EMERGENCY SERVICES COMMITTEE

Transcription

1 Page 1 of 19 Notice of Public Meeting Thursday, October 10, 2013 EMERGENCY SERVICES COMMITTEE Door County Government Center Chambers Room, 1st floor 421 Nebraska Street Sturgeon Bay, WI Oversight for Door County Emergency Services & Emergency Management AGENDA I. Call Meeting to Order at 9:00 a.m. II. Establish a Quorum - Roll Call III. Adopt Agenda / Properly Noticed IV. Approve Minutes: September 12, 2013 and September 19, 2013 V. Communications VI. Public Comment VII. Old Business EMS Operations Update 1. New Charges - July 1/Action 2. YTD Call Volume Information 3. RSI Training Scheduled for October 4. Quality Assurance Long Range Station Planning Update 2014 Budget Update Recommendation for New Ambulance/Action VIII. New Business (Review/Action) Monthly Article - FAQ Administrative Manual (Review Working Draft) IX. EM/EPCRA (Emergency Management/Emergency Planning and Right to Know Act) All Hazard Mitigation Plan Grant Update/Action 1. Sample Resolutions 2. Marinette County Matching Process LEPC Meeting 2014 P.O.W. X. Matters to be Placed on a Future Agenda XI. Monthly Reports XII. Vouchers, Write-offs, Claims and Bills XIII. Next Meeting Date: November 14, 2013 XIV. Adjourn -Deviation from the order shown may occur. In compliance with the Americans with Disabilities Act, any person needing assistance to participate in this meeting, should contact the Office of the County Clerk at (920) Notification 72 hours prior to a meeting will enable the County to make reasonable arrangements to ensure accessibility to that meeting. Posted, 2013 by

2 MINUTES EMERGENCY SERVICES COMMITTEE Chambers Room, 1st Floor September 12, 2013 Page 2 of 19 These Minutes have not been reviewed by the oversight committee and are subject to approval or revision at the next regular committee meeting. I. Meeting was called to order at 9:01 a.m. by Dale Wiegand. II. III. IV. Establish a Quorum - Committee members present: Dale Wiegand, Richard Haines and Tim O Connor. Chuck Brann and Joel Gunnlaugsson, excused. Others present: County Board Chair Daniel Austad, County Administrator Maureen Murphy, EMS Director Eric Christensen, EMS Operations Manager Anthony Luchini, Finance Director Shirley Scalish, Medical Director Dr. George Gorchynsky, Ashley Bittorf, Robin Doell, Laurie Hasenjager, Justin MacDonald, Kala Notz, Shirley Senarighi, Leo Zipperer, and public. Adopt Agenda / Properly Noticed Motion by O Connor, second by Haines to adopt the Agenda. Motion carried. Approve Minutes Motion by Haines, second by O Connor to approve the August 8, 2013 Minutes as presented. Motion carried. V. Communications Christensen explained a recent incident involving an ambulance breakdown while on a call. The ambulance was towed to the Dorsch dealership in Green Bay for repairs. He commended the crews for handling the situation appropriately, and stated that this incident didn t cause any patient compromise. VI. VII. Public Comment Zipperer stated concerns with the Accounts Receivable report. Scalish explained that the report will always reflect a month behind. He requested Scalish to research this further. Scalish will do a hands on review with the billing staff. She will report her findings at next month s meeting. Old Business EMS Operations Update 1. Daily Truck Checks Luchini reported the crews will complete documented daily truck checks. 2. EMR Training Luchini is in the process of setting up three (3) training dates. The training locations will be North, Central, and South. 3. Review Billing Procedures/Rates Luchini reported we have started to have bi-weekly billing staff meetings. Christensen explained we are currently itemizing all charges, and are researching other options. He will keep the committee apprised. Long Range Station Planning Update Christensen is currently researching options for a Central Station location. He explained this will be for long term planning. The goal is to meet the needs of critical calls with a reasonable response time. Christensen will bring an update to the committee next month. New Chevy Tahoe Christensen reported the service has taken delivery of the Tahoe. It is in the process of being equipped, including a brush guard. Brush Guards Christensen stated the two (2) new ambulance brush guards have been purchased and installed. VIII. New Business (Review/Action) Approval of Revised EMR Agreement Following a brief discussion, Motion by O Connor, second by Haines to approve and send to the County Board, city, towns, and villages the revised EMR Agreement. Motion carried unanimously.

