EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday - PowerPoint PPT Presentation

MATTHEW CONSTANTINE DIRECTOR EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday June 1, 2017

MATTHEW CONSTANTINE DIRECTOR INTRODUCTIONS

Local Optional Scope

Heparin, Nitro Drip, Blood Product 3.5 3 3 3 2.5 2 2 2 2 2 2 1.5 * * 1 1 1 1 0.5 0 0 0 2014 2015 2016 2017 Heparin Nitro Blood * Complications/Discontinued enroute Data from Liberty Only

TEC June 1 st 2017

Ground On Scene Time 90 th Percentile ‐ 40 Unfiltered 36.06 31.65 35 30.3 30 26 25.69 21.8 25 17 20 15 10 5 0

Ground On Scene Time 90 th Percentile ‐ Filtered 40 34.21 30 23.77 19.8 18.4 17.6 15.3 20 10.2 10 0

Ground On Scene Time – Avg. ‐ Unfiltered 15.72 13.78 13.2 18 15.0 14.9 14.7 14.6 16 13.3 12.5 14 12 10 8 6 4 2 0

Ground On Scene Time ‐ Avg. ‐ Filtered 16 14.4 14 12.79 11.6 11.6 11.4 12 11.23 11.2 10.6 10.38 10 9.6 10 8 6 4 2 0

Reported Delay Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr None ‐ Under 10 Min 13 21 9 11 14 14 18 13 18 13 15 None ‐ Over 10 Min 12 12 7 8 15 16 6 8 11 8 7 Other ‐ Description 1 6 4 8 9 0 0 7 3 8 3 Other ‐ No Description 0 0 0 0 2 11 3 4 1 4 0 Safety/Crowd/Staff 0 4 3 2 0 0 1 3 2 3 3 Language Barrier 0 0 0 0 0 0 0 0 0 0 1 Extrication >20min 0 0 0 0 3 3 2 3 0 3 2 Distance/Vehicle Crash 1 0 0 0 0 0 1 1 0 0 2 Other Hospital 0 2 0 0 0 0 0 0 0 1 3 Reporting Error 0 0 0 0 1 0 0 0 0 1 0 Extremis 0 0 0 0 0 0 0 0 0 1 0 Calls Over 10 min 51% 53% 56% 62% 68% 68% 44% 56% 31% 63% 56% Total Calls 27 45 23 29 44 44 34 39 36 38 32

Trauma Center Landing Zone Other Hospital June 27 6 0 July 43 5 2 August 23 4 0 September 29 1 0 October 43 10 1 November 43 0 1 December 29 1 1 January 27 3 2 February 34 2 0 March 36 1 1 April 31 2 3

ReddiNet Bed Availability / MCI Response

MCI Response

April Notice Resp BHH 6 0 BMH 6 3 DRMC 5 1 KMC 6 6 KVH 3 1 MER 6 4 MSW 6 3 RRH 3 3 SJCH 5 5 Tehach 3 0

May Notice Response BHH 10 8 BMH 11 9 DRMC 2 1 KMC 11 11 KVH 1 1 MER 11 8 MSW 11 7 RRH 1 1 SJCH 11 10 Tehach 2 0

Year To Date 35 30 25 20 15 Alerts Responses 10 5 0 BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 48.15% 68.97% 50.00% 96.67% 50.00% 75.86% 62.07% 90.00% 96.43% 20.00% 13 20 6 29 5 22 18 9 27 2 27 29 12 30 10 29 29 10 28 10

Patient Distribution

Pt Dist I D M Total BHH 0 0 0 0 0.00% BMH 0 0 2 2 2.00% DRMC 1 3 0 4 4.00% KMC 6 15 27 48 48.00% KVH 0 0 0 0 0.00% MER 0 0 10 10 10.00% MSW 0 1 11 12 12.00% RRH 0 0 7 7 7.00% SJCH 0 1 8 9 9.00% Tehach 0 0 8 8 8.00% Total 100

Bed Availability

Number Number Number of of Days of Days Days B.A. B.A. B.A. not reported >1 Reported reported April BHH 20 10 1 BMH 30 0 28 DRMC 30 0 22 KMC 24 6 21 KVH 8 23 0 MER 30 0 28 MSW 30 0 26 RRH 29 1 25 SJH 30 0 28 THD 27 3 20

