THURSTON COUNTY MEDIC ONE EMERGENCY MEDICAL SERVICES COUNCIL EMERGENCY SERVICES CENTER/EOC
AGENDA May 15, 3:30 PM
I. CALL TO ORDER/ROLL CALL
II. APPROVAL OF AGENDA
III. PUBLIC PARTICIPATION
IV. REVIEW AND APPROVAL OF MINUTES A. EMS Council - March 20, 2019 & April 17, 2019 B. Ops Committee - May 2, 2019 (Informational only)
V. COMMITTEE REPORTS A. Operations Committee – Ops Chair or Representative B. West Region EMS Council – WREMS Representative C. Staff Report D. Comprehensive Plan
VI. OLD BUSINESS
ITEM PRESENTER EXPECTED OUTCOME
A. Medic One Public Survey Hardin Presentation
B. PSPH Certificate of Need Update Hardin Information
C.
VII. NEW BUSINESS
ITEM PRESENTER EXPECTED OUTCOME
A. Special Project Applications VanCamp Approve/Disapprove
B. EMS Council Representative to WREMS McPhee Discussion Recommend C. MPD Contract Amendment Hardin Approval/Disapproval
D. 2019 1st Qtr Budget Review Miller Presentation
VIII. PUBLIC PARTICIPATION
IX. GOOD OF THE ORDER
X. ADJOURNMENT
Persons with hearing or speaking impairments can call Washington Relay Service at 711 or 1-800-833-6388
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Thurston County Medic One 4A Emergency Medical Services Council – Regular Meeting Medic One Office April 17, 2019
PRESENT: Margaret McPhee, Brian VanCamp, Cindy Hambly, Liberty Ryder, John Ricks, Tom Oliva, Stan Moon, Harry Miller, Cody Colt, Cheryl Selby, Lenny Greenstein ABSENT: Larry Fontanilla EXCUSED: Gary Edwards, Paul Perz, Shelia Fay GUESTS: Steve Brooks, Warren Peterson, Steven Slater, Chris Clem, Nathan Weed (DOH) STAFF: Kurt Hardin, Sandra Bush, Joy Miller, Ben Miller-Todd
CALL TO ORDER/ROLL CALL – Chair McPhee called the r e gular meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM. I. APPROVAL OF AGENDA – MSC – McPhee amended the agenda to add ‘Reconstitute Budget Committee’ under New Business. (Greenstein/Oliva) move to approve as amended, and this carried.
II. PUBLIC PARTICIPATION – None
III. REVIEW AND APPROVAL OF MINUTES A. EMS COUNCIL – March 20, 2019 – These were not approved and will be added to the May 15, 2019 agenda. B. OPERATIONS COMMITTEE – April 4, 2019 (informational only)
IV. COMMITTEE REPORTS A. OPERATIONS COMMITTEE: VanCamp reported: 1) Diversion discussion continues and has been assigned to the TRU committee. 2) A behavioral health facility will be opening soon in Lacey. 3) Special project applications have gone out to fire agencies. There was a waiver approved by Ops, waiving the requirement of obtaining signatures from all fire agencies who a part of the SORT team, for the SORT application. 4) Thurston County Fire District 6 license upgrade was approved and is on the EMSC agenda for today.
B. WEST REGION: No report.
C. STAFF REPORT: Staff report is included in the packet. Kurt said WREMS had a great conference at the end of March and was well attended. Ben talked about the paramedic hiring process. A traditional hiring process will take place April 24 – 26, 2019. However, back in January a group convened of approx.., 30 stake holders addressing the paramedic hiring issues, and the option of starting the hiring process at the agency level, and then coming to Medic One for medical skills evaluation. Lacey trialed this and they had success. They have given 2 offers to 2 paramedics which will bring them to a full staff status.
D. COMPREHENSIVE PLAN: VanCamp reported: Committee met a couple of weeks ago and reviewed results of the Medic One survey. Also, sub-committees put together drafts of initial goals and objectives.
V. OLD BUSINESS A. Thurston County Fire District #6 – Upgrade Application - District 6 does not plan on transporting unless a private ambulance is unavailable or has an extended arrival time of greater than 20 minutes (20 minutes being the point of when a private ambulance is notified of a call to the point a private ambulance gets on scene). (Hambly/Ricks) move to approve the upgrade application, and this passed. Stan Moon abstained and Margaret McPhee voted no. B. Emergency Room Diversion Update – After meeting with providers a few times over the past month, an agreement was reached on how to deal with in-county transports. When PSPH and CMC are on divert simultaneously, responders will call PSPH and PSPH will make the determination on where the patient should be taken. A “round robin” process was deemed which means for every round of 5 BLS transports, PSPH will take 3, CMC will take 1, and Providence of Centralia will take a half, which means every 2 times through the cycle, Providence of Centralia will take one. This does not include STEMI, stroke and trauma patients. The next step is to have something in writing.
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C. PSPH Certificate of Need (CoN) Update – The EMSC sent a letter to John Wiesman, Secretary of Washington4A State DOH, urging DOH to expedite the CoN submitted by PSPH, requesting an additional 52 beds. The response received from DOH did not satisfy the council’s concern over the delay in approving the CoN application so Nathan Weed with DOH was invited to speak to the council. Mr. Weed explained that a CoN decision takes about 8 months and the fact that staffing is an issue in this program, the CoN application approval has been delayed. There was also a delay in the application approval due to comments made during the public comment period, however DOH cannot share what the comments were or who made the comments. Mr. Weed will let the council know as soon as he knows the CoN is open for public comment again. (Hambly/Ricks) move to approve staff making a public records request on behalf of the EMS council, regarding the CoN for PSPH, and this carried. D. Medic One Public Survey – A public survey went out in March and results will come to the EMS council in May.
