2012 ANNUAL REPORT - SCCEMS · donations of cardiac monitors from Helwett Packard in Avondale, the...

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2012 ANNUAL REPORT MEDIC 94 SOUTHERN CHESTER COUNTY EMS EMS Help in a heartbeat.

Transcript of 2012 ANNUAL REPORT - SCCEMS · donations of cardiac monitors from Helwett Packard in Avondale, the...

Page 1: 2012 ANNUAL REPORT - SCCEMS · donations of cardiac monitors from Helwett Packard in Avondale, the team was ready! On a sunny Saturday afternoon in October 1983, the stakeholders

2012ANNUALREPORT

MEDIC 94SOUTHERN CHESTER COUNTY EMS

EMS

Help in a heartbeat.

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As we begin our 30th year providing MEDIC 94 advanced life support services to the southern Chester County community, we are proud to present a retrospective overview of operations in 2012. We have accom-plished many great things since responding to our �rst call in 1983, but we realize maintaining excellence is more di�cult that achieving it. This past year represented a milestone in organizational and operational excellence for MEDIC 94. We continue to make great strides within our organization to keep up with the ever-changing healthcare market in order to plan for the future and continue to provide the highest quality advanced life support services to the community we serve.

Our community-centered Board of Directors �nalized and approved our 5 Year Strategic Plan - a roadmap of core values adopted as our guiding principles. This map will allow our organization to grow and to meet the needs of our stakeholders in the years ahead.

It is our sincere hope that you will take some time to review this summary of our operations. On behalf of the entire MEDIC 94 organization, I thank you for your continued support and look forward to serving the community again this year.

Excellence. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Fiscal Responsibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Transparency. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Professionalism. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Community Guided. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Team-based Culture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Integrity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accountability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Dear Community Members:

Help in a heartbeat.

Robert A. Hotchkiss Jr. BA NREMT-PChief Executive O�cer/ EMS Chief

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DIAL

911IN AN EMERGENCY

The mission of MEDIC 94 / Southern Chester County Emergency Medical

Services is to deliver leading-edge, quality, pre-hospital, regional,

advanced life support emergency medical services designed

to dynamically meet the needs of the citizens

and visitors of our communities, through

a unified team of caring professionals

with an overriding goal of improving

patient outcomes.

BOARD OF DIRECTORSJames Goss, RN, ChairmanCommunity Representative

Bob Barto, Vice ChairCommunity Representative

Mike Reynolds, Secretary/TreasurerCommunity Representative

Charles Foy Sr, MemberWest Grove Ambulance Representative

Sharon Goldie, MemberUnion of Oxford Ambulance Representative

William Wohl Sr., MemberWest Grove Fire Company Representative

Help in a heartbeat.

Allen Fowler, MemberUnion of Oxford Ambulance Representative Linda Ingenthron, MemberCommunity Representative

Chuck Cole, MemberCommunity Representative

Jim McLeod, MemberCommunity Representative

Cindy Schroeder, MemberAvondale Fire Company Representative

Diane Harris, MemberCochranville Fire Company Representative

CORE VALUES

Professionalism

Community Guided

Team-based Culture

Excellence

Fiscally Responsible

Transparency

Integrity

Accountability

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Help in a heartbeat.

Our beginning.

Circa 1983

In 1982, the idea of advanced life support was a new concept in Chester County. The �rst paramedic service had just started at the Chester County Hospital with additional programs scheduled to begin at Paoli Hospital and Brandywine Hospital. Rural southern Chester County saw the value in these new life saving units. Stakeholders were gathered and the process to bring advanced life support services to the community began.

The Southern Chester County Medical Center (SCCMC) under the guidance of Larry Spaid brought together a team of committed organizations from the St. Joe’s Hospital in Lancaster, the St. Francis Hospital in Wilmington, and the �re company ambulance services in Oxford, West Grove, Avondale and Kennett. Their goal? To start a paramedic unit at SCCMC. After almost a year of planning, recruiting new paramedics and RN’s from the St. Joe’s Paramedic School and acquiring donations of cardiac monitors from Helwett Packard in Avondale, the team was ready!

