EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday - - PowerPoint PPT Presentation

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EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday - - PowerPoint PPT Presentation

Dec 23, 2022 130 likes •946 views

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

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EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING

Thursday June 1, 2017

MATTHEW CONSTANTINE DIRECTOR

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INTRODUCTIONS

MATTHEW CONSTANTINE DIRECTOR

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Local Optional Scope

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Heparin, Nitro Drip, Blood Product

3 1 2 3 2 1 1 2 2 2 0.5 1 1.5 2 2.5 3 3.5 2014 2015 2016 2017 Heparin Nitro Blood

* *

* Complications/Discontinued enroute Data from Liberty Only

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TEC

June 1st 2017

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36.06 25.69 21.8 31.65 17 30.3 26

5 10 15 20 25 30 35 40

Ground On Scene Time 90th Percentile ‐ Unfiltered

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34.21 23.77 15.3 17.6 19.8 10.2 18.4

10 20 30 40

Ground On Scene Time 90th Percentile ‐ Filtered

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15.72 13.78 13.2 15.0 14.9 14.7 14.6 13.3 12.5

2 4 6 8 10 12 14 16 18

Ground On Scene Time – Avg. ‐ Unfiltered

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11.23 12.79 11.2 10.38 11.6 14.4 11.6 11.4 9.6 10 10.6 2 4 6 8 10 12 14 16

Ground On Scene Time ‐ Avg. ‐ Filtered

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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 7 3 8 3 Other‐ No Description 2 11 3 4 1 4 Safety/Crowd/Staff 4 3 2 1 3 2 3 3 Language Barrier 1 Extrication >20min 3 3 2 3 3 2 Distance/Vehicle Crash 1 1 1 2 Other Hospital 2 1 3 Reporting Error 1 1 Extremis 1 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

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

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ReddiNet

Bed Availability / MCI Response

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MCI Response

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April Notice Resp BHH 6 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

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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

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5 10 15 20 25 30 35 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

Year To Date

Alerts Responses

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Patient Distribution

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

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Bed Availability

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April Number

  • f Days

B.A. Reported Number

  • f Days

B.A. not reported Number of Days B.A. reported >1 BHH

20 10 1

BMH

30 28

DRMC

30 22

KMC

24 6 21

KVH

8 23

MER

30 28

MSW

30 26

RRH

29 1 25

SJH

30 28

THD

27 3 20

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May Number

  • f Days

B.A. Reported Number

  • f Days

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

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May 31st = 151 Day of Year

84 151 148 140 57 150 148 150 150 147 3 139 116 127 1 134 126 120 139 129 20 40 60 80 100 120 140 160 BHH BMH DRMC KMC KVH MER MSW RRH SJH THD

2017

Number of Days B.A. Reported Number of days B.A. reported >1

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Annual Report on EMS Activities

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Obligations of EMS

  • Health and Safety Code
  • Title 22, Chapter 12
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Response Mode to Scene

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

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911 Patient Disposition

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Destination Demand Analysis

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Core Measures Report

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Kern County QI Measures

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EMCAB Summary

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  • 100%

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

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  • Hall

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

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Ambulance Strike Team

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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.

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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.

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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

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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)
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  • 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

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Ambulance Patient Offload

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APOT‐1

  • 90th Percentile measurement
  • Arrival at facility, transfer of patient care
  • Data not from all providers

– Representative of mostly rural providers and facilities

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APOT‐1: Aggregated

41.5 10 23.7 37.7 50.3 10 20 30 40 50 60 YTD Feb Mar Apr May

Patient Offload Time: 90th percentile

APOT 1 Benchmark

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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

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APOT‐2: Aggregated

0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% YTD Feb Mar Apr May

Percentage of calls within each time category

Within 20 21‐60 min 61‐120 min 121‐180 min Over 180 min

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Quality Improvement

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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
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Announcements

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QI Meetings

  • June 15, 2017
  • See EMS Calendar for times
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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

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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
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ANNOUNCEMENTS

MATTHEW CONSTANTINE DIRECTOR

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THANK YOU FOR COMING

MATTHEW CONSTANTINE DIRECTOR