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TRANSCRIPT
2013 IFPD Zone Report
RIVERSIDE COUNTY
ti rd
EMERGENCY MEDICAL SERVICES AGENCY DEPARTMENT OF PUBLIC HEALTH
IDYLLWILD FIRE PROTECTION DISTRICT
ZONES I, II AND III
EMS ADMINISTRATIVE GROUP MEETING
October 21, 2013
Prepared by Riverside County EMS Agency: October 2013
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
TABLE OF CONTENTS
IFPD Zones Meeting Agenda
P.3 Previous Administrative Meeting's Minutes
P. 4-5
COMPLIANCE CHARTS
IFPD Zone I Compliance (Jan. 2010 - June 2013)
P.6 IFPD Zone I 911 Responses (Jan. 2010 -June 2013)
P.7
IFPD Zone II — CSA 38 Compliance (Jan. 2010 - June 2013)
P.8 IFPD Zone II — CSA 38 911Responses (Jan. 2010 - June 2013)
P.9
IFPD Zone III Compliance (Jan. 2010 - June 2013)
P.10 IFPD Zone III 911 Responses (Jan. 2010 -June 2013)
P.11
IFPD Zone I, II and II 911 Response Comparison (2010-2013)
P.12
IFPD Zone I Response/ Compliance Data (Jan. 2010 - June 2013)
P.13 IFPD Zone II — CSA 38 Response/ Compliance Data (Jan. 2010 - June 2013)
P.14
IFPD Zone III Response/ Compliance Data (Jan. 2010 -June 2013)
P.15
AMBULANCE WAIT TIME - CHARTS
Monthly Ambulance Wait Time Hours (Jan. 2010 —June 2013)
P.16 Riverside County Ambulance Wait Time, 9-1-1 Transports and ED Compliance
P.17
Page 2 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
Idyllwild Fire Protection District, Zones I, II and III
EMS Administrative Group Meeting
Date: Monday, October 21, 2013, 2:00 PM to 3:30 PM
Location: Idyllwild Library
54401 Village Center Dr., Idyllwild, CA 92549
Conference Room
Agenda Subject Time Presented By Purpose
Call to Order - Roundtable Introductions 5 Min ALL Intro
2013 Ambulance Compliance (Jan. to Jun.) 30 Min Trevor Inform
EMS Agency Report 15 Min Trevor Inform
Open Discussion 20 Min ALL Discuss
Adjournment/ Next Meeting 5 Min Trevor Inform
If you have questions regarding EMS Zone Administrative Group meetings please contact: Patrice Shepherd, [email protected] or Trevor Douville, [email protected] - (951) 358-5029-office
2013 EMS Zone Meeting Schedule can be found at http://remsa.us/zones/2013 -Schedule.pdf
Page 3 of 17
EMS Administrative Group Meeting IFPD Zones I, II and III October 21, 2013
EMS Administrative Zone: Idyl!wild Fire Protection District, Zones I, II, & III
Attendance:
Meeting Minutes for February 28, 2013
Meeting held at Idyliwild Fire Protection District Headquarters
Jerry Buchanan Idyllwild Commission Mark LaMont IdylWild Fire Protection District Bill Bullard The Abaris Group Brian MacGavin Riverside County EMS Agency Pete Caparelli IFPD Board Member Marge Muir CSA 38 Jeannine Charles-Stigall IFPD Board President Jim Price American Medical Response Trevor Douville Riverside County EMS Agency Patrick Reitz idyliwild Fire Protection District Jerry Holldber CSA 38 Jim Reyes Idyliwild Fire Protection District Jerry Kirk Patrice Shepherd Riverside County EMS Agency
I. Call to Order Roundtable Introductions
Meeting called to order at 2:15pm.
II. Review of Compliance
Compliance from 2008 to 2012 was reviewed. Compliance has been consistently around 97.5% and higher. The most concerning dip was in February of 2011, which was slightly above 93.7%. Volume has been fairly consistent year-over-year, and fluctuates with the seasons and community activity levels. Zone II also experienced steady compliance, however a few late responses have a huge effect on the compliance, due to the Zone's low volume. Zone III now has data based on a 29:59 response time clock instead of the "Best Effort" standard used in previous years. Zone III receives higher volume than Zone II, and 1FPD staff have noticed that highways incidents have increased. IFPD staff stated that the response times that are 0-1 minute are mostly from patients of two clinics nearby and from walk-in patients.
