Serving the counties of Placer, Yuba, Sutter, Nevada, Colusa, Butte, Shasta, Tehama, Siskiyou M I N U T E S JOINT POWERS AGENCY BOARD BI-MONTHLY MEETING Friday, July 10, 2015 MEMBERS PRESENT Leonard Moty Dennis Garton Jim Holmes Brandon Criss Roger Abe Hank Weston Ron Sullenger MEMBERS ABSENT Denise Carter Bill Connelly EX-OFFICIO MEMBER Victoria Pinette LEGAL COUNSEL Brian Wirtz OTHERS PRESENT John Lord Jennie Mackney Amy Boryczko Karl Pedroni Jason Swann Kevin Perry John Poland Matt Nehls Mark Belden Dave Maron John McEldowney Shasta County Tehama County Placer County Siskiyou County Yuba County Nevada County Sutter County Colusa County Butte County Placer County/ AMR MMCR PHI Air Medical AMR Shasta Public Health PC OES 5995 Pacific Street www.ssvems.com 2775 Bechelli Lane Rocklin, CA 95677 Redding, CA 96002 916-625-1702 530-722-6617 916-625-1720 (fax) 530-222-3007 (fax)
A. CALL TO ORDER AND PLEDGE OF ALLEGIANCE Supervisor Moty called the meeting to order at 1:02 p.m. and led the meeting with the Pledge of Allegiance. B. WELCOME AND INTRODUCTIONS Everyone present introduced themselves. C. APPROVAL OF AGENDA Supervisor Garton moved to approve the agenda as written. Supervisor Weston seconded. Motion approved. D. PUBLIC COMMENT Supervisor Moty asked the public if anyone would like to speak to an issue that is not on the agenda. None was forthcoming. E. BOARD MEMBER ANNOUNCEMENTS Supervisor Criss announced that in Butte Valley they combined the Fire Departments and Volunteer Ambulance service into a unified Joint Powers of Agreement to streamline the area. F. CONSENT AGENDA Vickie asked to have Item F-4; Air Ambulance contracts for: Enloe, REACH, PHI, CareFlight, CalStar pulled as none of the contracts had been returned. This item will be brought back to the next Board meeting. If any of the Air Ambulance contracts have not been returned by the September meeting, the Board will need to discuss whether to approve them for service in this fiscal year. Supervisor Holmes motioned to approve the Consent Agenda with that change. Supervisor Abe seconded. Abstain: Supervisor Weston (Nevada County). Motion approved. G. INFORMATION UPDATE 1. Response times There is compliance in all areas. Because there is no longer a exclusive operating area in Colusa, and there is a reduction in service, the compliance times were looked at. Unless something changes, the current Colusa times will be their standard. The County is looking at opportunities for a county subsidy. Vickie was asked about concerns in Colusa County. Vickie explained that the contracted EOA provider opted out of their contract and reduced service to one and half units. The reimbursement rate is quite poor, and if this is put out to bid no one will want to take this on. Unless there is a JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 2 of 8
tax improvement, there will not be a subsidy. Colusa is considering a tax improvement at this time. St. Elizabeth s continues to struggle with response time compliance. 2. Announcement of Associate Director Retirement Karen Crain-Riddle who has been the Associate Director for the past 7 years, and served as the QI coordinator for a year before that, has announced her retirement at the end of July. The Board had a certificate of appreciation for her (Karen was not present). Karen Crain-Riddle was also recognized for her service at the Medical Control Committee meeting, as well as separately by the S-SV staff. Supervisor Moty thanked her for her service. Vickie mentioned that Karen has been instrumental in bringing along the Trauma system. H. OLD BUSINESS There was no old business. I. CLOSED SESSION 1:14pm Pursuant to the cited authority (all references are to the Government Code), the JPA governing Board will hold a closed session to discuss the following listed items. A report of any action taken will be presented prior to adjournment. Item 1. Government Code 54957 Regional Executive Director Performance review Item 2. Anticipated Litigation: (a) Significant exposure to litigation pursuant to subdivision (d) (2) of Government Code 54956.9: One potential case. CLOSED SESSION REPORT 2:11pm Brian Wirtz, Counsel, reported that Item 1 was discussed and the Board provided comments to the Regional Executive Director, Item 2 was discussed and the Board provided advice and direction to Counsel and the Regional Executive Director. No action was taken on this item at this time. J. NEW BUSINESS 1. Consider Salary increase for Regional Executive Director -action item. This was discussed in the closed session. Supervisor Garton motioned to approve a 5% merit increase, as well as a Cost of Living increase in a 3 year contract; with a 2% COLA the first year, 3% COLA the second year, and a 2% COLA the third year. Supervisor Weston seconded. Motion approved. 2. Orchard Hospital non-renewal of Level IV Trauma designation Notification was received from Orchard Hospital that they no longer wish to retain their Level IV Trauma Center designation. S-SV has worked tirelessly to help them with compliance, and they have struggled to maintain this designation. This does not impact their patient flow. They will continue to see the same patients, and then the patients will be transferred to a higher Level center. Vickie mentioned that Mayers Memorial Hospital has also notified S-SV of their decision to relinquish their Level IV Trauma Center designation. This leaves two Level IV Trauma Centers in the S-SV region in Colusa and Yreka. Vickie will meet with Denise Carter regarding the compliance for Colusa. JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 3 of 8
