Contra Costa EMS Agency Core Quality Measures. Semi-Annual Report Quarters 1 & 2, 2015

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1 Contra Costa EMS Agency Core Quality Measures Semi-Annual Report Quarters 1 & 2, 2015

2 EMS System Utilization Semi-Annual Report Quarters 1 & 2, 2015 Data Source: First Watch

3 Contra Costa County 911 Ambulance Response and Transport Frequency Semi-Annual 2015 Reporting for Q1 & Q2 N= 46,758 Responses N= 36,377 Transports _Responses N Freq _Transports Month and Year

4 Contra Costa County 911 Ambulance % Transport per Response Semi-Annual Q1 Q N= 46,758 Responses N= 36,377 Transports Mean =76%

5 Cumulative Hours on EMS Diversion by Hospital Semi-Annual Q1 Q N=227 Diversion Hours All Hospitals Cum Hours CCRMC JMMC C JMMWC KA KR KWC SDMC SRVMC

6 Hospital Diversion Hours % by Cause Semi-Annual Q1 Q N=227 Total Hours on Diversion Q1 & Q STEMI 56% CT 38% 72% TRAUMA 6%

7 Base Hospital Semi-Annual Report Quarters 1 & 2, 2015 Data Source: Base Hosp Log

8 Base Hospital Daily Call Average Historical Trend through 2014 Semi-Annual Report Calls per Day * * Note: Q Numbers may not be complete due to implementation of New Data System

9 Base Hospital Calls by Frequency and Type Semi-Annual Report Quarters 1 & 2, Q = 778 calls Q * Q FREQ Q Q All Calls Activations Destination Other *Note: Q numbers not available due to implementation of New Data System

10 Base Hospital % Calls by Type Semi-Annual Report Quarters 1 & 2, 2015 Q = 778 calls 22% 26% 52% Destination Other Medical Activation

11 Cardiac Arrest Semi-Annual Report Quarters 1 & 2, 2015 Data Source: CARES Registry

12 % Bystander CPR by Quarter Semi-Annual Report Quarters 1 & 2, % % 23 National Benchmark CDC 10 0 Q Q Q Q Q Q Q Q Q Q Source: CARES Registry

13 40 Cardiac Arrest Survival Utstein % Survival by Quarter Semi-Annual Report Quarters 1 & 2, % % 27 National Benchmark CARES * Q Q Q Q Q Q Q Q Q Q Source: CARES Registry * Q data incomplete

14 STEMI System Semi-Annual Report Quarters 1 & 2, 2015 Data Source: AMR, CCC STEMI Centers

15 18 18 Begin Q Median Prehospital Scene Time Interval - STEMI Semi-Annual Report through Quarter 1, 2015 Median Prehospital Scene Time Interval - STEMI Q1 N=83 STEMI Activations By Quarter through Mins Begin Q Q Data Not available Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Special Cause Detected Chart Type: Chart for Individuals Database Column Centerline: Process Limits: Lower: Upper: Avg of Data Shown 13.7 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 Sigma Median Data Shown 14.5 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma Sigma for Limits C. 6 Trending Up or Down G. 15 Within 1 Sigma Base for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma X. Excluded or Missing Data

16 STEMI Alerts and Disposition Semi-Annual Report through Quarter 1, 2015 Q N=83 Total Activations Frequency Per Quarter (58%) (57%) (58%) (50%) 26 (46%) 38 STEMI Activations To Cath Lab Q Q Q Q Q1 2015

17 STEMI System Time Intervals 90% Min or Less First Medical Contact (FMC) to Intervention (PCI) Q N= 38 to Cath Lab Benchmark: 90 Mins or less 100% % 90 mins or Less 90% 80% 70% 60% 50% 67% 79% 57% 58% 54% 75% Benchmark 40% 30% 20% 10% 0% Q Q Q Q Q Note: ITF s not included

18 Stroke System Semi-Annual Report Quarters 1 & 2, 2015 Data Sources: AMR, California Stroke Registry

19 Final Diagnosis of Stroke Alert Patients Q N=207 OTHER 25% EPILEPSY/SEIZURE 7% CVA 44% TIA 11.5% ICH 12.5%

20 STROKE ALERT Mean Prehospital Scene Time Interval Semi-Annual through Q Q1 N=209 Stroke Alerts Benchmark 15 mins Benchmark = 15 mins Time Interval in Mins Q Q Q Q Q No Special Cause Detected Chart Type: Chart for Individuals Database Column Centerline: Process Limits: Lower: Upper: Avg of Data Shown 11.6 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 Sigma Median Data Shown 12 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma Sigma for Limits C. 6 Trending Up or Down G. 15 Within 1 Sigma Base for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma X. Excluded or Missing Data

21 Stroke System Mean Time Interval; Call Received to Drug Semi-Annual through Q Q N = 209 Stroke Alerts Mean Time Interval in Mins Q Q Q Q Q1 2015

22 Trauma System Semi-Annual Report Quarters 1 & 2, 2015 Data Source: Trauma & Base Hospital Registry

23 % Trauma Activations by ISS Semi-Annual to Q N= 43 ISS>15 Q N= 219 ISS<15 Q % 90% 80% 78% 79% 74% 77% 83% * 70% 60% 50% 40% ISS>15 ISS <15 30% 20% 22% 21% 26% 23% 17% * 10% 0% Q Q Q Q Q * Note: Q Numbers reflect incomplete data due to implementation of New Data System

24 Trauma Activations % Discharged from ED Semi-annual % By Quarter to Q1 2015; Q1 N=93 90% 80% 70% 60% 50% 40% 35% 30% 20% 24% 21% 26% 24% 10% 0% Q Q Q Q Q1 2015

25 18 Median Prehospital On Scene Time Interval Blunt vs. Penetrating Trauma By Quarter Semi-Annual to Q Pen Time Interval in Mins Blunt Q Q Q Q Q Q Q Q1 2015

26 END CORE MEASURES SYSTEM REPORT Semi-Annual Report Quarters 1 & 2, 2015

27 Ambulance Patient Hand Off Delays Semi-Annual Report Quarters 1 & 2, 2015

28 Time In Mins

29 Adhoc Studies Annual 2014

30 Time In Mins

31 EMS Events Reporting Trends Semi-Annual Report Quarters 1 & 2, 2015

32

33 END REPORT Semi-Annual Report Quarters 1 & 2, 2015

34 Contra Costa EMS Agency Quality Initiatives PRIORITY Provider CQI Plans Pt Care Documentation Continue Active High Performance Cardiac Arrest & CPR EMS Patient Off Load Time Reduction Never Events EMS Events Reporting Process Monitor & Sustain Spinal Motion Restriction Pediatric Medication Safety