VI. NEW BUSINESS A. 2018 Fiscal Year Review – Joy presented the 2018 fiscal year review, and overall, Medic One spent 97% of their budget. ALS was overspent by 2.8% ($286,360). There was a $225,000 charge from 2017 that was received after the January 31, 2018 cutoff. The remaining over expenditure was for mandated paramedic overtime. Admin was underspent by 13.40% due to the Medic One public survey moving from 2018 to 2019 and underspending in supplies and professional services. BLS was underspent by 5.2% due to replacement of certain training equipment being deferred to 2019. B. Reconstitute Budget Committee – There will be a one-time budget committee meeting in the near future to discuss the option of turning the 1280 (reserve) account into an ER&R fund. There was an issue recently where funds were not transferred from the reserve into the operating fund which created a negative balance. At this time there is no known reason to have a reserve and an operating fund. A doodle poll will go out to the budget committee.
VII. PUBLIC PARTICIPATION – None
VIII. GOOD OF THE ORDER – Steve Slater said on April 27th there is a fisherman’s breakfast at Clear Lake in the Singletree community, and April 28th is a fisherman’s breakfast at Station 64 off Old Hwy 99. Also, the home and garden show is the same weekend at Yelm High School.
IX. ADJOURNMENT – The meeting was adjourned at 4:59.
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Thurston County Medic One 4A Emergency Medical Services Council – Regular Meeting Medic One Office March 20, 2019
PRESENT: Margaret McPhee, Brian VanCamp, Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Paul Perz, Stan Moon, Harry Miller, Sheila Fay, Cheryl Selby, Larry Fontanilla, JW Foster, Tom Fell ABSENT: Gary Edwards, Lenny Greenstein EXCUSED: GUESTS: Steve Brooks, Greg Wright, Kevin Maltz, Liberty Ryder, John Wood, Brandon Dawson, Brian Walton, Warren Peterson, Chris Clem STAFF: Kurt Hardin, Sandra Bush
CALL TO ORDER/ROLL CALL – Chair McPhee called the r e gular meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM. I. APPROVAL OF AGENDA – MSC – McPhee amended the agenda to add an OFD item of interest under Public Participation, and move Brown-Fell Scholarship presentation to Public Participation. (Moon/Hambly) move to approve as amended, and this carried.
II. PUBLIC PARTICIPATION – 1) Tom Fell presented the Brown-Fell Scholarship awards to Brandon Dawson, Brian Walton & Kevin Maltz. 2) Chief Wright announced a healthy baby boy was dropped off at OFD, Station 3, at 1:00 this afternoon by his parents who felt they could not care for the child. Protocol was followed and the transport of the child went well. RCW 13.34.360 allows for an infant under the age of 72 hours to be dropped off with no questions asked. 3) Frank Kirkbride introduced Liberty Ryder, his alternate on the EMS Council.
III. REVIEW AND APPROVAL OF MINUTES A. EMS COUNCIL –February 20, 2019 – (Kirkbride/Oliva) move to approve, and this carried. B. OPERATIONS COMMITTEE – March 7, 2019 (informational only)
IV. COMMITTEE REPORTS A. OPERATIONS COMMITTEE: VanCamp reported: 1) WREMS discussion on hospital diversion will go to the TRU committee. 2) Discussed the Certificate of Need PSPH sent to DOH to open up an additional 50 beds. 3) Anna Lee presented on the on-line training platform. 4) Medic One numbers will be eliminated from the TCOMM run reports. 5) After Action Reviews were performed on the ESO (patient charting system) installation, BLS Contracts, and hazmat incidents. 6) CMC reported a positive measles case. 7) 108 bed inpatient behavioral health facility opening up in Lacey.
B. WEST REGION: 1) Conference is this weekend in Ocean Shores. 2) There was discussion on the Certificate of Need letter PSPH issued to DOH requesting the opening of an additional 50 beds.
C. STAFF REPORT: Staff report is included in the packet. There was an Integrated Emergency Management Course (IEMC) the last week of February in Ocean Shores, with a focus on schools, jobs, housing and healthcare.
D. COMPREHENSIVE PLAN: There was no meeting last week, so there is no report. The subcommittees are working on their write-ups.
V. OLD BUSINESS A. Nomination Committee – Hambly reported there were two nominations, Margaret McPhee for Chair and Stan Moon for Vice-Chair. There were no other nominations from the floor. (Hambly/Oliva) move to vote Margaret McPhee as Chair and Stan Moon as Vice-Chair, and this carried.
VI. NEW BUSINESS A. Diversion Issue – Hardin reported: There was a meeting with PSPH on March 11th to discuss the diversion issue and it was decided that if both PSPH and CMC go on divert, PSPH will assume patient transport direction within the County, and then will appropriately address out of County patients being transported. There will be k:\adminstration\committees\ems council\emsc meetings\2019\minutes\3 emsc minutes march 20th.docx Page 1 of 2
an additional meeting on March 28th. There will be a 4 step approach to the diversion issue; 1) Certificate4A of Need letter to DOH for PSPH opening up an additional 50 beds. 2) Divert Agreement is in place, designating PSPH as the point of decision for directing where patients will go. 3) Asking for an outreach letter by community influencers. 4) Use Nurse Line as a relief for the E.R. B. Letter to DOH from EMSC regarding Providence St. Peter CON for increasing bed capacity – WREMS is sending a letter to DOH requesting the expediting of a Certificate of Need (CON) from Providence St. Peter to increase their bed capacity by 50. Staff is asking the EMSC to do the same and a draft letter was a presented. After comments and a few changes, (Hambly/Oliva) move to approve sending the letter of support for the CON, and this carried. (Kirkbride/Selby) move to approve encouraging member agencies to take action on communicating with DOH, and this carried. C. Thurston County Fire Dist. #6 upgrade application – WREMS received an application from Fire Dist. #6 to upgrade their transport application to DOH. This will be brought to the Ops Committee on April 4th for action and then presented back to the EMSC at their April 17th meeting for action to make a recommendation to WREMS.
