EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday - PowerPoint PPT Presentation

MATTHEW CONSTANTINE DIRECTOR EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday February 1, 2018

MATTHEW CONSTANTINE DIRECTOR INTRODUCTIONS

ReddiNet Bed Availability / MCI Response

MCI Response

December Alerts Responses BHH 9 2 BMH 9 6 DRMC 3 3 KMC 9 8 KVH 2 2 MER 9 6 MSW 9 6 RRH 2 2 SJCH 9 7 Tehach 2 1

Year To Date 90 80 70 60 50 40 Alerts Responses 30 20 10 0 BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 48.75% 69.88% 69.44% 89.29% 67.65% 78.05% 60.98% 74.29% 93.75% 12.12% 39 58 25 75 23 64 50 26 75 4 80 83 36 84 34 82 82 35 80 33

January Notice Resp BHH 3 1 BMH 3 3 DRMC 2 1 KMC 3 3 KVH 1 1 MER 3 3 MSW 3 3 RRH 1 1 SJCH 3 3 Tehach 1 1

Patient Distribution 2017

Pt Dist I D M Total BHH 0 0 0 0 0.00% BMH 1 4 14 19 7.76% DRMC 1 3 0 4 1.63% KMC 19 33 86 138 56.33% KVH 0 0 0 0 0.00% MER 0 1 22 23 9.39% MSW 0 1 13 14 5.71% RRH 0 2 9 11 4.49% SJCH 0 5 23 28 11.43% Tehach 0 0 8 8 3.27% Total 245 100.00%

Bed Availability

Bed Availability Reporting Number of Number of Number of Days Days Days B.A. B.A. B.A. not reported >1 Reported reported December BHH 30 1 19 BMH 31 0 31 DRMC 29 2 22 KMC 29 2 26 KVH 1 30 0 MER 31 0 28 MSW 31 0 30 RRH 31 0 27 SJH 31 0 31 THD 26 5 18

2017 Number of Days B.A. Reported Number of days B.A. reported >1 400 365 364 364 363 361 349 345 343 343 350 336 326 324 311 306 293 300 290 256 250 200 150 139 106 100 50 3 0 BHH BMH DRMC KMC KVH MER MSW RRH SJH THD

Bed Availability Reporting Number of Number of Number of Days Days Days B.A. B.A. B.A. not reported >1 Reported reported January BHH 27 4 18 BMH 30 1 28 DRMC 28 3 15 KMC 27 4 22 KVH 3 28 0 MER 30 1 28 MSW 30 1 25 RRH 30 1 26 SJH 29 2 28 THD 23 8 10

Patient Transport to Triage • Will be posted for a 30 day comment period beginning tomorrow • Please submit your comments using the comment table

APOT ‐ 1: January 2018 Rank Hospital Number of Transports APOT ‐ 1 (minutes) 1 Ridgecrest Regional 281 6.0 2 Delano Regional Medical Center 283 29.4 3 Tehachapi Hospital 116 32.9 4 Kern Valley Healthcare District 154 35.5 5 Mercy Hospital 557 49.5 6 Kern Medical 787 53.8 7 Mercy Southwest Hospital 524 68.5 8 Bakersfield Heart Hospital 282 80.1 9 Adventist Health Bakersfield 1604 93.7 10 Bakersfield Memorial Hospital 1357 102.4

APOT ‐ 1: June 2017 – January 2018 Bakersfield Hospitals 140 120 100 APOT ‐ 1 (minutes) 80 60 40 20 0 June July August September October November December January Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Kern Medical

APOT ‐ 1: June 2017 – January 2018 Outlying Area Hospitals 40 35 30 APOT ‐ 1(minutes) 25 20 15 10 5 0 June July August September October November December January Delano Regional Medical Center Kern Valley Healthcare District Ridgecrest Regional Tehachapi Hospital

APOT ‐ 2: January 2018 Hospital 2.1 (N, %) 2.2 (N, %) 2.3 (N, %) 2.4 (N, %) 2.5 (N, %) Total Number of Transports Bakersfield Memorial Hospital 378 727 (53.6%) 137 (10.1%) 62 (4.6%) 53 (3.9%) 1357 (27.8%) Adventist Health Bakersfield 418 859 (53.4%) 233 (14.5%) 68 (4.2%) 26 (1.6%) 1604 (26.1%) Bakersfield Heart Hospital 100 140 (49.7%) 29 (10.3%) 6 (2.1%) 7 (2.5%) 282 (35.6%) Mercy Southwest Hospital 204 252 (48.1%) 49 (9.4%) 10 (1.9%) 9 (1.7%) 524 (38.9%) Kern Medical 260 471 (59.9%) 54 (6.7%) 2 (0.3%) 0 (0.0%) 787 (33.0%) Mercy Hospital 261 256 (45.9%) 34 (6.1%) 4 (0.7%) 2 (0.4%) 557 (46.7%) Kern Valley Healthcare District 130 14 (9.1%) 7 (4.6%) 2 (1.3%) 1 (0.7%) 154 (84.4%) Tehachapi Hospital 76 (65.5%) 36 (31.0%) 4 (3.5%) 0 (0.0%) 0 (0.0%) 116 Delano Regional Medical Center 232 48 (16.9%) 3 (1.1%) 0 (0.0%) 0 (0.0%) 283 (81.9%) Ridgecrest Regional 274 5 (1.8%) 1 (0.4%) 1 (0.4%) 0 (0.0%) 281 (97.5%)

