EMS Quarterly Stats for PSC - mtg -6-2022 — original pdf

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Emergency Medical Services Public Safety Commission Meeting FY22 Q2 Teresa Gardner, Assistant Chief 1 Incidents, Patient Contacts, Transports Jan. 2021 - Apr. 2022 Incidents | Patient Contacts | Patient Transports January 2021 - April 2022 14000 12000 10000 8000 6000 4000 2000 0 1 2 - n a J 1 2 - b e F 1 2 - r a M 1 2 - r p A 1 2 - y a M 1 2 - n u J 1 2 - l u J 1 2 - g u A 1 2 - p e S 1 2 - t c O 1 2 - v o N 1 2 - c e D 2 2 - n a J 2 2 - b e F 2 2 - r a M 2 2 - r p A Incidents Patient Contacts Patient Transports 2 P1 Compliance by District FY22 Q2 Priority 1 Compliance by District FY22 Q2 82.52% 83.50% 90.16% 85.26% 86.81% 83.33% 92.49% 85.14% 75.15% 71.28% 1 2 3 4 5 6 7 8 9 10 % Goal Met 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 3 P1 Response Interval by District FY22 Q2 Priority 1 Response Interval by District FY22 Q2 10.90 11.13 9.93 10.55 10.50 11.73 12.22 12.03 10.80 9.58 7.44% 7.77% 8.73% 8.53% 7.56% 9.01% 7.04% 6.64% 8.38% 7.13% 1 2 3 4 5 6 7 8 9 10 90th Percentile (Minutes) % of Total for District 14 12 10 8 6 4 2 0 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4 Priority Percentage By District FY22 Q2 Priority Percentage by District FY22 Q2 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 16.26% 14.97% 14.44% 14.81% 15.04% 13.40% 14.21% 15.70% 14.67% 12.59% 24.12% 26.81% 28.06% 25.34% 26.80% 26.26% 26.38% 28.16% 29.45% 33.13% 22.70% 23.00% 21.77% 21.43% 26.34% 25.36% 24.54% 24.39% 24.88% 23.73% 29.47% 27.45% 26.99% 29.89% 24.26% 25.96% 27.83% 25.11% 22.62% 23.43% 7.44% 7.77% 8.73% 8.53% 1 2 3 4 7.56% 5 9.01% 6 7.04% 6.64% 7 8 8.38% 9 7.13% 10 Priority 1 Priority 2 Priority 3 Priority 4 Priority 5 5 EMS Department Staffing 2nd Quarter Authorized Strength Authorized Strength Filled Sworn Filled Sworn Sworn Vacancies Sworn Vacancies Medic Openings Medic Openings 52 Field 7 Communication 528 136 Authorized Sworn Staffing Vacancies Vacancy Rate 664 Rank March 31, 2022 EMS Assistant Chief EMS Captain - Communications EMS Captain - Field EMS Clinical Spec - Comm EMS Clinical Spec - Field EMS Commander - Communications EMS Commander - Field EMS Division Chief EMS Medic - Communications EMS Medic - Field TOTAL 4 11 77 29 277 4 38 9 14 201 664 1 0 2 3 72 0 1 3 8 56 146 25.00 0.00 2.60 10.34 25.99 0.00 2.63 33.33 57.14 27.86 18.49 6 Sworn Separations Sworn Separations by Type 16 8 2 1 2 1 3 3 2 2 EMS Captain - Field EMS Clinical Spec - Comm EMS Clinical Spec - Field EMS Commander - Field EMS Division Chief EMS Medic - Comm EMS Medic - Field Resigned Retired 18 16 14 12 10 8 6 4 2 0 7 Sworn Tenure at Separation 8 Vacancy Rates Sworn & Civilian 9 EMS Turnover Rate 10 Opioid Use Disorder (OUD) Support Program Community Health Paramedic Team Austin-Travis County EMS Program Objectives • OUD-Support Program • Reach out to people who have • overdosed on an opiate/opioid • reported OUD to EMS staff, within 24 hours of the event • Offer education on the newest, effective treatment programs (Medication- Assisted Treatment - MAT) for OUD • Provide navigation and connection to MAT and establish necessary funding for • Provide navigation and connection to other support services necessary for success (primary care, mental health support, etc) • Provide Opioid Overdose Rescue Kit (Narcan) to anyone who believes they may treatment need one 11 Buprenorphine Bridge Program (BBP) In the first 6 months of the OUD-Support program, CHP identified that people who were seeking MAT often waited 7-10 days for an intake appointment in a center. Plenty of funding exists, but there is a long delay getting into a treatment facility. People were overdosing and dying on the wait