VII. PUBLIC PARTICIPATION – None
VIII. EXECUTIVE SESSION – Council stepped into executive session at 4:51 PM to discuss annual evaluation of MPD.
IX. GOOD OF THE ORDER – None
X. ADJOURNMENT – (Hambly/Miller) move to adjourn the meeting at 5:26 PM, and this carried.
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4B
THURSTON COUNTY MEDIC ONE OPERATIONS COMMITTEE ~ MEETING MINUTES MEDIC ONE OFFICE May 2, 2019
PRESENT: Chris Clem, Larry Fontanilla, Malloree Fontanilla, Kathy Pace, Shawn Crimmins (ALT for TFD), Russ Kaleiwahea, Brian VanCamp, Greg Wright ABSENT: John Wood, Stewart Mason EXCUSED: Dave Pearsall, Keith Flewelling, Alex Christiansen, Steve Brooks GUESTS: Mike Buchanan, Tony Kuzma STAFF: Kurt Hardin, Sandra Bush, Ben Miller-Todd, Anna Lee Drewry I. CALL TO ORDER/ROLL CALL – Chair VanCamp called the meeting to order at 2:15. Staff recorded roll. Committee was short a quorum so Chief McGarva emailed approval for Shawn Crimmins to act as an alternate for Tumwater Fire. II. APPROVAL OF AGENDA –MSC – (Kaleiwahea/Pace) move to approve and this carried. III. PUBLIC PARTICIPATION – None IV. REVIEW AND APPROVAL OF MINUTES 1. Operations Committee – April 4, 2019 – MSC (Clem/Crimmins) moved to approve, and this carried. VanCamp and Wright abstained. 2. EMS Council – April 17, 2019 (informational only)
V. COMMITTEE REPORTS A. WEST REGION – Pace reported the board met last week and TAC will meet next week to discuss the conference. Also, there will be a “stop the bleed” train-the-trainer next Thursday, May 9th, from 10 - 12 at Airlift’s hangar. B. SUBCOMMITTES 1. Equipment Committee (EqC) – Crimmins reported: At the last meeting there was discussion about the national drug shortage, specifically epi 1:10,000, and Ketamine. Also, LED laryngoscope disposable blades are now available and being handed out to the ALS units. 2. Mass Casualty Incident (MCI) Committee – Crimmins reported: There was discussion at the last meeting about what is being carried on the rigs, and what a minimum should be. Will meet next week and a list will go out showing what the minimum of supplies should be in an MCI bag. There was also discussion about possibly getting a medical branch director board. A triage and treatment board was added during the last go around. Transport and transport aides (small yellow clipboards) will probably be added to the bags, so there is something available to write on. 3. Training Advisory Committee (TAC) – Drewry reported: The last meeting was well attended. There was discussion on an alternate for the online training platform (EMS1). Committee would like to keep 24/7 for at least a year to avoid frequent changes. Also, a train-the-trainer class has been scheduled with the MCI group, for OTEP. 4. Transportation Resource Utilization Committee (TRU) – Fontanilla reported: Group has been meeting on a semi-monthly to monthly basis. There has been less activity in the ER, so there has been less of a need for diversion. Red Robin has been implemented (PSPH takes 2 patients, CMC takes 1 and Centralia Providence takes one half) but he doesn’t believe it has been instituted. 5. Staff Report – Staff report is included in the packet. EMS Week is May 19 – 25 and a proclamation is scheduled to go before the BoCC next Tuesday. Staff may be delivering ice-cream to stations.
5 ops may minutes 2019 4B
VI. OLD BUSINESS A. EMS Council Action Report – VanCamp reported: 1) District 6 application for upgrade was approved. 2) ER diversion update was provided. 3) DOH was present to talk about the PSPH CoN. As a result, Medic One will perform a public records request with DOH. 4) There was a brief report on a public survey that went out in March. Final report will be presented to the EMSC in May. 5) The Budget Committee will have one meeting to discuss operating vs. reserve account. 6) The 2018 fiscal year review was presented. B. Special Project Applications – Special Project committee met and reviewed all applications. There is a budget of $10,000 for special projects, and $5,000 for SORT. The total dollar amount of requests received for special projects came in at $19,147. Committee recommends to Ops to approve all requests, with the exception of $8,000 for a power gurney safety enhancement District 9 requested. Committee recommends upgrading the $10,000 in the budget to $13,000 which will allow $1,853 towards the power gurney safety enhancement request. (Kaleiwahea/Wright) move to recommend adding $3,000 to meet the needs of the request as recommended by the special projects committee, and staff will identify where it will come from. This carried.
C. Diversion Update – There has not been a recent situation where both hospitals are simultaneously on divert. Working on a more stable and permanent solution going into the next flu system, and as things peak, what are the expectations across both hospitals and how do we make diversion policy similar. There will be discussion at the next TRU committee meeting, May 16th. MPD would like to reach out to the Centralia Physicians group regarding friction issues between providers and hospital staff. Chief Wright said he received a call last Friday from the Chief of DuPont wanting to know about diversion issues that their people were having when they went to PSPH. Chief Wright encouraged him to contact Ben, which he did and asked if there was anything DuPont could be doing to help with this issue. Ben told him it’s really about making sure they are abiding by what their protocols are and what the expectation is for them. The Chief mentioned sending their patients to any other hospital besides PSPH and Ben discouraged that. Fontanilla asked that this be brought up at the next TRU meeting. D. Certificate of Need Update – Several letters have been sent to DOH regarding the CoN for PSPH (Olympia, Tumwater, WREMS, EMSC, EMC, BoCC). DOH has scheduled a decision to be made by June 3rd. E. ESSB5272 (Emergency Communications) Update – This is the emergency communications legislation that was passed this last session. There is a meeting scheduled with Kurt, the County Manager, and the TCOMM Director next week to talk about timing for putting this on a ballot measure. The indications are that TCOMM will ask for a November 2019 ballot. The BoCC voted on putting the County courthouse ballot measure out in April 2020. Medic One will be discussing the Medic One levy with the EMSC on when this should be going to the County Commissioners.
