AGGEENNDDAA Agenda... · Tony Kuzma, Steve Brooks, Kim Droppert, Chris Clem, Kehlen Sachet, Mike...

K:\Adminstration\Committees\EMS Council\EMSC Meetings\2017\Agendas\6 EMSC June 21 2017 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 - May 17, 2017

B. Ops Committee - No June Meeting

V. COMMITTEE REPORTS

A. Operations Committee – Ops Chair or Representative

B. West Region EMS Council – WREMS Representative

C. Staff Report

VI. OLD BUSINESS

ITEM

PRESENTER

EXPECTED OUTCOME

A. MPD Contract Hardin

Recommend Approval to

the BOCC

B.

C.

VII. NEW BUSINESS

ITEM

PRESENTER

EXPECTED OUTCOME

A. 2017 1st Quarter YTD Budget Report Hardin Presentation

B. BLS Financial Support Hardin Information Only

C.

D.

E.

VIII.

PUBLIC PARTICIPATION

IX. GOOD OF THE ORDER

X. ADJOURNMENT

k:\adminstration\committees\ems council\emsc meetings\2017\minutes\5 emsc minutes may 17.docx Page 1 of 2

Thurston County Medic One

Emergency Medical Services Council – Regular Meeting

Emergency Operations Center/ECC

May 17, 2017

PRESENT: Jim Cooper, Rena Merithew, Frank Kirkbride, Tom Fell, Paul Perz, Michael Steadman, Stan Moon, Eileen

Swarthout, John Ricks, Gary Edwards, Greg Wright

ABSENT: Larry Fontanilla, Bill Owen

EXCUSED: Margaret McPhee, Russ Hendrickson

GUESTS: Tony Kuzma, Steve Brooks, Kim Droppert, Chris Clem, Kehlen Sachet, Mike Matousek, Scott LaVielle

STAFF: Kurt Hardin, Sandra Bush

CALL TO ORDER/ROLL CALL – V i c e - C hair Moon 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 the Brown/Fell Scholarship Presentation to

immediately following agenda approval, move MDP Review (Executive Session) under new business to just before

adjournment, and add two WREMS applications under new business. (Steadman/Cooper) move to approve the agenda

as amended, and it carried with Paul Perz abstaining.

II. PUBLIC PARTICIPATION – None

IV. REVIEW AND APPROVAL OF MINUTES

A. EMS COUNCIL – April 19, 2017 – MSC (Cooper/Kirkbride) move to approve, and this carried unanimously.

B. OPERATIONS COMMITTEE – May 4, 2017 (Information Only)

V. COMMITTEE REPORTS

A. OPERATIONS COMMITTEE: Wright reported: 1) The Mass Casualty Incident (MCI) Committee has been

reconstituted. 2) The Transportation Resource Utilization (TRU) Committee will have a large meeting on May 31st to look

at TCOMM dispatch and their protocols. 3) Special Projects will be discussed under New Business.

B. WEST REGION: Hardin reported: The Insurance Commissioner’s Office gave a presentation on health care policies and

health insurance, and there was an election of officers.

C. STAFF REPORT: Hardin reported: 1) The ALS Program Manager and the BLS Training Coordinator job descriptions

have been updated slightly with assistance from the HR department, hoping this will draw in more qualified candidates. 2)

EMT graduation is June 22nd, with the final class on June 24th.

VI. OLD BUSINESS

A. Brown/Fell Scholarship Presentation – Dr. Tom Fell presented the Brown/Fell Scholarship plaque and check to

Kehlen Sachet.

B. Ad-hoc Committee for MPD contract – The committee has met twice and negotiations continue. Vice-Chair

Moon asked the EMS Council for a two month extension on finalizing the contract, concurrent with extending

the current contract. (Kirkbride/Cooper) move to authorize the Director to extend Dr. Fontanilla’s contract

as MPD for two months, and this carried unanimously.

VII. NEW BUSINESS

A. ALS/BLS Fund Policy – As recommended from the Ops Committee, a proposed BLS Fund Policy is included in

the packet for adoption. A draft ALS Fund Policy is also included, but for information only. The County

Auditor and Prosecutor’s office have expressed concern that Medic One does not have a policy or contract in

place for BLS disbursement of funds. Due to the time that would be involved with getting 13 contracts in place

with the BLS agencies, the Auditor and Prosecutor’s office agreed on a policy in place of a contract. The intent

of the policy is to include what has been historically paid in the past, not to increase the budget, and to stay

within current budget restraints. (Kirkbride/Steadman) move to adopt the BLS policy as published.

(Ricks/Steadman) move to modify the language and remove the word “budgeted” in the following sentence:

“The expended amount shall not exceed the budgeted amount allocated for each providing agency”. This

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carried unanimously.

B. Special Project Requests – Wright reported: The Operations Committee presented their recommendation for

approval on the special project requests submitted by the fire agencies (included in packet). The special

projects budget is $10,000 and the total amount requested from Medic One is $6,244. (Kirkbride/Merithew)

move to accept the recommendation from Ops for special projects, for the amount of $6,244, and this carried

unanimously. In addition to the special project budget, there is $5,000 budgeted for SORT (Special Operations

and Rescue Team) equipment. (Cooper/Ricks) move to approve the $5,000 for SORT, and this carried

unanimously.

Wright also presented a request from District 12, which was received by Medic One mid-March 2017, for

equipment that was approved in 2016 for special projects. However, District 12 did not make the purchase

until December 2016 and received the equipment in 2017. Wright explained to the Council that staff reminded

District 12 on more than one occasion in 2016 to purchase their special project equipment. (Steadman) moved

to approve the reimbursement to District 12 (with remaining funds from the 2017 $10,000 budget and the

$6,244 approved amount). This motion did not receive a second, therefore the motion dies.

C. There are two membership applications for the Regional EMS and Trauma Care Council. The applications are

for Kurt Hardin and Sue Poyner. (Kirkbride/Ricks) move to approve the applications, and this carried

unanimously.

D. MPD Review (Executive Session) – (Cooper/Edwards) move to accept the recommendation by staff, and this

carried. Steadman opposed.

VIII. PUBLIC PARTICIPATION – None

IX. GOOD OF THE ORDER – 1) Kirkbride informed the Council that Sylvia Roberts’ (Chair of Lacey Fire) husband

unexpectedly passed away today. 2) EMS week is May 21 – 27 so Bush handed out the insert that will be going in

The Olympian, for recognition. 3) Brooks reported that WREMS has several vacant positions. One position would

be for a representative from the EMS Council, a position from a hospital, and a position from the 911 center. 4)

Hardin will be delivering the BLS financial support checks tomorrow. 5) Hambly/Suver retirement party is Saturday,

May 20th at 6:00, at the Indian Summer Golf and Country Club.

X. ADJOURNMENT – Meeting adjourned at 5:05 PM.

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Thurston County EMSC Meeting Medic One Staff Report

June 21, 2017

Administration: ALS Program Manager Position: The third round of interviews were scheduled for May 30 and results will be briefed at the Ops meeting. Two more candidates were interviewed on June 6, 2017 Training Coordinator Position: Interviews for this position are scheduled for the week of June 5. Three candidates have been notified for an interview on June 16th. Two have accepted the invitation to interview. The Thurston County BLS Training Program 5 year plan was submitted to the State of Washington Department of Health. This plan is required of all training programs in Washington State and must be in accordance with WAC. The plan was approved. Providence Saint Peter’s Hospital (PSPH) Clinical Agreements. The Clinical agreement with 12 agencies and PSPH was signed and distributed to all participating agencies. BLS policy. The BLS policy draft language was approved by the Thurston County Auditor and Prosecuting Attorney’s Office. The EMS Council removed one word before recommending approval. Listed below is the BLS policy language with the recommended change. The BLS policy is now in effect and purchases under this policy can now resume.

