emergency medical services system collaborative …reddinet and use of mci module margaret mysz ......

EMERGENCY MEDICAL SERVICESSYSTEM COLLABORATIVE

MEETINGThursday

June 6, 2019

MATTHEW CONSTANTINEDIRECTOR

What Who Why

Introductions/Welcome Jeff Fariss Participant familiarization

New Employee Jeff Fariss Introduction

EMS Abuser Policy Jeff Fariss Discuss/Open for Public Comment

Special Event Policy Jeff Fariss Discuss/Open for Public Comment

MADDY Fund Jeff Fariss Update

Lightning in a BottleJeff Fariss/George Baker

After Action

Stop the Bleed High school program George BakerScheduled trainings so farPotential partnering for stakeholders

Pediatric Designation George Baker Update on State Progress

Kern County Health Care Coalition Charles Brockett 2019 Regional Functional Exercise

Public Health Exercise Charles Brockett POD Review

KMRC Kimberly Tollison Drill

MRC Conference Kimberly Tollison Report

Behavioral Health Nick Lidgett Deployment/Response

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

Bravo Margaret Mysz Review of Bravo

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

Ambulance Patient Offload Times Margaret Mysz Review of APOT

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INTRODUCTIONS


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KernEMSAbusePolicy.docx

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SpecialEventPolicy-JF.docx

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Stop the Bleed High School Program George BakerScheduled trainings so far &potential partnering for stakeholders











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STOP THE BLEED CURRENT STATUS

• 2019 STOP THE BLEED ACTIVITY

• WASCO UNION SCHOOL DISTRICT: 240 EDUCATORS AND SUPPORT STAFF TRAINED.

• DELANO HIGH SCHOOL DISTRICT: 200 EDUCATORS SCHEDULED FOR TRAINING FRIDAY JUNE 7TH.

• NOR SUMMER PLUNGE EVENT: SATURDAY MAY 8TH, LIMITED TO 200 ATTENDEES.

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EMS-C REGULATIONS.TITLE 22, CHAPTER 14

• EMS FOR CHILDREN REGS GO INTO EFFECT ON JULY 1ST 2019.

• WE HAVE 180 DAYS AFTER IMPLEMENTATION TO SUBMINT OUR EMS-C ADDENDUM TO THE EMS PLAN.

• PEDIATRIC PATIENT DEFINITION HAS BEEN CHANGED FROM 14 AND UNDER TO 13 AND UNDER.

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2019 REGIONAL EXERCISE

2019 Regional 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

2019 Region V Exercise Development

• Exercise Scope

• Exercise Deliverables

•Goals of the Exercise

• Scenario Development

Exercise Objectives

• Situational Awareness

•Resource Requesting

•Resource tracking

•Point of Dispensing (POD)

•Patient Surge

• Tracking of infected animals and infected humans

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PUBLIC HEALTH NURSING POD EXERCISE

April 5TH, 2019

Nursing Staff Development Day

Importance of POD Exercises

• Teaches important players the proper mobilization & demobilization of a POD

• Provides a hands-on experience with developing emergency plans

• Assists in identifying gaps in training/drill scenarios

Willy Wonka’s Everlasting Gobbstoppers Pod

• Allow the participants to experience roles, responsibilities, and situations that contribute to a successful pod site

• To Provide a hands on and visual experience for all Kern County Public Health nurses on what a simple POD site would look like.

• Recognize presenting & symptomatic public, adjust to inject characters

POD Exercise Take AwayGOOD PRACTICES

• Behavioral health involvement helped with injects (pro-active)

• Spontaneous volunteers turned away by staff

• Command structure worked well-pod manager

• Adapted to patient surge

“GAPS”• More security presence

• Intake/screening “bottle- necked” with language barriers

• Patients with symptoms vs patients without symptoms

• Logistics (water,sunscreen,wheelchairs,cots)

• Medical evaluations (

First Responder Operations and Decontamination Training

March 18 & 19, 2019

0800-1700

Decon Training

Decon Training• Two day training with 50

participants becoming certified in decon training

• Participants included;• KERN COUNTY PUBLIC HEALTH

• GOOD SAMARITAN HOSPITAL

• ADVENTIST HEALTH HOSPITALS

• BAKERSFIELD MEMORIAL HOSPITAL

• KERN MEDICAL HOSPITAL

• BAKERSFIELD HEART HOSPITAL

• BAKERSFIELD FIRE DEPARTMENT

• TRANS-WEST SECURITY

2019 MRC Coordinators Statewide Training WorkshopMay 29 -30, 2019

MRC Coordinators Training Workshop

• Network with other MRC’s throughout California and exchange best practices for developing and improving each local Medical Reserve Corps.

• Develop improved recruitment and retention practices for MRC programs.

• Unified Lookup system for tracking patients involved in disaster events and improve reunification efforts.

