S-SV EMS 2017/2018 Annual Report

S-SV EMS 2017/2018 Annual Report

EXECUTIVE SUMMARY This report is provided to the JPA Governing Board of Directors and system participants as a means of providing system-wide data, projects and progress in the ten County S-SV EMS region. The ten member counties include Butte, Colusa, Glenn, Nevada, Placer, Shasta, Siskiyou, Sutter, Tehama and Yuba (see map below). Glenn County joined the region in July 2017. The S-SV EMS region is a geographically diverse area covering 22,000 square miles and a static population of more than 1.3 million people. There are 6 multi-county Local EMS Agencies (LEMSA) in California, of which S-SV EMS is the largest. S-SV EMS s regulatory authority rests under the California Health & Safety Code, Division 2.5 EMS and California Code of Regulations, Title 22, Division 9. There are 8 system components over which all local EMS Agencies (LEMSAs) have regulatory oversight: System Organization and Management, Staffing and Training, Communications, Response and Transportation, Facilities and Critical Care, Data Collection, Public Information and Education and Disaster Medical Response. S-SV EMS Region Map 1 P a g e

AGENCY STAFF & RESPONSIBILITIES S-SV EMS staff consists of an Executive Director, Associate Director, part-time Medical Director and 7 staff located in Rocklin in addition to an Associate Director and a part-time clerical position in the Redding office. An Organizational Chart and listing of staff responsibilities as included below. S-SV EMS 2018 Organizational Chart 2 P a g e

S-SV EMS 2018 Staff Responsibilities STRATEGIC PLANNING PROCESS: Since the last report S-SV has developed a 5 year strategic report with the following goals: 1. Upgrading/replacing technology and equipment; 2. Evaluating staffing needs; 3. Professional development, and 4. Evaluating office space, both in Redding and Rocklin. Since the Board adopted the strategic plan we have made progress in addressing those areas. 3 P a g e

FINANCIAL MANAGEMENT: S-SV has been aggressively paying the unfunded liability portion of Other Post- Employment Benefits (OPEBS). In FY 2016/17 we are 128% funded and are current in our annual payments. Our revenues come from several sources. As a Regional EMS Agency (3 or more counties, as defined by the EMS Authority) we are eligible for State General Funds. Additionally, member counties contribute based on a per population formula. Other revenues come from grants and fees. S-SV manages the Health Preparedness Grant for Sutter and Yuba Counties as well as the LEMSA component and the Ebola grant. The Regional Disaster Medical Health Specialist (RDMHS) Region III program is also managed by our Agency. Our 10 counties and 3 NorCal EMS counties are in Region III. Currently, John Lord, Associate Director, functions as the RDMHS. Additionally we manage several pass-through funding sources for which we do not receive funding. Our total budget for fiscal year 2017/18 is $2,764,242. EMS SYSTEM PROVIDER OVERSIGHT: Staff began a robust Quality Improvement program requiring participation and data input from all providers ALS transport, ALS non-transport, BLS, hospitals and air ambulance. The reports on Quality Improvement includes response call data, 9-1-1 EMS Aircraft times and Medication & Procedure utilization and is available on our website at www.ssvems.com on the right of the page under EMS Reports and Newsletters. Ground ambulances: In 2017 the seven expiring exclusive operating area (EOA) contracts were renegotiated. The Glenn County EOA is currently under negotiation. All but one provider has EOAs established by non-competitive bid (grandfathered). Butte County was competitively bid by RFP in 2013. 4 P a g e

Air Ambulance: Siskiyou County has been approved for a pilot program to auto-launch air ambulances to their areas that have extended ALS response times. There are very specific criteria to utilize the auto-launch process. One-hundred percent of dispatches will be audited by S- SV staff for appropriateness. Ambulance Patient Off-load Times (APOT): In 2017 S-SV established the requirement to report ambulance patient off-load times. Collection of APOT data is voluntary for EMS Systems, however, if a LEMSA does collect them they must be reported to the State EMS Authority. These reports are provided to our JPA Governing Board at each meeting and to our hospitals and EMS providers. They can also be found on our website in the same location as indicated above. System Audits: The following audits and report cards are provided to the members of our EMS community. This project was developed in 2017 to provide focused information to our providers in an effort to improve patient care. In addition to these, other reports of interest may be developed and posted on our website, such as the Naloxone utilization report. 5 P a g e

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In addition to the above system reports individual report cards for trauma and STEMI care are developed and sent to our field providers. CARES: S-SV will begin participating in the CARES (Cardiac Arrest Registry to Enhance Survival) in 2018. The goal is to measure performance and identify how to improve cardiac arrest survival rates. Many other LEMSAs are participating in this registry, the goal is to have Statewide participation. Education and Training: S-SV conducts paramedic/micn accreditation classes monthly, both in Redding and Rocklin. Annual training modules are developed and widely distributed. MCI and EOM (Emergency Operations Manual) training are conducted periodically. Our quarterly newsletter is widely distributed. All of these, as well as our meeting schedule, trainings held by our member counties, our policies and protocols and other items of interest are located on our website. Personnel recognition: For some time S-SV has been recognizing personnel for outstanding service. In 2017 we implemented the Chain of Survival Lifesaver Award. This recognition is specific to cardiac arrest survival. It s given at an event to honor all parties involved from bystanders who conducted CPR, dispatch, law enforcement, first responders, transport, hospital staff and most importantly, the patient and their families. Pictures are posted on our facebook page. There are many dedicated people that make this EMS system successful, from volunteers to highly trained career professionals. Bystanders who have taken the time to learn CPR and how to work an automated emergency defibrillator (AED) Emergency dispatchers, the frontline of our emergency medical response, who coach 911 callers to save lives until help arrives Emergency medical responders, Emergency medical technicians, paramedics, firefighters who are the first responders that deliver emergency medical care to the patients 11 P a g e

Emergency department physicians, nurses and other ancillary staff who deliver care at the hospitals across our region Educators and EMS administrators and staff who work to support the EMS system These individuals whether they are volunteers or career professionals participate in many hours of specialized training and continuing education to enhance their lifesaving skills and the system would not function without all of the participants at different levels. This report will give you an idea of how and what our professionals continue to do throughout the S-SV EMS region. 12 P a g e