1. Joint Powers Agreement
Ada County-City EMS System
Joint Powers Agreement

2. Establish an EMS System to provide optimal patient care and system efficiency through structure and collaboration among elected officials, administrative leaders and the medical community across all EMS agencies.
Purpose

3. Development over two years of discussion, debate, reflection and collaboration
Core principles and outcomes defined by the Chief Administrative Officials of the agencies, content drafted by the legal counsel representing the agencies
Process

4. Ada County-City EMS System
Joint Powers Board
Administrative Committee
Medical Directorate
Structure

5. Structure Joint Powers Board
Political Authority – elected official representation of each member agency
Receive recommendations from the Administrative Committee and the Medical Directorate
Approve Standard Operating Procedures for the System
Adopt System Medical Protocols
Approve budget and financial plan
Approve Deployment Plan and response performance standards
Unanimous consent requirement
Structure

6. Structure Administrative Committee Provide operational expertise
Chief Administrative Official from each member agency
Provide operational expertise
Develop and recommend System standards to the Board
Develop and recommend System Operating Procedures, Deployment Modeling, Financial Planning, QA/QI Processes
Provide active coordination between the member agencies
Solicit and incorporate stakeholder input
Structure

7. Structure Medical Directorate
Two qualified Physicians appointed by the Board
Development of the System’s Medical Supervision Plan
Clinical management and oversight with a common direction for all agencies
Establish Scope of Practice
Solicit and incorporate input from the medical community
Identify opportunities for improvement of medical care within the System
Structure

8. Outcomes Commitment to the System development – “All In”
Common Medical Direction
Common Deployment Modeling
Joint Purchasing Abilities
Established process to share resources
Representation of all provider agencies
Collaborative development of the optimal EMS System
Outcomes

9. Ada County-City EMS System
Questions

10. Follow Up Actions Adoption of Joint Powers Agreement
Adopt ordinances (need specifics on ordinances for each group presented to)
Follow Up Actions