AUGUST 30, 2018
facebook.com/MeckEMS @MecklenburgEMS mecklenburg-ems-agency mecklenburgems
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PERIOD 1 (7/1/18 - 10/31/18) WEEKLY RESULTS THRU’ 8/24/18
EST. PAYOUT : $850 FINANCIAL STANDING VS. BUDGET (GOAL: > 0.25%)
QUALIFYING CRITERIA Budget, Patient Satisfaction and Total Task Time goals must be met to turn on Performance Pay. If one of these three goals is not met, Performance Pay will not be paid.
ON TARGET
PATIENT SATISFACTION RATED AS “EXCELLENT” 62%
(GOAL: > 50%; LOW: 50%-59%; MID:60%-64%; HI: > 65%)
TOTAL TASK TIME
65:02*
(GOAL: < 70:00; LOW: 69:00-70:00; MID: 68:01-68:59; HI: < 68:00)
$0
$150 $300
$0
$150 $300
AGENCY DRIVER SAFETY SCORING AVERAGE (GOAL: > 8%) 9
PERFORMANCE CRITERIA ($100 EA.)
CMED MPDS HIGH COMPLIANCE (GOAL: > 70%) 81%
RESPONSE TIMES P1: 96.68%/P2: 95.41% (GOAL: P1, P2: > 90%; P3: > 85%) P3: 91.74%
P1 TRAUMA SCENE TIMES (GOAL: < 10:00) 9:00
*TTT through 8/17/18
The latest Performance Pay Tracking Period began on July 1. We are striving to meet the Patient Satisfaction goal of a ≥ 50% rating (experience as “Excellent”). In order to create a comfortable margin of performance, while continuing to improve the patient experience, we would like to share some feedback from recent patient focus groups. The two areas that patients value the most are: 1. Communication from the treating crew: “Explain treatment options and procedures” “Provide reassurance and compassionate communication with the patient”
SEPTEMBER 2014
2. Setting clear expectations: “Set transport length expectation” “Set a triage level expectation before arriving at the hospital”
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Every month, Medic provides a written Agency update to key stakeholders including the Board of County Commissioners, the County Manager’s office and the Agency’s Board of Commissioners; it is referred to as the Board Bulletin.
a brief narrative aimed at conveying Medic related news.
This one page communication is comprised of six charts representing key performance indicators specifically chosen for this audience coupled with
If you have any questions, email PR@medic911.com
Following is Medic’s Board Bulletin for the month of July. Enjoy!
MEDIC RESEARCH YIELDS LIFE-SAVING RESULTS Clinical research is a vital element of Medic’s strategy to continuously improve patient outcomes. Medic publishes multiple industry-leading studies each year that ultimately broaden our reach by providing potentially life-saving knowledge on a national scale. RECENT RESEARCH There is a familiar saying among healthcare providers when it comes to heart attack patients: time is tissue. This refers to the fact that a blocked blood vessel slows blood flow to the heart and often results in heart tissue being permanently damaged, which can lead to long term health issues. The time it takes for a patient experiencing a heart attack to receive intervention at a hospital matters greatly. Though this is a widely known fact, the specific impact that EMS providers have on patient outcomes for heart attack victims has never been clearly defined. Medic recently completed a study to try and answer this question. A total of 550 patients in Mecklenburg County who suffered a heart attack were included in the research project. The objective of the study was to determine if differences in mortality at one year in heart attack patients existed based on variation in the time interval, 911-call pick up to treatment. Results indicated that the likelihood of survival, at one-year post intervention, decreased by 3% for every one-minute increase in time to treatment. This difference in time to treatment represents a 30% increase in mortality for every 10-minute delay from a 911 call to intervention. The conclusion reached in this study is that EMS providers have an essential window of opportunity to significantly increase long-term survival for patients experiencing a heart attack through their ability to rapidly diagnose and transport such patients to a cardiac center for intervention. The results of this study were published in Prehospital Emergency Care in February of 2018.
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CONTEXT FOR KEY PERFORMANCE INDICATORS The data on the following page is presented in control charts. Each dot represents a monthly average, count or proportion. The middle green line is the average performance for the displayed periods, while the red lines are the upper and lower control limits: Response time compliance performance goal is 90%. Cardiac arrest survival is measured for patients that meet a nationally standardized case definition. Patient satisfaction is determined using a random telephone survey of up to 200 transported patients per month. This results in a proportion which rated their overall quality of care as excellent. The target is > 65% excellent. County cost per transport is based off of the total number of transports in a month divided by the monthly subsidy provided to Medic.
SEPTEMBER 2014
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COMPLIANCE CLASS TRAINING In order to successfully complete this LMS training, please be aware of the following: Passwords and Login It is your responsibility to ensure that you have access to the Success Factors Learning Management System (LMS). You will need to log into the LMS to complete your compliance training and to set up your fit testing/TB test, if applicable. If you have never logged into the LMS then you will do the following: • Go to: https://medic911.plateau.com • User ID: Employee ID number with preceding zeros if applicable • Default Temporary Password is: ‘medic911’ If you have forgotten your password please use the “forgot password” function. If that fails then contact Medical Services at eqs@medic911.com. Password resets will only occur during business hours. You must be sure that you have your correct login information before attempting to complete work in the lab For complete instructions, visit https://www.med-
• Calendar week starts on Monday.
