Q2 2012 Core Measures CQI Report

Contra Costa EMS AgencyCore Indicators

System Utilization

Q2: 2012 Report

No Special Cause Detected Chart Type: Chart for Individuals Database C1

Avg of Data Shown 6488.667 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 6442.5 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma

Sigma for Limits 270.3 C. 6 Trending Up or Down G. 15 Within 1 SigmaBase for Limits Average MR D. 14 Alternating Up & Down H. 8 Outside 1 Sigma

X. Excluded or Missing Da

Centerline: 6,489 Process Limits: Lower: 5,678 Upper: 7,300

Contra Costa EMS AgencyCore Indicator SU#C0001

Data Source: First Watch; Apr through Jun 2012

NumberOfResp

7214

6973

6200

6400

6600

6800

7000

7200

7400

7600

78007/

1/20

11

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/1/

2012

3/1/

2012

4/1/

2012

5/1/

2012

6/1/

2012

Number of Ambulance Responses by Month Q2: 2012

52675306

5552

4400

4600

4800

5000

5200

5400

5600

5800

6000

1/1/

2011

2/1/

2011

3/1/

2011

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/1/

2012

3/1/

2012

4/1/

2012

5/1/

2012

6/1/

2012

Number of Ambulance Transports by Month Q2: 2012

No Special Cause Detected Chart Type: Chart for Individuals Database C1

Avg of Data Shown 5163.667 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 5174 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma


X. Excluded or Missing Da

Centerline: 5,164 Process Limits: Lower: 4,520 Upper: 5,808

Numberof Transp


Data Source: First Watch ‐ Apr through Jun 2012

HavBED % Reporting Compliance by Time/ShiftContra Costa County – All Hospitals

Q2: 2012


Data Source: ReddiNetData Base 2012

HavBED % Reporting Compliance OverallBy Month Q2:2012

Contra Costa EMS AgencyCore Indicator SU#C0003B


0

50

100

150

200

250

300

350

400

450

500Q

1 20

11

Q2

2011

Q3

2011

Q4

2011

Q1

2012

Q2

2012

Hrs.

Diversion All Hospitals Quarterly Trending - Time in Hours

Q2: 2012

No Special Cause Detected Chart Type: Chart for Individuals Database Column1



X. Excluded or Missing Data

Centerline: 177.7 Process Limits: Lower: -98.40 Upper: 453.7



213

109

15 7 2

321

0

50

100

150

200

250

300

350

Hosp A Hosp B Hosp C Hosp D Hosp E Hosp‐ALL

Total Hrs.onDiversion

Hospitals Reporting DiversionData Source: ReddiNet

Contra Costa County HospitalsTotal Hours on EMS Diversion

Q2: 2012



157148

15

321

0

50

100

150

200

250

300

350

CT STEMI Trauma ALL

Diversion Timein Hrs.

Category

Contra Costa County HospitalsEMS Diversion by Reason

Q1 2012

16

6

13

12

14

10

13

11

8

10

8

7

10

8

3

5

15

14

0

2

4

6

8

10

12

14

16

18

Hosp#1

Hops#2

Hops#3

Hops#4

Hops#5

Hops#6

Hops#7

Hops#8

Hops#9

%

Contra Costa County Hospitals

Hospital Drop DelaysBy Percent (%) Received

Q2: 2012

% of all Drops

% delayed


Data Source: Dispatch ‐ ReddiNetData Base 2012


Data Source: EMS Safety Events Reporting Data Base2012

Assessment33% (n=4)

Procedures42% (n=5)

Medications17% (n=2)

Other8% (n=1)

Reported Patient Safety Events % by Clinical Type

Q2: 2012 (N=12)


Data Source: EMS Safety Events Reporting Data Base2012

Communications36% (n=5)

Other21% (n=3)

Destination43% (n=6)

Reported EMS Safety Events% by Operational Type

Q2: 2012 (N=14)


Base Hospital

Q2: 2012 Report

Data Source: Base Hospital Registry; to June 2012.

