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EMS System Overview Presentation 2006 February 14, 2006

Union Emergency Medical Services EMS System Overview Presentation 2006 February 14, 2006 Union EMS Operational Highlights Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift

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EMS System Overview Presentation 2006 February 14, 2006

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  1. Union Emergency Medical Services EMS System Overview Presentation 2006 February 14, 2006

  2. Union EMS Operational Highlights Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift 71 Full-time Employees, 35 Part-time Employees Response from Ten Strategic Locations 13,000 Calls Resulting in 9,000 Transports Annually

  3. 21 Asst. Supervisor Response Zones 20 Supervisor 42 52 51 56 59 53 61,62,63 54 55 43

  4. 1997 7,129 Dispatches (20/day) 93% Emergency 6% Non-Emergency 1% Stand-by / other 4,874 Transports 13/day (67% of dispatches) 200,000 miles driven annually 2006 13,000 Dispatches (36/day) 82% Emergency 16% Non-Emergency 2% Stand-by / other 9,000 + Transports 25/day (67% of dispatches) 300,000 miles driven annually EMS Activity and Growth Summary

  5. Three-Year Transport History

  6. Response Times 1997 – 7.67 Minutes on Average 93% in 13 minutes or less 2005 – 8.51 Minutes on Average 93% in 14 minutes or less

  7. Response Times

  8. Financial Overview Payor Mix = ½ of transports are Medicare Medicare – 46% Private – 37% Insurance – 8% Medicaid - 8% Current Average Trip Charge = $500.00 Medicare Allowable: $275.00 (55% of charges) Medicare Pays: 220.00 (80%) Patient Co-pay: 55.00 (20%) EMS Write-Off:$225.00 (45% of Charges)

  9. Financial Performance Budget 1997 - $3,122,555 2006 - $5,824,701 Cost per Transport 1997 – $639 2006 - $612 Collection Rates 1997-1998 38% Gross 56% Net 2004-2005 53% Gross 72% Net County Funding Required 1997 – $604 2006 - $412

  10. Employee Involvement • Protocol Development Committee • Standard Operating Guideline Development / Review Committee • Vehicle and Equipment Standardization • Redistricting/Response Zone Committee • Physical Fitness Standards Committee • Employee Candidate Recruitment • New Employee / Student Preceptors

  11. Quality Improvement Efforts • Re-tooling of Patient Care Report to Capture Clinical and Billing Data • Field Training Officer Chart Reviews • Monthly Continuing Education and Skills Training • Ongoing Clinical Protocol Updates • 12 Lead EKG – Cardiac Care Outcome Improvement Initiative (equipment + education) • Rapid Sequence Induction • Paramedics Devin Miracco and Robby Smith won 1st Place representing Union EMS in two separate Paramedic Competitions in 2004 (NC/SC) • Placed 2nd in 2005 Competition

  12. Community Relations Efforts • Medical Explorers • Injury Prevention Team • Teen Focused: Arrive Alive/Think About It • Vial of Life Program • SafeKids/Safe Communities – Jennifer Cooke • Child Passenger Safety – Checking Station • EMS Bike Team • Honor Guard • Tactical Medical Team (SWAT) • LifeLine – Personal Alert System • Numerous Show and Tell Activities

  13. Summary • Union EMS continues progress • Cost to the County stable • Collections are at record highs • Future Goals include transition to electronic medical record and mobile data terminals – improved data, performance, quality, reimbursement

  14. Union Emergency Medical Services For more information contact: G. Scott Shew, MHA, NREMT-P EMS Director Telephone: 226-2001 Scott.Shew@carolinashealthcare.org

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