Medic One BLS Supply Funds shall be used to provide emergency medical care or emergency medical services,

including related personnel costs, training for such personnel and related equipment, supplies, vehicles, structures

needed to provide this care or service, and/or encourage preventative health measures. Expenses shall be consistent

with the level of the public agency’s State Department of Health Certification. These funds may be expended

directly by Medic One on behalf of the providing agency, or by the providing agency with reimbursement requested

from Medic One. The expended amount shall not exceed the budgeted amount allocated for each providing agency.

Medic One BLS Financial Support is provided directly to each jurisdiction to cover a portion of the costs for the

provision of their BLS service delivery.

ALS draft policy language. The ALS draft policy language is scheduled for review by the Operations Committee at the June 1 meeting. The language is currently under review by the Prosecuting Attorney’s Office. BLS Training: EMT Class: 17 students currently enrolled with graduation on June 22. CPR Outreach: 7 CPR Classes have been taught in 2017 for Thurston County Employees for the following Departments:

Family Juvenile Court

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HR Employees Engineering and Planning

A total of 83 employees have been trained. There is one more class scheduled for June and planning for more throughout the year. The goal is to provide training to all Thurston County Employees. A county wide report for Citizen CPR will be completed by June 30th. 74 Citizen CPR Classes were taught in Thurston County in the first quarter of 2017. A total of 718 citizens have been trained.

5C

OES CONTRACT – PAGE 1 OF 12 MEDICAL PROGRAM DIRECTOR – 2017-2019

K:\Adminstration\Contracts\MPD\2017 Selection Process

PROFESSIONAL SERVICES CONTRACT

THURSTON COUNTY, WASHINGTON

and

OLYMPIA EMERGENCY SERVICES PROFESSIONAL LIMITED LIABILITY COMPANY

THIS CONTRACT, made and entered into duplicate originals this day by and between the County

of Thurston, hereinafter referred to as the "COUNTY", and Olympia Emergency Services PLLC,

hereinafter referred to as “OES”.

WHEREAS, the COUNTY desires to enter into a contractual relationship for the services of a

Medical Program Director (MPD) for the Thurston County Medic One System that will assist the statutory

MPD with duties as provided for in Chapter 18.71 RCW, Chapter 246-976 WAC; and

WHEREAS, OES has qualified physicians that possesses sufficient skills and expertise to perform

the services identified in this Contract;

NOW, THEREFORE, in consideration of the terms, conditions, covenants, and performance

contained herein, the parties agree as follows:

I. SERVICES

A. The OES shall nominate one or more physicians that meet the MPD criteria for consideration

by the EMS Council. The EMS Council shall recommend one physician as the MPD candidate to the

Washington State Department of Health, Office of Emergency Medical Services and Trauma System,

(hereinafter referred to as “State DOH”) for consideration as the Thurston County MPD. This contract is

contingent upon the recommended candidate being appointed as the MPD by the State DOH. Only one

OES physician can serve as the MPD, appointed by the State DOH.

B. The MPD shall perform the services as set forth in Exhibit I, Section I, attached hereto and

incorporated by this reference.

C. The COUNTY shall provide the services as set forth in Exhibit I, Section II, attached hereto

and incorporated by this reference.

D. The MPD shall work under the direction and guidance of the Emergency Services Director,

hereinafter referred to as the Medic One Director, as related to MPD duties and responsibilities.

II. DURATION OF CONTRACT

A. The MPD shall provide the services under this Contract for a period of two (2) years beginning

August 1, 2017 and terminating July 31, 2019.

B. This Contract may be extended or terminated upon mutual agreement between the parties

heretofore and pursuant to the terms and conditions of this Contract.

III. COMPENSATION

A. The COUNTY shall pay OES for the services performed hereunder, based upon mutually

agreed rates contained in Exhibit "II," which is attached hereto and incorporated herein by reference.

B. Payment shall be made available by the tenth (10th) day of the month and released to OES

upon submission of monthly reports as referenced under Section XII and Exhibit III of this Contract,

following the month in which the services were provided.

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IV. AMENDMENTS TO CONTRACT

The COUNTY may from time to time, request changes in the services of the MPD to be performed

hereunder. Such changes, which are mutually agreed upon by and between the COUNTY and OES shall

be incorporated in written amendment to this Contract.

V. RELATIONSHIP OF THE PARTIES

A. The parties intend to create a working relationship under this Contract consistent with State

law and administrative rules governing the role of the MPD as an independent contractor. No agent,

employee, servant or representative of the MPD shall be deemed to be an employee, agent, servant or

representative of the COUNTY for any purpose, and the employees of the MPD, if any, are not entitled to

any of the benefits the COUNTY provides for COUNTY employees. The MPD will be solely and entirely

responsible for its acts and for the acts of its agent, employees, servants, and subcontractors or otherwise

during the performance of the Contract.

B. In the performance of the services herein contemplated, the MPD shall have the authority to

control and direct the medical related details of the work consistent with RCW 18.71, 18.73 and Chapter

246-976 WAC as delegated by the MPD pursuant to Chapter 246-976-920 (2) WAC; however, the services

contemplated herein shall be subject to the COUNTY'S general rights of inspection and review to secure

the satisfactory completion hereof. In the event that conflicts arise in the coordination of medical and

administrative issues between the MPD and the COUNTY, the Thurston County Emergency Medical

Services (EMS) Council shall serve as the appeal body to resolve the issues which are in conflict.

C. Written communications between the MPD and the COUNTY shall be addressed to the Medic

One Office. The Medic One Director shall serve as the contact person for the COUNTY.

D. Written communications between the COUNTY and the MPD/OES shall be addressed to the

OES Office. The MPD shall serve as the contact person for OES.

VI. HOLD HARMLESS

A. All services to be rendered or performed under this Contract will be performed or rendered

entirely at the MPD’s own risk and the MPD expressly agrees to hold harmless the COUNTY and all of

its officers, agents, employees, or otherwise, from any and all liability, loss or damage, including

reasonable costs of defense that they may suffer as a result of claims, demands, actions or damages to any

and all persons or property, costs or judgments against the COUNTY which result from, arise out of, or

are in any way connected with the services to be performed by the MPD under this Contract.

B. It is recognized by the parties that the MPD will be defended and held harmless by the State

DOH, EMS and Trauma Care Section, for any act or omission committed or omitted in good faith in the

performance of his duties (RCW 18.71.215). Therefore, no insurance requirement will be made of the

MPD as a condition of this Contract.

C. It is recognized by the parties that the statutorily appointed state MPD has authority for and

may delegate duties to the supervisory physician(s) pursuant to Chapter 246-976-920 (2) WAC, that such

delegation will be defended and held harmless by the State (DOH), Office of EMS and Trauma System

(OEMSTS), for any act or omission committed or omitted in good faith in the performance of his duties

(RCW 18.71.215). Therefore, no insurance requirement will be made of the MPD as a condition of this

Contract.

D. Insurance. Insurance coverage for services provided by the MPD under this Agreement is

provided by the State Department of Health. It is the responsibility of the MPD to make all appropriate

arrangements for coverage prior to engaging in any official duties under this Agreement. Thurston County

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shall not be liable to the MPD or any third party for any failure of the MPD to make insurance coverage

arrangements under this Agreement.

