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Home My WebLink About952028.tiffRESOLUTION RE: APPROVE WELD COUNTY EMERGENCY MEDICAL SERVICES (EMS) PLAN FOR 1995 AND AUTHORIZE CHAIRMAN 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 the Weld County Emergency Medical Services (EMS) Plan for 1995 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County EMS Council, to be submitted to the Colorado Department of Health Emergency Medical Services Division, with terms and conditions being as stated in said plan, and WHEREAS, after review, the Board deems it advisable to approve said plan, 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 Weld County Emergency Medical Services (EMS) Plan for 1995 from the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Weld County EMS Council, to be submitted to the Colorado Department of Health Emergency Medical Services Division be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chairman be, and hereby is, authorized to sign said plan. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 27th day of September, A.D., 1995. -1-Deputy Cler . the Board APPROVED AS TO FORM: Countypttor e BOARD OF COUNTY COMMISSIONERS WELD COUNTY, C'LO' DO Dal. Hall, Chairman VI 2 rbar J. Kirkmeyer, P o-Tem J e •< George E<Baxter FXCIISFf f)ATF f)F SIfNINf Constance L. Harbert W. H. Webster Ain sTr7TE (AYF) 952028 �e6�1 WELD COUNTY EMS PLAN 1995 BY: WELD COUNTY EMS COUNCIL 952028 EMERGENCY MEDICAL SERVICE REPORT AND PLAN SUBMITTED BY: NAME OF COUNTY: WELD DATE PLAN SUBMITTED: SEPTEMBER 26, 1995 CONTACT PERSON - the person responsible for submitting this application. (this person should be able to answer all questions pertinent to the content and development of your county report and plan). Name: Gary McCabe Address: 1121 M Street Greeley. Colo. 80631 Phone: (970) 353-5700 Ext. 3204 Other phone numbers: County Commissioners' Office: County Administrator Office: (970) 356-4000 (970) 356-4000 1 952928 SECTION I LICENSING AND INSPECTION 1.1 COUNTY RESOLUTION, LAWS OR ORDINANCES In your first report you provided us with a copy of your county resolution, laws, and ordinances dealing with the inspection and licensure of ambulances. Please answer the following questions regarding your current regulations governing ambulance services. Have your regulations been updated within the last year? Yes _xx_No If yes. you must submit an updated copy with this document. When was your county resolution last updated? 09-24-90 1.2 AGENCY RESPONSIBLE FOR LICENSING, INSPECTING AND REGULATING AMBULANCE SERVICES AGENCY OR GOVERNMENTAL ENTITY Weld County Health Dept. CONTACT PERSON John Pickle TITLE Director ADDRESS 1517 16 th Ave. Ct. Phone (970) 356-4000 Greeley, Co. 80631 1.3 INSPECTION AND LICENSING - PROCESSING 1. How often do you license ambulance services? Annually xx Semi-annually 2. How often do you physically inspect ambulances? Annually xx Semi-annually 3. Are the policies and procedures for licensure of ambulances included in your county resolution? Yes xx No 4. In your inspection of ambulances, do you verify that the vehicle equipment conforms with the minimum essential equipment list contained within the Colorado Board of Health Rules? Yes xx No If not, explain: 2 952028 5. COPY/COPIES OF THE FORMS YOU USE TO LICENSE AND INSPECT AMBULANCES MUST BE ATTACHED. 6. Do all of the licensed ambulance services within your county comply with the statewide data collection program through the State EMS Division? Yes xx No (IF THEY DO NOT COMPLY, YOUR COUNTY WILL NOT BE ELIGIBLE FOR FUNDING) 1.4 AMBULANCE AGENCIES LICENSED AND INSPECTED List here or attach a list all of the licensed ambulance services and whether they provide advanced life support or basic life support. AGENCY NAME DIRECTOR ADDRESS (includezipl PHONE Weld County Ambulance Service Gary M. McCabe 1121 M St. Greeley, Co. 80631 (970) 353-5700 ALS 2. Tri Ambulance Service Darrell Johnston Box 708 Frederick, Co. 80530 (303) 833-2825 ALS 3 ALS BLS 952128 1.5 LIST HERE ALL OTHER AGENCIES WITHIN YOUR COUNTY WHO PROVIDE EMERGENCY MEDICAL SERVICES (i.e., search and rescue, fire, police, quick response teams) AGENCY NAME DIRECTOR ADDRESS (bcIude zip) PHONE SEE ATTACHED LIST. 4 952028 INTRODUCTION COUNTY PLAN SECTION OF THE REPORT The law enabling the County Subsidy program requires that all plans submitted include a description of the existing system, deficiencies or improvements, and goals and objectives. You will see that the format we are providing for submission of