K:\Adminstration\Committees\EMS Council\EMSC Meetings\2019\Agendas\3 EMSC March 20, 2019 Agenda.doc

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I. CALL TO ORDER/ROLL CALL

II. APPROVAL OF AGENDA

III. PUBLIC PARTICIPATION

IV. REVIEW AND APPROVAL OF MINUTES

A. EMS Council - February 20, 2019

B. Ops Committee - March 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. Brown/Fell Scholarship (Brandon

Dawson, Brian Walton & Kevin Maltz) McPhee Presentation

B. Nomination Committee Hambly Report

C. EMSC Officer Elections McPhee Election

VII. NEW BUSINESS

ITEM

PRESENTER

EXPECTED OUTCOME

A. Diversion Issue Hardin Discussion

B. Letter to DOH from EMSC regarding

Providence St. Peter Certificate of Need

(CON) for increasing bed capacity

Hardin Approve/Disapprove

C. Thurston County Fire District #6 – Upgrade

Application

Hardin/Chief

Wood Information

VIII.

PUBLIC PARTICIPATION

IX. GOOD OF THE ORDER

X. MPD EVALUATION – Executive Session

X. ADJOURNMENT

Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388

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Thurston County Medic One

Emergency Medical Services Council – Regular Meeting

Medic One Office

February 20, 2019

PRESENT: Greg Wright, Brian VanCamp, Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Paul Perz, Stan

Moon, Harry Miller, Sheila Fay, Gary Edwards, Lenny Greenstein, Cheryl Selby

ABSENT: Larry Fontanilla, Cody Colt

EXCUSED: Margaret McPhee

GUESTS: Shawn Crimmins, Steve Brooks

STAFF: Kurt Hardin, Sandra Bush

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. There was an introduction of new member, Olympia Mayor Cheryl

Selby, and a moment of silence for Captain Ron Wertz. There will be a celebration of life for Captain Wertz at

the Lacey Community Center, March 2nd from 1:00 – 5:00 pm.

I. APPROVAL OF AGENDA – MSC – (Greenstein/Kirkbride) move to approve, and this carried.

II. PUBLIC PARTICIPATION – None.

III. REVIEW AND APPROVAL OF MINUTES

A. EMS COUNCIL – January 16, 2019 – (Kirkbride/Greenstein) move to approve, and this carried.

B. OPERATIONS COMMITTEE – February 7, 2019 (informational only)

IV. COMMITTEE REPORTS

A. OPERATIONS COMMITTEE: Wright reported: 1) There was a moment of silence for Captain Ron Wertz. 2) CPR

class for instructors was postponed due to inclement weather. 3) Chief Brian VanCamp will be Chair of Ops and Chief John

Wood will be Vice-Chair.

B. WEST REGION: Strategic Plan webinar was February 15th – most of it was adopted and forwarded to DOH. The

WREMS conference will be held in Ocean Shores, near the end of March.

C. STAFF REPORT: Staff report is included in the packet. 33 students enrolled in the spring EMT class and 3 dropped out

before the pre-requisite course. Classes will be held Mondays and Wednesdays and every other Saturday.

D. COMPREHENSIVE PLAN: Committee met last Thursday, and final editorial comments were made to the Medic One

survey. In addition, goals and objectives need to be written in text form as part of the plan, however, the committee is

struggling with how to evolve to the next step of creating the comprehensive plan. Because a comprehensive plan is a 20

year plan and a strategic plan is the first 5 years, the committee has decided to separate the two plans and focus on the

comprehensive plan which should result in identifying what needs to be dealt with right now. At this time the committee is

gathering up past studies, as part of the first objective. Hambly asked for committee meeting minutes to be included in the

EMSC meeting packet.

V. OLD BUSINESS

A. EMS Council Voting Policy – It was recommended to change the title to EMS Council Voting Procedure, as well

as a couple of editorial changes. (Kirkbride/Oliva) move to adopt the EMS Council voting procedure as

published with the editorial changes of changing the word “policy” to “procedure”, throughout the document,

and to make the editorial changes to #4 that is suggested by Cindy. This carried.

VI. NEW BUSINESS

A. Brown/Fell Scholarship (Brandon Dawson, Brian Walton, & Kevin Maltz) – (Greenstein/Ricks) move to approve

Brown/Fell Scholarships for Brandon Dawson, Brian Walton, and Kevin Maltz, and this carried.

B. Appoint Nominations Committee – Cindy Hambly and Tom Olivia have been appointed as the nominations

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committee. Council members will be emailed for nominations.

