1. Next Generation Task Force
Merced County EMS
Next Generation Task Force
Jim Clark
EMS Administrator
Session 4

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

3. EMS Next Generation Progress To Date Session 4 Jim Clark
EMS Administrator
Session 4

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

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

6. 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

7. Best Practices Value and Applicability Locally

8. EMS Next Generation Ambulance RFP Process Session 4 Jim Clark
EMS Administrator
Session 4

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

10. 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

11. 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

12. Prioritize Components of Merced County EMS
EMS Next Generation
Prioritize Components of Merced County EMS
Jim Clark
EMS Administrator
Session 4

13. 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

14. 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

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

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

17. Thank You!!! EMS Next Generation Task Force Merced County Jim Clark
EMS Administrator