VII. NEW BUSINESS A. Surplus Vehicle/Equipment (MA2 & Android Tablets) – Medic One will be replacing the MA2 vehicle this summer, and it will be up for surplus. Kurt suggested Ben sound out an email so he can start a list of those who are interested and if there is no list than Medic One can go straight to County surplus. The old Android tablets will also be available if anyone is interested.
VIII. GOOD OF THE ORDER – 2018 Medic One budget was 97% expended. IX. ADJOURNMENT – 3:01 PM
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5C EMS COUNCIL STAFF REPORT FOR 05/15/2019
ALS Update:
The Zoll AED 3 trial at LFD3 wrapped up April 15th. We would like to receive as much feedback as possible on the device from as many stakeholders as possible. Medic One did a site visit to Stryker (Physio-Control) in Redmond, WA on May 6th and will do a Zoll site visit on May 21st in Boston, MA. Medic One is also reaching out to area services with a combination of experiences with Zoll and Physio- Control. Medic One has an internal deadline of making the decision on ALS monitors and AEDs by June 1st. Medic One’s paramedic hiring took place the 24th - 26th of April. One more paramedic was placed on the list. Medic One will be continuing to interview for the Information and Quality Coordinator position. Please encourage anyone that you feel meets the requirements of the position to apply. EMS Week is just around the corner (May 19th – 25th)! BLS Update:
The current number of EMT Course students remains at 24. Two students were dropped from the course due to test scores and a class average below 80%. There will be a Train the Trainer class for MCI OTEP Instructors offered on May 16th at Medic One. The MCI Active shooter full scale exercises will be held June, July and August at Olympia, Lacey and Tumwater Fire Departments. Notice of specific dates, times and locations will be sent to all Departments so they may participate in these exercises.
CPR Update:
3130 citizens have been trained in Hands Only CPR as of May 8th, 2019. Thank you for a job well done to all of our CPR Instructors and staff! 6B
STATE OF WASHINGTON DEPARTMENT OF HEALTH Olympia, Washington 98504
April 9, 2019
Medrice Coluccio, Chief Executive Providence Health & Services – Washington dba Providence St Peter Hospital 413 Lilly Road NE Olympia, WA 98506-5166
RE: CN Application #18-34
Dear Ms. Coluccio:
During the course of reviewing the application submitted by Providence Health & Services dba Providence St Peter Hospital, I have identified a need for further documentation before proceeding with the review. Under the provisions of Washington Administrative Code (WAC) 246-310- 090(1)(a)(iii) and 246-310-160(2)(b), this documentation may be obtained by declaring a Pivotal Unresolved Issue (PUI).
Based on the email we received on April 5, 2019 from Lisa Crockett, the PUI information can be sent to the Certificate of Need Program office by 5:00 pm on Friday, May 3, 2019. Responses cannot be accepted after that date. Also, the CN Program does not accept faxed responses to correspondence. Your responses should be sent to me at one of the following addresses or by e- mail.
Mailing Address: Physical Address: Department of Health Department of Health Certificate of Need Program Certificate of Need Program Mail Stop 47852 111 Israel Road SE Olympia, WA 98504-7852 Tumwater, WA 98501 e-mail: [email protected]
A copy of the enclosed notice will be published in The Olympian on Friday, April 12, 2019. The notice identifies the timeline for the public to submit comment on the PUI documents and the new decision date. As stated in the notice, a public hearing will not be conducted.
Below is the information that must be submitted by Friday, May 3, 2019. 6B
Background Information: In rebuttal, Providence provided altered pro forma financial projections to address discrepancies identified in public comment. Answers to the following questions will clarify the magnitude of change between the different sets of financial projections, and will assist the department in fully understanding which information is accurate and applicable to this project. The questions below relate to financial feasibility standards under WAC 246-310-220(1).
Please note – per CN application instructions, non-inflated dollars must be used.
Request for Information 1. Confirm that the pro forma financial projections provided in rebuttal are accurate and reflective of actual operations. If not, revise and explain.
2. It is not clear whether the financial assumptions provided with the application are applicable to the updated pro forma provided in rebuttal. Provide the complete revenue and expense assumptions used.
3. From screening responses to rebuttal, line items throughout the pro forma shifted in the magnitude of tens to hundreds of millions of dollars. It is not clear whether this was purely a product of removing the inflation factor (identified on page 19 of Providence’s rebuttal comments), or if volume/length of stay assumptions also changed. Provide a detailed description of the changes from screening to rebuttal, line by line. For context, the department has provided an Excel file that identifies how line items changed between these two submissions.
4. If volume/length of stay assumptions have changed, provide a detailed explanation and revised assumptions.
5. Corporate allocations were not included in the application or in the screening response, but were added in rebuttal. Please provide a description of what is included in corporate allocations and how it was assumed in the pro forma.
6. If the pro forma financial projections show a significant departure from the 2017 year-end financial reports submitted to the Hospital Finance and Charity Care Program, provide a detailed rationale explaining why.
As previously stated, the unresolved issue process extends the review timeline for this project. The revised timelines are below.
04/12/19 Program publishes pivotal unresolved issue 05/03/19 Applicant provides necessary documentation 05/03/19 Last day for the public to request PUI documentation 05/10/19 Last day for the public to submit comments on PUI documentation 05/17/19 Rebuttal comments submitted on PUI documentation 06/03/19 Program’s evaluation due
6B
If you have any questions regarding pivotal unresolved issue or the timelines identified above, you can contact me directly at [email protected].