VII. NONDISCRIMINATION

The MPD shall not discriminate against any person in the performance of any of its obligations

hereunder on the basis of race, color, creed, ethnicity, religion, national origin, age, sex, marital status,

veteran status, sexual orientation or the presence of any disability. Implementation of this provision shall

be consistent with RCW 49.60.400.

VIII. JURISDICTION

A. This Contract has been, and shall be, construed as having been made and delivered within the

state of Washington, and it is agreed by each party hereto that this Contract shall be governed by laws of

the state of Washington, both as to interpretation and performance.

B. Any action of law, suit in equity, or judicial proceeding for the enforcement of this Contract

or any provisions thereof shall be instituted and maintained only in any of the courts of competent

jurisdiction in Thurston County, Washington.

IX. SEVERABILITY

A. It is understood and agreed by the parties hereto that if any part, term or provision of this

Contract is held by the courts to be illegal, the validity of the remaining provisions shall not be affected,

and the rights and obligations of the parties shall be construed and enforced as if the Contract did not

contain the particular provision held to be invalid.

B. If it should appear that any provision hereof is in conflict with any statutory provision of the

state of Washington, said provision which may conflict therewith shall be deemed modified to conform

to such statutory provision.

X. TERMINATION

If, through any cause, MPD shall fail to fulfill in timely and proper manner his obligation under

this Contract, the COUNTY shall, after consultation with the EMS Council, have the right to terminate

this Contract by giving written notice to OES of such termination and specifying the effective date thereof,

at least thirty (30) days before the effective date of such termination.

Either party may terminate this agreement by giving written notice to the other party of its intent

to terminate. Such written notice must be given at least ninety (90) days prior to the effective date of

termination. The exercise of any rights under this section relate only to the termination of the terms and

conditions contained herein. The appointment of the MPD as Medical Program Director for Thurston

County may only be terminated by the statutory MPD pursuant to WAC 246-976-920(2).

This Contract shall be terminated immediately if the MPD's certification, by the State Department

of Health, is terminated, unless OES provides another qualified candidate for MPD

XI. INFORMATION AND REPORTS

OES shall submit the monthly activity report concerning the services provided under this Contract

as set forth in Exhibit III attached hereto and incorporated by this reference, by the tenth (10th) day of the

month following the month in which the services were provided.

XII. RECORDS AND INSPECTIONS

The MPD shall maintain full and accurate records with respect to all matters covered under this

Contract. The COUNTY shall have free access at all proper times to such records, and the right to examine

and audit the same and to make transcripts therefrom, and to inspect all program data, documents,

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proceedings, and activities relating to the performance of this Contract. All records required to be

maintained by this Contract or by State law, except medical and treatment records, or records otherwise

exempt by law, shall be considered to be public records and maintained in accordance with applicable

laws.

XIII. ENTIRE CONTRACT

The parties agree that this Contract is the complete expression of the terms hereto and any oral

representation or understandings not incorporated herein are excluded. Further, any modifications of this

Contract shall be in writing and signed by both parties. Failure to comply with any of the provisions stated

herein shall constitute material breach of Contract and cause for termination. Both parties recognize time

is of the essence in the performance of the provisions of the Contract. It is also agreed by the parties that

the forgiveness of the nonperformance of any provision of this Contract does not constitute a waiver of

the provisions of this Contract.

DATED:

CONTRACTOR:

Olympia Emergency Services PLLC

BOARD OF COUNTY COMMISSIONERS

Thurston County, Washington

Adam Fox, DO

By: ____________________ Date: _________

Chair

ATTEST:

Clerk of the Board Vice-chair

Commissioner

APPROVED AS TO FORM:

JON TUNHEIM

Prosecuting Attorney

BY: RICK PETERS

Deputy Prosecuting Attorney

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”EXHIBIT I”

SCOPE OF SERVICES

I. The MPD shall provide the following services:

A. The MPD shall dedicate 8 hours per week for three weeks of each month that are scheduled

published and published at least 30 days in advance. The 8 hours a week are conducted during

normal office hours at the Medic One location. The remaining hours each month, a minimum

of 12 and a maximum of 18, can be completed anytime during the calendar month in

conjunction with accomplishing MPD duties. Additional hours, mutually agreed upon by the

MPD and the Medic One Director, can be scheduled for unusual circumstances that require the

MPD to work more than the 42 hours allotted in the month.

B. The MPD will perform the duties of an approved Emergency Medical Services Medical

Program Director (MPD), as defined in the Revised Code of Washington and the Washington

Administrative Code.

C. The MPD shall be responsible for overall development, implementation, and supervision of

medical control for the out-of-hospital Emergency Medical Services (EMS) System. He/She

shall provide medical program direction, review, evaluation and correction.

D. The MPD shall direct the medical control and medical quality assurance of the EMS System,

including the following activities:

Defines medical control objectives. Initiates and coordinates medical control

improvements. Administrative or operational components are referred to and

coordinated with those agencies with administrative and operational responsibilities.

Works with and directs the activities of the assistant MPD, MPD in Training and

Physician Medical Control Supervisors (Base Station Physicians) to ensure appropriate

medical control of the EMS System.

Develops and implements Thurston County Medic One EMS System orientation

program, including an on-going ride-along program, for Base Station Physicians. These

orientation programs will be presented to all designated Base Station Physicians. The

MPD will provide semi-annual reports to the EMS Council concerning the activities of

the ride-along program.

E. The MPD shall develop and conduct reviews of out-of-hospital, countywide treatment, triage

and transfer protocols (both in and out of county), including the following activities:

Provide medical control of the out-of-hospital EMS System by implementing countywide

treatment, triage and transfer protocols, utilizing written procedures.

Identify and define in writing the medically related roles and responsibilities of the EMS

System providers.

Conduct an annual review of the Thurston County EMS Patient Care Guidelines.

Recommendations for additions, deletions, or modifications will be made on a timely

basis in order to allow for implementation by the EMS staff.

F. Establish, coordinate and assist in the development and implementation of education programs

for EMS System providers consistent with State law and administrative regulations, including

the following activities:

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Audit the performance and skill maintenance of paramedic field personnel. Audits will

include review by the MPD, or designee, of EMS patient medical incident report forms

as well as providing monthly paramedic inservice sessions. The MPD will develop and

implement the yearly paramedic inservice training schedule to include class content and

instructors.

Audits the performance and skills maintenance of Emergency Medical Technician

(EMT) field personnel. Audits will include review by the MPD, or designee, of EMT

patient medical incident report forms. The audit review will include report forms

randomly selected from all county EMTs. The MPD and/or delegate will randomly audit

Continuing Medical Education (CME) classes, at least one (1) per quarter. The MPD

and/or delegate shall approve the annual Basic Life Support (BLS) CME inservice class

curriculum and participate in the Basic EMT classes by instruction and audit. In

conjunction with the BLS Training Supervisor, the MPD and/or delegate shall review all

EMT defibrillation events.

The MPD shall ride with an EMT and Paramedic emergency medical service unit at least

quarterly.

The MPD and/or delegate will meet with Thurston 9-1-1 Communications (TCOMM)

personnel to review Emergency Medical Dispatch (EMD) protocols and calls for medical

assistance to ensure appropriate dispatch application and allocation of EMS resources.

This will be done at least once (1) every three (3) months.

G. The MPD shall recommend to the State Department of Health, EMS and Trauma Care Section,

personnel for certification, recertification, decertification, suspension, modification and

recommendation not to recertify. All such recommendations will be made known in writing

to the Medic One Director, to the BLS Training Supervisor in the case of action involving an

EMT, and to the Chief of the fire agency whose employee or volunteer is the subject of the

action, prior to the recommendation being sent to State DOH.