Ambulance wait times were reviewed and explained, including the relationship between bed delays and ambulance compliance. Most of the wait time hours are accrued in the Northwest Zone, however Hemet Hospital has been the hospital to impact the IFPD response areas in this way. Hemet attributes their wait time issue to the flu impact, as they had previously been doing very well keeping their hours down.
Jerry Holldber expressed concerns that AMR isn't being dispatched quickly enough when needed. Mark LaMont of IFPD believes that the agreement is working
exactly as intended and the processes followed by IFPD and AMR are sufficiently meeting the community's needs.
Ill. Response Penalties Review
Fees generated from late responses and Missing-on-Scenes (MOSS) were discussed, and the breakdowns were included in the compliance packet. Fine money distribution should commence in mid-May.
Page 4 of 17
In
EMS Administrative Group Meeting IFPD Zones I, II and III
October 21, 2013
IV. IdylIwild Fire Department Response Areas Map Review
New GIS maps were debuted for the area, which included the overlapping zones I and III. An Action Item was created to make two modifications to the map.
Action Item: Per the IFPD representatives, Cedar Glen belongs to Zone I and the map should be amended. The transfer station below Zone Ito Zone III should also
be corrected, as the areas that are specifically not the transfer station belong to Zone I.
V. EMS Agency Report
The EMS System Evaluation was discussed. Stakeholder meetings were held this week across the county, discussing the whole plan for the Abaris Group to
perform the system evaluation. There is a Steering Committee with representatives from many different departments, which will be making the
recommendations to the Board of Supervisors (BOS) in March of 2014. At that time, the BOS will have enough information to decide whether the county wants to
perform a RFP for 9-1-1 ambulance service. Abaris will be going through multiple steps to ensure the feedback they receive is valid and accurate. They will
research best practices and industry trends. They will show the stakeholders where the system is now, which areas could be improved, other systems that have
made similar improvements, and then the Steering Committee will decide what the new system will look like. There is a link on our EMS Agency website where all
the information can be found as the process unfolds.
Bill Bullard of the Abaris Group explained further details of the System Evaluation process. The question arose in the Mountain Zone meeting and was addressed
on how smaller departments won't be left out from making improvements due to budget, as the county retains systemwide control to ensure the entire system is
serviced appropriately. First response is different from ambulance response, however, and any recommendations to change the levels of service of a first
responder will be looked at as to how they will be funded.
VI. Open Discussion
The EMS Duty Officer Program was discussed, including how REMSA is currently mitigating ambulance wait time through this program.
Helicopter EMS was discussed, including current helispots in use. Trevor Douville will email Jerry Holldber contact information for the air providers.
PMAC will be held next on March 25 th at RCRMC at 9am. EMCC meets next on Wednesday, April 3. A topic on the PMAC agenda is the closed-system model for
narcotic restocking, which affects everyone. We will also be looking at the cardiac arrest policy and how those calls are handled.
VII. Adjournment/Next Meeting
The next meeting will be held on April 8, 2013, at 12pm, location to be announced via email.