On a sunny Saturday afternoon in October 1983, the stakeholders and representatives from the local ambulance and �re services gathered on the SCCMC front lawn to witness the ceremonial breaking of a champagne bottle on the bumper of the new MEDIC 94 vehicle. MEDIC 94 Director, Jim Goss, did the honors and within a few short hours, MEDIC 94 responded to its �rst emergency dispatch call.

A lot has changed over the past 30 years. Southern Chester County Medical Center (SCCMC) was purchased and became Jennersville Regional Hospital. MEDIC 94 eventually became Southern Chester County EMS, operating independently from the hospital since 2001. The heavy Hewlett Packard dual function cardiac monitors evolved into multi-functional Philips Cardiac Monitors with color screens, �ve times the functionality and half the weight. The boxes we carry onto the scene areno longer made of plastic and metal but of fabric. Our fellow ambulance responders are no longer 100% volunteer but a combination of employed and volunteer. MEDIC 94 went from one vehicle with two paramedics to two vehicles with one paramedic to expedite response times. In 1983-1984, MEDIC 94 responded to a little more than 800 emergency calls through the 7-digit county emergency number. Today, MEDIC 94 responds to over 3,000 emergency calls per year through a modern 911 call center.

While the faces, vehicles and equipment have changed over the past 30 years, one common theme remains -- MEDIC 94 delivers excellence -- every call, on every scene, to every patient, 24 hours-a-day, 7 days-a-week.

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Major components that comprise our community-based EMS system include:

Participation in the leadership of the organization by our volunteer EMS partners

Advanced Life Support Paramedic coverage to all areas

Leadership at the local, County and State levels

Community and EMS training programs

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Southern Chester County Emergency Medical Services (SCCEMS) is a not-for-pro�t 501C3 corporation founded in 1983 by the former Southern Chester County Medical Center, the former St. Joseph’s Hospital (Lancaster) and the local volunteer ambulance services in southern Chester County to provide 9-1-1 advanced life support (paramedic) services to 18 municipalities.

SCCEMS is governed by a “community based” Board of Directors composed of representatives from the local volunteer ambulance services and members of the community. The Board of Directors is responsible for employ-ing and monitoring the activities of the Chief Executive O�cer and the �duciary activities of the organization.

On October 15, 1983, SCCEMS began operations with its �rst MEDIC 94 advanced life support (paramedic) unit headquartered at the former Southern Chester County Medical Center. Currently we sta� two 24/7 MEDIC 94 units based in Jennersville and Avondale that serve 18 municipalities, cover 225 square miles and care for a population of approximately 60,000 residents.

About Us

*Covers part of this township

WESTNOTTINGHAM

EASTNOTTINGHAM

NEWLONDON

ELK

LONDONBRITAINFRANKLIN

LOWEROXFORD

Oxford

PENNUPPER OXFORD

LONDON-DERRY

WESTFALLOWFIELD

LONDONGROVE

NEWGARDEN

HIGHLAND

WESTMARLBOROUGH

KENNETT

EASTMARLBOROUGH

SADSBURY

MARYLAND

NEWLIN

EAST FALLOWFIELD

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

DELA

WARE

AvondaleWestGrove

SCCEMS serves 18 municipalities, covers 225 square miles andis ready to care for a population of 60,000 residents 24 hours-a-day,7 days-a-week.

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Management Team

Robert A. Hotchkiss Jr., BA NREMT-PEMS Chief | Chief Executive O�cer

Bob Hotchkiss has served as the EMS Chief/Chief Executive O�cer for the organization since 1998 and is responsible for the administrative and operational direction of the organization’s two divisions, ALS Operations and West Grove sta�ng, which are both managed by division Supervisors.

Gregory DeSimone, MDMedical Director

Medical leadership for SCCEMS is directed by Dr. DeSimone, Emergency Room Director at the Jennersville Regional Hospital. Dr. DeSimone received his medical degree from the Medical School at Hahnemann University and is board-certi�ed by the American Board of Emergency Medicine.

Help in a heartbeat.

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Help in a heartbeat.

