2010 Florida Emergency Medical Providers. Licensure and Call Volume Report

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1 2010 Florida Emergency Medical Providers Licensure and Call Volume Report Florida Department of Health Bureau of Emergency Medical Services Release Date: April 14, 2011

2 Table of Contents Report Information.. p. 3 4 Three Year Incident Count..p. 4 EMS Headquarters Map p. 5 EMS Region Map p. 6 Organizational Type by EMS Transport Type.. p. 7 EMS Type by Region... p. 7 Organizational Type by Region p. 8 Permitted Vehicles by Region... p. 9 Call Volumes by Organizational Type p Call Volumes by Region p Total EMS Incidents by County p. 13 Total EMS Incidents by EMS Agency.. p Total 2010 EMS Incident Map p. 19 Total 2010 EMS Transports Map... p. 20 Total 2010 EMS Patient Contacts Map p. 21 Page 2 of 21

3 Report Information Purpose: To provide Florida Emergency Medical Services (EMS) information regarding the total incidents, total patient contacts, and total transports for year Definitions: Organizational Type is defined as the organizational structure from which EMS services are delivered (fire, hospital, county, etc.). The organizational types used within this report are derived from the National Emergency Medical Services Information System (NEMSIS). Total Incidents is defined as the total number of EMS events that were submitted by each licensed EMS provider. Total Patient Contacts is defined as the total numbers of patients that are responded to by each licensed EMS provider. Total Transports is defined as the total number of times that an EMS unit responded to an EMS event that resulted in a patient being transported to destination. Required Data Elements: Prehospital Aggregate & EMSTARS Transitional Aggregate Databases o Treated, Transport/General Hospital o Treated,Transport/NursingHome o Treated, Transport/MedicalOffice o Treated,Transport/Home o Treated, Transport/TraumaCenter o TreatedTransport/Other) o Transferred Care o Transport Private Vehicle o Treated Released o Treated Refused Transport o No Treatment Required o Patient Refused Care o Dead At Scene o Cancelled o Not Applicable (Incident Disposition) o Unknown (Incident Disposition) o No Patient Found o Do Not Resuscitate Order o Scene o Unscheduled o Scheduled o Standby o Rendezvous o Not Applicable (ServiceTypeRequested) o Unknown (ServiceTypeRequested) EMSTARS D01_08 Organizational Type E02_01 EMS Agency Number E02_02 Incident Number E05_04 Unit Notified By Dispatch Date/Time E20_10 Incident/Patient Disposition Page 3 of 21

4 Data Sources The data in this report were derived from the Emergency Medical Services Tracking and Reporting System (EMSTARS), the Prehospital Aggregate System, and the Customer Oriented Medical Practitioner Administration System (COMPAS) licensure database. All three databases are maintained by the Florida Department of Health. Time Frame January 1, 2010 to December 31, 2010 General Information The term call volume can be used in many different ways throughout the state and country. For the purposes of this report, it was determined to separate the term call volume into three separate categories. The terms Incident Volume, Patient Contact Volume, and Transport Volume were elected to be used with this report. The terms total incidents and total patient contacts are not synonymous. The term total incidents indicate the total number of distinct incidents that are reported by EMS providers. This definition does not include all of the distinct incidents that are considered when multiple agencies respond to the same incident. Total patient contacts indicate the total number of patients that are responded to by each licensed EMS provider. Three Year Incident Count Florida EMS Incident Volume 2008, 2009, 2010 Incident Count 3,300,000 3,250,000 3,200,000 3,150,000 3,100,000 3,050,000 3,000,000 3,054, EMS Incident Totals 4.33% 3,187, EMS Incident Totals 2.95% 3,281, EMS Incident Totals Total EMS Incidents Year Page 4 of 21

5 Page 5 of 21

6 Rick Scott Governor Disclaimer: This thematic map is for reference purposes. Any reliance on the information contained herein is at the user s own risk. The Florida Department of Health and its agents assume no responsibility for any use of the information contained herein or any loss resulting there from. Page 6 of 21

