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Medstar 2019 Careholder's Report

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Medstar 2019 Careholder's Report Connecting Care Across the Continuum ANNUAL CAREHOLDERS’ REPORT: 2019 MedStar911.org To provide world-class mobile healthcare with the highest-quality customer service and clinical excellence in a fiscally responsible manner. MEDSTAR’S MISSION STATEMENT Haslet • Connecting Care Across the Continuum Careholders’ Report 2019 Message from our CEO ................................................... 1 Saginaw • MedStar At a Glance ....................................................... 3 Blue • Mound Connecting People .......................................................... 5 Connecting Community ................................................... 7 Lakeside • Lake Worth • Services - the Continuum of Care .................................... 9 Haltom • Sansom Park City • The Medicine ................................................................. 14 Naval Air Leadership .................................................................... 18 Station • • River Oaks • Westworth Village • White Settlement Fort Worth Forest Hill • Edgecliff Village • MedStar's service area encompasses 15 cities, 434 square miles and a population of Burleson • over 1 million residents. MESSAGE FROM OUR CEO | 1 A Transformative Year 2018 was, in many respects, a transfor- Due to enhancements in chassis and patient compart- mative year for MedStar! ment design, and with significant design input from our field staff, we made a $13.5 million commitment, over Our teams bring incredible value to our five years, to the safety and comfort of our patients and stakeholders. We continually meet the ambulance crews by contracting for 60 new ambulances needs of our growing community in a that are mounted on a pick-up truck chassis (Type I). Since way that has made MedStar among the MedStar operates without tax subsidy, this investment most clinically proficient, operationally does not use any taxpayer funding. effective and fiscally efficient Emergency Medical Services (EMS) systems in the world. As a result, we are blessed Some of the features specifically designed to MedStar’s to be one of the most recognized EMS agencies locally, specifications include: nationally and even internationally. • An integrated, under-the-hood generator that powers a Left, two of MedStar’s MedStar made a significant investment in our community dual high-performance air conditioning system, critical to new 60-truck fleet this year with the decision to change the type of ambulanc- providing mobile healthcare services to patients in the hot (Type I). Right, a pair of es we operate. Since MedStar entered service some 33 Texas environment. MedStar’s venerable Type III ambulances. years ago, we’ve operated ambulances mounted on a van chassis (Type III ambulance). • A specially designed “floating” patient compartment MedStar continues to be the “go-to” source for healthcare to smooth the ride not only for patients, but also crew systems and EMS providers across the country who are members who perform medical care in the back of the considering testing new models for EMS service delivery. moving ambulance. Our Mobile Integrated Healthcare (MIH) service delivery • Revolutionary new crew seating that allows paramedics model continues to lead the EMS industry’s transformation to complete patient care interventions while fully secured from essentially a “you call, we haul” model, to a model that in a four–point harness for safety. navigates patients through the healthcare system to im- prove patient outcomes, enhance the patient’s experience • A refrigerated safe to secure medications. of care, and reduce expenditures. • Five “live-view” cameras on the ambulance, allowing the In collaboration with multiple stakeholders and community personnel to observe patient care, and providing an exte- groups, we developed new programs this year for patients rior view from the sides, front and rear of the ambulance. receiving palliative care, and partnered with the University With the growth of our community, we also made a signifi- of Texas on a grant awarded by the Department of Justice cant change in how MedStar deploys resources to serve our to help identify patients who may be at risk of elder abuse member cities. For 33 years we operated from one central and refer them to resources that can help. facility, with on-duty units deployed to designated “posts,” We are extremely blessed to have the opportunity to serve to cover geography and anticipated response volume. this community. Speaking on behalf of the entire MedStar The rapid population growth in the northern and southern team, I can assure the community that we will continue to areas of our region led us to acquire land for a north de- work tirelessly, every day, for every patient. ployment center in Fort Worth’s Alliance development. Over the next year, we will construct a center that will house 14 2015 ambulances to enhance services we provide to the rapidly growing northern region. Douglas R. Hooten, MBA, CEO Plans are in the development stage to potentially add a de- ployment center for the southern region of our service area. MEDSTAR AT A GLANCE | 3 Community Profile • Resident population ........................................ 