SYSTEM COLLABORATIVE MEETING Thursday February 7, 2019 Agenda-EMS - - PowerPoint PPT Presentation

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SYSTEM COLLABORATIVE MEETING Thursday February 7, 2019 Agenda-EMS - - PowerPoint PPT Presentation

Jan 05, 2023 472 likes •1.1k views

MATTHEW CONSTANTINE DIRECTOR EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING Thursday February 7, 2019 Agenda-EMS System Collaborative What Who Why Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure

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EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE MEETING

Thursday February 7, 2019

MATTHEW CONSTANTINE DIRECTOR

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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IN INTRODUCTIONS

MATTHEW CONSTANTINE DIRECTOR

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization

EMS Restructure Jeff Fariss Discuss changes to EMS

AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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SLIDE 5
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SLIDE 6

Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS

AMA Policy Jeff Fariss Implementation Date

Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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SLIDE 7

Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date

Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies

MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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SLIDE 8

Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies

MADDY Fund Jeff Fariss Discuss the use and improvements to the system

CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system

CPAP Jeff Fariss CPAP/BLS Basic Scope

Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) PROCEDURE ARE ALL OF THE FOLLOWING PRESENT?

  • AGE >8 YEARS OLD
  • PATIENT ALERT, ORIENTED, AND ABLE TO FOLLOW COMMANDS
  • PATIENT HAS THE ABILITY TO MAINTAIN AN OPEN AIRWAY

(GCS>10)

  • SYSTOLIC BP > 90MMHG

IF YES, ARE TWO OF THE FOLLOWING PRESENT?

  • RESPIRATORY RATE > 25 BREATHS PER MIN
  • RETRACTIONS OR ACCESSORY MUSCLE USE
  • PULSE OXIMETRY <94%
  • ADVENITIOUS (ABNORMAL) OR DIMINISHED LUNG SOUNDS

IF YES, ARE ANY OF THE FOLLOWING PRESENT?

  • AGONAL OR ABSENT RESPIRATIONS
  • SUSPECTED PNEUMOTHROAX OR PENETRATING CHEST TRAUMA
  • PATIENT HAS TRACHEOSTOMY
  • SYSTOLIC BP OF <90 MMHG
  • RISK FOR ASPIRATION (VOMITING, EPISTAXIS, FACIAL TRAUMA)

IF YES, THEN PATIENT CANNOT RECEIVE CPAP IF NO, THEN UTILIZE CPAP AND MONITOR PATIENT CLOSELY FOR UNTOWARD EFFECTS CAUTIONS AND POTENTIAL COMPLICATIONS  DECREASED MENTAL STATUS OR UNABLE TO COOPERATE WITH PROCEDURE  RECENT GI BLEED OR EPIGASTRIC SURGERY  MAY CAUSE HYPOTENION RELATED TO INCREASE IN INTRATHORACIC PRESSURE  MAY CAUSE PNEUMOTHORAX, GASTRIC DISTENTION, CORNEAL DRYING

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope

Kern County Health Care Coalition Charles Brockett POD

2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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PUBLIC HEALTH NURSING POD EXERCISE

February 15TH, 2019 Nursing Staff Development Day

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Willy Wonka’s Everlasting Gobbstoppers Pod

  • Allow the participants to

experience roles, responsibilities, and situations that contribute to a successful pod site

  • Recognize presenting &

symptomatic public, adjust to inject characters and….

  • Have fun!
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The Players

  • Public Health Nursing Staff
  • CSUB Nursing Students
  • Public Health Administrators
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Im Importance of f POD Exercises

  • Teaches important players the

proper mobilization & demobilization of a POD

  • Allows staff to practice giving

vaccinations and/or medications in an emergency situation

  • Provides a hands-on experience

with developing emergency plans

  • Assists in identifying gaps in

training/drill scenarios

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD

2019 Regional Exercise Charles Brockett Regional Functional Exercise

ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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2019 REGIONAL EXERCISE

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2019 Regio ional Exercise

  • Fulfills requirements by CDPH and EMSA in

emergency preparedness planning

  • Each region can decide format: table top

(TTX), functional exercise(FE), or full-scale event (FSE)

  • Region V is in the planning/ development

stage for the 2019 regional functional exercise

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2019 Regio ional Exercise

  • Potential Scenarios: Agricultural

Outbreak, Organo-phosphate Incident

  • Region V will be collaborating,

developing, and implementing the regional exercise in the coming months

  • This will replace SWMHE and

allow us to practice regional use

  • f CHEMPACK
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How Kern County Will Assist in 2019 Regional Exercise

  • Providing training events and

situational awareness

  • Encouraging stakeholders to

participate by establishing communications and providing resources

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise

ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations

Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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ReddiNet

2018 and Jan 2019 Responses

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In 2018, no Kern County hospital has reached the target

  • f 100% response rate to MCI’s on ReddiNet.

