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Union Emergency Medical Services. System Overview August 17, 2009. Union EMS Operational Highlights. Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift 78 Full-time Employees, 35 Part-time Employees

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System Overview August 17, 2009

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Union Emergency Medical Services

System Overview

August 17, 2009


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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

78 Full-time Employees, 35 Part-time Employees

Response from Ten Strategic Locations

16,000 Calls Resulting in 11,000 Transports Annually


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Organizational Structure


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Response Zones

21

Asst. Supervisor

20

Supervisor

42

52

50,51

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

FY 2009

16,101 Dispatches

(44/day)

70% Emergency

30% Non-Emergency

10,858 Transports

30/day (67% of dispatches)

447,056 miles driven annually

EMS Activity and Growth Summary


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Emergency Response Times

1997 – 7.67 Minutes on Average

93% in 13 minutes or less

2009– 8.19 Minutes on Average

92% in 15 minutes or less


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Financial Overview

Payor Mix

½ of transports are Medicare and Medicaid

Medicare – 42% Private – 35%

Insurance – 16% Medicaid - 8%

Current Average Trip Charge = $544.00

Medicare Allowable: $380.00 (70% of charges)

Medicare Pays: 304.00 (80%)

Patient Co-pay: 76.00 (20%)

EMS Write-Off:$164.00 (30% of Charges)


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Financial Performance

Budget

FY1997 - $3,122,555

FY2009 - $6,671,250

Cost per Transport

FY1997 – $639

FY2009 - $614

Collection Rates

1997-1998 38% Gross 56% Net

2008-2009 51% Gross 98% Net

County Funding Required Per Transport

FY1997 – $604

FY2009 - $327


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Quality Improvement Efforts

  • Electronic Medical Record (E-PCR)

  • Field Training Officer Chart Reviews

  • Monthly Continuing Education and Skills Training

  • Ongoing Clinical Protocol Updates

  • Advanced Airway Treatments

  • CPAP, RSI, Bone Infusion


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Community Relations Efforts

  • Medical Explorers

  • Injury Prevention / SafeKids/Safe Communities

    • Vial of Life Program

    • Collision Avoidance Training w/SPCC

    • Child Passenger Safety

  • Tactical Medical Team (SWAT)

  • LifeLine – Personal Alert System


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Summary

  • Union EMS continues progress

  • Cost to the County is stable

  • Collections are good

  • Future Goals:

    • Adjust personnel/ambulances to meet growth and demand – Improve Response

    • Additional debt collection strategies

    • Further advancement of clinical care


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Union Emergency Medical Services

For more information contact:

G. Scott Shew, MHA, FACHE

EMS Director

Telephone: 226-2001

Scott.Shew@carolinashealthcare.org

www.UnionEMS.NET


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