7 Organizational Type by EMS Transport Type The following table describes organizational types for the 271 licensed EMS providers in 2010, including 10 providers licensed out-of-state. Fire-based EMS providers make up over half of the EMS providers in Florida, with non-hospital private EMS providers being the second most numerous organizational type. Thirty-seven percent (37%) of non-hospital private providers are air providers. Fire-based EMS providers make up almost all the Advanced Life Support Non-Transport (ALS/N) type of EMS in the state. Table I 2010 Organizational Type by Licensure Category Air Rotor & Fixed-Wing ALS Non- Transport ALS Transport BLS Transport Total Percent Community, Non-Profit % Fire Department % Governmental, Non-Fire % Hospital % Private, Non-Hospital % Tribal % Total Percent 11.44% 21.40% 64.58% 2.58% 100% EMS Type by Region The following table describes EMS provider types by Florida region. It excludes 10 providers based out-of state. Two-thirds of the providers are Advanced Life Support Transport providers, with ALS Non-Transport providers making up a majority of the remainder. Regions 5 and 7 together have almost half of the total number of EMS agencies. Table II EMS Type by Region Air Rotor & Fixed-Wing ALS Non- Transport ALS Transport BLS Transport Total Pct of Total Region % Region % Region % Region % Region % Region % Region % Total Pct of Total 8.81% 21.84% 66.67% 2.68% Page 7 of 21

8 Organizational Type by Region The following table describes EMS organizational types by Florida region. It excludes 10 providers based outof state. Fire-based EMS providers are a lower percentage in Regions 1 and 2, making up less than a quarter of the total for those perspective regions. These two regions have more Governmental, Non-Fire EMS and Hospital organizational types, by percentage. In all other regions, the reverse is true; there are more fire-based EMS providers than governmental non-fire EMS providers. Table III OrgType by Region (N) Region Community, Non-Profit Fire Department Governmental Non-Fire Hospital Private, Non- Hospital Tribal Total Total OrgType x Region (%) Region Community, Non-Profit Fire Department Governmental Non-Fire Hospital Private, Non- Hospital Tribal 1 0.0% 23.5% 41.2% 23.5% 11.8% 0.0% 2 6.3% 18.8% 50.0% 25.0% 0.0% 0.0% 3 0.0% 50.0% 27.3% 0.0% 22.7% 0.0% 4 2.1% 62.5% 4.2% 10.4% 20.8% 0.0% 5 3.0% 69.7% 0.0% 12.1% 15.2% 0.0% 6 0.0% 46.9% 18.8% 6.3% 25.0% 3.1% 7 1.6% 64.1% 0.0% 3.1% 31.3% 0.0% Page 8 of 21

9 Permitted Vehicles by Region Table IV describes permitted vehicles by Florida region. It excludes 10 providers based out-of state. The 10 out-of-state providers have 46 air EMS vehicles and 5 ground EMS vehicles. One out-of-state EMS provider with 18 EMS aircraft is licensed in Georgia and operates in Florida s Region 1. Region 7 has the most EMS vehicles of both air and ground, followed by region 5; this is mostly consistent with their call volume, described below. Table IV Permitted Vehicles by Region Ground Air All % of Total Region % Region % Region % Region % Region % Region % Region % Total Pct of total 98.1% 1.9% 100% Call Volume by Organizational Type The following three tables describe call volumes by organizational type for 271 EMS agencies, including 10 agencies licensed out-of-state. When call volume is described by incident, patient encounter, or transport; the percentage of service provided by each organizational type is consistent, except for transport. When transports are described, call volume for fire-based EMS agencies falls by about 10%, with the 10% moving to private, non-hospital EMS agencies. Table V Total Incidents by Organization Type Total Incidents Percent of Total Community, Non-Profit 54, % Fire Department 1,793, % Governmental, Non-Fire 560, % Hospital 102, % Private, Non-Hospital 768, % Tribal 2, % Total 3,281, % Chart I 2,324 Tribal Total 2010 EMS Incidents by Organizational Type 54,287 Community, Non-Profit 102,527 Hospital 560, ,319 Governmental, Private, Non- Non-Fire Hospital Organizational Type 1,793,855 Fire Department 1,800,000 1,600,000 1,400,000 1,200,000 1,000, , , , ,000 0 Incident Count Page 9 of 21

