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LifeNet – Monthly Operations Report

April 2005 Operations Report

ADMINISTRATION

Sevier County EMS Committee Recommends LifeNet, Inc.

On May 9th, the EMS Committee for Sevier County recommended that the County’s ambulance contract be awarded to LifeNet. Unfortunately, the County postponed acting on the recommendation pending a legal review.

In February, 2005, Sevier County’s ambulance provider Arkansas Emergency Transport discontinued operations and was purchased by Southwest EMS. As a part of the purchase Southwest EMS assumed that the County would allow AET’s contract to be assigned.

As it turned out, the County elected not to assign the current ambulance contract to Southwest and instead formed a committee to look at their options.

During March of 2005, LifeNet submitted to the Quorum Court a proposal for providing ambulance service. Along with us, Howard County Ambulance Service and Southwest EMS have expressed an interest in providing the service.

Still at issue is whether or not the County has the right to not to assign the existing contract to Southwest. Normally, contracts of this type cannot be transferred (sold) without the governing bodies permission.

The County will address the issue again during the June meeting of the Court. Stay tuned.

LifeNet Celebrates National EMS Week - May 15-May 21, 2005

Emergency Medical Services Week brings together local communities and medical personnel to publicize safety and honor to the dedication of those who provide the day-to-day lifesaving services of the medical “front-line.”

LifeNet will be honoring EMS, FRO’s, Fire Departments, and law enforcement with their annual BBQ dinner in Red River County, and the Fish Fry in Texarkana during this week.

Confidential 5/20/2005 Not for General Distribution

LifeNet – Monthly Operations Report Your Resource For A Safer Community

CLINICAL

LifeNet Gears Up For Electronic Patient Care Reporting

As part of technology evolution and quite simply, a better way to do things, LifeNet has begun its journey toward electronic patient care reporting. Currently field providers complete a paper chart on each patient encounter. This traditional method is filed with inherent problems. The problems typically encountered with paper charting are legibility, missing information or completeness, author individuality, delays from outlying areas in getting the charts to the business office, and storage.

LifeNet chose PocketPCR as the electronic platform to use for electronic care reports. PocketPCR, (PPCR) a Zoll product, is a part of the current suite of products that LifeNet uses in its day-to-day operations. LifeNet uses the Dispatch, Billing, and Code Review modules of the Zoll data System. Adding PPCR is the next logical component in completing the process.

PocketPCR turns any compatible PDA into a powerful tool for increasing efficiency and accuracy in field data collection. Using affordable Pocket PC devices, Pocket PCR provides the operational efficiency and data quality benefits associated with electronic patient care reporting. Sending and receiving data wirelessly or through a serial connection enables the user to get the patient information to the business office quickly and efficiently.

From the field user standpoint, PocketPCR makes data entry simple and intuitive. The “search” function makes it easy for crews to find patient information in the Billing database. PPCR uses easy-to-navigate interface uses intuitive commands and terminology specially tailored to the EMS industry. Where manual data entry is required, PPCR leads you through the process with groups of screens called Wizards. A Wizard leads you from screen to screen and highlights buttons in yellow to suggest which action to take next. When an entire list is highlighted, selecting an item from the list automatically leads you to another screen.

The PocketPCR Task Force is currently engaged in setting up the system and tailoring it to the needs of the system. We anticipate that the system will be up and running by mid-summer.


Visit us at: www.lifenetems.org


LifeNet’s Medical Advisory Committee Takes the Next Step in Community Cardiac Care

During the May 3rd, LifeNet Medical Advisory Committee meeting LifeNet’s Medical Director, Dr. Matt Young and Dr. Rachel Keilin discussed recent significant 12-lead findings of important events, which lead to decreased intervention time for patients in the hospital. Each case identified how having access to 12-leads in the field has improved the quickness of each of the hospital’s response time in the cardiac patient. By improving their response, they are saving valuable heart muscle and reducing patient mortality.

