K:\Adminstration\Committees\EMS Council\EMSC Meetings\2019\Agendas\11 EMSC November 20, 2019 Agenda.doc THURSTON COUNTY MEDIC ONE EMERGENCY MEDICAL SERVICES COUNCIL EMERGENCY SERVICES CENTER/EOC AGENDA November 20, 2019 3:30 PM I. CALL TO ORDER/ROLL CALL II. APPROVAL OF AGENDA III. PUBLIC PARTICIPATION IV. REVIEW AND APPROVAL OF MINUTES A. EMS Council - October 16, 2019 B. Ops Committee - November 7, 2019 (Informational only) V. COMMITTEE REPORTS A. Operations Committee – Ops Chair or Representative B. West Region EMS Council – WREMS Representative C. Staff Report D. Comprehensive Plan VI. OLD BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. ALS Contract Negotiations Committee – Staff Support Hardin Information B. C. VII. NEW BUSINESS ITEM PRESENTER EXPECTED OUTCOME A. 2019 3 rd Qtr Budget Review Miller Presentation C. Comprehensive Plan Kirkbride Discussion D. Sheriff’s Office AED Hardin Information E. Medical Records Release Fee Hardin Information VIII. PUBLIC PARTICIPATION IX. GOOD OF THE ORDER X. ADJOURNMENT Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388
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K:\Adminstration\Committees\EMS Council\EMSC Meetings\2019\Agendas\11 EMSC November 20, 2019 Agenda.doc
B. Ops Committee - November 7, 2019 (Informational only)
V. COMMITTEE REPORTS
A. Operations Committee – Ops Chair or Representative
B. West Region EMS Council – WREMS Representative
C. Staff Report
D. Comprehensive Plan
VI. OLD BUSINESS
ITEM PRESENTER EXPECTED OUTCOME
A. ALS Contract Negotiations Committee –
Staff Support Hardin Information
B.
C.
VII. NEW BUSINESS
ITEM PRESENTER EXPECTED OUTCOME
A. 2019 3rd Qtr Budget Review Miller Presentation
C. Comprehensive Plan Kirkbride Discussion
D. Sheriff’s Office AED Hardin Information
E. Medical Records Release Fee Hardin Information
VIII. PUBLIC PARTICIPATION
IX. GOOD OF THE ORDER
X. ADJOURNMENT
Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388
k:\adminstration\committees\ems council\emsc meetings\2019\minutes\10 emsc minutes october 16th.docx Page 1 of 2
Thurston County Medic One
Emergency Medical Services Council – Regular Meeting
Medic One Office
October 16, 2019
PRESENT: Margaret McPhee, Brian VanCamp, Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Stan Moon, Harry
Miller, Mike Buchanan, Sheila Fay, Lenny Greenstein
ABSENT: Larry Fontanilla
EXCUSED: Cody Colt, Paul Perz, Gary Edwards
GUESTS: Chris Clem, Steve Brooks, Scott LaVielle, Anne Benoist, Shawn Crimmins, Elizabeth Petrich
STAFF: Kurt Hardin, Sandra Bush
CALL TO ORDER/ROLL CALL – C h a i r M c P h e e called the r e gu l a r meeting of the Emergency Medical Services
Council (EMSC) to order at 3:30 PM.
I. APPROVAL OF AGENDA – MSC – (Oliva/Greenstein) move to approve and this carried.
II. PUBLIC PARTICIPATION – Margaret informed the council that Paul Perz is excused from the meeting becausehis sister passed away. Cindy Hambly provided an update on Anna Lee Drewry’s son Darrick who just had a lungtransplant.
III. REVIEW AND APPROVAL OF MINUTES
A. EMS COUNCIL – September 18, 2019 (Kirkbride/Moon) move to approve, and this carried.
B. OPERATIONS COMMITTEE – October 3, 2019 (informational only)
IV. COMMITTEE REPORTS
A. OPERATIONS COMMITTEE: VanCamp reported: 1) There was an MCI Active Shooter Drill update. 2) Thurston
County Emergency Management received funding for further active shooter training.
