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Annual Report, 2017-2018

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Annual Report, 2017-2018 2017–2018 ANNUAL REPORT CONTENTS Mission, Vision, and Key Goalsiii Maryland EMS Regions iv From the Maryland EMS Board Chair 1 MIEMSS Overview 2 MIEMSS Departmental Reports Administration 3 AeromedicalOperations 4 AttorneyGeneral’sOffice 4 CommercialAmbulanceLicensingandRegulation 5 CommunicationsEngineeringServices 6 ComplianceOffice 8 CriticalIncidentStressManagement 9 EducationalSupportServices 10 EmergencyMedicalServicesforChildren 11 EmergencyOperations 15 EMRC/SYSCOM 15 GovernmentAffairs 16 HealthCareFacilitiesandSpecialPrograms 16 InformationTechnologyandDataManagement 20 LicensureandCertification 22 MedicalDirector’sOffice 24 QualityManagement 26 RegionalPrograms 27 Maryland Trauma and Specialty Referral Centers 30 Designated Trauma Center Categorization 31 Maryland EMS System Trauma and Specialty Center Reports 31 Primary Adult Resource Center RAdamsCowleyShockTraumaCenter 31 Level I Adult Trauma Center TheJohnsHopkinsHospital 33 Level II Adult Trauma Centers JohnsHopkinsBayviewMedicalCenter 35 UniversityofMarylandPrinceGeorge’sHospitalCenter 37 SinaiHospital 38 SuburbanHospital–JohnsHopkinsMedicine 40 Level III Adult Trauma Centers MeritusMedicalCenter 41 PeninsulaRegionalMedicalCenter 42 WesternMarylandRegionalMedicalCenter 43 Out-of-State Adult Trauma Center MedStarWashingtonHospitalCenter 44 Adult Burn Centers JohnsHopkinsBayviewMedicalCenter 45 MedStarWashingtonHospitalCenter 46 i Pediatric Trauma Centers JohnsHopkinsChildren’sCenter46 Children’sNationalMedicalCenter48 Pediatric Burn Centers JohnsHopkinsChildren’sCenter50 Children’sNationalMedicalCenter51 Eye Trauma Center WilmerEyeInstituteatTheJohnsHopkinsHospital53 Hand/Upper Extremity Trauma Center CurtisNationalHandCenter,MedStarUnionMemorialHospital55 Neurotrauma Center RAdamsCowleyShockTraumaCenter57 Rehabilitation Services59 Emergency Response System of the National Capital Region of Maryland60 Emergency Health Services Department, University of Maryland Baltimore County63 Maryland Poison Center, University of Maryland School of Pharmacy63 National Study Center for Trauma and EMS66 Maryland EMS Statistics68 Maryland Trauma and Burn Statistics75 AgeDistributionofPatientsTreatedatPediatricorAdultTraumaCenters75 AdultTraumaStatistics75 AdultBurnStatistics81 PediatricTraumaStatistics84 PediatricBurnStatistics88 Maryland EMS Board and Statewide EMS Advisory Council92 ii MISSION, VISION, AND KEY GOALS MISSION ConsistentwithMarylandlawandguidedbytheEMSPlan,toprovidethe resources(communications,infrastructure,grants,andtraining),leadership(vision, expertise,andcoordination),andoversight(medical,regulatory,andadministrative) necessaryforMaryland’sstatewideemergencymedicalservices(EMS)systemto functionoptimallyandtoprovideeffectivecaretopatientsbyreducingpreventable deaths,disability,anddiscomfort VISION TobeastateEMSsystemacknowledgedasaleaderforprovidingthehighest qualitypatientcareandthatissoughtouttohelpotherEMSsystemsattainthesame levelofqualitycare KEY GOALS •Providehighqualitymedicalcaretoindividualsreceivingemergencymedical services •Maintainawell-functioningemergencymedicalservicessystem iii MARYLAND EMS REGIONS Maryland’s EMS system is composed of five regions. Each region has a Regional EMS Advisory Council composed of members who have an interest in EMS. Council responsibilities are defined by regulation, and council meetings typically cover a range of topics, including grants, training, EMS policies and protocols, legislation, and communications. Input from each Regional EMS Advisory Council is provided to the Statewide EMS Advisory Council for recommendation to the EMS Board. MIEMSS’ regional administrators support the councils, facilitate communication, and address regional EMS issues. Allegany Washington Carroll Cecil Garrett I III Harford II Baltimore Frederick County Baltimore Kent Howard City Montgomery Anne Queen Arundel Anne’s Caroline Talbot Prince George’sV Charles Calvert IV Dorchester Wicomico St. Mary’s Worcester Somerset iv FROM THE MARYLAND EMS BOARD CHAIR W iththis2017-2018AnnualReport,wecelebratethe25thAnniversaryofthestatutethatformallycreated Maryland’spresentstatewideEMSsystemPassedin1993,thislawrecognizedtheimportanceoftheEMSsystem inreducing mortalityandmorbidity,thevalueofMaryland’shighly-trainedcareerandvolunteerfirefighters,EMS providers,andrescuesquadpersonnelinrenderinglife-sustainingmedicalcareandemergencyservices,andthe complexity of our EMS system, which involves multiple stakeholders and interestsThe law was based on the premisethatMaryland’sEMScouldbefurtherenhancedbyestablishingagoverningbodyandstructureforthe statewidesystem The1993statutecreatedtheStateEMSBoardandchargeditwithoversightandresponsibilityforensuringthe