BSENT: Dave Johnson GUESTS: STAFF: Bill Hurley Steve Romines, Fay Flanery, Cindy Hambly, Alan Provencher

Transcription

1 4A THURSTON COUNTY MEDIC ONE OPERATIONS COMMITTEE ~ MEETING NOTES EMERGENCY OPERATIONS CENTER/ECC February 6, 2014 PRESENT: Greg Wright, Brian VanCamp, Jim Quackenbush, Steve Brooks, Jim McGarva, Jody Halsey, Mel Low, Larry Fontanilla MD (MPD), Kathy Pace, Tony Kuzma, Scott Puhalla, Jim Fowler BSENT: GUESTS: STAFF: Dave Johnson Bill Hurley Steve Romines, Fay Flanery, Cindy Hambly, Alan Provencher I. CALL TO ORDER/ROLL CALL - Chairman Wright called the regular meeting of the Operations Committee to order at 2:04 PM. Roll was recorded by staff. Updated roster sheet was passed out, Chair Wright requested committee members complete and return to Flanery. II. III. IV. APPROVAL OF AGENDA MSC (McGarva/Brooks) move to approve. PUBLIC PARTICIPATION None REVIEW AND APPROVAL OF MINUTES 1. Operations Committee December 5, 2013 MSC (Brooks/Low) move to approve. 2. EMS Council January 15, 2014 (Informational Only) V. COMMITTEE REPORTS A. WEST REGION Romines reported the annual WREMS conference is set for February 7, 8 & 9, 2014 at the Great Wolf Lodge. B. SUBCOMMITTES 1. Equipment Committee (EqC) Provencher reported on the draft minutes passed out and highlighted on XXL gloves found and will order as needed they are not a stock item and made note of a Vivid Track intubation camera that is essentially a video laryngoscope that we are currently doing a trial run on, it s a disposal type scope. 2. Mass Casualty Incident (MCI) Committee Hambly commented there will be an MCI training exercise at the WREMS conference. 3. Training Advisory Committee (TAC) Hambly reported on the minutes handed out highlighting: Instructor/Evaluator workshop 46 attendees with 11 new instructors New procedure 8 - Reissuance procedure Healthcare providers - ACLS & PALS endorsement for our providers Next meeting February 19, 2014 Committee questions followed regarding the new Reissuance procedure resulting in minor edits brought back. C. STAFF Report Romines reported on the staff report that was included in the meeting packet. He highlighted on the following: There is a memorial for Kathy Estes husband to be held Saturday at 2:00 at the Odd Fellows Park. Medic One 40 th year anniversary is this year and would like to start a perpetual plaque for EMS providers who have been in the Thurston County EMS system and retiring with 25+ years of service Janet Kastil with Washington State EMS systems retiring recognition at EMS Council TRPC Steering Committee has requested 2 additional members to act on the committee; in addition, they have acted on 2 items; 1) to have staff add agendas and minutes on the website for both EMS Council and Operations Committee 2) approve the bylaws change to add a 4 th citizen at large physician position and to reinstate the City of Lacey s position on the Council. The State EMS Steering Committee is seeking input for key performance indicators which are used to measure EMS systems effectiveness Finalized Business Plan currently being updated 2 ops february minutes 2014

2 4A Legislative update EMT course completed with 14 graduates High School CPR program update Nurseline update BLS response time report Hambly reported the resuscitation percent rate in Thurston County is now at 50% VI. OLD BUSINESS A. EMS Action Update Chair Wright reported the EMS Council Steering committee is working through the TRPC report recommendations and expects there will be some tasks shifted to the Operations Committee. They want to get the membership component worked out prior to any other work. B. Communicable Disease Exposure Plan Hambly reported we are in the final stages of completing the policy, Mallory Barnes concurred and added that the EMS component is done and a final meeting will take place to complete the policy. Dr. Fontanilla added that if there is an exposure the process should always be to check into the ER at St. Peters Hospital and they will handle it from there. Group Health has stepped up to support 24 hour communicable disease exposures and follow up for EMS providers. VII. NEW BUSINESS A. Ambulance License Renewal - Flanery reported that each year the private ambulance companies are required to apply for an ambulance business license in Thurston County. Medic One staff accepts the application, does a rate comparison analysis which includes fire agency transport for fee service along with an application check list. Once complete, the summary check list is brought to Operations Committee for acknowledgement for completeness and Medic One staff then forwards them to the Auditor s office for processing. MSC (Brooks/Fontanilla) move to accept. B. Nominations Committee Appointment Wright prepared to appoint a committee when a motion and second was made by McGarva/ Low to move the current slate of officers forward, a unanimous agreement by all members. Vice-Chair VanCamp opened the floor and called for nominations, none made, all in favor of current Chair Wright to continue as Chair for Chair Wright called for nominations for Vice-Chair were opened to the floor, no additional nominations were made, and Vice-Chair VanCamp was unanimously voted to continue as Vice Chair, all in favor. C. Special Projects Process Chief Wright provided some history on the special projects process noting that each year a review of the process is looked at to see if it still meets the goal. Romines added the special projects process/procedure and application was included in the packet and added it is available to any EMS agency in Thurston County noting it is a competitive process. A subcommittee is appointed who reviews all applications and makes recommendation to the Operations Committee. Committee discussion followed surrounding SORT requests, Romines clarified that SORT has a separate funding of $5000 and all SORT requests are forwarded to the SORT team approval. MSC (Low/Fowler) move to accept the process as presented. Romines added the vehicle surplus applications are also available and there will be 2 surplused Medic Units in VIII. GOOD OF THE ORDER Chair Wright reported on a 2013 attendance summary report noting that the Sheriff s department has not attended any meeting during Committee discussion followed with Chief Wright and Chief Brooks making contact with Thurston County Law Enforcement to try and get participation. Next meeting March 6, IX. ADJOURNMENT - 3:38 PM k:\new directory\administration\committees\operations committee\ \2014\minutes\2 ops february minutes 2014.doc Page 2 of 2

