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HomeMy WebLinkAboutems-system-redesign-meeting-minutes-9-12-19 ALAMEDA COUNTY HEALTH CARE SERVICES AGENCY Colleen Chawla, HCSA Emergency Medical Services District 1000 San Leandro Blvd, Suite 200 San Leandro, CA 94577 Lauri McFadden, Karl Sporer, MD, Medical Main: (510) 618-Fax: (510) 618- EMS SYSTEM REDESIGN WORKGROUP September 12, 2019 Draft Minutes Attendees Alameda County Fire Alameda County Regional Emergency Communications Center Hayward Fire Department Alameda Fire Department Fremont Fire Department Piedmont Fire Department Albany Fire Department Berkeley Fire Department Oakland Fire Department Falck Ambulance National Association of Government Employees (SEIU) Local 55 Eden Medical Center the group for their participation in this important process. Co-chairs Chief Garrett Contreras and Anne Kronenberg gave opening AAR provider transition Ground Rules Redesign Workgroup. Distributed. Ground rules were established: • Patient care should be the guiding principle and should be considered first in all decision making. • Learning from both the successes and opportunities for improvement. • Workgroup is not a forum to point fingers, assign blame, or belittle individuals or agencies/companies. • Discourse civil, constructive and productive. Comments will be incorporated in final AAR. Anne K Process Meeting Schedule • opportunities to continue to improve our system, and we all want to serve the community at the highest possible level. • Together we can achieve a more perfect EMS System and we agree to work together on system redesign. Committees will be formed (each committee will include at least one stakeholder representing each EMS discipline). Committees will investigate system models, financing and technology issues. Committee work will be shared with all members during large Workgroup meetings. The System Redesign Workgroup may also have special presentations from SMEs. Schedule confirmed through 2020 Committees will be formed at the November meeting. Discussion about committee structure at October meeting. Send out calendar invitations to those who signed All Anne K possible guiding principles to inform policy decisions. It was agreed that the Workgroup would model Alameda County Vision 2026 incorporating the following Operating Principles: • Collaboration • Fiscal Stewardship • Equity • Innovation • Sustainability • Access In addition, the Workgroup established the following EMS System Redesign Guiding Principles: • Preserving a high and equitable level of emergency and non-emergency medical response throughout the County. • Producing a sustainable system that is cost-effective and fiscally responsible while preserving a high quality of patient care. • Supporting the current and future EMS workforce throughout the redesign process, at the same time mandating individual accountability and professionalism from all EMS personnel. • Multi-agency collaboration throughout the process. • Ensuring the right resource to the right call (Right care/right time/right place). • Embracing innovation. • Cognizant of technology throughout guiding principles were approved. Specific guiding principles for workgroup were established. This will be a long process – we will keep going back to the principles and check to make sure we are on track throughout the process. • Include disaster preparedness considerations in recommendations. • Equity and transparency throughout to build and reinforce trust. • Explore healthcare alternatives, different systems, building on assess and refer. stakeholders should be at the table? Hospital reps including JGP and long-term care facilities City administrators Urgent care clinic reps Insurance companies EMSA – maybe later in the process Behavioral Health – including Berkeley Training Institution Airport representative Patient family advisors – Eden was directed to send names and contact information to Anne Kronenberg prior to the next meeting. Anne K to draft invitation for Director Chawla to send to City Administrators. with the stakeholders to make sure costly equipment changes take this into account. Utilizing IT components to change the way patients are treated on scene. Look at IT tools on the horizon. Focus groups could be used to ensure community participation. Should explore separate feedback mechanisms, possibly put in the “Parking Lot” and will be explored as we move forward. will be provided. Different models around the Country. City Administrators will be invited. on power point of alternate systems. All – If you know of a particular system you would like to investigate please share this information