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