THURSTON COUNTY MEDIC ONE OPERATIONS COMMITTEE ~ REGULAR MEETING EMERGENCY SERVICES CENTER/EOC December 7, 2017 2:00 PM AGENDA I. CALL TO ORDER/ROLL CALL II. III. IV. APPROVAL OF AGENDA PUBLIC PARTICIPATION REVIEW AND APPROVAL OF MINUTES A. Operations Committee - November 2, 2017 B. EMS Council - November 15, 2017 (Informational Only) V. COMMITTEE REPORTS A. West Region EMS Council B. Subcommittees 1. Equipment Committee (EqC) Chair or Representative 2. Mass Casualty Incident (MCI) Committee Chair or Representative 3. Training Advisory Committee (TAC) Chair or Representative 4. Transportation Resource Utilization Committee (TRU) Chair or Representative C. Staff Report VI. OLD BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. EMS Council Action Report Wright Information B. Medic One Call Reporting Miller-Todd Discussion C. Vaccination Policy Clarification Miller-Todd Discussion VII. NEW BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. Cradle Point Modem Miller-Todd Discussion B. C. D. E. VIII. GOOD OF THE ORDER - IX. ADJOURNMENT K:\Adminstration\Committees\Operations Committee\2017\Agendas\12 Ops December 7, 2017 agenda.doc
4A THURSTON COUNTY MEDIC ONE OPERATIONS COMMITTEE ~ MEETING MINUTES MEDIC ONE OFFICE November 3, 2017 PRESENT: Greg Wright, Steve Brooks, Scott LaVielle, Chris Clem, Larry Fontanilla, Brian VanCamp, John Wood, Malloree Fontanilla, Keith Flewelling, Stewart Mason, Alex Christiansen ABSENT: Russ Kaleiwahea, Dave Pearsall EXCUSED: Kathy Pace GUESTS: STAFF: Mike Matousek, Mike Buchanan Kurt Hardin, Alan Provencher, Anna Lee Drewry, Ben Miller-Todd, Sandra Bush I. CALL TO ORDER/ROLL CALL Chair Wright called the regular meeting of the Operations Committee to order at 2:05 PM. Staff recorded roll. II. III. IV. APPROVAL OF AGENDA MSC Wright added GEMT to New Business, and changed the other New Business items presenter to Bush/Drewry. (Brooks/Wood) move to approve and this carried unanimously. PUBLIC PARTICIPATION None REVIEW AND APPROVAL OF MINUTES 1. Operations Committee October 5, 2017 MSC (VanCamp/Brooks) moved to approve as submitted, and this carried unanimously. 2. EMS Council There was no October meeting. V. COMMITTEE REPORTS A. WEST REGION Brooks reported: Council will meet in December, and the conference planning is still on going. B. SUBCOMMITTES 1. Equipment Committee (EqC) None 2. Mass Casualty Incident (MCI) Committee LaVielle reported: 1) The new MCI plan has been submitted to Medic One. 2) MSO s are meeting monthly and will incorporate some of the minor changes that were done with the plan. 3) There will be 3 MCI drills in 2018; June, July & August, at the Olympia training center. 4) Brooks asked Anna Lee if the Protocol App can be updated to include the MCI plan. 3. Training Advisory Committee (TAC) Anna Lee reported: 1) A retreat was held on October 26 th, with the following topics for 2018; MCI, Epi draw, and Endocrine, Sepsis and ACS as well. 4. Transportation Resource Utilization Committee (TRU) Brooks reported: 1) There will be a roll out for a new call type for CPR, and TCOMM has put this into CAD. 2) November 8 th will be the roll out date for removal of private ambulance resources from the BLS yellow call type. 3) Olympic Ambulance and AMR now have mobile comm terminals in their dispatch centers. 4) TRU will not meet again until 2018. 5) There is still discussion about whether private ambulances can use Opticom. 6) Is TRU the committee to work with hospitals on writing a policy for diversion? 5. Staff Report Anna Lee Drewry asked for questions on the report. Chair Wright asked Anna Lee to talk about the cost increase with AHA. The cost of the CPR card from AHA has increased from $5.00 to $22.00, with additional costs as well. Medic One will offer the compression only classes for citizens, which provides a more positive impact to the cardiac arrest survival rate. Medic One will keep their link to AHA for BLS providers. VI. OLD BUSINESS A. EMS Council Action Report Wright reported: 1) The EMSC October meeting was cancelled due to a light agenda. The only item on the agenda was TRPC which will be looked at again, and it looks like a strategic plan may roll out of this for Medic One, and Ops will most likely be asked to participate in the review. 11 ops november minutes 2017