All actions leading to a recommendation or possible recommendation of decertification will

be in accordance with the EMS System's Due Process Policy.

H. The MPD shall work with the Thurston County EMS Council, the Operations Committee,

Medical Society, and their committees, and any other appropriate organization to carry out the

medical objectives of the EMS System. These include developing procedures, guidelines, and

service delivery concepts to implement local agency’s Mobile Integrated Healthcare;

Community Assistance, Referral, and Education Service; and similar out of hospital medical

related services.

I. The MPD shall attend regularly scheduled meetings of the EMS System's Operations

Committee and EMS Council.

J. The MPD, with staff support, shall evaluate the medical performance of the EMS System. This

includes the review of medical records as identified in Sections E.1. and E.2. above. Outcome

analysis will include comparison to other EMS Systems. Comparisons will also be made to

medical objectives as identified in sections C.1. and F. above. The MPD will also recommend

medical related improvements for the provider systems as appropriate.

Evaluation of medical performance will include investigation of incidents of alleged

inappropriate/incorrect medical care. These investigations will be conducted in a timely and

confidential manner. Any such incident which may have an adverse operational, public

relations, or liability implication to the Medic One System, shall be reported by the MPD to

the Medic One Director within 24 hours of the MPD learning of the situation or incident.

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The MPD shall meet on a regular basis with the ALS provider agencies, at least quarterly.

K. The MPD shall make a good faith effort to attend meetings of State DOH West Region EMS

Medical Program Director's group.

L. The MPD may attend at least one annual EMS or emergency physicians' conference. The EMS

System will reimburse the MPD for appropriate and allowable pre-approved related expenses.

M. Perform other duties as assigned by the Medic One Director, EMS Council or their designee

consistent with the roles and responsibilities of the MPD delegate as designated under State

law.

II. The COUNTY shall provide for routine clerical assistance in support of the duties and requirements

of the MPD as described in this Contract and delegated by the MPD. Requests for such assistance

by the MPD shall be coordinated with the Medic One Office. A good faith effort will be made to

provide such service in a timely manner, subject to availability of staff and other priority work

assignments.

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”EXHIBIT II”

COMPENSATION

I. The MPD's compensation under this Contract, which is described in Section III. of the Contract

(COMPENSATION), is set forth as $210 per hour.

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“EXHIBIT III”

CONTRACT SERVICES WORK REPORT

Medical Program Director

NAME: MONTH:

WORK COMPLETED

# OF

HOURS

# OF

PERSONS

WORK PERFORMED BY

DELEGATED

PHYSICIAN

ADMIN

SUPPORT

SELF

PATIENT CARE PROTOCOLS

PERSONNEL RECOMMENDED

FOR CERTIFICATION

FOR RECERTIFICATION

COUNSELING

FOR DECERT, ETC

TRAINING/CME

FIRST RESPONDER TRAINING

FIRST RESPONDER CME

EMT TRAINING

EMT CME

PARAMEDIC TRAINING

PARAMEDIC CME

SPECIAL SKILLS

ONGOING TRAINING &

EVALUATION

QUALITY IMPROVEMENT

REGIONAL COUNCIL

PARTICIPATION

OTHER (specify)

*These items must be performed by the MPD and may not be delegated.

COMMENTS

MPD DATE

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“EXHIBIT IV”

Annual MPD Evaluation and Performance Appraisal

Thurston County Medic One/EMS

MPD Contract Review

2012-2014

Service 2017-18 2018-19 Notes Rating1-4 4=Outstanding 3=Exceeds expectations 2=Meets expectations 1=Below expectations 0=Not acceptable +/P = acceptable/Pass -/F = unacceptable/Fail

1. Duties of an approved Emergency Medical Services Medical Program Director (MPD), as RCW/WAC

2. Shall provide medical program direction, review, evaluation and correction.

3.The MPD shall direct the medical control and medical quality assurance of the EMS System, including the following activities:

3a. Defines medical control objectives. Initiates and coordinates medical control improvements.

3b. Works with and directs the activities of Physician Medical Control Supervisors (Base Station Physicians).

3c. Develops and implements Thurston County Medic One EMS System orientation program, including an on-going ride-along program, for Base Station Physicians. The MPD will provide annual reports to the EMS Council concerning the activities of the ride-along program.

4.The MPD shall develop and conduct reviews of out-of-hospital, county-wide treatment, triage and transfer protocols (both in and out of county), including the following activities:

4a. Provide medical control of the out-of-hospital EMS System by implementing county-wide treatment, triage and transfer protocols, utilizing written procedures.

4b. Identify and define in writing the medically related roles and responsibilities of the EMS System providers.

4c. Conduct an annual review of the Thurston County EMS Patient Care Guidelines. Recommendations for additions, deletions, or modifications will be made on a timely basis in order to allow for implementation by the EMS staff.

5. Establish, coordinate and assist in the development and implementation of education programs for EMS System providers consistent with State law and administrative regulations, including the following activities:

5a. Audit the performance and skill maintenance of paramedic field personnel. Audits will include review by the MPD, or his designee, of EMS patient medical incident report forms. Provide monthly paramedic inservice sessions. The MPD will develop and implement the yearly paramedic inservice training schedule to include class content and instructors.

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5b. Audits the performance and skill maintenance of Emergency Medical Technician (EMT) field personnel. Audits will include review by the MPD, or his designee, of EMT patient medical incident report forms. The audit review will include report forms randomly selected from all county EMTs. The MPD will randomly audit Continuing Medical Education (CME) classes, at least one (1) per quarter. The MPD shall approve the annual Basic Life Support (BLS) CME inservice class curriculum and participate in the Basic EMT classes by instruction and audit. In conjunction with the BLS Training Supervisor, the MPD shall review all EMT defibrillation events.

5c. The MPD shall ride with emergency medical services units (ALS and BLS) at least once (1) every three months. Ride-along time on such units shall be for an eight (8) hour shift.

5d. The MPD will meet with Department of Communication (TCOMM) personnel to review Emergency Medical Dispatch (EMD) protocols and calls for medical assistance to ensure appropriate dispatch application and allocation of EMS resources. This will be done at least once (1) every three (3) months.

6. The MPD shall recommend to the State Department of Health, EMS and Trauma Care Section, personnel for certification, recertification, decertification, suspension, modification and recommendation not to recertify. All such recommendations will be made known in writing to the Medic One Director, to the BLS Training Supervisor in the case of action involving an EMT, and to the Chief of the fire agency whose employee or volunteer is the subject of the action, prior to the recommendation being sent to State DOH.

7. The MPD shall work with the Thurston County EMS Council, the Operations Committee, Medical Society, and their committees, and any other appropriate organization to carry out the medical objectives of the EMS System. The MPD or his designated supervising physician shall attend regularly scheduled meetings of the EMS System's Operations Committee and EMS Council.

8. The MPD, with staff support, shall evaluate the medical performance of the EMS System. This includes the review of Medical records as identified in Section 5(a) and 5(b) above. Outcome analysis will include comparison to other EMS Systems. Comparisons will also be made to medical objectives as identified in sections 3(a) and 7 above. The MPD will also recommend medical related improvements for the provider systems as appropriate. Evaluation of medical performance will include investigation of incidents of alleged inappropriate/incorrect medical care. These investigations will be conducted in a timely and confidential manner. Any such incident which may have an adverse operational, public relations, or liability implication to the Medic One System, shall be reported by the MPD to the Medic One Director within twenty-four (24) hours of the MPD learning of the situation or incident.