B. WEST REGION: Anne Benoist reported: 1) West region received a federal grant for education on strokes. Anne is working
with Ben Miller-Todd on producing a video that will be sent to all of the counties in the west region. There will be a
presentation at the 2020 conference, identifying stroke data points. 2) In the last EMSC meeting there was discussion about the
American College of Surgeons and their assessment of the EMS trauma system. DOH is beginning to have some quorums and
Anne attended the one last Monday, as did Chief Brooks. On the access to care portions, some people expressed a wish to
make the State responsible for designating level I and level II trauma centers. The local councils and regional councils would do
the min/max numbers for levels III through V.
C. STAFF REPORT: Staff report is included in the packet. Kurt had a couple of additions; 1) The BoCC approved the surplus
equipment resolution on October 15th. 2) October 29th is EMS Night at the SPSCC Lacey campus. 3) On the October 22nd
BoCC meeting agenda, Medic One is requesting approval for the purchase of (50) AED’s for the Thurston County Sheriff’s
department. Other law enforcement will follow in future budget cycles.
D. COMPREHENSIVE PLAN: The committee met last week to review the work the subcommittee did over the summer.
Next week a draft will go out to the EMSC members.
V. OLD BUSINESS
A. Appointment of ALS Contract Negotiations Committee – Chair McPhee appointed Stan Moon, Cindy Hambly, and
herself to the committee.
VI. NEW BUSINESS
A. FD8 Special Project Request – During the 2019 Special Project application process, FD8 was approved funds for
SORT training. Since that time, the SORT trainer was injured and will not be available until after the first of the
year. FD8 requested to use the funds approved for SORT training to purchase ballistic vests. The approved dollar
amount would not change. This was brought to the October Ops Committee, and the committee recommended
approval.
4A
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VII. PUBLIC PARTICIPATION – Chief LaVielle expressed his appreciation for the interaction of work from the
fire departments for the active shooter drills.
VIII. EXECUTIVE SESSION – At 4:00 the council entered executive session. At 4:20 executive session ended, and
open session resumed.
IX. GOOD OF THE ORDER – (Oliva/Ricks) move to approve amending the agenda to consider the Medic One survey
under New Business, and this carried. (Kirkbride/Greenstein) move to approve abstaining from using the results of the
Medic One survey conducted in March 2019, for any planning or other considerations, and this carried.
X. ADJOURNMENT – (Hambly/Fay) move to adjourn the meeting at 4:27, and this carried.
4A
THURSTON COUNTY MEDIC ONE
OPERATIONS COMMITTEE ~ MEETING MINUTES
MEDIC ONE OFFICE
November 7, 2019
PRESENT: Chris Clem, Larry Fontanilla, Kathy Pace, Scott LaVielle, John Wood, Mark John, Dave Pearsall, Keith
Flewelling, Jennifer Schmidt, Malloree Fontanilla, Alex Christiansen, Brian VanCamp
ABSENT: Stewart Mason
EXCUSED: Russ Kaleiwahea
GUESTS: Mike Buchanan, Tony Kuzma, Hillory Flowers, Dave Johnson, Mark Nelson, Shawn Crimmins
STAFF: Kurt Hardin, Sandra Bush, Ben Miller-Todd, Anna Lee Drewry
I. CALL TO ORDER/ROLL CALL – Chair VanCamp called the meeting to order at 2:00. Staff recorded roll.
II. APPROVAL OF AGENDA –MSC – The following changes were made to the agenda: Added New Business,
Item B, Private Ambulance Rates; Removed from Old Business, Item B, Special Projects Application & Matrix.
(Lavielle/Wood) move to approve the agenda as amended, and this carried.
III. PUBLIC PARTICIPATION – None
IV. REVIEW AND APPROVAL OF MINUTES
1. Operations Committee – October 2, 2019 – MSC (Flewelling/LaVielle) move to approve and this carried.
2. EMS Council – October 16, 2019 (informational only)
V. COMMITTEE REPORTS
A. WEST REGION – Pace reported: 2020 conference is scheduled for March 27 – 29. Registration opens in the
next couple of weeks.
