EMS Commission

May 21, 2014

Page 3

Los Angeles County
Board of Supervisors
Gloria Molina
First District
Mark Ridley-Thomas
Second District
Zev Yaroslavsky
Third District
Don Knabe
Fourth District
Michael D. Antonovich
Fifth District
Commissioners
Mr. David Austin
LA County Ambulance Association
Chief Robert E. Barnes
Los Angeles County Police Chiefs Assn.
Mr. Frank Binch
Public Member (4th District)
Erick H. Cheung, M.D.
Southern CA Psychiatric Society
Mr. Gerald B. Clute
Hospital Association of Southern CA
Robert Flashman, M.D.
LA County Medical Association
Mr. Ron Hansen
Public Member (3rd District)
Clayton Kazan, M.D.
California Chapter-American College of
Emergency Physicians (CAL-ACEP)
Chief Raymond A. Mosack, Chair
CA State Firefighters’ Association
Mr. Daryl Parrish
League of Calif. Cities/LA County Division
Capt. Andres Ramirez
Peace Officers Association of LA County
Nerses Sanossian, MD, FAHA
American Heart Association
Western States Affiliate
Carole A. Snyder, RN, Vice Chair
Emergency Nurses Association
Chief Jon D. Thompson
LA Chapter-Fire Chiefs Association
Areti Tillou, M.D.
LA Surgical Society
Mr. Gary Washburn
Public Member (5th District)
Mr. Bernard S. Weintraub
Southern California Public Health Assn.
VACANT
Public Member (1st District)
Public Member (2nd District)
Executive Director
Cathy Chidester
Director, EMS Agency
(562) 347-1604

Commission Liaison
Marilyn Rideaux
(323) 890-7392

COUNTY OF LOS ANGELES

EMERGENCY MEDICAL SERVICES COMMISSION

10100 Pioneer Boulevard, Suite 200, Santa Fe Springs, CA 90670

(562) 347-1604 FAX (562) 941-5835

http://.ems.dhs.lacounty.gov/

DATE: / May 21, 2014
TIME: / 1:00 – 3:00 pm
LOCATION: / Los Angeles County EMS Agency
10100 Pioneer Blvd.
EMS Commission Hearing Room – 1st Floor
Santa Fe Springs, CA 90670
The Commission meetings are open to the public. You may address the Commission on any agenda item before or during consideration of that item, and on other items of interest which are not on the agenda, but which are within the subject matter jurisdiction of the Commission. Public comment is limited to three (3) minutes and may be extended by Commission Chair as time permits.
NOTE: Please SIGN IN if you would like to address the Commission.

AGENDA

CALL TO ORDER – Carole Snyder, Vice-Chair
INTRODUCTIONS/ANNOUNCEMENTS
CONSENT CALENDAR (Commissioners/Public may request that an item be held for discussion.)
1 / MINUTES
·  January 15, 2014
2 / CORRESPONDENCE
2.1  May 5, 2014, Selection Committee, RFP for 9-1-1 Emergency Ambulance Transportation Services, Orange County: McCormick Ambulance
2.2  April 30, 2014, Robert Gerber, President, Gerber Ambulance: Nurse Staffed Critical Care Transport Program Termination
2.3  April 28, 2014, David Eisner, M.D., Medical Director, Culver City Fire Department: Approval to implement utilization of intraosseous infusion (IO) in adult patients
2.4  April 28, 2014, Andrew Wilson, President, Antelope Ambulance Service: Approval for implementation of transcutaneous cardiac pacing (TCP) in the prehospital treatment of symptomatic bradycardia
2.5  April 8, 2014, Doug Graft, Fire Chief, La Habra Heights Fire Department: Approval for use of Continuous Positive Airway Pressure (CPAP) in the prehospital treatment of moderate to severe

(Correspondence – continued)

respiratory distress

2.6  March 27, 2014, Scott Bartos, President, Bowers Ambulance: Approval New Advanced Life Support Units RA 50, RA 55, and RA 57

2.7  March 25, 2014, Michael A. Duree, Fire Chief, City of Long Beach Fire Department: Request for special meeting of the EMS Commission regarding changes to implementation of Long Beach’s Rapid Medic Deployment Pilot Project

2.8  March 24, 2014, Each Licensed Ambulance Operator: Allowable Charges for Medi-Cal Patients Requiring Cardiac Monitoring/12 Lead EKG’s

