Scott County Health Department Davenport, Iowa COMPREHENSIVE STUDY OF EMERGENCY MEDICAL SERVICES FINAL REPORT April 2014 Prepared by: TriData Division, System Planning Corporation 3601 Wilson Boulevard Arlington, VA 22201 Scott County Health Department Davenport, Iowa FINAL REPORT COMPREHENSIVE STUDY OF EMERGENCY MEDICAL SERVICES Submitted to: Edward Rivers, Director Scott County Health Department 600 W. 4th Street, 4th Floor Davenport, IA 52801 Submitted by: Philip Schaenman, President, TriData Division System Planning Corporation 3601 Wilson Boulevard Arlington, VA 22201 (703) 351-8300, [email protected] April 2014 Scott County Health Department • Comprehensive Study of EMS FINAL REPORT Table of Contents ACKNOWLEDGEMENTS ................................................................................................ I ACRONYMS .................................................................................................................. IV EXECUTIVE SUMMARY ................................................................................................. V CHAPTER 1. EMS IN SCOTT COUNTY ......................................................................... 1 Iowa Bureau of EMS ....................................................................................................................1 Iowa Emergency Medical Services Association ..........................................................................1 Scott County EMS Oversight .......................................................................................................2 Ambulance Service Funding ........................................................................................................4 EMS Dispatch ..............................................................................................................................4 First Responders ...........................................................................................................................6 First Responder Agencies ............................................................................................................7 Bettendorf Fire, Rescue, and EMS Department .................................................................. 7 Blue Grass Volunteer Fire Department .............................................................................. 9 Buffalo Volunteer Fire Department .................................................................................. 10 Davenport Fire Department .............................................................................................. 11 Dixon Volunteer Fire Department .................................................................................... 12 Donahue Volunteer Fire Company ................................................................................... 13 Eldridge Volunteer Fire Company .................................................................................... 14 LeClaire Volunteer Fire Department ................................................................................ 15 Long Grove Volunteer Fire Department ........................................................................... 16 Maysville Volunteer Fire Department ............................................................................... 17 McCausland Volunteer Fire Department .......................................................................... 18 New Liberty Volunteer Fire Department .......................................................................... 19 Princeton Volunteer Fire Department .............................................................................. 20 Riverdale Volunteer Fire Department ............................................................................... 21 Walcott Volunteer Fire Department .................................................................................. 22 Ambulance Transportation .........................................................................................................23 Advanced Medical Transport ............................................................................................ 24 Bennett Ambulance ............................................................................................................ 24 Buffalo Volunteer Ambulance ........................................................................................... 24 Durant Ambulance Service ............................................................................................... 25 Genesis Health System Hospital Ambulance .................................................................... 25 MEDIC EMS ..................................................................................................................... 26 Wheatland EMS ................................................................................................................. 27 TriData Division, April 2014 System Planning Corporation Scott County Health Department • Comprehensive Study of EMS FINAL REPORT Aeromedical Services .................................................................................................................27 MedForce .......................................................................................................................... 27 Hospitals ....................................................................................................................................28 Genesis Health System Hospital ....................................................................................... 28 Unity Point -Trinity Hospital ............................................................................................ 28 Scott County Organizations .......................................................................................................28 Scott County Emergency Management ............................................................................. 28 Scott County Board of Health ........................................................................................... 28 Scott County Department of Health .................................................................................. 28 EMS Quality Management ........................................................................................................30 Clinical Care ..................................................................................................................... 30 CHAPTER 2. SCOTT COUNTY EMS SYSTEM ADMINISTRATION AND MANAGEMENT .................................................................................................... 32 The Changing Structure of EMS at the State Level ...................................................................32 Effects on Scott County EMS ....................................................................................................33 Local Governance Enhancements ..............................................................................................33 EMS Medical Direction .................................................................................................... 33 Quality Management ......................................................................................................... 34 “Chapter 28” .................................................................................................................... 35 CHAPTER 3. MEDIC EMS AND EMS IN SCOTT COUNTY ......................................... 38 Governance ................................................................................................................................38 Board of Directors ............................................................................................................ 38 EMS Administration and Operations ................................................................................ 40 Executive Director ............................................................................................................ 40 Non-Emergency Service .................................................................................................... 41 Quality Management/Training .......................................................................................... 42 Cardiac Arrest................................................................................................................... 42 Definitions and Background.............................................................................................. 43 Clinical Skills .................................................................................................................... 44 Education and Training .................................................................................................... 47 EMS Communications and Information Services .............................................................. 48 Information Systems .......................................................................................................... 49 Human Resources.............................................................................................................. 50 Finances .....................................................................................................................................50 Loss of Contracts .............................................................................................................. 50 TriData Division, April 2014 System Planning Corporation Scott County Health Department • Comprehensive Study of EMS FINAL REPORT CHAPTER 4. PLANNING FOR THE FUTURE OF EMS IN SCOTT