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System Overview August 17, 2009

Union Emergency Medical Services. System Overview August 17, 2009. Union EMS Operational Highlights. Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift 78 Full-time Employees, 35 Part-time Employees

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System Overview August 17, 2009

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  1. Union Emergency Medical Services System Overview August 17, 2009

  2. Union EMS Operational Highlights Paramedic Level Ambulance Service Emergency and Non-Emergency Responses Three 24-hour Rotating Shifts, One Prime-time Shift 78 Full-time Employees, 35 Part-time Employees Response from Ten Strategic Locations 16,000 Calls Resulting in 11,000 Transports Annually

  3. Organizational Structure

  4. Response Zones 21 Asst. Supervisor 20 Supervisor 42 52 50,51 56 59 53 61,62,63 54 55 43

  5. 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 FY 2009 16,101 Dispatches (44/day) 70% Emergency 30% Non-Emergency 10,858 Transports 30/day (67% of dispatches) 447,056 miles driven annually EMS Activity and Growth Summary

  6. Emergency Response Times 1997 – 7.67 Minutes on Average 93% in 13 minutes or less 2009– 8.19 Minutes on Average 92% in 15 minutes or less

  7. Financial Overview Payor Mix ½ of transports are Medicare and Medicaid Medicare – 42% Private – 35% Insurance – 16% Medicaid - 8% Current Average Trip Charge = $544.00 Medicare Allowable: $380.00 (70% of charges) Medicare Pays: 304.00 (80%) Patient Co-pay: 76.00 (20%) EMS Write-Off:$164.00 (30% of Charges)

  8. Financial Performance Budget FY1997 - $3,122,555 FY2009 - $6,671,250 Cost per Transport FY1997 – $639 FY2009 - $614 Collection Rates 1997-1998 38% Gross 56% Net 2008-2009 51% Gross 98% Net County Funding Required Per Transport FY1997 – $604 FY2009 - $327

  9. Quality Improvement Efforts • Electronic Medical Record (E-PCR) • Field Training Officer Chart Reviews • Monthly Continuing Education and Skills Training • Ongoing Clinical Protocol Updates • Advanced Airway Treatments • CPAP, RSI, Bone Infusion

  10. Community Relations Efforts • Medical Explorers • Injury Prevention / SafeKids/Safe Communities • Vial of Life Program • Collision Avoidance Training w/SPCC • Child Passenger Safety • Tactical Medical Team (SWAT) • LifeLine – Personal Alert System

  11. Summary • Union EMS continues progress • Cost to the County is stable • Collections are good • Future Goals: • Adjust personnel/ambulances to meet growth and demand – Improve Response • Additional debt collection strategies • Further advancement of clinical care

  12. Union Emergency Medical Services For more information contact: G. Scott Shew, MHA, FACHE EMS Director Telephone: 226-2001 Scott.Shew@carolinashealthcare.org www.UnionEMS.NET

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