K:\Adminstration\Committees\Operations Committee\2019\Agendas\6 Ops June 6, 2019 agenda.doc

THURSTON COUNTY MEDIC ONE

OPERATIONS COMMITTEE ~ REGULAR MEETING EMERGENCY SERVICES CENTER/EOC

June 6, 2019

2:00 PM

AGENDA

I. CALL TO ORDER/ROLL CALL

II. APPROVAL OF AGENDA

III. PUBLIC PARTICIPATION

IV. REVIEW AND APPROVAL OF MINUTES

A. Operations Committee - May 2, 2019

B. EMS Council - May 15 (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 VanCamp Information

B. PSPH CoN Update Hardin Information

C. Medic One Public Survey Hardin Presentation

VII. NEW BUSINESS

ITEM

PRESENTER

EXPECTED OUTCOME

A. Cancel July 4th Ops Meeting VanCamp Accept/Reject

B. FD12 Change to Run Card Hardin Discussion

C. Fireworks Update / Fire Ban Hardin Information

VIII

.

GOOD OF THE ORDER -

IX. ADJOURNMENT

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

5 ops may minutes 2019

THURSTON COUNTY MEDIC ONE

OPERATIONS COMMITTEE ~ MEETING MINUTES

MEDIC ONE OFFICE

May 2, 2019

PRESENT: Chris Clem, Larry Fontanilla, Malloree Fontanilla, Kathy Pace, Shawn Crimmins (ALT for TFD), Russ

Kaleiwahea, Brian VanCamp, Greg Wright

ABSENT: John Wood, Stewart Mason

EXCUSED: Dave Pearsall, Keith Flewelling, Alex Christiansen, Steve Brooks

GUESTS: Mike Buchanan, Tony Kuzma

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 2:15. Staff recorded roll.

Committee was short a quorum so Chief McGarva emailed approval for Shawn Crimmins to act as an alternate for

Tumwater Fire.

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

III. PUBLIC PARTICIPATION – None

IV. REVIEW AND APPROVAL OF MINUTES

1. Operations Committee – April 4, 2019 – MSC (Clem/Crimmins) moved to approve, and this carried.

VanCamp and Wright abstained.

2. EMS Council – April 17, 2019 (informational only)

V. COMMITTEE REPORTS

A. WEST REGION – Pace reported the board met last week and TAC will meet next week to discuss the

conference. Also, there will be a “stop the bleed” train-the-trainer next Thursday, May 9th, from 10 - 12 at

Airlift’s hangar.

B. SUBCOMMITTES

1. Equipment Committee (EqC) – Crimmins reported: At the last meeting there was discussion about the

national drug shortage, specifically epi 1:10,000, and Ketamine. Also, LED laryngoscope disposable blades

are now available and being handed out to the ALS units.

2. Mass Casualty Incident (MCI) Committee – Crimmins reported: There was discussion at the last meeting

about what is being carried on the rigs, and what a minimum should be. Will meet next week and a list will

go out showing what the minimum of supplies should be in an MCI bag. There was also discussion about

possibly getting a medical branch director board. A triage and treatment board was added during the last

go around. Transport and transport aides (small yellow clipboards) will probably be added to the bags, so

there is something available to write on.

3. Training Advisory Committee (TAC) – Drewry reported: The last meeting was well attended. There was

discussion on an alternate for the online training platform (EMS1). Committee would like to keep 24/7 for

at least a year to avoid frequent changes. Also, a train-the-trainer class has been scheduled with the MCI

group, for OTEP.

4. Transportation Resource Utilization Committee (TRU) – Fontanilla reported: Group has been meeting on

a semi-monthly to monthly basis. There has been less activity in the ER, so there has been less of a need

for diversion. Red Robin has been implemented (PSPH takes 2 patients, CMC takes 1 and Centralia

Providence takes one half) but he doesn’t believe it has been instituted.

5. Staff Report – Staff report is included in the packet. EMS Week is May 19 – 25 and a proclamation is

scheduled to go before the BoCC next Tuesday. Staff may be delivering ice-cream to stations.

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VI. OLD BUSINESS

A. EMS Council Action Report – VanCamp reported: 1) District 6 application for upgrade was approved. 2) ER

diversion update was provided. 3) DOH was present to talk about the PSPH CoN. As a result, Medic One will

perform a public records request with DOH. 4) There was a brief report on a public survey that went out in

March. Final report will be presented to the EMSC in May. 5) The Budget Committee will have one meeting to

discuss operating vs. reserve account. 6) The 2018 fiscal year review was presented.