9. The MPD shall meet on a regular basis with ALS provider agencies, at least quarterly.

10. The MPD shall, within the constraints of his hospital work schedule, establish a routine time to be present in the Medic One Office to meet with EMS personnel and staff. This routine time, at least the equivalent of 8 hours per month in two periods (bi monthly), will be scheduled as far in advance as possible.

11. The MPD shall make a good faith effort, within the constraints of his hospital work schedule, to attend meetings of State DOH West Region EMS Medical Program Director's group.

12. The MPD shall designate a qualified supervising physician to act in the capacity of MPD should the incumbent be absent, incapacitated or otherwise unable to fulfill the requirements of this work statement.

13. The MPD may attend at least one annual EMS or emergency physicians' conference. The EMS System will reimburse the MPD for all appropriate, pre-approved related expenses.

6A



14. Perform other duties as assigned by the Medic One Director, EMS Council or their designee consistent with the roles and responsibilities of the MPD delegate as designated under State law.

B. The COUNTY shall provide for routine clerical assistance in support of the duties and requirements of the Medical Program Director as described in this Contract. Requests for such assistance by the MPD shall be coordinated with the Medic One Office. A good faith effort will be made to provide such service in a timely manner, subject to availability of staff and other priority work assignments. ALS Coordinator support to be provided

Points

Areas scored

Average = Y

Rating

Acknowledged: _________________________________________________ Date: _____________ , MD, MPD Review Completed by: ___________________________________________ Date: _____________ Kurt Hardin, Director

6A

Expended Remaining in % of Expended(Budgeted) Enhanced 3/31/2017 Budget Budget

588,679 588,679 109,037 479,643 19%9,792,350 10,102,303 1,394,032 8,708,271 14%

501,735 558,802 95,364 463,438 17%1,476,456 1,504,456 179,405 1,325,050 12%1,601,067 1,601,067 0 1,601,067 0%

21,399 21,399 5,350 16,049 25%13,981,685 14,376,706 1,783,188 12,593,518 12.403%

RECAP

2017

ER&ROPERATING TRANSFER

TOTAL PROGRAM BUDGETS

ADMINISTRATIONADVANCED LIFE SUPPORTEMS TRAININGEMS SUPPORT & CPR/PIE

7A

Expended Remaining in % of ExpendedBudgeted Enhanced 3/31/2017 Budget Budget

1290C411 ADMINISTRATION WAGES/BENEFITSWAGES/BENEFITS Subtotal 342,662 342,662 69,129 273,533 20%

1290C412 ADMINISTRATION MAINTENANCE & OPERATIONS531000 SUPPLIES 10,675 10,675 435 10,240 4%

535000 MINOR EQUIPMENT 3,899 3,899 242 3,657 6%

541000 PROFESSIONAL SERVICES 3,500 3,500 0 3,500 0%

542000 COMMUNICATIONS 9,252 9,252 2,079 7,173 22%

543000 TRAVEL 10,500 10,500 2,085 8,415 20%

ADMINISTRATION2017

7A


1290C412 ADMINISTRATION MAINTENANCE & OPERATIONS (Con't)

548000 REPAIRS/MAINTENANCE 13,556 13,556 2,423 11,133 17.87%549000 VARIABLE OPERATING COSTS 2,000 2,000 -205 2,205 -10.27%549005 CONFERENCE REG. FEES 5,425 5,425 0 5,425 0.00%551000 EMERGENCY CONTINGENCY 51,500 51,500 0 51,500 0.00%

575000 CAPITAL LEASES/COPIER - PRINCIPAL 4,532 4,532 1,078 3,455 23.78%583000 CAPITAL LEASES/COPIER - INTEREST 381 381 151 231 39.51%591001 IF/RECORDS (Archive/Imaging) 3,225 3,225 806 2,419 25.00%591002 IF/IT SERVICES 50,038 50,038 12,518 37,520 25.02%591003 IF/IT INFRASTRUCTURE 6,187 6,187 1,586 4,601 25.63%591008 IF/GIS SERVICES 3,537 3,537 884 2,653 25.00%591009 IF/BUDGET SERVICES 6,000 6,000 0 6,000 0.00%591011 IF/IT APPLICATION REPLACEMENT 4,166 4,166 1,042 3,125 25.00%592001 IF/PHONES 591 591 148 443 25.00%592002 IF/MAILROOM SERVICES 3,201 3,201 800 2,401 25.00%592003 IF/POSTAGE 698 698 310 388 44.44%592004 IF/VERIZON 1,427 1,427 344 1,083 24.12%595001 IF/OFFICE LEASE & UTILITIES 51,726 51,726 13,181 38,544 25.48%

ADMINISTRATION M&O Subtotal 208,191 208,191 35,066 173,125 16.84%

ADMINISTRATION Total 588,679 588,679 109,037 479,643 19%

ADMINISTRATION (continued)2017

7A

0 0 Expended Remaining in % of Expended(Budgeted) Enhanced 3/31/2017 Budget Budget

1290C421 ALS ADMINISTRATION M&O WAGES/BENEFITSWAGES/BENEFITS Subtotal 159,063 159,063 8,377 150,686 5%

1290C422 ALS ADMINISTRATION MAINTENANCE & OPERATIONS 531000 BOOKS/TEXTS/PUBLICATIONS 345 345 0 345548000 REPAIRS & MAINT COPIER 300 300 46 254551000 500 500 0 500

ALS ADMIN M&O Subtotal 1,145 1,145 46 1,099 4%

ALS ADMIN & M&O Total 160,208 160,208 8,423 151,785 5%

ALS M&O2017

VARIABLE OPERATING COSTS

7A


1290C424 ALS TRAINING/TRAVEL (PM ONLY)543000 TRAVEL (PARAMEDIC ONLY) 32,500 32,500 4,245 28,255 13%549005 TRAINING (PARAMEDIC ONLY) 27,625 27,625 8,187 19,438 30%

PM TRNG/TVL Total 60,125 60,125 12,432 47,693 21%

1290C425 ALS CONTRACT SUPPORT (direct)545000 SPACE RENTALS/LEASES 66,259 66,259 6,684 59,575 10%546000 125,000 125,000 35,437 89,563 28%551000 INTERGOVERNMENTAL PAYMENTS 8,074,565 8,313,015 1,071,332 7,241,683 13%

ALS SUPPORT (direct) Total 8,265,823 8,504,273 1,113,453 7,390,820 13%

LIABILITY & MEDICAL MALPRACTICE INS

ALS SUPPORT - DIRECT2017

7A


1290C428 ALS SUPPORT (services)531000 60,000 60,000 2,773 57,227 5%531003 UNIFORMS 20,000 20,000 0 20,000 0%531012 ALS MEDICAL SUPPLIES 318,000 318,000 89,020 228,980 28%531014 PHARMACEUTICALS 145,000 145,000 11,814 133,186 8%

532000 FUEL/OIL - ALS UNITS 60,000 60,000 4,598 55,402 8%535000 MINOR EQUIPMENT 60,000 60,000 3,625 56,375 6%541000 PROFESSIONAL SERVICES 76,007 76,007 13,981 62,026 18%541009 ADVERTISING 1,500 1,500 200 1,300 13%542000 COMMUNICATIONS 10,000 10,000 823 9,177 8%548000 ALS EQUIP MAINTENANCE AGMTS 50,000 50,000 25,137 24,863 50%548003 VEHICLE MAINTENANCE LABOR ONLY 130,000 130,000 9,107 120,893 7%549000 VARIABLE OPERATING COSTS 14,256 14,256 724 13,532 5%564000 MACHINERY & EQUIP

