Leveraging EMS, Emergency Department Visit, and Crash Data to Inform Traffic Safety Action in North Carolina
Timeframe
2023-2026
HSRC Team
Dr. Katie Harmon, Principal Investigator and Senior Research Associate
Sandro Figueroa, Project Manager and Research Associate
Dr. Yuni Tang, Co-Investigator and Research Associate
Dan Levitt, Crash Data Specialist and Applications Analyst
Nancy Lefler, Traffic Records Liaison and Senior Research Associate
Jonathon Weisenfeld and Graham Russell, Graphic Design Support
Browse recent work by these HSRC researchers on their individual bio page.
Collaborating organization(s)
Carolina Center for Health Informatics, Department of Emergency Medicine, UNC School of Medicine
Dr. Amy Ising, Co-Principal Investigator and NC DETECT Program Director
Dr. Anna Waller, Subject Matter Expert and Director of CCHI
Matthew Kerber, Emergency Department/EMS Data Specialist and NC DETECT Database Developer
Injury Prevention Research Center
Dr. Mike Fliss, Co-Investigator and IPRC Core Faculty
Luke Neuroth, Graduate Research Assistant
Summary
Accurate, complete, and timely data are foundational to the Safe System approach for eliminating serious and fatal traffic injuries, yet traditional law enforcement officer (LEO)–reported crash data alone cannot fully capture post crash outcomes or the broader context of traffic injuries. Public health data sources, such as emergency medical services (EMS) and emergency department (ED) visit data, provide complementary information relating to post-crash outcomes, including injury diagnoses and measures of injury severity. Furthermore, these data sources often capture incidents not reported to police. When integrated with crash data, these sources can provide a more comprehensive understanding of traffic injury events, particularly for vulnerable road users and non motorized modes that are often underreported in crash data due to definitional or reporting limitations.
Now in its third year, this North Carolina Governor’s Highway Safety Program–funded project leverages public health data to support state and local traffic safety stakeholders, with a particular focus on Vision Zero communities. The project supports the North Carolina Health Outcomes Data Dashboard by integrating EMS, emergency department visit, and linked EMS–crash data to identify emerging safety issues, inform program planning and evaluation, and to engage the public. Collectively, this work demonstrates both the value and the challenges of using public health data for traffic safety and presents a replicable approach for integrating diverse data systems to better understand injury outcomes and guide effective, equitable traffic safety interventions.
Research Impact, Results, and Findings
Selected Reports
Selected Presentations
- Healthcare data: Utilizing Emergency Department and EMS data to monitor trends and enhance local and state safety efforts – North Carolina Traffic Safety Conference & Expo, Winston-Salem, NC, June 2 – 4, 2026
- Data that delivers: Healthcare (prehospital and hospital) data – North Carolina Vision Zero Institute, Chapel Hill, NC June 16, 2026
Funding organization(s)
North Carolina Governor’s Highway Safety Program
Related Work
- North Carolina Vision Zero Data and Analytics (ITRE, IPRC, HSRC): Data visualization interactive tools to explore traffic and crash analytics
- Transportation & Health Data Archive (CCHI): Contains a series of resources from a GHSP-funded pilot project to link crash and healthcare data
- NC DETECT (CCHI and NC DHHS): North Carolina’s statewide syndromic surveillance system
Additional information
NCVZ Dashboard Demo
This video is an instructional demonstration that walks through recent updates to the North Carolina Health Outcomes Dashboard and explains how to use it. The Health Outcomes Dashboard is a tool for transportation safety professionals that links North Carolina crash data, EMS data, and NC DETECT Emergency Department visit data. This dashboard provides North Carolina transportation safety stakeholders with a more holistic representation of crash information that can be leveraged for future improvements.
Contact Information
For questions about our program or if you would like to learn more about how EMS/ED visit data can inform your work, please contact Sandro Figueroa (a.figueroa@hsrc.unc.edu).
The Dashboard
NC Vision Zero hosts an interactive dashboard where visitors can view the collected data in different ways. View the dashboard at ncvisionzero.org/visualizations/health-outcomes-dashboard/.


