Government of Tamilnadu Tamil Nadu Health Systems Project 108 Emergency Management Services Performance Report Month: Apr Year: 2015 & Financial Year 2015 -2016 Page 1 of 35 Table of Contents Page No 1. Sense - Activities of the Emergency Response Center (ERC) …….......... 3 2. Reach – Ambulance Trip Data………………………………………………….......... 3 3. Life saved Data.................................................................................... 3 4. Care - Emergencies Handled…………………………………………………….......... 3 - 4 5. AN Mother & Neo-natal cases Data .................................................... 4 6. Financial Performance ........................................................................ 5 -6 Annexure: Annexure A: Ambulance Details………………………………………………………... 7 Annexure B: District Wise Distribution of Ambulances…………………….... 8 Annexure C: District Wise Trip Details……………………………………………….. 9 Annexure D: Hospital Case Admission Details ..................................... 10 Annexure E: District Wise Emergency Cases Handled………………………... 11 - 13 Annexure F: District Wise Kilometre Run & Kilometre / Litre Details... 14 Annexure G: Human Resources Details…………………………………………….. 15 Annexure H: District Wise Hospital MoU Details………………………………. 16 Annexure I: Call and Dispatch Average Handle Time............................ 16-18 Annexure J: Interesting Emergency Cases………………………………………... 19-21 Annexure K: Important Events & Photographs…………………………………. 22 Annexure L: AN Cases Monthly report..……………………………………………. 23 Annexure M: Neonatal ambulance cases.............................................. 24 -34 Annexure N : Issues to be sorted out.................................................... 35 Page 2 of 35 GOVERNMENT OF TAMIL NADU TAMIL NADU HEALTH SYSTEMS PROJECT 108 - EMERGENCY AMBULANCE SERVICES Monthly performance report (FORM A) Month : Apr 2015 FY- Year :2015-'16 During the Month - During the Month - SL. During the Month - Apr'15 Details Mar'15 Apr'15 No. Performance % Performance % Performance % 1 Sense - Activities of the Emergency Response Center 1.1 Details of the Calls 1.1.1 Number of Calls Landed 516557 100.00 533442 100.00 533442 100.00 1.1.2 Number of Unattended Calls (UAC) 3118 0.60 4329 0.81 4329 0.81 1.1.3 Number of calls answered 513439 99.40% 529113 99.19% 529113 99.19% 1.2 Types of Calls 1.2.1 Emergency Calls 106090 20.66 102598 19.39 102598 19.39 1.2.2 Non Emergency Calls 81382 15.85 78739 14.88 78739 14.88 1.2.3 Ineffective Calls * 325967 63.49 347776 65.73 347776 65.73 1.2.4 Total Number of Calls (Ref.1.1.3) 513439 100.00% 529113 100.00% 529113 100.00% 1.3 Classification of Emergency Calls 1.3.1 Number of Medical Emergency Calls 103980 98.01 100938 98.38 100938 98.38 1.3.2 Number Police Emergency Calls 936 0.88% 747 0.73% 747 0.73% 1.3.3 Number fire Emergency Calls 1174 1.11% 913 0.89% 913 0.89% 1.3.4 Total Emergency Calls (Ref. 1.2.1) 106090 100.00% 102598 100.00% 102598 100.00% 1.4 Classification of Medical Emergency Calls 1.4.1 Number of Medical Emergency calls 80117 77.05% 78656 77.93% 78656 77.93% 1.4.2 Number of repeated Emergency calls 23863 22.95% 22282 22.07% 22282 22.07% 1.4.3 Total Medical Emergency Calls (Ref. 1.3.1) 103980 100.00% 100938 100.00% 100938 100.00% 1.5 Call Handling Data 1.5.1 Percentage of calls attended within 1st Ring NA 94.58% NA 93.70% NA 93.70% 1.5.2 Percentage of calls attended within 2nd Ring NA 2.97% NA 3.15% NA 