contra costa ems agency core performance indicators report: q1 · contra costa ems agency core...
TRANSCRIPT
Contra Costa EMS AgencyCore Performance Indicators
Report: 2012‐Q1
System Activity & Utilization2012‐Q1
Contra Costa EMS AgencyCore Indicator SU#C0001
Data Source: Meds; Jan – Mar 2012
Begin Q1 2012
5000
5500
6000
6500
7000
7500
1/1/
2011
2/1/
2011
3/1/
2011
4/1/
2011
5/1/
2011
6/1/
2011
7/1/
2011
8/1/
2011
9/1/
2011
10/1
/201
1
11/1
/201
1
12/1
/201
1
1/1/
2012 Fe
b
Mar
Number of EMS Responses by Month 2012-Q1
AMR-ALS Units Only
No Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 6382 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 6391 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 255.4 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 6,382 Process Limits: Lower: 5,616 Upper: 7,148
Number Of Responses
Contra Costa EMS AgencyCore Indicator SU#C0002
Data Source: MEDS/Zoll‐ Jan through Mar 2012
NumberofTransports
52835228
4838
All Transport Units included in data
5532
4400
4600
4800
5000
5200
5400
5600
5800
1/1/
2011
2/1/
2011
3/1/
2011
4/1/
2011
5/1/
2011
6/1/
2011
7/1/
2011
8/1/
2011
9/1/
2011
10/1
/201
1
11/1
/201
1
12/1
/201
1
1/1/
2012 Fe
b
Mar
EMS Transports by Month2012-Q1All ALS Units
No Special Cause Detected Chart Type: Chart for Individuals Database C1
Avg of Data Shown 5121.4 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 5057 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 210.3 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Da
Centerline: 5,121 Process Limits: Lower: 4,491 Upper: 5,752
7873 74
71 73
63
88
74
58
75
66
60
0
10
20
30
40
50
60
70
80
90
100
HaveBed Response by Time/Shift Contra Costa County - All Hospitals
2011
1000 1800
SEPTEMBER 2011
04001000 1800 18000400 18001000 10000400 0400
OCTOBER 2011 NOVEMBER 2011 DECEMBER 2011
% Response
Contra Costa EMS AgencyCore Indicator SU#C0003
Data Source: ReddiNet Jan – Mar 2012
Begin Q1 ‐ 2012
2507
998 988
247
789
5529
0
1000
2000
3000
4000
5000
6000
HA HB HC HD HE H‐ALL
Total MinsonDiversion
Hospitals Reporting DiversionData Source: ReddiNet
Contra Costa County HospitalsTotal Mins on EMS Diversion
2012-Q1
1344
3197
988
5529
0
1000
2000
3000
4000
5000
6000
CT STEMI Trauma ALL
DiversionTime InMins
CategoryData Source: ReddiNet
Contra Costa County HospitalsEMS Diversion by Category
2012-Q1
2
1
0 0 00
0.5
1
1.5
2
2.5
MVA Crime Scene Explosion Medical Unk
Number of MCIActivations
TypesData Source: ReddiNet
Number of Multi‐Casualty Incident (MCI)Activations by Type
2012‐Q1
Contra Costa EMS AgencyCore Indicator SU#C0006B
Data Source: EMS Safety Events Reporting Data Base 2012
2
3
0
0.5
1
1.5
2
2.5
3
3.5
Clinical Operational
Numberof cases
Patient Safety Events2012-Q1
(N=5)
Medications, 20% N=1
Procedures, 20%N=1
Assessment, 40%N=2
Communications, 20% N=1
Patient Safety Events by % of TypeQ1 2012
N=5
Contra Costa EMS AgencyCore Indicator SU#C0006B
Data Source: EMS Safety Events Reporting Data Base 2012
Base Hospital2012‐Q1 Report
Data Source: Base Hospital Registry; Jan through Mar 2012
Contra Costa EMS AgencyCore Indicator BH#C0001
Data Source: Base Hospital Registry; Jan – Mar 2012
220
303 299
254
262
281
265
200
220
240
260
280
300
320
340
1/1/
2011
2/1/
2011
3/1/
2011
4/1/
2011
5/1/
2011
6/1/
2011
7/1/
2011
8/1/
