Annual Volume LERN Patient Monthly Volumes by Calendar Year 1600 - - PowerPoint PPT Presentation

LERN

2014 PATIENT DATA

Annual Volume

2011 – 11,743 2012 – 14,836 2013 – 14,492 2014 – 15,602*

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec CY 2011 763 758 867 901 815 898 1046 1119 1139 1174 1124 1139 CY 2012 1020 1029 1319 1313 1404 1329 1332 1303 1241 1297 1153 1106 CY 2013 1161 1062 1285 1203 1253 1213 1205 1305 1204 1262 1139 1200 CY 2014 1153 965 1261 1350 1392 1316 1355 1362 1349 1492 1341 1266 200 400 600 800 1000 1200 1400 1600

LERN Patient Monthly Volumes by Calendar Year

*2014 Volume Includes Stroke and STEMI

Volume by Region

Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 CY 2011 139 2093 1265 3295 1281 1242 105 617 1706 CY 2012 219 3027 2211 4397 1346 1155 78 542 1871 CY 2013 265 3085 2024 4072 1545 750 93 395 2263 CY 2014 387 3999 1922 3922 1910 671 118 424 2249 500 1000 1500 2000 2500 3000 3500 4000 4500 5000

LERN Patient Regional Volume by Year

2014 Regional Trauma Volume

363 3887 1864 3807 1687 635 110 401 2160 21

500 1000 1500 2000 2500 3000 3500 4000 4500 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Out of State

Regional Volume

(Trauma Patients by Region Received)

2014 Regional Stroke Volume

18 97 49 100 205 34 9 21 68 1

50 100 150 200 250 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9 Out of State

Stroke Volume by Region Received

Total = 602

2014 Regional STEMI Volume

2 16 9 13 14 2 2 1 6

2 4 6 8 10 12 14 16 18 Region 1 Region 2 Region 3 Region 4 Region 5 Region 6 Region 7 Region 8 Region 9

STEMI Volume by Region Received

Total = 65

Cause of Injury

Cause of Injury Total Aicraft Related 2 Assault 254 ATV 211 Bicycle 46 Bites 18 Burns 54 Caught Between Objects 42 Drowning 10 Electrocution 16 Falls 6948 GSW 465 Hanging 4 MVC 5244 Machinery 54 Motorcyle 415 Not Known 23 Other Injury 353 Pedestrian 568 Stabbing 186 Water Transport 22 Total 14935

Top cause of injury for 2014 accounting for 47% of patients Second highest cause of injury accounting for 35% of patients * Other Injuries Include foreign body, struck by object, overexertion, etc. Pedestrian injuries were the third highest percent at 3.8 %

4.4% of LERN patients were injured by GSW or stabbing

Destination Determined By

Destination Determined By Total EMS Discretion 617 LERN Negative 692 LERN Protocol 7058 Patient Request = LERN Protocol 5979 Patient Request Against LERN Protocol 417 POV 172 Total 14935

4% 5% 47% 40% 3% 1%

Destination Determined By

EMS Discretion LERN Negative LERN Protocol Patient Request = LERN Protocol Patient Request Against LERN Protocol POV

Transfers

Transferred Number of Patients Yes 570 No 12467 Total 13037

4% 96%

Patient Directed by LERN

Yes No

Transferred Number of Patients Yes 312 No 722 Total 1034

30% 70%

Patient Not Directed by LERN

Yes No

Dispositions at First ED

Disposition Total Admit Neuro Surgery 376 Admit OB Observation 39 Admit Observation 1409 Admit Ortho Surgery 1827 Admit Peds Observation 82 Admit Surgery 520 Admitted to Hospital Floor 118 Admitted to Hospital ICU 189 Death 103 Discharged 8252 Left AMA 94 Transferred Out of Region 658 Transferred to Regional DC 398 UTO 870 Total 14935

4560 8252 1056 103 964

1000 2000 3000 4000 5000 6000 7000 8000 9000 Admitted Discharged Transferred Deceased AMA, UTO

Patient Dispositions

Deaths by Cause of Injury

 Motor Vehicle Collisions Accounted for 35% of LERN Patient Deaths  Firearm Incidents Accounted for 32% of LERN Patient Deaths

Cause of Injury Total Assault 1 Bicycle Accident 2 Caught in/between Objects 1 Drowning 1 Falls 5 Firearm Assault 25 Firearm Injury (Accidental) 1 Firearm Self Inflicted 7 Motor Vehicle Accident 36 Motor Vehicle vs Pedestrian Accident 13 Motorcycle Accident (E81X.1) 6 Other Injury 2 Stabbing/Cutting Assault 3 Total 103

82% 13% 4% 1%

Deaths by Age Group

Adult (15-64) Geriatric (≥65) Pediatric (≤14) UTO

Services Transferred For

Service Total ED Evaluation 11 Multi-System 49 Neuro 458 OB Services 2 Ortho 255 Other 101 Pediatric 74 Stabilization 1 Surgery 105 Total 1056

1.04% 4.64% 43.37% 0.19% 24.15% 9.56% 7.01% 0.09% 9.94%

Services Transferred For

ED Evaluation Multi-System Neuro OB Services Ortho Other Pediatric Stabilization Surgery

Other Numbers

602 Stroke Calls 65 STEMI Calls 169 ESF-8 Tech Support Calls 296 ESF-8 Portal Alerts

70,176 Phone Calls

Questions?