Page 5 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
IFPD Zone I Compliance %
911 Response Time Compliance — 6 per. Mov. Avg. (Compliance %)
Co
mp
lianc
e %
100.0% -
95.0% -
90.0% -
85.0% -
80.0%
75.0%
70.0% -
65.0% -
60.0%
55.0% 0 0 0 0 0 0 0 0 0 0 0 0 r- r- ,-- T— 7— T 7— 7— 1— tr-- -r— 7— N N CN1 N N N N N N N N N CO CO CO CO CO CO -c- r- -c- r- -c-- r- -c-- r- -c- 7- r- -c- = tc---,... -- r -,-, tc- 7— T 7— T = T 7— 1— 1— 7— 7— T 1— 7— I-
I .. I I I t tr—
I 1 I t .., C
1— 1-- f— L (I) c ..0 ,-- ,-- .-, r- a) Sa i e) c 2_ _ c 0 -.6 > 6 c _ ,_ _ 0 D a c cz a) CZ 0- t:li5 D -5 D (1.) 0 o a) cz a) ct 0- rz D -5 1-3 a) o a) t-z a) 0:5 U'L aS D --Z, G.) 0 0 Cc 0 Cli R5 D --)
< (I) 0 Z ❑ —, LL < --) --,
.:( (1) 0 Z ❑ -) LL < --, -) < 0 0 Z ❑ ---) LL < 7 - - )
Month Prepared by T. Douville/P. Shepherd, REMSA
Page 6 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
IFPD Zone I 911 Responses
ZONE I
6 per. Mov. Avg. (ZONE I)
65
60
50 51 50
911 R
esp
on
ses
45
40 36
35 - 3111 40--#. er
30
25
44
25 27 27
45
37 36 ♦ •
27
3•
11► • 36 e
137343%.0 ♦ 37 1 36
33 • 30 29 ""
43 43 43 •
35 % 33
28
39 40 40
24
55 52
18_ 20
15
10
5
—53 _449 g_ 48_
0 0 0 0
v-4
CL z a 2
CD 0 0 0 v-I44-1 v-1 6.
v, 8
rl rl rl v-1 v-I v-1
443 (•3-a~i( 13 2 <
v-1 v-1 IN evJ esl raS N N N N N N ral N m m m m m 7 e- 1 a-I a-I a- v-1 v-I v 4 -1 v-1 v-1 v-I 4 .1.„ I _6 6 6 41.1 8 0 a) a)
< =
o a) 4.13 <LI Z
co u. < z u_ g < 2 -,
Prepared by T. Dow/Hie/P. Shepherd, REMSA Month
Page 7 of 17
100.0% -
95.0% -
90.0%
85.0% -
80.0% -
75.0% -
70.0% -
65.0%
60.0% -
55.0%
Co
mp
lian
ce
%
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
IFPD Zone II - CSA 38 —a— Compliance %
911 Response Time Compliance —6 per. Mov. Avg. (Compliance %)
0 7—
(1)
0 7—
1
(I)
0 7—
1
rtl
0 1-
0 0 0 0 0 0 0 0 T T T 1- T T T T T T T T NNNNNNNNNNNN co co c0 c0 co T T T T 1- T 1- T T T T T T T T T T T 1- 1- 1- T T T 1- 1- 1- T 1- T T T T T T 1 1
C
1 1
0- 1 I 1 1 1 /
1- 1 1 .6 1 a (!)
— RS %--; as (1) 0 a) as a.) (1.) 0 (1) aj (I) _,,.. (15 CL) o (I) co 0 0 Z >tTS > < (f) Z 11. < < < U \-) Z L7 —) LL < --5
Prepared by T. Douvilie/P. Shepherd, REMSA Month
Page 8 of 17
9 9 8
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
20
15
C.) C 0 ogi 10
CC
t-i
5
0
7 7
%21 4
IFPD Zone II - CSA 38 911 Responses
9
7 7 6 66 6 1 6 %
5 5 4 4 4 1/1
1
% 5 4
3'
1 21 I I
ZONE II - CSA 38
10
6
5 ♦ %. 4 3 3 I
I ill I I
•• • 6 per. Mov. Avg. (ZONE II - CSA 38)
0 0 0 0 0 0 0 0 0 0 0 0 r-1 ri rl ri V-I ri c I c 1 c 1 r-I %-1 rl N (-N4 t-st N cV (NJ rsl (-4 (-4 c-4 csi N cn cn m m cn m c7I %-1 %-1 71 %-1 %-1 T-4 71 V•••1 71 71 71 71 \-I 71 v-1 r \--t _6, 6. 4, 6 _ 4.0 6_ }I _6 ,._ 6.0 6 _6