During the 2012 calendar year, MEDIC 94/SCCEMS advanced life support units responded to a record 3,078 911 calls. This represented a decrease of 8% over our 2011 record volume. MEDIC 94-1, based at the Jennersville Regional Hospital, responded to 1,966 (61%) of the dispatches, while MEDIC 94-2, based at the Avondale Firehouse, responded to 1,112 (39%) of the dispatches. The 2012 call volume brings the annual call volume back to a 3% average increase -- the normal trend that we have historically experienced.

Year in Review

3500

3000

2500

2000

1500

1000

500

02002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

SCCEMS DISPATCHES 2002 - 2012

SCCEMS Dispatches 3% Trend

DISPATCHES AGAINST 3% TREND 2002 - 20113500

3000

2500

2000

1500

1000

500

02002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

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The peak call volume for MEDIC 94 paramedics continues to be between the hours of 8 AM and 8 PM as highlighted in the chart below. Call volume by the day of the week continues to vary from year to year, with MEDIC 94 providers dispatched the most on Fridays and Saturdays and the least on Wednesdays.

Year in Review

Help in a heartbeat.

2012 DISPATCHES BY HOUR

200

180

160

140

120

100

80

60

40

20

0

2012 DISPATCHES BY DAY OF THE WEEK470

460

450

440

430

420

410

400

390 MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY

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New Garden15%

Oxford17%

Penn15%

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Year in ReviewMEDIC 94 paramedics serve 18 municipalities in their primary advanced life support service area. In 2012,

in addition to the dispatches in this primary district, MEDIC 94 responded to 6% of its total dispatches to

mutual aid calls in Chester and Lancaster Counties. Municipal dispatch percentages for MEDIC 94 have

essentially held steady over the past three years. Municipalities that are the home to nursing homes,

medical clinics and other medical facilities typically generate higher call volumes.

LondonBritain

3%

NewLondon

3%

WestFallowfield

3%

Franklin3%

EastNottingham

6%

LowerOxford

6%

Mutual Aid 6%

LondonGrove

9%

Highland1%

AvondaleBorough

2%

Londonderry2%

UpperOxford

2%

WestGrove

2%

WestMarlborough

1%

WestNottingham

3%

Elk1%

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Year in ReviewMEDIC 94 receives its dispatches for advanced life support services through the Chester County 911 Center. The 911 call taker triages calls according to the injury or illness reported and dispatches EMS units accordingly.

In 2012, sixty-two percent (62%) of 911 calls were dispatched with an advanced life support unit. The vast majority of patients are transported and cared for by a MEDIC 94 paramedic aboard the basic life support ambulance. MEDIC 94 units may be recalled or cancelled by on-scene responders who determine that no advanced life support services are needed. In 2012, this represented 31% of our dispatches, which is a 2% increase over dispatches in 2011.

In some cases, after a patient is assessed by SCCEMS/MEDIC 94 a medical determination is made that advanced life support services are not warranted. After consultation with a medical command physician, these patient’s are released to a BLS unit and transported without a paramedic aboard. Some patients refuse EMS services.

2012 DISPATCH OUTCOMESThe vast majority of patients are transported and cared for by an SCCEMS paramedic aboard thebasic life support ambulance. In 2012, 62% of dispatches were transported with the MEDIC 94 paramedic aboard. This is a 2% increase over 2011.

TRANSPORTED 62% ..................

RECALL 31%.................................

PATIENT REFUSAL 4%.................

BLS RELEASED 2%.......................

ASSIST/IM 1%...............................

STANDBY 1%.................................

Help in a heartbeat.

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Year in ReviewSCCEMS paramedics carry valuable basic and advanced life support equipment and are trained to care for patients of all ages from neo-natal to geriatric. Over 50% of our patients are over the age of 60 and less than 6% of our patients meet the de�nition as pediatric. The average age of a patient cared for by SCCEMS is 63 years old

AGE 60 - 80 YEARS

AGE 81+ YEARS

AGE 40 - 60 YEARS

AGE 21 - 29 YEARS

AGE 11 - 20 YEARS

AGE 30 - 39 YEARS

AGE 2 - 10 YEARS

AGE 0 - 1 YEARS

[30%]

[23%]

[21%]

[ 8%]

[ 7%]

[ 6%]

[ 3%]

[ 2%]

2012 PATIENTS BY AGE RANGE

The injury/illness of patients managed by SCCEMS MEDIC 94 paramedics continue to be primarily medical in nature. Patients experiencing cardiac and/or respiratory problems are the most commonly seen by SCCEMS paramedics.