In a move to improve the system, LifeNet proposed an Acute Coronary Syndrome (ACS) Acuity plan that will alert the receiving facility of the severity or seriousness of the incoming cardiac patient. Modeled after the Trauma Level System, the ACS Acuity index identifies a “Level 1” ACS patient as an active heart attack while Levels 2 and 3 are less severe, however warranting concern and further evaluation.

Coordinating this effort with the receiving facilities will positively impact in the quality of cardiac care in the community. The Medical Advisory Committee meets again on July 13th and they believe that the ACS Acuity plan will be accepted and implemented by the community.

EDUCATION

LifeNet Education/Outreach News

LifeNet is pleased to announce that Phil Stewart completed the paramedic course at Texarkana College along with passing the National Registry exam and gained state licensure in April. Phil has recently completed skills evaluation and completed the Field Training Phase.

Little River County First responders were presented a program by Kelly McCauley, LifeNet Education manager to highlight some changes in the new First Responder Protocols.

OPERATIONS

Attached are this month’s report outlining 911 responses by jurisdiction. Please see the attached report for your specific jurisdiction.

DONATED COMMUNITY SERVICE EVENTS

April 2005 Events

Date Event Attending Contact

April 2, 2005 Scout A Rama –Spring Lake Park Texarkana TX – Amb. /Helicopter

2500 Netra Dutton




Date Event Attending Contact

Standby April 7, 2005 Special Olympics –

DeKalb TX. – Standby 250 Netra Dutton

April 15, 2005 Special Olympics – Arkansas HS – standby

250 Netra Dutton

April 16, 2005 March of Dimes – Walk America – standby

350 Netra Dutton

April 19, 2005 Operation Prom Night – Texarkana

900 Netra Dutton

April 23-24,2005 Jump Jive & Jam Festival - Standby

2500 Netra Dutton

April 26, 2005 Operation Prom Night – Clarksville TX

500 Netra Dutton

IMPORTANT LIFENET DATES

LifeNet Finance Committee Meeting August 16, 2005 8:00 am LifeNet Medical Advisory Committee Meeting July 13, 2005 4:00 pm LifeNet Board of Director’s Meeting August 18, 2005 8:00 am Please feel free to call if you have any questions. Sincerely, David Baumgardner Executive Director



April 2005 Operations Report

RESPONSE TIME RELIABILITY

Texarkana, Arkansas Emergency Responses (8:59)

90.1% 90.0% 89.6% 88.7% 90.3%87.0% 88.6%

91.7%86.9%

90.9% 90.3% 90.3%95.5%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Apr-04 May-04

