Next Generation Task Force Merced County EMS Next Generation Task Force Jim Clark EMS Administrator 209.381.1250 jclark@co.merced.ca.us Session 4

Next Generation Task Force Objective Define New Components of the EMS System for the Next Ambulance Request for Proposal (RFP)

EMS Next Generation Progress To Date Session 4 Jim Clark EMS Administrator 209.381.1250 jclark@co.merced.ca.us Session 4

Next Generation Task Force Sessions Session #1: November 27th Define Mission Statement Share Merced County Best Practices Share Best Practices & Industry Trends Share California Community Paramedicine Pilot Projects Determine which Best Practices may be Applicable to Merced County Session #2: December 11th Santa Cruz County EMS Medical Director Discuss Local Applicability Session #3: January 31st Learn from Selected Best Practice Speakers Session #4: February 13th Review Selected Best Practices Finalize Selection of Best Practices for Merced County

Merced County EMS Mission Statement RIGHT Resource Time Patient Care Destination Cost

Progress To Date... Presentations Clinical Outcome-Based Care, Resource Management, Mental Health, Consolidated Dispatch Dr. Dave Ghilarducci, Santa Cruz County EMS Agency Resource Access Program (RAP) Anne Jensen, San Diego Fire & Rescue High System User Diversion Dave Berry, Anaheim Fire

Best Practices Value and Applicability Locally

EMS Next Generation Ambulance RFP Process Session 4 Jim Clark EMS Administrator 209.381.1250 jclark@co.merced.ca.us Session 4

Ambulance RFP Process... Explained EMS Stakeholder Interviews Data Submission, Review, & Analysis RFP Development

Ambulance RFP Process... Explained EMS Stakeholder Interviews Data Submission, Review, & Analysis  EMS System Assessment  Facilitate EMS System Components for new RFP Discussion with RFP Advisory Committee (comprised of EMS stakeholders with no connection to a potential bidder) Draft RFP Scope of Work (may include Next Gen Items) Share Draft Scope of Work with Advisory Committee Incorporate Input, Finalize, and Submit to State

Typical Ambulance RFP Timeline Milestone RFP Advisory Committee Reviews Draft Scope of Work RFP Advisory Committee Approves Final Scope of Work RFP Submitted to CA EMS Authority (EMSA) for Approval EMSA Approves Ambulance RFP & Release to Public Ambulance Bidders’ Conference Ambulance Proposals Due Oral Presentations Completed Notice of Intent to Award Released Award Protest Period Ends Contract Negotiations Completed Board of Supervisors Sign Contract Contract Begins

Prioritize Components of Merced County EMS EMS Next Generation Prioritize Components of Merced County EMS Jim Clark EMS Administrator 209.381.1250 jclark@co.merced.ca.us Session 4

Possible New EMS Components Clinical Outcome-Based Measures High System User Diversion Resource Triage at Dispatch Nurse Triage at Dispatch Health Information Exchange (HIE) Integration MediCal Payer Partnership Hospital Readmissions Hospice Revocation Community Paramedicine Dispatch Consolidation

Possible Impacts on Ambulance RFP New Performance Standards Fewer EMS Responses and/or Transports Required to Provide within the Next Contract Required to Collaborate on Future Innovation County Provided Service

Prioritize New EMS Components What do you believe will benefit Merced County EMS the most?

New EMS Components... Next Steps Discuss with Health Services Leadership Discuss with Ambulance RFP Advisory Committee Incorporate into Ambulance RFP as Appropriate

Thank You!!! EMS Next Generation Task Force Merced County Jim Clark EMS Administrator 209.381.1250 jclark@co.merced.ca.us