HomeMy WebLinkAboutord2013-074strike WHATCOM COUNTY COUNCIL AGENDA BILL NO. 2013-384
CLEARANCES Initial Date Date Received in Council Office Agenda Date Assigned to:
Twh 10/24/13 11/12/13 Intro
Originator. //
�r F V ED 11/26/13 Finance/
Division Head: 11 L +`_ Council
12/10/2013 Finance/
Dept. Head: NOV 05 2013 Council
Prosecutor: / 11105113 WHATCOM COUNTY
COUNCIL
Purchasing/Budget:
Ot Executive: : `y
TITLE OF DOCUMEN
Ordinance to rescind and replace Ordinance 82-109 amended through Ordinance 2006-007 and
codified in Whatcom County Code as Chapter 5.04.080., with the EMS Oversight board (WCC
5.04.080) and Technical Advisory Board (WCC 5.04.085) defining the composition and duties of
these newly established Boards.
ATTACHMENTS: Memo and Ordinance
SEPA review required? ( ) Yes ( x ) NO Should Clerk schedule a hearing? ( ) Yes (x ) NO
SEPA review completed? ( ) Yes ( x ) NO Requested Date:
SUMMARY STATEMENT OR LEGAL NOTICE LANGUAGE:(If this item is an ordinance or requires a public hearing,you
must provide the language for use in the required public notice. Be specific and cite RCW or WCC as appropriate. Be clear in
explaining the intent of the action)
Ordinance to replace the EMS Advisory Board with the EMS Oversight Board and Technical Advisory
Board as resolved through Joint Resolution 2012-016.
COMMITTEE ACTION: COUNCIL ACTION:
11/26/2013: Committee amended and also made 11/12/2013: Introduced
recommendations for corrections, and approved to forward 11/26/2013: Withdrawn and rescheduled to
to Council. The administration to bring forward an December 10.
amended version for approval tonight. After meeting,
Ken and Jack decided to withdraw this from evening agenda 12/10/2013: Council Adopted 6-1, Mann
and hold to December 10. opposed Ord. 2013-074
12/10/2013: Forwarded to Council for approval
Related County Contract#: Related File Numbers: Ordinance or Resolution Number:
Ord. 2013-074
Please Note: Once adopted and signed, ordinances and resolutions are available for viewing and printing on the County's website
at: www.co.whatcom.wa.us/council. J
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3 SPONSORED BY: Consent
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5 PROPOSED BY: County Executive
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7 INTRODUCTION DATE: 11/12/2013
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11 ORDINANCE NO. 2013-074
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13 Ordinance to Replace the Emergency Medical and Ambulance Advisory
14 Board Established Through Whatcom County Ordinance No. 82-109 and
15 Amended Through Ordinance 2006-007 (codified in Whatcom county Code
16 as Chapter 5.04.080) with the EMS Oversight Board and Technical Advisory
17 Board Defining the Composition and Duties of These Newly Established
18 Boards
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21 WHEREAS, the EMS policy committee was formed by both Whatcom County and
22 City of Bellingham Councils, ensuring equitable representation of Whatcom County and
23 the City of Bellingham, and the policy committee appointed subcommittees to address
24 the issues related to emergency medical services in Whatcom County; and
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26 WHEREAS, in June 2012, the Whatcom County Council and the Bellingham City
27 Council passed a Joint Resolution of the City of Bellingham and Whatcom County
28 Adopting the Jointly Recommended Business Model for County Wide Emergency Medical
29 Services (EMS); and
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31 WHEREAS, the June 2012 joint resolution called for establishment of an EMS
32 Oversight Board ("EOB") and a Technical Advisory Board ("TAB"); and
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34 WHEREAS, this ordinance is intended to establish the role and composition of
35 the EOB and TAB as clarified by the parties through the development of the Advanced
36 Life Support (ALS) Services Interlocal Agreement; and
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38 WHEREAS, it is intended that the EOB and the TAB replace the current
39 Emergency Medical and Ambulance Advisory Board established through Ordinance 82-
40 109 and amended through Ordinance 2006-007 and codified in Whatcom County Code
41 as Chapter 5.04.080.
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Page 1
1 NOW, THEREFORE, BE IT ORDAINED by the Whatcom County Council that
2 the Whatcom County Code, Section 5.04.080 is amended, and Section 5.04.085 is
3 created as shown in Exhibit A by the Whatcom County Council.
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10 ADOPTED this 10th day of December , 2013.