3.15% 1.5.3 Percentage of calls attended within or above 3rd Ring NA 2.45% NA 3.15% NA 3.15% 2 Reach - Ambulance Service utilized 2.1 Number of Medical Emergency Dispatch requests (Ref.1.4.1) 80117 NA 78656 NA 78656 NA 2.2 Total Number of Ambulance Trips 80052 NA 78549 NA 78549 NA 2.3 Number of Ambulance Services utilized 76450 95.42% 74892 95.21% 74892 95.21% 2.4 Number of Ambulance Services not utilized 3602 4.50% 3657 4.65% 3657 4.65% 2.5 Number of Ambulance Services busy ** 65 0.08% 107 0.14% 107 0.14% 2.6 Number of Trips per ambulance 113.71 NA 110.79 NA 110.79 NA 2.7 Number of Trips per ambulance/day 3.67 NA 3.69 NA 3.69 NA 3 Care 3.1 Total number of cases transported (Ref. 2.3) 76450 NA 74892 NA 74892 NA 3.2 Total number cases transported per ambulances 108.59 NA 105.63 NA 105.63 NA Total number cases transported per ambulances per day 3.50 NA 3.52 NA 3.52 NA 3.3 Note: Total Lives Saved from 15th Sep 2008 to 30th Apr 2015 = 2, 48,123 Page 3 of 35 Month : Apr 2015 FY- Year :2015-'16 During the Month - During the Month - SL. During the Month - Apr'15 Details Mar'15 Apr'15 No. Performance % Performance % Performance % 4 Types of Emergencies handled 4.1 Accidental Poisoning 4103 5.37% 4055 5.41% 4055 5.41% 4.2 Acute Abdomen 6583 8.61% 6544 8.74% 6544 8.74% 4.3 Allergic Reactions 78 0.10% 79 0.11% 79 0.11% 4.4 Animal Attack 1823 2.38% 2063 2.75% 2063 2.75% 4.5 Assault 2962 3.87% 3168 4.23% 3168 4.23% 4.6 Behavioral 15 0.02% 12 0.02% 12 0.02% 4.7 Cardiac/Cardio Vascular 4924 6.44% 4559 6.09% 4559 6.09% 4.8 Diabetes 747 0.98% 698 0.93% 698 0.93% 4.9 Disasters due to Natural elements 26 0.03% 22 0.03% 22 0.03% 4.10 Epilepsy 2072 2.71% 2093 2.79% 2093 2.79% 4.11 Fevers / Infections 2576 3.37% 1734 2.32% 1734 2.32% 4.12 Fire/Burns 718 0.94% 657 0.88% 657 0.88% 4.13 Hazmat (Hazardous Material) 7 0.01% 2 0.00% 2 0.00% 4.14 Industrial 11 0.01% 12 0.02% 12 0.02% 4.15 Neonatal(upto 1 month) 1488 1.95% 1535 2.05% 1535 2.05% 4.16 Paediatric(1-12years) 107 0.14% 97 0.13% 97 0.13% 4.17 Pregnancy related 18855 24.66% 18691 24.96% 18691 24.96% 4.18 Respiratory 3603 4.71% 3179 4.24% 3179 4.24% 4.19 Road Traffic Accident - Trauma 16388 21.44% 16529 22.07% 16529 22.07% 4.20 Stroke/Cerebro Vascular Accidents 2308 3.02% 2238 2.99% 2238 2.99% 4.21 Suicide attempt 403 0.53% 422 0.56% 422 0.56% 4.22 Trauma 3602 4.71% 3849 5.14% 3849 5.14% 4.23 Unconscious 1964 2.57% 1782 2.38% 1782 2.38% 4.24 Others 1087 1.42% 872 1.16% 872 1.16% Total Medical Emergencies (1.4.1/2.3) 76450 100.00% 74892 100.00% 74892 100.00% 5 AN Mother and Neonatal – Emergencies Care 5.1 Inter Facility Transfer of AN Mothers 5.1.1 Number of cases lifted thro’ ERC to Hospital 8179 43.38% 7964 42.61% 7964 42.61% 5.1.2 Number of cases lifted from Hospital 10676 56.62% 10727 57.39% 10727 57.39% 5.1.3 Number of cases re-referred by Hospital to Higher Level 3 0.02% 5 0.03% 5 0.03% 5.1.4 Number of cases re-referred by referred institutions 0 0.00% 1 0.01% 1 0.01% 5.1.5 Total Number of Re-referred cases (5.1.3+5.1.4) 3 0.02% 6 0.03% 6 0.03% 5.1.6 Total Number of AN Cases 18855 100.00% 18691 100.00% 18691 100.00% 5.2 IFT others 19193 64.26% 19261 64.23% 19261 64.23% 5.2.1 Neonatal (upto 1 month) 1342 4.49% 1400 4.67% 1400 4.67% 5.2.2 Road Traffic Accident - Trauma 3797 12.71% 3903 13.02% 3903 13.02% 5.2.3 Accidental Poisoning 1983 6.64% 1984 6.62% 1984 6.62% 5.2.4 Cardiac/Cardio Vascular 1881 6.30% 1836 