2012 CASES BY INJURY/ILLNESS

Help in a heartbeat.

Standbys Assault/Stabbing/Shooting Pedestrian/Bike Other Fall Vehicular Medical

1% 3% 4% 5% 85%

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MEDIC 94 paramedics continue to transport patients primarily to the Jennersville Regional Hospital. All patients have a choice of hospital destination with exceptions for specialty care such as active heart attacks, trauma, pediatrics, burns and strokes which are transported to the closest appropriate specialty hospital for care. MEDIC 94 utilizes the Christiana Hospital as its primary trauma, stroke and STEMI (S-T elevation myocardial infarction) center and the A.I. duPont Hospital Children as its primary pediatric trauma and tertiary care hospital.

MEDIC 94 paramedics are committed to the concept of “right patient, right hospital.” That concept provides the most de�nitive care for specialty patients and eliminates the need for transfer while reducing overall healthcare costs, as well as decreasing mortality and morbidity.

2012 TRANSPORTS BY HOSPITAL

JRH60%

CCH10%

Christiana19%

duPont6%

BWH2%

LGH2%

Other1%

60%

40%

20%

Help in a heartbeat.

Year in Review

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Since our service area encompasses 225 square miles, the largest of any Chester County paramedic service, it remains a challenge to assure that MEDIC 94 units are able to arrive on the scene in the most expeditious and safe manner. Increased development and population add more tra�c and a�ect response times. MEDIC 94 units are equipped with GPS navigation units to assist us in �nding accident scenes or residences.

2012 RESPONSE TIMES

. Average Mobilization Time = 1.75 minutes (from dispatch to enroute)

. Average Response Time = 8.52 minutes (from response to on scene)

. Average Scene Time = 13 minutes (from on-scene until transport)

. Average Total Call Time = 55 minutes (from dispatch to available for next call)

Help in a heartbeat.

Year in Review

Transport18

Enroute - On Scene8.5

Dispatch-Enroute1.75

Hospital - Available13.75

Scene13

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Equipment & Vehicles

Help in a heartbeat.

MEDIC 94 operates four Pennsylvania Department of Health licensed advanced life support responder units. Two of these vehicles are sta�ed 24/7 at bases in Jennersville and Avondale. The other two serve as reserve units and supervisor response units. Each vehicle is sta�ed by one paramedic and a full complement of state-of-the art advanced life support equipment.

In 2012, the newest MEDIC 94 unit was placed into service at the Jennersville station. The 2013 Ford Explorer was purchased under sate contract and modi�ed by 10-8 Up�tters in New Holland. The vehicle o�ers better fuel economy and is lettered in a high visibility re�ective Battenberg. This design (more common in Europe) has been found to increase vehicle visibility on the roadways and at scenes and is increasingly being used on emergency apparatus in the United States.

MEDIC 94 has continued to upgrade and modernize its emergency life saving equipment. In 2011, MEDIC 94 was fortunate to receive two Lucas II chest compression devices. These devices were purchased through a federal grant by Chester County. They are utilized by MEDIC 94 sta� to mechanically perform chest compressions on cardiac arrest patients. Immediately, upon implementation of these devices, MEDIC 94 crews saw an increase in successful resuscitations, improved crew resourcing and increased safety for providers. These devices were provided to all of the advanced life support services in the County. MEDIC 94 is proud to have been the organiza-tion that �rst proposed the grant submission for their purchase and piloted their use in the County.

The new treatment protocols, implemented in 2012 provided SCCEMS paramedics with improved techniques and medications available for patient care. Paramedics saw an increased success in their ability to manage and stabi-lize patients in the �eld.

SCCEMS continued its commitment to providing our staff safe a reliable vehicles as well as state-of-the art equipment. Great

providers with great equipment save lives!