3 Operations Committee Meeting Medic One/EMS, Staff Report, Feb 2014 Retiring medics: Steve Rowe (36y), OFD; Jeff Bostick (29y), TFD 5C EMS System Operational Review, TRPC as Process Project Manager, proposed at July meeting, recommending contract to BOCC. Signed by BOCC September 25, TRPC initiating, last session 12/19, contacting Chiefs/Com, Report 6/19 EMS Council meeting 3:30, presented, to EMS community for comment. Presentations: EMSC 6/19, Fire Commissioner/Chiefs Assoc 7/16, BOCC 8/7 (Medic One website, System Reports), comments due, EMS Council accepts 9/18, to BOCC, Steering Committee (expanded) working, EMSC agenda/minutes recommendation 4.4 approved to staff, Governance recommendation approved by BOCC. EMS Key Performance Indicators (KPI) in final draft. TC Ambulance licenses (Olympic and AMR) processing. Protocol update being scheduled Budget and Business plan drafted presented to EMSC, 9/18 meeting, budget approved, to BOCC, approved Business plan Q4 report finalized. Medic hiring and oral exams. May 2013 closed with 44 new apps/5 retest oral, 9 pass written, 7 pass oral board. Next exam, closed: written Nov 2013 closed with 29 applications/3 retest oral, 6 pass written, 6 pass oral, 6 on list. NurseLine Criteria Based Dispatch Program, started December 11, 8AM, calls routed to Evergreen Hospital Healthline, contract completed, implemented: 15 in August 2003, 14 September, 15 October, 15 November, 16 December, 11 January 2004, 13 February, 11 March, 8 April, 11 May, 7 June, 11 July, 8 Aug, 12 Sept, 8 Oct, 8 Nov, 13 Dec, 11 Jan 2005, 13 Feb, 12 Mar, 10 Apr, 11 May, 10 June; 11 July; 6 Aug; 4 Sept; 9 Oct; 5 Nov; 12 Dec; 14 Jan 2006; 11 Feb; 4 Mar; 14 Apr; 4 May; 9 June; 9 July; 11 Aug; 8 Sep; 7 Oct; 15 Nov; 6 Dec; 10 Jan; 12 Feb; 13 Mar; 7 Apr; 20 May; 15 June; 18 July; 10 Aug; 13 Sept; 8 Oct; 15 Nov; 11 Dec; Jan 08 11, 15 Feb, 10 Mar, 12 Apr, 14 May, 11 June, 14 July, 15 Aug; 22 Sept; 11 Oct; 14 Nov; 7 Dec. 5 Jan 09, 7 Feb, 6 Mar, 17 Apr, 7 May; 10 Jun; 17 Jul; 7 Aug; 10 Sep; 11 Oct; 15 Nov; 14 Dec; 11 Jan 2010; 7 Feb; 14 Mar; 10 Apr; 10 May, 16 Jun, 21 Jul, 18 Aug, 23 Sep, 14 Oct, 10 Nov, 16 Dec; 11 Jan 2011, Feb 15, Mar 24, Apr 19, May 20, Jun 10, July 21, Aug 14, Sep 17, Oct 15, Nov 10, Dec 21; 12 Jan 23, Feb 16, Mar 17, Apr 18, May 19, Jun 14, Jul 9 Aug 25, Sep 16, Oct 13, Nov 14, Dec 16; Jan 13, Feb 9, Mar 9, Apr 14, May 5, June 14, July 10, Aug 12, Sep 11, Oct 27, Nov 17, Dec 12: Total to date= 1,589/124 (avg 12.8/month) Rate $16.10/call EMS Data 2013 (TCOMM source), 26,570 system call volume +558 calls, +2.1% (2012 data volume 26,012). ALS response time 7.6 minutes average countywide, 93% goals achieved, call volume 8,327, -349 calls, responses -4.0% (2012 response time 7.2 minutes, 94% of goals, 8,676 responses). BLS call volume 18,243, +907, +5.2% ( ,336) Countywide BLS average response time 6.7 minutes, all BLS. BLS TCOMM Data Warehouse report, final draft to Chiefs Association then Ops Committee, to Chiefs Assoc, approved to Ops, Ops approved, to EMSC 9/18> to 10/16 approved, posted on website, updating for Medic Unit in vehicle EMS data system. Field implementation beginning. Tiberon connectivity quote returned, $33,000 plus $4,000 annual maintenance cost, approved, interface completed. AVL Tiberon interface issue identified, AVL in test environment, mobile gateway/avl interface created, ER&R completed, AVL operational test-halted CAD software issue, rewrite. EMS Council approves EMS agency by agency supervisor QI access to SafetyPad, interface stable, AVL trial, Restart Jan 9 7 AM to end May 12, reviewing. Initiating BLS data system pilot with Tenino (Strategic area) WATRAC Advisory Group member added, meeting 9/9, next meeting 3/3 TRAINING: average pass rate NR EMT exam = national 79%, WA state 85%, WR 90%, CR 93%, TC 93% First Responder Course, 2012? EMT Course 13-1 scheduled, Station 9-5, completed, 28 enrolled, 23 graduated 6/27 EMT Course 13-2 scheduled, Station 9-5, start 9/3, 18 enrolled, 14 completed Dec 14, Grad 1/7 EMT Course 14-1 scheduled, Station 9-5, application closes 2/12 Instructor/Evaluator workshop completed NIMS online training available at J:\My Documents J\stfrp0214.ops.j.docx

