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2013 IFPD Zone Report

RIVERSIDE COUNTY

ti rd

EMERGENCY MEDICAL SERVICES AGENCY DEPARTMENT OF PUBLIC HEALTH

IDYLLWILD FIRE PROTECTION DISTRICT

ZONES I, II AND III

EMS ADMINISTRATIVE GROUP MEETING

October 21, 2013

Prepared by Riverside County EMS Agency: October 2013

EMS Administrative Group Meeting

IFPD Zones I, II and III October 21, 2013

TABLE OF CONTENTS

IFPD Zones Meeting Agenda

P.3 Previous Administrative Meeting's Minutes

P. 4-5

COMPLIANCE CHARTS

IFPD Zone I Compliance (Jan. 2010 - June 2013)

P.6 IFPD Zone I 911 Responses (Jan. 2010 -June 2013)

P.7

IFPD Zone II — CSA 38 Compliance (Jan. 2010 - June 2013)

P.8 IFPD Zone II — CSA 38 911Responses (Jan. 2010 - June 2013)

P.9

IFPD Zone III Compliance (Jan. 2010 - June 2013)

P.10 IFPD Zone III 911 Responses (Jan. 2010 -June 2013)

P.11

IFPD Zone I, II and II 911 Response Comparison (2010-2013)

P.12

IFPD Zone I Response/ Compliance Data (Jan. 2010 - June 2013)

P.13 IFPD Zone II — CSA 38 Response/ Compliance Data (Jan. 2010 - June 2013)

P.14

IFPD Zone III Response/ Compliance Data (Jan. 2010 -June 2013)

P.15

AMBULANCE WAIT TIME - CHARTS

Monthly Ambulance Wait Time Hours (Jan. 2010 —June 2013)

P.16 Riverside County Ambulance Wait Time, 9-1-1 Transports and ED Compliance

P.17

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Idyllwild Fire Protection District, Zones I, II and III


Date: Monday, October 21, 2013, 2:00 PM to 3:30 PM

Location: Idyllwild Library

54401 Village Center Dr., Idyllwild, CA 92549

Conference Room

Agenda Subject Time Presented By Purpose

Call to Order - Roundtable Introductions 5 Min ALL Intro

2013 Ambulance Compliance (Jan. to Jun.) 30 Min Trevor Inform

EMS Agency Report 15 Min Trevor Inform

Open Discussion 20 Min ALL Discuss

Adjournment/ Next Meeting 5 Min Trevor Inform

If you have questions regarding EMS Zone Administrative Group meetings please contact: Patrice Shepherd, [email protected] or Trevor Douville, [email protected] - (951) 358-5029-office

2013 EMS Zone Meeting Schedule can be found at http://remsa.us/zones/2013 -Schedule.pdf

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EMS Administrative Group Meeting IFPD Zones I, II and III October 21, 2013

EMS Administrative Zone: Idyl!wild Fire Protection District, Zones I, II, & III

Attendance:

Meeting Minutes for February 28, 2013

Meeting held at Idyliwild Fire Protection District Headquarters

Jerry Buchanan Idyllwild Commission Mark LaMont IdylWild Fire Protection District Bill Bullard The Abaris Group Brian MacGavin Riverside County EMS Agency Pete Caparelli IFPD Board Member Marge Muir CSA 38 Jeannine Charles-Stigall IFPD Board President Jim Price American Medical Response Trevor Douville Riverside County EMS Agency Patrick Reitz idyliwild Fire Protection District Jerry Holldber CSA 38 Jim Reyes Idyliwild Fire Protection District Jerry Kirk Patrice Shepherd Riverside County EMS Agency

I. Call to Order Roundtable Introductions

Meeting called to order at 2:15pm.