list for treatment. • Sub-Program of OUD-Support • Provide treatment to “bridge” the 7-10 day period typically faced by individuals waiting to enter MAT in Travis County • On site medical treatment to eliminate withdrawal, and daily dosing to prevent withdrawal while beginning MAT enrollment • Prevents patients from having to use opioids daily while waiting to enter treatment BBP patients have a 91% success rate at beginning MAT treatment (compare to hospital referral programs that have as low as 10% success) 12 OUD-Support and BBP Staffing Programs run by the Community Health Paramedic (CHP) Team • 1 CHP OUD-Support Case Manager • Primarily responsible for navigation and connection for persons interested in getting help with their OUD • Manages approx. 50% of OUD-Support patient outreach following overdoses • Manages approx. 90% of BBP patients • Entire CHP team shares in OUD-Support follow-ups after overdoses, and in daily dosing of BBP patients 13 OUD-Support and BBP Activity Opioid Overdoses to 911/EMS External Referrals to CHP Patients treated in Buprenorphine Bridge Program Narcan Kits distributed by CHP Narcan Kits used prior to First Responders arriving Patients Connected to Medication Assisted Treatment Oct 2021 Nov 2021 Dec 2021 Jan 2022 Feb 2022 55 55 59 68 56 Mar 2022 120 12 7 9 9 7 11 12 10 14 7 7 19 33 33 49 38 29 69 10 9 8 13 14 15 10 9 10 9 13 20 14 Opioid Activity in Travis County 15 Collaborative Care Communications Center (C4) “To provide the right resource to the right patient at the right time” • The mission of the C4 is to develop pathways and processes to effectively meet the changing needs and expectations of patients outside of the traditional establishment of an Emergency Department. The specific program goals include:  Reduce call volume and workload on ATCEMS transport units by using expanded triage  and single provider response to mitigate low acuity 911 calls. Provide citizens a “patient centric” choice that includes Treat in Place (TIP), and Alternative Transport options other than transport to an Emergency Department.  Reduce transport times and overcrowding of the Healthcare System.  Develop avenues to integrate healthcare disciplines not traditional to EMS in an effort to provide a higher level of patient care and address EMS staffing shortages. 16 Treat in Place, Alternative Destinations, Tele-Health Q1-2022 and Q2-2022 Average unit hour utilization across Austin – Travis County EMS incidents as a whole is 1 hour and 11 minutes. When telehealth service is provided, that number drops to 37 minutes and 20 seconds. From January 1, 2021-current, C4 has provided services to 3025 patients with 49.19% successful mitigation rate. The rate of successful mitigations continues to improve monthly. • Q1-2022 C4 provided services to 938 patients. • Q2-2022 C4 provided services to 963 patients. • In Q1-2022, C4 was able to mitigate 466 patients without the use of an Emergency Department • In Q2-2022 C4 was able to mitigate 525 patients, without the use of an Emergency Department. • This included: • This included: • 242 Tele-health consults • 62 Treat in Place • 10 transports to an Alternate Destination • 293 Tele-Health consults • 68 Treat in Place • 9 transports to an Alternate Destination 17 The Collaborative Care Communications Center is based on Equity, and services are available to every resident of Austin-Travis County. C4 is utilized most in the Corridor of the city but has been used throughout the entire response area, as this utilization heat map shows: Staffing and Hours of Operation  C4 currently has 8 assigned full time personnel o 5 Clinical Specialist o 2 Captains o 1 Commander Current Hours of Operation are 7:00am to 10:00pm 18 Questions? 19