BOARD OF DIRECTORS MEETING

AGENDA

DECEMBER 3, 2002

Marines Memorial Club

609 Sutter Street

San Francisco, CA 94102

(415) 673-6672

10:00 AM to 4:30 PM

The meeting charge (including lunch) will be $35.

Time	Item	Individual	Action	Time
10:00	1. Welcome & Introductions	Andriese	Information	10 min
	2. Approval of the Agenda	Andriese	Change/Approval	5 min
	3. Consent Calendar A. Minutes of Oct 2002 B. Treasurer’s Report	Andriese	Approval	5 min *
Organization and Management
	4. Membership	Lathrop	Information/Approval	5 min
	5. Assemblywomen Helen Thomson Award	Andriese/Inch	Information	10 min *
	6. EMSAAC Phone #/Address Update	Lathrop	Discussion / Action	5 min
	7. Vision Conference Registration Income	Andriese	Discussion / Action	10 min
	8. Legislative Report	Pletz	Information / Action	10 min
11:00	9. EMSAAC Committee Structure, Member Assignments, & Charge Update	Andriese	Discussion / Action	10 min *
	10. Letter to Organizations Re: EMSAAC Representation	Andriese	Discussion / Action	5 min
	11. Prevention 2000 Grant Criteria–FY02/03	Andriese	Discussion / Action	10 Min
	12. Prevention 2000 Grant ProjectsFY02/03	Andriese	Discussion / Action	15 Min
	13. Mission, Vision, Value Statements	Andriese	Discussion / Action	10 min *
	14. EMSAAC Org. & Manage Committee -Membership /Professional Development -EMS Funding -Medical Director Standards	Inch	Information	5 min
	15. CCLHO Affiliate Membership Update	Lapolla	Discussion	5 min
LUNCH 12:00	(EMSAAC & EMDAC Joint Lunch) State EMS Authority Report			30 min
		Watson	Information	15 min
		BREAK		15 min
1:00	16. Governance Vision Update -League/CSAC Report -EMSA Director Qualification - Matrix	Baucom / Pletz	Discussion	15 min
	17. Ethics Committee Report - Rules / Code of Conduct	McPherson / Andriese	Discussion / Action	10 min *
1:25	18. 2003 Conference - Update	Lapolla	Discussion / Action	10 min
	19. Bylaws Committee Assign– Update Bylaws	Osur	Discussion / Action	10 min *
	20. General Report – External Committees	Inch	Information	5 min
1:50	21. EMS Commission Agenda	Baucom	Discussion / Action	20 min

Staffing and Training
2:10		22. EMT-P Task Force–QI Guidelines Draft		Karsteadt	Information		5 min
		23. EMSAAC Staffing and Training Comm. - Training Program Approval Standards - Testing Standards - Certification Standards - IRP Guidelines / Regional IRP - Cert / Recert Fees		Becker	Information		5 min
		24. General Report - External Committees		Petrie	Information		5 min
Communications
	25. EMSAAC Communication Committee - Disaster Communication Needs - Proposed Interim Solution		Buchanan			Information		5 min *
2:30	26. EMD Guidelines Update		McPherson			Information		5 min
	27. General Report – External Committees		Jones			Discussion		15 min
First Response and Transport
2:50	28. General Report – External Committees		Le Venton			Discussion		5 min
Facilities and Critical Care Services
	29. Nurse Ratio Regulation Comments		Inch / Ogar			Information		5 min
3:00	30. EMSAAC Fac & Critical Care Com. - Diversion Policy		Jones			Discussion		5 min
	31. General Report – External Committees		Inch			Discussion		5 min
System Evaluation and Improvement
3:10	32. HIPPA Requirements		Andriese/Lathrop			Information		10 min
	33. General Report – External Committees		Lapolla			Information		5 min
Public Education and Prevention
	34. General Report – External Committees		Osur			Information		5 min
Disaster Preparedness
3:30	35. EMSAAC Disaster Committee Report - Standardized All Hazard Response Standards - Mutual Aid Model /Standards - Triage / Dispersal Standards - Model EOC / DOC MB Guidelines - Disaster Training and Cert Standards - Disaster Communications - Terrorism / WMD Standards		Buchanan			Information		10 min
3:40	36. HRSA Grant Committee Report		Isbell			Discussion		5 min
	37. General Report – External Committees		Isbell			Information		5 min
3:50	38. Future Meeting Dates		Andriese			Discussion		10 min
4:00	39. Roundtable		All			Information		30 min
4:30	40. Adjourn		All

* Attachments

December 3, 2002

The Honorable Helen Thomson

California State Assembly

P.O. Box 942849

Sacramento, California 94249-0001

Dear Assembly Member Thomson:

On behalf of the Emergency Medical Services Administrators= Association of California, I want to thank you for your continued support of Emergency Medical Services (EMS) in the state of California.

