Emergency Medical Services Administrators' Association of California

Emergency Medical Services Administrators' Association of California


EMSAAC's 2017 Conference!

Coming May 9-10, 2017 at Loews Coronado Bay Resort!

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Alameda County Releases RFP For Emergency Ambulance Services

Alameda EMSOn Thursday, September 22nd, Alameda County EMS Agency released their Request For Proposal for "Emergency Ambulance Service, 9-1-1 Response, ALS Transport, and Standby Service with Transportation Authorization". Letters of Intent from prospective bidders are due October 6, 2016. Alameda is one of several Bay Area counties to redesign their EMS System and conduct a new competitive bidding process in recent years. Both Contra Costa and Santa Clara have also adjusted their systems in response to the changing fiscal landscape in EMS.


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AmeriCare Ambulance Challenges Exclusivity Claim by Huntington Beach

AmericareOn August 29, 2016 AmeriCare Ambulance filed suit against the City of Huntington Beach (CA) for restricting ambulance services within the city's boundaries. AmeriCare's complaint was filed in U.S. District Court, and the company has demanded a jury trial. The City of Huntington Beach claims it has legal authority to provide exclusive 911 ambulance services under a "grandfathering" provision in California's Health & Safety Code, Division 2.5, Section 1797.201. In 2010, EMSAAC published a position paper on this controversial statutory language.

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San Diego County EMS Bids Farewell to Marcy Metz

MarcyMetzMarcy Metz recently retired as Chief of EMS for San Diego County EMS. She graciously shared some parting thoughts about her work legacy with us:
"Together with Dr. Haynes and the EMS team, we have been through numerous disaster incidents including: the 2007 and 2011 wild fires, H1N1 pandemic, Southern CA black out, heat activations and healthcare capacity events. These incidents have improved our emergency medical preparedness and response services. Through our efforts with community partners we have trained over 13,000 citizens in Hands Only CPR over the past 5 years, established STEMI and Stroke systems of care, and raised community awareness of stroke prevention and symptom awareness. We recently celebrated the 30th anniversary of San Diego's trauma care system and its enviable overall survivor rate of 98%. Over the years many changes were made in our EMS system to improve the care to those in need of 9-1-1 services. And finally, we are very proud of the role EMS played in the County's recent Public Health Department accreditation."
Some of you may recall that Marcy's husband survived a life-threatening illness in late 2015. We wish them both the very best as they begin a new chapter in their lives together!
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2016 EMS Trend Report

EMS Trend ReportIn this special report, from Fitch & Associates in cooperation with EMS1 and the National EMS Management Association, see how your agency compares to others around the country. The issue also features analysis and reaction from EMS experts about the importance of performance measurement and paramedic degree requirements, as well as roundtable discussion about the most interesting findings of the EMS Trend Report, how those findings might be best applied and what we might expect to see in future years.


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Ventura County Welcomes New EMS Medical Director

Ventura CountyVentura County has announced that Dr. Daniel Shepherd has been appointed Medical Director for the Ventura County EMS Agency effective immediately. He will be assuming the duties of Dr. Angelo Salvucci, who will become Assistant EMS Medical Director. Dr. Shepherd was raised in Ojai and graduated from Nordhoff High School. His first exposure to EMS was as a California State Lifeguard in Ventura and at the State Vehicle Recreation Area in Oceano. He also worked on the ambulance while attending University of California at Santa Barbara. He then attended medical school at the Pennsylvania State College of Medicine and completed Emergency Medicine training at University of California San Francisco and San Francisco General Hospital. Dr. Shepherd works in the emergency departments at Cottage Santa Barbara and Goleta Valley Hospitals, and also serves as the Medical Director for the Carpinteria-Summerland Fire District and the Santa Barbara County Fire Department.

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EMSAAC Conducts Successful Workshop

WorkshopOn August 9th EMS Administrators and staff met in Rancho Cordova for a one-day workshop on EMT discipline and local EMS agency oversight for EMS aircraft. The goal of the workshop was to discuss standardizing procedures and policies used by local EMS agencies for these two areas. The focus for the EMT discipline discussion was how to handle the most common scenario that can result in taking action on a certification: an EMT with a first time drug/alcohol related arrest/conviction. LEMSA Administrators agreed to uniformly follow guidelines for Model Disciplinary Orders published by the California EMS Authority. For EMS aircraft it was also agreed to: 1) accept electronic patient care data from air ambulance providers in the most current version of NEMSIS, and 2) encourage air ambulance providers to develop a standardized set of treatment protocols for both flight medics and flight nurses to be used statewide.

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Dr. Bruce Haynes to Retire from San Diego County EMS

Bruce Haynes

After many years of dedicated service to the County of San Diego as the Emergency Medical Services Medical Director, Dr. Bruce Haynes has decided to retire in September.  Dr. Haynes has been a part of the San Diego EMS family for many years and we will miss his calming presence and his smile. Over the years Dr. Haynes has implemented the STEMI and Stroke Systems of Care, has seen the county through numerous disasters including the 2007 and 2011 fire storms, the HINI pandemic, Southern CA Black Out, and other significant events impacting the community.  He has ensured that patient protocols are evidence based and annually reviewed for needed revisions so that the residents and visitors to the community will receive optimal emergency care.  He is among the esteemed group of physicians who have received the EMS Medical Director of the Year Award by the California EMS Authority.

EMSAAC congratulates Dr. Haynes for his dedication and significant contributions to EMS in California. Through his work and with the support of the community the San Diego EMS system has continued to improve, move forward and remains a model for other EMS systems.

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CAA Files Complaint with Alameda County Board of Supervisors

CAAThe California Ambulance Association has filed a complaint with Alameda's Board of Supervisors regarding the proposed formation of a business partnership between Alameda County Fire Department and a private ambulance company. CAA's concern is that the partnership or "alliance" would position ACFD to participate in an upcoming competitive bidding process for an exclusive ambulance operating zone to be conducted by the EMS Agency, and would prohibit the private partner from submitting its own proposal for the exclusive service separately.  Since the Supervisors also sit as the Board of Directors for the dependent fire district formed in 1993, CAA contends there is an inherent conflict of interest in this matter for the elected officials. CAA further believes this action will effectively preempt the upcoming RFP process. The CAA also protested a similar parallel process that occurred in Contra Costa County in 2015.
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Mental Health Crisis in Emergency Medical Services?

You are human
 Amidst growing concern about the mental health of emergency medical service (EMS) professionals, a Fitch & Associates’ Ambulance Service Manager Program project team surveyed more than 4,000 EMS and fire professionals in 2015 about critical stress, suicide, and available support and resources. The results were stark. Among survey respondents, 37 percent reported contemplating suicide—nearly 10 times the overall rate among American adults. Additionally, 6.6 percent of survey respondents had attempted suicide, compared to just 0.5 percent of adults nationally.
Mental health issues are not limited to the EMS workforce. According to the Firefighter Behavioral Health Alliance, at least 759 firefighters have committed suicide since 2012. In law enforcement, estimates suggest between 125 and 300 police officers commit suicide every year. These numbers should be a wake-up call, not only for every emergency medical technician (EMT), paramedic, firefighter, police officer, and emergency telecommunicator (sometimes called dispatchers or call-takers), but also for agency leaders and county and city officials who work with them. [excerpt from PM Magazine, May 2016]
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