4 5C 02/24/2014 Introduction This Legislative Update will be updated weekly and ed to the members of the EMS and Trauma Care Steering Committee and its sub committees every week during the 2014 Legislative Session. This update is being provided for information purposes only and is provided at the request of the EMS and Trauma Care Steering Committee. This update is not intended to convey support or opposition on any issue. If you have any questions, please contact Les Myhre at (360) For additional information regarding the 2014 Legislative Session and Washington Legislative bills being introduced, please go to: Important 2014 Session Cut off Dates 1/13 First Day of Session. 2/7 Last day to read in committee reports in house of origin, except House fiscal committees and Senate Ways & Means and Transportation committees. 2/11 Last day to read in committee reports from House fiscal committees and Senate Ways & Means and Transportation committees in house of origin. 2/18 Last day to consider bills in house of origin (5 p.m.). 2/28 Last day to read in committee reports from opposite house, except House fiscal committees and Senate Ways & Means and Transportation committees. 3/3 Last day to read in opposite house committee reports from House fiscal committee and Senate Ways & Means and Transportation committees. 3/7 Last day to consider opposite house bills (5 p.m.) (except initiatives and alternatives to initiatives, matters necessary to implement budgets, amendments, differences, and business related to the interim or closing the session). 3/13 Sine Die Last day allowed for regular session under state constitution. The Governor has five (5) days, excluding Sundays, to take action on any bill passed by the Legislature, provided adjournment does not occur within those five (5) days. Bill # Sponsor HB 1263 Rep Angel HB 2105 Rep Hawkins Bill Title Brief Description Status Reducing the financial loss to emergency medical care and transportation services by ensuring direct payment for emergency transportation services Promoting transparency in government by requiring public This legislation is another 2013 holdover bill to address the issue of direct payment for EMS transportation services by fire districts and departments. This bill will require a public agency to post its agenda online at least 24 hours in advance of a meeting. Agency is not required if it employs five or fewer full time employees. Failure to post the Jan 13 By resolution, reintroduced and retained in present status. Rules Committee relieved of further consideration. Referred to Health Care & Wellness Rules Committee relieved of further consideration. Referred to Health Care & Wellness Passed House Government Operations and Elections Committee. Rules. Jan 30 Placed on second reading by Rules Committee.

5 5C agencies with governing bodies to post their agendas online in advance of meetings agenda does not in validate the actions taken at the meeting. The agency may modify the agenda prior to approval of the agenda at the meeting. Feb 12 1st substitute bill substituted (GOE 14). (View 1st Substitute) Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 85; nays, 13; absent, 0; excused, 0. (View Roll Calls) IN THE SENATE Feb 14 First reading, referred to Governmental Operations. HB 2109 Rep Haler, et al SHB 2121 Rep Pollet Family practice Residencies Requires Open Public Meetings Act Training. Allocates $6.6 million GFS to the University of Washington (UW) School of Medicine (SOM) to expand family practice residencies in rural and underserved communities in the state. This bill will require training of elected members of a governing body of a public agency on the Open Public Meetings Act. Requires other agency officials to be trained in records retention and preservation. The Attorney General may provide information, technical assistance and training on the provisions of the Public Records Act. Feb 24 Public hearing and executive action taken in the Senate Committee on Governmental Operations at 10:00 AM. (Committee Materials) Dec 5 Prefiled for introduction Jan 13 First reading referred to Higher Education Jan 17 Work session and public hearing House Committee on Higher Education at 8:00am Jan 22 Executive action taken Higher Education Majority 1st substitute passed Jan 27 Referred to Appropriations Jan 21 Executive action taken in the House Committee on Government Operations & Elections at 10:00 AM. (Committee Materials) GOE Executive action taken by committee. GOE Majority; 1st substitute bill be substituted, do pass. (View 1st Substitute) (Majority Report) Minority; do not pass. (Minority Report) Jan 27 Passed to Rules Committee for second reading. Feb 7 Placed on second reading by Rules Committee. Feb 12 1st substitute bill substituted (GOE 14). (View 1st Substitute) Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 64; nays, 34; absent, 0;

6 5C HB 2127 Rep Van De Wege, and Tharinger Relating to the authority of medical program directors Adds clarifying language to RCW about the authority of the physician Medical Program Directors (MPD s) in the State. The bill s language clarifies that MPD s may not independently impose restrictions on the certification or employment status of certified EMS personnel. The language prevents the MPD from doing so if the Department of Health (Department) has not imposed any restrictions on the individual s certification. The language is consistent with current practice. Currently, MPD s cannot take formal disciplinary action against a certified EMS provider s credential. The MPD may only provide counseling to certified EMS personnel on clinical practice issues. The MPD must consult with the Department on significant clinical practice matters prior to taking any actions. Only the Department may take formal disciplinary action against a certified EMS provider s credential. excused, 0. (View Roll Calls) IN THE SENATE Feb 14 First reading, referred to Governmental Operations. Feb 25 Scheduled for public hearing in the Senate Committee on Governmental Operations at 10:00 AM. (Subject to change) (Committee Materials) Dec 18 Prefiled for introduction Jan 13 Public hearing in House Cmte on Health Care & Wellness at 1:30pm Jan 23 Executive action taken in House Committee on Health Care & Wellness at 10:00am, bill passed Jan 28 Passed to Rules Committee for second reading Jan 30 Placed on second reading by Rules Committee Feb 5 Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 98; nays, 0; absent, 0; excused, 0 IN THE SENATE Feb 6 First reading, referred to Health Care. Feb 20 Public hearing in the Senate Committee on Health Care at 10:00 AM. (Committee Materials) HB 2255 Rep Van De Wege Ambulance seat belt notification, air bags and driver training Adds a new section to RCW to include a lighted message alarm to notify the driver that a passenger has not fastened his or her seat belt. An audible alarm may also be included with the visual alarm. Airbags must meet federal regulations. Seat belt alarms are prohibited from activating until the ambulance is put in drive gear. Any ambulance manufactured after the effective date of the act must comply and current warning systems may be modified on any ambulance manufactured before the effective date of this act. Any ambulance manufactured after the effective date of this act must have air bags that meet federal regulations in the cab of the ambulance and cannot be Jan 15 1st reading, referred to Transportation Jan 20 Public hearing in House Cmte on Transportation Jan 23 Executive session in House Cmte on Transportation but no action taken Jan 29 Scheduled for executive session in House Cmte on Transportation but no action taken Jan 30 Executive action taken on Transportation Jan 31 TR Executive action taken by committee TR Majority; 1st substitute