Kern Medical has the highest response rate (86%).

79% 47% 24% 67% 73% 86% 50% 65% 50% 79% 0% 20% 40% 60% 80% 100% AHB AHT BHH BMH DRMC KM KVH MER MSW RRH

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Kern Medical has also received the majority of patients for MCIs in 2018.

8% 3% 11% 7% 53% 10% 3% 6% 0% 10% 20% 30% 40% 50% 60% AHB BHH BMH DRMC KMC MER MSW RRH

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For most hospitals, January 2019 responses did not show any improvement.

However, Ridgecrest Regional is off to a good start.

43% 0% 0% 14% 50% 29% 50% 71% 43% 100% 0% 20% 40% 60% 80% 100% AHB AHT BHH BMH DRMC KM KVH MER MSW RRH

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ReddiNet

Bed Availability 2018 Year Responses Jan 2019 Responses

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In 2018, no Kern County hospital reached the target (100%) for reporting bed availability twice a day, every day. AHT and KVH have a very poor response rate.

95% 5% 69% 96% 60% 86% 0% 96% 93% 87% 0% 20% 40% 60% 80% 100% AHB AHT BHH BMH DRMC KMC KVH MER MSW RRH

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So far, reporting bed availability has not improved for 2019.

76% 0% 27% 81% 51% 65% 0% 81% 76% 68% 0% 20% 40% 60% 80% 100% AHB AHT BHH BMH DRMC KMC KVH MER MSW RRH

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Having Issues with ReddiNet? Need help setting it up or learning how to use it?

Please Contact:

Nick Lidgett lidgettn@kerncounty.com Charles Brockett brockettc@kerncounty.com Or check out the training videos at: http://www.reddinet.net/support/videos.html

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations

Bravo Margaret Mysz October review of Bravo

ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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Bravo Code Changes

October-November 2018

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Between Oct 15- Nov 30, 4470 Bravo calls were made. Of those calls, 1702 (38%) were downgraded

38%

downgraded

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The majority of downgraded calls were canceled without patient contact

35% 13% 10% 1% 1%

Canceled AMA ALS Intervention Requested ALS Transported Code 3

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo

ALS to BLS Handoff Margaret Mysz Discuss results of QI data review

Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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ALS-BLS Handoff

2018

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The total number of ALS to BLS Handoffs has increased over the year.

50 100 150 200 250 300 350 400 450 Q1 Q2 Q3 Q4

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Compliance remains between 60-70%

99% of non-compliant transports were due to extended BLS transport time in Q3 and Q4

Compliance Non-Compliance 0% 20% 40% 60% 80% 100% Q1 Q2 Q3 Q4

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Down Time for Non-Compliant Handoffs

  • Time difference between BLS unit response time and time from ALS

location to hospital (using Google Maps)

  • On average for Q4, waiting for a BLS unit to arrive was 5.6 minutes

slower than transporting directly to the hospital

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SLIDE 39

However, the down time continues to decrease going into 2019.

1 2 3 4 5 6 7 8 9 10 Q1 Q2 Q3 Q4

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review

Ambulance Patient Offload Times Margaret Mysz Review of APOT

Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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APOT-1

Jan 2018- Jan 2019

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SLIDE 42

20 40 60 80 100 1 13

Adventist Health Bakersfield

1 13

Bakersfield Heart Hospital

1 13

Bakersfield Memorial Hospital

20 40 60 80 100 1 13

Kern Medical

1 13

Mercy Hospital

1 13

Mercy Southwest Hospital

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SLIDE 43

10 20 30 40 50 60 1 13

Delano Regional Medical Center

1 13

Kern Valley Healthcare District

10 20 30 40 1 13

Ridgecrest Regional

1 13

Tehachapi Hospital

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4 Bakersfield hospitals saw improved APOT-1 from Jan 2018 to Jan 2019.

102 83 68 64 54 42 50 52 80 109 94 63 BMH Mercy SW Kern Medical Mercy AHB BHH

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In contrast, APOT-1 worsened for the majority of outlying area hospitals from Jan 2018 and Jan 2019

34 35 29 38 7 34 34 30 Tehachapi Delano Ridgecrest KVHD

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Are these changes REAL?