C. Ambulance Ordinance – (Kirkbride/Greenstein) move to approve the recommended ordinance changes for a

public hearing.

VII. PUBLIC PARTICIPATION – None

VIII. GOOD OF THE ORDER – 1) The BoCC issued a proclamation for February 2019 as heart healthy month. 2)

Margaret McPhee is not at the meeting today because she is with her daughter. Thoughts and prayers are asked

for. 3) Paul Perz mentioned CMS possibly changing guidelines for EMTs and paramedics to provide more services

on site so there is less transport to hospitals. This opened up discussion on hospitals going on divert more

frequently because they have met their patient capacity.

IX. ADJOURNMENT – Meeting adjourned at 4:23 PM.

4A

3 ops march minutes 2019

THURSTON COUNTY MEDIC ONE

OPERATIONS COMMITTEE ~ MEETING MINUTES

MEDIC ONE OFFICE

March 7, 2019

PRESENT: Greg Wright, Steve Brooks, Russ Kaleiwahea, Steve North, Brian VanCamp, Chris Clem, Larry Fontanilla,

Dave Pearsall, Stewart Mason, Malloree Fontanilla, Jim McGarva, Alex Christiansen

ABSENT:

EXCUSED: Kathy Pace, Keith Flewelling

GUESTS: Shawn Crimmins, Jim Brown, Tim Klotz, Mark Gregory

STAFF: Kurt Hardin, Sandra Bush, Anna Lee Drewry, Ben Miller-Todd

I. CALL TO ORDER/ROLL CALL – Chair VanCamp called the meeting to order at 2:00. Staff recorded roll.

II. APPROVAL OF AGENDA –MSC – (Brooks/Clem) move to approve and this carried.

III. PUBLIC PARTICIPATION – None

IV. REVIEW AND APPROVAL OF MINUTES

1. Operations Committee – February 7, 2019 – MSC (Brooks/Clem) moved to approve, and this carried.

2. EMS Council – February 20, 2019 (informational only)

V. COMMITTEE REPORTS

A. WEST REGION – West region met yesterday with several items for discussion. 1) WREMS conference is the

end of March. 2) Dr. Clark Waffle, MPD for Pierce County, along with Norma Pancake, EMS Coordinator for

Pierce County requested the subject of Thurston County hospital diversions be placed on the agenda at

yesterday’s meeting. Pierce County adopted a no diversion policy a number of years ago, so when a Thurston

County hospital diverts and they aren’t allowed to, this taxes their already full hospitals. (Brooks/Christiansen)

move to approve the TRU committee to pursue the issue of diversions in Thurston County, and this carried.

Providence and CMC will identify stakeholders from their facility who need to be a part of this discussion, and

it was recommended to bring Centralia Providence in to the discussion as well. This led into a discussion

about Providence St. Peter’s Hospital certificate of need submitted to DOH for increasing their bed capacity

by 50. There have been two delays in getting this approved but DOH has not explained the reason for the

delay. (Wright/Brooks) move to approve staff crafting a letter to DOH, and bringing it to the EMSC for their

signature, as a request for DOH to expedite the certificate of need submitted by Providence St. Peter

Hospital, and this carried. Dr. Fontanilla emphasized on the need for cooperativeness between the hospitals,

and he will bring this up at the EMSC meeting.

B. SUBCOMMITTES

1. Equipment Committee (EqC) – Crimmins reported: Committee did not meet last month, next meeting is

April 18th. There is currently a trial of fitted disposal gurney sheets with Lacey and Tumwater.

2. Mass Casualty Incident (MCI) Committee – Crimmins reported: 1) Next meeting is April 18th. At the

April meeting they will discuss the minimal amount of equipment needed in the MCI bag, as well as the

active shooter vests. Committee will also be looking at adding a triage aid person.

3. Training Advisory Committee (TAC) – Brown reported: 1) Committee is looking at on line training

platforms and metrics. 2) Committee attendance has been sparse. This will be discussed at the next

Chief’s meeting.

4. Transportation Resource Utilization Committee (TRU) – No meeting.

5. Staff Report – Staff report is included in the packet. Miller-Todd provided an update on the zoll trial;

There is currently an ALS monitor demo taking place on M3, M5, and M10 (the Zoll-X series). There is

also a trial on the Lacey end to look at AED viability of switching over to Zoll. Zoll is the only vendor

that has both AED voice recording in current production and an ALS monitoring system with voice

recording.

