Page 174 - FY 19 Budget Forecast 91218.xlsx

FIRE DEPARTMENT
EMERGENCY MEDICAL SERVICES DIVISION (100-350-41)

DEPARTMENT DESCRIPTION:
The Emergency Medical Services (EMS) division provides services necessary to preserve life, alleviate suffering and
return individuals to a functioning part of the community. This service ranges in scope from preventive safety education
through the public school system, civic, church and community groups; across spectrum application of emergency medical
care through pre-arrival instructions from emergency medical dispatchers; first responding police and fire units; and
ultimate care by a paramedic-staffed mobile intensive care unit. This service is also fulfilled through patient and provider
advocacy at local, state and national levels of regulatory agencies.

DEPARTMENT/DIVISION GOALS:
1. Effectively and efficiently fulfill the obligations of delivering services at the highest levels of competency, including
emergency medical care/transportation to the citizens and visitors of Keller.
2. Improve patient survivability of cardiac events through responder actions, interventions, interaction with hospitals, and
meeting or exceeding established standards by the American Heart Association Mission Lifeline program. The national
standard is 90 minutes or less.

DEPARTMENT/DIVISION OBJECTIVES:
1. Reduce ambulance transport out of service time (dispatch to available) to an average of 75 minutes.
2. Conduct an average of six (6) patient care training scenarios utilizing the Simulation Mannequin (SIM_MAN) 3G trainer
per month.
3. Conduct Continuous Quality Improvement evaluations on 90% of patient charts in the following categories: Priority 1
transports, Chest Pain, Stroke, Pediatric, Helicopter transports, and Treatment No Transports.
4. Acquire a 12-lead EKG on cardiac patients within five (5) minutes of patient contact.
5. Cardiac Cath Lab activation within five (5) minutes of STEMI recognition in the field.
6. First patient contact to cardiologist intervention times for STEMI heart attack patients at an average of 65 minutes or
less. Time includes Keller Fire-Rescue on scene time, transport time, and hospital intervention time.

SERVICE LEVEL ANALYSIS:
FY 2018-19
FY 2016-17 FY 2017-18 FY 2017-18 Adopted
SERVICES PROVIDED Actual Budget YE Proj. Budget
EMS/Rescue calls for service 2,387 2,591 2,451 2,517
EMS total patients not transported 476 475 440 445
EMS total patient transports 1,744 1,818 1,761 1,778

PERFORMANCE INDICATORS
Ambulance transport out of service time
(average in minutes) 66 75 70 70
Simulation scenarios conducted 23 72 72 72
Charts reviewed for Continuous Quality
Improvement 95% 100% 100% 100%
Patient contact to 12-lead EKG time
(average in minutes) 3.5 4 4 4
STEMI recognition to cardiac cath lab
activation 3.3 3 3.5 4
Patient contact to cardiologist intervention
(average in minutes) 62 65 65 65

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