• Changes in the HPP grant and how this will affect future MRC’s

• Overall discussion of “Gaps” in the MRC program

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Behavioral HealthDiscussing Kern County BH CISM team response to Camp Fire

BH Camp fire Response

• Deployed for the first time in California history for a large scale disaster

• Responded specifically to aid the entire Paradise Police Dept

• Deployed during Thanksgiving and rotated teams until Christmas

Kern County BH capabilities

• Over 900 employees ranging in various mental health certification

• 100 employees are certified in CISM

• CISM team has specific training in handling first responder mental health post significant event

• Substance abuse counselors for alcohol and drugs

• MET team members are capable of doing virtual evaluations

Future BH ideas for EMS

• BH is looking to create a standard CISM strike team response to allow for quicker deployments

• Development of specific EMS policy that will make the Kern County BH CISM team available for all local first responders

• Including BH in all EMS related Drills and exercises as well as developing an exercise for the BH administration for a large scale event

Mental Health Symposium

• TBD for a September 2019

• Special guest speakers for PTSD and psychological first aid

• 4 hr CE course for all levels of pre-hospital

• Will be available for multiple agencies

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ReddiNet and use of MCI Module Margaret MyszReview previous months’ performance of the ReddiNet system and compliance




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ReddiNet2019 MCI Responses

So far in 2019, responses to MCI alerts have been low.

59%

33%

10%

55%

33%

55%60%

43%

29%

50%

0%

20%

40%

60%

80%

100%

AHB AHT BHH BMH DRMC KM KVH MER MSW RRH

In fact, many hospitals have seen a negative change in response rate compared to 2018.

20%

-18%

-25%

-30%

-34%

-36%

-37%

-42%

-55%

-58%

DRMC

MSW

RRH

BHH

KM

MER

AHT

AHB

BMH

KVH

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

Please Contact:

Nick Lidgett

[email protected]

Charles Brockett

[email protected]

Or check out the training videos at:

http://www.reddinet.net/support/videos.html

mailto:[email protected]

mailto:[email protected]

http://www.reddinet.net/support/videos.html

ReddiNetBed Availability 2019

Most Kern County hospitals have a very good response rate. This is an improvement from 2018.

KVH still has a very poor response rate (was 0% in 2018).

95%

52%

79%

99%

81%90%

3%

97% 95% 94%

0%

20%

40%

60%

80%

100%

AHB AHT BHH BMH DRMC KMC KVH MER MSW RRH

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Bravo Code Changes

Upgrades to 32B03 and 32B04

• Number of calls between October 2018-January 2019: 1587

• ALS intervention: 11%

• Not Transported: 58%

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ALS-BLS Handoff

Utilization of ALS to BLS Handoff

303

388 385

415393

0

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Q1 Q2 Q3 Q4 Q1

2018 2019

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f C

alls

Since the implementation of ALS to BLS Handoff protocol, along with offload to triage and bravo code downgrades, we have seen a decreasein the percent of late responses in Metro Bakersfield.

0%

2%

4%

6%

8%

10%

12%

14%

16%

Jun

e

July

Au

g

Sep

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Oct

No

v

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ch

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ril

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Jun

e

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tem

be

r

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ob

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vem

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emb

er

2017 2018

% L

ate

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s

2017 Avg

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APOT-12018-2019

Control Charts

• Statistical tool to determine if a process is under control (i.e is stable, with variations only being attributed to sources common to the process)

• 3 parts• Data specific to each system

• Average of historical data

• Upper and Lower Control Limits: indicate threshold at which process is considered statistically “unlikely” (usually +/- 3 standard deviations of the average)

Control Charts

• Statistical tool to determine if a process is under control (i.e is stable, with variations only being attributed to sources common to the process)

• 3 parts• Data specific to each system: APOT-1 from Jan 2018-May 2019

• Average of historical data: Based on data from Jan-Dec 2018

• Upper and Lower Control Limits: indicate threshold at which process is considered statistically “unlikely” (usually +/- 3 standard deviations of the average): Based on data from Jan-Dec 2018

Adventist Health Bakersfield

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Kern Medical

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2018 2019

Bakersfield Heart Hospital

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120Ja

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Bakersfield Memorial Hospital

UCL

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120

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2018 2019

Mercy Downtown*

UCL

LCL

AVG

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60

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* May have issues with data collection

Mercy Southwest*

UCL

LCL

AVG

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* May have issues with data collection

Ridgecrest

UCL

LCL

AVG

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2018 2019

Delano

UCL

LCL

AVG

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2018 2019

Adventist Health Tehachapi

UCL

LCL

AVG

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2018 2019

ANNOUNCEMENTS


THANK YOU FOR COMINGHAVE A GREAT MONTH


emergency medical services system collaborative …reddinet and use of mci module margaret mysz ......

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