Sincerely,
Beth Harlow, Analyst Certificate of Need Program Community Health Systems 6B
From: Sandra Bush To: Harlow, Beth A (DOH) Subject: RE: Providence St. Peter Hospital CoN Date: Monday, April 29, 2019 9:10:54 AM Attachments: image001.png image002.png image003.png image004.png image005.png
Thank you!
Sandra Bush Administrative Supervisor Thurston County Medic One 2703 Pacific Ave SE Olympia, WA 98501 360-704-2784 [email protected]
From: Harlow, Beth A (DOH) [mailto:[email protected]] Sent: Monday, April 29, 2019 9:09 AM To: Sandra Bush
I will be distributing the info Providence submits after close of business on Friday the 3rd. The deadline for public comment will be Friday the 10th – comments will be compiled and distributed on Monday the 13th. The deadline for rebuttal to public comment will be Friday the 17th – rebuttal comments will be compiled and distributed on Monday the 20th. The department’s decision is scheduled for June 3, however we are currently working with a much heavier than average workload and the decision date may be extended. If that’s the case, I’d notify everyone on that date.
Let me know if I can answer any other questions! -Beth
Beth Harlow Management Analyst Community Health Systems Washington State Department of Health [email protected] 360-236-2931 | www.doh.wa.gov Gender Pronouns: She/Her
From: Sandra Bush [mailto:[email protected]] Sent: Monday, April 29, 2019 9:06 AM To: Harlow, Beth A (DOH)
Thank you! When should I look for the email?
Sandra Bush Administrative Supervisor Thurston County Medic One 2703 Pacific Ave SE Olympia, WA 98501 360-704-2784 [email protected]
From: Harlow, Beth A (DOH) [mailto:[email protected]] Sent: Monday, April 29, 2019 9:02 AM To: Sandra Bush
Good morning, thank you for your email. No, there is no specific form, the email is great. Unless you’d prefer we send it elsewhere, all info will be sent to you at [email protected].
Best, Beth
Beth Harlow Management Analyst Community Health Systems Washington State Department of Health [email protected] 360-236-2931 | www.doh.wa.gov Gender Pronouns: She/Her
From: Sandra Bush [mailto:[email protected]] Sent: Monday, April 29, 2019 7:43 AM To: Harlow, Beth A (DOH)
Good morning,
Medic One would is requesting DOH to provide the additional information mentioned in the attached Notice of Opportunity for Additional Public Comment on Providence St. Peter Hospital CoN. Is there a form DOH provides for us to use?
Thanks,
Sandra Bush 6B
Administrative Supervisor Thurston County Medic One 2703 Pacific Ave SE Olympia, WA 98501 360-704-2784 [email protected]
6B
From: HealthFac To: Harlow, Beth A (DOH) Cc: "Stephan David" Subject: Request for Providence St. Peter PUI information from Capital Medical Center Date: Friday, May 3, 2019 12:32:17 PM Attachments: image001.png harlow.pdf
Beth,
Please see the attached letter from Capital Medical Center regarding the Providence St. Peter PUI.
Please do not hesitate to contact me if you have any questions or require additional information.
Thank you, Lori
Lori Aoyama Health Facilities Planning & Development 120 1st Avenue West, Suite 100 Seattle, WA 98119 Phone: (206) 441-0971 | Fax: (206) 441-4823 E-mail: [email protected] 6B 6B 6B 6B 6B 6B 6B 6B 6B 6B 6B 6B 6B 6B 7A1
Thurston County Medic One Special Projects Application - 2019
PROJECTS RATING MATRIX
Special Projects Budget: $10,000 SORT Budget: $5,000
Comments Multi- Volunteer Response Time Square Miles Population Criteria MPD Expenditure Detail Agency Data Agency Training Cost/ Benefit Approval? Ratio
5 = New A = 2 4 = Enhance No points NON - SORT REQUESTS B = 1 3 = Replace applied for Staff Comments APPLICANT AGENCY & C = 0 >30min= 2 >30 mi= 2 >40k= 2 >3= 2 All Paid=0 2 = Repair comments or Agency's Match Special Projects PROJECT NAME TOTAL D = -1 10-30min= 1 10-30 mi= 1 10-40k= 1 2-3= 1 <50%=1 1 = Potential MPD Project Request Allowable - Committee Funding Special Projects Area Sq BLS Resp POINTS E = -2 <10min=0 <10= 0 <10k= 0 1= 0 >50%=2 Improvement approvals Amount Amount per SP criteria Recommendation Budget $10,000 Population Miles Time (Min)
Committee recommends allowing an additional $3,000 for the 2019 special project requests 13,000
A FD6 Ballistic Vests 10 2 0 1 1 0 2 4 2,154 1,077 1,077 11,923
B FD6 Portable Radio Replacement 9 2 0 1 1 0 2 3 8,824 4,412 4,412 7,511
C WTRF Portable Radios 9 2 0 0 1 0 2 4 4,666 2,332 2,332 5,179
D FD8 Low Angle Rescue Training 9 1 1 0 1 0 2 4 3,330 1,665 1,665 3,514
E FD13 Updating Alarm Notification 8 2 0 1 0 0 2 3 3,322 1,661 1,661 1,853
Power Gurney Safety F FD9 5 -1 0 2 1 0 2 1 16,000 8,000 1,853 0 Enhancement
$38,296 $19,147 $0 $13,000
BALANCE REMAINING IN BUDGET: $0
SPECIAL OPERATIONS RESCUE TEAMS (SORT) PROJECT REQUESTS
Black Lake - SORT Team 5,000 5,000 5,000 Support
$5,000 $5,000 $5,000
$43,296 $24,147 $0 $18,000
Comments: 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7A2 7D1
Medic One Budget 2019 Budget vs Actuals SUMMARY
Description Budget YTD Expended Available Used ADMIN $ 686,401 $ 137,271 $ 549,130 20% ALS $ 10,996,307 $ 1,552,925 $ 9,443,382 14% BLS $ 2,256,994 $ 275,568 $ 1,981,426 12% ER&R $ 1,323,834 $ - $ 1,323,834 0% total $ 15,263,536 $ 1,965,765 $ 13,297,772 13% ADMIN
Overall budget is 20% expended. Supplies- underspent, not many supplies have been purchased in the 1st qtr. Travel- budget is reflecting 57% in 1290C412/543000. Travel for the ALS Mgr and the BAA posted under this line item and will be moved to the ALS program 1290C422/543000.