2011
9/1/
2011
10/1
/201
1
11/1
/201
1
12/1
/201
1
1/1/
2012 Fe
b
Mar
Base Hospital Call Volume by Month2012-Q1
NumberOf Calls
No Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 263.1333 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 262 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 18.81 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 263.1 Process Limits: Lower: 206.7 Upper: 319.6
Contra Costa EMS AgencyCore Indicator BH#C0002
Data Source: Base Hospital Registry;Jan through Mar 2012
TRAUMA 75 %
MEDICAL 23 %
CARDIAC ARREST 2%
% BASE HOSPITAL CALLS BY TYPE2012-Q1
N=806
ADULT 93 %
PEDIATRIC 7 %
% BASE HOSPITAL CALLS BY AGE2012‐Q1
N=806
Contra Costa EMS AgencyCore Indicator BH#C0002
Data Source: Base Hospital Registry;Jan through Mar 2012
Cardiac Arrest2012‐Q1 Report
CARES Registry Reporting
Data Source: CARES Registry; January 2012 through March 2012. Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival
Contra Costa EMS AgencyCore Indicator # CA#0001
Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF);
6.9
7.9
9.4
7.9
0
1
2
3
4
5
6
7
8
9
10
Overall 2009 Overall 2010 Overal 2011 Overall to 2012
%
% Survival Cardiac Arrest – Overall by Year(Discharged with Good Cerebral Performance)
National Benchmark
7.7%
Contra Costa EMS AgencyCore Indicator # CA#0001
Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival
% Begin Q1 2012
6
7
8
9
10
11
12
1/1/
2011
2/1/
2011
3/1/
2011
4/1/
2011
5/1/
2011
6/1/
2011
7/1/
2011
8/1/
2011
9/1/
2011
10/1
/201
1
11/1
/201
1
12/1
/201
1
1/1/
2012
2/1/
2012
3/1/
2012
Cardiac Arrest Survival – Overall by Month2012‐Q1 (N=140)
Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 8.673333 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 9 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 0.7662 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 8.673 Process Limits: Lower: 6.375 Upper: 10.97
National Benchmark
10.3%
Contra Costa EMS AgencyCore Indicator # CA#0002
Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF)
30%
31%
31%
32%
32%
33%
33%
34%
2010 2011 Q1 2012
%
% Cardiac Survival – Utstein by Year2012-Q1
(witnessed & found in shock-able rhythm) N=32
National Benchmark
32%
3 Months Data
Contra Costa EMS AgencyCore Indicator # CA#0002
Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF);
%
0
10
20
30
40
50
60
1/1/
2011 Fe
b
Mar
Apr
May Jun
Jul
Aug
Sep
Oct
Nov
Dec
1/1/
2012 Fe
b
Mar
% Cardiac Arrest Survival – Utstein by Month2012-Q1
Begin HeartsafeCommunity
No Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 30.26667 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 27 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 7.092 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 30.27 Process Limits: Lower: 8.990 Upper: 51.54
Begin Q1 ‐ 2012
Contra Costa EMS AgencyCore Indicator # CA#0003
Data Source: CARES Registry; January 2012 through March 2012Excludes Medical Facilities (hospitals, clinics, SNF)
32%34%
29%
32%
44%42%
43%44%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
2010 Q2 2010 Q3 2010 Q4 20111 Q1 2011 Q2 2011 Q3 2011 Q4 2012 Q1
%
% Bystander CPR Performed2012-Q1
(all arrest not witnessed)
National Benchmark
22.6%
Begin HeartsafeCommunity
STEMI System2012‐Q1 Report
Data Source: STEMI ; January 2012 through March 2012.