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Advanced Life SupportDIVISION OPERATIONS

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Our success comes from having highly skilled providers with the state-of-the-art tools and equipment needed to provide the highest quality medical care to our patients. Ever-changing medical advances in technology and procedures make providing a high level of emergency care a daily challenge. As a team, MEDIC 94 is dedicated to the concept of our paramedics “bringing the emergency room” to a patient’s bedside or to an accident scene, stabilizing the patient and transporting them to the correct hospital. As our organization approached the 30 year mark providing service to our community, the MEDIC 94 team refocused and rea�rmed our commitment to continuously improve the quality of services we o�er to each and every patient.

With a �rm focus on continuous improvement, MEDIC 94 transferred the opera-tional responsibility of the West Grove Fire Company sta�ng back to the organi-zation in 2012.

MEDIC 94 units are dispatched to all life-threatening requests for service through the Chester County 911 center. In 2012, approximately 60% of medical 911 calls required a MEDIC 94 response unit. The MEDIC 94 paramedics work together with the Basic Life Support (BLS) EMT’s from local �re companies to provide team-centered patient care.

MEDIC 94 units are available 24/7 from two stations, one located at the Jenners-ville Regional Hospital and the other located at the Avondale Firehouse. Similarly equipped vehicles are also available for additional peak calls, special assignments and standby’s. The MEDIC 94 units strategically relocate within the district, as needed, to assure adequate coverage and dual response to higher acuity calls.

The paramedics sta�ng MEDIC 94 units operate under medical command from the Jennersville Hospital and other hospitals within the county. A majority of patient care provided by our paramedics is done so by protocol given their extensive education and abilities. These protocols allow MEDIC 94 to follow the concept of RIGHT PATIENT, RIGHT CARE, RIGHT HOSPITAL. Essentially caring for patients where advanced life support services are indicated, providing clinical excellence, utilizing the tools and equipment available, and making a determina-tion as to the most appropriate hospital speci�cally for patients requiring specialty care. By focusing on these three concepts, MEDIC 94 paramedics assume a sense of ownership for the care of their patients and become advocates for them in the system.

RIGHT PATIENT,RIGHT CARE,

RIGHT HOSPITAL.

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RecognitionsThe 7th Annual Chester County EMS Awards ceremony, held in May of 2012, recognized instances of clinical excellence and EMS leadership over the past year. This year, eight MEDIC 94 staff and Board members were presented with awards.

Receiving Clinical Save Awards in recogni-tion of cardiac arrest resuscitations were Paramedic Kimberly Harvey, Gary Hartung and Don Keith.

Paramedic Matt Barnett received recogni-tion for delivering a baby in the field.

SCCEMS West Grove Staffing Supervisor H. Barclay Hargreaves received the Meritorious Service Award.

CEO Bob Hotchkiss received the President’s Award for his five years of service as the Chester County EMS Council President.

SCCEMS Board Chair James Goss and Board member William Wohl Sr. also received the President’s Award for their terms as EMS Council President.

Help in a heartbeat.

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Help in a heartbeat.

MEDIC 94 operates a Training Institute for the education of our sta�, personnel from the Jennersville Regional Hospital, local emergency responder agencies and members of the general public. The SCCEMS Training Institute is accredited by the Pennsylvania Department of Health as a Continuing Education center as well as by the American Safety and Health Institute.

For almost 20 years, SCCEMS sta� have jointly provided Advanced Cardiac Life Support Training in a�liation with the Jennersville Regional Hospital and the National Institute for Emergency Care. In addition, MEDIC 94 provides Pediatric Advanced Life Support training to their own sta� and Jennersville Regional Hospital sta� in a�liation with the duPont Nemours Hospital for Children.

In 2012, MEDIC 94 provided educational o�erings to the community, including:

If your group or organization is interested in the SCCEMS Training Institute providing instruction, pease contact us at 610-910-3180.

Paramedic assistant and CPR and �rst aid programs to members of the local �re and EMS departments

CPR and First Aid programs to the Avon Grove School District, Chester County Intermediate Unit and the Southern Chester County Technical High school as well as 6 other community civic and church organizations.

Training Institute

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Our ability to deliver life-saving care 24/7 is a commitment that we take very seriously. Spending so much time in the community allows us to get to know the area and many of the residents who call it home. Stepping outside of our o�ces and vehicles to participate in community events gives us a chance to share our knowledge, display our equipment, introduce our exceptional sta� and remind community members that we are here for them whenever they need us.

