Kitsap County EMS and TCC

Board of Directors Meeting Minutes

June 15, 2017

9:00-11:00am

5300 Newberry Hill Road

Silverdale, WA

Attendees:

Dr. Roger / MPD / Kim Droppert (Past Chair) / Olympic Amb.
Scott Weninger (Chair) / CKFR / Jeff Griffin (Past Chair) / PFD
Dan Smith (Treasurer) / NKFR / Steve Wright / SKFR
David Schmitt / BFD / Hank Teran / BIFD
Katy Crabtree / KCEMS

The meeting began 9:16am

  1. Approval of Minutes
  1. Financial update
  2. Chief Smith would like to set up time with Chief Weninger and Katy to talk about making the financialsystem more efficient. We are still using checks and the procedure is outdated. Implementing a new updated system would be beneficial. Katy will schedule a meeting with Chief Weninger and Chief Smith.
  1. Old Business
  1. MPD Update
  2. State MPD meeting update
  3. Dr. Roger attended the State MPD Meeting on June 5thin Olympia. He mentioned there is an interesting parallel with what we are doing in Kitsap County in regard to OTEP changes and what changes are being made at the state level. KitsapCounty will be a leader in OTEP overhaul. The state does not want to reinvent the wheel so they will wait to see what KCEMS does first with OTEP. Dr. Roger reported that Washington State is remaining superlative with cardiac arrest treatment. Dr. Roger will serve on the committee for BLS protocols and EMT IV protocols updates. They haven’t been updated since 2009 so Dr. Roger will work with the MPD from Spokane on this issue.
  4. CARES
  5. The current chairman is stepping down. A new chair and vice chair will be established
  6. National Association of State EMS Officials (NASEMSO) has released their best practices for data protocols. This is now available through the State for the MPDs. Dr. Roger will use this system with Joe when updating policies. The NWREMS Council would also like to update the protocols.
  7. Dr. Roger questioned whether or not protocols should be updated as region or county. Kim Droppert noted that when changes were made to protocols as a region, it did not go smoothly. Dr. Roger added that making very protocol Kitsap specific would be a lot of work. Additionally Dr. Roger asked if KCEMS should remove themselves from NW protocol updates. It was discussed that it could go either way and depends on the circumstances. KCEMS will take protocols that operate differently in Kitsap County and make specific changes as needed.
  8. Community Paramedicine
  9. The Department of Health decided paramedicine is not under the MPD license. If an agency thinks paramedicine is valuable to them they can have that conversation within their agency. Dr. Roger noted that taking on paramedicine would be too much for his role as MPD.
  10. Clinical Policy Updates
  11. Dr. Roger is working with Joe to make appropriate policy updates
  12. Base Station policy change memo was dispersed and signed by Dr. Roger. Katy will email out the signed memo to the Board.
  13. Physician Delegate meetings will count as contact hours in new policy Joe has drafted (can be retroactive if needed).
  14. CBD Committee
  15. Chief Smith has agreed to start the committee and move forward with Maria at CENCOM and other stakeholders. A committee will be formed and a budget for CBD will need to be reviewed. An evaluation will be made as to where we are now and then a decision can be made if we would like to start over with CBD. A reconnection with King County needs to be made in order to move forward with this process.
  16. Dr. Roger noted CBD is a balance of good medicine, good training, and discretion
  17. Central Kitsap applied for a bachelor’s internship program at Western Washington University to help with CBD. Ideally, the intern would analyze the CBD data and make recommendations to the Council on this issue.
  18. Point of clarification – Dr. Roger is technically the medical oversight of CBD.
  19. Moving forward, the CBD committee will be established first and then procedure on downgrading or upgrading calls will be decided upon. At one point Dr. Roger will be on the receiving end of a summary of downgraded calls and Katy will keep an ongoing spreadsheet of the incoming data.
  1. Rent/Tax update
  2. New rent agreement was drafted to reflect leasehold tax
  3. Approval was given for Scott to be Charlie’s Proxy
  1. Update County EMS Ordinance
  2. Update from Angie Silvathe Senior Policy Analyst in theKitsap County Commissioners Office. She noted this effort required more background research than originally thought. If this is still something the Council is still interested in pursuing and a full Board meeting can be scheduled.
  3. Kim Droppert noted there is an RCW that may impact the proposed ordinance. She will email it to the board.
  4. Chief Weninger would like to move forward with the ordinance. This could allow new organizations to pay an initiation fee, which would provide income for the Council. A formula would be created to determine the dollar amount new members pay as an initiation fee and our Bylaws would be amended to reflect that change. The ordinance would provide stability for the KCEMS Council and member organizations.
  1. Medical Officer’s Meeting Update (Conference Video Call June 15th)
  2. Next in-person meetingin July13th(TBD)
  3. Draft Organizational Chart
  4. Katy will make discussed changes
  1. New Business
  1. Monthly EMS Staff Reports
  2. Review Mission Statement & Logo [Letterhead]
  3. Katy will send out draft of possible new mission statementsvia email
  4. Approval will be done electronically before next meeting
  5. Mission and letterhead will be adopted at next meeting in July
  6. Outstanding Service Coin
  7. Katy will look into more pricing options
  8. Dr. Roger noted the proposed price of $748 was expensive and would like to have other options researched
  9. Printer Surplus
  10. Katy will post on publicsurplus.com starting at $300.00
  1. Base Station MPD Delegates
  2. Possible Western Washington Intern for CBD Research
  1. Good of the Order
  2. Katy will make edits to May’s minutes under HealthForce agreement and will get Chief Weninger’s signature on official payment plan.
  3. Chief Griffin thankedChief Weninger for taking on the chairmanship of KCEMS & TCC Council. He noted we have great people at the table and good ideas and is excited for the positive changes happening.
  4. Dr. Roger noted that Anne Dahl at ResuscitationAcademy liked the idea of inviting other counties to the Resuscitation Academy in September in Silverdale. She was excited that Kitsap is going to be leader with the event in September.
  5. Chief Griffin noted Jake Gillandersfrom Poulsbo Fire Department has been building training simulators for paramedics while he is on light duty. The feedback from other paramedics has been great so far and noted it could be a very valuable training tool. If anyone wants to have a conversation with him and see what he is creating, please do. It might be valuable to Medical Officers to take a look at.
  6. Future Agenda items

Meeting was adjourned at 10:56am.