We appreciate your leadership in the authoring and coauthoring of EMS legislation, in particular, Assembly Bills 686 and 687, as well as your support of Assembly Bills 900 and 1833, and Senate Bill 807.

You have been instrumental in increasing the awareness among your constituents and fellow legislators of the important role EMS plays in the well being and safety of the citizens of the state of California.

We wish you well as you embark on new adventures. Your leadership will be sorely missed.

Sincerely,

Steven L. Andriese

President

DRAFT V (November 15, 2002)

MISSION

The mission of the Emergency Medical Services Administrators’ Association of California (EMSAAC) is to provide EMS system leadership within the state and to foster excellence in all aspects of emergency, and specialty care services.

VISION

It is the vision of EMSAAC to be recognized as the state’s leading advocate for the development and maintenance of safe, effective, patient-oriented, community-based EMS systems.

VALUES

The EMSAAC Board of Directors has identified the following values that serve as the guiding principles for administering EMS systems. These values are the foundation of all EMSAAC planning processes and Board actions.

· WE VALUE the patient as the primary focus in the development of all EMS legislation, regulations, standards, protocols, and policies.

· WE VALUE the EMS system as an essential public service.

· WE VALUE EMS as an integrated, and integral part of the overall healthcare system.

· WE VALUE decision making and system change which is based upon the objective use of evidence, best practices, and a continual system-wide quality improvement.

· WE VALUE local communities and their right to assist in the design and development of local EMS systems.

· WE VALUE the relationship between Local EMS Agencies and the State EMS Authority as partners in providing administrative oversight of EMS systems in California.

· WE VALUE and respect the Emergency Medical Directors Association of California (EMDAC) for their its medical leadership on a statewide level.

· WE VALUE the EMS service providers and allied health agencies who serve the patients in our local EMS systems.

FOR DISCUSSION ONLY DRAFT 10/31/02

EMERGENCY MEDICAL SERVICES ADMINISTRATORS’ ASSOCIATION

Code of Professional Conduct

I. RESPONSIBILITIES TO THE PUBLIC

Members should always be mindful that EMS is a learned profession and that among its primary goals is a devotion to public service, and the advancement of quality EMS systems throughout California.

II. RESPONSIBILITIES AND ACCOUNTABILITY

Members have a responsibility to ensure that policy makers, department heads, and governing bodies are informed of the [AL1] status of the EMS system and its ability to ensure the public’s health and safety.

III. RESPONSIBILITIES TO SERVICE PROVIDERS

Members should collaborate with public and private service providers to ensure the provision and coordination of quality EMS services.

IV. ACCOUNTABILITY AND CONFIDENTIALITY

All matters should be handled with respect for the individual rights of privacy. Where conflicts of interest arise, the ultimate obligation is to the public that we serve.

V. NEGOTIATIONS AND BUSINESS TRANSACTIONS

Members should ensure that all business transactions are negotiated in a manner to serve the public interest.

VI. WRITTEN AND ORAL COMMUNICATION

When communicating with peers, constituents and the public, members should conduct themselves in a manner respectful of patients, the public, prehospital care providers, and public safety and health care professionals.

FOR DISCUSSION ONLY DRAFT 10/31/02

EMERGENCY MEDICAL SERVICES ADMINISTRATORS ASSOCIATION

Ethics Committee Rules

I ELECTION AND COMPOSITION OF THE ETHICS COMMITTEE

A. The Committee shall consist of five (5) active EMSAAC members elected by the general membership.

B. No Board member may serve on the Committee.

C. The term of each committee member shall be two (2) years.

D. A Chair of the committee shall be elected by the Committee upon completion of annual elections.

E. Any vacancy occurring on the Committee before a meeting of the general membership shall be filled by an individual who meets the requirements for the position and who is confirmed by a majority vote of the Board of Directors.

F. Only those active members having maintained membership in good standing for a minimum of two (2) consecutive years shall be eligible for a position on the Committee.

II. ETHICS COMMITTEE OBJECTIVES

The Committee is responsible for monitoring the ethical practices of the association, serving as advocates for the ethical practices of the membership, and hearing complaints and taking appropriate actions regarding violations of the Association’s by-laws and Code of Professional Conduct.

