2012 Team Showcase Competition Champion

Nature Coast EMS

"Team Staying Alive Improving Cardiac Arrest Survival Team"

Nature Coast EMS

"Team Staying Alive Improving Cardiac Arrest Survival Team"

With an increasing elderly population and the continued economic recession, emergency management services systems across the nation are seeing a trend in which citizens more frequently use EMS and the emergency department as their primary source of health care. As the sole contractor for ambulance services in the county, Nature Coast Emergency Management Services (EMS) is under strict contractual performance and financial requirements. The organization is required to deliver an average monthly EMS emergency response time of 7:30 minutes. The inability to successfully deliver on its contractual response time requirements could ultimately result in the termination of its contract for services. In addition, the organization’s payment for services is a fixed annual amount and does not change, regardless of the number of EMS calls or the percent increase in call volume.

Between FY 2002 and FY 2007, the organization saw an average annual increase in EMS call volume of only 2.4%. Between FY 2007 and FY 2009, Nature Coast EMS saw an average annual increase of almost double that – 4.3%. If that trend continued, a dramatic increase in call volume and demand for its services was predicted. During that same period, Nature Coast EMS saw a significant increase in its average EMS response times, increasing from 6:30 minutes in FY 2008 to 7:20 minutes during the first quarter of FY 2010. The Staying Alive team’s mission in its presentation, “Improving Cardiac Arrest Survival,” was to decrease response time, improve clinical performance, and improve financial performance.

As a result of the team’s effort:

  • The percent of cardiac arrest patients with pulse restored improved from 31% in FY 2010 to 100% in FY 2012 YTD
  • Cardiac arrest survival increased 81% from FY 2010 to FY 2012
  • EMS response times were favorably reduced by one minute, a 16% improvement from FY 2010 to FY 2012
  • Overall customer satisfaction improved from 98% to 99%; and EMS cost per capita decreased from approximately $5.07 in FY 2008 to $4.13 in FY 2012.