ALS
Overall, the ALS budget is 14.10% expended. Total spent is artificially low due to ALS billings run 1 month behind during the calendar year. First quarter reports will only include January and February ALS expenditures. ALS will monitor the CME Training line (1290C422/549005) for the remainder of the year. Additionally, Coeur D’Alene’s EMS conference fell in 1st quarter this year, causing this line item to be 37.9% spent. PSPH’s printer rental (1290C428 545000) will be ending approximately July 1st, 2019. PSPH has offered to provide the service free of charge.
BLS
Overall budget is 12.20% expended. Overall underspent mostly due to on-line OTEP. The entire year was paid in the first quarter; expenses for instructors are mostly incurred in the 2nd & 3rd quarter and equipment purchasing has been deferred to 3rd quarter. PSPH’s printer rental (1290C485 545000) will be ending approximately July 1st, 2019. PSPH has offered to provide the service free of charge.
ER&R
Overall budget is 0% expended. No equipment was scheduled to be purchased during 1st qtr. ORGS: 1290C401:1290C416 MEDIC ONE ADMIN 7D2 Jan-Mar 2019
ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED 1290C401 598001 IF BUILDING RESERVES 21,342 21,342 5,335.50 16,007 25.00 Sub total Building Repairs 21,342 21,342 5,335.50 16,007 25.00
Medic One Admin Salary & Benefits 1290C411 510000 SALARIES 312,124 312,124 64,782.45 247,342 20.80 1290C411 521000:527000BENEFITS 118,000 118,000 23,725 94,275 139 Sub total Salary & Benefits 430,124 430,124 88,507.08 341,617 20.60
Medic One Admin M & O 1290C412 531000 SUPPLIES 10,675 10,675 1,386.93 9,288 13.00 1290C412 535000 SMALL TOOLS & MINOR EQUIPMENT 3,899 3,899 52.00 3,847 1.30 1290C412 541000 PROFESSIONAL SERVICES 54,500 54,500 0.00 54,500 0.00 1290C412 542000 COMMUNICATIONS 8,460 8,460 2,435.40 6,025 28.80 1290C412 543000 TRAVEL 4,500 4,500 2,594.67 1,905 57.70 1290C412 548000 REPAIRS & MAINTENANCE 8,827 8,827 1,656.78 7,170 18.80 1290C412 549000 MISCELLANEOUS 2,000 2,000 86.29 1,914 4.30 1290C412 549005 MISC-PARTICIPANT-OTHER TRAING 2,000 2,000 720.00 1,280 36.00 1290C412 575000 CAP LEASES/INSTALL PURCHASES 4,532 4,532 539.87 3,992 11.90 1290C412 583000 INTEREST-LONG TERM EXT DEBT 381 381 118.89 262 31.20 1290C412 591001 IF PROF SVS-RECORDS 2,595 2,595 648.75 1,946 25.00 1290C412 591002 IF PROF SRVCS-IT 60,966 60,966 15,241.50 45,725 25.00 1290C412 591003 IF PROF SVS-INFRASTRUCTURE 7,286 7,286 1,821.51 5,464 25.00 1290C412 591008 IF-PROF SVS-GEODATA 5,973 5,973 1,493.25 4,480 25.00 1290C412 591011 IF PROF SVS-IT APP RESERVES 4,166 4,166 1,041.51 3,124 25.00 1290C412 592001 IF COMMUNICATIONS-PHONE 413 413 103.26 310 25.00 1290C412 592002 IF COMMUNICATIONS-MAILROOM 2,829 2,829 707.25 2,122 25.00 1290C412 592003 IF COMMUNICATIONS-POSTAGE 427 427 94.68 332 22.20 1290C412 592004 IF COMM-LONG DISTANCE 1,018 1,018 314.14 704 30.90 1290C412 595001 IF OP RENTALS-CO OWNED 29,611 29,611 7,402.74 22,208 25.00 1290C412 595005 IF CUSTODIAL 6,605 6,605 1,651.26 4,954 25.00 1290C412 595006 IF UTILITIES 13,272 13,272 3,318.00 9,954 25.00 Sub total Non Personnel 234,935 234,935 43,428.68 191,506 18.50
Expense Total 686,401 686,401 137,271.26 549,130 20.00 7D3
ORGS: 1290C421:1290C429 MEDIC ONE ALS BUDGET Jan-Mar 2019
ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED ALS WAGES/BENEFITS 1290C421 510000:516000SALARIES 212,696 212,696 30,980 181,716 15% 1290C421 521000:527000BENEFITS 61,913 61,913 9,443 52,470 15% 1290C421 Total 1290C421 29 MEDIC 1 ALS WAGES 274,609 274,609 40,422.28 234,187 14.70
ALS M&O 1290C422 531000 SUPPLIES 345 345 0.00 345 0.00 1290C422 543000 TRAVEL 8,000 8,000 0.00 8,000 0.00 1290C422 548000 REPAIRS & MAINTENANCE 300 300 14.72 285 4.90 1290C422 549000 MISCELLANEOUS 500 500 0.00 500 0.00 1290C422 549005 MISC-PARTICIPANT-OTHER TRAING 2,000 2,000 0.00 2,000 0.00 1290C422 Total 1290C422 29 MEDIC I ALS M&O 11,145 11,145 14.72 11,130 0.10