11 �iirR ,�
G'U�`til Ir�f
13 • f, WHATCOM COUNTY COUNCIL
14 ATTEST-� 'A\ C��r�'s�[ WHATCOM COUNTY, WASHINGTON
15 C0,01
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18 _{mot_
19 Dana l3rawrt-DaVis, Clerk of the Council Ka by Kershner, Council Chair
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23 WHATCOM COUNTY EXECUTIVE
24 WHATCOM clad TY, WA HINGTON
25 AP OVED AS TO FORM:
26 i• ►
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29 Civil Deputy Prosecutor Jack Louws, County E - ive
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31 (Approved ( ) Denied
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33 Date Signed: . i- . i I , a-0/ 3
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EXHIBIT A
5.04.080 •• - _ - •• - - • - - • - - - - - • . EMS Oversight Board
A. Composition.
There is created a joint, advisory, cooperative emergency medical and ambulance advisory-services oversight board,
consisting of the following nine memberspersonnel:
1. The Whatcom County executive;
2. The mayor-Mayor of Bellingham;
3. A mayor of an incorporated city, other than Bellingham, selected-appointed by the Small Cities Mayors'
Association;
4. One Bellingham Ccity Ceouncil member;
5. The-€ oir-of-the-W forty--council or bisthe-r-designeeOne Whatcom County Council member;
6. Four-fire district-coi ra+ssioners-(one-from each region---nerth,-eou h-;-east,-west)Couniy Fire District
Commissioner, appointed by the County Fire Commissioner's Association;
7. One-fire-chief-selected-by-Whatcom-County-F-iro Chiafs' Association-(advisory-.only)A medical community
citizen representative, appointed jointly by the County Executive and Mayor of Bellingham;
8. The-Bellingham fire chief or fire-depaament n al serv-ises-o#icer.(adv.isory-any)A financial/budget citizen
representative, appointed jointly by the County Executive and the Mayor of Bellingham;
9. Ther,.,edicat program diracto dvisery-only)A citizen at large, appointed jointly by the county Executive and
Mayor of Bellingham.
he-Wfzatoorn-Gounty-ex e-sh ll serve as-ohairporc on of the board nles&-L}-board- eloct at a meeting anotheerr
B. Duties of the EMS Oversight Board.
The EMS Oversight Bboard shall:
1. Act to coordinate mrove-ambulance-arid-rei -m-eclicol trarrspedatiee.services h-Paughoat-Whatcom
CouetyWith the active advice and participation of the TAB, make recommendations to Whatcom County and the
Cities and Fire Districts of Whatcom County regarding administration, operations, levels of service, and EMS
budgets and financial reporting including but not limited to the objectives and actions described in Attachment"A"
Whatcom County EMS Administrative Services; and,
2. Be the primary agency-foreettlirrg--disputes-between-a+ hula - __ _ . . .. • ''•"• -__ .z.-sperating
arxrbulance-services throug-hout-W-hatcom.Countyorganization responsible for framing the ongoing vision of an
integrated and coordinated EMS system; and-
3. - = • --- - :-_•• ••.•.- -• - -•-= -=' -:-Hold at least four meetings per year(quarterly)to
review the status of emergency medical services in Whatcom County and to develop recommendations; provided
that all nine members shall be voting members and provided further that a quorum of six members is required in
order for the board to take final action. Board recommendations shall be made by a minimum of five(5) members
voting to affirm the recommendation. and avoid-• -4a : • • -. -tic on-a-reeommendation; and.
4. e •-_ _ ._. -. _ •. . _ _ _ _. _ •••.: . _ _• e _ e- _ __ -_ •-c-Refer appropriate technical
operational, and medical matters to the Technical Advisory Board.•5. Ensure that - - - - :-- - -- - • __ -- - - • •- e - -- ---= -
- _ __ e-- _ - __-_ - _ _ - -•• - =views-year-(March/April meeting)and
t7-Re ewinn and commanting-on-the-•p Ojected-bud et-and goa 4a, -the-new-year-(AuguabSepternber
rneeting)meetings of the EMS Oversight board are open and accessible to the Public. At every meeting the
board will schedule an open session to take public comment.
6. Designate the Whatcom County Executive as the chairperson of the Board and designate the staff for the
Board. The Board may select a vice chair who may serve as interim chair in the absence of the County
Executive.
7. In making recommendations, strive to stay within the adopted county budget and service provider contracts.
Any recommendation will include a fiscal analysis and funding recommendation.
5.04.085 EMS Technical Advisory Board
A. Composition
There is created a joint, cooperative emergency medical services technical advisory board, consisting of the
following ten members:
1. A member appointed by the Whatcom County Fire Chiefs Association;
2. A member appointed by the County Executive from the Whatcorn County Administration;
3- A hospital/medical community representative, appointed jointly by the County Executive and the Mayor of
Bellingham;
4. A member appointed by Whatcom County Fire District 7 as an ALS Service Provider;
5. A member appointed by the City of Bellingham Fire Department as an ALS Service Provider;
6. A member from the What-Comm Dispatch Center, appointed jointly by the County Executive and Mayor
of Bellingham
7- A paramedic training education provider, appointed jointly by the County Executive and Mayor of
Bellingham.
