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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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ems system overview presentation 2006 february 14 2006

Union Emergency Medical Services

EMS System Overview Presentation

2006

February 14, 2006

slide2

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

response zones

21

Asst. Supervisor

Response Zones

20

Supervisor

42

52

51

56

59

53

61,62,63

54

55

43

ems activity and growth summary
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
response times
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

financial overview
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)

financial performance
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

employee involvement
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
quality improvement efforts
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
community relations efforts
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
summary
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
slide15

Union Emergency Medical Services

For more information contact:

G. Scott Shew, MHA, NREMT-P

EMS Director

Telephone: 226-2001

Scott.Shew@carolinashealthcare.org