10 Table VI Total Transports by Organization Type Total Transports Percent of Total Community, Non-Profit 45, % Fire Department 875, % Governmental, Non-Fire 398, % Hospital 86, % Private, Non-Hospital 699, % Tribal 1, % Total 2,106, % Chart II Total 2010 EMS Transports by Organizational Type 1,355 Tribal 45,286 Community, Non-Profit 86, , ,148 Hospital Governmental, Private, Non- Non-Fire Hospital Organizational Type 875,975 Fire Department 900, , , , , , , , ,000 0 Incident Count Table VII Total Patient Encounters by Organization Type Total Patient Encounters Percent of Total Community, Non-Profit 53, % Fire Department 1,526, % Governmental, Non-Fire 489, % Hospital 93, % Private, Non-Hospital 721, % Tribal 2, % Total 2,885, % Page 10 of 21

11 Call Volume by Region The following tables describe incident volume, patient encounter volume and transport volume by region. It excludes 10 providers based out-of state. Seven of the 10 providers based out of state are air transport providers, with no ground vehicles. Regions 5 and 7 have the most licensed EMS agencies per region; Regions 1 and 2 have the fewest, with 16 each. Call volume, by each of the three measures shown below, is higher in Region 7. Table VIII Number of 2010 Licensed EMS Providers by Region Region 5 66 Region 7 62 Region 4 48 Region 6 32 Region 3 22 Region 1 16 Region 2 16 Table IX Florida Regions Ranked by Total Incidents, 2010 Total Incidents Percent of state total Region 2 77, % Region 1 125, % Region 6 297, % Region 3 354, % Region 5 693, % Region 4 694, % Region 7 1,036, % Total 3,277, % Chart III Florida Regions Ranked by Total Incidents, ,036, , , , ,184 77, ,317 Region 2 Region 1 Region 6 Region 3 Region 5 Region 4 Region 7 Page 11 of 21

12 Chart IV Florida Regions Ranked by Total Transports, , , , , ,830 49, ,684 Region 2 Region 1 Region 6 Region 3 Region 4 Region 5 Region 7 Chart V Florida Regions Ranked by Total Patient Encounters, , , , , , ,632 58,571 Region 2 Region 1 Region 6 Region 3 Region 4 Region 5 Region 7 Page 12 of 21

13 Total 2010 EMS Incidents by County Chart VI describes incident volume by county. It excludes 10 providers based out-of state; together, the outof-state providers had a total of 3997 incidents. Chart VI County Miami-Dade Broward Pinellas Orange Hillsborough Palm Beach Duval Volusia Brevard Lee Polk Pasco Marion Escambia St. Lucie Lake Sarasota Manatee Alachua Leon Seminole Charlotte Collier Citrus Bay Okaloosa Osceola Martin Hernando Indian River Flagler Highlands Levy Monroe St. Johns Columbia Clay Hendry Putnam Walton Nassau Gadsden Bradford Okeechobe Jackson Suwannee Sumter Baker Dixie Wakulla Holmes Gulf Taylor Gilchrist Washington Jefferson Hamilton Hardee DeSoto Union Calhoun Franklin Madison Glades Santa Rosa Lafayette Liberty Total 2010 EMS Incidents by County Liberty 388 Levy 11,874 Lafayette 825 Highlands 15,335 Santa Rosa 1,072 Flagler 16,138 Glades 1,138 Indian River 18,868 Madison 1,586 Hernando 21,633 Franklin 1,772 Martin 22,029 Calhoun 1,786 Osceola 23,615 Union 1,854 Okaloosa 23,858 DeSoto 1,906 Bay 24,404 Hardee 1,969 Citrus 27,021 Hamilton 1,981 Collier 34,610 Jefferson 2,377 Charlotte 35,426 Washington 2,438 Seminole 36,600 Gilchrist 2,509 Leon 39,081 Taylor 2,609 Alachua 40,662 Gulf 2,624 Manatee 42,994 Holmes 2,645 Sarasota 45,303 Wakulla 3,178 Lake 45,535 Dixie 3,418 St. Lucie 53,758 Baker 3,540 Escambia 54,587 Sumter 3,593 Marion 59,231 Suwannee 3,916 Pasco 60,930 Jackson 4,593 Polk 61,370 Okeechobee 4,677 Lee 107,857 Bradford 5,604 Brevard 110,324 Gadsden 6,525 Volusia 112,335 Nassau 7,286 Duval 189,587 Walton 7,310 Palm Beach 198,524 Putnam 7,749 Hillsborough 225,133 Hendry 7,874 Orange 269,626 Clay 8,556 Pinellas 317,263 Columbia 9,669 Broward 319,849 St. Johns 10,559 Miami-Dade 470,647 Monroe 11,815 Total 3,277, , , , , ,000 Incident Count Page 13 of 21