In 2012, the organization initiated a program to continue the enhancement of the SCCEMS and MEDIC 94 brand. Many in the community know about us, but may be confused by the intricacies of the EMS system that serves them. It’s our goal to increase community education programs regarding the EMS system and the role that SCCEMS and MEDIC 94 plays in that system.

Community Education ProgramsSCCEMS o�ered multiple cardio-pulmonary resuscitation and �rst aid training programs to community groups and schools in 2012. SCCEMS is a certi�ed training center with the American Safety and Health Institute and also has an active program created to assist local organizations with emergency planning and how to handle the unexpected. On-going orientation programs to educate the community about advanced life support services will continue into 2013 and beyond.

If you have a community group or organization that would like to have SCCEMS provide education, a display or speaker, please contact our o�ce at 610-910-3180.

DIAL

911IN AN EMERGENCY

Community OutreachHelp in a heartbeat.

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FinanceWE BILLED FOR SERVICES FROM OUR PATIENTS.......................................................$ 1,870,975

REDUCTIONS FROM BILLING CHARGES

We did not receive full payment:

From Medicare and Medicaid Services (because government regulations limit payments)...................$ 1,053,126Uncompensated Care (charity/bad debt)........................................................................................................$ 372,129Total Reductions from Billed Services.........................................................................................................$1,425,155

Actual Cash Revenue from Patient Care and Other Services..............................................................$ 445,720

TO RENDER SERVICES, IT COSTS USSalaries and Bene�ts..........................................................................................................................................$ 738,033Supplies..................................................................................................................................................................$ 34,501Capital Purchases................................................................................................................................................$ 42,926Insurances..............................................................................................................................................................$ 50,674Vehicle Operating Costs....................................................................................................................................$ 25,796Purchased Services (billing/legal/acctg./audit).................................................................................................$ 64,726Communications.................................................................................................................................................$ 4,542Station Expenses/Rent.......................................................................................................................................$ 19,072Training...................................................................................................................................................................$ 11,406Other Expenses....................................................................................................................................................$ 2,788

Our cost to provide services............................................................................................................................$ 994,464

THEREFORE OUR NET LOSS FROM OPERATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ($ 548,744)

We NEEDED the following non-operational revenue to provide services:Municipal Funding..............................................................................................................................................$ 383,827Fund Drive..............................................................................................................................................................$ 105,243Grants.......................................................................................................................................................................$ 8,834Other........................................................................................................................................................................$ 15,933Total Non-Operational Funding.....................................................................................................................$ 513,837

THEREFORENet Loss (even after public support)...........................................................................................................($ 34,907)

Accounting services provided by L.A Long and Associates. Annual independent audit services provided by Umbreit and Korrengel P.C.

Help in a heartbeat.

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In 2012, organizational revenues and expenses both declined. Revenue, speci�cally from insurance reimbursement, continued to decline. This was o�set by slight increases in municipal funding and our annual fund drive. The predictability of medical insurance reimbursement continues to be a challenge and will continue to be a challenge in the future. To meet the decreased patient billing revenue, we’ve decreased operational expenses by 9% since 2010. This was achieved by reducing one FTE for six months, decreasing capital expenditures, and expanding our bid process for supplies. On a cash basis, MEDIC 94 operated at a slight loss. Patient revenues are not enough to fund the operation. MEDIC 94 continues to be dependent on our annual fund drive as well as municipal funding to continue to provide services.

FinanceHelp in a heartbeat.

Other Training Station Rent/Expenses Supplies/Equip Vehicle Operations Capital Insurances Professional Fees Salaries/Bene�ts

1% 2% 3% 4% 5% 7% 74%

1% 11% 40% 47%

Other Grants Fund Drive Municipalities Patient BillingREVENUE

EXPENSES

CY 2008 CY 2009 CY 2010 CY 2011 CY 2012

$1,100,000$1,000,000

$900,000$800,000$700,000$600,000$500,000$400,000$300,000$200,000$100,000

$50,000

Total Cash Revenue Billing Revenue Municipal Fund Drive GrantsREVENUE SOURCES

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Annual operating shortfalls from patient billing forces Southern Chester County Emergency Medical Services to increase its emphasis on community fundraising, grants and municipal funding.