VII. NEW BUSINESS A. Medic Vaccinations Anna Lee handed out a list of vaccinations that are currently covered for all ALS and BLS providers. Ops was asked to review and comment if additions are necessary. Staff will verify if Medic One pays for Hep B, for BLS personnel. A vaccination policy is being reviewed and it has been recommended to add a stipulation about reimbursement on the BLS level and ALS level. B. TCOMM Reported Calls Staff addressed concern about receiving inconsistent stats when requesting call volumes from the TCOMM system, and it seems to begin with knowing which question to ask, each time. Staff has been encouraged to ask for calls that receive a Medic One number, broken out by ALS vs. BLS. Keith and Jan with TCOMM will meet with Sandra to discuss further. C. GEMT Meeting - A hand-out was provided to the committee with information about a Ground Emergency Medical Transport (GEMT) meeting that took place October 24, 2017. GEMT is a voluntary fiscal program designed to access federal funds in the Medicaid program in order to offset the loss in payment, or gap in reimbursement, for the transport of Medicaid patients. Information can be found at the links included in the hand-out. 4A VIII. GOOD OF THE ORDER None IX. ADJOURNMENT - 3:15 PM 11 ops november minutes 2017 Page 2 of 2
Thurston County Medic One Emergency Medical Services Council Regular Meeting Medic One Office November 15, 2017 4B PRESENT: ABSENT: EXCUSED: GUESTS: STAFF: Greg Wright, Rena Merithew, Frank Kirkbride, Tom Fell, Stan Moon, Harry Miller, John Ricks, Eileen Swarthout, Gary Edwards, Paul Perz, Larry Fontanilla, Russ Hendrickson Michael Steadman, Margaret McPhee, Jim Cooper Chris Clem, Chief VanCamp, Patti Mize, Tammy Kallgren, Patrick Long Kurt Hardin, Anna Lee Drewry, Sandra Bush, Ben Miller-Todd, Joy Miller, Alan Provencher CALL TO ORDER/ROLL CALL V i c e - C h a i r M o o n called the re gu l ar meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM. Roll was recorded by staff. I. APPROVAL OF AGENDA MSC Vice-Chair Moon asked to move CISM Team Member Recognition to Public Participation and YTD Quarterly Budget Report to the first item under New Business. (Kirkbride/Ricks) move to approve the agenda as amended, and this carried unanimously. II. IV. PUBLIC PARTICIPATION Patti Mize presented Tammy Kallgren with a plaque as recognition for Tammy s volunteer service with CISM (Critical Incident Stress Management). REVIEW AND APPROVAL OF MINUTES A. EMS COUNCIL - September 20, 2017 MSC (Kirkbride/Swarthout) move to approve the minutes and this carried, with Paul Perz abstaining. B. OPERATIONS COMMITTEE November 2, 2017 (Informational Only) Paul Perz asked about TRU committee working with hospitals to write a policy for diversions. Wright explained that hospitals do go on divert from time to time, but we don t have a policy on how that information should get back to the responders, therefore TRU is addressing this. Paul Perz also asked about medical vaccinations; Ben Miller-Todd said the list of vaccinations Medic One reimburses for is what is published by the CDC. Paul also asked about the TCOMM stat variances. Chief Wright explained there is always a slight variance between the number of calls dispatched and the number of calls that show up in the reporting system, however the variance is usually relatively small. Staff will be meeting with TCOMM to follow-up on this. V. COMMITTEE REPORTS A. OPERATIONS COMMITTEE: Wright reported: 1) TRU worked throughout the summer putting together a slight change to dispatching that just went into effect and we think this will give us a little more ambulance availability. One of the changes had to do with a CPR call. It changes slightly for who gets called to a cardiac arrest with CPR in progress to match the standard of the industry. This would also help if we wanted to add something like pulse point into the system. Also, we will no longer dispatch an ambulance to code yellow calls as only about 30% of these calls require a transport. This will allow for more ambulance capability in the County. 