14 2010 Total EMS Incidents by EMS Provider Volume Ranking EMS Provider Incident Count Volume Ranking EMS Provider Incident Count 1 Miami-Dade County Fire Rescue Department 199, Central Florida Ambulance Inc. DBA American Ambulance 29,621 2 Pinellas County Ems Authority DBA Sunstar 178, Fort Lauderdale Fire Rescue 28,250 3 Jacksonville Fire And Rescue Department, City Of 102, Nature Coast EMS Foundation, Inc. 27,021 4 Medics Ambulance Service, Inc. 98, Hialeah Fire Rescue Department, City Of 26,968 5 Palm Beach County Fire-Rescue 89, Liberty Ambulance Service, Inc. 26,606 6 Lee County Emergency Medical Service 79, Broward Ambulance, Inc., DBA AMR 26,543 7 Orange County Fire Rescue, EMS Bureau 74, Reedy Creek Emergency Providers 25,852 8 Miami Fire Rescue Department, City Of 72, Randle-Eastern Ambulance Service, Inc. 25,031 9 American Ambulance Service, Inc. 72, Bay Medical Center 24, Emergency Medical Foundation, Inc. DBA Evac Ambulance 64, Health Central Paramedic Service 23, Hillsborough County Fire Rescue 64, Okaloosa County Public Safety Department 23, Brevard County Fire Rescue 61, Americare Ambulance Service, Inc. 23, Polk County, Department Of Public Safety 61, Florida Hospital EMS 23, Pasco County Fire Rescue 50, Clearwater, City Of 21, Marion County Fire-Rescue 45, Hollywood Fire Rescue & Beach Safety Department 21, Lake-Sumter Emergency Medical Providers, Inc. 45, Lifeguard Ambulance Service Of Florida, LLC 21, Tampa Fire Rescue, City Of 44, Pompano Beach Fire Rescue 20, Rural/Metro Ambulance 41, Seminole County EMS/Fire Rescue Division 19, Sarasota County Fire Department 41, West Palm Beach Fire Rescue 19, Atlantic/Palm Beach Ambulance, Inc. DBA AMR 41, Charlotte County Fire And EMS Department 19, Transcare Medical Transportation Service 40, Largo, City Of 18, St. Petersburg, City Of 39, Indian River County, Department Of Emergency Providers 18, Century Ambulance Service, Inc. 37, Pembroke Pines Fire Rescue 18, American Medical Response 35, Advanced Patient Transportation, Inc. 15, MCT Express, Inc DBA Miami-Dade Ambulance Service 34, Coastal Health Systems Of Brevard, Inc. 15, Collier County Ems Department 33, Miami Beach Fire Rescue Department, City Of 15, St. Lucie County Fire District 32, Osceola County Fire Rescue 14, Escambia County Public Safety Bureau 31, Highlands County EMS 14, Manatee County Department Of Public Safety 31, Ocala-Fire Rescue Service, City Of 13, Leon County Emergency Medical Providers 30, Martin County Fire Rescue 12, Orlando Fire Department 29, Pinellas Park, City Of 12, Alachua County Department Of Public Safety 29, Volusia County Government 11,888 Page 14 of 21