III. ACTIONS

Ethics complaints/accusations are taken seriously by EMSAAC and shall receive prompt attention and resolution.

A. Procedures for Addressing Complaints and/or Accusations

1. Complaint/Accusation Received
(May only be initiated by an EMSAAC member. No others have standing to present a complaint.)

2. The complaint/accusation must be in writing and must include the name of the member making the complaint/accusation.

3. The complaint/accusation must specify in reasonable detail the EMSAAC members alleged violation of EMSAAC Bylaws or their role and responsibility as it relates to EMSAAC.

4. The complaint/accusation must be filed with the EMSAAC President-Elect. If the President-Elect is the subject of the complaint, said complaint may be filed with the EMSAAC President or Past -President who shall fulfill the complaint processing duties of the President-Elect.

5. If a participant in this process (such as a member of the Ethics Committee or Board of Directors) is a party to the complaint, that participant shall not be involved in the process of resolution, except as complaining party or accused member.

B. President-Elect

1. Contacts the complaining party to confirm intent to file a complaint and clarify the issue(s).

2. Confirms that requirements under III.A.2 and III.A.3 are satisfied, and sends a copy of the Ethics Committee Rules to complaining party.

3. Notifies President of EMSAAC and chair of the Ethics Committee that a complaint has been filed and forwards them a copy of the complaint.

4. Makes a good faith effort to notify the accused member of the complaint/accusation by telephone.

5. Within fifteen (15) calendar days of receipt of complaint/accusation, forwards the complaint to the alleged violator by certified mail with a copy of the Ethics Committee Rules and requests a written response within thirty (30) days of receipt of such mailing.

6. Forwards the complaint and the response together, as soon as both are received, to each member of the Ethics Committee.

C. Ethics Committee

1. Within fifteen (15) calendar days from receipt of the accused members written statement, or the date that the written response was due, the Ethics Committee Chair shall hold a meeting of the Ethics Committee through conference call or physical attendance. This meeting will be a closed meeting and limited to Ethics Committee members only.

2. The Ethics Committee may request further written documentation from either party to the complaint.

3. The Ethics Committee shall determine if the EMSAAC bylaws apply or whether the EMSAAC member has violated the Code of Professional Conduct or his/her role/responsibility as it relates to EMSAAC.

4. The Ethics Committee shall develop a report of its findings, which shall include a summary of the alleged action, the Committees findings, and the appropriate action to be taken regarding the complaint.

5. Within ten (10) calendar days following the meeting of the Ethics Committee to discuss the alleged violation, the Ethics Committee Chair shall forward its report of its findings to the EMSAAC Board of Directors Executive Committee.

6. In its deliberations and communication of recommendations, the Committee shall comply with policies for preserving confidential information, and should refrain from discussing any matter before the Committee outside of the established process.

7. The action of the Ethics Committee shall be in accordance with Section 7. Of the EMSAAC By-laws.

Bylaws Committee – Bylaws Review

Potential Areas for Revision

· New EMSAAC Address

· Consider adding new committee structure

· Consider incorporating Budget, Nominations, and Bylaws Committee functions under “Organization and Management Committee”

· Clarify the election of Ethics Committee membership is made by the general membership

· Consider including a mechanism for cataloging EMSAAC documents and policy templates

· Consider revising required date for mailing application notices for new year. Is it currently too soon?

· Clarify the term of a new member who pays dues for only part of a year. Consider a pro-ration.

EMSAAC COMMITTEE ASSIGNMENT

Date Assigned: October 22, 2002

Assigned by: Board of Directors

Assigned to: EMSAAC COMMUNICATIONS COMMITTEE

Committee Charge:

1) Identify the minimum EMS disaster communication needs necessary to ensure adequate radio (wireless) communication between key EMS resources in the event of multi-jurisdictional, EMS mutual aid responses.

2) Formulate an EMSAAC policy standard which will temporarily address these minimum communication needs until a long-term remedy can be developed.

Deliverables:

An EMSAAC policy document which includes:

a. The basic EMS communication linkages necessary during a multi-jurisdictional EMS mutual aid response

b. The common frequencies or logistical methodologies necessary to ensure those communication linkages could be available statewide.

Target

Completion Date: April 2003

Notes and

Special Directions: The membership of this committee should be multi-disciplinary and include, at a minimum, representatives from EMSAAC, CAA, Fire Service, OES, and an emergency communication technician/coordinator.

All deliverables for this project should be developed in coordination with the EMSAAC Disaster Preparedness Committee

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