7 5C HB 2278 Rep Takko HB 2315 Rep Orwal, et al Utility service charge for ambulance services Concerning suicide prevention modified, blocked, or turned off. The Washington Fire Chiefs and the Washington State Patrol are directed to design a program that trains emergency personnel on driving ambulances using driver simulators. A written report to the Legislature is due by December 1, 2014, which includes the design, administration requirements and funding options for the program. This bill authorizes fire districts to enter into contracts with a contiguous city for the furnishing of ambulance services by the city to the fire district by imposing a utility service charge which would be equal to the amount imposed by a city on similar city developed residential property. Amends RCW Suicide Assessment, Treatment, and Management Training; and chapter RCW Community Mental Health Services Act; bill be substituted, do pass. (View 1st Substitute) (Majority Report) Minority; do not pass. (Minority Report) Feb 5 Passed to Rules Committee for second reading Feb 7 Placed on second reading by Rules Committee. Feb 11 1st substitute bill substituted (TR 14). (View 1st Substitute) Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 58; nays, 40; absent, 0; excused, 0. (View Roll Calls) IN THE SENATE Feb 13 First reading, referred to Transportation Jan 22 Public hearing in the House Committee on Local Government at 8:00 AM. (Committee Materials) Feb 3 Executive action taken in the House Committee on Local Government at 1:30 PM. (Committee Materials) LG Executive action taken by committee. LG Majority; do pass. (Majority Report) Minority; do not pass. (Minority Report) Feb 5 Passed to Rules Committee for second reading Feb 7 Placed on second reading by Rules Committee. Feb 12 Floor amendment(s) adopted. Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 89; nays, 9; absent, 0; excused, 0. (View Roll Calls) (View 1st Engrossed) IN THE SENATE Feb 14 First reading, referred to Commerce & Labor. Jan 22 Public hearing in the House Committee Health Care & Wellness at 8:00am Feb 3 Scheduled for executive

8 5C Companion SB 6468 HB 2428 Rep S. Hunt Re imposition of EMS Levy at Lower Rate and adds a new section to chapter RCW.Substantive amendments and additions include: Adding the following professions to those that are already required to undertake approved continuing education in suicide assessment, treatment and management every six years: Chiropractors, Naturopaths, Licensed practical nurses, registered nurses, and advanced registered nurse practitioners, Osteopathic physicians and surgeons and Pas, Physical therapists and physical therapist assistants, Medical Pas. Requiring that medical physicians undertake approved continuing education in suicide assessment, treatment and management every eight years. Clarifying reporting periods for specified continuing education. Requiring that the department and disciplinary authorities update the model list of training programs in suicide assessment, treatment and management every two years, and endeavor to include content specific to veterans, in consultation with the Department of Veterans Affairs. Requiring the department to develop a statewide plan for suicide prevention in consultation with a steering committee with specified membership. The plan must be completed no later than November 15, Requiring DSHS (to the extent funds are available) implement a pilot consultation program to support primary care providers in assessment, treatment and management of adults with mental and behavioral health disorders, emphasizing timely case consultation between primary care providers and psychiatric specialists. HB 2428 would provide for a taxing district (including fire districts) to re impose a future EMS levy at a lower rate than the previous levy with a simple majority vote. NOTE: This is a levy that was not a renewal but was re imposed at a later date. session in House Health Care & Wellness at 6:00pm Feb 5 Scheduled for executive session in House Health Care & Wellness at 8:00am HCW Executive action taken by committee. HCW Majority; 1st substitute bill be substituted, do pass. (View 1st Substitute) (Majority Report) Feb 6 Public hearing and executive action taken in the House Appropriations Subcommittee on Health & Human Services at 10:00 AM. (Committee Materials) APPH Executive action taken by committee. APPH Majority; do pass HCW 14 bill proposed by Health Care & Wellness Feb 11 Passed to Rules Committee for second reading. Feb 12 Placed on second reading by Rules Committee. Feb 17 1st substitute bill substituted (HCW 14). (View 1st Substitute) Floor amendment(s) adopted. Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 94; nays, 3; absent, 0; excused, 1. IN THE SENATE Feb 19 First reading, referred to Health Care. Feb 24 Public hearing in the Senate Committee on Health Care at 10:00 AM. (Committee Materials) Jan 17 First reading, referred to Finance (Not Officially read and referred until adoption of Introduction report). (View Original Bill) Jan 28 Public hearing in the House Committee on Finance at 8:00 AM Feb 11 Executive action

9 5C HB 2576 Rep Reykdal Establishing a mandatory occupational disease exposure reporting requirement for firefighters. This bill would require the Department of Labor and Industries to commence rule making to require the reporting of all hazardous exposure suffered in the course of employment by firefighters. At a minimum, the rules must require that the records be kept/maintained for at least 61 months following the last date of the firefighter s employment. taken in the House Committee on Finance at 8:00 AM. (Committee Materials) FIN Executive action taken by committee. FIN Majority; 1st substitute bill be substituted, do pass. (Majority Report) Minority; do not pass Passed to Rules Committee for second reading. Feb 14 Rules Committee relieved of further consideration. Placed on second reading. Feb 18 Returned to Rules Committee for second reading Jan 21 First reading, referred to Labor & Workforce Development (Not Officially read and referred until adoption of Introduction report). (View Original Bill) Jan 31 Public hearing in the House Committee on Labor & Workforce Development at 1:30 PM. (Committee Materials) Feb 5 Executive action taken in the House Committee on Labor & Workforce Development at 3:30 PM. (Committee Materials) LWD Executive action taken by committee. LWD Majority; 1st substitute bill be substituted, do pass. (Majority Report) Minority; do not pass. Passed to Rules Committee for second reading. Feb 7 Placed on second reading by Rules Committee Feb 12 1st substitute bill substituted (LWD 14). (View 1st Substitute) Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 83; nays, 14; absent, 0; excused, 1. (View Roll Calls) IN THE SENATE Feb 14 First reading, referred to Commerce & Labor. Feb 28 Scheduled for public hearing in the Senate Committee on Commerce & Labor at