APOT ‐ 2: June 2017 – January 2018 by Hospital

Bakersfield Memorial Hospital 100.0 90.0 80.0 Percent of Total Transports 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 1292 July, 1502 Aug, 1775 Sept, 1731 Oct, 1147 Nov, 1291 Dec, 1351 Jan, 1357 total total total total total total total total Month and Number of Total Transports 2.1 2.2 2.3 2.4 2.5

Adventist Health Bakersfield 100 90 80 Percent of Total Transports (%) 70 60 50 40 30 20 10 0 June, 1648 July, 1949 Aug, 2285 Sept, 2097 Oct, 1397 Nov, 1514 Dec, 1560 Jan, 1604 total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Bakersfield Heart Hospital 100.0 90.0 80.0 Percent of Total Transports 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 35 July, 313 Aug, 366 Sept, 372 Oct, 194 Nov, 248 Dec, 267 Jan, 282 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Mercy Hospital 100.0 90.0 80.0 Percent of all Transports (%) 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 575 July, 699 Aug, 823 Sept, 764 Oct, 494 Nov, 519 Dec, 513 Jan, 557 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Mercy Southwest 100.0 90.0 Percent of Total Transports (%) 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 509 July, 586 Aug, 778 Sept, 711 Oct, 452 Nov, 518 Dec, 555 Jan, 524 total total total total total total total total Month and Number of Total Transports 2.1 2.2 2.3 2.4 2.5

Kern Medical 100.0 90.0 80.0 Percent of Total Transports 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 927 July, 1016 Aug, 1264 Sept, 1130 Oct, 727 Nov, 820 Dec, 755 Jan, 787 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Kern Valley Healthcare District 100.0 90.0 80.0 Total Percent of Transports (%) 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 168 July, 182 Aug, 162 Sept, 133 Oct, 143 Nov, 112 Dec, 146 Jan, 154 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Tehachapi Hospital 100.0 90.0 80.0 Percent of Total Transports (%) 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 75 July, 112 Aug, 138 Sept, 123 Oct, 97 Nov, 114 Dec, 137 Jan, 116 total Month and Number of Total Transports 2.1 2.2 2.3 2.4 2.5

Delano Regional Medical Center 100.00 90.00 80.00 Percent of Total Transports (%) 70.00 60.00 50.00 40.00 30.00 20.00 10.00 0.00 June, 306 July, 303 Aug, 464 Sept, 407 Oct, 284 Nov, 269 Dec, 287 Jan, 283 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

Ridgecrest Regional 100.0 90.0 80.0 Percent of Total Transports (%) 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 June, 235 July, 240 Aug, 257 Sept, 185 Oct, 206 Nov, 198 Dec, 237 Jan, 281 total total total total total total total total Month and Total Number of Transports 2.1 2.2 2.3 2.4 2.5

HP ‐ CPR PROTOCOL CHANGES System Collaborative February 1 st 2018

EMT Protocol Changes

EMT Protocol Changes

ALS Protocol Changes

Public Comment • 30 Day comment period. • Address comments to Bakerg@kerncounty.com • Go live date is tentatively the first week of march.

Stroke System of Care • 2 nd Public comment ended on January 19 th • Subcommittee met this week to discuss the received comments • Many of the comments were regarding the definitions of things, which we are working on updating

Stroke System of Care • The plan: – There seems to be much confusion – The state “draft” regulations have some additional changes – We will pull the document out of public comment – We will revise and work with the subcommittee on clarifying the document – We will come back in April with a new stronger document

EMT Protocols • Epi has been added to the EMT protocols – (If auto injector must carry adult & pediatric) • Blood Glucose analysis has been added – ALOC protocol was updated to reflect the procedure • Both of these items are part of basic scope • Both of these items will be required to carry for all Providers, transport, and non ‐ transport

EMT Protocols • Epi – If using auto injectors, no further training is required – If your agency decides to use vials and allow your EMT’s to “draw ‐ up” the medication, further training is required – We have a very good power point available, and Boundtree has a training kit that costs approx. $60

Blood Glucose considerations • All Kern County Providers shall provide and maintain records of training provided for use of glucometer • The Division is looking to add an Diabetic Emergency Protocol to the EMT Protocols to better define the appropriate use of blood glucose analysis