your plan emphasizes this. Please fill in all categories. Do not reference page and paragraph numbers from a previous plan. The format we are requiring is available on Word Perfect word processing program 5.1 and will be provided for your use upon request. To receive a copy of this format on disk you must send a formatted disk to the EMS Division (the address is listed on the first page of this booklet). If you do not have a Word Perfect program feel free to computerize the following format in your word processing program use this form. or retype it if necessary. The following EMS representatives were active in the development of this report and plan - please mark all that apply: County Health Department xx Physician Advisors xx County Wide EMS Council xx EMS Provider Agencies: Ambulance Agencies xx Fire Departments xx Search & Rescue Providers xx Clinics or Hospitals xx Dispatcher Communications xx Training Center Representatives xx 5 952028 SECTION II - PLAN ACCOMPLISHMENTS: (list any completed goals or accomplishments in the area of EMS in your county). Revised and updated protocols for all Emergency Medical Technician - Basics within the Weld County System and under Weld County EMT - B physician advisor. 2. Revised and updated protocols for Weld County Ambulance Service. 3. Updated and revised QA and CQI within the Weld County System. 4. Applied for and was awarded grant with which to purchase Automatic External Defibrillators. 5. Established AED protocols and registered same with State. 6. Adopted new EMT - B curriculum for implementation 1-96. 7. Trained instructors and staff at Aims College for instruction of new EMT - B curriculum. 8. Held regular multi -agency meetings for the purpose of further developing a more cohesive EMS system in Weld County and the surrounding areas. 9. Held multiple demonstrations for the purpose of educating the public in EMS. 10. Provided for and implemented the addition of a Regional Communications Center representative to the EMS Council. 11. Continued the study of Emergency Medical Dispatch and provided education regarding EMD to local officials. 12. Active representation on regional trauma consortium. 6 952028 13. Active participation in developing regional EMS organization. 14. Weld County Ambulance Service purchased two new ambulances. 15. Tri-Area completed Mutual Aid agreement with American Medical Response. 952028 2.1.A EXISTING SYSTEM DESCRIPTION - COMMUNICATIONS Describe your current system. Include the following: 1) How does a citizen access EMS in your county, i.e. 911 or other methods; 2) dispatch procedures used in your county; 3) communications for medical control. Citizen access: 911 service county wide 2. EMD not currently utilized by Regional Communications Center; response mode at discretion of agency or unit responding. 3. Medical control cummunications are via cellular phone and/or medical channels (UHF). 2.1.B IDENTIFY AREAS NEEDING IMPROVEMENT - COMMUNICATIONS Identify the changes or improvements you plan to make within your current communications system. If none, please state "NONE" and move on to the next component. 1. Actively pursue digital paging system. 2. Complete the addition of radio towers and repeaters. 3. Communications network throughout the county agencies to facilitate documentation and transmittal of information and provide an accurate data base. 7 952028 2.1.C State your goals and objectives and place them here. COMMUNICATIONS GOAL # 1 Develop and implement a communications network to include all EMS agencies and the regional communications center. List the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this communications goal. Objective A for Goal # 1 - (narrative) Research a cost effective computer system that would serve the objectives of the EMS System and would be compatible with other systems with a need to interface. A major consideration for this objective is that such a network not be agency specific but address the needs of the system as a whole and be adaptable as the system develops and changes. Objective B for Goal # 1 (narrative) Research, present, and pursue methods of finding. Reproduce this page if additional space is necessary 8 952028 2.2.A EXISTING SYSTEM DESCRIPTION - TRANSPORTATION Describe your current system. Include: 1) the number of ambulance agencies, quick response units, search and rescue, and fire agencies within your county; 2) the number of transport vehicles and their condition; 3) Coverage; 4) Mutual Aid Agreements in place; and 5) coordination of resources. There are three ALS ambulance agencies domiciled in Weld County: A. Tri-Area Ambulance Service headquartered in Frederick. B. Weld County Ambulance Service headquartered in Greeley with substations in Evans and Fort Lupton C. Air Life of Greeley (helicopter) headquartered at North Colorado Medical Center in Greeley. There are 28 fire departments that are headquartered and /or have part or all of their districts in Weld County. 2. Weld County has a total of 31 transport -capable vehicles in good to excellent condition: A. Ambulance Services: 10 Ambulances 1. Tri-Area 2 2. Weld County 8 B. Fire Departments: 20 Fire -Rescue Vehicles C. Air Life 1 Helicopter 3. Coverage is provided to all areas of Weld county. ALS ambulances are located in the western third (most populous area) of the county where 98% of the calls for service occur. Fire -Rescue units are also primarily located in the western third of the county. Weld County Ambulance Service is responsible for all 4,004 square miles of the county. Tri-Area's service area is 48 square miles. Air Life has a 300 mile flight radius. 4. Mutual aid agreements are in effect between most providers. Efforts are underway to complete this task. Current agreements with Weld County Ambulance Service are being updated to better coordinate responses by 911 dispatch centers. 9 952028 5. Coordination of resources is accomplished in several ways: A. An active County EMS Council. B. Representation on the Northeast Colorado Trauma Consortium. C. Weld County Ambulance Service provides expendable medical supplies to the fire departments in its primary service area. D. Tri-Area Ambulance Service provides expendable medical supplies to the fire departments in its primary service area. E. Dispatch is provided and coordinated by Weld County Regional Communications to all EMS providers except Fort Lupton and Mountainview Fire Departments. F. The North Colorado Emergency Physicians provide physician advisory services to all EMS provider agencies except: Tri-Area Ambulance Service, Frederick Fire Department, Mountainview Fire Department, and the Kersey Fire Department. 2.2.B IDENTIFY ANY AREAS NEEDING IMPROVEMENT - TRANSPORTATION Identify the changes or improvements you plan to make in your current EMS transportation system. If none, please state "NONE" and move on to the next component. 1. Tri-Area Ambulance Service plans to purchase one or two new ambulances in 1995 - 1996. 2. Weld County Ambulance Service has two ambulances that need to be replaced and plans to purchase two new ambulances in 1996 to replace them. 3. Weld County Ambulance management personnel have concerns about the efficiency of their deployment and staffing. 4. A formalized systems status management program will be initiated in 1996. 5. Mutual aid agreement updates with Weld County Ambulance Service are needed and will be completed in 1996. 6. Emergency Medical Dispatch needs further consideration. 952028 2.2.C State your goals and objectives and place them here. TRANSPORTATION GOAL # 1 Tri-Area Ambulance Service wishes to purchase two new ambulances in 1995-1996. Weld County Ambulance Service wishes to purchase two new ambulances in 1996. Please list the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this transportation goal. Objectives for Goal # 1 - (narrative) 1. Write specifications for units (agency specifications). 2. Seek bids (from select vendors). 3. Seek funding (grants, etc.). 4. Effect appropriate trades / sales of existing units. TRANSPORTATION GOAL # 2 Weld County Ambulance Service plans to initiate a formalized Systems Status Management (SSM) plan in 1996. Obectives for goal # 2 1. Information entered into database. 2. Database analyzed. 3. Indicated staffing and deployment. 4. Outcome based measurement (assess). 5. Adjustments. 6. Reasses. TRANSPORTATION GOAL # 3 10 952028 Determine efficacy of Emergency Medical Dispatch (EMD) in Weld County. Objectives for Goal # 3 1. Continue research on EMD. 2. Determine costs to implement and maintain. 3. Determine cost savings of implementation, if any. 4. Determine funding sources. 5. Make recommendations. Reproduce fins page if additional space is necessary 2.3.A EXISTING SYSTEM DESCRIPTION - TREATMENT 952028 Describe your current system and include the following: 1) treatment protocols; 2) destination policies; 3) medical control; 4) quality assurance; 5) manpower; 6) training; 7) mass casualty; 8) Trauma specific policies, protocols and procedures. 1. Weld County has 3 separate sets of ALS protocols: Air Life, Tri-Area Ambulance, and Weld County Ambulance. There are two sets of BLS protocols: Frederick Fire Department and the balance of Weld County Fire Departments. 2. Destination policies are outlined in the treatment protocols. 3. Medical control for Air Life and Weld County Ambulance is provided by North Colorado Emergency Physicians. North Suburban Medical Center provides protocols for Tri-Area Ambulance and Frederick Fire Department. Medical Control for Mountain Fire is Longmont United Hospital. Medical Control for balance of fire departments is North Colorado Emergency Physicians at NCMC. 4. Quality Assurance is provided retrospectively with chart review, on - line medical control, and Field Instructors. 5. Manpower needs are determined by each individual agency. System manpower levels are monitored by Weld County EMS Coordinator. 6. Training is provided and/or coordinated by AIMS Community College and/or self -directed. 7. Weld County Office of Emergency Management has a disaster plan currently in effect. Mass casualty incidents are addressed by agency protocols and mutual aid agreements. 8. See protocols. Weld County actively participates in the Northeast Colorado Trauma Consortium. 2.3.B IDENTIFY ANY AREAS NEEDING IMPROVEMENT - TREATMENT 952028 Identify the changes or improvements you plan to make within your current treatment system. If none, please state "NONE: and move on to the next component. 1. Implement the bridge course curriculum to update current EMT - Basics to the new Colorado State EMT - B curriculum. 2. Implement the new Colorado State EMT - B curriculum for all new or re -certifying EMT - Basics. 3. Structure the CME program for the fire departments to reflect changes in the EMT - B curriculum with an emphasis on AED. 4. Effect the implementation of Automatic External Defibrillators in Weld County as provided by the 1995 EMS grant of matching funds by the State of Colorado EMS division to the Weld County EMS system. 5. Develop a training program to instruct currently certified providers in the new medical field treatment protocols. 6. EMD initial CME training. 7. Areas outside medical - Mgmt. 8. Incident Management Training - Incident Command . 13 952028 2.3.C Please list your goals and objectives and place them here. TREATMENT GOAL # 1 Implement the new transition course to update currently certified EMTs to the new DOT curriculum. List the objectives (process by which you intend to accomplish this goal and others) and state any progress toward attaining them. Objective Al Aims to develop their transition (refresher) course to meet the State minimum requirements for the transition course. Objective B1 Aims to train its instructors in the new transition course. Objective Cl Aims goal is begin course delivery of the new transition course beginning 1 - 96. Objective D1 Aims to provide ongoing program evaluation and make changes as necessary to improve program. TREATMENT GOAL # 2 Implement the new EMT - B course. Objective A2 Aims to develop their Basic EMT - B course to meet the State minimum requirements. Objective B2 Aims to train its instructors in the new EMT -B course. Objective C2 12 952028 Aims to begin delivery of the new EMT -B course beginning in Winter quarter (1 - 96). Objective D2 Aims to provide ongoing program evaluation and make changes as necessary to improve program. TREATMENT GOAL # 3 Aims to restructure its current CME program to reflect the new DOT EMT - B curriculum with special emphasis on the new skills such as AED. Objective A3 Aims to develop their CME program to meet the State minimum requirements. Objective B3 Aims to train its instructors in the new CME program. Objective C3 Aims to begin delivery of the new CME program beginning in Winter quarter (1 - 96). Objective D3 Aims to provide ongoing program evaluation and make changes as necessary to improve program. TREATMENT GOAL # 4 Begin the implementation of AED in Weld County as provided by the 1995 EMS grant. Objective A4 Aims to provide AED training as part of its EMT - B, refresher, CME, and AED training courses. Objective B4 Aims to train its instructors in the new AED training program. 952028 Objective C4 Aims to begin delivery of the new AED program beginning in Winter quarter (1 - 96). Objective D4 Aims to provide ongoing program evaluation and make changes as necessary to improve program. TREATMENT GOAL # 5 Develop a training program on the current Weld County Medical field treatment protocols. Objective A5 Aims to develop an ongoing training program on the current Weld County medical field treatment protocols. Objective B5 Aims to train its instructors in the new protocol training program. Objective C5 Aims to begin delivery of the new protocol training program as part of its CME program. Objective D5 Aims to provide ongoing program evaluation and make changes as necessary to improve program. TRAINING GOAL # 6 Develop other areas of training outside of patient care to meet the needs of the various departments and its members and the citizens they serve. Objective A6 Aims to look into developing other training programs outside patient care (i.e., incident command system, leadership, supervision, 95202,8 management, budgeting, safety, EIVID, etc.). Objective B6 Aims to train its instructors in these new training programs. Objective C6 Aims to begin delivery of the new training programs as needed or requested. Objective D6 Aims to provide ongoing program evaluation and make changes as necessary to improve the programs. Reproduce this page if additional space is necessary 352028 2.4.A EXISTING SYSTEM DESCRIPTION - DOCUMENTATION Describe your existing system and include the following: 1) Address any prehospital care reporting system that your county may have other than the statewide data collection system provided by the state; and 2) identify any medical quality control measures your county may have in place to evaluate and improve medical care. Weld County does not have any shared data collection systems other than the State's system at the present time. Weld County Ambulance Service has a system of CQI that is available to all other providers. It includes trip sheet review, data review, mortality and morbidity review, and field instructorship. This agency continues to study the feasibility of converting to an automated trip reporting system that will provide: State data, patient reports, and CQI concurrently. The EMT - Basics on the fire departments in Weld County have a standardized trip report form that is manually completed on each medical or rescue call. It is reviewed by the EMS coordinator. There is no totally effective or efficient data collection system in place at the present time. 2.4.B IDENTIFY ANY AREAS NEEDING IMPROVEMENT - DOCUMENTATION Identify the changes or improvements you plan to make within your current documentation system. If none, please state : "NONE" and move on to the next component. Weld County Ambulance will continue to study with the intent of developing and implementing a computerized system / program that combine documentation needs to meet state requirements as well as capture data for research and CQI. 2. Weld County EMS system needs to combine written narrative with computer compatible format and data collection system. 3. Electronic transmittal of documentation is needed for effective and 13 952028 timely collection of data for CQI and needs assessment. 4. Hard copies and duplication need to be reduced. 952028 2.4.C State your goals and objectives and place them here. DOCUMENTATION GOAL # 1 Develop a systemwide computerized network that will allow computerized documentation of EMS calls in all of Weld County and electronic transmittal of this documentation to a central collection point with the objectives of accurate, timely, effecient, and consistent data collection and CQI. List the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this documentation goal. Objective A for Goal # 1 - (narrative) Research and develop a collection and transmittal system that will be effective, efficient, and adaptable to any future changes that may be necessitated. Develop a comprehensive plan for implementation and operating such a system utilizing systems analysts as necessary. Objective B for Goal # 1 - (narrative) Research the costs of developing and implementing such a system. Research and pursue funding sources; grants, local funding, fund raising projects, industry and private sector donations. Obtain necessary approval from state and local government officials. Effect the implementation of a system. Reproduce this page ifaddifional space is necessary. 2.5.A EXISTING SYSTEM DESCRIPTION - OPTIONAL COMPONENT Communication System 14 952025 State any component of your EMS system that has not already been identified and describe what is in place in your county at this time. A communication system is necessary to effective communication between all agencies providing Emergency Medical Services in the Weld County EMS system. In our attempts to develop a true system that is easily and effectively managed so as to insure the maximum effective use of available of resources both in equipment and personnel, we have continued to have difficulty because of poor communications. A communications system would provide the communication link needed as well as provide the tool we need for better and more effective documentation and gathering of data as mentioned earlier in our plan. It would provide the catalyst to a cohesive system. 2.5.B IDENTIFY ANY AREAS NEEDING IMPROVEMENT - Identify the changes or improvements you plan to make within your current system in the above stated area. 1. Research a computer system that would provide effective and timely communications. Such a study was initiated last year and is continuing. 2. The size of our geographic area, the number of services comprising the system, and the distances between many of the service areas create major communication obstacles. 3. The sharing of information and the development of a comprehensive data will be invaluable in the allocation and distribution of resources. 15 952028 2.5.C State your goals and objectives and place them here Create and implement a computer network GOAL # 1 List the objectives (process by which you intend to accomplish this goal) and state any progress toward attaining this goal. Objective A for Goal # 1 - (narrative) Continue the current computer capabilities and compatibility of the software within the various agencies that have such equipment. Identify specific needs. Objective B for Goal # 1 - (narrative) Determine costs to initiate including all ancillary costs such as modems, phone lines, monthly charges, maintenance costs, etc. Objective C for Goal # 1 - (narrative) Research and pursue all funding sources such as grants, business and private sector contributions, projects, etc. Reproduce this page ifaddinonal space is necessary 16 952028 SECTION III. - FINANCIAL (THIS SECTION MUST BE ATTESTED TO BY YOUR COUNTY FINANCE OFFICER IN ORDER TO DOCUMENT EXPENDITURES) 3.1 REPORT ON COUNTY SUBSIDY FUNDING Are you currently holding over any county subsidy funds from the previous year/s? Yes_ No xx If so, how much? List below the intent for use of any funds held over from previous years. Date Payee Purpose Amount Please list below the expenditures of State provided EMS funds for the current calendar year. You must fill in this section even if you delegated the responsibility for expenditure of the funds. The State sees the County as the responsible party. (All funds may not be expended at the time this report is filed, so please indicate where the unexpended funds will be spent and mark those unexpended funds with an "*"). Date Payee Purpose Amount 1995 Weld County Weld County EMS All Ambulance Coordinator's Salary I ATTEST TO THE FACT THAT INFORMATION CONTAINED IN THIS FINA ' L SECTION S ACCURATE AND THAT THE COUNTY . S 1 OCU j, IO FOR ALL EXPENDITURES: SIGNED: /,. Donald Warden TITLE:Finance Director FINANCIAL NARRATIVE - (Use this space to explain how the expenditure of funds upgrade EMS in your county) Partial funding for Weld County E.M.S. Coordinator position. 17 952028 ANTICIPATED EXPENDITURES FOR NEXT YEAR'S SUBSIDY FUNDING: (Please use this space to list anticipated expenditures - we realize that circumstances alter cases and you may not necessarily expend your funds for these anticipated expenditures). PURPOSE (narrative) $ Amount Partial funding of Weld County E.M.S. Coordinator position. All • 18 952028 COUNTY SUBSIDY PAYMENT DISTRIBUTION FORM COLORADO EMERGENCY MEDICAL SERVICES SUBSIDY PROGRAM FOR COUNTIES In accordance with the provision of CRS 25-3.5-605, the undersigned hereby requests an EMS county subsidy distribution payment for the improvement and expansion of prehospital EMS. It is understood that payment is contingent upon approval of the statuatory reporting requirements by the State Advisory Council on EMS. Payment To: Weld County Board of County Commissioners Name of Board of County Commissioners (payee) 915 10th Street Address Greeley, City l i 4tCounty cvial Colorado State Dale Hall Title: Chairman 80631 Zip Code DATE: CRAg7/95 SIGN AND RETURN THIS FORM ALONG WITH ALL REPORTING DOCUMENTATION For use only by Department of Health Emergency Medical Services Division Amount: $ Approved By: EMS Director Date: Fund Agency 409 FAA 8300 Appr Code Func QW GBL FLWT 5120 005S 19 952028 Hello