(Li a) m 0- m n ,-,0 0 w m CL_. (13 -••=1 a) 0 a) m la_ m ,1--; 0 a) m m Q- m u_ 2 < 2 < 4,r) z —) -01, 2 < z o u_ <1.. 2 < z 0 u_ 2 < 2 —,
Prepared by T. Douville/P. Shepherd, REMSA
Month
Page 9 of 17
"off the pavement" x2
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
IFPD Zone III —.--Compliance (Y0
911 Response Time Compliance
Com
plia
nce
%
100.0%
95.0% -
90.0% -
85.0% -
80.0% -
75.0% -
70.0% -
65.0% -
60.0% -
55.0% — — — ai —
000000000000 NNNNNNNNNNNNMOMMMM
... T-Tr-rl-rlr-T-T-Tr-N-rcr-r-r-r-r-rr- .... -e-- 6 L L i 6 1 O
L , , , , , . , (!) , , , 77
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▪
6 11 >., as a) as 0-as D-, D a) ,-, c) a) ai a)
RI D ---) D CD 4C) < 0) 0 0 4) MS (I) C'F) k --) D 4) < 0) 0 0 4) al 4) tt D ZO -, 11. 2<-, Li..<( --) <coL'zio -) u_2<:a --", Z 0 ""'") u_2‹ ,,-
•
-,
Prepared by T. Douville/P. Shepherd, REMSA Month
Page 10 of 17
10
91
1 R
esp
on
ses
I I 1711 1611 15 6 7„.7 6 6
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
IFPD Zone III 911 Responses
ZONE III
20
15
• • • 6 per. Mov. Avg. (ZONE III)
10 10
5 5
pppppppppp r-I <-4 c‘.1 N (,11 N N r,..1 N C.1 r•J eN f V M m rrt v-I 7t c._ " ;• 6 r— pap > V n3 :7;
•—• 0; a) 0 a) CO C.) rG
< 2 -7; (3.) 0 <1.) rC a) rt 0' a) 0 rc M 2 < 2 --,
kr; 0 z c u- ce Z LL 2 < 2 kr, 1/4-, z u_ g <
Prepared by T. Douville/P. Shepherd, REMSA
Month
4
m
7.;
Page 11 of 17
IFPD Zone I, Zone II and Zone III 911 Reponses (2010-2013)
JAN FEB MAR APR MAY JUN
80
70
60
50 44 P
39 40
30
20
10
0
911
Res
po
nse
To
tals
56
50 50
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
0 2010 ❑ 2011
0 2012 • 2013
r--
OCT NOV JUL AUG SEP DEC
Prepared by T. Douville/P. Shepherd, REMSA
Page 12 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
2013 - IFPD Zone 1 Idyllwild
Response Time Compliance Proper < = 10 minute Response
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total 0-1 Min 12 12 10 19 13 19 85 1 Min 2 1 2 5 2 Min 1 1 4 1 2 2 11 3 Min 1 1 1 2 1 6 4 Min 3 2 4 6 1 16 5 Min 3 2 4 6 4 5 24 6 Min 4 2 6 4 1 4 21 7 Min 4 3 3 3 5 3 21 8 Min 4 4 3 1 3 2 17 9 Min 2 2 2 3 9 10 Min 1 1 2 11 Min 0 12 Min 1 1 13 Min 1 1 14 Min 0 15 Min 1 1 >15 Min 1 1 Total Resp 35 33 32 43 35 43 0 0 0 0 0 0 221 Total Late r 1 r 2 1
. 1 0 p- 1 0 0 0 0 0 0
. 6
Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 97.1% 93.9% 96.9% 97.7% 100.0% 97.7% r #DIV/0! r #DIWO! r #DiV/0! r #DIV/0! r #DIV/0! r #DIV/0! 97.3%
Avg. Calls/ Month 18.42 Avg. Calls/ Day 0.61
Page 13 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
2013 - IFPD Zone 2 CSA
Response Time Compliance 38 < = 12 Minute Response