4B

3 ops march minutes 20199 Page 2 of 2

VI. OLD BUSINESS

A. EMS Council Action Report – VanCamp reported: 1) EMSC approved a voting procedure. This will be

brought to the April Ops meeting as information. 2) There were three Brown/Fell scholarships approved.

Awards will be presented at the March EMSC meeting. 3) Council talked about the comprehensive plan that is

being conducted.

B. OTEP Platform – Anna Lee Drewry provided a presentation on the Online Training platform assessment that

was done in 2018.

C. Remove Medic One identifying #’s from run reports – Miller-Todd reported: There was an issue brought up at

FLAC about Medic One (MO) numbers overriding NFIRS numbers and after talking to staff, these numbers

aren’t really used for counting anymore since staff completely relies on TCOMM’s data warehouse. TCOMM

Ops approved removal of the MO numbers. (McGarva/Brooks) move to approve removing MO numbers

from being reported in the TCOMM system as well as ESO, and this carried. Once this has been completed

TCOMM will send out a notification to all agencies.

D. Thurston County Ambulance Ordinance – On March 12th this is scheduled to go before the BoCC, asking for

a motion to set a public hearing. If approved, the public hearing will be April 9th at 3:00 pm, or as soon as

practical thereafter.

E. After Action Report; ESO, BLS Contracts, and HazMat Incident – ESO: Miller-Todd sent out a county wide

invitation to attend the ESO AAR and 8 people showed up. The biggest concern identified was the time table

and the cost associated with it. Possible solutions moving forward was making sure there is a plan for

notification of the costs as well as having a plan for train-the-trainer, and for on-shift training, and notifying the

appropriate stakeholders much earlier in the process. Something that cannot be changed is the speed at which

the transition happened. A formal report will go out shortly. BLS Contract: 3 agencies showed up and one

agency emailed Kurt with written input. The following are some items that came from the AAR: 1) Change

the content of the contract so exhibits can be changed without legislative approval; 2) To avoid funds being

unused, can the County issue a check at the end of the year? Direct purchase items would need to be

ordered by November 30th and received by December 31st; 3) Include a statement about merged agencies; 4)

The 2020 contract should be ready for negotiations by July 1st, and thereafter the contract will have an

automatic renewal process. HazMat Incident: It was noted that the ricin incident ran smoother than the

white powder incident; however, there was still a lot of room for improvement with the ricin incident. One

thing that came out of the AAR was how we can educate our providers so when they see words like castor

beans it means something, and they know how to act on it, and we need to implement certain procedures

based on that.

VII. NEW BUSINESS

VIII. GOOD OF THE ORDER – 1) Stewart Mason said CMC had a positive measles case. He will share more

information as he receives it. 2) There will be an agreement in place between Dr. Hoffman (Mason County) and Dr.

Fontanilla to allow medics from Olympic Ambulance, who are currently housed in Mason County and certified under

Dr. Hoffman, to do interfacility specific only transports out of PSPH and CMC. 3) LFD #3 agency was contacted

yesterday by the administrators of the new 108 bed inpatient behavioral health facility in Woodland Square in Lacey

and they believe the facility will be complete by April 30th, accepting patients by mid-May. Steve Brooks said they

have an interest in coordinating with our EMS system about developing protocol that would allow direct delivery.

IX. ADJOURNMENT – At 3:29 PM (McGarva/Mason) move to approve adjournment and this carried.

4B

EMS COUNCIL STAFF REPORT FOR 03/20/2019

ALS Update:

Zoll X Series monitor trial began on the Medic Units February 11th, 2019. The

current LP12 monitors are on their last year of service. This trial will run for 60

days. Starting the week of March 13th, the AED trial was initiated in Lacey. We

would also like to give everyone the opportunity to experience the AED, so let

me know if your department would like a demonstration.

MA2 (Medic Administration 2.....Scott’s vehicle) will be replaced in 2nd quarter

2019. It is 16 years old and scheduled for replacement.

The posting for the Information and Quality Coordinator position has produced

19 candidates in the inaugural pool. Medic One is looking forward to beginning

interviews at the end of March/early April.

BLS Update:

Training has added all BLS Personnel to the new online training platform. Amy is

working directly with Fire Departments and Ambulance Companies to ensure all

personnel are able to access online training and administrative rights are

functional.

2019 Training videos featuring Dr. Fontanilla have been completed. These videos

will be used by instructors during on site evaluations for OTEP.

Training is working on another training video with Fire Agencies regarding active

shooter.

CPR Update:

656 citizens were trained in Hands Only CPR as of February, 2019.

Thank you for a job well done to all of our CPR Instructors and staff!

