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Union Emergency Medical Services EMS System Overview Presentation 2006 February 14, 2006 Union EMS Operational Highlights Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift

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Union Emergency Medical Services

EMS System Overview Presentation

2006

February 14, 2006


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Union EMS

Operational Highlights

Paramedic Level Ambulance Service

Emergency and Non-Emergency Responses

Three 24-hour Rotating Shifts, One Prime-time Shift

71 Full-time Employees, 35 Part-time Employees

Response from Ten Strategic Locations

13,000 Calls Resulting in 9,000 Transports Annually


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21

Asst. Supervisor

Response Zones

20

Supervisor

42

52

51

56

59

53

61,62,63

54

55

43


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1997

7,129 Dispatches (20/day)

93% Emergency

6% Non-Emergency

1% Stand-by / other

4,874 Transports 13/day (67% of dispatches)

200,000 miles driven annually

2006

13,000 Dispatches (36/day)

82% Emergency

16% Non-Emergency

2% Stand-by / other

9,000 + Transports 25/day (67% of dispatches)

300,000 miles driven annually

EMS Activity and Growth Summary



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Response Times

1997 – 7.67 Minutes on Average

93% in 13 minutes or less

2005 – 8.51 Minutes on Average

93% in 14 minutes or less



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Financial Overview

Payor Mix = ½ of transports are Medicare

Medicare – 46% Private – 37%

Insurance – 8% Medicaid - 8%

Current Average Trip Charge = $500.00

Medicare Allowable: $275.00 (55% of charges)

Medicare Pays: 220.00 (80%)

Patient Co-pay: 55.00 (20%)

EMS Write-Off:$225.00 (45% of Charges)


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Financial Performance

Budget

1997 - $3,122,555

2006 - $5,824,701

Cost per Transport

1997 – $639

2006 - $612

Collection Rates

1997-1998 38% Gross 56% Net

2004-2005 53% Gross 72% Net

County Funding Required

1997 – $604

2006 - $412


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Employee Involvement

  • Protocol Development Committee

  • Standard Operating Guideline Development / Review Committee

  • Vehicle and Equipment Standardization

  • Redistricting/Response Zone Committee

  • Physical Fitness Standards Committee

  • Employee Candidate Recruitment

  • New Employee / Student Preceptors


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Quality Improvement Efforts

  • Re-tooling of Patient Care Report to Capture Clinical and Billing Data

  • Field Training Officer Chart Reviews

  • Monthly Continuing Education and Skills Training

  • Ongoing Clinical Protocol Updates

  • 12 Lead EKG – Cardiac Care Outcome Improvement Initiative (equipment + education)

  • Rapid Sequence Induction

  • Paramedics Devin Miracco and Robby Smith won 1st Place representing Union EMS in two separate Paramedic Competitions in 2004 (NC/SC)

  • Placed 2nd in 2005 Competition


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Community Relations Efforts

  • Medical Explorers

  • Injury Prevention Team

    • Teen Focused: Arrive Alive/Think About It

    • Vial of Life Program

  • SafeKids/Safe Communities – Jennifer Cooke

    • Child Passenger Safety – Checking Station

  • EMS Bike Team

  • Honor Guard

  • Tactical Medical Team (SWAT)

  • LifeLine – Personal Alert System

  • Numerous Show and Tell Activities


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Summary

  • Union EMS continues progress

  • Cost to the County stable

  • Collections are at record highs

  • Future Goals include transition to electronic medical record and mobile data terminals – improved data, performance, quality, reimbursement


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Union Emergency Medical Services

For more information contact:

G. Scott Shew, MHA, NREMT-P

EMS Director

Telephone: 226-2001

[email protected]


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