B. SUBCOMMITTES
1. Equipment Committee (EqC) – Crimmins reported: 1) Drug shortages were discussed at the last meeting.
Medic One is still unable to get D50 but they were able to get D10 bags. Saline bottles are hard to come
by for some reason. 2) Bleach should not be used on the new Stryker gurneys. Wipes sold by Stryker
have been purchased. 3) Thermal Imagers are being purchased for the front-line medic units.
2. Mass Casualty Incident (MCI) Committee – LaVielle reported: The third revision to the MCI plan is being
finalized and it should be finished by January at the latest.
3. Training Advisory Committee (TAC) – There was no October meeting. Next meeting is November 21st.
4. Transportation Resource Utilization Committee (TRU) – Miller-Todd reported: TRU will meet the third
Wednesday in November. There is some ironing out that needs to be done with the round robin.
5. ePCR Committee – This was not on the agenda for a report.
6. Staff Report – Staff report is included in the packet.
VI. OLD BUSINESS
A. EMS Council Action Report – 1) Council was informed of the change to the special project request for FD8.
2) Appointment was made for the ALS Contract Negotiations Committee.
VII. NEW BUSINESS
A. Private Ambulance Rates – Clem reported: 2020 ambulance rates will increase due to the cost of minimum
wage increasing by 12.5%, and the cost of doing business going up.
B. QI Subcommittee – Staff is proposing to create a QI Subcommittee, which would be independent of the eCPR
subcommittee. This would be a permanent subcommittee and would consist of a representative from each
hospital, as well as a representative from each fire agency. The objective for the subcommittee will be to
ensure documentation is being done appropriately. The goal over the first 2 years will be 20% review of all
charts. (LaVielle/Flewelling) move to approve the creation of a QI Subcommittee, and this carried.
4B
Page 2 of 2
VIII. GOOD OF THE ORDER – 1) Local Thurston County Emergency Communications systems and Facilities
Proposition No.1 passed. This will allow TCOMM to purchase new radios. 2) The Thurston County BoCC
approved the purchase of AEDs for the Sheriff’s department. 3) Dr. Tom Fell had a boating incident recently and
emailed Medic One with praises to the EMS system, specifically Lacey Fire, South Bay Fire, and Olympic Ambulance.
4) There will be a regionalization meeting on November 18th at the Olympia Council Chambers. 5) Kathy Pace is
working with Ben Miller-Todd, Shawn Crimmins, and Dr. Fontanilla on a trial of dually launching airlift for all ALS
trauma. Ben will send out a letter explaining this, to all fire agencies.
IX. ADJOURNMENT – (LaVielle/Christiansen) move to adjourn the meeting at 2:32 PM, and this carried.
4B
EMS Council STAFF REPORT FOR 11/20/2019
ALS Update:
• ALS LIFEPAK 15 cardiac monitors were approved by the Board of CountyCommissioners on 11/12, and are expected to arrive from Stryker the middle ofDecember.
• The ePCR Committee and the MPD are working on updating the PCR (patientcare record) directives. Please pay attention as these will be finalized in thecoming month. Formal education surrounding the updates will occur in the 2020OTEP Documentation module.
• November Paramedic Testing was held November 13th - 15th. Further updateswere not available at the time this staff note was written, and details will beverbally relayed during the meeting.
• 45th Anniversary ALS Pictures were taken outside of PSPH on 11/7/2019. Oncethey have been processed, they will be distributed to all agencies.
BLS Update:
• 25 students remain in the 2019-2 EMT Class. The joint Fire Academy/EMT
Course Graduation Ceremony will be held on December 18th, at SPSCC Lacey
Campus.
• Training is busy working on finalizing OTEP for 2020. Filming the MPD segments
will take place in December and January.
• 2020 Instructor/Evaluator Workshop will be scheduled for the 25th, 26th, and 28th
of January. Applications will be sent to all Departments by November 15th.
• Reminder of WREMS Conference at Ocean Shores March 27-29, 2020.
