Ambulance Service Oversight Committee - February 14, 2020 Minutes

Present: Desi Fleming, Rick Cameron, Chad Mickelson, Jason Eblen, David Todd, Sherm Syverson, Craig Nelson
Absent: Steve Dirksen, Tim Meyer, Tim Mahoney, Vicky Black, Heidi Lako-Adamson, Julianna Lindgren

9:00 a.m., Fargo City Commission Chambers, Desi Fleming called the meeting to order.

Approval of Minutes: A quorum was not present, deferred approval.
Announcements: Rick Cameron: Saturday the 15th is Save a Life Saturday (CPR training) at the mall from noon to 5:00 p.m.
Data Review, Response Time, Transport Destination:
Jason Eblen: Pattern and behaviors are the same. The top 5 are abdominal pain, alcohol use, behavioral psych, trauma, and chest pain. Volumes have increased, in January over 1400 runs.
Response times November 96.6% December 93.73% January 93.92% Dips in response time are due to volume. They are adding two full time crews during the day to address this.
Cancelled runs are when the call is cancelled when the crew is in route or when the crew is standby and it gets cancelled by the responding unit. If there is patient contact, regardless of outcome it will not be logged as canceled. Two extra crews have been approved we have 12 trucks at maximum staffing during the day.
Sherm Syverson: Nationally we are bucking a trend that we are able to find employees. We have paramedic program in ND State College of Science partnership that is helping. We are getting those students to health care into paramedic and going beyond. Train your own locally has been successful.
2019 EMS report Craig Nelson presentation-Summary of 2019
All incidents were 11,606 average per month 967. EMS incidents were 6,788 average per month 566. All fires were 225 average per month 19. Other were 4,593 average per month 383. Number of EMS Incidents were 58% of total runs. They are now tracking time it takes get from the vehicle to the patient. Lift Assists 547. Time From: (Arrival on scene to arrival to patient) only looked at EMS runs (3,643 runs) 90th% of recorded times is 3:26 or less. Run by EMD Code presented. They are focusing on using this data to make sure that higher priority calls are getting out of dispatch quicker and the calls that are not as urgent letting dispatch get a little more information from the caller. Also they can respond as non-emergent. Call by times of day reviewed. Busiest time is midafternoon to early afternoon, then spike around bar closing. Day of the Week reviewed, data shows that days are equally busy. EMS Runs by station. Station 1 is considerably more busy (downtown area). Monitor Station 8 it’s quite low (South off of 25th St) this is where their next station would likely go. Station 9 is west of interstate and south of 52nd Avenue. Reviewed calls by shift. Cause of illness/injury on code 321 runs. Highest are unknowns, then falls, not applicable, drug poisoning, and man down call, assault and abuse. Provider Assessment slide shows the highest being trauma, general illness, impaired by alcohol and respiratory arrest/distress. Procedures used for all runs, in the last year crews have started carrying, epi pen, nitroglycerin and naloxone. Patient Status with treatment slide 3,661 remained the same, improved 736 and worsened 45.

Next Meeting: May 8th at 9:00 a.m.