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

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

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MATTHEW CONSTANTINE DIRECTOR EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday December 7, 2017 MATTHEW CONSTANTINE DIRECTOR INTRODUCTIONS ReddiNet Bed Availability / MCI Response MCI Response October Alerts Responses BHH 6

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SLIDE 1

EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING

Thursday December 7, 2017

MATTHEW CONSTANTINE DIRECTOR

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SLIDE 2

INTRODUCTIONS

MATTHEW CONSTANTINE DIRECTOR

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SLIDE 3
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SLIDE 4

ReddiNet

Bed Availability / MCI Response

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SLIDE 5

MCI Response

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SLIDE 6

October Alerts Responses BHH 6 1 BMH 6 4 DRMC 3 1 KMC 6 6 KVH 3 2 MER 5 5 MSW 6 2 RRH 3 2 SJCH 6 6 Tehach 3

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SLIDE 7

November Alerts Responses BHH 7 3 BMH 8 7 DRMC 3 2 KMC 8 8 KVH 3 2 MER 8 6 MSW 8 5 RRH 3 3 SJCH 8 8 Tehach 3

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SLIDE 8

10 20 30 40 50 60 70 80 BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 52.11% 70.27% 66.67% 89.33% 65.63% 79.45% 60.27% 72.73% 95.77% 9.68% 37 52 22 67 21 58 44 24 68 3 71 74 33 75 32 73 73 33 71 31

Year To Date

Alerts Responses

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SLIDE 9

Patient Distribution

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SLIDE 10

I D M Total BHH 0.00% BMH 1 4 14 19 8.52% DRMC 1 3 4 1.79% KMC 15 30 77 122 54.71% KVH 0.00% MER 1 22 23 10.31% MSW 1 13 14 6.28% RRH 2 9 11 4.93% SJCH 2 20 22 9.87% Tehach 8 8 3.59% Total 223 Pt Dist

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SLIDE 11

Bed Availability

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SLIDE 12

October Number

  • f Days

B.A. Reported Number

  • f Days

B.A. not reported Number of Days B.A. reported >1 BHH 30 1 18 BMH 31 30 DRMC 28 3 21 KMC 31 26 KVH 7 24 1 MER 31 30 MSW 31 30 RRH 31 28 SJH 31 29 THD 29 2 27 Bed Availability Reporting

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SLIDE 13

November Number

  • f Days

B.A. Reported Number

  • f Days

B.A. not reported Number of Days B.A. reported >1 BHH 30 18 BMH 30 24 DRMC 26 4 18 KMC 25 5 19 KVH 6 24 1 MER 30 28 MSW 29 1 26 RRH 29 1 25 SJH 30 28 THD 29 1 27 Bed Availability Reporting

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SLIDE 14

November 30th = 334 Day of Year

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SLIDE 15
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SLIDE 16

AMBULANCE PATIENT OFFLOAD TIMES

October/November 2017

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APOT ‐ 1

Transports 90th Percentile APOT Time 1397 56.77 194 47.65 1147 51.84 284 31 727 52.8 143 13.49 494 44.52 452 51.33 206 7 97 29.88 5141 October

Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Delano Regional Medical Center Kern Medical Kern Valley Healthcare District Mercy Hospital Mercy Southwest Hospital Ridgecrest Regional Tehachapi Hospital EMS System Total (Aggregate) Hospital

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SLIDE 18

APOT ‐ 1

Transports 90th Percentile APOT Time 1514 45.37 1290 46.81 1147 51.84 269 25.15 820 44.9 112 15.1 519 39.56 518 44.65 198 8.01 114 28.51 6501 November

Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Delano Regional Medical Center Kern Medical Kern Valley Healthcare District Mercy Hospital Mercy Southwest Hospital Ridgecrest Regional Tehachapi Hospital EMS System Total (Aggregate) Hospital

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APOT – 2

transp % transp % transp % transp % transp % 489 35 784 56.12 107 7.66 15 1.07 2 0.14 94 48.45 90 46.39 9 4.64 1 0.52 381 33.22 691 60.24 62 5.41 13 1.13 234 82.39 46 16.2 3 1.06 1 0.35 266 36.59 417 57.36 40 5.5 4 0.55 131 91.61 11 7.69 1 0.7 253 51.21 224 45.34 16 3.24 1 0.2 207 45.8 214 47.35 31 6.86 202 98.06 4 1.94 69 71.13 28 28.87 2.1 2.2 2.3 October 2.4 2.5

Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Delano Regional Medical Center Kern Medical Kern Valley Healthcare District Mercy Hospital Mercy Southwest Hospital Ridgecrest Regional Tehachapi Hospital 2.1 Within 20 minutes 2.2 Between 21 and 60 minutes 2.3 Between 61 and 120 minutes 2.4 Between 121 and 180 minutes 2.5 Greater than 180 minutes Hospital

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APOT – 2

transp % transp % transp % transp % transp % 626 41.35 819 54.1 60 3.96 8 0.53 1 0.07 525 40.7 703 54.5 56 4.34 5 0.39 1 0.08 381 33.22 691 60.24 62 5.41 13 1.13 228 84.76 40 14.87 1 0.37 310 37.8 490 59.76 18 2.2 2 0.24 107 95.54 4 3.57 1 0.89 269 51.83 244 47.01 6 1.16 253 48.84 241 46.53 22 4.25 2 0.39 197 99.49 1 0.51 85 74.56 29 25.44 2.3 November 2.4 2.5 2.1 2.2