6.12% 1836 6.12% 5.2.5 Others 10190 34.12% 10138 33.81% 10138 33.81% 5.2.6 Total number of IFTs (5.1.2+5.2) 29869 100.00% 29988 100.00% 29988 100.00% 5.3 AN Mother/Infant Mother - Follow-Up Data 5.3.1 Number of Maternal Mortality at Hospital 6 0.03% 6 0.03% 6 0.03% 5.3.2 Number of Infant Mortality at Hospital 2 0.01% 3 0.01% 3 0.01% 5.4 Neo-natal transport Data 5.4.1 Neonatal cases transported in Neo-natal ambulances 1335 89.72% 1323 86.19% 1323 86.19% 5.4.2 Total Neonatal cases transported (Ref. 4.15) 1488 100.00% 1535 100.00% 1535 100.00% 6 Availed Tribal case count 6.1 Total number of cases taken from Tribal areas 2587 NA 2672 NA 2672 NA 7 Critical Life Saved 7.1 Total Number of Lives Saved*** 3018 NA 3346 NA 3346 NA 8 Death En-route Case Details 8.1 Total number of cases where victims “Vitals were not recordable” 84 NA 55 NA 55 NA *** Based on 48 hr follow up done in that year only Page 4 of 35 Financial Performance (Apr’15) Planned Achieved Difference Upto 10 Financial Performance Savings During Remarks During Month Upto Month During Month Excess During Month Savings Upto Month Excess Upto Month Month Month 10.1 108 Call center Salary Expenditure 25.79 25.79 21.28 21.28 4.51 - 4.51 - 10.2 Ambulance Personnel Cost 424.26 424.26 388.02 388.02 36.24 - 36.24 - 10.3 Care Personnel Cost 10.28 10.28 5.64 5.64 4.64 - 4.64 - 10.4 Fuel Cost 201.85 201.85 195.10 195.10 6.75 - 6.75 - 10.5 Repairs and Maintenance 42.66 42.66 17.89 17.89 24.77 - 24.77 - 10.6 Medical Consumables 26.91 26.91 20.12 20.12 6.78 - 6.78 - 10.7 Ambulance Mobile Telephone Expenditure 7.08 7.08 3.99 3.99 3.09 - 3.09 - 10.8 Replacement of Tyres 24.35 24.35 20.00 20.00 4.34 - 4.34 - 10.9 Refurbishment of Ambulances 12.61 12.61 2.99 2.99 9.61 - 9.61 - 10.1 Uniform 2.81 2.81 3.55 3.55 - (0.73) - (0.73) Whole year insurance amount 10.11 Vehicle Insurance 6.34 6.34 11.02 11.02 - (4.68) - (4.68) accounted in the month of April'15 , it will control in overll year 10.12 Training Cost 22.92 22.92 4.67 4.67 18.24 - 18.24 - 10.13 Other Insurance - - - - - - - Whole year Expenses amount 10.14 Annual Maintenance 4.74 4.74 8.98 8.98 - (4.24) - (4.24) accounted in the month of April'15 , it will control in overll year 10.15 Other Salaries- Support Staff 53.27 53.27 36.95 36.95 16.32 - 16.32 - 10.16 Marketing Expenditure 8.33 8.33 0.44 0.44 7.89 - 7.89 - 10.17 Travelling Cost 11.29 11.29 4.72 4.72 6.57 - 6.57 - Administrative Expenditure (Telephone, Electricity, 10.18 39.68 39.68 38.40 38.40 1.28 - 1.28 - house keeping, security, office expenditures) Sub Total 925.16 925.16 783.77 783.77 151.05 (9.65) 151.05 (9.65) Page 5 of 35 Planned Achieved Difference Financial Performance Upto Savings During Remarks During Month Upto Month During Month Excess During Month Savings Upto Month Excess Upto Month Month Month Non Recurrent Cost 1 Sense - Call Center Equipment 5.13 5.13 - - 5.13 - 5.13 - 2 Training Material 0.94 0.94 - - 0.94 - 0.94 - 3 NDME -Medical equipment 43.78 43.78 - - 43.78 - 43.78 - 4 Infrastructure - Emergency Response Center 1.70 1.70 - - 1.70 - 1.70 5 New Building - - - - - - - 6 Ambulance Modification 21.00 21.00 - - 21.00 - Sub Total 72.54 72.54 - - 72.54 - 51.54 - Total 997.70 997.70 783.77 783.77 223.59 (9.65) 202.59 (9.65) ECC 23.62 23.62 7.47 7.47 16.15 - 16.15 - Grand Total 1,021.32 1,021.32 791.23 791.23 239.74 (9.65) 218.74 (9.65) Note: Budgeted during month : 1,021.32 No.