15 2010 Total EMS Incidents by EMS Provider Volume Ranking EMS Provider Incident Count Volume Ranking EMS Provider Incident Count 65 Levy County Ems 11, Lehigh Acres Fire Control And Rescue District 6, Hernando County Fire And Rescue District 11, Plantation Fire Rescue 6, Melbourne Fire Department 11, Ambitrans Medical Transport, Inc. 6, Boynton Beach Fire Rescue 11, Coastal Care Advanced Life Support 6, Deerfield Beach Fire Rescue 11, Iona McGregor Fire District 6, Boca Raton Fire-Rescue 11, Hallandale Beach, Department Of Fire Rescue 6, All County Ambulance, Inc 11, Gadsden County EMS 6, Florida Medi-Van Ambulance Service, Inc. 11, Palm Bay Fire Department, City Of 6, The Sheriff Of Broward County, Florida 11, Nassau County Rescue Service 6, St. Johns County Fire Rescue Department 10, We Care Of The Treasure Coast, Inc. 5, West Coast-Southern Medical Svcs., Inc. 10, South Trail Fire Protection & Rescue Service District 5, Flagler County Dept. Of Emergency Providers 10, Dunedin, City Of 5, Gainesville Fire Rescue Department 10, Palm Coast Fire Rescue Department, City Of 5, Daytona Beach Fire Department 10, Bradford County Emergency Providers 5, Columbia County EMS 9, Atlantic/Key West Ambulance Inc., DBA AMR 5, Spring Hill Fire Rescue & EMS District 9, Hendry County Emergency Providers 5, Venice Ambulance Service, Inc. 9, Palm Beach Gardens Fire Rescue 5, Davie Fire Rescue, The Town Of 9, Kissimmee Fire Department 5, Medi-Car Ambulance Service, Inc. 9, Sun City Center Emergency Squad #1 5, Lealman Special Fire Control District 9, Ambulance Service, Inc. 5, Miramar Fire Rescue, City Of 8, Titusville Fire Department, City Of 4, City Of Deltona Fire Department 8, Dania Beach Fire Rescue 4, Clay County Fire Rescue 8, Riviera Beach Fire Rescue 4, Lauderhill Fire Rescue 8, Okeechobee County Fire Rescue 4, Sunrise Fire Rescue, City Of 8, Medfleet, Inc. 4, Margate Fire Rescue 8, Walton County Fire Rescue 4, Putnam County Emergency Rescue Service 7, Jackson County Fire And Rescue Unit 4, Tamarac Fire Rescue, City Of 7, Oakland Park Fire Rescue 4, Sanford Fire Department 7, Greenacres Public Safety 4, Tallahassee Fire Department, City Of 7, North Port Fire Rescue District 4, Coral Springs Fire Rescue 7, Suwannee County Fire Rescue 3, Palm Harbor Special Fire Control District 6, Apopka Fire Department 3, Delray Beach Fire-Rescue 6, City Of Cocoa/Cocoa Fire Department 3,684 Page 15 of 21

16 2010 Total EMS Incidents by EMS Provider Volume Ranking EMS Provider Incident Count Volume Ranking EMS Provider Incident Count 131 Village Center Community Development District 3, Pinellas Suncoast Fire Rescue District 2, Baker County EMS 3, Jefferson County Fire/Rescue Service 2, Ormond Beach Fire Department, City Of 3, Tampa General Healthcare 2, Plant City Fire Rescue 3, Oviedo Fire Department 2, Dixie County Emergency Medical Providers 3, Seminole Tribe Of Florida, Dept. Of Emergency Providers 2, Port Orange Department Of Fire Rescue 3, Gulfport, City Of 2, Americare ALS, Inc. 3, Temple Terrace Fire Department 2, Bonita Springs Fire Control & Rescue District 3, Zephyrhills Fire Rescue 2, North Lauderdale Fire Rescue 3, Rockledge Fire Department, City Of 2, Tarpon Springs, City Of 3, East Lake Tarpon Special Fire Control District 2, All Co. Ambulance, Inc. DBA Medical Tran 3, South Pasadena, City Of 2, St. Cloud Fire Rescue 3, New Smyrna Beach Fire And Rescue 2, Wakulla County Ambulance Service 3, Lake Mary Fire Department 2, Winter Park Fire Rescue Department 3, Ft. Myers Beach Fire Control District 2, Coral Gables Fire Rescue Department 3, Hamilton County Ambulance Service 1, Stuart Fire Rescue, City Of 2, St. Pete Beach, City Of 1, Bayfront Medical Center DBA Bayflite 2, Hardee County Fire Rescue 1, Winter Garden Fire Rescue Department 2, Jacksonville Beach, City Of 1, Orange City Fire Department, City Of 2, Desoto County Fire/Rescue Department 1, Casselberry Fire Department 2, Union County Department Of Emergency Providers 1, Ocoee Fire Department 2, Gulf County Emergency Medical Providers 1, South Walton Fire District 2, Calhoun Liberty Hospital Association 1, Maitland Fire Rescue, City Of 2, San Carlos Park Fire Protection & Rescue Service District 1, Rocky Mountain Holdings L.L.C. DBA Lifenet 2, Weems Hospital Ambulance Service 1, Holmes County EMS 2, Tallahassee Memorial Healthcare, Inc. 1, Doctors' Memorial Hospital 2, Cocoa Beach Fire Department 1, Greater Orlando Aviation Authority 2, Estero Fire Rescue 1, Monroe County Fire Rescue 2, Edgewater Fire Rescue Department, City Of 1, Gilchrist County Emergency Medical Providers 2, New Port Richey Fire Department 1, Safety Harbor, City Of 2, Oldsmar, City Of 1, Longwood Fire Department 2, Madison County Emergency Medical Service 1, Washington County Ambulance Service 2, Orlando Health Air Care Team 1,462 Page 16 of 21