1,016,963 • Service Area Square Miles .................................... 434 • Median Household Income ................................$55,888 • Age ...................................................................34.5 yrs. 2018 Fleet Facts annually monthly • Ambulance miles ............................2,658,082 221,506 • Support miles .................................. 255,785 21,315 • Total miles ......................................2,913,867 242,821 • Mobile Intensive Care Unit (MICU) gallons of fuel consumed ................. 403,714 33,642 • MICU engine hours.......................... 180,418 15,035 2018 MONTHLY RESPONSE TIMES n Priority 1 n Priority 2 n Priority 3 TOP 10 EMERGENCY MEDICAL DISPATCH (x1,000) 10:15 10:00 Sick Person 9:45 Traffic/Transportation Incidents 9:30 Breathing Problems 9:15 Interfacility/Transfer 9:00 Chest Pain 8:45 Falls 8:30 Pyschiatric/Abnormal Behavior 8:15 Unconscious/Fainting 8:00 Convulsions/Seizures 7:45 Assault 7:30 0 10 20 30 40 Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. MedStar’s response times average less than 8 minutes for Priority 1 emergencies, which are life threatening or potentially life threatening. Priority 2 refers to emergencies involving unknown circumstances, and Priority 3 signifies emergencies that are not life threatening. STAFFED UNIT HOURS (x1,000) MONTHLY RESPONSE AND TRANSPORT VOLUME (x1,000) n Total Responses n Total Transports 2015 14 2016 13 2017 12 2018 11 10 210 220 230 240 250 260 270 280 9 8 2018 Milestones Jan. Feb. March April May June July Aug. Sept. Oct. Nov. Dec. MedStar responded to over 150,000 ambulance dispatches in 2018 and had over 100,000 total transports. • 12 new ambulances deployed in the system—new platform designed by field EMS crews • New payment model tested with a large commercial payer in MedStar’s service area • Commission on the Accreditation of Ambulance Services (CAAS) issued reaccreditation to MedStar with perfect score during its on-site CAAS review • MedStar received Injury Prevention Award from the Texas State Department of Health Services for its partnership with the University of North Texas to identify and refer potential elder abuse victims to Adult Protective Services • MedStar implemented Hope Squad, a peer-driven pro- gram to help team members with stress-related issues • MedStar’s golf tournament raised $30,000 for the MedStar Foundation and One Safe Place, an agency devoted to preventing crime and violence in Tarrant County’s neighborhoods, schools and homes • MedStar launched mobile flu vaccine clinics CONNECTING PEOPLE | 5 “I understand how important 2018 Training Academy Courses my role is in assuring that these vehicles get to where they need Class Internal Employees External Students to be, without fail—lives depend Pediatric Advanced Life Support .....................................................30 ....................................... 2 on it! MedStar is like my family Stop the Bleed/AED Training ..........................................................12 ..................................... 346 and the community, they both rely CPR ..............................................................................................131 .................................... 181 on me.” Advanced Cardiac Life Support ......................................................84 ...................................... 36 ~ Josh Enlow, Pre-Hospital Trauma Life Support ...................................................82 ...................................... 35 MedStar Fleet Team Member Emergency Pediatric Care ..............................................................26 ....................................... 0 Advanced Medical Life Support ......................................................97 ...................................... 54 Tactical Emergency Casualty Care ..................................................12 ....................................... 5 Neuro Symposium ..........................................................................22 ....................................... 9 MedStar EMT Blake Lena received EMT ...............................................................................................3 ...................................... 141 the 2018 Representative Charles EMR/ECA ........................................................................................0
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