Emergency Medical Services System Collaborative Meeting Highlights
Highlights from the Emergency Medical Services System Collaborative Meeting on April 5, 2018, including introductions, ReddiNet bed availability for MCI response, monthly notices and responses, year-to-date alerts and responses, patient distribution, bed availability reporting for February and March. The images provide insights into data related to various medical facilities and their responses.
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MATTHEW CONSTANTINE DIRECTOR EMERGENCY MEDICAL SERVICES EMERGENCY MEDICAL SERVICES SYSTEM COLLABORATIVE SYSTEM COLLABORATIVE MEETING MEETING Thursday April 5, 2018
MATTHEW CONSTANTINE DIRECTOR INTRODUCTIONS INTRODUCTIONS
ReddiNet Bed Availability / MCI Response
February Notice Resp BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 4 4 2 4 3 4 4 3 4 3 0 4 1 4 1 4 4 3 4 3
March Notice Resp BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 3 3 2 3 1 3 3 1 3 1 3 1 2 3 1 3 3 1 2 1
Year To Date 12 10 8 6 Alerts Responses 4 2 0 BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 40.00% 80.00% 66.67% 100.00% 60.00% 100.00% 100.00% 100.00% 90.00% 100.00% 4 8 4 10 3 10 10 5 9 5 10 10 6 10 5 10 10 5 10 5
Pt Dist I D M Total BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach 0 0 0 2 0 2 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 5 2 9 0 2 0 8 2 0 0 5 2 0.00% 14.29% 5.71% 31.43% 0.00% 11.43% 0.00% 28.57% 8.57% 0.00% 11 0 4 0 10 3 0 35 Total
Bed Availability Reporting Number of Days B.A. Reported Number of Days B.A. not reported Number of Days B.A. reported >1 February BHH BMH DRMC KMC KVH MER MSW RRH SJH THD 28 28 27 28 4 28 28 28 28 11 0 0 1 0 20 28 19 27 1 28 27 27 27 0 24 0 0 0 0 17
Bed Availability Reporting Number of Days B.A. Reported Number of Days B.A. not reported Number of Days B.A. reported >1 March BHH BMH DRMC KMC KVH MER MSW RRH SJH THD 31 31 27 30 3 31 31 31 31 10 0 0 4 1 22 30 20 24 0 30 30 29 29 0 28 0 0 0 0 21
2018 Number of Days B.A. Reported Number of days B.A. reported >1 100 89 89 89 89 88 90 86 86 86 85 84 82 82 82 80 73 70 60 60 54 50 44 40 30 20 10 10 10 1 0 BHH BMH DRMC KMC KVH MER MSW RRH SJH THD
Patient Offload to Triage Public Comment Period ended March 5th. One comment was received Our triage and acceptance protocols are designed to expedite the transfer of care from the ambulance to our ED staff. Our APOD times demonstrate our ability to manage this process. Our new ED when completed isolates the Ambulance Entrance from the Public Entrance significantly. While this policy would not work at our facility, we do not want to inhibit its adoption and implementation elsewhere.
Effective Date Effective date is Monday, April 9th, at 12:01hrs.
APOT March 2018
APOT-1: March 2018 Rank Hospital Number of Transports APOT-1 (Minutes) 1 2 Ridgecrest Regional Kern Valley Healthcare District 218 142 7.7 13.4 3 Delano Regional Medical Center 250 22 5 6 Tehachapi Hospital Mercy Hospital 107 500 34.1 38.4 6 Kern Medical 763 46.3 7 Mercy Southwest Hospital 548 46.9 8 (9) Adventist Health 1564 49.8 (93.5) 9 Bakersfield Memorial 1365 78.6 10 Bakersfield Heart Hospital 248 81.4
APOT-1 Bakersfield Hospitals: June 2017-March 2018 140 120 100 APOT-1 (minutes) 80 60 40 20 0 June July August September October November December Month January February March Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Kern Medical Mercy Hospital Mercy Southwest Hospital
APOT-1 Outlying Area Hospitals: June 2017- March 2018 45 40 35 APOT-1(minutes) 30 25 20 15 10 5 0 June July August September October November December Month January February March Delano Regional Medical Center Kern Valley Healthcare District Ridgecrest Regional Tehachapi Hospital
APOT-1 and Transport Volume March 2018, Weekly
Bakersfield Hospitals 160 1200 1100 140 1000 Total Volume of Transports 120 900 Apot-1 Time (Minutes) 800 100 700 80 600 500 60 400 40 300 200 20 100 0 0 Week 1 Week 2 Week 3 Week 4 Week (March 2018) Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Kern Medical Mercy Hospital Mercy Southwest Hospital