17 2010 Total EMS Incidents by EMS Provider Volume Ranking EMS Provider Incident Count Volume Ranking EMS Provider Incident Count 195 South Daytona Fire Rescue 1, Indialantic Fire Rescue Palm Beach Fire Rescue 1, Holmes Regional Medical Center First Flight Naples Community Hospital 1, Cape Canaveral Volunteer Fire Department, Inc Holly Hill Fire Rescue, City Of 1, St. Joseph's Hospital HCA Health Providers Of Florida, Inc. 1, American Jets, Inc Marathon Fire Rescue, City Of 1, Indian River Shores, Department Of Public Safety Key Largo Volunteer Ambulance Corps., Inc. 1, Morton Plant Cardiac Transport Service Baptist Life Flight 1, Liberty County Ambulance Service Fernandina Beach, City Of 1, Kennedy Space Center Ems System 375 Glades County EMS Security Providers Of America LLC Elite Protection Providers , Florida Flight I 1, Ocean Reef Public Safety Department G4S Secure Solutions (USA) Inc. DBA G4S 1, Air Ambulance Worldwide, Inc Madeira Beach, City Of 1, Positive Mobility Of Hendry Co. DBA Positive Mobility, Inc Treasure Island, City Of 1, Atmore Ambulance Service Lifeflight Variety Children's Hospital 1, National Air Ambulance Longboat Key Fire Department 1, Ponce Inlet Fire Rescue North Palm Beach Public Safety Worldwide Aircraft Providers Inc. DBA Jet I.C.U Midway Fire Control District Air Trek, Inc Daytona Beach Shores Department Of Public Safety Allied Barton Security Providers, LLC Seminole, City Of Aero Jet International, Inc Positive Mobility, Inc. DBA Positive Medical Transport, Inc Sacred Heart Children's Hospital Lafayette County Rescue The Children's Hospital Of SW Florida, Lee County Wewahitchka Emergency Medical Providers Florida State Hospital Air Ambulance Specialist, Inc Lifeguard Air Ambulance, Inc Orlando Regional Healthcare Keys EMS, Inc., DBA: Keys Medical Transports Lighthouse Point Fire Rescue Global Jetcare, Inc Satellite Beach Fire Department CCAFS EMS System Islamorada Village Of Islands Fire Rescue Advanced Air Ambulance, Corporation Tequesta Fire Rescue Skyservice Business Aviation Inc Village Of Key Biscayne Fire Rescue Air Ambulance Professionals, Inc Shandscair, Shands Hospital Little Gasparilla Fire And Rescue, Inc Port St. Lucie Volunteer Ambulance Service Trinity DBA Trinity Air Ambulance International 26 Page 17 of 21

18 2010 Total EMS Incidents by EMS Provider Volume Ranking EMS Provider Incident Count 259 Aero National Inc Air Medical Charters, LLC Central Air Ambulance, LLC Air Ambulance Network Air Critical Care, LLC Aerocare Medical Transport System, Inc Airmed International, L.L.C Aviation One Medical Transport Providers, LLC Intensive Air, Inc International Medical Care, Inc Med Jets Now LLC DBA Res-Q-Jets Rapid Patient Mobilization, Inc Variety Children's Hosp. DBA Miami Children's Hosp. 0 Page 18 of 21

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