North Carolina Emergency Medical Services [PDF]

North Carolina. Emergency Medical. Services. Greg Mears, MD. NC EMS Medical Director. Page 2. Alamance. Alexander. Alleg

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Idea Transcript


North Carolina Emergency Medical Services Greg Mears, MD NC EMS Medical Director

County EMS Systems (By Highest Level) As of January 1, 2006 Alleghany Ashe Watauga

Surry

Granville

Wilkes Yadkin

Avery Mitchell Caldwell Alexander

Madison Yancey McDowell

Catawba

Forsyth

Davie

Iredell

Burke Buncombe

Stokes Rockingham Caswell Person

Orange Guilford Durham Alamance

Henderson

Graham Cherokee Clay

Jackson Macon

Rutherford Polk

Transylvania

Bertie Nash

Randolph

Martin

Chatham

Cabarrus Mecklenburg Union

Harnett

Tyrrell

Hyde

Lenoir Hoke Cumberland

Craven Pamlico

Sampson

Jones Duplin

Scotland

Onslow

Robeson

Beaufort

Greene Wayne

Moore

Anson Richmond

Washington

Dare Pitt

Montgomery Stanly

Perquimans Chowan

Wilson Johnston

Lee

Currituck Camden Pasquotank

Edgecombe

Rowan

Lincoln Cleveland Gaston

Halifax

Wake

Davidson

Gates Hertford

Franklin

Haywood Swain

Northampton

Warren Vance

Carteret

Bladen Pender

EMT

3 Counties Columbus

EMT - I

EMT - P

10 Counties

New Hanover Brunswick

87 Counties (plus Eastern Band of Cherokee Indians)

NOTES: These figures represent the highest level of care offered within the county. Not all counties offer the level indicated throughout the entire county. An example is where one county provider offers EMT-P level in one rescue district only, where the remaining rescue districts provide either EMT-I or EMT level services.

Approved Model EMS Systems As of January 1, 2006

Alleghany Ashe Watauga

Surry

Granville

Wilkes Yadkin

Avery Mitchell Caldwell Alexander

Madison Yancey McDowell

Catawba

Forsyth

Davie

Iredell

Burke Buncombe

Stokes Rockingham Caswell Person

Orange Guilford Durham Alamance

Graham Cherokee Clay

Henderson Jackson Macon

Transylvania

Rutherford Polk

Bertie Nash

Randolph

Martin

Chatham

Cabarrus Mecklenburg Union

Harnett

Hoke Cumberland

Robeson

Craven Pamlico

Sampson

Jones Duplin Onslow

Bladen Pender

Columbus

New Hanover Brunswick

11 Model Systems

Hyde

Lenoir

Scotland

89 Standard / Baseline Systems plus Cherokee Tribal

Tyrrell

Beaufort

Greene Wayne

Moore

Anson Richmond

Washington

Dare Pitt

Montgomery Stanly

Perquimans Chowan

Wilson Johnston

Lee

Currituck Camden Pasquotank

Edgecombe

Rowan

Lincoln Cleveland Gaston

Halifax

Wake

Davidson

Gates Hertford

Franklin

Haywood Swain

Northampton

Warren Vance

Carteret

County EMS Systems with EMD Programs As of January 1, 2006 Alleghany Ashe Watauga

Surry

Mcdowell Buncombe

Alexander

Davie Iredell

Burke Catawba

Forsyth

Orange Guilford Durham Alamance

Randolph

Graham

Jackson Macon

Cherokee

Rutherford Cleveland Gaston Polk

Transylvania

Clay

Halifax Bertie Nash

Martin

Chatham

Mecklenburg Union

Anson

Harnett

Cumberland

Craven Pamlico

Sampson

Jones Duplin

Scotland

Onslow Robeson

Bladen Pender

64 COUNTIES WITH EMD PROGRAMS 36 COUNTIES WITHOUT EMD PROGRAMS

Columbus

New Hanover Brunswick

64 Counties* have approved emergency medical dispatch programs. Notes:

Hyde

Lenoir Hoke

Tyrrell

Beaufort

Greene Wayne

Moore

Richmond

Washington

Dare Pitt

Montgomery Stanly

Perquimans Chowan

Wilson Johnston

Lee

Currituck Camden Pasquotank

Edgecombe

Rowan

Cabarrus

Gates Hertford

Wake

Davidson

Lincoln Henderson

Vance

Franklin

Haywood Swain

Northampton

Warren

Person Granville

Yadkin Caldwell

Rockingham Caswell

Wilkes

Avery Mitchell Madison Yancey

Stokes

The dispatch center for Pasquotank County also serves for Camden County.

Carteret

EMS Performance Improvement Center

The EMS Toolkit Project

The Funding ÀThe Duke Endowment À$300,000 annually 2004-2007

The Team ÀOEMS and The EMS PIC ÀPrincipal Investigator ƒ Drexdal Pratt

ÀProject Manager ƒ Cindy Raisor, RN

What is an EMS Toolkit? ÀDetailed Report ÀEvaluates an EMS specific topic ƒ Patient Care ƒ Service Delivery ƒ Personnel Performance

ÀBenchmarking with state and similar systems ÀRecommendations for improvement ÀContinuous use

EMS Data: What you should believe. ÀBusiness structure and management ÀImprove reliability and efficiency ÀTake good care of patients ÀReduce errors ÀDetermine effectiveness of systems and patient care

Six Sigma meets Public Health Implement Intervention

Identify Intervention

EMS System Response Toolkit Reports

Analyzed And Trend Results

What is an Intervention ÀCustomized direction provided within each EMS Toolkit based on an individual EMS System’s results. ÀApproximately 25 to 30 interventions or recommendations per EMS Toolkit ÀEach EMS System is encouraged to choose 1 or 2 for implementation within their System ÀRinse and Repeat

A Match Made in Heaven ÀMoney from Duke Endowment ÀEMS Toolkits from OEMS ÀEMS Systems Use EMS Toolkits ÀDuke Endowment money to EMS Systems to address EMS Toolkit identified issues.

The Toolkits ÀYear 1 ƒ Local EMS System Response ƒ State EMS System Design and Performance

ÀYear 2 ƒ Cardiac Arrest Care ƒ Trauma Care

ÀYear 3 ƒ Pediatric Care ƒ Acute Cardiac Care ƒ Stroke Care (CDC funded)

EMS Response Times

EMS System Charecteristics

EMS Response Toolkit Findings ÀData Completion and Accuracy Issues ÀLong En Route Times ÀUnit Availability ÀLong Transport Distances ÀCall Center Times ÀFirst Responder Coverage ÀVehicle Maintenance Plan ÀQuality Management Program ÀDemographic Trends

EMS Cardiac Arrest Toolkit ÀEMS Cardiac Arrest Overview ÀData Quality ÀCounty Cardiac Arrest Statistics ÀEMS System Capability ÀEMS System Performance ÀEMS Personnel Performance ÀEMS Patient Outcomes ÀEMS Education and Community Outreach

Cardiac Arrest Etiology

Arrest Location Type

Utstein Template

Community Outreach

Coming July, 2007…….

EMS Acute Cardiac Care Toolkit

www.EMSPIC.org Cindy Raisor ([email protected]) Joe Fraser ([email protected])

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