ALS SUPPORT - SERVICES2017

VEHICLE MAINTENANCE PARTS & SUPPLIES

7A


1290C428 ALS CONTRACT SUPPORT (services) Con't591004 238,463 238,463 59,616 178,847 25%591010 2,450 2,450 613 1,837 25%592003 698 698 46 652 7%593001 1,000 1,000 0 1,000 0%595000 600 600 0 600 0%596000 IF/INSURANCE RISK 13,951 13,951 3,488 10,463 25%598002 500 500 0 500 0%551000 60,923 0 60,923 0%551000 10,580 0 10,580 0%

ALS SUPPORT (services) Total 1,217,425 1,288,928 225,564 1,063,364 18%IF/2018 VOTER'S PAMPHLET COST

ALS SUPPORT - SERVICES2017

IF/SUPPLIES FUEL (ALS staff vehicle)

IF/POSTAGE

IF/OP RENTALS

IF/MEDIC VEHICLE REPAIRS

IF/PROF SVS BENEFITS ADMINIF/COUNTY IN-DIRECT COSTS

IF/2018 PRIMARY ELECTION COST

7A


1290C429 ALS DATA SYSTEM (Phase I)535000 MINOR EQUIPMENT 5,000 5,000 840 4,160 17%535002 SMALL TOOLS/MINOR EQUIP PARTS 5,000 5,000 2,108 2,892 42%541000 PROFESSIONAL SERVICES 5,000 5,000 0 5,000 0%542000 COMMUNICATIONS 11,000 11,000 1,688 9,312 15%548000 MAINTENANCE/REPAIRS 43,063 43,063 24,597 18,466 57%549000 VARIABLE OPERATING COSTS 0 0 0 0

0591002 IF/IT SERVICES 19,706 19,706 4,927 14,779 25%

DATA SYSTEM Total 88,768 88,768 34,159 54,609 38%

ALS SUPPORT - DATA SYSTEM2017

7A


1290C441 EMS TRAINING ADMINISTRATION WAGES/BENEFITS236,867 272,196 52,660 219,535 19%

1290C442 EMS TRAINING ADMINISTRATION MAINTENANCE & OPERATIONS531000 SUPPLIES 200 200 0 200 0%542000 COMMUNICATIONS 1,000 1,000 0 1,000 0%548000 REPAIRS & MAINT 3,000 3,000 463 2,537 15%549000 VARIABLE OPERATING COSTS 250 250 0 250 0%592003 IF/POSTAGE 1,396 1,396 52 1,344 4%593000 IF/VAN FUEL/OIL 250 250 0 250 0%598000 IF/VAN REPAIRS 250 250 0 250 0%

6,346 6,346 516 5,830 8%

EMS TRAINING - M&O

TRAINING M&O Subtotal

WAGES/BENEFITS Subtotal

2017

7A


1290C445 EMS TRAINING SUPPORT (services)EXTRA HELP WAGES/BENEFITS Subtotal 129,332 129,332 18,429 110,903 14%

531000 SUPPLIES 17,124 17,124 11,827 5,297 69%535000 MINOR EQUIPMENT 1,600 1,600 0 1,600 0%

541000 PROFESSIONAL SERVICES 70,916 92,655 11,932 80,723 13%543000 TRAVEL (SEI) 1,300 1,300 0 1,300 0%545000 OPERATING RENTAL 2,000 2,000 0 2,000 0%548000 REPAIRS/MAINTENANCE 1,000 1,000 0 1,000 0%549000 VARIABLE OPERATING COSTS 34,250 34,250 0 34,250 0%549005 SEI EDUCATORS CONF (per diem) 1,000 1,000 0 1,000 0%

501,735 558,802 95,364 336,268 17%

EMS TRAINING - SUPPORT2017

EMS TRAINING Total

7A


1290C480 CPR/PUBLIC INFORMATION & EDUCATION (PIE) SUPPORTEXTRA HELP WAGES/BENEFITS Subtotal 99,142 99,142 21,035 78,107 21%

531000 DISPOSABLE SUPPLIES 15,402 15,402 147 15,255 1%

535000 MINOR EQUIPMENT 0 0 0 0541000 PROFESSIONAL SERVICES 30,000 30,000 2,167 27,833 7%541009 ADVERTISING 1,250 1,250 1,250 0 100%548000 REPAIRS & MAINT COPIER 300 300 46 254 15%549000 30,850 30,850 0 30,850 0%

591000 IF/PROFESSIONAL SERVICES 2,000 2,000 0 2,000 0%CPR/PIE SUPPORT Subtotal 178,944 178,944 24,645 154,299 14%

EMS SUPPORT - CPR/PIE2017

VARIABLE OPERATING COSTS

7A


531000 EMS MEDICAL SUPPLIES 510,741 524,741 60,293 464,448 11%BLS Supply Fund - WTRFA: $33,633 0 33,633 0%BLS Supply Fund - SETFA: $41,616 4,974 36,642 12%

BLS Supply Fund - FD3 $120,497 7,973 112,524 7%BLS Supply Fund - FD5 $13,404 0 13,404 0%BLS Supply Fund - FD6 $17,206 240 16,966 1%BLS Supply Fund - FD8 $17,598 216 17,382 1%BLS Supply Fund - FD9 $16,188 142 16,047 1%

BLS Supply Fund - FD12 $16,282 240 16,042 1%BLS Supply Fund - FD13 $13,209 123 13,086 1%BLS Supply Fund - FD16 $9,870 160 9,710 2%BLS Supply Fund - FD17 $13,139 0 13,139 0%BLS Supply Fund - OLY $108,344 767 107,577 1%BLS Supply Fund - TUM $44,873 4,448 40,426 10%BLS Supply Fund - BUC $9,881 2,175 7,706 22%

Supplies Support Enhancement: $14,000 0Oxygen/Cylinders: $35,000 0

541000 PROFESSIONAL SERVICES 30,270 30,270 616 29,654 2%541009 ADVERTISING 4,988 4,988 0 4,988 0%542000 1,061 1,061 191 870 18%549000 16,000 16,000 1,139 14,862 7%550/551 EMS FINANCIAL SUPPORT 523,652 537,652 0 537,652 0%552000 EMS SPECIAL PROJECTS 15,000 15,000 0 15,000 0%595000 IF OPERATING RENTAL 600 600 0 600 0%

EMS SUPPORT Subtotal: 1,102,313 1,130,313 62,239 1,522,358 6%

EMS SUPPORT2017

SATELLITE PHONES - DISASTER TRAILERSVARIABLE OPERATING COSTS

1290C485 EMS SUPPORT

7A


1290C489 EMS DATA SYSTEM - PHASE IIWAGES/BENEFITS Subtotal 76,212 76,212 14,938 61,274 20%

535000 MINOR EQUIPMENT 15,000 15,000 1,327 13,673 9%535002 TOOLS/MINOR EQUIP PARTS 5,000 5,000 1,905 3,095 38%541000 PROFESSIONAL SERVICES 0 0 0548000 MAINTENANCE/REPAIRS 98,988 98,988 74,352 24,636 75%

