PARSON COUNTY EMS

Barbara Gold

PAD3113: Executive Leadership

Dr. Richard H. Worch, Jr.

June 19, 2015

OVERVIEW OF PARSON COUNTY EMS

Located in Central Florida and spans 814 sq. miles 700,000 residents

35% of residence are 65 years of age or older. Parson County EMS employs 750 full-time and 250

part-time employees Nearly 150 active volunteers 23 EMS substations 49 advanced life support transport ambulances 4 American Eurocopter twin-engine helicopters An average of 76,000 medical assistance calls

annually.

WHAT SETS PARSON COUNTY EMS APART?

Parson County EMS is a not-for-profit agency

Funding Sources Taxpayer dollars Grants Various other funding sources

Third Service

THE MISSION OF PARSON COUNTY EMS

Respond to the medical emergency calls received through 9-1-1

Achieve excellence in all areas of operations

Active in the overall development of the community

Committed to providing public awareness and education to the citizens of Parson County

MISSION STATEMENT

The mission of Parson County EMS is to provide quality patient care and exceptional public service to the entire community of Parson County

ORGANIZATIONAL STRUCTURE

Director of Public Safety

Deputy Director/EMS Chief Medical Director

EMS Deputy Chief of EMS Deputy Chief of

Operations Training & Community Outreach

EMS Deputy Chief of Operations

EMS Deputy Chief of Training & Community Outreach

Responsible for the day-to-day operations

Operation chiefs, captions, EMTs and paramedics

Responsible for all equipment

Responsible for the development and training of all employees

Community Outreach Programs

GOALS OF PARSON COUNTY EMS

Enhance communication between Parson County EMS and receiving facilities

Reduce medical supply and equipment budget by 1.5%

Expand fall prevention education program for seniors and reduce fall rate.

Incorporate an evaluation tool to assess overall program/service outcomes

HUMAN RESOURCES

Hiring Evaluations and Promotions Grievances Discrimination Collective Bargaining

THE LEGAL & POLITICAL ENVIRONMENT

State of Florida Statute XXIX Chapter 401 Part II

State of Florida Statute XXIX Chapter 401 Part III

State of Florida EMT or Paramedics Licensure

THE ECONOMY

Recession of 2005 2015 Operations

RISK ASSESSMENT PLAN

Identification of the risk The quantification of the risk potential The prioritization of the risk The implementation of controls and

mitigation strategies The evaluation and revision of the

process

LEADERSHIP AND MOTIVATIONAL SKILLS

Leadership Styles Transformational Participative Servant

DECISION MAKING

Providing employees with the tools and knowledge needed to make decisions on their own

Empower employees Plan-Do-Study-Act (PDSA) Model

COMMUNICATION STYLE

Open dialogue Multidisciplinary approach One-on-One sessions Weekly publications

THE COMMUNITY

Community EducationIncluding CPR, First Aid & AED Training, babysitter certification classes.

Drug House Odyssey, Chronic Disease Self-Management Program

EMS Explorer ProgramHigh school students, ages 14-19, gain insight into the world of EMS

Transitional Care Services

REFERENCES Agency for Healthcare Research and Quality (2015). Plan-Do-

Study-Act (PDSA) Cycle. Agency for Healthcare Research and Quality. Retrieved from https://innovations.ahrq.gov/qualitytools/plan-do-study-act-pdsa-cycle

American College of Emergency Physicians. (2013). Transfer of patient care between EMS providers and receiving facilities. American College of Emergency Physicians. Retrieved from https://www.acep.org/Clinical---Practice-Management/Transfer-of-Patient-Care-Between-EMS-Providers-and-Receiving-Facilities/

Byars, L. L., & Rue, L. W. (2011). Human resource management. (10th ed.). New York, NY: McGraw-Hill.

CAAS. (2015). Welcome to CAAS. Commission on Accreditation of Ambulance Services. Retrieved from http://www.caas.org

Centers for Disease Control and Prevention (2015). Falls among older adults: An overview. Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html

Center for Patient Safety. (2015). AHRQ Survey on Patient Safety Culture. Retrieved from http://www.centerforpatientsafety.org/culturesurvey/

Daft, R. L. (2015). The leadership experience (6th ed.). Stamford, CT: Cengage Learning

Dworsky, P. I. (2009). An introduction to risk management for EMS. EMS World. Retrieved from http://www.emsworld.com/article/10319902/risk-management-for-ems

Florida Department of Health. (2015). Licensing and regulation: EMT and Paramedics. Florida Department of Health. Retrieved from http://www.floridahealth.gov/licensing-and-regulation/emt-paramedics/index.html

Florida Legislature. (2015). Title XXIX – Chapter 401. Florida Legislature. Retrieved from http://www.leg.state.fl.us/STATUTES/index.cfm?App_mode=Display_Statute&URL=0400-0499/0401/0401.html

Hill, B. (2013). The importance of a good organizational structure. Houston Chronicle. Retrieved from http://smallbusiness.chron.com/importance-good-organizational-structure-3792.html

Lavigna, R. (2014). Why government workers are harder to motivate. Harvard Business Review. Retrieved from https://hbr.org/2014/11/why-government-workers-are-harder-to-motivate

Lee County. (2015). Public Safety Leadership Team. Lee County. Retrieved from http://www.leegov.com/publicsafety/about-public-safety/who-we-are

New York City Fire Department. (2015). The fire and emergency services exploring program. NYC. Retrieved from http://www.nyc.gov/html/fdny/html/community/explorer_program.shtml

Olsen, M. F. (1980). A third uniform public safety service for the delivery of emergency medical services. U.S. Fire Administration. Retrieved from https://books.google.com/books?id=tVyD3tOqhJcC&pg=PA23&lpg=PA23&dq=define+third+service+ems+system&source=bl&ots=lzF_brzu5L&sig=3PoF2Wdd-t85GQ0LsTRhlsk0nms&hl=en&sa=X&ved=0CCwQ6AEwAjgKahUKEwiB6dOVvo_GAhVHi5IKHdNMALE#v=onepage&q=define%20third%20service%20ems%20system&f=false

Rinehart, E. (2014). Rising coasts force EMS crews to deal with medical supply shortages. The Columbus Dispatch. Retrieved from http://www.dispatch.com/content/stories/local/2014/08/18/drug-monitors.html

Society for Human Resource Management (2012). EEO: General: What is the difference between EEO, affirmative action and diversity?. Society for Human Resource Management. Retrieved from http://www.shrm.org/templatestools/hrqa/pages/cms_013810.aspxStanford School of Medicine (2015). Chronic Disease Self-Management Program. Stanford School of Medicine. Retrieved from http://patienteducation.stanford.edu/programs/cdsmp.html U.S. Office of Personnel Management (2015). Performance management: Organizational goals can be powerful energizers. U.S. Office of Personnel Management. Retrieved from https://www.opm.gov/policy-data-oversight/performance-management/performance-management-cycle/planning/organizational-goals-can-be-powerful-energizers/