MedStar 101 Mission:

Transcription

1 MedStar 101 Mission: To provide World Class Mobile Healthcare with the highest quality Customer Service and Clinical Excellence in a Fiscally Responsible manner.

2 Types of EMS Systems Fire Department Private Contractor Hospital-based Third City Service Volunteer Public Utility Model

3 About MedStar Governmental agency (PUM) serving Ft. Worth and 14 Cities Self-Operated 978,000 residents, 434 Sq. miles Exclusive provider - emergency and non emergency 131,000 responses annually 460 employees $40 million budget No tax subsidy Fully deployed system status management Medical Control from 16 member Emergency Physician s Advisory Board (EPAB) Physician Medical Directors from all emergency departments in service area + 5 Tarrant County Medical Society reps

4 MedStar System Structure Member Cities Ambulance Authority Medical Control Board (EPAB) MedStar Operations First Responders Emergency Room Physicians

5 Authority Board Accountable to the member cities and acts as governing body of the system Six member Board of Directors governs the Authority 4 Fort Worth representatives 1 suburban city representative Medical Director of the Emergency Physician Advisory Board (EPAB) AMAA Board of Directors: Zim Zimmerman, Chairman Dr. Darrin D Agostino Dr. Neal Richmond Steve Tatum Dr. Rajesh Gandhi Paul Harral

6 Service Area Blue Mound Burleson Edgecliff Village Forest Hill Fort Worth Haltom City Haslet Lakeside Lake Worth River Oaks Saginaw Sansom Park Westover Hills Westworth Village White Settlement

7 Our Values:

8 System Benefits Regional Partnership Clinical proficiency High clinical utilizations Operational effectiveness System deployment and utilization across the region Eliminates duplication of services Economic efficiency Based on operational effectiveness Economies of scale sole provider Private services help fund public services

9 Fast Facts: Annual Response Volume 39, ,469 Population 412, ,000 Service Area Sq. Miles Employees Ambulances in Fleet Annual Public Subsidy $840,000 $0

10 MedStar Awards & Milestones Accreditations Commission on the Accreditation of Ambulance Services (CAAS) International Academies of Emergency Dispatch One of only 22 agencies with dual accreditation Awards American Ambulance Association AMBY Award (2015) TxDOT and National Safety Council Safe Driving Award (2015) EMS10 Innovation Awards (2009, 2013 & 2015) Journal of Emergency Medical Services (JEMS) Paid EMS Provider of the Year (2013) National Association of EMTs & EMS World Magazine Texas EMS Provider of the Year (2010)

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12 Most Recognized EMS Agency in the Country!!

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14 On-Going Partnerships Safe Communities Collaborative 25-in-5 Campaign Home for the Holidays MedStar Trick-or-Treat Homeless Outreach

15 Community Advisory Board Selected Community Members Non Government Organizations Chambers of Commerce Homeless Coalition Interfaith Community Other collaborators Meet semi-annually to update and seek input How can we better serve the community

16 Citizen s EMS Academy

17 Patient Experience Focus!

18 Highest scores of all peer agencies

19 Best of the Rest in these Ratings. Question Percentile Helpfulness of the person you called for emergency service 93.2 Concern shown by the person you called for emergency service 94.1 Extent to which you were told what to do until help arrived 93.8 Extent to which the medics kept you informed 93.7 Extent to which medics included you in the treatment decisions 94.4 Appropriateness of emergency medical treatment 93.9 Medics' concern for your privacy 93.7 Cleanliness of the ambulance 94.3 Comfort of the ride 89.6 Professionalism of the staff in our billing office 93.3 Willingness of the staff in our billing office to address your needs 90.0 How well our staff worked together to care for you 93.7 Extent to which the services received were worth the fees charged 91.4 Overall rating of the care provided by our team 94.1

20 Mobile Integrated Healthcare Collaboration with stakeholders Stop responding to calls we can prevent High Utilizer Group (HUG) patients Nurse Triage program CHF readmission prevention Hospice revocation avoidance Observation admission avoidance Home Health partnership BPCI for CCJR Partnership MedStar leading the nation

21 Visitors! 181 Communities 42 States 6 Foreign Countries

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23 Facility Fast Facts: Old New Square feet 28,000 85,239 Acres 3 10 Parking Slots Dispatch Consoles 7 15 Maintenance Bays 5 10 Classrooms 3 5 Sale Price $950,000 Purchase Price $2.8 million Renovation Cost $9.8 million Public dollars used for purchase & renovation $0

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27 New Headquarters Facility Aerial Photo Courtesy of NBC-5

28 Aerial Photo Courtesy of NBC-5

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33 MedStar Training Academy

34 Performance & Accountability Our performance is measured in three main areas Quality of patient care System performance (response times) Financial performance (economic efficiency/ revenue maximization)

35 Clinical Proficiency 100% Advanced Life Support (ALS) ambulances Paramedic & EMT for emergency calls MedStar paramedics exceed State requirements Advanced certifications required: Advanced Cardiac Life Support, Basic Trauma Life Support, Prehospital Trauma Life Support, and Pediatric Advanced Life Support or Prehospital Emergency Pediatric Provider National accreditation: CAAS, IAED Working on NCQA accreditation for MIH program

36 Operational Effectiveness Combination of demand staffing and geographic distribution More resources on-duty when demand is high Maximize response efficiency Minimize extended response times Distribute based on anticipated historical patterns PLUS geographic coverage

37 Customers / Hour Cost Demand/Supply Example 30 McDonald s Profit 15 0 Time Of Day

38 Customers / Hour Cost Demand/Supply Example 30 McDonald s Profit Time Of Day

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43 Fiscal Efficiency Healthcare economics We are a safety net provider Must respond (expend resources) Hope to get paid (expected revenue) Charges vs. payments Affected by payer type Medicare/Medicaid 3 rd party insurance (Aetna, United, Humana, Cigna) Private pay

44 Payer Mix 2014/15 Billed Collected Amount % of Total Amount % of Total % Collected Insurance $ 22,914, % $ 14,340, % 62.6% Medicare $ 52,910, % $ 13,741, % 26.0% Medicaid $ 24,374, % $ 5,481, % 22.5% Facility $ 4,232, % $ 3,189, % 75.4% Private Pay $ 41,983, % $ 1,986, % 4.7% Overall $ 146,415,574 $ 38,740,196

45 Area Metropolitan Ambulance Authority dba Medstar Revenue and Cost Per Transport $423 $449 $430 $ $364 $333 $386 $350 $379 $386 $344 $347 $395 $358 $365 $ $281 $294 $308 $285 $288 $289 $268 $319 $ $238 $ $ Revenue Per Transport Cost Per Transport

46 StarSaver Membership Program Live or work in MedStar service area $55 whole household w/insurance Covers medically necessary emergency services

47 Questions?