10 5C HB 2611 Rep Johnson, et al Relating to encouraging training for medical students, nurses, and medical technicians and assistants to work with adult patients with developmental disabilities Subject to funding, the bill requires the Washington Student Achievement Council (WSAC) to develop a grant program. The goal of the grant program is to improve care for adults with developmental disabilities by promoting specialized training for students in medical, nursing, and osteopathic schools, as well as special and technical care students at technical schools. WSAC may administer the grants in consultation with the Department of Health. Grants will be made to educational institutions to support programs designed to train students in the unique care needs of this population group. 8:00 AM. (Subject to change) (Committee Materials) Jan 22 First reading, referred to Higher Education Jan 31 Public hearing in House Cmte on Higher Education at 8:00am Feb 4 Executive action taken in the House Committee on Higher Education at 10:00 AM. (Committee Materials) HE Executive action taken by committee. HE Majority; do pass Feb 5 Referred to Appropriations SB 6229 Sen Mullet, et al Concerning use of epinephrine autoinjectors by good samaritans Adds a new section to chapter RCW. This includes extending immunity from civil liability for any personal injury that results from the use of epinephrine auto injectors in an emergency setting. New Section. Sec. 2 also requires the epinephrine auto injector user to call 911 or its local equivalent as soon as possible after the emergency use of the autoinjector, and assure proper follow up data is made available as requested by emergency medical service or other health care providers Jan 17 1st reading, referred to Health Care Feb 4 Scheduled for public hearing in Senate Cmte on Health Care at 10:00am Feb 4 Scheduled for executive session in the Senate Committee on Health Care at 10:00 AM. SB 6306 Sen Braun SB 6431 Sen Hargrove, et al Use tax exemption on out of state purchases Concerning assistance for schools in implementing youth suicide prevention activities This bill would provide some fire districts with a use tax exemption when purchasing vehicles from out of state. The ex emption would apply to fire districts with an annual budget of less than $1,000 per square mile served Expands RCW 28A by specifying youth suicide prevention activities and appropriating funds for these activities. Substantive additions include: Requires the Office of the Superintendent of Public Instruction (OSPI) to work with state agencies and community partners to assist schools in implementing youth suicide prevention activities, which may include: Training for school staff, students, parents, and community members in recognizing and responding to signs of suicide; Partnering with local youth suicide prevention coalitions; Responding to communities in crisis after a suicidal behavior. NOTE: The department of Health is not specifically Jan 20 Senate Government Operations Committee. Jan 24 1st reading, referred to Early Learning & K 12 Education Feb 5 Scheduled for Public Hearing in Senate Comte on Early Learning & K 12 Education at 1:30pm Feb 6 Executive action taken in the Senate Committee on Early Learning & K 12 Education at 5:30 PM. (Committee Materials) Feb 7 EDU Majority; 1st substitute bill be substituted, do pass. (View 1st Substitute) (Majority Report) Passed to Rules Committee for second reading Feb 13 Placed on second reading by Rules Committee.

11 5C named as a participant. OSPI shall prioritize funding for the above activities as follows: Schools identified by Department of Health as situated in a high risk area or serving high risk populations; tribal communities; Communities with a high percentage of students who speak English as a second language. $430,000 is appropriated to OSPI for these activities. Feb 14 1st substitute bill substituted (EDU 14). (View 1st Substitute) Rules suspended. Placed on Third Reading. Third reading, passed; yeas, 49; nays, 0; absent, 0; excused, 0. (View Roll Calls) IN THE HOUSE Feb 17 First reading, referred to Education (Not Officially read and referred until adoption of Introduction report). Feb 20 Scheduled for public hearing in the House Committee on Education at 11:00 AM. (Subject to change) Feb 26 Scheduled for executive session in the House Committee on Education at 8:00 AM. (Subject to change) (Committee Materials)

12 2013 Accomplishments & Successes ( denotes annual program) +Participated on State Roles and Responsibilities Review of all EMS Regions +Participation on WATRAC advisory committee +Participated in development of SafetyPad BLS android version +Completed TRPC EMS System review and report +Continue CPR (Cardiac Arrest Resuscitation Emphasis) program and evaluation, Survival = 50% +Developed/produced CPR Capital Mall FlashMob and YouTube for citizen CPR promo, 12,800 views +Contracted and implemented android and iphone app for EMS protocols +Medic 6 Phase II and Phase III upgrade 12 to 24hr = 100% +Medic Units dispatched to working structure fire pilot program developed/implemented>>tracking +Developed and implemented High School CPR program contract and equipment purchases +Expanded duties and renewed SafeKids contract with CCAC +Monthly protocol review class (10) Countywide citizen CPR training program (3,118 trained in 269 classes) CPR Instructor training 1 course annually (13 trained) Citizen/community educational presentations/fairs/open houses (11) Renewed SafeKids Prevention contract with CCAC and M1 display at Childrens Museum Countywide EMS personnel ongoing practical training program (109 classes delivered) Countywide BLS initial training program (3 EMT 45 / 55 completed) EMS Instructor training program (2 sessions, 43 trained) Countywide BLS Equipment/supply purchasing program ($396,181) + (3 vehicles surplus) Replaced medic vehicle (3) BLS/Criteria Based Dispatch QA program HealthLine/NurseLine contract and QA for non emergent EMS calls (152 / $3,764) BLS agency support +$1,000/agency ($479,449) BLS agency AED (3 replaced) and CPR Manikin ER&R program (2 sets issued FD6) BLS Special projects/sort developed and implemented ($5,880/$10,000, $4,750/$5,000) BLS Vaccine administration ($8,851) BLS and ALS Online OTEP (Ongoing Training and Evaluation Program) (550 enrolled) Participated in two recognition events for EMS course graduates (with FS trng) 2013 Legislative session tracking completed (22 bills tracked) Developed and implemented system wide budget and business plan Participated in functions of County government Participated on West Region EMS & Trauma Care Council Participated on State EMS Committees and Data System development Participated in State Homeland Security Committee (Committee on Terrorism) Drug return program credit, ($11,946) Ambulance Licenses processed (2) ALS data entry completed/microfilmed ALS Exams (2) 68 aps, 48 written, 15 oral, 8 list for medic vacancies (2 medics hired) EMS call volume, TCOMM (26,570) (+558 / +2.1%) (26,012 12) M1ALS response/transport (8,808/3,405) (-5.6% -524 / -6.2% -224) (9,332 / 3,629 12) Certification-reciprocity/recertification processing of EMS personnel (49 / 108) In-vehicle Data system, with CAD interface, maintained 2014 Goals and Objectives (see also!annual program listing ) 1. Develop BLS data system (Phase II), initiate pilot FD12, hire IT specialist/data system support 2. Hold countywide MCI drill Design, order, receive and place in-service (2) replacement ALS vehicles 4. Investigate/develop ALS on-line CME delivery system and in-service/qi at station level 5. Resuscitation Academy QI project one year project, ongoing (WACAD transition to CARES DB) 6. Continue participation in Incident Management Team (IMT) development 7. Enhance training in Citizen CPR program, high risk cardiac, convert CPRI to part-time, hire Coord 8. System wide Operational EMS Study (TRPC), continuation 9. Affordable Care Act and Community Mobile Medicine concept impacts/issues 10. Assist in development of state KPI s and review for local applicability 2013 Unfinished Business o A1b Complete protocol review o A3c BLS transport options when delayed o C6v Continue System wide Operational Study, implmentation o E8d EMS Policy updates o E10d SafetyPad users group o E10e Develop Phase II, BLS data system o E11d Citizen feedback survey (hold) o E11g High risk cardiac patient CPR training 2014 Needs from BOCC/CAO/EMS Council/MPD K:\New Directory\Administration\Business Plan\2013\program summary 2013.doc