II. Review of Compliance

Compliance from 2008 to 2012 was reviewed. Compliance has been consistently around 97.5% and higher. The most concerning dip was in February of 2011, which was slightly above 93.7%. Volume has been fairly consistent year-over-year, and fluctuates with the seasons and community activity levels. Zone II also experienced steady compliance, however a few late responses have a huge effect on the compliance, due to the Zone's low volume. Zone III now has data based on a 29:59 response time clock instead of the "Best Effort" standard used in previous years. Zone III receives higher volume than Zone II, and 1FPD staff have noticed that highways incidents have increased. IFPD staff stated that the response times that are 0-1 minute are mostly from patients of two clinics nearby and from walk-in patients.

Ambulance wait times were reviewed and explained, including the relationship between bed delays and ambulance compliance. Most of the wait time hours are accrued in the Northwest Zone, however Hemet Hospital has been the hospital to impact the IFPD response areas in this way. Hemet attributes their wait time issue to the flu impact, as they had previously been doing very well keeping their hours down.

Jerry Holldber expressed concerns that AMR isn't being dispatched quickly enough when needed. Mark LaMont of IFPD believes that the agreement is working

exactly as intended and the processes followed by IFPD and AMR are sufficiently meeting the community's needs.

Ill. Response Penalties Review

Fees generated from late responses and Missing-on-Scenes (MOSS) were discussed, and the breakdowns were included in the compliance packet. Fine money distribution should commence in mid-May.

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In

EMS Administrative Group Meeting IFPD Zones I, II and III

October 21, 2013

IV. IdylIwild Fire Department Response Areas Map Review

New GIS maps were debuted for the area, which included the overlapping zones I and III. An Action Item was created to make two modifications to the map.

Action Item: Per the IFPD representatives, Cedar Glen belongs to Zone I and the map should be amended. The transfer station below Zone Ito Zone III should also

be corrected, as the areas that are specifically not the transfer station belong to Zone I.

V. EMS Agency Report

The EMS System Evaluation was discussed. Stakeholder meetings were held this week across the county, discussing the whole plan for the Abaris Group to

perform the system evaluation. There is a Steering Committee with representatives from many different departments, which will be making the

recommendations to the Board of Supervisors (BOS) in March of 2014. At that time, the BOS will have enough information to decide whether the county wants to

perform a RFP for 9-1-1 ambulance service. Abaris will be going through multiple steps to ensure the feedback they receive is valid and accurate. They will

research best practices and industry trends. They will show the stakeholders where the system is now, which areas could be improved, other systems that have

made similar improvements, and then the Steering Committee will decide what the new system will look like. There is a link on our EMS Agency website where all

the information can be found as the process unfolds.

Bill Bullard of the Abaris Group explained further details of the System Evaluation process. The question arose in the Mountain Zone meeting and was addressed

on how smaller departments won't be left out from making improvements due to budget, as the county retains systemwide control to ensure the entire system is

serviced appropriately. First response is different from ambulance response, however, and any recommendations to change the levels of service of a first

responder will be looked at as to how they will be funded.

VI. Open Discussion

The EMS Duty Officer Program was discussed, including how REMSA is currently mitigating ambulance wait time through this program.

Helicopter EMS was discussed, including current helispots in use. Trevor Douville will email Jerry Holldber contact information for the air providers.

PMAC will be held next on March 25 th at RCRMC at 9am. EMCC meets next on Wednesday, April 3. A topic on the PMAC agenda is the closed-system model for

narcotic restocking, which affects everyone. We will also be looking at the cardiac arrest policy and how those calls are handled.

VII. Adjournment/Next Meeting

The next meeting will be held on April 8, 2013, at 12pm, location to be announced via email.