5C

Thurston County EMS CouncilComprehensive Planning Committee – Regular Meeting

Olympia Fire Department Classroom

February 14, 2019

PRESENT: Frank Kirkbride (Chair), Greg Wright (Vice Chair), Stan Moon, Lenny Greenstein, Kurt Hardin,Brian VanCamp, John Wood, Janet Notarianni (Secretary).

ABSENT: Margaret McPhee, John Ricks, Steve Brooks, Paul Perz.

CALL TO ORDER: 3:00

AGENDAIntroductions of Guests: No guests.

Minutes from last meeting, January 10, 2018: Minutes approved unanimously by committee.

Medic One Survey-Discussion/ActionFinal review of the Medic One Survey. A number of 78% was added to question #8, to indicate theincrease in medical costs since 1999. It was decided to use percentage of increase of medical cost versusCPI to keep a clearer picture for survey respondents. After discussion, other changes to the surveyincluded adding the question of zip code, to help identify location in Thurston County and perhaps helpidentify fire districts that survey results are coming from. The committee also removed the question ofdisability status from survey. The committee is satisfied with the overall layout of survey at this point andwill leave any other potential issues for Hardin to resolve before the survey runs.

Wright brought up a concern regarding the run date of the Medic One Survey; it may coincide closely withthe County Courthouse Survey, due to run about the same time. Hardin will look into this.

Comprehensive Plan Document-DiscussionKirkbride requested an agreement regarding the layout and format of the Comprehensive Plan. Theoverall consensus of the committee was they were on track with the direction of the Comprehensive Plan,which will clearly identify the needs of EMS in Thurston County. They want to make sure it is in a formatthat will be used. They will utilize and elaborate more on the current studies and restate what the studiesconcluded. The Comprehensive Plan will not address any action items, since that will be essence of theStrategic Plan. The Executive Summary from the TRPC study will be included in the EMS ComprehensivePlan.

The committee then went through the Executive Summary findings from the TRPC Study and determinedif those recommendations, at the time of the study, were still valid and needed to be included in theComprehensive Plan.

Recommendations items from the TRPC Study that are to be included in the Comprehensive Plan: 1.9.1 Add a separate recommendation for ALS and check the Red Report.1.4.1, 1.7.1, 1.10.1, 1.10.2, 2.2.1, 3.1.1, 3.5.2, 4.2.1, 4.3.2 Include measures to ensure a more transparent process for advertising open citizen at

large positions.4.4.1 Include and address online content and types of public, online accessibility.

5D

February 14, 2019 Minutes

More TRPC Study recommendations to be included in the Comprehenisve Plan5.1.1, 5.1.2, 5.1.3

Goal 1, Objective 1-1 and 1-2 Discussion/ActionLooks good with one note about the TRPC Study recommendations to keep. I had noted 1.4.1 and1.7.1 as “keepers” as well.

Not completed yet. Work Schedule – Review and DiscussionDiscussion regarding the deadlines missed to date on the estimated work schedule. There wasacknowledgement of other accomplishments made, including completion of the Medic One Survey, settingexpectations of Comprehensive Plan, gathering studies and review of TRPC. It was decided the committeewill redirect from the prior work schedule and each subcommittee will start writing their respective areasof the plan directly.

Hardin suggests the first part of the Strategic Plan be complete by the beginning of the year 2020, in orderto have the election component of it available for the next cycle.

Good of the Order:

Next Meeting – Thursday March 14th, 2019, 2:00pm OFD Classroom

ADJOURNMENTFrank Kirkbride adjourned the meeting at 4:59.Minutes submitted by: Janet Notarianni

Minutes approved by:Date

Frank Kirkbride (Chair)_______________________________________________________

Greg Wright (Vice Chair)______________________________________________________

5D

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rl,nea°tt'iz EMS Credentialing PO Box 47877 Olympia, WA 98507 360,236,4700

Regional Council Review and Comment

This portion to be completed by the service applying for licensure and malled to the department with your completed application packet.

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Level of care provided on a 24-hour basis: rn BLS □ ILS □ ALS

[5ij_ Ambulance (transport) D Aid Service (non-transport) D Air Ambulance

The signature below is required in accordance with WAC 246-976-390. Please note that only DOH may approve licensure and verification of services.

This portion to be completed by the Regional Council Representative and returned to the department.

Does this application for verification appear to be consistent with the Regional Plan? D Yes D No Attach documentation to explain a "No" answer.

Regional EMS Council Representative

EMS Region

Signature

DOH 530-069 December 2018

Date

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