Author Archives: Kyle Gaines

Going for the Gold: SCCAD Recognized by Heart Assn. for STEMI Care

Next summer, residents throughout the metro area will undoubtedly be tuned in to see if American athletes bring home the gold at the 2020 Olympic Games in Tokyo.  This week, one group in our region already garnered gold status, albeit in a different form!  St. Charles County Ambulance District [SCCAD] paramedics earned the American Heart Association’s Mission: Lifeline EMS Gold Plus distinction for their continued implementation of quality measures for the treatment of patients who experience ST elevation myocardial infarction [STEMI] – a severe type of heart attack.

Each year, more than 250,000 individuals experience a STEMI, which is caused by a blockage of blood flow to the heart and requires timely treatment.  To prevent death, it is critical to restore blood flow as quickly as possible.  Unfortunately, a significant number of these patients don’t receive this prompt attention.

The correct tools, training and practices allow SCCAD paramedics to rapidly identify suspected heart attack patients and trigger an early response from the awaiting hospital personnel.  Agencies that receive the Mission: Lifeline Gold award demonstrated at least 75 percent compliance for each required achievement measure for two years.  The ‘Plus’ distinction reflects that paramedics are consistently performing a 12-lead ECG on patients within 10 minutes on chest pain calls.

“Paramedics play a vital part in the system of care for those who have heart attacks,” said James Jollis, M.D., Chair of the Mission: Lifeline Advisory Working Group.  “Since they are often the first medical point of contact, they can shave precious minutes of life-saving treatment time off by activating the emergency response system that alerts hospitals.  We applaud SCCAD for meeting evidence-based guidelines in the treatment of STEMI patients.”

SCCAD paramedics and leadership staff are elated to be recognized at this high level, but are quick to highlight that it is their collaborative relationships with area hospitals that make it possible.

“We’re working diligently with our partners at Barnes-Jewish St. Peters, Progress West, SSM Health St. Joseph Hospital St. Charles and SSM Health St. Joseph Hospital Lake St. Louis to develop processes and protocols with the goal of improving the quality of care for STEMI patients,” said John Romeo, Deputy Chief Medical Officer for SCCAD.

Cardiac care has been an area of focus for SCCAD in recent years; in 2015, the District was the first in the region to debut cardio-cerebral resuscitation [CCR] – an innovative approach to cardiac arrest management that saw a significant increase in survival to hospital discharge rates.

Board of Directors Vacancy

A vacancy has occurred in District 5 of St. Charles County Ambulance District Board of
Directors. Candidates for the office of Director must be a citizen of the United States, a qualified voter of election District 5, a resident for two years and shall be at least 24 years of age.

All interested applicants shall submit a letter of interest and resume to the Executive Assistant,
tdixon@sccad.com or St Charles County Ambulance District, Attn: Tammy Dixon, 4169 Old Mill
Parkway, St Peters MO 63376 within seven (7) calendar days of the newspaper publication date (May 28, 2019).

SCCAD Receives 2019 ‘EMS Patient Safety First’ Award

The Center for Patient Safety (CPS) recently recognized the St. Charles County (MO) Ambulance District (SCCAD) for the EMS Patient Safety First Award.

CPS Executive Director Alex Christgen said district leaders have shown dedication and resilience by taking proactive steps to improve SCCAD’s patient safety culture, and the employees have shown spirited dedication in advancing the safe care of their patients. The EMS Patient Safety Award was presented to SCCAD during the East Central Region Clinical Save Banquet on April 18.


“Only one Emergency Medical Service provider in the United States is selected annually to receive this prestigious award,” Christgen said, “and I am pleased that St. Charles County Ambulance District has been selected. Their achievements are significant and deserving of this recognition.”


The award is given as part of EMS Week, set for May 19-25. Last year’s recipient was Lee County Florida Public Safety EMS. This is the second year the award has been given.
Lee Varner, director of patient safety at CPS, noted, “EMS is a high-consequence industry where organizations will be successful through a commitment to continuous improvement and effective adaption to change.”


SCCAD has developed and implemented several new practices that, Varner said, demonstrate the district’s proven leadership in the EMS field. Those practices include:
• Adopting a “just” culture to encourage recognition and reporting of near misses and medical errors so lessons can be learned from mistakes.


