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EMERGENCY MEDICAL SERVICESSYSTEM COLLABORATIVE MEETING
ThursdayFebruary 1, 2018
MATTHEW CONSTANTINEDIRECTOR
INTRODUCTIONS
MATTHEW CONSTANTINEDIRECTOR
ReddiNet
Bed Availability / MCI Response
MCI Response
DecemberAlerts Responses
BHH 9 2BMH 9 6DRMC 3 3KMC 9 8KVH 2 2MER 9 6MSW 9 6RRH 2 2SJCH 9 7Tehach 2 1
0
10
20
30
40
50
60
70
80
90
BHH BMH DRMC KMC KVH MER MSW RRH SJCH Tehach
48.75% 69.88% 69.44% 89.29% 67.65% 78.05% 60.98% 74.29% 93.75% 12.12%
39 58 25 75 23 64 50 26 75 4
80 83 36 84 34 82 82 35 80 33
Year To Date
Alerts
Responses
JanuaryNotice Resp
BHH 3 1BMH 3 3DRMC 2 1KMC 3 3KVH 1 1MER 3 3MSW 3 3RRH 1 1SJCH 3 3Tehach 1 1
Patient Distribution
2017
I D M TotalBHH 0 0 0 0 0.00%BMH 1 4 14 19 7.76%DRMC 1 3 0 4 1.63%KMC 19 33 86 138 56.33%KVH 0 0 0 0 0.00%MER 0 1 22 23 9.39%MSW 0 1 13 14 5.71%RRH 0 2 9 11 4.49%SJCH 0 5 23 28 11.43%Tehach 0 0 8 8 3.27%
Total 245 100.00%
Pt Dist
Bed Availability
December
Number of Days B.A. Reported
Number of Days
B.A. not reported
Number of Days B.A. reported >1
BHH 30 1 19BMH 31 0 31DRMC 29 2 22KMC 29 2 26KVH 1 30 0MER 31 0 28MSW 31 0 30RRH 31 0 27SJH 31 0 31THD 26 5 18
Bed Availability Reporting
290
365
349 345
106
364 361 363 364
343
139
343
256
293
3
326 324
311
336
306
0
50
100
150
200
250
300
350
400
BHH BMH DRMC KMC KVH MER MSW RRH SJH THD
2017Number of Days B.A. Reported Number of days B.A. reported >1
January
Number of Days B.A. Reported
Number of Days
B.A. not reported
Number of Days B.A. reported >1
BHH 27 4 18BMH 30 1 28DRMC 28 3 15KMC 27 4 22KVH 3 28 0MER 30 1 28MSW 30 1 25RRH 30 1 26SJH 29 2 28THD 23 8 10
Bed Availability Reporting
Patient Transport to Triage
• Will be posted for a 30 day comment period beginning tomorrow
• Please submit your comments using the comment table
APOT‐1: January 2018Rank Hospital Number of Transports APOT‐1 (minutes)
1 Ridgecrest Regional 281 6.0
2 Delano Regional Medical Center 283 29.4
3 Tehachapi Hospital 116 32.9
4 Kern Valley Healthcare District 154 35.5
5 Mercy Hospital 557 49.5
6 Kern Medical 787 53.8
7 Mercy Southwest Hospital 524 68.5
8 Bakersfield Heart Hospital 282 80.1
9 Adventist Health Bakersfield 1604 93.7
10 Bakersfield Memorial Hospital 1357 102.4
APOT‐1: June 2017 – January 2018
0
20
40
60
80
100
120
140
June July August September October November December January
APOT‐1 (m
inutes)
Bakersfield Hospitals
Adventist Health Bakersfield Bakersfield Heart HospitalBakersfield Memorial Hospital Kern Medical
APOT‐1: June 2017 – January 2018
0
5
10
15
20
25
30
35
40
June July August September October November December January
APOT‐1(minutes)
Outlying Area Hospitals
Delano Regional Medical Center Kern Valley Healthcare DistrictRidgecrest Regional Tehachapi Hospital
APOT‐2: January 2018 Hospital 2.1 (N, %) 2.2 (N, %) 2.3 (N, %) 2.4 (N, %) 2.5 (N, %) Total Number
of Transports
Bakersfield Memorial Hospital 378 (27.8%)
727 (53.6%) 137 (10.1%) 62 (4.6%) 53 (3.9%) 1357
Adventist Health Bakersfield 418 (26.1%)
859 (53.4%) 233 (14.5%) 68 (4.2%) 26 (1.6%) 1604
Bakersfield Heart Hospital 100 (35.6%)
140 (49.7%) 29 (10.3%) 6 (2.1%) 7 (2.5%) 282
Mercy Southwest Hospital 204 (38.9%)
252 (48.1%) 49 (9.4%) 10 (1.9%) 9 (1.7%) 524
Kern Medical 260 (33.0%)
471 (59.9%) 54 (6.7%) 2 (0.3%) 0 (0.0%) 787
Mercy Hospital 261 (46.7%)
256 (45.9%) 34 (6.1%) 4 (0.7%) 2 (0.4%) 557
Kern Valley Healthcare District 130 (84.4%)
14 (9.1%) 7 (4.6%) 2 (1.3%) 1 (0.7%) 154
Tehachapi Hospital 76 (65.5%) 36 (31.0%) 4 (3.5%) 0 (0.0%) 0 (0.0%) 116
Delano Regional Medical Center 232 (81.9%)
48 (16.9%) 3 (1.1%) 0 (0.0%) 0 (0.0%) 283
Ridgecrest Regional 274 (97.5%)
5 (1.8%) 1 (0.4%) 1 (0.4%) 0 (0.0%) 281
APOT‐2: June 2017 – January 2018
by Hospital
Bakersfield Memorial Hospital
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 1292total
July, 1502total
Aug, 1775total
Sept, 1731total
Oct, 1147total
Nov, 1291total
Dec, 1351total
Jan, 1357total
Percen
t of Total Transpo
rts
Month and Number of Total Transports
2.1 2.2 2.3 2.4 2.5
Adventist Health Bakersfield
0
10
20
30
40
50
60
70
80
90
100
June, 1648total
July, 1949total
Aug, 2285total
Sept, 2097total
Oct, 1397total
Nov, 1514total
Dec, 1560total
Jan, 1604
Percen
t of Total Transpo
rts (%
)
Month and Total Number of Transports
2.1 2.2 2.3 2.4 2.5
Bakersfield Heart Hospital
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 35total
July, 313total
Aug, 366total
Sept, 372total
Oct, 194total
Nov, 248total
Dec, 267total
Jan, 282total
