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