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IFPD Zone I Compliance %

911 Response Time Compliance — 6 per. Mov. Avg. (Compliance %)

Co

mp

lianc

e %

100.0% -

95.0% -

90.0% -

85.0% -

80.0%

75.0%

70.0% -

65.0% -

60.0%

55.0% 0 0 0 0 0 0 0 0 0 0 0 0 r- r- ,-- T— 7— T 7— 7— 1— tr-- -r— 7— N N CN1 N N N N N N N N N CO CO CO CO CO CO -c- r- -c- r- -c-- r- -c-- r- -c- 7- r- -c- = tc---,... -- r -,-, tc- 7— T 7— T = T 7— 1— 1— 7— 7— T 1— 7— I-

I .. I I I t tr—

I 1 I t .., C

1— 1-- f— L (I) c ..0 ,-- ,-- .-, r- a) Sa i e) c 2_ _ c 0 -.6 > 6 c _ ,_ _ 0 D a c cz a) CZ 0- t:li5 D -5 D (1.) 0 o a) cz a) ct 0- rz D -5 1-3 a) o a) t-z a) 0:5 U'L aS D --Z, G.) 0 0 Cc 0 Cli R5 D --)

< (I) 0 Z ❑ —, LL < --) --,

.:( (1) 0 Z ❑ -) LL < --, -) < 0 0 Z ❑ ---) LL < 7 - - )

Month Prepared by T. Douville/P. Shepherd, REMSA

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IFPD Zone I 911 Responses

ZONE I

6 per. Mov. Avg. (ZONE I)

65

60

50 51 50

911 R

esp

on

ses

45

40 36

35 - 3111 40--#. er

30

25

44

25 27 27

45

37 36 ♦ •

27

3•

11► • 36 e

137343%.0 ♦ 37 1 36

33 • 30 29 ""

43 43 43 •

35 % 33

28

39 40 40

24

55 52

18_ 20

15

10

5

—53 _449 g_ 48_

0 0 0 0

v-4

CL z a 2

CD 0 0 0 v-I44-1 v-1 6.

v, 8

rl rl rl v-1 v-I v-1

443 (•3-a~i( 13 2 <

v-1 v-1 IN evJ esl raS N N N N N N ral N m m m m m 7 e- 1 a-I a-I a- v-1 v-I v 4 -1 v-1 v-1 v-I 4 .1.„ I _6 6 6 41.1 8 0 a) a)

< =

o a) 4.13 <LI Z

co u. < z u_ g < 2 -,

Prepared by T. Dow/Hie/P. Shepherd, REMSA Month

of 17

100.0% -

95.0% -

90.0%

85.0% -

80.0% -

75.0% -

70.0% -

65.0%

60.0% -

55.0%

Co

mp

lian

ce

%



IFPD Zone II - CSA 38 —a— Compliance %

911 Response Time Compliance —6 per. Mov. Avg. (Compliance %)

0 7—

(1)

0 7—

1

(I)

0 7—

1

rtl

0 1-

0 0 0 0 0 0 0 0 T T T 1- T T T T T T T T NNNNNNNNNNNN co co c0 c0 co T T T T 1- T 1- T T T T T T T T T T T 1- 1- 1- T T T 1- 1- 1- T 1- T T T T T T 1 1

C

1 1

0- 1 I 1 1 1 /

1- 1 1 .6 1 a (!)

— RS %--; as (1) 0 a) as a.) (1.) 0 (1) aj (I) _,,.. (15 CL) o (I) co 0 0 Z >tTS > < (f) Z 11. < < < U \-) Z L7 —) LL < --5

Prepared by T. Douvilie/P. Shepherd, REMSA Month

of 17

9 9 8



20

15

C.) C 0 ogi 10

CC

t-i

5

0

7 7

%21 4

IFPD Zone II - CSA 38 911 Responses

9

7 7 6 66 6 1 6 %

5 5 4 4 4 1/1

1

% 5 4

3'

1 21 I I

ZONE II - CSA 38

10

6

5 ♦ %. 4 3 3 I

I ill I I

•• • 6 per. Mov. Avg. (ZONE II - CSA 38)

0 0 0 0 0 0 0 0 0 0 0 0 r-1 ri rl ri V-I ri c I c 1 c 1 r-I %-1 rl N (-N4 t-st N cV (NJ rsl (-4 (-4 c-4 csi N cn cn m m cn m c7I %-1 %-1 71 %-1 %-1 T-4 71 V•••1 71 71 71 71 \-I 71 v-1 r \--t _6, 6. 4, 6 _ 4.0 6_ }I _6 ,._ 6.0 6 _6