13 Strategic and 2013 Business Plan Strategic and 2013 Annual Business Plan Adopted: EMS Council Approved August 15, 2012 Quarter 4 report FINAL Mission Statement: The Thurston County Medic One/Emergency Medical Services (EMS) System will provide efficient and effective prehospital EMS throughout Thurston County Strategic and Annual Business Plan: In conjunction with the EMS Council s Medic One/Emergency Medical Services System Mission and Goals document, the Medic One office prepares an annual business plan that translates the overall strategy, mission and goals into objectives to be accomplished during the year. The process includes review of past, current and proposed future projects and program changes. The EMS Council reviews program/project status and proposals for future modifications/additions to the EMS system. The Council holds an annual planning session and receives monthly status reports from the Operations Committee and Medic One staff. In 1989, the EMS Council participated in a planning session to develop a system wide Master Plan. The resulting objectives identified and agreed upon annually by the EMS Council will constitute the core of the 2013 Business Plan Mission and Goals. Goals: Strategy The Medic One office prepares an annual business plan that translates the overall mission and goals into objectives to be accomplished during the year. A. Care: 1. Provide and promote ongoing quality training of ALS and BLS responders. 2. Assist and support fire service in the retention of qualified and motivated EMS volunteers. 3. Facilitate the provision of an effective Basic Life Support (BLS) transport system at a reasonable cost to the public. B. Access: 4. Facilitate provisions of state-of the-art Emergency Medical Dispatch through on-going evaluation and review of services provided by TCOMM (Thurston Communications). 5. Promote immediate citizen access to 911 to increase survival probability. C. Response: 6. Maintain a system that is appropriately responsive to the relationship between EMS supply and demand related to population growth and demographic change. Thurston County Medic One/EMS System Page 1

14 Strategic and 2013 Business Plan D. Economics: 7. Maintain an effective and efficient fiscal management system that accounts for all policies, services, supplies and resources. Plan continued E. System: 8. Ensure an organizational structure that provides for an effective, efficient decision making process. 9. Maintain an effective and efficient EMS system through networking and coordination among all providers and participants in the system. 10. Establish a reliable data system that will adequately describe current operations for ongoing management needs and provide meaningful tools for future operational needs. 11. Create and maintain a comprehensive public involvement, relations and education program. Vision Statements: A. The EMS System will hire and maintain caring, knowledgeable, skilled and competent personnel. B. The System will consistently seek to improve efficiency and effectiveness in EMS services and response times. C. The System will be responsive to changes in demands by optimizing services and resources, seeking to maintain or improve services and service coordination. D. The System will improve public education and knowledge about System services/delivery/agencies/personnel and provide citizen training for EMS access and CPR. E. The System will maintain an effective organizational and operational structure. Values Statements: A. We value a Service to the Community philosophy. B. We value excellence in EMS skills, training, experience and knowledge. C. We value ethics, honesty, accountability and service excellence. D. We value service quality as expressed by efficiency, efficacy, response time, customer service and common sense. E. We value well-integrated emergency medical and fire services. F. We value public participation and customer feedback. Thurston County Medic One/EMS System Page 2

15 Strategic and 2013 Business Plan EMS volumes difference Change % EMS Call volume (TCOMM) ALS Call volume (TCOMM) BLS Call volume, All BLS (TCOMM) 26,570 26, % 8,327 8, ,243 17, % ALS unit responses (M1) 8,808 9, % Transport volume (M1) 3,405 3, % Thurston County Medic One/EMS System Page 3

16 Strategic and 2013 Business Plan Thurston County Medic One/EMS System Page 4

17 Strategic and 2013 Business Plan BLS Agency average Emergency Response time by EMS agency (only EMS emergency responses) Jan 1 Dec 31, 2013 Fire/EMS Agency Click hyperlink to agency website for agency description Jurisdiction Area Sq Miles TRPC Jurisdiction Population 2012 TRPC EMS calls Emergency (lights/siren) Response 2013 Average response time MM:SS 2013 Lacey FD , :53 Olympia Fire Dept (OFD) , :03 Tumwater Fire Dept (TFD) 17 19, :42 SETFA (Yelm/Rainier) (FD2, 4) , :24 WTRFA , :43 (Rochester/Littlerock)(FD1, 11, 14) McLane FD9/Black Lk FD , :13 E. Olympia FD , :32 Tenino FD , :38 S Bay FD8 23 7, :56 Griffin FD , :51 Bald Hill FD , :27 N Olympia FD7 11 4, :34 Bucoda Fire Dept :02 Gibson Valley FD :37 County wide ,360 21,954 6:41 Data selected for this annual EMS Agency Data Report: Only Emergency responses (lights and siren/ems RED) on EMS calls: excludes non-emergency and non-ems responses/calls for service Data Integrity Filters applied to this report: Reaction time between seconds: excludes negative and errant reaction time data Response time between seconds: excludes negative and errant response time data Thurston County Medic One/EMS System Page 5