effectiveandefficientoperationofthestatewideEMSsystemThelawalsocalledfortheformationofStatewide EMSAdvisory Council (SEMSAC) to serve as the principle advisory body to the EMS Board and to be the Donald L. DeVries, Jr., Esq. mechanismbywhichthemyriadofEMSsystemstakeholderinterestswouldberepresentedatastatewidelevel Chairman, EMS Board Finally,thelawmadeMIEMSSanindependentstateagencyresponsibleforcoordinatingthestatewidesystemand implementingtheEMSBoard-approvedEMSPlan Althoughformallycreatedinlawin1993,thefoundationofMaryland’sEMSsystemwasrootedinlocal,state,andnationalinitiativesstarted decadesearliertoimproveprehospitalcareandreduceunnecessarydeathsThe1993legislationwastheresultofaGovernor’sTaskforcethat,one yearearlier,hadbeenchargedwithexaminingMaryland’sEMSsystem,identifyingneededimprovements,andrecommendingwaystoprepare theEMSsystemforthenextcenturySinceMaryland’scomprehensiveandcoordinatedstatewideEMSsystemcouldnotbesuccessfulwithout sustainedfunding,muchofthenecessaryfinancialsupportfortheEMSsystemhadbeensecuredbythecreationoftheEMSOperationsFund in1992Thefinalpieceoftheoversightstructurewasputintoplaceby1999legislationthatchargedtheEMSBoardwiththeresponsibilityfor licensingandcertificationofalllevelsofEMSproviders Intheinterveningquarterofacenturysinceourinception,thecombinationofastrongfoundation,aneffectiveorganizationalstructure, andastablefundingsourcehashelpedMaryland’sstatewideEMSsystemtoflourishIthasprovidedtheopportunitytopursueinitiativesfor improvingtheEMSsystemandhelpedMarylandEMSmeetthechallengesofanever-changinghealthcarelandscapeTherehavebeenimportant achievementstoonumeroustodetailhere,butamongthosearethefollowing: • OurfirstStatewideEMSPlan,approvedbytheEMSBoardin1995,identified99objectives,oneofwhichwasthatMarylandshould adoptthenational“blueprint”foralllevelsofprehospitalprovidersThisobjective,rankedbyEMSprovidersatthattimeasoneofthe mostimportantobjectivesforMaryland,hasbeenachievedovermanyyearsofefforttoensurethatEMSeducationalstandardsalign withnationalstandardsandstaterequirementstoconfirmproviderreadinesstotreatemergencypatientsinthefieldThishasensuredthat thehighestlevelsofcompetenceandlicensing/certificationlevelscontinuetoevolveconsistentwiththoseusedthroughoutthenation • Between1994and2014,Marylandmovedfromacumbersomepaper-basedprehospitalcarerecord,toahomegrownelectronicform (EMAIS),andfinallytoasophisticatedprehospitalcareinformationsystem(eMEDS)thatisnowusedineveryEMSjurisdictionin MarylandOnthehorizon,integratingeMEDSwithMaryland’sHealthInformationExchange(“CRISP”)willeventuallymakeaccessi- bleapatient’sprehospital,hospital,andphysicianrecordsfortreatmentandqualityimprovementpurposes • Maryland’sEMScommunicationsystem,confinedintheearly1990stooperatingincertaindefinedareasofthestate,nowoperates statewideandisthelargestmedicalcommunicationsysteminMarylandThesystemiscurrentlyundergoingamajorupgradefrom analogtodigitalthatwillincorporatetheuseofcutting-edgetechnologyinEMScommunicationsThisupgradewillbecompletedin thenextseveralyears • Designationofspecialtycenterscapableofreceivingseriouslyillorinjuredambulance-transportedpatientsbeganwithMaryland’s traumacenters,whichwerefirstdesignatedin1997Sincethen,hospitaldesignationhasgrownbeyondtraumatoencompass11specific specialtycenterdesignations,withmorelikelyasEMSbeginstomoveintoinnovativewaysofdeliveringcaretopatientsTheimpactof hospitaldesignationhasbeensignificantThedesignationofPrimaryStrokeCentersbeganin2006,andComprehensiveStrokeCenter designationbeganin2013Sincethen,MarylandhasbecomeanationalleaderinstrokecareDesignationofCardiacInterventional Centersbeganin2010,andhadbeenprecededbyamulti-yearefforttoensurethatalladvancedlifesupport(ALS)providerswere trainedin12-leadelectrocardiograph(EKG)administrationandinterpretation,andthatallALSunitsinMarylandwereequippedwith 12-leadEKG • Maryland’sEMSsystemremainsoneofthefewinthenationwithuniform,statewideprotocolsforallEMSprovidersOurstatewide EMSprotocolsensurethatthecarerenderedthroughoutMaryland—fromWesternMarylandtotheEasternShore—isconsistentwith thehigheststandardsSincetheinceptionofoursystem,theStateEMSMedicalDirector,RichardAlcorta,MD,hastirelesslychampi- onedthedevelopmentandimplementationofourEMSprotocolsDrAlcortawillretirein2018,andwethankhimforhisdedication andservice Overthepastquartercentury,wehavealsoenduredtragedyTheeventsofSeptember11,2001,unfoldedastheEMSBoardwasholding itsmonthlymeetingThelossoflifefromthecrashofMarylandStatePoliceTrooper2Medevacin2008devastatedourentireEMScommunity Andtheall-too-frequentlossofpublicsafetypersonnelwhogivetheirliveswhilerespondingtoemergencieshastouchedeveryEMSandfire providerinMarylandDespitethesetragedies,ourprovidersremaincourageousandcommitted,andourEMSsystemremainsstrongandready tomeettheemergencyneedsofourcitizens Wecanbeveryproudofthenumerousaccomplishmentsofthepast25yearsThelawsthatwereenactedintheearly1990shavebeen
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