Contra Costa EMS AgencyCore Indicator STE#C0002
Data Source: STEMI data base
Lapse TimeInMins
2011‐12
Begin 12 Lead Q1 2012
11
12
13
14
15
16
17
18
19
1/1/
2011 Feb
Mar
Apr
May Jun
Jul
Aug
Sep Oct
Nov Ju
l
Aug
Sep Oct
Nov
Dec Jan
Feb
Mar
STEMIMedian Prehospital Scene Time Interval
2012-Q1
Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 14.78 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 14.45 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 1.120 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 14.78 Process Limits: Lower: 11.42 Upper: 18.14
NationalBenchmark<15 mins
Contra Costa EMS AgencyCore Indicator STE#C0003
Data Source: STEMI data base
I
Begin Q1 2012
84
86
88
90
92
94
96
98
100
Jan
Feb
Mar
Apr
May Jun
Jul
Aug
Sep Oct
Nov
Dec
1/1/
2012 Feb
Mar
STEMI911 Dispatch to Intervention Time Interval
2012-Q1
NationalBenchmark<90 mins
Time In Mins
Begin Q1 2012
45
50
55
60
65
70
1/1/
2010 Fe
b
Mar
Apr
May Jun
Jul
Aug
Sep
Oct
Nov
Dec
1/1/
2011 Fe
b
Mar
STEMIMean Door to PCI Time Interval
2012-Q1
Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 57.26667 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 58 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 2.533 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 57.27 Process Limits: Lower: 49.67 Upper: 64.87
NationalBenchmark<60 mins
Stroke SystemQ1 2012
Data Sources: MEDS 3 California Stroke Registry; January 2012 through March 2012. Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival
Contra Costa EMS AgencyCore Indicator ST#C0004
Data Source: Meds; Cal Stroke Registry
0
10
20
30
40
50
60
70
80
90
100
01‐10 mins 10‐15 mins 16‐20 mins
Time Intervals
Stroke Alert PatientsOn Scene Times by Interval in Minutes
Q1 2012 N=129
Benchmark < 20 mins 100%
Time InMins
Contra Costa EMS AgencyCore Indicator # ST#C0001
Data Source: Meds; Cal Stroke Registry
Q1 2012 Begin Stroke Program
6
7
8
9
10
11
12
1/1/
2011 Fe
b
Mar
Apr
May Jun
Jul
Aug
Sep Oct
Nov
Dec Jan
Feb
Mar
Timein Mins
2011-12
Stroke Alert PatientsMean On Scene Time Interval in Mins
2012‐Q1
0
10
20
30
40
50
60
70
80
AH (EMS) AH (NON‐EMS) SHA SHB SHD
TimeinMins
Stroke Alert Patients D2N Mean Times
Q1 2012
Contra Costa County Stroke Centers
National Benchmark
60 mins
78
80
82
84
86
88
90
92
94
AH SHA SHB SHD SHE
%
Contra Costa County Stroke Centers
Stroke Alert Patients % Discharged Home on Cholesterol Reducing Meds
2012-Q1
Blank
Trauma SystemQ1 2012
Data Source: Trauma One Registry; July 2010 through November 2011.
Contra Costa EMS AgencyCore Indicator # TC#C0001
Data Source: Trauma One Registry; Jan through March 2012
No Special Cause Detected
1Avg of Data Shown 5.858824 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 Sigma
Median Data Shown 6.3 B. 9 On One Side of Average F. 4 of 5 Beyond 1 SigmaSigma for Limits 1.164 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 5.859 Process Limits: Lower: 2.368 Upper: 9.350
0
10
20
30
40
50
1/1/
2011 Fe
b
Mar
Apr
May Jun
Jul
Aug
Sep
Oct
Nov
Dec
1/1/
2012 Fe
b
Mar
% Major Trauma Victims by Month 2012-Q1 N=1311
Begin Q1 2012
%
Contra Costa EMS AgencyCore Indicator # TC#C0002
Data Source: Trauma One Registry Jan 2011through Mar 2012
60
65
70
75
80
85
90
95
1/1/
2011 Fe
b
Mar Apr
May Jun
Jul
Aug
Sep Oct
Nov
Dec
1/1/
2012 Fe
b
Mar
% Over Triage of Major Trauma Victims By Month2012-Q1 (N=1311)
Begin Q1 2012
No Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 78.73333 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 76 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 5.066 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 78.73 Process Limits: Lower: 63.54 Upper: 93.93
Contra Costa EMS AgencyCore Indicator # TC#C0004
Data Source: Trauma One Registry; Jan 2011 through March 2012
%
Begin Q1 2012
0
10
20
30
40
50
1/1/
2011 Fe
b
Mar
Apr
May Jun
Jul
Aug
Sep Oct
Nov
Dec
1/1/
2012 Fe
b
Mar
% MTV's Discharged Home from ED by Month 2012-Q1
Begin Q1‐2012
No Special Cause Detected Chart Type: Chart for Individuals Database Column1
Avg of Data Shown 26.6 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 25 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma
Sigma for Limits 6.902 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma
X. Excluded or Missing Data
Centerline: 26.60 Process Limits: Lower: 5.893 Upper: 47.31
Contra Costa EMS AgencyCore Indicator # TC#C0005
Data Source: Meds‐Trauma One July 2010 through November 2011N= 1269 total trauma alerts. N=301 Total MTV’s
Ave MinsOn Scene
Begin Q1 2012
12
14
16
18
20
22
24
1/1/
2011 Fe
b
Mar Ap
r
May Jun
Jul
Aug
Sep
Oct
Nov
Dec
1/1/
2012 Fe
b
Mar
Major Trauma Victim Ave Scene Time Interval in Mins Ground Transport Q1 - 2012
Begin Q1‐2012
Contra Costa EMS AgencyCore Indicator # TC#C0007
Data Source: Trauma One RegistryN= 1311 total trauma alerts. N=312 total MTV’s