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SLIDE 21
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SLIDE 22
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SLIDE 23

REMOVAL OF OPTIONAL SCOPE OF PRACTICE ITEMS

Effective January 1st, 2018

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Opt Optional

  • nal Sc

Scope

  • pe Re

Removal

The following items will be removed from the kern county paramedic scope of practice as of January 1st 2018

  • Nitroglycerine Infusion
  • Heparin Infusion
  • Blood Products
  • Pediatric Intubation
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SLIDE 25

Uncuf Uncuffed ed ET ET tubes tubes to to be be re remo move ved Janu January 1st

st

2018 2018

  • Please ensure all uncuffed ETT are removed from

MICU and first responder inventory January 1st

  • Pediatric sized laryngoscope blades and McGill

forceps to remain on the units for foreign body removal

  • Direct laryngoscopy for foreign body obstruction

will remain in the kern county scope of practice

  • I‐gel device to be added at a later date
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SLIDE 26
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Accreditation Policy

  • Multiple individual polices combined into 1

document

  • Updated to clarify that no level of

accreditation is able to operate in Kern County unless locally accredited

  • Updated to require ALL levels of accreditation

to submit a Live Scan

  • Changes will start January 1st, 2018
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SLIDE 28
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Stroke System of Care Public Comment

  • Many minor wordage changes made

– Ex: T‐PA changed to Alteplase – Instead of strictly Joint Commission wordage, changed to National Accrediting Body – Removed the LKW to CT data element – Sampling of Data Requested ‐ Denied

  • Definitions of certain things have been added

– “Active Participation” – Define Neurointerventional Training

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Stroke System of Care Public Comment

  • Thrombectomy Capable Stroke Center (TCSC)

– Comment regarding listing all the requirements – EMS is going to treat the accreditation like a CSC accreditation – Leave it up to the Stroke Center to obtain certification from a National Accrediting Body and simply present that to EMS for local Designation

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Stroke System of Care Public Comment

  • Mercy and MSW hospital

– Currently recognized as 1 entity – Starting with the 2018 renewal application they will be required to prove they meet the standards in the policy individually – Starting with the 2018 renewal application they will be required to submit data separately

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Stroke System of Care

  • Next Steps

– Repost to the website with the changes – Reopen for further comment – Public Comment Period

  • 12/8/2017‐01/19/2018
  • Submit Comments to Kim

– tollisonk@kerncounty.com

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SLIDE 33
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SLIDE 34

 EMS System Collaborative Meetings

  • 1st Thursday of even numbered months‐1pm
  • February 1st, 2018
  • April 5th, 2018
  • June 7th, 2018
  • August 2nd, 2018
  • October 4th, 2018
  • December 6th, 2018

 Emergency Medical Committee Advisor Board (EMCAB)

  • 2nd Thursday of the month Quarterly, starting

February‐4pm

  • February 8th, 2018
  • May 10th, 2018
  • August 9th, 2018
  • November 8th, 2018

 EMS Quality Improvement Meetings

  • 3rd Thursday, Quarterly‐8:30am‐4:30pm
  • March 15th, 2018
  • June 21st, 2018
  • September 20th, 2018
  • December 20th, 2018

 Medical Director Forums

  • 1st Thursday of the month, every other
  • dd numbered month‐1pm
  • May 3rd, 2018
  • September 6th, 2018

 Medical Innovation Forum

  • 1st Thursday of the month, every other
  • dd numbered month‐2pm
  • March 1st, 2018
  • November 1st, 2018

 Agency Medical Director Meeting

  • 1st Thursday of the month, every other
  • dd numbered month‐1pm
  • March 1st, 2018
  • November 1st, 2018

 Paramedic Update Training

  • May 21st, 2018 – May 25th, 2018
  • EMS QI Schedule
  • 8:30‐9:30

EMD QI

  • 9:30‐10:30

STEMI QI

  • 10:30‐11:30 Stroke QI
  • 1:30 ‐2:30

Trauma QI

  • 2:30‐3:30

Pediatric QI

  • 3:30‐4:30

General QI

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SLIDE 35
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SLIDE 36

SENATE BILL 432

Reporting of Exposures to EMS Personnel

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SLIDE 37

SB 432

  • Places more responsibility on the Hospital

Infection Control Officer

  • If you are an EMS employer, requires you to post
  • n your website conspicuously the title and

phone number of the designated safety officer.

  • If you are a Hospital, SB 432 requires you to post
  • n your website conspicuously the title and

phone number of the designated infection control officer.

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SLIDE 38

SB 432

  • If EMS personnel reports they may have been

exposed to the hospital, the hospital reports their findings directly to the employer and the employer notifies the employee.

  • If it was determined at a later time EMS

personnel may have been exposed, the infection control officer reports to the employer as well as to Public Health, and both reach out to the individual exposed.

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SLIDE 39

SB 432

  • Are hospitals aware of this change in law?
  • Are EMS providers aware of this change in

law?

  • Are our stakeholders compliant with this law?
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ANNOUNCEMENTS

MATTHEW CONSTANTINE DIRECTOR

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THANK YOU FOR COMING

HAVE A GREAT MONTH

MATTHEW CONSTANTINE DIRECTOR