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ic911.com/extranet/my-medic/corporate-compliance. If you have Corporate Compliance content questions, contact Pam Jackson at pamelaj@medic911.com. For technical questions, contact Medical Services at eqs@medic911.com ATTENDEES Jared Absher, Lester Bailey, Jose Beard, Jay Black, Maryam Boyd, Tanaya Bryels, Todd Childers, Meghan Clark, Erin Clemens, Chelsea Cline, Kathleen Connell, Donti Cook, Ashley Cummings, Kennedy Deese, Charles Edwards, Cheryl Eudy, Shelly Forward, Mali Green, Timothy Greene, Carl Greene II, Brittany Harris, Ben Harris, Darlene Hicks, Samantha Hiott, Nicolette Hodnett, David Hodnett, Nicholas Howard, Ethan Ivey, Cynthia Jefferson, Christopher Jerrell II, Casey Jordan, Jeff Keith, Jacob Konigseder, Megan Lawless, Lance Lee, Sarah Maw, Michael Miller, Melody Morrison, Chance Osborne, Chassity Phillips, Chris Pinto, Matthew Raborn, Hillary Ramsey, Lucius Rice, Brandis Ridenhour, Scott Rinehults, Hakiym Roach, Stephen Robinette, Donald Robinson, Laura Rohrer, Michael Schmidt, Kyle Sheehan, Maureen Smathers, Ian Starkey, Matthew Stegall, Stephanie Stinson, Mark Strother, Wilson Tart II, Robbie Thomas, William Thomas, Adam Tolman, Douglas Valot, Jonathan Varalli, Shane Walker, Nichole Washington and Joseph Woolf
DRY MOUTH What it is, what causes it and what you can do to better manage it – we’ll explain it all. We all experience a dry mouth from time to time, usually due to intense thirst. When this happens, drinking a glass of water is the simple solution to restoring the moisture in your mouth. But for individuals living with xerostomia, also known as dry mouth, the symptoms, causes and effects on your health are much more complicated.
What is dry mouth? Dry mouth occurs when saliva stops being produced. Saliva is a key part of a healthy mouth because it washes away food and other debris. This helps prevent infection by controlling bacteria and fungi in the mouth.* That’s why, if left untreated, dry mouth can increase the risk of gum disease, tooth decay and mouth infections.*
What causes it?* Dry mouth is not a disease. It can be a side effect of a medical condition or medication, such as:
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Certain prescription and nonprescription drugs that are used to treat a wide variety of health issues like depression, anxiety and other psychological disorders, allergies and colds, asthma, epilepsy, hypertension, diarrhea, nausea and urinary incontinence. A number of diseases: Sjögren’s syndrome, HIV/AIDS, Alzheimer’s, diabetes, anemia, cystic fibrosis, rheumatoid arthritis, stroke and mumps. Medical treatments such as surgical removal of the salivary glands, chemotherapy and damage to salivary glands from radiation to the head and neck. Lifestyle behaviors like smoking, chewing tobacco and breathing with an open mouth.
What are the symptoms?*
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Sticky, dry or burning feeling in the mouth. Trouble chewing, swallowing, tasting or talking. Cracked lips. Sores or infections inside the mouth or on the tongue.
How is it treated?* Taking care of dry mouth depends on what is causing it. But, generally speaking, there are a number of ways to help avoid dry mouth or restore moisture to a dry mouth. These include:
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Drinking plenty of water Using sugar-free candy or gum to stimulate saliva flow. Avoid tobacco or alcohol use because they can contribute to dry mouth. Caffeinated drinks should be avoided because it can dry out the mouth.
If you think you have dry mouth, talk to your dentist or doctor. He or she can try to determine what is causing your dry mouth and recommend the appropriate treatment.
* National Institute of Dental and Craniofacial Research. "Dry Mouth", September 2016. <https://www.nidcr.nih.gov/OralHealth/Topics/DryMouth/DryMouth.htm> SEPTEMBER
2014
This document is provided by Cigna solely for informational purposes to promote customer health. It does not constitute medical advice and is not intended to be a substitute for proper dental care provided by a dentist. Cigna assumes no responsibility for any circumstances arising out of the use, misuse, interpretation or application of any information supplied in this document. Always consult with your dentist for appropriate examinations, treatment, testing and care recommendations. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, Cigna HealthCare of Connecticut, Inc., and Cigna Dental Health, Inc. and its subsidiaries. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. medic911.com 7 869880 b 01/18 © 2018 Cigna. Some content provided under license.
PATIENT IDENTIFICATION DATA This is a follow up status email regarding the process change of billing for pronounced patients. As many of you are aware, we started “testing” the process in June. We went “live” in July. The tickets are importing into billing and reconciling with the monthly audit as designed. We have started receiving payments on the June claims. So far, we are at $14K for those claims. To continue to make this process successful, please remember to remind crews to try and obtain the following: 1. Patient name 2. Date of birth 3. Social Security number (whenever possible) Billing thanks you all for your efforts and attention to this project. The implementation went smoothly and we greatly appreciate your contributions. For more information, email Shelly Miller at shellym@medic911.com