3. Resolution to allow Regional Executive Director to sign the 2015/16 State General Fund (Multi County Local Emergency Medical Services Agency) Contract for approval- Supervisor Abe motioned to approve Items: J-3, J-4, and J-5 (all 3 Resolutions) as one motion. Supervisor Holmes seconded. Motion approved. 4. Resolution to allow Regional Executive Director to sign the Cal Fire Cooperative Fire Protection agreement for approval - Supervisor Abe motioned to approve Items: J-3, J-4, and J-5 (all 3 Resolutions) as one motion. Supervisor Holmes seconded. Motion approved. 5. Resolution to allow the Regional Executive Director to sign the RDMHS contract with the EMSA for FY 2015/16 for approval - Supervisor Abe motioned to approve Items: J- 3, J-4, and J-5 (all 3 Resolutions) as one motion. Supervisor Holmes seconded. Motion approved. 6. Job Description Trauma/Specialty Center Coordinator for approval This is a new position for the agency that was carved out of the former Associate Director s position. This position will have direct oversight of the Trauma System as well as the STEMI (Cardiac system) and Stroke. This will require an R.N., with Trauma center experience. This person will work with the Data Analyst for reporting, planning, coordinating and implementing Trauma systems, STEMI/Stroke systems, planning, evaluation, scheduling, helping with developing policies, and attending all S-SV meetings. These will be the only duties for this position. The pay for this part-time position is $50K/year which is comparable to positions in other Agencies. This position will be per hour. Since there is no one within the S-SV Agency that can move in to this position, S-SV will look within their region for someone to fill this vacancy. Supervisor Holmes moved to approve. Supervisor Abe seconded. Motion approved. K. EMCC/COUNTY COMMITTEE REPORTS This report was given to the Board members at the meeting. Shasta EMAG- Prior to the EMAG Meeting, S-SV EMS hosted a tabletop MCI training conducted by Mercy Redding (control facility & ambulance) and AMR. Vickie mentioned that there are non-exclusive contracts with both providers, and are seeing improvements there with addition of units and staff. As part of the S-SV report, all were reminded of the recent changes that took effect to our T-1 Trauma Policy. An ambulance response time summary was provided to the EMAG. S-SV provided a brief update on the activity of the Ambulance Advisory Sub-Group which met recently to address an ambulance service disruption due to maintenance and staffing shortages with Burney Ambulance. The Advisory Sub-Group met on May 19, June 1 & June 11. The group met to address issues concerning Burney s inability to staff ambulances (out of service), and/or a shortage of Paramedics preventing them from staffing their ambulance at the ALS level. Steps were implemented to modify the Western Shasta Posting Plan to improve ALS coverage to the Burney area with Western Shasta units when needed. Steps JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 4 of 8
were also implemented to ensure that dispatch centers and S-SV are notified by Burney when they are unable to staff at the ALS level. S-SV announced that a hot-wash of two recent Shasta County MCIs will be conducted on Monday July 13 th at the S-SV Redding Office. S-SV provided an update to the group on the 4 MCI trainings conducted by S-SV in June for Siskiyou, Shasta and Tehama Counties. PUBLIC HEALTH: PH provided an update on the Ebola funding conference call. PH continues to monitor travelers for Ebola signs/symptoms after recently returning to the area. An update was provided on preparation for the upcoming statewide exercise. PH recently renewed their EMResource contract. PH announced their desire to conduct a meeting at the Redding S-SV Office with EMS, hospital, county and other responder staff to discuss the EMS communication system in Shasta County. The meeting date and time is yet to be determined. PROVIDER UPDATES: AMR reported that they received 3 new ambulances in June; they have been inspected by S-SV and CHP and are now in service. AMR further reported that they expect the delivery of 5 additional new units before the end of the year. AMR reported the deployment of new Lifepak 15 cardiac monitors to go with their new ambulances. AMR also reported that they had brought on additional new staff and were conducting a new hire academy. Mercy reported that they had ordered 2 new ambulances and were also adding a new EMS Supervisor Response vehicle to augment ALS supervisor response in Shasta & Tehama. Also reported on plans to have all Paramedic staff members CCP certified/approved and trained in ITLS. Mercy Hospital has appointed a new Base Hospital Coordinator. PHI provided an update on an EMS Safety Drive. DISPATCH: ShasCom reports that they are receiving positive feedback from dispatchers working the EMS Radio Pod. New posting plan seems to be working very well. ShasCom currently short-staffed by 8 positions and have only been able to successfully fill 1 position since the first of the year. JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 5 of 8