(Li a) m 0- m n ,-,0 0 w m CL_. (13 -••=1 a) 0 a) m la_ m ,1--; 0 a) m m Q- m u_ 2 < 2 < 4,r) z —) -01, 2 < z o u_ <1.. 2 < z 0 u_ 2 < 2 —,

Prepared by T. Douville/P. Shepherd, REMSA

Month

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"off the pavement" x2



IFPD Zone III —.--Compliance (Y0

911 Response Time Compliance

Com

plia

nce

%

100.0%

95.0% -

90.0% -

85.0% -

80.0% -

75.0% -

70.0% -

65.0% -

60.0% -

55.0% — — — ai —

000000000000 NNNNNNNNNNNNMOMMMM

... T-Tr-rl-rlr-T-T-Tr-N-rcr-r-r-r-r-rr- .... -e-- 6 L L i 6 1 O

L , , , , , . , (!) , , , 77

›,c 611.-.6

▪

6 11 >., as a) as 0-as D-, D a) ,-, c) a) ai a)

RI D ---) D CD 4C) < 0) 0 0 4) MS (I) C'F) k --) D 4) < 0) 0 0 4) al 4) tt D ZO -, 11. 2<-, Li..<( --) <coL'zio -) u_2<:a --", Z 0 ""'") u_2‹ ,,-

•

-,

Prepared by T. Douville/P. Shepherd, REMSA Month

of 17

10

91

1 R

esp

on

ses

I I 1711 1611 15 6 7„.7 6 6



IFPD Zone III 911 Responses

ZONE III

20

15

• • • 6 per. Mov. Avg. (ZONE III)

10 10

5 5

pppppppppp r-I <-4 c‘.1 N (,11 N N r,..1 N C.1 r•J eN f V M m rrt v-I 7t c._ " ;• 6 r— pap > V n3 :7;

•—• 0; a) 0 a) CO C.) rG

< 2 -7; (3.) 0 <1.) rC a) rt 0' a) 0 rc M 2 < 2 --,

kr; 0 z c u- ce Z LL 2 < 2 kr, 1/4-, z u_ g <


Month

4

m

7.;

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IFPD Zone I, Zone II and Zone III 911 Reponses (2010-2013)

JAN FEB MAR APR MAY JUN

80

70

60

50 44 P

39 40

30

20

10

0

911

Res

po

nse

To

tals

56

50 50



0 2010 ❑ 2011

0 2012 • 2013

r--

OCT NOV JUL AUG SEP DEC


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2013 - IFPD Zone 1 Idyllwild

Response Time Compliance Proper < = 10 minute Response

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total 0-1 Min 12 12 10 19 13 19 85 1 Min 2 1 2 5 2 Min 1 1 4 1 2 2 11 3 Min 1 1 1 2 1 6 4 Min 3 2 4 6 1 16 5 Min 3 2 4 6 4 5 24 6 Min 4 2 6 4 1 4 21 7 Min 4 3 3 3 5 3 21 8 Min 4 4 3 1 3 2 17 9 Min 2 2 2 3 9 10 Min 1 1 2 11 Min 0 12 Min 1 1 13 Min 1 1 14 Min 0 15 Min 1 1 >15 Min 1 1 Total Resp 35 33 32 43 35 43 0 0 0 0 0 0 221 Total Late r 1 r 2 1

. 1 0 p- 1 0 0 0 0 0 0

. 6

Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 97.1% 93.9% 96.9% 97.7% 100.0% 97.7% r #DIV/0! r #DIWO! r #DiV/0! r #DIV/0! r #DIV/0! r #DIV/0! 97.3%