EMS DATA SYSTEM Subtotal 195,200 195,200 92,521 102,678 47% MS SUPPORT TOTAL

1,476,456 1,504,456 179,405 1,779,335 12%

CPR/PIE & EMS SUPPORT Total

EMS SUPPORT - DATA SYSTEM2017

7A

Expended Remaining in % of Expended

(Budgeted) Enhanced 3/31/2017 Budget Budget

1290C493 EQUIPMENT REPAIR & REPLACEMENT535000 ADMINISTRATION 3,046 3,046535000 ALS MINOR EQUIPMENT 57,120 57,120535000 EMS TRAINING MINOR EQUIPMENT 41,616 41,616535000 EMS SUPPORT MINOR EQUIPMENT 3,264 3,264535000 CPR/PUBLIC EDUCATION 22,304 22,304

127,350 127,350 0 127,350 0%

564000 ALS CAPITAL ASSETS 1,328,165 1,328,165 0 1,328,165 0%564000 0 0

1,328,165 1,328,165 0 1,328,165 0%CONTINGENCY (10%) 145,552 145,552 0 145,552 0%

1,601,067 1,601,067 0 1,601,067 0%

ER&R RESERVE ROLLOVER 784,631 784,631

TOTAL ER&R & RESERVE 2,385,698 2,385,698

PROGRAM SUMMARY - ER&R

NOTE: ER&R reserve and excess tax & contingency (calculated on reserve) are not budgeted to MUNIS - these items are included in TCMO ER&R budget pages, but are actually accounted for in TCMO fund balance. MUNIS C493 includes ER&R scheduled purchases + tax + 10% contingency on these items.

STATUS QUO: Maintains current levels of service consistent with established ER&R

ER&R RESERVE2017

ENHANCED: N/A

EMS TRAINING CAPITAL EQUIPMENT

7A

2015

Item

Item Cost

Each

# in

Fleet

TOTAL

VALUE

Life

(Yrs)

Per Yr

Amt ACTUAL

Bal Rev Exp Bal Exp Bal Rev Exp Bal Exp Bal Rev Exp Bal Exp Bal

ADMINISTRATION

Desktop Color Fax/Scan/Copy 535000 400 4 1,600 3 533 884 533 800 617 617 533 800 351 1,151 533 884 1,684

Desktop PC 535000 2,000 4 8,000 5 1,600 2,500 1,600 2,000 2,100 2,100 1,600 2,000 1,700 3,700 1,600 2,000 1,300 5,300

Laptop PC 535000 2,000 2 4,000 3 1,333 148 1,333 1,481 1,481 1,333 2,815 2,815 1,333 4,148 4,148

TEMPO Server 535000 4,000 1 4,000 3 1,333 9,332 1,333 9,000 1,665 1,665 1,333 2,999 2,999 1,333 4,000 332 4,33212,864 4,800 11,800 5,864 0 5,864 4,800 2,800 7,864 0 10,664 4,800 6,000 6,664 0 15,464

TAX @ 8.8% 422 1,038 422 246 422 528

12,864 5,222 12,838 5,864 0 5,864 5,222 3,046 7,864 0 10,664 5,222 6,528 6,664 0 15,464

ALS SUPPORT

Portable Radios 535000 1,000 14 14,000 10 1,400 14,550 1,400 4,000 11,950 11,950 1,400 10,000 3,350 13,350 1,400 4,000 750 14,750

Laptop PC 535000 2,000 2 4,000 2 2,000 4,044 2,000 2,000 4,044 4,044 2,000 2,000 4,044 6,044 2,000 6,044 8,044

Training Mannequin 535000 3,500 1 3,500 4 875 2,175 875 3,050 3,050 875 0 3,925 3,925 875 4,800 4,800

Data Tablet Printers 535000 700 15 10,500 3 3,500 5,237 3,500 8,737 8,737 3,500 10,500 1,737 12,237 3,500 0 5,237 15,737

MCT Units 535000 2,000 15 30,000 4 7,500 30,000 7,500 37,500 37,500 7,500 30,000 15,000 45,000 7,500 0 22,500 52,500

ALS In Motion Modems 535000 2,200 15 33,000 4 8,250 (4,476) 8,250 3,774 3,774 8,250 12,024 12,024 8,250 20,274 20,274

VM Servers 5,000 2 10,000 4 2,500 2,500 2,500 2,50051,530 26,025 6,000 69,055 0 69,055 26,025 52,500 40,080 0 92,580 26,025 4,000 59,605 0 116,105

TAX @ 8.8% 2,290 528 2,290 4,620 2,290 352

Subtotal 535000 64,394 28,315 6,528 69,055 0 69,055 28,315 57,120 40,080 0 92,580 28,315 4,352 59,605 0 116,105

Stretcher 564000 30,000 12 360,000 10 36,000 46,241 36,000 60,000 22,241 82,241 36,000 150,000 (91,759) 118,241 36,000 60,000 (115,759) 154,241

Safetypad Hardware 564000 2,500 17 42,500 4 10,625 (1,478) 10,625 9,147 9,147 10,625 0 19,772 19,772 10,625 0 30,397 30,397

Ventilators 564000 20,000 8 160,000 4 40,000 570,000 40,000 120,000 490,000 490,000 40,000 0 530,000 530,000 40,000 0 570,000 570,000

Staff Vehicle 564000 40,000 2 80,000 5 16,000 54,000 16,000 70,000 70,000 16,000 0 86,000 86,000 16,000 102,000 102,000

Carport Cover 564000 4,000 1 4,000 10 400 400 400 4,000 400

12-Lead 564000 30,000 13 390,000 5 78,000 96,000 78,000 174,000 174,000 78,000 0 252,000 252,000 78,000 0 330,000 330,000

PSPH Voice Recorder 564000 9,000 1 9,000 4 2,250 0 2,250 2,250 2,250 2,250 0 4,500 4,500 2,250 0 6,750 6,750

Medic Unit (Transport) 564000 180,000 7 1,260,000 5 252,000 415,653 252,000 360,000 307,653 307,653 252,000 900,000 (340,347) 559,653 252,000 360,000 (448,347) 811,6531,347,870 517,930 559,056 1,282,456 0 1,342,456 517,930 1,220,740 580,406 0 1,847,906 517,930 432,704 653,856 0 2,353,356

TAX @ 8.8% 45,578 49,197 45,578 107,425 45,578 38,078

Subtotal 564000 1,347,870 563,508 608,253 1,282,456 0 1,342,456 563,508 1,328,165 580,406 0 1,847,906 563,508 470,782 653,856 0 2,353,356

Total ALS SUPPORT 1,412,264 591,823 614,781 1,351,511 1,411,511 591,823 1,385,285 620,486 1,940,486 591,823 475,134 713,461 2,469,461

EMS TRAINING

AED Trainers 535000 350 8 2,800 4 700 2,800 700 3,500 3,500 700 2,800 1,400 4,200 700 0 2,100 4,900

CPR/OB Mannequins 535000 650 30 19,500 4 4,875 16,269 4,875 21,144 21,144 4,875 5,000 21,019 26,019 4,875 5,000 20,894 30,894

Desktop Fax/Scan/Copy 535000 400 1 400 4 100 500 100 600 600 100 400 300 700 100 0 400 800

Laptop PC 535000 2,000 3 6,000 2 3,000 16,266 3,000 6,000 13,266 13,266 3,000 2,000 14,266 16,266 3,000 2,000 15,266 19,266

Portable Scantron 535000 2,000 1 2,000 5 400 (400) 400 0 0 400 400 400 400 800 800

Stretcher 535000 6,000 1 6,000 7 857 4,287 857 5,144 5,144 857 6,000 0 6,001 857 857 6,858

Suction Units 535000 800 7 5,600 4 1,400 5,600 1,400 7,000 7,000 1,400 2,800 5,600 8,400 1,400 2,800 4,200 9,800