ALS TRAINING/TRAVEL 1290C424 543000 TRAVEL 32,500 32,500 0.00 32,500 0.00 1290C424 549005 MISC-PARTICIPANT-OTHER TRAINING 27,625 27,625 10,477.44 17,148 37.90 1290C424 Total 1290C424 29 MEDIC 1 ALS TRAIN 60,125 60,125 10,477.44 49,648 17.40
ALS CONTRACT SUPPORT 1290C425 541000 PROFESSIONAL SERVICES 8,728,665 8,728,665 1,261,082.17 7,467,583 14.40 1290C425 545000 OPERATING LEASES/RENTALS 66,258 66,258 0.00 66,258 0.00 1290C425 546000 INSURANCE 130,000 130,000 0.00 130,000 0.00 1290C425 Total 1290C425 29 MEDIC 1 ALS CONTR 8,924,923 8,924,923 1,261,082.17 7,663,841 14.10
ALS SUPPORT SERVICES 1290C428 531000 SUPPLIES 80,000 80,000 6,599.88 63,400 9.40 1290C428 531003 SUPPLIES-UNIFORMS/CLOTHING 20,000 20,000 883.58 19,116 4.40 1290C428 531012 SUPPLIES-MEDICAL 379,000 379,000 55,978.23 323,022 14.80 1290C428 531014 SUPPLIES-DRUGS/PHARMACEUTICALS 160,000 160,000 16,113.70 143,886 10.10 1290C428 532000 FUEL CONSUMED 60,000 60,000 7,500.58 62,499 10.70 7D3
ALS SUPPORT SERVICES cont'd ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED 1290C428 535000 SMALL TOOLS & MINOR EQUIPMENT 77,000 77,000 217.79 76,782 0.30 1290C428 541000 PROFESSIONAL SERVICES 143,683 143,683 11,295.00 132,388 7.90 1290C428 541009 PROF SVS-ADVERTISING 3,000 3,000 0.00 3,000 0.00 1290C428 542000 COMMUNICATIONS 10,000 10,000 576.60 9,423 5.80 1290C428 545000 OPERATING LEASES/RENTALS 0 0 38.54 -39 100.00 1290C428 548000 REPAIRS & MAINTENANCE 92,055 92,055 27,113.12 64,942 29.50 1290C428 548003 REPAIRS/MAINT-LABOR 130,000 130,000 22,764.01 107,236 17.50 1290C428 549000 MISCELLANEOUS 14,256 14,256 1,761.31 12,495 12.40 1290C428 591004 IF PROF SVS-INDIRECT COSTS 271,856 271,856 67,964.01 203,892 25.00 1290C428 591010 IF PROF SVS-BENEFITS ADMININ 1,329 1,329 332.25 997 25.00 1290C428 592003 IF COMMUNICATIONS-POSTAGE 427 427 111.32 316 26.10 1290C428 593001 IF SUPPLIES-FUEL 1,000 1,000 0.00 1,000 0.00 1290C428 595000 IF OPERATING RENTALS 600 600 0.00 600 0.00 1290C428 596000 IF INSURANCE SERVICES 17,719 17,719 4,429.74 13,289 25.00 1290C428 598002 IF REPAIRS/MAINT-OTHER 500 500 0.00 500 0.00 1290C428 Total 1290C428 29 ALS SUPPORT SERVI 1,462,425 1,462,425 223,679.66 1,238,745 15.30
ALS DATA SYSTEM 1290C429 535000 SMALL TOOLS & MINOR EQUIPMENT 140,000 140,000 1,429.23 138,571 1.00 1290C429 535002 SMALL TOOLS/MINOR EQUP-PARTS 5,000 5,000 788.08 4,212 15.80 1290C429 541000 PROFESSIONAL SERVICES 5,000 5,000 0.00 5,000 0.00 1290C429 542000 COMMUNICATIONS 13,500 13,500 1,170.48 12,330 8.70 1290C429 548000 REPAIRS & MAINTENANCE 53,063 53,063 8,424.28 44,639 15.90 1290C429 549000 MISCELLANEOUS 26,600 26,600 457.39 26,143 1.70 1290C429 591002 IF PROF SVS-IT 19,917 19,917 4,979.25 14,938 25.00 1290C429 Total 1290C429 29 ALS DATA SYSTEM 263,080 263,080 17,248.71 245,831 6.60
Expense Total 10,996,307 10,996,307 1,552,924.98 9,443,382 14.10 ORGS: 1290C441:1290C489 MEDIC ONE BLS 7D4 Jan-Mar 2019
ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED BLS WAGES/BENEFITS 1290C441 510000 SALARIES 271,091 271,091 47,045.57 224,045 17.40 1290C441 521000:527000BENEFITS 114,164 114,164 19,716 94,448 17% Sub total Wages/ Benefits 385,255 385,255 66,761.35 318,494 17.30
BLS M&O 1290C442 531000 SUPPLIES 200 200 86.52 113 43.30 1290C442 542000 COMMUNICATIONS 1,000 1,000 213.95 786 21.40 1290C442 543000 TRAVEL 5,000 5,000 0.00 5,000 0.00 1290C442 548000 REPAIRS & MAINTENANCE 3,000 3,000 147.23 2,853 4.90 1290C442 549000 MISCELLANEOUS 250 250 0.00 250 0.00 1290C442 549005 MISC-PARTICIPANT-OTHER TRAING 1,500 1,500 0.00 1,500 0.00 1290C442 592003 IF COMMUNICATIONS-POSTAGE 855 855 138.43 717 16.20 1290C442 593000 IF SUPPLIES 500 500 0.00 500 0.00 1290C442 598000 IF REPAIRS/MAINT 500 500 0.00 500 0.00 Sub total BLS M & O 12,805 12,805 586.13 12,219 4.60
