EMERGENCY MEDICAL SERVICESSYSTEM COLLABORATIVE MEETING
Thursday
October 4, 2018
MATTHEW CONSTANTINEDIRECTOR
INTRODUCTIONS
MATTHEW CONSTANTINEDIRECTOR
ReddiNet
Bed Availability / MCI Response
MCI Response
August
Notice Response
AHB 3 3
AHT 2 1
BHH 2 1
BMH 2 2
DRMC 1 1
KMC 3 3
KVH 1 1
MER 3 1
MSW 2 2
RRH 1 1
Sept.
Notice Response
AHB 6 3
AHT 5 0
BHH 6 1
BMH 6 3
DRMC 5 4
KMC 6 5
KVH 4 0
MER 6 2
MSW 6 2
RRH 4 1
0
5
10
15
20
25
30
35
40
45
AHB AHT BHH BMH DRMC KMC KVH MER MSW RRH
89.47% 65.22% 28.95% 84.21% 75.00% 97.44% 60.00% 76.92% 65.79% 85.00%
Year To Date
Alerts
Responses
Patient Distribution
I D M Total
AHB 1 0 13 14 9.52%
AHT 0 0 0 0 0.00%
BHH 0 0 5 5 3.40%
BMH 0 0 15 15 10.20%
DRMC 0 0 10 10 6.80%
KMC 3 9 63 75 51.02%
KVH 0 0 0 0 0.00%
MER 3 2 8 13 8.84%
MSW 0 0 5 5 3.40%
RRH 0 2 8 10 6.80%
Total 147
Bed Availability
August
Number of
Days
B.A.
Reported
Number of
Days
B.A. not
reported
Number of
Days B.A.
reported >1
BHH 31 0 21
BMH 31 0 30
DRMC 29 2 15
KMC 31 0 27
KVH 3 28 0
MER 31 0 31
MSW 31 0 31
RRH 31 0 30
SJH 31 0 30
THD 8 23 2
September
Number
of Days
B.A.
Reported
Number
of Days
B.A. not
reported
Number of
Days B.A.
reported >1
AHB 30 0 29
AHT 4 26 0
BHH 25 5 18
BMH 30 0 28
DRMC 29 1 15
KMC 30 0 27
KVH 3 27 0
MER 30 0 28
MSW 30 0 27
RRH 30 0 26
271
87
260
272
253
268
32
272
217
272
258
20
186
265
167
237
1
256
197
245
0
50
100
150
200
250
300
AHB AHT BHH BMH DRMC KMC KVH MER MSW RRH
2018
Number of Days B.A. Reported Number of days B.A. reported >1
Day 273
ReddiNet Software Update
EMSA STEMI Regulations
EMSA Stroke Regulations
ALS-BLS Handoff
Quarters 1 and 2
2018
Between Q1 and Q2, compliance has declined
Compliance
Non-Compliance
0%
20%
40%
60%
80%
100%
Q1 Q2
Pe
rce
nt
of
han
do
ffs
The major reason for non-compliance changed from Q1 to Q2.
The majority of non-compliant handoffs for Q2 were due to extended BLS response time
No base …
37%
Extended BLS Time
12%
62%
Q1 Q2
Down Time for Non-Compliant Handoffs
• Time difference between BLS unit response time and time from ALS location to hospital (using Google Maps)– Excluded ambulance crews in outlying areas with long
transport times
• On average, waiting for a BLS unit to arrive was 9.04 minutes slower than transporting directly to the hospital– Based on March 2018 – June 2018 non-compliant
handoffs
Distribution of Down Time for Non-Compliant Handoffs
0
5
10
15
20
25
30
35
40
6-11 12-17 18-23 23-28
Nu
mb
er
of
Tran
spo
rts
Time (minutes)
Down Time
• Can be avoided by transporting directly to triage
– Direct-to-triage policy since April 1, 2018
• Recommendation to avoid down time:
– If unit is within 15 minutes of a hospital and estimated BLS arrival time is >15 minutes, crew should transport and bring patient directly to triage (if base concurs)
Disaster Healthcare Volunteers –DHV/KMRC
• EMS has absorbed the DHV/KMRC.
• DHV/KMRC administrator for Kern County is Kim Tollison.
• Over the next few months clean up will be performed.
• Recruitment and training of new interested volunteers.
What is the DHV – Kern Medical Reserve Corps?
• The DHV is a system that once volunteers register have their credentials validated before an emergency so that they can be quickly and efficiently deployed.
• Information on the DHV can only be viewed by authorized by system managers.
• The MRC is a national network of volunteers, organized locally to strengthen public health, improve emergency response capabilities, and build community resiliency.
APOT
September 2017-September 2018
(KCHCC)
Kern County Health Care Coalition
KCHCC UPDATE Re Cap of streamlining the KCHCC through EMS and contracts/grants
through Finance at Kern County Public Health Services Department. Development of ongoing Partnerships Participation Agreements
(PPA) Redesigned and legal council approved PPA agreement forms and
contract forms to reflect the KCHCC goal and mission. Continue to interact with all hospitals in Kern County that are active
members of the KCHCC (meetings, invites, activities/exercises/drills) Update and communicate changes in KCHCC to CDPH in member
involvement and contact information.
KCHCC ONGOING Continue to invite and incorporate agencies to participate in quarterly KCHCC
meetings. Develop, conduct, and inform all KCHCC members Tabletop Exercise (TTX) and
Statewide Exercise (SWMHE). TTX October 10th and SWMHE November 14th. Continue to sustain operational area (OA) HCC and encourage participation;
actively seek out new entities in the OA and encourage current partners to collaborate to develop best practices in an event.
Assist and advise members/organizations to become compliant with (CMS) Centers for Medicare & Medicaid Services Emergency Preparedness Requirements Final Rule through exercises and training, develop Emergency Plans, Policies and Procedures, Communication Plan.
KCHCC FY 18-19
Plan and Prepare for TTX and SWMHE Exercises in 2019. Review After Action Reports (AAR) and observer notes from 2018.
Review, Refine, and Complete Emergency Preparedness Plans to CDPH, including an Emergency Resource Directory for 2019.
Conduct and complete annual (HVA) Hazard Vulnerability Assessment in coordination with HCC partners for Spring of 2019.
Protocol revision public comment
PROTOCOL REVISION AND REFORMAT WILL BE PLACED ONLINE FOR PUBLIC COMMENT FOR 30 DAYS AS OF 10-12-
2018 THROUGH 11-16-2018.
PLEASE ENCOURAGE FIELD PROVIDERS TO READ THEM AND COMMENT
ANNOUNCEMENTS
MATTHEW CONSTANTINEDIRECTOR
THANK YOU FOR COMING
HAVE A GREAT MONTH
MATTHEW CONSTANTINEDIRECTOR