CPR Update:
• As of November 13th, a total of 5751 citizens in Thurston County have been
• 1290C412/542000 (Communications): 122% - Tempo email was removed from the budget for2019/2020, however due to a delay for a new circuit, we have had to continue with the tempoemail system. This will be offset by budget from ALS.
• 1290C412/549005 (Training) – 120% – Training planned in 2018 was postponed to 2019 due tobusy schedules. No additional training costs expected in 2019.
• 1290C412/59*: No control over interfund expenses
ALS Overall, the ALS budget is 65% expended
• 1290C421/510000 & 521000:527000 (Salaries and benefits) Only 49% expended as a result ofthe open Information and Quality Coordinator and the Business Applications Technician IIpositions.
• 1290C424/543000 Travel: Medic One budgets $925 per medic a year for CME travel and trainingcosts. Many medics use their training funds locally and only request fuel reimbursement.
• 1290C425/545000 Operating Leases/Rentals: We are waiting for lease contract invoices tocome through. We anticipate fully expending this line item by the end of the year.
• 1290C428/535000 Small Tools and Minor Equipment: $15,000 was transferred from this lineitem to 1290C429/535000 Small tools and Minor Equipment. This was needed as we weredeploying new Medic Units, and this line was much more heavily used for Medic Unit parts in2017 and 2018. We decided to leave budgeted line at $77,000 because small parts and minorequipment can rapidly add up when there are issues. We have an additional $5,000 that will bebilled to this line that encompass O2 Filling Station upgrades to existing protective blastchambers in the other 6 medic unit locations. As our medic units age, we will need to keep thisline close to where it is for those pieces of equipment that need to be replaced.
• 1290C428/541000 Professional Services: – Currently, no ALS laundry services have been billedin 2019. The laundry service contract may go away in the next biennium due to the transition todisposable gurney sheets. Additionally, a full quarter of the ALS portion of the MPD contractswill post to this line item. We anticipate being spent approximately 70% by year end.
• 1290C428/ 548000 Repairs and Maintenance: Medic One anticipates being spent between 75%and 95% by year end. This will include the Stryker Gurney PM Contract and potentially the PMcontract for the Cardiac Monitors (depending on when the contract is executed)
• 1290C428/549000 (Miscellaneous): due to a miscoded invoice, miscellaneous supplies in ALSServices appears to be 71% expended. This will be corrected in the 3rd Qtr Budget reports.
• 1290C429/535000 (Small Tools & Minor Equipment) ALS Data Systems: $135K of this line wasexpended early in 1st quarter for the replacement servers in support of ESO. As more newtechnology is introduced into the Medic Units, more financial support is being required for smalltools and minor equipment in the ALS Data Systems budget. Since the small tools and minorequipment line in ALS Support (428 535000) has room to support a similar function in ALS DataSystems, money has been transferred between these two lines.
Medic One Budget 2019 Budget vs Actuals SUMMARY 7A
Medic One Budget 2019 Budget vs Actuals SUMMARY cont’d
BLS
Overall budget is 67% expended.
• 1290C445/531000 (Supplies) EMT Class 2019-2 is approximately mid-way through. The class will be completed December 7th. The remaining budget will be used to cover Instructors, Evaluators, paid Patients, and SEI wages. Although this line item is currently underspent this will change next quarter. Additionally, there will be some new equipment purchases (mannequins, suction units) during 4th quarter.
• 1290C480/516000 Citizen Hands Only CPR Classes have significantly increased and have already exceeded last year’s total numbers trained. This statement remains and will continue to increase through December.
ER&R
Overall budget is 4% expended.
• Equipment that is scheduled to be purchased in 3rd and 4th quarter: o ALS Monitors o Admin Vehicle
• The remaining funds after these purchases equates to the annual ER&R contribution for purchases in upcoming years.
7A
ORGS: 1290C401:1290C416 MEDIC ONE ADMINJan‐Sept 2019
ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED1290C401 598001 IF BUILDING RESERVES 21,342 21,342 16,006.50 5,336 75.00