Traction Splints 535000 275 18 4,950 2 2,475 2,475 2,475 4,950 4,950 2,475 2,000 5,425 7,425 2,475 2,000 5,900 9,900

Wireless LCD Projectors 535000 2,000 5 10,000 4 2,500 12,860 2,500 5,000 10,360 10,360 2,500 2,000 10,860 12,860 2,500 2,000 11,360 15,360

Recording Mannequins (New 10) 535000 3,000 10 30,000 4 7,500 23,000 7,500 30,500 30,500 7,500 10,000 28,000 38,000 7,500 10,000 25,500 45,500

Infant Mannequins 535000 400 1 400 4 100 300 100 400 0 0 100 100 100 100 200 200

Vacuum Splints 535000 450 1 450 1 450 900 450 450 900 900 450 450 900 1,350 450 1,350 1,800

Adult Toros Mannequins 535000 800 1 800 4 200 1,176 200 1,376 1,376 200 800 776 1,576 200 0 976 1,776

Family pak Mannequins 535000 465 1 465 2 233 234 233 465 2 2 233 234 234 233 467 467

Carport Cover 564000 4,000 1 4,000 10 400 400 400 4,000 400

Training Van 564000 20,000 1 20,000 5 4,000 16,000 4,000 20,000 20,000 4,000 0 24,000 24,000 4,000 28,000 28,000102,267 29,190 12,315 118,742 0 118,742 29,190 38,250 113,280 0 147,531 29,190 23,800 118,270 0 176,321

TAX @ 8.8% 2,569 1,084 2,569 3,366 2,569 2,094

102,267 31,758 13,399 118,742 0 118,742 31,758 41,616 113,280 0 147,531 31,758 25,894 118,270 0 176,321

EMS SUPPORT

BLS TABLETS 535000 1,700 95 161,500 4 40,375 33,000 40,375 73,375 73,375 40,375 113,750 113,750 40,375 132,000 22,125 154,125

BLS AED 535000 2,600 80 208,000 8 26,000 99,251 26,000 0 125,251 125,251 26,000 3,000 148,251 151,251 26,000 0 174,251 177,251

SW440 535000 1,000 105 105,000 4 26,250 20,000 26,250 46,250 46,250 26,250 52,000 72,500 26,250 8,000 70,250 98,750132,251 92,625 0 198,626 0 198,626 66,375 3,000 262,001 0 265,001 66,375 132,000 196,376 0 331,376

TAX @ 8.8% 8,151 0 5,841 264 5,841 11,616

132,251 100,776 0 198,626 0 198,626 72,216 3,264 262,001 0 265,001 72,216 143,616 196,376 0 331,376

CPR / PI&E

Dist-CPR Mannequins 535000 500 20 10,000 4 2,500 5,000 0 5,000 0 0 2,500 2,500 2,500 2,500 5,000 5,000

AED Trainers 535000 350 5 1,750 5 350 5,650 350 1,750 4,250 4,250 350 1,750 2,850 4,600 350 1,750 1,450 4,950

Dist-CPR Mannequin ER&R Program 535000 500 30 15,000 4 3,750 32,500 3,750 15,000 21,250 21,250 3,750 0 25,000 25,000 3,750 28,750 28,750

Public CPR Mannequin ER&R 535000 750 25 18,750 4 4,688 24,063 4,688 28,751 28,751 4,688 18,750 14,688 33,438 4,688 0 19,376 38,126

67,213 8,788 21,750 54,251 0 54,251 11,288 20,500 45,038 0 65,538 11,288 1,750 54,576 0 76,826

TAX @ 8.8% 773 1,914 993 1,804 993 154

67,213 9,561 23,664 54,251 0 54,251 12,281 22,304 45,038 0 65,538 12,281 1,904 54,576 0 76,826

OPERATING TRANSFER

Total 1,713,995 679,358 610,921 1,728,993 0 1,788,993 655,608 1,337,790 1,048,669 0 2,429,220 655,608 600,254 1,089,346 0 3,069,447

Total Tax 0 59,783 53,761 0 0 0 57,693 117,726 0 0 0 57,693 52,822 0 0 0

SubTotal 1,713,995 739,141 664,682 1,728,993 0 1,788,993 713,301 1,455,516 1,048,669 0 2,429,220 713,301 653,076 1,089,346 0 3,069,447

Contingency @ 10% 73,914 66,468 71,330 145,552 71,330 65,308

GRAND TOTAL 1,713,995 813,055 731,150 1,728,993 0 1,788,993 784,631 1,601,067 1,048,669 0 2,429,220 784,631 718,384 1,089,346 0 3,069,447

Thurston County Medic One ER&R Schedule 20156

2018

BUDGETED ACTUALBUDGETED

2017

BUDGETED ACTUAL

2016

ACTUAL

7A

Budgeted: Budgeted:

Agency BLS Run % of Base* $9.21 $0.76 Agency Base $11.57Volume Volume Amount Per Call MCT/Call Total Amount Per Call

1/11 WTRFA 2,188 6.96% $15,877 $20,151 $1,658 $37,686 $9,000 $25,314 $34,314

2 /4 SET 2,881 9.16% $15,877 $26,533 $2,183 $44,593 $9,000 $33,331 $42,331

3 - Lacey 10,032 31.91% $15,877 $92,392 $7,601 $115,870 $9,000 $116,064 $125,064

5 - Black Lake 0 0.00% $15,877 $0 $0 $15,877 $9,000 $0 $9,000

6 - E Olympia 660 2.10% $15,877 $6,078 $500 $22,455 $9,000 $7,636 $16,636

7/8 - South Bay 716 2.28% $15,877 $6,594 $542 $23,014 $9,000 $8,284 $17,284

9 - McLane 977 3.11% $15,877 $8,998 $740 $25,615 $9,000 $11,303 $20,303

12 - Tenino 624 1.98% $15,877 $5,747 $473 $22,097 $9,000 $7,219 $16,219

13 - Griffin 312 0.99% $15,877 $2,873 $236 $18,987 $9,000 $3,610 $12,610

16 - Gibson Valley 69 0.22% $15,877 $635 $52 $16,565 $9,000 $798 $9,798

17 - Bald Hills 337 1.07% $15,877 $3,104 $255 $19,236 $9,000 $3,899 $12,899

Bucoda 74 0.24% $15,877 $682 $56 $16,615 $9,000 $856 $9,856

Olympia 9,166 29.15% $15,877 $84,416 $6,945 $107,238 $9,000 $106,045 $115,045

Tumwater 3,404 10.83% $15,877 $31,350 $2,579 $49,806 $9,000 $39,382 $48,382

31,440 100% $222,278 $289,553 $23,821 $535,652 $126,000 $363,741 $489,741

AgencyTotal

FINANCIAL SUPPORT SUPPLIES & EQUIPMENT

$535,652 $489,741

2016 EMS CALL DATA BLS DIRECT SUPPORT

Budget less $2000 for the TCAFC leadership match

Budget less oxygen/cylinders

$15,000 Direct Support base plus MCT base of $877 (MCT base is MCT Technology budget x 34% divided by # of agencies

$489,741 less total base amount, divided by total # of calls

$535,652 less total base amount, less MCT/Call, divided by total # of calls

MCT Technology budget ($36,093) less total base MCT ($12,272) divided by total # of calls

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AGGEENNDDAA Agenda... · Tony Kuzma, Steve Brooks, Kim Droppert, Chris Clem, Kehlen Sachet, Mike...

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