• Implementing the Medication Administration Cross Check (MACC) with staff to reduce medication errors. SCCAD also integrates MACC procedures while training paramedic students and utilizes the cross check during other educational events.


• Establishing a Peer Review Committee where peer clinicians review medical reports and events to ensure care is exceptional, and improvements are identified then implemented. SCCAD’s peer review model has been shared with numerous medical providers across the country.
• Developing a patient safety plan that actively involves leadership and frontline staff.
About CPS: The Center for Patient Safety is a non-profit organization whose mission is reducing preventable harm through creative and innovative patient safety solutions. CPS provides patient safety
improvement consulting, educating, and supporting services to hospitals, home care, nursing homes, EMS, ASCs, medical offices, and pharmacies across the United States. Find the Center for Patient Safety on Facebook and Twitter @PtSafetyExpert.

SCCAD Honored for Excellence in Financial Reporting

The Certificate of Achievement for Excellence in Financial Reporting has been awarded to St. Charles County Ambulance District by the Government Finance Officers Association of the United States and Canada (GFOA) for its comprehensive annual financial report (CAFR). The Certificate of Achievement is the highest form of recognition in the area of governmental accounting and financial reporting, and its attainment represents a significant accomplishment by a government and its management.

The CAFR has been judged by an impartial panel to meet the high standards of the program, which includes demonstrating a ‘spirit of full disclosure’ to clearly communicate its financial story and motivate potential users and user groups to read the CAFR.

District Begins Critical Care Transport Program

In 2018, SCCAD managed over 9,000 inter-facility transfers. The Transfer Division handles numerous patient logistics such as: hospital-to-skilled nursing facility, assisted living, independent living, or private residence. Moreover, the Division oversees transport from hospital-to-hospital for situations beginning in St. Charles County. With the inception of our Critical Care Transport program, the new service line focuses on inter-facility transfers of patients who require additional services / care outside St. Charles County and of a higher acuity. The new service line’s primary objective is to extend the same terrific care established at the point-of-origin en route to the destination facility. Often times, patients who are admitted to an area Emergency Department or Intensive Care Unit are managed with medications and / or interventions outside the scope of the Standard Paramedic Curriculum. Paramedics who undergo Critical Care education are taught similar concepts and procedures as intensive care nurses and respiratory therapists.

Critical Care Paramedics possess a national Critical Care credential. As with any new service line, special attention has been paid to a multitude of aspects such as: operations, logistics, training, quality assurance, and communication. According to Chief Taz Meyer, “Successful Critical Care Transport operations is only obtainable through effective collaboration with area Healthcare systems. We highly value our relationships with BJC and SSM. Through our partnerships, we believe our Critical Care Transport capabilities will result in favorable patient outcomes especially in those high-acuity situations. We have looked forward to this moment of launching operations of a Critical Care nature for many years and we are excited to begin offering this new level of service to the community! ” The Paramedic Critical Care Specialist will staff a quick response vehicle, which will respond simultaneously with a SCCAD Transfer Division Ambulance. The two assets will form a Critical Care Ambulance.

Assistant Chief Lewis Attains ‘Fellow’ Distinction From American College of Healthcare Executives

Like other areas of the healthcare continuum, emergency medical services [EMS] is an industry that has undergone considerable evolution in recent years, and more change undoubtedly is on the horizon.  St. Charles County Ambulance District [SCCAD] is well-positioned to develop and promote best practices to integrated community healthcare thanks to Assistant Chief David Lewis, who recently became a Fellow of the American College of Healthcare Executives [ACHE], the nation’s leading professional society for healthcare leaders.

“The healthcare management field plays a vital role in providing high-quality care to the people in our communities, which makes having a standard of excellence promoted by a professional organization critically important,” says Deborah J. Bowen, FACHE, CAE, president and CEO of ACHE.  “By becoming an ACHE Fellow and earning the distinction of board certification from ACHE, healthcare leaders demonstrate a commitment to excellence in serving their patients and community.”

Fellow status represents achievement of the highest standard of professional development.  Only 9,100 healthcare executives hold this distinction.  Candidates must fulfill multiple requirements, including passing a comprehensive exam, meeting academic and experiential criteria, and demonstrating professional/community involvement.  Fellows are also committed to ongoing professional development and undergo recertification every three years.