2.9  Fentanyl Policies (11)

(The following Correspondence was carried over from the March 19, 2014 agenda due to lack of quorum)

2.10  March 11, 2014, Mitchell H. Katz, M.D., Director, Department of Health Services: Use of Measure B Funds to establish electronic patient care record (EPCR) system

2.11  March 10, 2014, Distribution: Approved Stroke Center Status of Antelope Valley Hospital Medical Center

2.12  February 26, 2014, Selection Committee, Oak Ridge Associated Universities: Letter of Support for Pediatric Disaster Preparedness

2.13  February 24, 2014, Distribution: Countywide Sidewalk Cardio Pulmonary Resuscitation Day – June 5, 2014

2.14  February 24, 2014, LEMSA Administrator, Public Health Administrator of Each Region I County: Regional Disaster Medical and Health Specialist for Region I

2.15  February 18, 2014, Gerald Clute, Chief Executive Officer, Providence Tarzana Medical Center: PMC Designation Agreement

2.16  February 18, 2014, Daryl L.Osby, Fire Chief, Los Angeles County Fire Department: letter to Supervisor Yaroslavsky requesting an increase in Measure B Funding for Fiscal Year 2014-2015

2.17  February 18, 2014, James Featherstone, Acting Fire Chief, Los Angeles County Fire Department: letter requesting an increase in Measure B Funding for Fiscal Year 2014-2015

2.18  February 18, 2014, John Scott, Interim Sheriff, Los Angeles County Sheriff’s Department: letter requesting an increase in Measure B Funding for Fiscal Year 2014-2015

2.19  February 18, 2014, Distribution: Approval of ST-Elevation Myocardial Infarction Receiving Center

2.20  February 4, 2014, Scott Ferguson, Fire Chief, Santa Monica Fire Department: Expansion of EMT AED Service Provider Program

2.21  January 29, 2014, Distribution: Designation of Approved Stroke Centers

2.22  January 29, 2014, Dr. Gerald Kozai, CEO, Saint Francis Medical Center: Approved ST Elevation Myocardial Infarction Receiving Center (SRC)

2.23  January 21, 2014, Distribution: Fentanyl Addition as an optional narcotic to Los Angeles County Scope of Practice

2.24  January 15, 2014, Chief Executive Officer, Each Pediatric Trauma Center: Request for Proposals to Implement or Expand Pediatric Trauma Services

2.25  January 14, 2014, ALL EMS Personnel, Provider Agencies, Base Hospitals: Revised EMS Personnel Certification Fees

COMMITTEE REPORTS

3.1  Base Hospital Advisory Committee

3.2  Data Advisory Committee

(Committee Reports – continued)

3.3  Education Advisory Committee

3.4  Provider Agency Advisory Committee

4. POLICIES

(* carried over from the March 19, 2014 agenda due to lack of quorum)

*4.1 Reference No. 228, ReddiNet® Utilization

4.2 Reference No. 414, Critical Care Transport (CCT) Provider

4.3 Reference No. 503, Guidelines for Hospitals Requesting Diversion of ALS Patients

*4.4 Reference No. 604, Ordering Prehospital Care Forms

4.5 Reference No. 822, Suspected Child Abuse/Neglect Reporting Guidelines

4.6 Reference No 1330, Pre-Existing Vascular Access Devices

5. BUSINESS

Old:

5.1  Status of Policy Initiatives - Attachment

·  Physician Services for Indigent Patients (PSIP) (September 16, 2009)

5.2  Community Paramedicine (July 18, 2012)

5.3 1+1 Paramedic Staffing Model (November 21, 2012) - Attachment

5.4 Wall Time (July 17, 2013)

New:

5.5 Measure B Audit - Attachment

5.6 Active Shooter

6. COMMISSIONERS COMMENTS/REQUESTS

7. LEGISLATION

8. EMS DIRECTOR’S REPORT

9. ADJOURNMENT

(To the meeting of July 16, 2014)

Lobbyist Registration: Any person or entity who seeks support or endorsement from the EMS Commission on official action must certify that they are familiar with the requirements of Ordinance No. 93-0031. Persons not in compliance with the requirements of the Ordinance shall be denied the right to address the Commission for such period of time as the noncompliance exists.