Kitsap County EMS and TCC Board of Directors

Kitsap County EMS and TCC Board of Directors Meeting Minutes November 17, 2016 2502 Cherry Place Bremerton, WA 98310

Attendees: Charlie Aleshire HMC Rena Beyke BIAA Al Duke BFD Dr. Roger KCEMS Scott Weninger CKFR Jeff Griffin PFD Kim Droppert OLYMPIC Steve Wright SKFR Dan Smith NKFR Lisa Gnassi KCEMS Doug Jones BIAA

The meeting was called to order at 0934 by Chief Griffin.

Review and Adoption of Minutes The meeting minutes of October 20, 2016 were reviewed and a motion was made by Ms. Droppert, and seconded by Chief Weninger to approve the minutes with the following changes: 1) Add Chief Scott Weninger to the list of attendees; 2) change the word “Council’ to “responding” at Page 3, Section III Staff & Regional Review, Item C, last line.

OLD BUSINESS

1. Elections Chair: Ms. Aleshire withdrew from the nomination that she received for Chair during the October meeting and nominated Chief Weninger for Chair beginning in 2017. A motion was made by Ms. Aleshire and seconded by Chief Wright to nominate Chief Weninger as Chair, Kitsap County EMS & Trauma Care Council. The motion passed unanimously.

Treasurer: A motion was made by Ms. Droppert and seconded by Ms. Aleshire to nominate Chief Smith as Treasurer, Kitsap County EMS & Trauma Care Council beginning in 2017. The motion passed unanimously.

2. Budget Chief Duke reviewed the 2017 Budget noting that there are no changes in formulating the budget from previous years, with the exception of $12,000 retainer fees for HealthForce. There is also a fair amount of money required to come from reserves in order to balance the budget. The reserve balance is sustainable for the time being however there was discussion about beginning negotiations with HealthForce for reduced fees or a new fee structure.

1 Ms. Droppert requested that the Budget items for her agencies be split out between Olympic Ambulance and Bremerton Ambulance.

3. NWREMS Training Fund Update Ms. Droppert reported that after the Northwest Region Council reviewed recommendations for use of the surplus funds, it was determined that each county will receive an additional $3,000 for the year. KCEMS will be required to make an addendum to our annual grant request to account for the additional monies.

There was discussion regarding use of the additional grant monies to purchase a training manikin for the county and thereby participating in Harborview Resuscitation Academy matching program to obtain a second manikin.

A motion was made by Chief Weninger to purchase above described manikin with $3500.00 from reserve funds. The motion was seconded by Chief Wright and the motion carried unanimously. Dr. Roger will reach out to Harborview to obtain the manikin matching. Ms. Gnassi will invoice each agency for $500.00 to reimburse the reserve fund.

NEW BUSINESS

1. New Manager of Bainbridge Island Ambulance Ms. Beyke introduced Doug Jones who will be replacing her as she retires. Mr. Jones shared his background with the attendees. Mr. Jones wills the new manager for both Bainbridge Island Ambulance and Bainbridge Advanced Care Ambulance.

2. Update on Bainbridge Advanced Care Ambulance Ms. Beyke provided an update on the Bainbridge Advanced Care Ambulance that is forming. It was reported that BACA has met with Chief Teran of Bainbridge Island Fire Department and Chief Teran wants the Council to know that no new agreements have been made and it is unknown how future agreements will evolve as they go through the board.

There was discussion about whether or not the MPD has purview over personnel at BACA if the operation has not been endorsed by the KCEMS & TCC Board of Directors. Because the MPD is employed by the Council, this appears to be a conflict and the MPD sides with the Council. Discussion also centered on ALS services which have always been provided by the Fire Department and this is where some agreement with Chief Teran would come into play. It is felt that BACA would be limited to only interfacility ALS transfers with it yet to be determined if BACA could respond to 911 calls at a future time. BACA is not “trauma verified” with the State so Ms. Beyke reminded that BACA will not be out in the street. The board noted that not all parameters have been laid out yet; more are needed including future operation plan. The MPD reported that all personnel from outside Kitsap County will be required to meet same criteria as any other responders before they will be approved for work here.

2 A motion was made by Chief Weninger, and seconded by Ms. Droppert, to form an Ad Hoc Committee to address BACA operating status and any agreements between Bainbridge Island Fire Department, Bainbridge Advanced Care Ambulance and Bainbridge Island Ambulance Association and report back to this Board. The motion passed.

3. Organizational Chart In light of the elections for the Board of Directors and the transition to new leadership, there was a discussion about whether or not a review of the organizational chart is needed; and if standardized job descriptions are available for the MPD, physician delegates, medical officers and office staff. The job descriptions and organizational chart on hand will be made available and discussed further at next meeting.

Chief Griffin and Dr. Roger discussed how QA/QI is working and who is leading it up. Dr. Roger reported that as MPD, he and Captain Engel will work together to review high return items which will then be forwarded to the physician delegates and also thru Mr. Schweiger, Training Coordinator for the appropriate updates.

4. Transition Plan Chief Weninger reported that as he transitions into the chairman role he will meet with Ms. Gnassi to discuss storage and file space needs and will strive to make the EMS Office move into the CKFR building at neutral cost.

5. MPD Report Dr. Roger reported that High Performance CPR will roll out shortly and that Bainbridge Island Fire Department has received approval from their Fire Commissioners to purchase the ESO system. Once Bremerton Fire Department makes the purchase, the whole county, except CKFR still on Zoll, will be on electronic medical record system and it will be very valuable for feedback and quality improvement uses.

There was discussion about the need for a computer in the EMS Office that could be used for QA/QI purposes. No decisions were made. Additional discussion surrounded whether Ms. Gnassi could use a laptop setup to take meeting minutes in a more efficient way and it was agreed that research be done by Ms. Gnassi and brought back to the committee for further purchase decisions.

A motion was made by Chief Weninger and seconded by Chief Griffin to purchase a laptop for Ms. Gnassi to assist in taking minutes. The motion passed unanimously. Ms. Gnassi will provide the research results to the Board at a future meeting.

6. Kitsap Connect Ms. Droppert reported that Robin O’Grady, Program Coordinator from the Kitsap County Public Health program called Kitsap Connect would like to make a presentation at the next MSO meeting to inform the medical officers in the county about the program and its benefits.

3 7. Good of the Order Chief Weninger gave an update on the EMS Office transition to CKFR spaces. Ms. Gnassi will provide him a list of expenses for rent, copier, phone and any other items with the goal to keep the move cost neutral.

Chief Griffin reported that a probationary paramedic at PFD recognized a STEMI patient who was immediately taken to the Cath Lab with an excellent outcome.

The meeting adjourned at 1138.

Next meeting is scheduled for December 15, 2016 at 9:30 am.