Committee Meeting Minutes
EMS Commissioner Report
Statewide Trauma Planning:
- The Trauma Plan was revised and renamed. This does not require the same levels of approvals a state-approved plan, which had unforeseen challenges.
- The American College of Surgeons’ Report on the California state-level trauma system review has now been posted on the EMSA website.
The first data on the ambulance patient offload times has started to arrive. The data confirms that the problem is localized, but it also confirms that the problem can be managed, since some health care systems with similar volumes have resolved the problem. Further data will point out examples of best practices and will also point out which medical centers the local EMS agencies and the California Hospital Association (CHA) need to work with to help improve this problem.
Community Paramedic Pilot Program Update:
The majority of the projects are moving forward with no difficulties.
The Alternate Destination Urgent Care Project has relatively few patients enrolled to date.
The UCLA Project in Santa Monica terminated on June 1st at the request of the fire chief due to the lack of patient enrollment.
The Carlsbad and Orange County urgent care projects are still active but do not have enough enrollees to support meaningful data analysis.
The San Francisco City and County Alternate Destination Sobering Center project is growing and is enrolling over one hundred patients per month.
January 2017 Report: The Commission on Emergency Medical Services met on December 14, 2016 at the Marines Memorial in downtown San Francisco. Community paramedicine project has one year of data: EMSA will not sponsor any legislation for changes. They will be looking for stakeholders going forward. Stroke and Stemi regs have gone out for public comment. EMSA will be working with CDPH regarding deficits in behavior health during disaster. DAG may be brought back to a working committee this year. The POLST guidelines were not yet available but should be out in near future. EMT Regulation revisions went out for public comment. Ambulance Patient Offload Time (APOT) methodology guidelines was moved through the committee. Cal ENA respectfully voted no to these guidelines. LEMSA’s may establish an APOT that exceeds the threshold set forth in the guidelines. CHA rep. BJ Bartleson invitedCalENA to the December meeting to further discuss the APOT guidelines. CalENA will replace the CHA rep during the January meeting.
Are You Registered?
The California State Emergency Medical Services Authority (EMSA) is always making strides to better prepare our State for disasters. While California does well in disaster situations because of its preparedness and mitigation activities, new resources are frequently added to enhance our response including a statewide volunteer registry for healthcare professionals called Disaster Healthcare Volunteers (DHV).
The Disaster Healthcare Volunteers (DHV) program is California’s solution to the nationwide Emergency System for Advance Registration of Volunteer Healthcare Professionals (ESAR-VHP). It’s a system specifically designed for California and its 58 counties to identify, recruit and mobilize healthcare professionals that are willing to volunteer their services and skill sets to assist locally and regionally in times of need. The registry is strictly voluntary. You can opt to help when you can and decline if you are unable to assist. And whether you’re already committed to a response team (D-MAT, MRC), DHV provides you with another opportunity to help out in case your response team is not deployed.
By registering with Disaster Healthcare Volunteers at www.healthcarevolunteers.ca.gov, you will be joining many of your professional colleagues who have already committed themselves to volunteering when they can to mitigate the negative impact disasters have on a community, including saving the lives of others.