“Assistant Chief Lewis’s leadership, problem-solving abilities and ability to develop strategic, collaborative solutions to issues in our industry and community make him an invaluable asset to our organization,” said SCCAD Chief Taz Meyer.  “His attainment of the ACHE’s Fellow distinction points to his dedication to constant growth and improvement.”

Since his arrival at SCCAD in 2015, Lewis has been instrumental in the development of several cutting-edge initiatives that see paramedics collaborating with healthcare partners across the community to improve outcomes.  Examples include a hospital readmission avoidance program operated in collaboration with Barnes Jewish St. Peters and Progress West Hospitals, and a behavioral health telemedicine partnership with Behavioral Health Response that connects qualifying patients with masters-trained counselors as opposed to routing these individuals to an emergency department.

Lewis also spearheaded the creation of the District’s Substance Use Recovery Response Team.  Developed in early 2017 to help those affected by the opiate epidemic, the program received the American Ambulance Association’s Community Impact Award for its unique approach to linking patients with treatment, giving them a chance at recovery.

Assistant Chief David Lewis, FACHE

SCCAD Earns Highest Possible Credit Rating From Moody’s

St. Charles County Ambulance District [SCCAD] has received a triple-A rating, the highest rating possible, from Moody’s Investors Service a leading global credit rating, research and risk analysis firm.

The District applied for the bond rating in connection with an initial sale of $47.9 million of the $70 million of bonds authorized by voters in August.  Moody’s released a report that describes the rationale for assigning the rating including a modest debt burden, stable financial operations and sizable reserves. Continue reading

Paramedics Double-Down on Disaster Preparedness with Major Incident RV, AmbuBus

St. Charles County paramedics have two new assets ready to roll in the event of a large-scale incidents – a 22-passenger AmbuBus and a multi-functional Major Incident Response Unit.  Both vehicles are fully outfitted and ready to respond to incidents in the St. Louis region and beyond.

The District’s Major Incident Response Unit utilizes a recreational vehicle [RV] platform with slide-out walls to provide four patient care areas, providing a high degree versatility for a variety of incidents.  Continue reading

MEMSA Bestows Top Honors on St. Charles Co. Paramedic, Ambulance Dist.

Paramedic Dave Kroll joined St. Charles County Ambulance District [SCCAD] in June of 2015, just as the District debuted cutting-edge cardio-cerebral resuscitation [CCR] protocols.  Though the CCR protocols have helped dramatically increase cardiac arrest survival rates in the county, Kroll knew the key to driving numbers even higher lied in getting lay rescuers comfortable with the idea and technique of providing high-quality chest compressions.  He got involved in the District’s fledgling Lifesaver CPR effort, and today has ultimate oversight of the program, which trains thousands of individuals annually in hands-only CPR and choking relief.  Last week, his commitment to increasing cardiac arrest survival rates was honored by the Missouri Emergency Medical Services Association with their 2018 Community Service Award.  Continue reading

Prop. Ambulance to Appear on August 7 Ballot

In recent years, the Ambulance District’s call volume growth has increased notably – Paramedics currently respond to approximately 40,000 calls per year in our community.  Looking into the future, we anticipate that by 2028, our call volume will be above 65,000 annually.  To maintain short response times to 911 emergencies amid this growth, the District is asking voters to consider Proposition Ambulance on August 7 – a $70 million general obligation bond issue that would enable SCCAD to further develop its infrastructure.  If approved, we would purchase land for future station locations, construct said stations, add ambulances, and purchase lifesaving medical equipment.  In addition to adding these items as needed based on call volume, the proposition would allow for construction of a central facility to house administration, training, service center and other areas of the operation that are now in separate facilities.

Because the projects would be undertaken over a 10-year period, the District would issue bonds as-needed rather than in one lump sum.  Taking this approach would enable us to keep our debt service levy at or under five cents per $100 of assessed valuation.  For the owner of the average home in St. Charles County ($215,000), this translates to $20.43 annually.

For general information, including proposed station locations, please refer to the current edition of Pulse Points.  More detailed financial data can be found in our 10-Year Capital Improvement Plan, which breaks down the cost of each construction project, vehicle, etc.  Detailed year-by-year project lists can also be found in this document.  The Official Resolution adopted by the Board of Directors contains official ballot language and other information that may be helpful to voters.