B. Special Project Applications – Special Project committee met and reviewed all applications. There is a budget

of $10,000 for special projects, and $5,000 for SORT. The total dollar amount of requests received for special

projects came in at $19,147. Committee recommends to Ops to approve all requests, with the exception of

$8,000 for a power gurney safety enhancement District 9 requested. Committee recommends upgrading the

$10,000 in the budget to $13,000 which will allow $1,853 towards the power gurney safety enhancement

request. (Kaleiwahea/Wright) move to recommend adding $3,000 to meet the needs of the request as

recommended by the special projects committee, and staff will identify where it will come from. This carried.

C. Diversion Update – There has not been a recent situation where both hospitals are simultaneously on divert.

Working on a more stable and permanent solution going into the next flu system, and as things peak, what are

the expectations across both hospitals and how do we make diversion policy similar. There will be discussion

at the next TRU committee meeting, May 16th. MPD would like to reach out to the Centralia Physicians group

regarding friction issues between providers and hospital staff. Chief Wright said he received a call last Friday

from the Chief of DuPont wanting to know about diversion issues that their people were having when they

went to PSPH. Chief Wright encouraged him to contact Ben, which he did and asked if there was anything

DuPont could be doing to help with this issue. Ben told him it’s really about making sure they are abiding by

what their protocols are and what the expectation is for them. The Chief mentioned sending their patients to

any other hospital besides PSPH and Ben discouraged that. Fontanilla asked that this be brought up at the next

TRU meeting.

D. Certificate of Need Update – Several letters have been sent to DOH regarding the CoN for PSPH (Olympia,

Tumwater, WREMS, EMSC, EMC, BoCC). DOH has scheduled a decision to be made by June 3 rd.

E. ESSB5272 (Emergency Communications) Update – This is the emergency communications legislation that was

passed this last session. There is a meeting scheduled with Kurt, the County Manager, and the TCOMM

Director next week to talk about timing for putting this on a ballot measure. The indications are that TCOMM

will ask for a November 2019 ballot. The BoCC voted on putting the County courthouse ballot measure out

in April 2020. Medic One will be discussing the Medic One levy with the EMSC on when this should be going

to the County Commissioners.

VII. NEW BUSINESS

A. Surplus Vehicle/Equipment (MA2 & Android Tablets) – Medic One will be replacing the MA2 vehicle this

summer, and it will be up for surplus. Kurt suggested Ben sound out an email so he can start a list of those

who are interested and if there is no list than Medic One can go straight to County surplus. The old Android

tablets will also be available if anyone is interested.

VIII. GOOD OF THE ORDER – 2018 Medic One budget was 97% expended.

IX. ADJOURNMENT – 3:01 PM

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Thurston County Medic One Emergency Medical Services Council – Regular Meeting

Medic One Office May 15, 2019

PRESENT: Margaret McPhee, John Wood, Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Stan Moon, Harry

Miller, Cheryl Selby, Gary Edwards, Paul Perz, Sheila Fay

ABSENT: Larry Fontanilla, Cody Colt

EXCUSED: Lenny Greenstein, Brian VanCamp

GUESTS: Steve Brooks, Chris Clem, Greg Wright, Shawn Crimmins, Tony Kuzma, Anne Benoist

STAFF: Kurt Hardin, Joy Miller, Alan Provencher

CALL TO ORDER/ROLL CALL – C h a i r M cPh ee called the regu la r meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM.

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

II. PUBLIC PARTICIPATION – None

III. REVIEW AND APPROVAL OF MINUTES

A. EMS COUNCIL – March 20, 2019 (Moon/Hambly) move to approve and this carried. April 17, 2019

(Hambly/Ricks) move to approve and this carried.

B. OPERATIONS COMMITTEE – May 2, 2019 (informational only)

IV. COMMITTEE REPORTS

A. OPERATIONS COMMITTEE: No report.

B. WEST REGION: Anne Benoist reported: 1) EMST steering committee approved the 2019-21 WREMS strategic plan. 2)

Tomorrow is a webinar for the council and they will have a formal process to approve District 6 license upgrade. 3) Injury

prevention grant cycle has begun. 4) Last week there was a train-the-trainer for “stop the bleed”, at Airlift NW. 5) Training

and Education committee meeting will be May 21st. 6) Next council meeting is June 5th with an agenda to approve the fy20

budget, and vote for ex board & officers.

