detroitrampart

Detroit Rampart Teams

Emergency Medical Services (EMS) Division, Fire Department of the City of Detroit

WSU Hub Sinai-Grace Hospital Detroit Receiving Hospital Add St. John Hospital

Henry Ford Hospital Hub Henry Ford Hospital Detroit Add suburban hospitals

Emergency Department

Patient Enrollment at WSU as of January 3,

2010 WSU = 54 DRH = 17 Sinai-Grace = 34 Others = 3

Henry Ford Hospital = 20

Purple Pin – Sinai GraceTurquoise Pin – Detroit ReceivingGreen Pin – Henry Ford

Why Has it Worked?

Detroit EMS Started with buy-in from the management

Important to Chief Kelly Jenny Atas, M.D. (Medical Director)

THE MEDICS Working Relationship with the Henry

Ford Hospital Hub Working together - Great teamwork among

research coordinators and EMS liaisons!!! Training sessions

Detroit Statistics

Detroit’s population in 2002 was 951,270 (6,845 persons per square mile)

Approximately 10% of Detroiters are > 65 years old

Unemployment rate 17.3% (three times that of the national average)

Detroit

Large area Low density

compared to other urban areas

Detroit’s low socioeconomic Status

Drug and Alcohol Related Problems

Detroit EMS Data

911 service to the entire city of Detroit (139 square miles)

24 medic units 300 paramedics and basic technicians Over 120,000 calls annually Transporting over 70,000 patients Last 5-year periods 69% and 63% of total

neurological diagnoses were seizures (DRH and SGH respectively)

Detroit EMS Commitment

Involved Detroit EMS with initial train the trainers - Dean

EMS took an active role in developing processes for RAMPART

Dedicated administration Ongoing Training

Combined data on education gaps Focused retraining efforts

Chief James Kesteloot

Instructor Sean Larkins and Captain Joe Wilson (not pictured),

Supervisors – Can’t say enough!Anna M. Dean-McDonaldMichael J. KearnsKenneth M. MeiselVincent W. FourmentMarvin D. MesserJerald K. JamesJames A. DeDeckereJames F. GattenoDwayne R. DixonAnthony M. Wade

Robert BrownKeith L. SyrkettMelvin GreenAngela M. TurnerMartha RademakerPaul M. EdwardsDonnella D. JamesMichael D. ChristyJohn F. WrightDamon K. Sutton

THE MEDICS

“I won’t enroll any patients in RAMPART” – Anthony Spitznagel now has 9 enrolled

Interactions with Medics

Training was attended by HFH & WSU personnel

Had to overcome the “PolyHeme” Effect Reassure they will not be disciplined Maintain Visibility and Interactions

Continued contact other than when patient is enrolled Pizza Night (Oct0ber 13 & 15, 2009) RAMPART Lunch Bags (December 15 & 17,

2009)

Cooperation with EFIC process Close communication

between coordinators Coordinated box management

and enrollment

Friendly competition

Receiving vs Ford

Detroit EMS #1

“The RAMPART girls”

Paula Crouse LynnMarie Mango Valerie Mika

Secrets – not really

Great EMS agency with dedicated Medics

Excellent teamwork Focus on positives and system fixes