Number Number Number of of Days of Days Days B.A. B.A. B.A. not reported >1 Reported reported May BHH 18 13 0 BMH 31 0 29 DRMC 30 1 22 KMC 27 4 23 KVH 8 23 0 MER 31 0 28 MSW 31 0 25 RRH 31 0 26 SJH 31 0 28 THD 30 1 23

2017 Number of Days B.A. Reported Number of days B.A. reported >1 160 151 150 150 150 148 148 147 140 139 139 140 134 129 127 126 120 116 120 May 31st = 151 Day of 100 Year 84 80 57 60 40 20 3 1 0 BHH BMH DRMC KMC KVH MER MSW RRH SJH THD

Annual Report on EMS Activities

Obligations of EMS • Health and Safety Code • Title 22, Chapter 12

Response Mode to Scene

Average Times per Community by ALS and BLS Transporting Resources (Code 3 response)

911 Patient Disposition

Destination Demand Analysis

Core Measures Report

Kern County QI Measures

EMCAB Summary

• 100% – California City Fire – Delano Ambulance – Edwards Air Force Base – Kern County Fire (Pine Mt. Club) – Liberty Ambulance – Mercy Air – Rio Tinto Minerals (Borax)

• Hall – Projected to be at 100% by June 19 th . – KCSO – Currently working with Brad Brandon – M&S Security – No data

Ambulance Strike Team

Ambulance Strike Team • This program has been developed by the Emergency Medical Services Authority as a critical component of the State’s capability to rapidly mobilize medical transportation resources in times of medical need that exceed local capacity .

Ambulance Strike Team • Participation in AST’s is required for Counties in possession of a DMSU • Region V possesses three DMSU’s • Strike Teams can be used as a Regional and/or state resource. • Most common resource requested in large scale disasters. • Example: Oroville incident utilized over 5 AST’s for response during the Dam incident.

Ambulance Strike Team • Region V is looking to hold a formal AST Leader training • Location is TBD but EMSA is willing to teach two training sessions if enough interest is generated • Minimum of 10 qualified people must attend • CEU’s can be obtained for the class • Participants need to have recommended prerequisites in order to attend

Ambulance Strike Team Prerequisites: • Understanding of the Standardized Emergency Management System (SEMS) • ICS ‐ 100: Introduction to the Incident Command System • ICS ‐ 200: ICS for Single Resources and Initial Action Incidents • ICS ‐ 300: Intermediate ICS for Expanding Incidents ** • IS ‐ 700: National Incident Management System (NIMS), an Introduction • Hazardous Materials (HAZMAT) Field Response Operations (FRO) • Ambulance operations experience (preferred)

• If interested or have any further questions please contact: Nick Lidgett Kern County EMS Coordinator/ Region V RDMHS lidgettn@co.kern.ca.us 661 ‐ 868 ‐ 5210

Ambulance Patient Offload

APOT ‐ 1 • 90 th Percentile measurement • Arrival at facility, transfer of patient care • Data not from all providers – Representative of mostly rural providers and facilities

APOT ‐ 1: Aggregated Patient Offload Time: 90 th percentile 60 50.3 50 41.5 37.7 40 30 23.7 20 10 10 0 YTD Feb Mar Apr May APOT 1 Benchmark

APOT ‐ 2 • Percentage of calls within each offload time category • Arrived at facility, transfer of patient care • Data not from all providers – Mostly representative of rural providers and facilities

APOT ‐ 2: Aggregated Percentage of calls within each time category 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% YTD Feb Mar Apr May Within 20 21 ‐ 60 min 61 ‐ 120 min 121 ‐ 180 min Over 180 min

Quality Improvement

CCR Chapter 12 Requirements • April EMS System Collaborative – EMS Providers ‐ June 30, 2017 – Paramedic Base Station ‐ June 30, 2017 • Friendly reminder the dates are coming up fast • Please submit to Jana

Announcements

QI Meetings • June 15, 2017 • See EMS Calendar for times

Sidewalk CPR • June 14, 2017 • Please turn in your information to Jeff • Map of locations on EMS website – Only have information from Dignity and RRH

Email Address Changes • County will be changing domain name • EMS email addresses will be changing in the next few months • Moving from Groupwise to Outlook • @kerncounty.com

MATTHEW CONSTANTINE DIRECTOR ANNOUNCEMENTS

MATTHEW CONSTANTINE DIRECTOR THANK YOU FOR COMING