Control Charts APOT-1: January 2018 through January 2019

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Adventist Health Bakersfield

UCL LCL Avg

10 20 30 40 50 60 70 80 90 100 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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Bakersfield Heart Hospital

UCL LCL Avg

20 40 60 80 100 120 140 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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Bakersfield Memorial Hospital

UCL LCL Avg

20 40 60 80 100 120 140 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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Kern Medical

UCL LCL Avg

10 20 30 40 50 60 70 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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SLIDE 51

Delano

UCL LCL Avg

10 20 30 40 50 60 70 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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SLIDE 52

Ridgecrest Regional

UCL LCL Avg

5 10 15 20 25 30 35 40 1 2 3 4 5 6 7 8 9 10 11 12 13 APOT-1 (min) Number of Months

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APOT-2

Individual Hospital Data

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APOT-2: January 2019

Hospital

2.1 (%)

(<=20 min)

2.2 (%)

(21-60 min)

2.3 (%)

(61-120 min)

2.4 (%)

(121-180 min)

2.5 (%)

(>180 min)

Total Number of Transports

Adventist Health Bakersfield 31% 59% 10% 1% 0.1% 845 Adventist Tehachapi 68% 31% 1% 0% 0% 68 Bakersfield Heart Hospital 28% 55% 8% 5% 4% 212 Bakersfield Memorial Hospital 33% 51% 12% 4% 0.4% 1120 Delano 62% 35% 2% 0.5% 0.5% 208 Kern Medical 42% 55% 3% 0% 0% 382 Kern Valley Healthcare District 70% 28% 3% 0% 0% 112 Mercy Downtown 41% 52% 6% 1% 0.3% 304 Mercy Southwest 36% 54% 9% 1% 0.4% 263 Ridgecrest Regional 76% 23% 1% 0% 0% 176

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Want individual hospital data?

Contact information:

Margaret Mysz myszm@kerncounty.com 661-868-0452

Jan Feb March April May June July Aug Sept

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT

Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders

Pediatric Designation George Baker Update on State Progress Announcements All Adjourn All

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SLIDE 57

Stop the Bleed Update

  • EMS will be training 14 members of the Tehachapi High School Teen

CERT team 2/12/2019

  • Wasco Unified School District will receive the training over 2 sessions

in February. 70 Staff and Teachers per session.

  • Corporate Sponsorship Is Being Finalized to Donate Stop the Bleed

Cabinets to Every Kern County High School.

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Agenda-EMS System Collaborative

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization EMS Restructure Jeff Fariss Discuss changes to EMS AMA Policy Jeff Fariss Implementation Date Closed Call Rule Jeff Fariss Discuss CVA Closed Call Change and impact on agencies MADDY Fund Jeff Fariss Discuss the use and improvements to the system CPAP Jeff Fariss CPAP/BLS Basic Scope Kern County Health Care Coalition Charles Brockett POD 2019 Regional Exercise Charles Brockett Regional Functional Exercise ReddiNet and use of MCI Module Margaret Mysz Review previous months’ performance of the ReddiNet system and compliance by organizations Bravo Margaret Mysz October review of Bravo ALS to BLS Handoff Margaret Mysz Discuss results of QI data review Ambulance Patient Offload Times Margaret Mysz Review of APOT Stop the Bleed High school program George Baker Scheduled trainings so far Potential partnering for stakeholders

Pediatric Designation George Baker Update on State Progress

Announcements All Adjourn All

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EMS-C Update

  • Chapter 14 Proposed Regulations Include Changes To What Qualifies

As A Pediatric Patient.

  • Currently Per EMSA Pediatric Patients Are 14 Years or Younger.
  • Under The Latest Version This Would Change To 13 and Younger.
  • Several Agreements are Due For Renewal This Year, Reviews Will be

Scheduled Soon.

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SLIDE 60

EMS-C Update Cont.

  • Designation Naming Would Change from Level 1-4 to Comprehensive,

Advanced, General and Basic.

  • Advanced Would Require A Pediatric Cardiologist to be in Hospital

Within One Hour of Being Called.

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SLIDE 61

ANNOUNCEMENTS

MATTHEW CONSTANTINE DIRECTOR

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SLIDE 62

THANK YOU FOR COMING

HAVE A GREAT MONTH

MATTHEW CONSTANTINE DIRECTOR