EMS: An Integrated Regional Systems Approach to Acute Events EMS: An Integrated Regional Systems Approach to Acute Events STROKE, TRAUMA,STEMI A FIVE MONTH.

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Presentation transcript:

EMS: An Integrated Regional Systems Approach to Acute Events EMS: An Integrated Regional Systems Approach to Acute Events STROKE, TRAUMA,STEMI A FIVE MONTH REPORT SEAEMS JANUARY – MAY 2015

What is an integrated EMS regional system ?

IOM A coordinated, regionalized, accountable system.

STROKE 1/1/ /1/15

STROKE SYSTEM ENTRIES - ADJUSTED 1/1/15 — 6/1/15

STROKE TIME OF ONSET (EMS ARRIVAL ) 1/1/15-6/1/15

HOSPITAL REPORTS RECEIVED 1/1/15—6/1/15

HOSPITAL DIAGNOSIS 1/1/15– 6/1/15

HOSPITAL ADMISSION STATUS

TYPE OF STROKE 1/1/ /1/15

ALL ISCHEMIC TREATMENT

HEMORRHAGIC % % % % % % % % % % % % Why the climbing % of total strokes ? Why the climbing % of total strokes ?

STROKE HOSPITAL RED TIMES 1/15-5/15

CHALLENGES /OPPORTUNITES STROKE SYSTEM PATIENTS DIRECTLY TO SCANNER -- WHY NOT ?????? STROKE SYSTEM PATIENTS DIRECTLY TO SCANNER -- WHY NOT ??????

CT PERFORMED

ADDITIONAL CHALLENGES EMS Transfer Drug Course inclusion of LYTIC for stroke (BP CONTROL- ANAPHYLAXIS (EDEMA) Referring orders or ?, Lytic complete or still running, other concerns) EMS Transfer Drug Course inclusion of LYTIC for stroke (BP CONTROL- ANAPHYLAXIS (EDEMA) Referring orders or ?, Lytic complete or still running, other concerns) ATRIAL FIB. As a data point & measured /reported ATRIAL FIB. As a data point & measured /reported Hospital entries via or text Hospital entries via or text

TRAUMA 1/1/ /31/15

PATIENT DESTINATIONS 1/15- 5/15

ATS ENTRY COMPARISON

EMSP-DISCRETION ENTRY METHOD

EMSP-DISCRETION ADMITS

ALL ENTRIES ADMIT STATUS ( over-triage )

REGIONAL ADMITS/NON ADMITS MISSING HOSPITAL RECORDS 1/15– 5/15

TRAUMA HOSPITAL RED 1/15—5/15

STEMI SYSTEM PATIENTS 1/1/15—5/31/ PATIENT ENTRIES 233 PATIENT ENTRIES 86 EMERGENTLY SENT TO THE Cath Table 86 EMERGENTLY SENT TO THE Cath Table 16 NOT ADMITTED (93%) 16 NOT ADMITTED (93%)

QUESTIONS ?????

WHAT CAN WE DO TO IMPROVE ATCC ?