HomeMy WebLinkAboutems-system-redesign-meeting-minutes-11-7-19
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
November 7, 2019
Draft Minutes
Attendees
Alameda County BOS District 1, 3 and 4 Alameda County Fire Department
Alameda County Regional Emergency Communications Center Alameda Fire Department
Albany Fire Department Fremont Fire Department
Hayward Fire Department Piedmont Fire Department
Oakland Fire Department Livermore Pleasanton Fire Department
Emeryville Police Department AMR Ambulance
Falck Ambulance Norcal Ambulance
Local 1909 Local 1974
Eden Medical Center City of Alameda
City of Livermore City of Newark
City of Union City UCSF
group for their participation in this important
process. Co-chairs Chief Garrett Contreras and
Alameda County
EMS Presentation
• The history of EMS,
• EMS in Alameda County,
• Components of EMS systems; and
• Different models around the country.
(Presentation attached)
Acknowledged that EMS systems continue to
evolve and change. As a workgroup, we need to
look at all the models, and decide what
combination of models would work for us. Some
of the things we need to consider in designing a
new system are patient demographics; political,
fiscal and technological factors; and state and
federal regulations. The workgroup agreed that
we always need to keep patient outcomes at
the forefront of all decision making.
An interesting conversation centered around
performance outcomes. Fire representatives
stated that they use complex performance
measures, not relying specifically on just level of
effort (LOE) and response times.
Research Alameda
public/private
performance
standards.
EMS Agency and
Subcommittees
Measured by Outcomes and Technological
Advances.
Keep finances at forefront. System needs to be
fiscally responsible.
ACFD questioned if there’s any data on
“Personnel costs are generally less than systems
that use sworn personnel.”
MedStar is a good example of new trends in
EMS Systems. Nurses answer call and navigate
to appropriate setting. Could be geographically
challenging.
St. Louis, Las Vegas, DC, London and Denmark
use the ET3 Model.
Pilot CATT team rolling out in Hayward and San
Leandro in 2020.
Homeless Navigation Centers are now in
Oakland, Hayward and Fremont.
Fire chief requested support from the County for 5150 transport. 4 cities are mandated to do
5150 transports and it’s in the millions.
Residents expect response even if they lost
$600,000 in FRALS.
Need to be aware of impact to the workforce.
Labor will play an important role in the redesign
process.
High turn over rate, work force coming in is not
just for the salary, it’s a generational change.
Need to look at how to recruit, retention,
diversity and community partners.
Key factor is “what do employees want in the
system?” Employees need to be part of the
process.
Initial subcommittees can meet in person, conference calls, etc. Important to have labor
representation. Subcommittees will be:
• EMS System Financial Stability/Service
Reimbursements
• System Performance Benchmarks
• Technology
• Evolving Patient and Community Needs
• Workforce
Chief Contreras will be visiting different EMS
systems in Southern California. If interested,
contact him.
in hand for
workgroups.
Research and data
on personnel
costs
Send out subcommittee
signup genius
survey
Anyone interested
should contact
him.
All
Will
All
Anne K
PowerPoint will be widely distributed. Email minutes,and
PowerPoint
11AM- 1PM