Jun-04 Jul-04 Aug-04

Sep-04 Oct-04 Nov-04 Dec-04 Jan-05 Feb-05 Mar-05 Apr-05

Rate Mean = 90%



Unit Was Clean

72%

24%

2% 0% 2%

StronglyAgree

Agree Neutral Disagree StronglyDisagree

Unit Arrived When Expected

64%

30%

3% 1% 1%

StronglyAgree


Good Personnel Appearance76%

21%

1% 0% 2%

StronglyAgree


Comfort Items Were Provided

70%

25%

1% 1% 3%

StronglyAgree


Procedures Were Explained

71%

25%

3% 1% 1%

StronglyAgree


Considerate To Patient

75%

21%

2% 0% 3%

StronglyAgree


Crew Friendly to Family

68%

22%7% 1% 2%

StronglyAgree


Crew Friendly to Bystanders

68%

22%7% 1% 2%

StronglyAgree


Ride Was Comfortable 64%

25%

6% 3% 2%

StronglyAgree


Ride Felt Safe

71%

24%

2% 1% 2%

StronglyAgree


Crew Was Friendly To Staff

68%

29%

2% 0% 2%

StronglyAgree


Dispatch Gathered Correct Info

67%

28%

3% 1% 1%

StronglyAgree


Call Was Answered Promptly

69%

27%

2% 2% 1%

StronglyAgree


Dispatch Was Comforting

65%

30%

3% 1% 1%

StronglyAgree


Dispatch Instructions Were Helpful

62%

28%

6% 3% 1%

StronglyAgree


Caller Would Use LifeNet Again

76%

21%

0% 1% 3%

StronglyAgree


Caller Would Recommend Using LifeNet

75%

21%

1% 1% 2%

StronglyAgree


1-Emergency-Life

Threat

2-Emergency-Non

Life Threat

3-Immediate Total

2005-04-01 6 3 0 9

2005-04-02 5 2 2 9

2005-04-03 7 2 3 12

2005-04-04 5 1 1 7

2005-04-05 3 3 2 8

2005-04-06 4 2 0 6

2005-04-07 3 0 0 3

2005-04-08 7 3 1 11

2005-04-09 5 3 2 10

2005-04-10 7 1 5 13

2005-04-11 6 3 2 11

2005-04-12 4 1 1 6

2005-04-13 8 3 2 13

2005-04-14 3 2 2 7

2005-04-15 5 2 2 9

2005-04-16 11 0 1 12

2005-04-17 4 2 4 10

2005-04-18 4 4 2 10

2005-04-19 5 5 0 10

Breakdown of Runs by Day Texarkana, Arkansas

April, 2005

1-Emergency-Life

Threat

2-Emergency-Non

Life Threat

3-Immediate Total

2005-04-20 5 1 3 9

2005-04-21 6 3 3 12

2005-04-22 7 4 3 14

2005-04-23 2 3 0 5

2005-04-24 10 2 1 13

2005-04-25 3 4 0 7

2005-04-26 5 6 2 13

2005-04-27 4 1 2 7

2005-04-28 7 1 1 9

2005-04-29 4 3 1 8

2005-04-30 4 3 0 7

Total 159 73 48 280

5/19/2005

2 LifeNet, Inc - Not For General Distribution

Christus St

Michael

Hospital

Wadley

Regional

Medical

Center

Total

<None> 3 3 6

Abnormal Lab Findings 1 0 1

Aspiration/choking 0 1 1

Assault 1 0 1

Atrial Fibrillation 2 1 3

Boil, buttocks 1 0 1

Cardiac Arrest 0 1 1

Chest Pain 11 8 19

Congestive Heart Failure 0 1 1

Constipation 0 1 1

Cva 0 1 1

Decreased Level Of Cons 7 8 15

Decubitis Ulcers 1 0 1

Dehydration 0 1 1

Depression Acute 1 0 1

Fracture Wrist Closed 1 0 1

Headache 1 0 1

Hemorrhage Unspecified 1 1 2

Injury back, chest wall, ab 2 1 3

Injury Face, Neck, Mouth 2 0 2

Texarkana, ArkansasBreakdown of 911 Patients by Destination

April 2005

Christus St

Michael

Hospital

Wadley

Regional

Medical

Center

Total

Injury Forearm/Elbow/Wris 1 0 1

Injury Knee/Foot/Ankle/Le 0 1 1

Injury Shoulder 1 1 2

Injury/Trauma Unspecifie 5 4 9

Labor Active 0 1 1

Mass Abdomen 1 0 1

Nausea Vomiting 2 1 3

Overdose 1 2 3

Pain Abdomen 7 3 10

Pain Back 1 1 2

Pain Groin 0 1 1

Pain Hip 2 0 2

Pain Leg Or Foot 1 0 1

Psychotic Behavior 1 0 1

Pvc 2 0 2

Respiratory Distress 9 17 26

Seizures Febrile 1 0 1

Seizures Or Convulsions 4 2 6

Subdural Hematoma 0 1 1

Supraventricular Tachyca 1 1 2

Swelling Face Or Neck 1 0 1

Syncope 1 2 3

Tachycardia 6 2 8

Tia 1 0 1

Vaginal Bleeding 1 0 1

Vertigo 0 1 1

vomiting blood 0 1 1

Total 85 70 155

25/19/2005 Confidential - Not for General Distribution

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