Contra Costa EMS AgencyCore Indicator BH#C0001

Data Source: Base Hospital Registry through June 2012

303 299 302

269

281304

200

220

240

260

280

300

320

340

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/12

/201

2

3/12

/201

2

4/12

/201

2

5/12

/201

2

6/12

/201

2

Base Hospital Call Volume by Month Q2: 2012

N=875

NumberofBase Calls





Centerline: 274.3 Process Limits: Lower: 218.7 Upper: 330.0

303

254281

269302

304

0

50

100

150

200

250

300

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/12

/201

2

3/12

/201

2

4/12

/201

2

5/12

/201

2

6/12

/201

2

Base Hospital Call Volume by Month

Q2: 2012

N 15 Tests:Average 274.33333 A. Fails Runs TestMedian 266 B. Trend of 7N Runs 8 C. 8 One Side of Median

Min Runs 4 D. 14 AlternatingMax Runs 12 E. 7 Same Value

No Special Cause Detected X. Excluded or Missing Da


Data Source: Base Hospital Registry; to Jun 2012

Adult (93 %)

Pediatric (7 %)

Base Hospital% Calls by Age Q2: 2012 N=875

TRAUMA (75 %)

MEDICAL (23 %)

CARDIAC ARREST (2%)

BASE HOSPITAL% CALLS BY TYPE - Q2:2012

N=875


Data Source: Base Hospital Registry; to Jun 2012


Cardiac Arrest

Q2: 2012 Report

Data Source: CARES Registry through June 2012. Excludes Medical Facilities (hospitals, clinics, SNF); Excludes arrest after EMS arrival

Contra Costa EMS AgencyCore Indicator # CA#0001

Data Source: CARES Registry Apr2012 through June 2012Excludes hospitals, clinics, SNF; arrest after EMS arrival

Begin Q2 2012

4

6

8

10

12

14

16

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/1/

2012

3/1/

2012

4/12

/201

2

5/12

/201

2

6/12

/201

2

%

Special Cause Detected Chart Type: Chart for Individuals Database Column1





% Cardiac Arrest Survival Overall by Month Q2: 2012

N=123

NationalBenchmark7.2%

__________________________________________________________________

%

8 8 8.3 8.6

10.710.2

0

2

4

6

8

10

12

Q1 2011 Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012

Cardiac Arrest Survival - Overall by Quarter Q2:2012

N=123



NationalBenchmark7.2%

_________________________________________________________________


Data Source: CARES Registry; Apr 2012 through Jun 2012Excludes hospitals, clinics, SNF, arrest after EMS arrival


Avg of Data Shown 27 A. 1 Beyond Control Limit E. 2 of 3 Beyond 2 SigmaMedian Data Shown 27 B. 9 On One Side of Average F. 4 of 5 Beyond 1 Sigma




%

% Cardiac Arrest Survival – UtsteinBy Month Q2: 2112

N=123

Begin Q2 2012

0

10

20

30

40

50

60

4/1/

2011

5/1/

2011

6/1/

2011

7/1/

2011

8/1/

2011

9/1/

2011

10/1

/201

1

11/1

/201

1

12/1

/201

1

1/1/

2012

2/1/

2012

3/1/

2012

4/1/

2012

5/1/

2012

6/1/

2012

NationalBenchmark

24%_______________________________________________________________

26

32

23

30

25 25

0

5

10

15

20

25

30

35

Q1 2011 Q2 2011 Q3 2011 Q4 2011 Q1 2012 Q2 2012

% Cardiac Arrest Survival – UtsteinBy Quarter Q2: 2012

N=123

%


Data Source: CARES Registry; Apr 2012 through Jun 2012Excludes hospitals, clinics, SNF, arrest after EMS arrival

NationalBenchmark

24%_________________________________________________________________

34%

29%32%

44%42% 43% 44%

40%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

2010 Q3 2010 Q4 20111 Q1 2011 Q2 2011 Q3 2011 Q4 2012 Q1 2012 Q2

Bystander CPR By Quarter Q2:2012



NationalBenchmark

24%_________________________________________________________________


STEMI System

Q2: 2012 Report

Data Source: STEMI ; January 2012 through March 2012.