8. A member appointed by the Whatcom County EMS/Trauma Care Council;
9 A member appointed by the Mayor of Bellingham from the City of Bellingham administration; and
10. The Medical Program Director.
B. Board Officer and Staff Support
1. County Executive shall appoint Chair and Vice Chair.
2. The Chair shall be responsible for convening and conducting meetings.
3. Staff support of the TAB shall be designated by and serve under the direction of the County Executive.
4. The TAB may create other interim work groups to assist the TAB in making recommendations. The
interim work groups may include other members of the community not part of the TAB.
C. Duties of the EMS Technical Advisory Board
The Technical Advisory Board shall:
1. Serve as advisors and make recommendations to the EOB and to Emergency Medical Service Providers
in Whatcom County regarding operational, educational, and logistical components of basic through advanced life
support services; and
2- Monitor the Emergency Medical Services provided throughout Whatcom County and make
recommendations to the EOB designed to improve the efficiency and effectiveness of those services.
3. Hold meetings as needed with the primary purpose of making such recommendations in an efficient and
focused manner.
4. Strive to make recommendations by consensus. In the absence of consensus recommendations may be
made by a maiority of all members of the TAB.
5. Coordinate ongoing training standards and services.
6. Strive to make recommendations that stay within the adopted county budget and service provider
contracts. Any recommendations will include a fiscal analysis and funding recommendation.
C.The chairperson ef-the board may call the board into sesSion.•on-his/- own-mot4on-ed-the-sha rpm on shall c twee-
•_ ___ _ •-• -- - :e _ __ -e - __ __ _ -e:•- . (Ord. 2006-007; Ord. 82-109; prior code§4.02.080).
ATTACHMENT"A"
Whatcom County EMS Administrative Services
Whatcom County shall provide over-all administrative services for EMS,with the following tasks and
goals_
A. Maintain the EMS system as an integrated regional network(county-wide)of Basic Life Support
(BLS) and Advanced Life Support(ALS) services provided by Whatcom County, local Cities and
County Fire Districts using the following model:
o Firefighter Emergency Medical Technicians(EMTs) provide first-on-scene response to EMS
calls and provide BLS services
o ALS services provided by a limited number of providers
o Regional programs emphasize uniformity of medical care across jurisdictions,consistency
and excellence in training, and medical quality assurance
A:B.Make regional delivery and funding decisions cooperatively with the EOB and TAB to ensure ALS
delivery from a system-wide perspective
i. EMS Oversight Board (EOB)- monitor uniformity and consistency of the system
and provide counsel to Whatcom County EMS Administration
&C.Develop and implement strategic initiatives to provide greater efficiencies within the system
that (TAB will play an integral part in making recommendations to the county):
e1. Maintain or improve current standards of patient care through:
• a. Regional Medical Direction in conjunction with Whatcom County Medical Program
Director(MPD)
• b. BLS/ALS protocols
• c. Medical Pro Director(MPD) 4. Ho pitalcommunity sponsored research studies
approved by the County
• d. _ . _ - . .. • _ •_ •• - • . •- - - - - - National
and International industry best practices
2. Improve the operational efficiencies of the system to help contain costs by:
• a. Standardizinge paramedic student training requirements; consolidative and
conducting-joint training
• b. Strengthenig cross-jurisdictional mutual service agreements
3. Manage the rate of growth in the demand for ALS services by:
• a. Determining the nNumber of and [Location of ALS units based on:
1. Unit workload
2. Unit response time
3. Availability in primary service area and dependency on backup
4. Frequency and service impact of multiple alarms
5. Paramedic exposure to critical skill sets
6. Projection of calls
7. Population trends
ATTACHMENT"A"
• b. Triaging calls and classification as BLS vs.ALS patient care;-# iage
• c. Appropriate utilization of tTransport services based on patient needs
• d. Coordinatiefrng_-eR EMS system development with local health care providers, EMS
Trauma Care Council(s)and the State Department of Health
Ensure the EMS system operates in coordinated partnerships between the BLS agencies and ALS Service
Pproviders through regionalization, collaboration and cross-jurisdictional coordination; including by way
of examples-ire_
ii. Equipment exchange
iii. Equipment research
iv. Group purchasing
v. Equipment specifications
vi. Paramedic/EMT interaction training