Avg. Calls/ Month 18.42 Avg. Calls/ Day 0.61

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2013 - IFPD Zone 2 CSA

Response Time Compliance 38 < = 12 Minute Response

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total 0-1 Min 0 1 Min 0 2 Min 0 3 Min 0 4 Min 0 5 Min 1 1 6 Min 1 1 1 1 4 7 Min 1 1 8 Min 1 1 4 6 9 Min 1 1 1 1 2 6 10 Min 1 1 2 1 5 11 Min 1 1 12 Min 0 13 Min 0 14 Min 0 15 Min 0 >15 Min 0 Total Resp 3 1 4 2 5 9 0 0 0 0 0 0 24 Total Late 0 9 0 0 u 3 0 0 0 Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% ' #DIV/0! r # D I V/ 0 ! ' # D I VI 0 ! # D I V/ 0 ! # D I V / 0 ! # D I V/ 0 ! 100.0%


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2013 - IFPD Zone 3 < = 30

Response Time Compliance Minute Response

Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total <5 Min 1 1

5 Min 0 6 Min 0 7 Min 1 1

8 Min 0 9 Min 2 2 10 Min 1 1 11 Min 4 4 12 Min 1 1 13 Min 1 2 1 4 14 Min 1 1 15 Min 1 1

16 Min 1 1 17 Min 2 1 3 18 Min 0 19 Min 0 20 Min 0 21 Min 1 1 2 22 Min 1 1

23 Min 1 1 24 Min 0 25 Min 1 1

26 Min 0 27 Min 1 1 28 Min 1 1 2 29 Min 0 30 Min 0

31 Min 0

32 Min 0

33 Min 1 1 2

34 Min 0

35 Min 0

36 Min 0

37 Min 0 38 Min 0

39 Min 0 40 Min 0 41 Min 0 42 Min 0

43 Min 0 44 Min 0 >44 Min 2 2 Total Resp 6 5 2 5 10 4 0 0 0 0 0 0 32 Total Late 2 0 n 1

. 2

Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 100.0% 100.0% 100.0% 60.0% 100.0% 100.0% f #DIV/0! ' #DIV/0! ' #DIV/0! #DIV/0! #DIV/0! #DIV/0! 93.8%


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EMS Administrative Group Meeting IFPD Zones I, II and III October 21, 2013

Riverside County Monthly

Ambulance Wait Time Hours (2010-2013)

■ 2010 Hours* 2011 Hours*

❑ 2012 Hours* • 2013 Hours

L = 0

1680:00

1440:00

1200:00

960:00

720:00

480:00

240:00

0:00

Jan Feb Mar Apr May Jun

Month

Ju I Aug Sept Oct Nov Dec

Prepared By T. Douvillei P. Shepherd : *2010-2012 Hours were calculated after 25 minutes had elapsed in the ED

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1111■1111•11

7052

3526

1505

2427 2427

80%

70%

60%

50%

40%

30%

20%

1913 10%

0%

84.27%

78.08%

MISIMEN11

7985

4735

3683



Total 9-1-1 Patients Received Riverside County Ambulance Wait Time Compliance, 2013 (Jan.-Jun( Bed Delay Occurrences

Total Transports Received vs. Delayed Units ♦ Compliance %

12000

100%

Tot

al

9-1-

1 P

ati

en

ts R

ece

ive

d

90.27%

82.79%

75.65% 73.09% 72.06%

69.1S% 66.02%

95.38% 93.39% 94.18% 95 '76% 90% 91.53%

• (6 O

10000

9712

8000 68.34%

(4Z- 44d

toS 0,.A v.. \

,V' .1/4(z?'

.c• • ''.4' e

..41) A

.,,,,,o c., • eo *

N. e

0•0 -o

se

i- cP •ez' coo \N 4 e e 6 0 0 , . , .0 0 60

\ar c 't <<>42e ' NP

,.,0 0 ,,, b 4%

a•

"6 ... %.t.

..0

Prepared by T. Douville/P. Shepherd, REMSA Hospital

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