BeginQ2 2012

10

12

14

16

18

20

Jul

Aug

Sep Oct

Nov Ju

l

Aug

Sep Oct

Nov

Dec Jan

Feb

Mar

Apr

May Jun

STEMI SystemMedian Prehospital Scene Time Interval

Q2: 2012

NationalBenchmark<15 mins






Contra Costa EMS AgencyCore Indicator STE#C0002

Data Source: STEMI data base

TimeInMins

2011‐12

_________________________________________________________________

90

88

90

81

76

78

80

82

84

86

88

90

92

Q3 2011 Q4 2011 Q1 2012 Q2: 2012

TimeinMinutes

STEMI System911 Dispatch to Intervention

Mean Time Interval by QuarterQ2: 2012

Contra Costa EMS AgencyCore Indicator STE#C0002

Data Source: STEMI data base

NationalBenchmark

<90 mins_________________________________________________________________


Stroke System

Q2: 2012 Report

Data Source: MEDS 3 California Stroke registry; Through June 2012. Excludes Medical Facilities (hospitals, clinics, SNF);

Contra Costa EMS AgencyCore Indicator # ST#C0001

Data Source: Meds; Cal Stroke Registry

6

8

10

12

14

16

1/1/

2011 Fe

b

Mar

Apr

May Jun

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012

2/1/

2012

3/1/

2012

4/1/

2012

5/1/

2012

6/1/

2012

Mins

2011-12

Special Cause Detected Chart Type: Chart for Individuals Database Column1





Stroke Alert – Prehospital On SceneMean Time Interval by Month

Q2: 2012

_________________________________________________________________NationalBenchmark<15 mins

29

40

19

12

33

46

15

6

0

5

10

15

20

25

30

35

40

45

50

01‐10 mins 10‐15 mins 16‐20 mins Other 01‐10 mins 10‐15 mins 16‐20 mins Other

% ofStrokeAlerts

On Scene Time Interval

% Stroke Alerts Patients by Mean Prehospital Scene Time Interval

Q1 and Q2:2012



Q1 Q1 Q1 Q1 Q2 Q2 Q2 Q2NationalBenchmark<15 mins



CURRENT DATA NOT AVAILABLE








Trauma System

Q2: 2012 Report

Data Source: Trauma One Registry; Apr 2012 through Jun 2012

26

2423

26

20

25

0

5

10

15

20

25

30

1/12/2012 2/12/2012 3/12/2012 4/12/2012 5/12/2012 6/12/2012

%

Month

% Major Trauma Victim Trauma Cases Reported

Q2 2012

Contra Costa EMS AgencyCore Indicator # TC#C0001

Data Source: Trauma One Registry; June 2012



Mins

10

12

14

16

18

20

22

24

26

Q1

Blu

nt

Q1

Pen

Q2

Blu

nt

Q2

Pen

Mean Scene Time in MinsMTV-Ground Transport

Q2 2012

13

13.5

14

14.5

15

15.5

16

16.5

Q1 Blunt Q1 Pen Q2 Blunt Q2 Pen

Time inMinutes

Scene Time Interval in Mins Blunt vs. Penetrating Trauma

Q2: 2012





No Special Cause Detected

50

60

70

80

90

100

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

Apr

May Jun

% Over Triage Major Trauma Victims By Month

Q2 2012






%

%


Data Source: Trauma One Registry Jun 2012

0

10

20

30

40

50

Jul

Aug

Sep Oct

Nov

Dec

1/1/

2012 Fe

b

Mar

Apr

May Jun

% MTV's Discharged Home from ED by Month

Q2 2012






END REPORTQ2: 2012

Documents

Q2 2012 Core Measures CQI Report