Outlying Area Hospitals 60 200 180 50 160 Total Transport Volume 140 APOT-1 (Minutes) 40 120 30 100 80 20 60 40 10 20 0 0 Week 1 Week 2 Week 3 Week 4 March 2018 Delano Regional Medical Center Kern Valley Healthcare District Ridgecrest Regional Tehachapi Hospital
APOT-2 Individual Hospital Data
APOT-2: March 2018 2.1 (N, %) (<=20 min) (21-60 min) Hospital 2.2 (N, %) 2.3 (N, %) (61-120 min) 2.4 (N, %) (121-180 min) 2.5 (N, %) (>180 min) Total Number of Transports Bakersfield Memorial Hospital 390 (28.6) 759 (55.6) 161 (11.7) 3 (2.4) 23 (1.7) 1367 Adventist Health Bakersfield 628 (40.2) 853 (54.5) 70 (4.5) 12 (0.77) 0 (0) 1564 Bakersfield Heart Hospital 87 (35.1) 127 (51.2) 18 (7.3) 9 (3.6) 7 (2.8) 248 Mercy Hospital 265 (54) 220 (44.8) 6 (1.2) 0 (0) 0 (0) 548 Kern Medical 285 (37.4) 447 (58.6) 29 (3.8) 2 (0.3) 0 (0) 763 Mercy Southwest Hospital 242 (44.2) 286 (52.2) 19 (3.5) 1 (0.2) 0 (0) 500 Kern Valley Healthcare District 135 (95.1) 5 (3.5) 2 (1.4) 0 (0) 0 (0) 142 Tehachapi Hospital 73 (68.2) 32 (30) 2 (1.9) 0 (0) 0 (0) 107 Delano Regional Medical Center 220 (88.4) 28 (11.2) 1 (0.4) 0 (0) 0 (0) 249 Ridgecrest Regional 216 (99.1) 2 (0.9) 0 (0) 0 (0) 0 (0) 218
Adventist 100 2500 90 Percent of Total Transports (%) 80 2000 Total Transport Volume 70 60 1500 50 40 1000 30 20 500 10 0 0 June July Aug Sept Oct Nov Dec Jan Feb March Month 2.1 2.2 2.3 2.4 2.5
Bakersfield Memorial 100.0 2000 90.0 1800 80.0 1600 Percent of Total Transports Total Transport Volume 70.0 1400 60.0 1200 50.0 1000 40.0 800 30.0 600 20.0 400 10.0 200 0.0 0 June July Aug Sept Oct Nov Dec Jan Feb March Month 2.1 2.2 2.3 2.4 2.5
Bakersfield Heart Hospital 100.0 400 90.0 350 80.0 Percent of Total Transports 300 Total Transport Volume 70.0 250 60.0 50.0 200 40.0 150 30.0 100 20.0 50 10.0 0.0 0 July Aug Sept Oct Nov Month Dec Jan Feb March 2.1 2.2 2.3 2.4 2.5
Proportion of Kern County ED Visits Reporting ILI with Fever: 2017-2018 12.0 10.0 8.0 Percent Ill 6.0 4.0 2.0 0.0 September October November December January February March Month Data prepared by Jyoti Kaur, MPH
Kern County: Total Number of Acute Care Interactions, Oct 2017-March 2018 40000 32707 35000 36540 30000 32316 Total Number 25000 20000 15000 10000 5000 0 October November December January February March Month
Transport Volume By Hospital Week 1 Week 2 Adventist Health Bakersfield Adventist Health Bakersfield 107, 9% Bakersfield Heart Hospital Bakersfield Heart Hospital 139, 12% 349, 30% 134, 11% Bakersfield Memorial Hospital Bakersfield Memorial Hospital 126, 11% 384, 32% Kern Medical Kern Medical 168, 14% 55, 5% 185, 16% 321, 28% Mercy Hospital Mercy Hospital 67, 6% 310, 26% Mercy Southwest Hospital Mercy Southwest Hospital
Transport Volume by Hospital, Cont. Week 3 Week 4 Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Kern Medical Adventist Health Bakersfield Bakersfield Heart Hospital Bakersfield Memorial Hospital Kern Medical 111, 10% 133, 12% 89, 8% 328, 31% 367, 33% 111, 10% 187, 18% 155, 14% 41, 4% 60, 6% Mercy Hospital 312, 29% 277, 25% Mercy Hospital Mercy Southwest Hospital Mercy Southwest Hospital
Transport Volume by Hospital Week 1 Week 2 Delano Regional Medical Center Delano Regional Medical Center 19, 12% 24, 14% 51, 31% Kern Valley Healthcare District Kern Valley Healthcare District 64, 37% 55, 33% 51, 30% Ridgecrest Regional Ridgecrest Regional 40, 24% 33, 19% Tehachapi Hospital Tehachapi Hospital
Transport Volume by Hospital, Cont. Week 3 Week 4 Delano Regional Medical Center Delano Regional Medical Center 25, 16% 29, 19% 50, 32% Kern Valley Healthcare District Kern Valley Healthcare District 62, 40% 41, 27% 54, 34% Ridgecrest Regional Ridgecrest Regional 28, 18% 21, 14% Tehachapi Hospital Tehachapi Hospital
ALS to BLS ALS to BLS November 2017- February 2018
November percentage November percentage
November 2017 November 2017
December Percentage December Percentage
December 2017 December 2017
January Percentage January Percentage
January 2018 January 2018
February Percentage February Percentage
February 2018 February 2018
EMD QI EMD QI Emailed the QI group first meeting will be April 19th 11:00 12:00. We will start looking at EMD cards starting with Bravo cards. Discuss on ways to improve the EMD process/QI