2) Chief Wright asked for staff to discuss the topic of dropping AHA for CPR classes. Hardin reported that AHA has increased their cost up to 400% therefore Medic One will no longer offer the AHA class to citizens, only chest compression. AHA classes will still be offered for instructors and EMT student training. Kirkbride asked if AHA has adopted the chest compression only and staff confirmed that in fact they have. 3) Medic One staff and a number of fire agency staff attended a GEMT meeting (Ground Emergency Medical Transport). This was a follow-up to a presentation Ops provided the EMSC with about 18 months ago. Ben Miller-Todd has some notes on this if anyone would like to see them. It was decided that right now, this isn t the way Thurston County needs to go. 4) Special Projects; Ops did some clean up on this process. B. WEST REGION: No report. C. STAFF REPORT: This was included in the packet. One addition that just took place yesterday; there was a Microsoft update at the County level which started quarantining certain emails so if you are not receiving responses from staff, this k:\adminstration\committees\ems council\emsc meetings\2017\minutes\11 emsc minutes november 15.docx Page 1 of 2
4B could be the reason. Vice-Chair Moon asked about paramedic testing and staff reported 5 more new available paramedics which raised the list to 10. Paul Perz asked if the new medic units will be paid for in the 2017 fiscal year and Hardin confirmed this. VI. VII. VIII. IX. OLD BUSINESS NEW BUSINESS A. YTD Quarterly Budget Report Budget report was included in the packet, and was presented to EMSC. The report shows 51% has been expended through September; however with the purchase of medic units that have not been paid for, and some ALS contract billing we have not received, there is about $2.2 million already obligated for. This would bring the % of Expended Budget to approx.., 67%. A budget amendment has been created to move the purchase of the gurney s for the new medic units, into the 2018 budget. B. TRPC Report At the October Ops meeting, the committee asked about strategic planning that took place in 2016. The TRPC steering committee s plan was for the EMSC to follow-up with this in the fall of 2017. Kirkbride presented history on the strategic planning project and recommends developing a new steering committee with a new charge to develop a comprehensive 20 year plan, recognizing the change in medical delivery systems that we are going to have and how we are going to adopt to them as an organization. Council members who are interested in serving on the steering committee should send an email to Sandra Bush, no later than November 30 th. At the next EMSC meeting Chair McPhee will assign the committee. On behalf of Council Member Jim Cooper, Chief Wright asked that the Emergency Services Director be a part of the strategic planning committee and that progress reports are brought back to Medic One administration. C. EMT Course/SPSCC Hardin reported: There has been discussion on how Medic One can support the SPSCC EMT course, and ensure accurate information is relayed to the college. There was also discussion with SPSCC about options regarding the SPSCC EMT program. Medic One is considering how to produce additional EMT students during the year. Hardin is going to ask the Fire Chiefs to project and give Medic One the project course fill for each agency. PUBLIC PARTICIPATION None GOOD OF THE ORDER Chief Wright asked if there will be a December EMSC meeting. (Kirkbride/Merithew) move to cancel the December EMSC meeting and resume in January 2018. This carried unanimously. X. ADJOURNMENT Meeting adjourned at 5:02 PM. k:\adminstration\committees\ems council\emsc meetings\2017\minutes\11 emsc minutes november 15.docx Page 2 of 2
EMSC ALS Staff Update for 11/15/2017 5C ALS Update: LFD and OFD Medic Units are currently on schedule to be picked up on November 30 th. TFD Medic Units are currently scheduled to be picked up at the end of the second quarter in 2018. As the LP15 trial comes to an end, Medic One will also be trialing the Zoll X Series monitors in January and February this coming year. BLS Update: One more student dropped from the EMT course (self inflicted). We are down to 27 students, from 32. CPR Program: