The URL can be used to link to this page

Browse Search

Home My WebLink About20053198.tiff RESOLUTION RE: APPROVE REVISIONS TO RETAC BIENNIAL PLAN AND AUTHORIZE CHAIR TO SIGN WHEREAS,the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS,the Board has been presented with Revisions to the RETAC Biennial Plan between the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County,on behalf of the Weld County Paramedic Services,commencing November 1,2005 and ending June 3,2006 with further terms and conditions being as stated in said attest statement, and WHEREAS,after review,the Board deems it advisable to approve said revisions,a copy of which is attached hereto and incorporated herein by reference. NOW,THEREFORE,BE IT RESOLVED by the Board of County Commissioners of Weld County,Colorado,that the Revisions to RETAC Biennial Plan between the County of Weld, State of Colorado,by and through the Board of County Commissioners of Weld County,on behalf of the Weld County Paramedic Services, be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said revisions. The above and foregoing Resolution wat,on motion duly made and seconded,adopted by the following vote on the 31st ctober, A.D., 2005. ELS BOARD OF COUNTY COMMISSIONERS r 1 WELD COUNTY, COLORADO ATTEST: �� rl �} j William H. Jerke, Chair Weld County Clerk to the EXCUSED I M. Jcpt, Pr Tem BY: ;. D;.uty Cle 'to the Boar.1 / Dav Long AP AS TO F V � Robe D. Masden, n Attorney �2t Li A ' /Os Glenn Vaad Date of signature: 2005-3198 AM0014 CC : //-is-o< SECTION 5: Attest Statement ATTEST STATEMENT For: Weld County By signing below, the County Contact and the Chair of the Board of County Commissioners attest that the information contained in this document, to the best of their knowledge, completely and accurately represents the most current information available to complete the revisions to the RETAC Biennial plan. The goals and objectives incorporated herein have been reviewed and agreed upon by the Board of County Commissioners to be included in this document. A /�� t�. n ATTEST: �keda - r Bill Jerke ,' Eilsa WELD COUNTY CLERK TO THE BOARD • Print County Chairperson Name r tt�t ( j �':� DEPITY CLEF It THr B O County Chairperson Signature �� ir✓' OCT 31 2005 Signature Date Dave Bressler Print County Contact Name (person responsible for filling out the County EMTS plan) County Contact Name Signature !n 7L7 DS Signature Date Please mail attest statement to; Jeff Schanhals, Coordinator Northeast Colorado RETAC 45199 CR 36 Fleming, CO 80728 2005-3198 Page 1 of 4 Introductory Section: Weld Contact Person: Dave Bressler Weld Email Address: dbressler@co,weld.co.us Weld Address: 1121 M Street Greeley, CO, 80631 Weld Phone: 970-353-5700 x3211 Section 1: Accomplishments #1 Integration of Health service Weld County Regional Communications contracted with Weld County Medical Director. Update EMD to Version 11. Dispatch and System 800 Radio Upgrade including facilities. Disaster Training/ Planning / Update. Creation of Mass Immunization Plan for Weld County coordinated by Weld County Health Department. County wide Smallpox Exposure Exercise. NIMS/ ICS Training. Weld County Health Department implemented our NIMS intergration plan by revising response plans and providing approved NIMS training to staff. BENICE Training. Prevent Alcohol and Risk Related Trauma in Youth Program for area High Schools. Safe Kids Program. Car Seat Safety Program. County wide AED Training through Aims Community College with county deployment of AEDs. Equipment obtained via Federal and State Grant Programs. Distributed to the Weld County Health Department via an EMS Grant. NCMC Regional Trauma Conference. NCMC Burn Center Training for pre-hospital provider. Cooperative effort to update County wide Medical Protocols and post to Internet. Update and complete current certifications and agency rosters for Medical Director and State of Colorado. Utilization of air services within the county. Quality improvement activities in AirLife include the review of all flights for appropriate utilization and discharges from the ED, appropriate utilization measures continue to be very high within the county. AirLife continues to offer helicopter training to the county agencies on an annual basis. The majority of responding agencies participate in this activity. AirLife is also represented in the RETAC Medical Directors group. #2-EMTS Research 12 Lead Program research, implementation, training and deployment. Integration with facility to provide field to cath lab process. Obtained Colorado Public Health and Environment EMS Division waiver for 12 Lead for system EMTI's. Investigation and research in new drug treatment modalities with protocol development. Pre- hospital data collection systems for fire, EMS with integration to facilities. County wide mapping program with Weld County GIS Department. #3-Legislation and Regulation Certification Task Force participation. EMS Data Collection Task Force pariticipation. Tort Reform legislative participation. County Commissioner particpation in legislative work for reimbursement at CCI. Ground Ambulance Licensing pariticipation. Seatbelt legislation participation. #4-System Finance County wide Strategic Planning. Presentation of results to Weld County Fire Chiefs and State RETAC Forum. Impact of TORT Reform on ambulance reimbursement. Medicare/ Medicaid Fee Schedule Training in cooperation with RETAC. Multiple Grant applications at Federal and State levels for EMS / Fire/ Facilities. #5-Human Resources Regional Hiring Process for EMS/ Fire Services. County wide effort by EMS Council to attain new certification documentation for providers. Development of EMS Coordinator postions for county wide fire departments. AirLife has had no changes in job descriptions and continues to have a very low turn over rate. Added 2 PRN nurse employees as replacement. Experience no difficulties in recruitment for positions #6-Education Systems Aims Community College housed on campus in new EMS Academy. Continued Medical Education and records http://www.ncretac.com/County_EMS_councils/annual_plan/report_full_complete.cfm?id=8 9/30/2005 Page 2 of 4 managment by Aims Community College. RETAC Educational Subcommittee. Regional EMTI Transition I99 Course Coordination and RETAC Grant. Particpation in the RETAC sponsored Paramedic Refresher Course. Participation in the RETAC sponsored Education Subcommittee for Assistant Instructor Training. Achieved BLS Training Center status for Aims Community College EMS Division Training Center. NCMC / Facility computer based certification training. Provide Clinical sites for training centers throughout the state of Colorado and across country. AirLife staff are required to maintain clinical competency through clinical experience at NCMC. Clinical time is required in the cath lab, ICU, nursery, peds, and the ED. 3-4 flight team members are sent annually to the aeromedical conference for updates as it relates to aeromedical transports. AirLife provides both adult and pediatric skills fairs annually. Subscribe to aeromedical journals and have a medical director who actively practices and stays current on most issues. #7-Public Access Aims Community College Training for BLS/AED Programs. Support of Weld County Health Department for physician oversight. County wide AED Program. EMD Training and CME for County dispatchers Mutual aid agreements in place countywide Destination protocols in place Western States Regional Burn Center accepting patients from 8 states AirLife Response teams to 300 mile radius of Greeley AirLife participates in community events as it relates to aeromedical transports, awareness, and accessing the system. Some of these events include fire safety days, neighborhood nights, etc. Also provide in-services to civic organizations and other hospitals #8-Communications Systems Implementation and training on 800 megahtz radios Upgrade of Weld County Services and Union Colony Fire Rescue's MCT's and patient documentation systems Paging system improvement (Alphanumeric system) Web site access and internet usuage for links to pertient sites, atate and county information issues, employment opportunities and protocol revisions. Linking of informational services. Perhaps the most improved method of communication has been through the RETAC medical director group. AirLife is in the process of installing OuterLink tracking system which will provide real time tracking of flights and decrease the amount of voice communication required during transports. We are VERY concerned about future communication capabilities during transport as air services are not able to utilize 800 system. Weld County Public Health Departments increased their interoperability with other agencies by obtaining 6 - 800 MHz radios. #9-Medical Direction Consistency in North Colorado Emergency Physicians medical group 20+ year committemnt to medical direction to EMS/Fire Agencies,Weld County Regional Communications and NCMC AirLife. Integration of Weld County Health Department physician, Dr. Mark Wallace in public safety model and public access to AED Program. NEPAB (Northeast Physician Advisory Board)participation Operational MCI protocol for transport agencies Participation of medical director in all quality assurance programs for these agencies Protocol revisions under medical director reflect full Colorado Scope of Practice at all levels Representation of all agencies on trauma program #10-Clinical Care info Mutual Aid agreements in place system wide Observe the NIEMS ICS System System wide parameters for response and treatment Training on system specific issues and topics Monthly audit case reviews Audit 100% of patient care charts for ground and flight system NCMC Airlife continued CAMS accreditation. NCMC AirLife Helicopter Safety Program providing free education for EMS agencies throughout Weld County. NCMC AirLife Skills Fair for EMS Providers Banner Health's Committment to Regional Level 2 Trauma Center. 115 million dollar addition with their "2nd Century Project" nearing completion. NCMC Trauma provides outreach, consultation and education to northeastern Colorado,Wyoming and Nebraska Northeast Physician Advisory Board subcommitte of NERETAC. Addressing system wide issues for development and improvement #11-Mass Casualty info Transport Agencies Mass Casuality Plan Facility (NCMC) have embarked upon a mission to comply with all Homeland Security issues Acquisition of SURGE Capacity trailers Mass Casuality trailers acquired via state grant Participating in the development of the plan at the RETAC level, participated in drills Weld County Health Department intergrated Environmental Health Services by appointing a HAZMAT response person for UCFRA. http://www.ncretac.com/County_EMS_councils/annual plan/report_full_complete.cfm?id=8 9/30/2005 Page 3 of 4 #12-Public Education info Aims Community College American Heart Association Training Center designation for BLS Programs Prevent Alcohol and Risk Related Trauma in Youth Program Safe Kids Program Car Seat Safety Program Public Access AED Program Citizens Corp Program through the Weld County Department of Public Health #13-Prevention info Aims Community College American Heart Association Training Center designation for Basic Life Support Programs Prevent Alcohol and Risk Related Trauma in Youth Program Safe Kids Program Car Seat Safety Program Public Access AED Program Citizens Corp Program through the Weld County Department of Public Health #14-Information Systems Dispatch Upgrades to 800 System Dispatch AVL Upgrade Dispatch EMD Version 11 GIS Mapping System Patient Data Collection for EMS providers meeting State of Colorado requirements NCMC/ Banner Trauma System Registry Data Base Fire Command/Hazmat on mobiles Internet Access #15-Evaluation County wide Morbidity and Mortality Conference County wide Case Presentation County wide Continuing Medical Education County wide Trauma Committee Quality Assurance County wide Quality Assurance for EMS / Fire Agencies Press Ganey (Patient Satisfaction) surveys at NCMC AirLife has not done surveys since 2003 as feedback was not being provided on which improvement measures could be established. Air Life customer satisfaction is evaluated on the number of complaints received and also receiving verbal feedback, accomplished through site visits of our customer base. Medical Director of Air Life also has established relationships for feedback. Section 2: EMTS Information County EMTS Mission Statement: PURPOSE: The purpose of the Council shall be to advise the Board of Weld County Commissioners regarding the coordination and over-sight of the provision of the emergency medical service ( EMS ) in Weld County, Colorado. The specific duties shall include, but are not limited to, the following: 1. To facilitate the development and implementation of mutual aid agreements among the EMS providers. 2. To update the Weld County EMS Plan annually and to submit that plan to the Board of Weld County Commissioners and the Colorado Department of Public Health and Environment for approval. 3. To review and / or update the Weld County EMS Disaster Plan and to submit and recommendations to the Weld County Office of Emergency Management, to the Board of Weld County Commissioners, and to the Colorado Department of Public Health and Environment for approval. 4. To coordinate the Weld County EMS Disaster Plan with the disaster plan of other emergency service providers. 5. To encourage coordination and cooperation among EMS providers by the sharing of information and resources, including, but not limited to,joint training exercises,joint EMS grant applications and joint equipment purchases. 6. To advise the Board of Weld County Commissioners regarding written procedures for investigators, hearing and dispute resolution between EMS providers, which are not in conflict with any other rules, and / or regulation, and / or contracts in which the Board of Weld County Commissioners is a party. 7. To advise the Board of County Commissioners on the Physician Advisor. 8. To advise the Board of Weld County Commissioners, the EMS providers and the EMS educators on the implementation of the State EMS Statutes and rules. 9. To advise the Board of Weld County Commissioners of changes which may be required in any and all Weld County EMS ordinances. 10. State Emergency Medical and Trauma Advisory Council (SEMTAC), the Colorado Department of Health and Environment and the State Board of Medical Examiners. To perform other services as directed by the Board of Weld County Commissioners. County EMTS Description: MEMBERSHIP: Members of the Council shall be appointed by the Board of Weld County Commissioners. Membership on the Council shall consist of the following representatives: 1. A representative of the Weld County Paramedic Services. 2. A representative of the Tri-Area Ambulance Service. 3. A representative of the http://www.ncretac.com/County_EMS_councils/annual_plan/report_full_complete.cfm?id=8 9/30/2005 • Page 4 of 4 Union Colony Fire/ Rescue Authority. 4. A representative of the North Colorado Medical Center. 5. A representative of the Emergency Medical Services Department, Division of Public Services, Aims Community College. 6. A representative of the Weld County Regional Communications Center. 7. A representative of the Weld County Office of Emergency Management. 8. The President of the Weld County Fire Chiefs Association or the President s designee. 9. A representative of a fire protection district/ fire department in the northwest part of Weld County. 10. A representative of a fire protection district/ fire department in the northeast part of Weld County. 11. A representative of a fire protection district/ fire department in the southwest part of Weld County. 12. A representative of a fire protection district/ fire department in the southeast part of Weld County. A representative of the North Colorado Emergency Physicians, P.C... 13. A representative from the Weld County Health Department. All 14 representatives may vote at regular and special meetings. All regular terms shall be three years. A representative may serve no more than two consecutive terms. The represented organizations listed above shall provide the name of those persons who will fill the positions the following year to the Council chairperson before December 25th of each year. The representative of the Weld County Paramedic Services shall then transmit the names to the Weld County Board of County Commissioners immediately thereafter for consideration for appointment. Ongoing Planning Process: MEETINGS: All business of the Council shall be transacted at regular or special meetings and only when a quorum is present. Regular meetings shall be conducted every other month at 5:00 p.m., on the third Wednesday. Council members proposed agenda items must be transmitted to the Secretary by the first of each meeting month to be included in the agenda. If no agenda items are presented to the Secretary, the next meeting maybe canceled. Special meetings may be held subject to the call of the Chairperson to act upon matters which cannot by delayed until the next regularly scheduled meeting. QUORUM: A quorum shall consist of eight of the fourteen members (or designated alternates) in attendance to conduct official business. Only appointed Council members or their designated alternate may vote. Council members who are unable to attend a regularly schedule or special meeting should send a designated alternate. A tie vote on any issue shall be reported as such. Section 3: Goals for Weld Weld Clinical Care Narrative: Update and provide Objective: Needs Assessment for each of the 27 agencies immobilization equipment to the 27 first and hospital to measues current inventory. Purchase of responder agencies in Weld County and the equipment once needs assessment complete via county receiving hospital. This will include c- purchasing process/bid. Inventory and distribution of collars, headbeds, straps and bag to hold equipment after purchase and delivery. equipment. Responsibility: Coordination of the Short Term Goals: Needs Assessment formulated and Immobilization Project will be facilitated distributed via EMTS Council in November 2005 and due between Weld County Paramedic Service back January 2006. Once calculated needs are collated and the Weld County EMTS Council. bids will be let via Weld County Purchasing Department. Bids due back by March 1, 2006. Purachase occurs by April 1, 2006. Distribution occurs by June 2006. Goal Start Date: 11/01/05 Goal Finish Date: 06/03/06 Estimated Cost: $13,000.00 Ongoing Cost: Responsibility of Transport Agency http://www.ncretac.com/County_EMS_councils/annuahlan/report_fu11_complete.cfm?id=8 9/30/2005 Hello