18 Strategic and 2013 Business Plan Thurston County Medic One/EMS System Page 6

19 Strategy A. 1. Provide and promote ongoing quality training of ALS and BLS responders. Strategic Plan Goals Care TCAFCM1-6 Strategic and 2013 Business Plan 2013 Objective/Actions required Manager Status a) Countywide EMS Disaster drill held, ongoing (hold one annually) b) Complete review of ALS and BLS protocol (annually) Suver (ALS) Hambly (BLS) Fontanilla (MPD) Drewry (BLS) Incomplete Q to TCAFCM1-3 TCAFCM1-5 c) Countywide EMS BLS personnel ongoing training program all agencies EMS ONLINE/Cardiac Arrest Review (5 practicals per agency/99 total) d) Countywide EMS ALS personnel ongoing training program (10 classes annually) e) EMS Instructor and Patient training program and recruit additional (43 instructors, 28 patients, two sessions each) f) Develop/implement ALS system research project (cardiac arrest survival study, see n below) g) Maintain EMS system QM system, monthly meeting, ongoing, (plan DOH approved) h) Support ALS contractors meeting, ongoing (monthly) i) Investigate, analyze and respond to quality of care issues j) Countywide BLS personnel initial training program (annually, 3 EMT Courses)(13-1=29; 13-2=14; SPSCC=8) See n Thurston County Medic One/EMS System Page 7

20 MPD NEW 2013 NEW 2013 k) Countywide First Responder initial training program (annually, 1 course as needed) l) Web-based OTEP delivery system for BLS and ALS annually (550) m) Maintain EMS Coordinator QI ride-along program, add 07 n) QI project to improve system wide outcome from witnessed VF a. Instructor program b. Provider training c. Program implementation d. Evaluation e. Survival rate % (50% 2013) o) Investigate MPD acceptable methods of providing ALS inservice at the station level. p) Monthly protocol review class, (10) q) Cardiac quarterly Instructor class, April(8)/Oct (1) Strategic and 2013 Business Plan Not needed Tech Hold 2. Assist and support fire service in the retention of qualified and motivated EMS volunteers. NEW 2013 r) Develop/implement protocol app a) EMS Week recognition, ongoing, modified to insert (annual) b) Recognition event for initial EMS course graduates, twice annually Romines (Admin) Hambly (BLS) 3. Facilitate the provision of an effective Basic Life Support (BLS) transport system at a reasonable c) Brown/Fell scholarship awards a) Ambulance Licenses and ordinance maintenance, ongoing (annually) Flanery (Admin) Ops Committee Romines (Admin) No aps/awards Thurston County Medic One/EMS System Page 8

21 cost to the public. b) Evaluate & implement recommendations from the Ambulance Utilization Committee: 1) provider/public education incl ) ambulance request(s) 3) Health Line (Nurse +) by BLS responders c) Evaluate system options for BLS transport when normal resources are not available (surge in demand); identify potential auxiliary resources available to provide transport Strategic and 2013 Business Plan Q3???? Incomplete 2014 Q2-Q4 B 4. Facilitate provisions of state-of the-art Emergency Medical Dispatch through on-going evaluation and review of services provided by TCOMM (Thurston Communications). Access a) Maintain CBD Nurse Line QI program, annually b) Report success of ALS AVL dispatch interface/system c) Maintain SafetyPad dispatch interface (2005) annually Hambly (BLS) Suver (ALS) 5. Promote immediate citizen access to 911 to increase survival probability TCAFCM1-13 d) Maintain MCT $36,900 support program for non-als units annually a) Maintain telephone nurse dispatch and field access program to Evergreen HealthLine, annually (#) Romines (Admin) Flanery (Admin) C 6. Maintain a system that is appropriately responsive to the relationship between EMS supply and demand related to population 2010 Response b) Maintain Language Line support for EMS field personnel (est $1,000) annually a) Recertification processing and testing for paramedics, (annually, 12 processed Q1-2) b) Recertification processing and Suver (ALS) Hambly (BLS) Provencher (Purchasing) Flanery (Admin) Fontanilla (MPD) Thurston County Medic One/EMS System Page 9

22 growth and demographic change. testing to be completed for all BLS personnel,( annually) Jan=54 / May=42 c) Hold paramedic hiring exam to establish hiring list, Q1/2=44 aps/7 listed Q3/4=24 (2 annually) d) Orient/certify medics vacancies all Medic units (at least annually and/or as needed) e) Develop/report RED Committee annually review for Options/ Implementation, previous year f) Maintain BLS AED equipment program, annually (3/$2k/FD7, 17) g) Purchase countywide EMS Equipment/supply program, ongoing (annually, $396,181) h) BLS agency support, ongoing, ($479,449, and vehicle surplus program 3 vehicle to FD9, FD16 and Bucoda) annually i) BLS Special projects developed and implemented, annually, (annual $5,880 + SRT $4,750) j) Replace medic vehicle, ongoing (annually, 3 in 2013) k) Maintain medic vehicle maintenance monitoring program, annually l) Maintain BLS Vaccine admin program, annually ($8,851 Strategic and 2013 Business Plan Romines (Admin) Thurston County Medic One/EMS System Page 10

23 TCAFCM New 2012 TCAFCM1-14 annually) Flu vaccine added 07 m) Disease exposure procedure evaluate/modify, follow-up training to agencies n) Maintain CPR manikin ER&R program for inhouse and citizen training programs, 2 sets annually o) Maintain countywide backboard exchange program including pediatric boards and spider straps, annually p) Annually support for NREMT exam/certification fees and testing site/process change (est $17,440=$650) annually q) Annually support for Bariatric policy and funding for LFD#3 unit if private transport not available exchange (est $3,000) r) Maintain enhanced vaccination program to include influenza/h1n1, antivirals and PPE, replacing TCPHSS program (est $34,500) (move to L above) s) Monitor state/region Cardiac/stroke system t) Review response goal triggers u) Review ALS testing and new hire evaluation process v) Develop and implement process for system wide operational Strategic and 2013 Business Plan Thurston County Medic One/EMS System Page 11