BLS SUPPORT 1290C445 516000 EXTRA HELP 116,944 116,944 11,294.15 105,650 9.70 1290C445 521000 SOCIAL SECURITY 9,532 9,532 864.05 8,668 9.10 1290C445 524000 WORKERS COMPENSATION 3,392 3,392 548.92 2,843 16.20 1290C445 525000 UNEMPLOYMENT COMPENSATION 636 636 33.91 602 5.30 1290C445 526000 PAID FAMILY MEDICAL LEAVE 0 0 16.77 -17 100.00 1290C445 531000 SUPPLIES 25,000 25,000 5,682.34 19,318 22.70 1290C445 535000 SMALL TOOLS & MINOR EQUIPMENT 3,200 3,200 0.00 3,200 0.00 1290C445 541000 PROFESSIONAL SERVICES 115,663 115,663 8,390.00 107,273 7.30 1290C445 543000 TRAVEL 3,000 3,000 0.00 3,000 0.00 1290C445 545000 OPERATING LEASES/RENTALS 2,000 2,000 0.00 2,000 0.00 1290C445 548000 REPAIRS & MAINTENANCE 1,500 1,500 0.00 1,500 0.00 1290C445 549000 MISCELLANEOUS 35,000 35,000 16,171.65 18,828 46.20 1290C445 549005 MISC-PARTICIPANT-OTHER TRAING 1,050 1,050 386.50 664 36.80 Sub total BLS Support 316,917 316,917 43,388.29 273,529 13.70 ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED 7D4 CPR PIE 1290C480 516000 EXTRA HELP 79,198 79,198 22,359.34 56,839 28.20 1290C480 521000 SOCIAL SECURITY 7,587 7,587 1,710.49 5,877 22.50 1290C480 524000 WORKERS COMPENSATION-L&I 2,038 2,038 1,010.07 1,028 49.60 1290C480 525000 UNEMPLOYMENT COMPENSATION 496 496 67.18 429 13.50 1290C480 526000 PAID FAMILY MEDICAL LEAVE 0 0 32.65 -33 100.00 1290C480 531000 SUPPLIES 6,402 6,402 499.86 5,902 7.80 1290C480 535000 SMALL TOOLS & MINOR EQUIPMENT 1,000 1,000 0.00 1,000 0.00 1290C480 541000 PROFESSIONAL SERVICES 34,732 34,732 7,683.00 27,049 22.10 1290C480 541009 PROF SVS-ADVERTISING 1,250 1,250 0.00 1,250 0.00 1290C480 548000 REPAIRS & MAINTENANCE 300 300 14.73 285 4.90 1290C480 549000 MISCELLANEOUS 18,000 18,000 0.00 18,000 0.00 1290C480 591000 IF PROFESSIONAL SERVICES 2,000 2,000 0.00 2,000 0.00 Sub total CPR PIE 153,003 153,003 33,377.32 119,626 21.80
BLS SUPPORT 1290C485 531000 SUPPLIES 543,107 543,107 21,598.54 521,508 4.00 1290C485 535000 SMALL TOOLS & MINOR EQUIPMENT 47,500 47,500 0.00 47,500 0.00 1290C485 541000 PROFESSIONAL SERVICES 582,922 582,922 3,849.19 579,073 0.70 1290C485 541009 PROF SVS-ADVERTISING 4,988 4,988 0.00 4,988 0.00 1290C485 542000 COMMUNICATIONS 1,061 1,061 409.25 652 38.60 1290C485 545000 OPERATING LEASES/RENTALS 0 0 89.96 -90 100.00 1290C485 549000 MISCELLANEOUS 12,000 12,000 3,926.90 8,073 32.70 1290C485 595000 IF OPERATING RENTALS 600 600 0.00 600 0.00 Sub total BLS Support 1,192,178 1,192,178 97,349.34 1,094,829 8.20
BLS DATA SYSTEM 1290C489 510000 SALARIES 56,582 56,582 11,445.00 45,137 20.20 1290C489 516000 EXTRA HELP 0 0 491.98 -492 100.00 1290C489 521000 SOCIAL SECURITY 4,328 4,328 905.03 3,423 20.90 1290C489 522000 RETIREMENT 7,268 7,268 1,468.39 5,800 20.20 1290C489 523000 MEDICAL/DENTAL/LIFE 12,042 12,042 2,387.22 9,655 19.80 1290C489 524000 WORKERS COMPENSATION-L&I 252 252 43.48 209 17.30 1290C489 525000 UNEMPLOYMENT COMPENSATION 170 170 35.83 134 21.10 1290C489 526000 PAID FAMILY MEDICAL LEAVE 83 83 18.08 65 21.80 1290C489 527000 LONG TERM DISABILITY 323 323 65.26 258 20.20 1290C489 535000 SMALL TOOLS & MINOR EQUIPMENT 11,800 11,800 0.00 11,800 0.00 1290C489 535002 SMALL TOOLS/MINOR EQUP-PARTS 5,000 5,000 223.24 4,777 4.50 1290C489 548000 REPAIRS & MAINTENANCE 98,988 98,988 16,986.14 82,002 17.20 1290C489 549000 MISCELLANEOUS 0 0 36.35 -36 100.00 Sub total BLS Data System 196,836 196,836 34,106.00 162,730 17.30 Expense Total 2,256,994 2,256,994 275,568.43 1,981,426 12.20 7D5
ORG: 1290C493 MEDIC ONE ER&R Jan-Mar 2019
ORG OBJECT ACCOUNT DESCRIPTION ORIGINAL APPROP REVISED BUDGET YTD EXPENDED AVAILABLE BUDGET % USED 1290C493 535000 SMALL TOOLS & MINOR EQUIPMENT 42,768 42,768 0.00 42,768 0.00 1290C493 564000 MACHINERY & EQUIPMENT 1,281,066 1,281,066 0.00 1,281,066 0.00 1290C493 Total 1290C493 29 EQUIP REPLACEMNT 1,323,834 1,323,834 0.00 1,323,834 0.00
Expense Total 1,323,834 1,323,834 0.00 1,323,834 0.00