C. STAFF REPORT: Staff report is included in the packet. In addition, there is a request to take a look at and provide

information on paramedic overtime over the past couple of years and see what the cost is, and also look at paramedic

longevity. Kurt also mentioned that next week is EMS week.

D. COMPREHENSIVE PLAN: Kirkbride reported: Committee is moving ahead. The document is being written based on

goals and objectives that were shared with the EMSC. It has been challenging putting this into a written format, but Frank

thinks the plan is about 65 to 70% complete. Goal 4 (funding discussion) has not yet been started. The committee’s goal

was to have the plan ready for presentation by September but due to busy schedules with vacations, etc. it may be later than

September.

V. OLD BUSINESSA. Medic One Public Survey - The survey was discussed at the April and May Comprehensive Planning Committee

meetings to come up with a good overall executive summary for the EMSC. The purpose of the survey was to

provide the EMSC and the Medic One staff with what the public’s perception was of Medic One, and to helpdrive policy decisions in the future. 402 Thurston County voters were contacted for the survey and you needat least 400 to make it a statistically relevant survey. There was a 4.9% margin of error, which Kurt believes it

to be sufficient with it under 5. Key takeaways: Residents have a positive impression of Medic One, and apositive impression of EMS. At the beginning of the survey 55% of the respondents said they would supportrestoring the levy to $.50 and it rose to 62% after the respondents heard about services Medic One provides

and how it would only cost them an additional $50 per year in property taxes. Kurt has asked the consultantto come back and give us results by County district and zip code so we can see if there is a trend on whichareas support Medic One. Kurt asked the council to think about what components of an educational campaign

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need to be in place to help the public understand EMS and Medic One, and to come back to the council in June with their ideas. The Medic One fund balance will be discussed at the June EMSC meeting as this will need to

be considered when deciding when we need to go to the public for a levy restoration, and if we will want to restore the permanent levy or do a 6 year levy option. The 6 year option would take us to the voters every 6 years, but it would maintain the $.50 millage.

B. PSPH Certificate of Need Update – DOH said starting May 3rd they would accept additional information from PSPH for their CoN, with the intent to address the April 9th letter that DOH sent to PSPH regarding questions on their application. May 10th they would close public comment to that additional information. By June 3rd

DOH said they intend to make a decision on the CoN.

VI. NEW BUSINESS A. Special Project Applications – (Hambly/Oliva) move to approve the Special Project Committee’s

recommendation on the matrix, to include the additional $3,000, and this carried. (Kirkbride/Ricks) move to approve $5,000 for SORT, and this carried.

B. EMSC Representative to WREMS – WREMS does not currently have a representative from EMSC, with the

exception of Frank Kirkbride as an alternate. Paul Perz will apply as the representative. C. MPD Contract Amendment – (Moon/Hambly) move to approve the MPD contract amendment through

December 31, 2019.

D. 2019 1st Qtr Budget Review - Joy Miller presented the 2019 1st quarter budget review.

VII. PUBLIC PARTICIPATION – None

VIII. GOOD OF THE ORDER – None

IX. ADJOURNMENT – The meeting was adjourned at 4:27.

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OPS COMMITTEE STAFF REPORT FOR 06/06/2019

ALS Update:

Medic One did a site visit to Stryker (Physio-Control) in Redmond, WA on May 6th

and a Zoll site visit on May 21st in Boston, MA. Medic One is also reaching out to

area services with a combination of experiences with Zoll and Physio-Control.

Medic One had an internal deadline of making the decision on ALS monitors and

AEDs by June 1st.....which has been shifted to June 14th.

Medic One will be continuing to interview for the Information and Quality

Coordinator position. Please encourage anyone that you feel meets the

requirements of the position to apply.

BLS Update:

The current number of EMT Course students remains at 24. Graduation will be

held on June 12th at 6:00pm the SPSCC Kenneth J. Minnaert Center for the Arts.

The Train the Trainer class for MCI OTEP Instructors was completed on May 16th

at Medic One. All Instructors attending this training session will be teaching all

MCI OTEP throughout Thurston County.

The MCI Active shooter full scale exercises will be held June 27th at Timberline

Highschool and July 15th and 17th at Tumwater Highschool.

OTEP 2019 has had overwhelmingly positive reviews from our responders.

Responders report the video format and the online training site 24/7 have

improved their overall OTEP experience.

CPR Update:

3202 citizens have been trained in Hands Only CPR as of May 29th, 2019.

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

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