Cal Fire: Cal Fire reported that they are fully staffed and busy with recent lighting fires. Three of Shasta County Fires ALS departments are replacing their Life Pak 12 s with Life Pak 15s. Redding Fire Dept.: Reported that the Jerry Grey has been appointed as the new Redding Fire Chief. Round Table: The group discussed the recent MCI s and upcoming After Action Reviews. The group discussed the need to restore a Critical Incident Stress Debriefing Team in Shasta County. The providers agreed that they will work on restoring their individual teams first, followed by development of a regional team. Placer County No Meeting Nevada County EMCC No Meeting Colusa County EMCC Colusa County has a new OES Director (Neil Pearson) An report was given including notification of Karen s upcoming retirement The Colusa Regional Medical Center Lab Manager (Cheryl) will now be attending the majority of the EMCC meetings in place of Katherine Hughes No representatives from law enforcement or fire attended the meeting Public Health participated in a CDC virtual TTX and will be purchasing some equipment necessary to participate further in these exercises in the future Colusa County is working on closing out their 2014/2015 grants and developing their 2015/2016 grants Butte County- Next week Tehama County: The group was informed that S-SV would, in the event of a significant MCI event, conduct an after action review meeting with the involved agencies. An ambulance response time summary was provided to the EAMG. S-SV EMS provided a summary of the recent MCI trainings that were conducted by S-SV in June for Siskiyou, Shasta and Tehama Counties. JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 6 of 8
PUBLIC HEALTH: PH provided a briefing on the mass violence event exercise conducted at a local school. The event went extremely well and evaluated many areas, including the S-SV EMS Mass Violence Policy. The event had 218 participants. Planning for the upcoming exercise and Ebola. Discussion regarding the application of Ebola to other combinable diseases also took place. Working on FEP and Ebola funding projects. PROVIDERS St Elizabeth s reported that they plan on putting their 85 medics through trauma training. St Elizabeth Hospital will be numbering their units for easy on-scene identification. St. Elizabeth moving forward to certify all Paramedics as CCP and in ITLS training. Funding for the training has already been secured. St. Elizabeth announced plans to deploy a new EMS Supervisor (ALS response) in Tehama County. The unit will be based in Corning and be available for support in Tehama County and Shasta if needed. Round Table: The group discussed the desire to have better attendance at the EMAG Meeting. S-SV will work with Tehama County PH and St. Elizabeth s Hospital in an attempt to reach out to additional first responder agencies. Siskiyou County: Next week Yuba/Sutter: The committee is still working on developing the required/requested annual EMCC report to the BOS/LEMSA no drafts, etc. were presented at the meeting Both counties and providers are starting to plan/prepare for the 2015 Statewide Medical & Health Exercise in November Counties and HPP coalitions are working on finishing up their 2014/2015 grant cycles and beginning work on the 2015/2016 grants Yuba County will be assisting the Red Cross in a shelter training exercise on June 19, 2015 We had a short discussion related to the 5/13/15 Sutter County MCI. No prehospital or hospital issues identified Bi County Ambulance discussed the recent annual MCI training that they completed with all of their personnel and other providers Yuba County will be holding a shelter operations training in collaboration with Red Cross on Friday 6/19/15 JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 7 of 8
Yuba City FD has applied for a SAFER Grant to allow them to re-staff the remainder of their engines with 3-person staffing that are currently running with 2-person staffing. They have not received confirmation on the grant approval Both Sutter and Yuba County are working on closing out their 2014/2015 grants and developing their 2015/2016 grants Provided an including notification of Karen s upcoming retirement L. LEGISLATION AB1223, which is a wall time bill, is going to the Governor s desk. Originally this bill was opposed by EMSAAC, but with some changes that have been made, they now support it. M. MEDICAL DIRECTOR S REPORT Dr. Falck was not present. N. CORRESPONDENCE Available at the meeting. O. S-SV EMS AGENCY ACTIVITIES Noted. P. NEXT JPA GOVERNING BOARD MEETING The next JPA Governing Board of Directors meeting is on Friday, September 11, 2015, 1pm-3pm, at 5995 Pacific St., Rocklin, CA. There will be a closed session at this meeting. Q. ADJOURNMENT The meeting adjourned at 2:34 p.m. Respectfully submitted, Amy Boryczko, Clerk to the Board Date Leonard Moty, Chairman Date JPA Governing Board of Directors Meeting Minutes of July 10, 2015 Page 8 of 8