New Garden........................... $ 85,284 100%New London.......................... $ 33,961 100%Oxford Boro........................... $ 8,364 50%Penn......................................... $ 35,848 100%Upper Oxford........................ $ 13,410 100%West Fallow�eld.................. $ 10,000 82%West Grove Boro..................$ 9,439 100%West Marlborough..............$ 2,300 63%West Nottingham................$ 11,812 100%

Avondale Boro...................... $ 0 0%East Nottingham.................. $ 41,694 100%Elk.............................................. $ 9,906 100%Franklin.................................... $ 30,278 100%Highland................................. $ 2,000 100%London Britain...................... $ 7,200 28%Londonderry......................... $ 13,057 100%London Grove....................... $ 43,861 100%Lower Oxford........................ $ 17,674 100%

GRANTSSCCEMS grant funding decreased signi�cantly in 2012. An ongoing grant program from the previous 4 years was discontin-ued. While the State Fire-EMS Grant was renewed for the foreseeable future, grants have become increasingly challenging. In addition to the listed grants, the Chester County Department of Emergency Services obtained funding to provide free electronic charting software to all Chester County services. SCCEMS was the �rst to use this software in the County in 2010 and the County funding will now save SCCEMS approximately $4,000 per year in fees

. $2,000 Mushroom Festival . $5,680 State Fire-EMS Grant . $1,154 EMS Operating Fund (EMSOF)

FUND DRIVEThe 2012 SCCEMS Annual Fund Drive again has been a valuable revenue source in its nine year history. Despite the challenging economy, theresidents and businesses donated over $105,243 to SCCEMS during the campaign. This was the highest amount of community funding ever received during the annual campaign. SCCEMS distributes this campaign at a cost of less than 13% of receipts.

MUNICIPAL FUNDINGThe municipal funding we receive from our 18 townships and boroughs provides us with apercentage of our annual operating income. Annually, we request .1 mil of the real estate assessments in funding from each municipality. In 2012, we had 12 municipalities provide 100% of our requested funding, however, we fell short of 100% municipal participation with one municipality again unable to provide funding . Listed below are the municipalities, the dollar amounts contributed, and the percentage of the request provided.

SCCEMS is committed to the .1 mil request despite challenges with declining assessments and does not see a need for increasing the millage request in the future.

Help in a heartbeat.

Fund Raising

Here’s How You Can HelpMEDIC 94 supports its operations from funding provided by municipalities, community contributions, and from health care insurances. Unfortunately, over the past several years, reimbursement from insurances has decreased significantly.

Many insurance carriers only reimburse partially for paramedic services and other companies provide no reimbursement at all. To offset these declines, MEDIC 94 has turned to the community for help, counting more on township support and your generous contributions for a larger and larger component of our budgets.MEDIC 94 spends more than $1,000,000 per year to staff two paramedic units. We count on the community donations from this fund drive, as well as funding from municipalities to help fill the gap between revenue and actual expenses.

Your generosity helps to ensure that MEDIC 94 has the financial security to provide valuable services in 2013 and beyond. You can make a difference. Small donations from households and businesses in our community help make life-saving services available to everyone, at any time and anywhere an emergency occurs. Your donation of support to MEDIC 94 is fully tax deductible.Finally, please help us by letting your elected officials know how important support for these services are. Township support continues to be a key component of our financial stability – so please make sure your municipality is doing its part to support MEDIC 94.

Your generous donation saves lives!

Community ProgramsMEDIC 94 offers community safety programs and training to community organizations -- many of them free of charge. Does your civic association, scout troop, rotary club or community organization need a safety demonstration or a course in life-saving services and techniques? MEDIC 94 is a licensed American Safety and Health Institute Training program and provides CPR and first aid training, as well as discounted Automatic External Defibrillators (AED) sales, to organizations in our community.

Contact us to schedule a class or demonstration!