3 Page 3 of 19 These Minutes have not been reviewed by the oversight committee and are subject to approval or revision at the next regular committee meeting. Approval of Revised EMT Reimbursement Policy After discussion, Motion by O Connor, second by Haines to approve the revised EMT Reimbursement Policy. Motion carried unanimously Budget Review/Recommended Christensen explained several budget items that will impact the 2014 budget. Scalish noted that since the Paramedics are in negotiations, these are preliminary numbers only. She reported that even though EMS is exempt, the Finance Committee directed each department to lower its budget by.5%. After discussion, Motion by Haines, second by O Connor to direct Christensen to lower the 2014 budget by.5% prior to sending on to the Finance Committee. Motion carried unanimously. Open New Truck Bid Specs Christensen recommended to table bid specs, and set up a future meeting to open and review the bid specs. After discussion, a meeting was set up for Thursday, September 19, 8 a.m. at the Emergency Services Building Conference Room. IX. EM/EPCRA (Emergency Management/ Emergency Planning and Right to Know Act) Bay Lake Regional Planning Presentation Angela Pierce from Bay Lake Regional Planning gave a presentation on the All Hazard Mitigation Plan. She explained this will make Door County better prepared for natural disasters, as well as the possibility of becoming eligible for other Federal Emergency Management Agency (FEMA) grants. If secured, she would assist with the implementation of the grant. This is a 25%/75% in-kind services grant, which is good for five (5) years. Approval of All Hazard Mitigation Plan Grant Update After discussion, Wiegand requested Angela to bring an All Hazard Mitigation Plan Grant sample resolution for the next month s meeting for further discussion. Severe Weather Notification Procedure Christensen stated the important need for all to stay informed of severe weather. He explained the notification procedures from the National Weather Service and the dispatch center for potential severe weather events. He suggested several options such as NOAA weather radios or by downloading an application directly to a cell phone device. He further stated that weather sirens are the responsibilities of each municipality. EPCRA Report Christensen reported he responded to and reported a five-hundred (500) gallon fuel spill in the city. It was discovered following a fire investigation at the dwelling. September Preparedness Month Christensen reported he has given an emergency preparedness talk to home health providers, completed a few radio presentations, and has sent out several press releases with information on emergency preparedness. He reiterated the importance of having a home pre-plan developed. X. Matters to be Placed on a Future Agenda Updates on Long Range Planning, All Hazard Mitigation Plan, 2014 Budget, Billing, Director Monthly Article to the Public. XI. XII. Monthly Reports None. Vouchers, Write-offs, Claims and Bills None. XIII. Next Meeting Date: October 10, 2013 XIV. Adjourn Motion by O Connor, second by Haines to adjourn. Motion carried. Time 10:10 a.m. Recorded by Laurie Hasenjager.

4 Page 4 of 19 MINUTES EMERGENCY SERVICES COMMITTEE Emergency Services Building, Conference Room September 19, 2013 These Minutes have not been reviewed by the oversight committee and are subject to approval or revision at the next regular committee meeting. 1. Meeting was called to order at 8:01 a.m. by Dale Wiegand. 2. Establish a Quorum - Committee members present: Dale Wiegand, Chuck Brann, Richard Haines and Tim O Connor. Joel Gunnlaugsson excused. Others present: EMS Director Eric Christensen, EMS Operations Manager Anthony Luchini, Laurie Hasenjager, Aaron LeClair. 3. Adopt Agenda / Properly Noticed Motion by Brann, second by Haines to adopt the Agenda. Motion carried. 4. Ambulance Bids Opening/Review/Recommendation The following three (3) bid contracts were received, opened and reviewed: Life Line Emergency Vehicles: $199,848 base price, with additions, final price $261, Braun: $205,355 base price, with additions, final price $261, PL Custom: $206,400 base price, with additions, final price $274,200. Discussion followed regarding tax added to one of the bids, as well as specific additions as part of each bid. Motion by Haines, second by Brann to place bids on file and direct Christensen and his crew to review bids and report a recommendation at next months Emergency Services Committee meeting. Motion carried unanimously. 5. Adjourn Motion by Brann, second by Haines to adjourn. Motion carried. Time 8:30 a.m. Recorded by Laurie Hasenjager.

5 Page 5 of 19 Emergency Services of Door County Product Cost Comparison Past vs. Recommended Past Charge Examples: Kendrick Extrication Device $00.00 Cervical Collars $27.00 Triangular Bandages $5.00 Multi-Trauma Dressings $6.00 Non-Rebreather Mask $5.00 Disposable Pulse Ox Sensor $10.00 Lancet $00.00 Glucose Test Strips $10.00 OB Kit $20.00 Meconium Aspirator $ % Sodium Chloride 1000mL $5.00 Lactated Ringers $00.00 EKG Patches $3.00 Defibrillation Pads (adult) $50.00 Narcan $15.00 Glucagon $90.00 Lidocaine $5.00 Disposable Gloves $2.00 N95 Tuberculosis Mask $00.00 Cold Packs $5.00 Pressure Infuser $00.00 IV Catheter (angio) $3.50 Pediatric IO Needle $ Recommended Charge Examples: Kendrick Extrication Device $ Cervical Collars $14.00 Triangular Bandages $2.00 Multi-Trauma Dressings $5.00 Non-Rebreather Mask $2.50 Disposable Pulse Ox Sensor $ Lancet $1.00 Glucose Test Strips $5.00 OB Kit $22.00 Meconium Aspirator $ % Sodium Chloride 1000mL $3.50 Lactated Ringers $29.00 EKG Patches $1.00 Defibrillation Pads (adult) $48.00 Narcan $ Glucagon $ Lidocaine $11.00 Disposable Gloves $1.00 N95 Tuberculosis Mask $3.00 Cold Packs $2.00 Pressure Infuser $30.00 IV Catheter (angio) $11.00 Pediatric IO Needle $ Industry Standard on product increases is: If less than $10.00, Multiply actual product cost by 3 From $10.00 to $100.00, Multiply actual product cost by 2 If greater than $100.00, Multiply actual product cost by 1.5 Base Rate Includes: Salaries & Wages Equipment Vehicles (maintenance included) Readiness Cost (EMS housing of staff & ambulance) Training & Education (EMR s included) Medical Direction Dispatch Level of Care (assessments)

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