Contra Costa EMS Agency Core Performance Indicators Report: Q1 · Contra Costa EMS Agency Core Indicator # CA#0002 Data Source: CARES Registry; January 2012 through March 2012 Excludes

Contra Costa EMS AgencyCore Performance Indicators

Report: 2012‐Q1

System Activity & Utilization2012‐Q1

Contra Costa EMS AgencyCore Indicator SU#C0001

Data Source: Meds; Jan – Mar 2012

Begin Q1 2012

5000

5500

6000

6500

7000

7500

1/1/

2011

2/1/

2011

3/1/

2011

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012 Fe

b

Mar

Number of EMS Responses by Month 2012-Q1

AMR-ALS Units Only

No Special Cause Detected Chart Type: Chart for Individuals Database Column1

Avg of Data Shown 6382 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 6391 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma

Sigma for Limits 255.4 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma

X. Excluded or Missing Data

Centerline: 6,382 Process Limits: Lower: 5,616 Upper: 7,148

Number Of Responses


Data Source: MEDS/Zoll‐ Jan through Mar 2012

NumberofTransports

52835228

4838

All Transport Units included in data

5532

4400

4600

4800

5000

5200

5400

5600

5800

1/1/

2011

2/1/

2011

3/1/

2011

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012 Fe

b

Mar

EMS Transports by Month2012-Q1All ALS Units

No Special Cause Detected Chart Type: Chart for Individuals Database C1

Avg of Data Shown 5121.4 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 5057 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma


X. Excluded or Missing Da

Centerline: 5,121 Process Limits: Lower: 4,491 Upper: 5,752

7873 74

71 73

63

88

74

58

75

66

60

0

10

20

30

40

50

60

70

80

90

100

HaveBed Response by Time/Shift Contra Costa County - All Hospitals

2011

1000 1800

SEPTEMBER 2011

04001000 1800 18000400 18001000 10000400 0400

OCTOBER 2011 NOVEMBER 2011 DECEMBER 2011

% Response


Data Source: ReddiNet Jan – Mar 2012

Begin Q1 ‐ 2012

2507

998 988

247

789

5529

0

1000

2000

3000

4000

5000

6000

HA HB HC HD HE H‐ALL

Total MinsonDiversion

Hospitals Reporting DiversionData Source: ReddiNet

Contra Costa County HospitalsTotal Mins on EMS Diversion

2012-Q1

1344

3197

988

5529

0

1000

2000

3000

4000

5000

6000

CT STEMI Trauma ALL

DiversionTime InMins

CategoryData Source: ReddiNet

Contra Costa County HospitalsEMS Diversion by Category

2012-Q1

2

1

0 0 00

0.5

1

1.5

2

2.5

MVA Crime Scene Explosion Medical Unk

Number of MCIActivations

TypesData Source: ReddiNet

Number of Multi‐Casualty Incident (MCI)Activations by Type

2012‐Q1

Contra Costa EMS AgencyCore Indicator SU#C0006B

Data Source: EMS Safety Events Reporting Data Base 2012

2

3

0

0.5

1

1.5

2

2.5

3

3.5

Clinical Operational

Numberof cases

Patient Safety Events2012-Q1

(N=5)

Medications, 20% N=1

Procedures, 20%N=1

Assessment, 40%N=2

Communications, 20% N=1

Patient Safety Events by % of TypeQ1 2012

N=5

Contra Costa EMS AgencyCore Indicator SU#C0006B

Data Source: EMS Safety Events Reporting Data Base 2012

Base Hospital2012‐Q1 Report

Data Source: Base Hospital Registry; Jan through Mar 2012

Contra Costa EMS AgencyCore Indicator BH#C0001

Data Source: Base Hospital Registry; Jan – Mar 2012

220

303 299

254

262

281

265

200

220

240

260

280

300

320

340

1/1/

2011

2/1/

2011

3/1/

2011

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012 Fe

b

Mar

Base Hospital Call Volume by Month2012-Q1

NumberOf Calls





Centerline: 263.1 Process Limits: Lower: 206.7 Upper: 319.6


Data Source: Base Hospital Registry;Jan through Mar 2012

TRAUMA 75 %

MEDICAL 23 %

CARDIAC ARREST 2%

% BASE HOSPITAL CALLS BY TYPE2012-Q1

N=806

ADULT 93 %

PEDIATRIC 7 %

% BASE HOSPITAL CALLS BY AGE2012‐Q1

N=806


Data Source: Base Hospital Registry;Jan through Mar 2012

Cardiac Arrest2012‐Q1 Report

CARES Registry Reporting

Data Source: CARES Registry; January 2012 through March 2012. Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival

Contra Costa EMS AgencyCore Indicator # CA#0001

Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF);

6.9

7.9

9.4

7.9

0

1

2

3

4

5

6

7

8

9

10

Overall 2009 Overall 2010 Overal 2011 Overall to 2012

%

% Survival Cardiac Arrest – Overall by Year(Discharged with Good Cerebral Performance)

National Benchmark

7.7%


Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival

% Begin Q1 2012

6

7

8

9

10

11

12

1/1/

2011

2/1/

2011

3/1/

2011

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/1/

2012

3/1/

2012

Cardiac Arrest Survival – Overall by Month2012‐Q1 (N=140)

Special Cause Detected Chart Type: Chart for Individuals Database Column1





National Benchmark

10.3%


Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF)