24 2012 TCAFCM New 2013 assessment by contracted professional EMS Systems consultant. w) Review pilot Medic unit to structure fire policy/procedure x) Maintain M/14 at full time, annually y) Implement next phase M/6 upgrade to 24 hr: I, II, III z) Analyze information from system wide operational assessment study Strategic and 2013 Business Plan Not utilized?, to 2014 Q4 Q1-Q D 7. Maintain an effective and efficient fiscal management system that accounts for all policies, services, supplies and resources. Economics a) Evaluated grant requests Committee on Terrorism for local program implementation, ongoing (annually) Romines (Admin) Provencher (Purchasing) Flanery (Admin) b) Maintain drug return for credit program, annually ($11,947) c) Develop and implement system wide budget, ongoing (annually) E 8. Ensure an organizational structure that provides for an effective, efficient decision making process. New 2013 System d) Annually determine need for levy restoration 2014/2015? a) Evaluate/renew/recruit MPD/MPDIT Contract, ongoing (annually) b) Thurston County Medical Corps participation annually Romines (Admin) Suver (ALS) Hambly (BLS) Flanery (Admin) 9. Maintain an effective and efficient EMS system through networking and coordination among all TCAFCM1-10 c) Review current policies, update, identify/develop new if needed a) Conduct annual EMS Council planning session, ongoing (?) Romines (Admin) Flanery (Admin) Hambly (BLS) Thurston County Medic One/EMS System Page 12

25 providers and participants in the system. b) EMS Council support, ongoing (monthly) annual c) Operations Committee support, ongoing (monthly) annual d) Training Advisory Committee support (monthly) annual e) Mass Casualty Incident Committee support, ongoing (as needed) annual f) Equipment Committee support, ongoing, (monthly) annual g) Thurston County Fire Commissioners Association attendance, ongoing (monthly) annual h) Thurston County Fire Chiefs Association attendance, ongoing (monthly) annual i) Thurston County Fire Training Officers meeting attendance, ongoing (as needed) j) TCOMM Operations Committee meeting membership/attendance, ongoing (monthly) annual k) 2013 Legislative session tracking, ongoing (annually) l) Participate in functions of County government (monthly) annually m) Participate on West Region EMS & Trauma Care Council, Training Committee, Planning Strategic and 2013 Business Plan Suver (ALS) Provencher (Purchasing) Thurston County Medic One/EMS System Page 13

26 Committee, (monthly) annually n) Participate on State EMS Technical Advisory Committee annually o) Participate on State Committee on Homeland Security, annually (monthly) Committee suspended Strategic and 2013 Business Plan Q1-Q4 p) Participate on Local Committee on Terrorism, annually (monthly) q) Participate in Region 3 Homeland Security, Planning, Training and Exercise programs annually TCFCAM1-8 NEW 2013 r) Develop/implement annual Business plan annually s) Cardiac and Stroke Tech Advisory Committee DOH/EMS t) State EMS Roles/Responsibilities taskforce Initiated, to Q (TRPC) NEW 2013 u) State WATRAC Advisory Council EMS representation 10. Establish a reliable data system that will adequately describe current operations for ongoing management needs and provide meaningful tools for future operational needs. a) ALS data entry 0 records entered; microfilm/laserfische, 2013 implement database archiving b) Medic One ALS database, event entry/maintenance/reporting, annually Griffin (Admin) Suver (ALS) Romines (Admin) Provencher (Purchasing) c) Maintain in-vehicle ALS data system, (SAFETYPAD) annually d) Staff SafetyPad Users Group for Incomplete to Thurston County Medic One/EMS System Page 14

27 TCAFCM1-9 TCAFCM1-11 data system development (monthly) annually e) Develop/implement Field Trial Phase II, BLS data system, annually f) Enter WACARES Cardiac Arrest information for state database, annually g) Participate on State EMS WEMSIS Technical Advisory Committee, (monthly) annually h) Evaluate call type and impact, project on population/demographics i) Work with TCOMM to develop BLS response volume, character, impacts data j) Maintain SafetyPad hardware support level, annually k) Support agency level report development and data extraction, recurring reports delivered to TFD, OFD annually l) Maintain printed system wide paper EMS field note and EMIR (est $15,000) annually Strategic and 2013 Business Plan 2014 Q1-Q4 Initiated to Q (app dev) NEW 2013 m) ER&R/install upgraded gateways & delete VPNs in Medic Units 11. Create and maintain a comprehensive public involvement, relations and education program. a) Countywide citizen and Industrial CPR/AED training program, annually (2013 3,118 trained in 269 classes) Provencher (CPR program) Romines (Admin) b) Countywide Public Access N/a Thurston County Medic One/EMS System Page 15

28 Defibrillator training program PAD, annually (quarterly,? trained in? classes) Added to 11-a above c) Citizen/community presentations and public education events, annually (11) d) Develop/implement Citizen feedback consolidated survey e) CPR Instructor training courses (1 course=13 trained, annually) f) SafeKids Coalition Child Injury Prevention program annually Strategic and 2013 Business Plan Hold g) Evaluate program for high risk cardiac patient CPR training h) Maintain updated Medic One webpage, annually Incomplete 2014 Q4 to 2010 i) Evaluate Enhancement to CPR training program by one course per week average 234>269 (+35); 2,820>3,118 (est $25,000) New 2012 j) Maintain AED location information on CAD at TCOMM Initiated, 2014 to New 2013 New 2013 New 2013 New 2013/14 k) Plan for 40 th Anniversary recognition event l) Review LFD3 7 th Grade CPR in schools program for System pilot consideration>>> m below m) CPR Flashmob Capital Mall 5/18 n) High School CPR Training Incomplete, Q3- Q Thurston County Medic One/EMS System Page 16

29 12. Other program development Strategic and 2013 Business Plan 102/112=91% Q= quarter of year e.g. Q1 = first quarter (Jan-Feb-Mar) Thurston County Medic One/EMS System Page 17