CAMBRIA HEALTH CARE DISTRICT Quality Improvement Process QI - - PowerPoint PPT Presentation

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Nov 04, 2022 111 likes •305 views

CAMBRIA HEALTH CARE DISTRICT Quality Improvement Process QI Program Indicators Personnel (current certification) Equipment and Supplies (maintain inventory checks) Documentation ( ePCR) Clinical Care and Patient Outcomes (STEMI,

SLIDE 1

CAMBRIA HEALTH CARE DISTRICT

SLIDE 2

Quality Improvement Process

SLIDE 3

QI Program Indicators

Personnel (current certification)
Equipment and Supplies (maintain inventory checks)
Documentation ( ePCR)
Clinical Care and Patient Outcomes (STEMI, CPR and

Trauma)

Skills Maintenance/ Competency (HPCPR, airway)
Transportation/ Receiving Facilities(appropriate

destinations)

Public Education (hands-only CPR programs)
Prevention (participation in bike safety programs)

SLIDE 4

CHCD Requests & Responses January - June 2015/2016 (6 mo. Comparison)

# Requests Transports Code 3 478 289 41 454 277 28 2016 2015

SLIDE 5

Historical EMS Transport Volume by Hospital

21% 19% 2% 25% 33%

2010

TCCH FHMC MMC SVRMC TCCH

19% 20% 5% 26% 30%

2015 2010 - 13,355 2015 - 15,273 14.36% increase

SLIDE 6

Responses by Location

SLIDE 7

Cambria Destination

Destination Hospital 2015 2016 TCCH 40 38 SVRMC 178 157 FHMC 54 84 Other 10 5

SLIDE 8

Cambria Call Types

280 8487 270 7819

Medical

CHCD = 3.5%

SLIDE 9

Medical by Chief Complaint

STEMI RES Distress Stroke Cardiac Arrest 7 16 1 7 2 14 1 6 2016 2015

SLIDE 10

Trauma Volume

59 1779 77 1635 11 268 6 265 Trauma Trauma triage

SLIDE 11

Origin of Trauma Alerts - Q1 & Q2

0% 5% 10% 15% 20% 25% 30%

Paso/Templeton No County Atascadero/S. Margarita Cambria/San Simeon Morro Bay/ Los Osos/Cayucous San Luis Obispo Five Cities/Pismo/Oceano Nipomo/ So Co

SLIDE 12

Origin of Consults - Q1 & Q2

12% 13% 16% 0% 7% 18% 22% 12% 6% 17% 13% 5% 4% 11% 24% 19% Paso/Templeton No County Atascadero/S. Margarita Cambria/San Simeon Morro Bay/ Los Osos/Cayucous San Luis Obispo Five Cities/Pismo/Oceano Nipomo/ So Co

Quarter 2 Quarter 1

SLIDE 13

Trauma by Mechanism of Injury

MVA/MCA Falls Bike Other 21 48 3 5 20 28 4 7

2015 2016

SLIDE 14

HPCPR Results

Arrests and Outcomes Q1 Q2 2015

A) Total number of EMS responses to cardiac

arrests 36 44 216

B) Total number of cardiac arrest of cardiac origin

meeting study criteria 25 29 n/a

C) Total number of cardiac arrest transported to a

hospital included in study 10 15 110

D) Total of # treated and transported that

survived to ED admission 9 11 35

E) Total of # treated and transported that

survived to HOSPITAL admission 7 8 21

F) Number survived to discharge

5 6 16

G) % of total # treated/transported that survived

to discharge (F/C) 50% 40 % 15%

H) Number in study group that survived to

discharge with normal function 5 5 17

I) Number in study group survived to admission

and place on DNR/Comfort care 2 2 n/a

J) % of treat/transported/survived to ED admission

and discharged with normal/functional neurologic status( H/D) 55% 55% 48%

SLIDE 15

Procedures

Procedure Cambria % success SLO Co % Success CPAP 39 660 IV 65 97% 1149 86% ET 2 100% 36 80% ETCO2 1/1 (*) 50% 85% ASA Administration 17/20 85% 92% EMS State Core Measures Median Measures for 2015: ET - 73.3% ETCO2 – 88% ASA administration - 66%

SLIDE 16

SLO Co. Response and On Scene Times For Trauma

Median 90th %

8.47 16 8.33 17.37

Response Time