MEDIC 94 / SCCEMS1015 West Baltimore Pike

P.O. Box 8012West Grove, PA 19390

610-910-3180 PHONE | 610-869-1333 FAXwww.sccems.org

2012 Southern Chester County Emergency Medical Services

Southern Chester CountyEMERGENCY MEDICAL SERVICES

MEDIC 94EMS

2013 FUND DRIVE

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The education and development of the Southern Chester County Emergency Medical Services staff is a key objective of the organiza-

tion. Emergency medicine is a rapidly changing field and a process of continuing education and in-servicing is required. Additionally,

SCCEMS is committed to providing educational services to surrounding emergency service providers, our local hospital facility and

the community at large. Through this training, we are able to improve patient care and the chain of survival.

Goodfel lowship Tra ining Inst i tuteSouthern Chester County EMS sta� paramedics serve in multiple roles in support of Chester County’s only paramedic training center at the Goodfellowship Ambulance Club in West Chester. Our paramedics assist in the teaching of paramedic students in the classroom setting with didactic and practical sessions. SCCEMS hosts several students in each class during their �eld internship where they are precepted on MEDIC 94 units by SCCEMS paramedics.

EMS Today 2012Annually, the Journal of Emergency Medical Services (JEMS) hosts its conference in Baltimore. In 2012, 5 sta� members attended training at the conference. Sessions covered subjects such as an advanced airway lab, cardiac monitoring advance-ments, pre-hospital therapeutic hypothermia and EMS management courses. Members of the SCCEMS sta� also were selected to serve as judges at the JEMS Games, an annual competition of EMS services from around the world.

Sta� Educat ional Incent ivesAs part of each employees bene�t package, they are provided with funding for education towards their professional develop-ment as a paramedic. This popular bene�t has provided sta� with the opportunities to expand their knowledge base beyond their annual required certi�cations. Beside EMS related training, sta� members have the opportunity to take nursing, manage-ment and advanced degree programs.

Advanced Cardiac L i fe Support/ Pediatr ic Advanced L i fe Support Tra iningSCCEMS sta� provided valuable instruction for SCCEMS and the Jennersville Regional Hospital in Advanced Cardiac Life Support and Pediatric Advanced Life Support. These two certi�cations are mandatory for paramedics, nurses and physicians working in critical care and emergency medicine.

Help in a heartbeat.

Education & Development

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Help in a heartbeat.

MEDIC 94/SCCEMS is committed to the provision of leadership at the State and National level. Our organization’s leadership and sta� work with various organizations who are committed to the on-going improvement in the delivery of Emergency Medical Services. This commitment, on the County level, has resulted in a member of MEDIC 94 being elected to the Chester County EMS Council Board every year since our founding in 1983. For more than half of those years, the MEDIC 94 elected representative has served as President of that organization. We have used these opportunities to improve our services as well as mentor other agencies to strive for excellence.

Avon Grove Regional Emergency Management

Chester County Department of Emergency Services Credentialing Committee

Chester County EMS Council Membership and Board Position

Chester County EMS Medical Advisory Committee

Delaware County Community College Emergency Preparedness Institute

International Association of EMS Chiefs

National Association of Emergency Medical Technician

Oxford Area Chamber of Commerce

Pennsylvania Emergency Health Services Council Membership

Southern Chester County Chamber of Commerce

Southern Chester County Technical College H.S. Health Advisory Committee

SCCEMS participates with the following organizations/groups:

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The MEDIC94/SCCEMS family has lost a great friend with the passing of James S. Herr, founder of Herr's Foods, in April 2012.

Jim and the Herr family have been great supporters of MEDIC 94/SCCEMS almost since the beginning of our service in 1983. For more than a dozen years, the annual Herr's Invitational Golf Tournament was held to support MEDIC 94 services. Jim took great pride in supporting the services that MEDIC 94 provided to the community and always appreciated the opportunity to be a part of the dedication of a new piece of life-saving equipment or vehicle. Jim always took time to talk with the crews at the golf tournament or to people gathered at our events. He would tell them how proud he was to support MEDIC 94 and how he appreciated the care that our crews provided to members of the community.

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1015 West Baltimore Pike

PO Box 8012

West Grove, PA 19390

610-910-3180 PHONE

610-869-1333 FAX

w w w . s c c e m s . o r gMEDIC 94

SOUTHERN CHESTER COUNTY EMS

EMS