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total 0-1 Min 0 1 Min 0 2 Min 0 3 Min 0 4 Min 0 5 Min 1 1 6 Min 1 1 1 1 4 7 Min 1 1 8 Min 1 1 4 6 9 Min 1 1 1 1 2 6 10 Min 1 1 2 1 5 11 Min 1 1 12 Min 0 13 Min 0 14 Min 0 15 Min 0 >15 Min 0 Total Resp 3 1 4 2 5 9 0 0 0 0 0 0 24 Total Late 0 9 0 0 u 3 0 0 0 Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% ' #DIV/0! r # D I V/ 0 ! ' # D I VI 0 ! # D I V/ 0 ! # D I V / 0 ! # D I V/ 0 ! 100.0%
Avg. Calls/ Month 4.00 Avg. Calls/ Day 0.13
Page 14 of 17
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
2013 - IFPD Zone 3 < = 30
Response Time Compliance Minute Response
Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Total <5 Min 1 1
5 Min 0 6 Min 0 7 Min 1 1
8 Min 0 9 Min 2 2 10 Min 1 1 11 Min 4 4 12 Min 1 1 13 Min 1 2 1 4 14 Min 1 1 15 Min 1 1
16 Min 1 1 17 Min 2 1 3 18 Min 0 19 Min 0 20 Min 0 21 Min 1 1 2 22 Min 1 1
23 Min 1 1 24 Min 0 25 Min 1 1
26 Min 0 27 Min 1 1 28 Min 1 1 2 29 Min 0 30 Min 0
31 Min 0
32 Min 0
33 Min 1 1 2
34 Min 0
35 Min 0
36 Min 0
37 Min 0 38 Min 0
39 Min 0 40 Min 0 41 Min 0 42 Min 0
43 Min 0 44 Min 0 >44 Min 2 2 Total Resp 6 5 2 5 10 4 0 0 0 0 0 0 32 Total Late 2 0 n 1
. 2
Exempt 0 0 0 0 0 0 0 0 0 0 0 0 0 Comp % 100.0% 100.0% 100.0% 60.0% 100.0% 100.0% f #DIV/0! ' #DIV/0! ' #DIV/0! #DIV/0! #DIV/0! #DIV/0! 93.8%
Avg. Calls/ Month 5.33 Avg. Calls/ Day 0.18
Page 15 of 17
EMS Administrative Group Meeting IFPD Zones I, II and III October 21, 2013
Riverside County Monthly
Ambulance Wait Time Hours (2010-2013)
■ 2010 Hours* 2011 Hours*
❑ 2012 Hours* • 2013 Hours
L = 0
1680:00
1440:00
1200:00
960:00
720:00
480:00
240:00
0:00
Jan Feb Mar Apr May Jun
Month
Ju I Aug Sept Oct Nov Dec
Prepared By T. Douvillei P. Shepherd : *2010-2012 Hours were calculated after 25 minutes had elapsed in the ED
Page 16 of 17
1111■1111•11
7052
3526
1505
2427 2427
80%
70%
60%
50%
40%
30%
20%
1913 10%
0%
84.27%
78.08%
MISIMEN11
7985
4735
3683
EMS Administrative Group Meeting
IFPD Zones I, II and III October 21, 2013
Total 9-1-1 Patients Received Riverside County Ambulance Wait Time Compliance, 2013 (Jan.-Jun( Bed Delay Occurrences
Total Transports Received vs. Delayed Units ♦ Compliance %
12000
100%
Tot
al
9-1-
1 P
ati
en
ts R
ece
ive
d
90.27%
82.79%
75.65% 73.09% 72.06%
69.1S% 66.02%
95.38% 93.39% 94.18% 95 '76% 90% 91.53%
• (6 O
10000
9712
8000 68.34%
(4Z- 44d
toS 0,.A v.. \
,V' .1/4(z?'
.c• • ''.4' e
..41) A
.,,,,,o c., • eo *
N. e
0•0 -o
se
i- cP •ez' coo \N 4 e e 6 0 0 , . , .0 0 60
\ar c 't <<>42e ' NP
,.,0 0 ,,, b 4%
a•
"6 ... %.t.
..0
Prepared by T. Douville/P. Shepherd, REMSA Hospital
Page 17 of 17