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 Drexdal Pratt
ÀProject Manager Cindy Raisor, RN
What is an EMS Toolkit? ÀDetailed Report ÀEvaluates an EMS specific topic Patient Care Service Delivery 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 Local EMS System Response State EMS System Design and Performance
ÀYear 2 Cardiac Arrest Care Trauma Care
ÀYear 3 Pediatric Care Acute Cardiac Care 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])