Percen
t of Total Transpo
rts
Month and Total Number of Transports
2.1 2.2 2.3 2.4 2.5
Mercy Hospital
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 575total
July, 699total
Aug, 823total
Sept, 764total
Oct, 494total
Nov, 519total
Dec, 513total
Jan, 557total
Percen
t of a
ll Tran
sports (%
)
Month and Total Number of Transports2.1 2.2 2.3 2.4 2.5
Mercy Southwest
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 509total
July, 586total
Aug, 778total
Sept, 711total
Oct, 452total
Nov, 518total
Dec, 555total
Jan, 524total
Percen
t of Total Transpo
rts (%
)
Month and Number of Total Transports
2.1 2.2 2.3 2.4 2.5
Kern Medical
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 927total
July, 1016total
Aug, 1264total
Sept, 1130total
Oct, 727total
Nov, 820total
Dec, 755total
Jan, 787total
Percen
t of Total Transpo
rts
Month and Total Number of Transports
2.1 2.2 2.3 2.4 2.5
Kern Valley Healthcare District
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 168total
July, 182total
Aug, 162total
Sept, 133total
Oct, 143total
Nov, 112total
Dec, 146total
Jan, 154total
Total Percent of Transpo
rts (%
)
Month and Total Number of Transports
2.1 2.2 2.3 2.4 2.5
Tehachapi Hospital
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 75 July, 112 Aug, 138 Sept, 123 Oct, 97 Nov, 114 Dec, 137 Jan, 116total
Percen
t of Total Transpo
rts (%
)
Month and Number of Total Transports2.1 2.2 2.3 2.4 2.5
Delano Regional Medical Center
0.00
10.00
20.00
30.00
40.00
50.00
60.00
70.00
80.00
90.00
100.00
June, 306total
July, 303total
Aug, 464total
Sept, 407total
Oct, 284total
Nov, 269total
Dec, 287total
Jan, 283total
Percen
t of Total Transpo
rts (%
)
Month and Total Number of Transports2.1 2.2 2.3 2.4 2.5
Ridgecrest Regional
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
June, 235total
July, 240total
Aug, 257total
Sept, 185total
Oct, 206total
Nov, 198total
Dec, 237total
Jan, 281total
Percen
t of Total Transpo
rts (%
)
Month and Total Number of Transports2.1 2.2 2.3 2.4 2.5
HP‐CPR PROTOCOL CHANGES
System Collaborative February 1st2018
EMT Protocol Changes
EMT Protocol Changes
ALS Protocol Changes
Public Comment
• 30 Day comment period. • Address comments to [email protected]
• Go live date is tentatively the first week of march.
Stroke System of Care
• 2nd Public comment ended on January 19th
• Subcommittee met this week to discuss the received comments
• Many of the comments were regarding the definitions of things, which we are working on updating
Stroke System of Care
• The plan:– There seems to be much confusion – The state “draft” regulations have some additional changes
– We will pull the document out of public comment– We will revise and work with the subcommittee on clarifying the document
– We will come back in April with a new stronger document
EMT Protocols
• Epi has been added to the EMT protocols– (If auto injector must carry adult & pediatric)
• Blood Glucose analysis has been added– ALOC protocol was updated to reflect the procedure
• Both of these items are part of basic scope• Both of these items will be required to carry for all Providers, transport, and non‐transport
EMT Protocols
• Epi– If using auto injectors, no further training is required
– If your agency decides to use vials and allow your EMT’s to “draw‐up” the medication, further training is required
– We have a very good power point available, and Boundtree has a training kit that costs approx. $60
Blood Glucose considerations
• All Kern County Providers shall provide and maintain records of training provided for use of glucometer
• The Division is looking to add an Diabetic Emergency Protocol to the EMT Protocols to better define the appropriate use of blood glucose analysis
Waveform Capnography
• The Division wants Capnography used on all patients for confirmation of tube placement
• This includes EMT’s and paramedics using King Airway, I‐Gel, ET
• This has been added to the EMT protocols as Optional Scope
Waveform Capnography
• What does this mean?– If your agency is going to allow your EMT’s to place a King Airway or an I‐Gel, they will be required to confirm placement with waveform capnography
– This is in the optional scope section of the EMT protocol as required equipment
Public Comment
• February 2nd, 2018‐March 2nd, 2018• Submit comments to Nick Lidgett
• Goal is to have implementation on July 1st, 2018
ANNOUNCEMENTS
MATTHEW CONSTANTINEDIRECTOR
THANK YOU FOR COMING
MATTHEW CONSTANTINEDIRECTOR
