support current national efforts for the adoption and implementation of new ICD-10-CM codes for these devices
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Since this timebull ICD-10 CM codes for Dockless E-Scooters have been
presentedpromoted for the launch of the October 2020 ICD-10CM code update
httpswwwcdcgovnchsdataicdTopic-packet-Sept-2019-Part2pdf (pages 15-25)
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Our work together
bullSince we actually work in the same city only made sense for us to continue our work together on this topic
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
So where did webull Unfortunately we cannot share a lot of information due to some
publications in the works But things we consider and things you may want to consider
How do scooter injuries compare with other types of transportation
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Whatrsquos the new innovations coming to where you live and how will you keep track of injury risks
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg
Questionsbull Thank you all very much
Contact Information
davidzaneaustintexasgov
KRixascensionorg