Emergency Medical Dispatch Task Force. February 18, 2016

Transcription

1 Emergency Medical Dispatch Task Force February 18, 2016

2 Agenda Welcome Introductions Purpose / Objectives Task Force Scope Task Force Operations Work Groups Deliverables Next Steps Adjourn

3 Santa Clara County EMS Video

4 Primary Stakeholders This is a group of subject matter experts, non-organizational representatives. Association, discipline, or stakeholder representation. Department/agency participation occurs through routine policy development process/stakeholder groups. Provide advice to the policy development process.

5 Task Force Members Public Safety Communication Managers Association (2 members) Santa Clara County Fire Chiefs Association 5 members (1- Palo Alto Service Area EOA, 1- County Service Area EOA, 1-high volume PSAP, 1-PSAP, 1-Fire District) Santa Clara County Private Ambulance Service Providers (2 members) Santa Clara County Ambulance (1 member) Santa Clara County Communications (2 members)

6 Task Force Leadership Chair and Co-Chair: David Sullivan, EMS Program Manager, Santa Clara County EMS Agency Chief Michael Patterson, Division Chief, San Jose Fire Department Work Group Leads: Quality Improvement and Assurance Chris Duncan, EMS Program Manager, Santa Clara County EMS Agency Operations Michael Clark, EMS Program Manager, Santa Clara County EMS Agency Medical Control Dr. Michael Chin, Interim EMS Medical Director, Santa Clara County EMS Agency EMS Agency Advisors / Sponsors Jackie Lowther, Linda Diaz, and Josh Davies

7 Authority for Medical Control Health and Safety Code, Division 2.5, Sections , , and California Code of Regulations, Title 22, Division 9, Sections , , , EMS Service Provider Agreements (fire and ambulance services). Santa Clara County Ordinance Code, Section A (including regulations)

8 Purpose The Santa Clara County Emergency Medical Services System will evaluate the Emergency Medical Dispatch process, using a continuous quality improvement method, to ensure that: (1) the right resource is delivered to the right patient; (2) at the right time; (3) with the right disposition (destination); consistent with the Triple Aim of improving the patient experience, improving the health of the population, and reducing the cost.

9 What is EMD? Technology Standbys Public Education Accreditation / Certification Interoperability / Auto-aid CQI Non-emergent Dispatching Provider Education Public Service Calls Fleet Deployment Who is going? Response Code EMD MPDS Response Code/ETA Resources Caller Instructions

10 Intent Identify Codify Practices Incremental Policy Development Create and Improve

11 Task Force Objectives Objective 1: Standardize Terminology Establish standardized terminology that will be used for the collection of data from all PSAPs in the County and then determine short, mid, and long range benchmarks. Estimated completion April Objective 2: Data Collection Policy Implement a policy that requires the collection of data based on the standardized terminology. Estimated completion June Objective 3: Alpha MPDS Determinant Assessment Evaluate the available data classified as Alpha responses from fire department PSAP s and then compare with transports, code of response to the hospital, primary impression of fire and ambulance responders, and any unusual document occurrences for each determinant level of Alpha response. The intent is to attempt to implement first modified responses by the fall of a. Initial dispatch modifications would likely focus on determining (1) if both fire and ambulance need to respond, or (2) if fire only needs to respond, or (3) if just an ambulance needs to respond.

12 Task Force Objectives Objective 4: Quality Improvement Develop a standard continuous quality improvement policy. Estimated completion April Includes PSAP and private EMS dispatch center and personnel approval. Objective 5: Quality Improvement Committee Establish an EMS Emergency Medical Dispatch (EMD) Quality Improvement Committee for the review of MPDS and other EMD related medical triaging. Estimated completion by fall of Objective 6: Alternative Response Times Develop minimum response times for Omega or alternatively triaged calls as permitted in the EOA ambulance and provider agreements. Estimated completion June Objective 7: Long Term Quality Improvement Continue to evaluate each classification and dispatch determinate to identify types that may benefit from modified responses.

13 Potential Low Hanging Fruit MPDS Card Set Approval All PSAPs use a card set approved by the EMS Medical Director [by May 2016] MPDS Card Version All PSAPs use the same card set version approved by the EMS Medical Director Card 33 Elimination Card 33 does not apply to the Santa Clara County System as the EOAs do not include interfacility transfer. Omega Classifications are Not Authorized Omega classified calls are not authorized under existing provider agreements. 911 Emergency Ambulance Use Policy Draft policy summarizes ambulance related provisions from various existing policies and identifies some new utilization practices.

14 Anticipated Policy Work 911 Emergency Ambulance Use EMD: PSAP Standards and Program Approval EMD: PSAP Dispatcher Training Standards EMD: Private EMS Service Standards and Program Approval EMD: Private EMS Service Dispatcher Training Standards EMD: Continuous Quality Improvement EMD: Continuous Quality Improvement Committee EMD: Standard Terminology EMD: Data Collection Policy EMD: Approval of Emergency Medical Triaging Systems

15 Policy Process Standard Policy Process EMD Policy Process

16 EMD Task Force Org Chart Data Manager

17 Work Groups Breakout Recruit Members Schedule Future Working Group Meetings