30%

31%

31%

32%

32%

33%

33%

34%

2010 2011 Q1 2012

%

% Cardiac Survival – Utstein by Year2012-Q1

(witnessed & found in shock-able rhythm) N=32

National Benchmark

32%

3 Months Data


Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF);

%

0

10

20

30

40

50

60

1/1/

2011 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep

Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

% Cardiac Arrest Survival – Utstein by Month2012-Q1

Begin HeartsafeCommunity






Begin Q1 ‐ 2012


Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF)

32%34%

29%

32%

44%42%

43%44%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2010 Q2 2010 Q3 2010 Q4 20111 Q1 2011 Q2 2011 Q3 2011 Q4 2012 Q1

%

% Bystander CPR Performed2012-Q1

(all arrest not witnessed)

National Benchmark

22.6%

Begin HeartsafeCommunity

STEMI System2012‐Q1 Report

Data Source: STEMI ; January 2012 through March 2012.

Contra Costa EMS AgencyCore Indicator STE#C0002

Data Source: STEMI data base

Lapse TimeInMins

2011‐12

Begin 12 Lead Q1 2012

11

12

13

14

15

16

17

18

19

1/1/

2011 Feb

Mar

Apr

May Jun

Jul

Aug

Sep Oct

Nov Ju

l

Aug

Sep Oct

Nov

Dec Jan

Feb

Mar

STEMIMedian Prehospital Scene Time Interval

2012-Q1


Avg of Data Shown 14.78 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 14.45 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma




NationalBenchmark<15 mins

Contra Costa EMS AgencyCore Indicator STE#C0003

Data Source: STEMI data base

I

Begin Q1 2012

84

86

88

90

92

94

96

98

100

Jan

Feb

Mar

Apr

May Jun

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012 Feb

Mar

STEMI911 Dispatch to Intervention Time Interval

2012-Q1


Time In Mins

Begin Q1 2012

45

50

55

60

65

70

1/1/

2010 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep

Oct

Nov

Dec

1/1/

2011 Fe

b

Mar

STEMIMean Door to PCI Time Interval

2012-Q1







Stroke SystemQ1 2012

Data Sources: MEDS 3 California Stroke Registry; January 2012 through March 2012. Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival

Contra Costa EMS AgencyCore Indicator ST#C0004

Data Source: Meds; Cal Stroke Registry

0

10

20

30

40

50

60

70

80

90

100

01‐10 mins 10‐15 mins 16‐20 mins

Time Intervals

Stroke Alert PatientsOn Scene Times by Interval in Minutes

Q1 2012 N=129

Benchmark < 20 mins 100%

Time InMins

Contra Costa EMS AgencyCore Indicator # ST#C0001

Data Source: Meds; Cal Stroke Registry

Q1 2012 Begin Stroke Program

6

7

8

9

10

11

12

1/1/

2011 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep Oct

Nov

Dec Jan

Feb

Mar

Timein Mins

2011-12

Stroke Alert PatientsMean On Scene Time Interval in Mins

2012‐Q1

0

10

20

30

40

50

60

70

80

AH (EMS) AH (NON‐EMS) SHA SHB SHD

TimeinMins

Stroke Alert Patients D2N Mean Times

Q1 2012

Contra Costa County Stroke Centers

National Benchmark

60 mins

78

80

82

84

86

88

90

92

94

AH SHA SHB SHD SHE

%

Contra Costa County Stroke Centers

Stroke Alert Patients % Discharged Home on Cholesterol Reducing Meds

2012-Q1

Blank

Trauma SystemQ1 2012

Data Source: Trauma One Registry; July 2010 through November 2011.

Contra Costa EMS AgencyCore Indicator # TC#C0001

Data Source: Trauma One Registry; Jan through March 2012

No Special Cause Detected

1Avg of Data Shown 5.858824 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 Sigma

Median Data Shown 6.3 B. 9 On One Side of Average F. 4 of 5 Beyond 1 SigmaSigma for Limits 1.164 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma



0

10

20

30

40

50

1/1/

2011 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep

Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

% Major Trauma Victims by Month 2012-Q1 N=1311

Begin Q1 2012

%


Data Source: Trauma One Registry Jan 2011through Mar 2012

60

65

70

75

80

85

90

95

1/1/

2011 Fe

b

Mar Apr

May Jun

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

% Over Triage of Major Trauma Victims By Month2012-Q1 (N=1311)

Begin Q1 2012







Data Source: Trauma One Registry; Jan 2011 through March 2012

%

Begin Q1 2012

0

10

20

30

40

50

1/1/

2011 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

% MTV's Discharged Home from ED by Month 2012-Q1

Begin Q1‐2012







Data Source: Meds‐Trauma One July 2010 through November 2011N= 1269 total trauma alerts. N=301 Total MTV’s

Ave MinsOn Scene

Begin Q1 2012

12

14

16

18

20

22

24

1/1/

2011 Fe

b

Mar Ap

r

May Jun

Jul

Aug

Sep

Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

Major Trauma Victim Ave Scene Time Interval in Mins Ground Transport Q1 - 2012

Begin Q1‐2012


Data Source: Trauma One RegistryN= 1311 total trauma alerts. N=312 total MTV’s

Documents

Contra Costa EMS Agency Core Performance Indicators Report: Q1 · Contra Costa EMS Agency Core Indicator # CA#0002 Data Source: CARES Registry; January 2012 through March 2012 Excludes