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1. Identify and select an EMD Medical Director and members for Continuous Quality <br />Improvement/Quality Assurance (CQI/QA). Notify all agencies involved with <br />implementation. Notify the EMD vendor of the County's intent to implement an <br />EMD program. <br />Status: The Department of Emergency Services has a Medical Director (Dr. Roger <br />Nicosia) under contract for advice and direction to the Emergency Medical <br />Services Division. If Board approval is obtained, Dr. Nicosia has agreed <br />to serve as the EMD Medical Director at no additional expense to the <br />County. The EMS Division already has in place a Quality Assurance <br />Program for EMS. The same Committee could be expanded and additional <br />9-1-1 management personnel from other agencies could be included. With <br />Board approval, a Committee will be appointed. <br />A meeting was held in Commission Chambers on March 10, 1998, for the <br />purpose of notifying all agencies which would be involved with <br />implementation. All in attendance agreed that the EMD Program should be <br />implemented in the County. <br />Staff has examined the potential vendors for EMD products and is now <br />requesting that the APCO Institute be approved as a sole source vendor for <br />the EMD Program. This recommendation is based on the ability to do in- <br />house on-site training locally, cost of products, user friendly products, and <br />overall cost. <br />2. Identify response configurations for the local fire and EMS system. Customize <br />guidecards and transmit information to the selected EMD vendor. <br />Status: The response configurations for Fire and EMS emergency responders <br />already exist and are being updated as part of the prior approved CAD <br />contract for the 9-1-1 system. If the sole source vendor is approved, the <br />APCO guidecards have already been reviewed and will need very few <br />revisions or changes before training can commence and implementation <br />processes occur. <br />3. Develop CQI/QA procedures for employee evaluation and ensure a continuing <br />education training program is established. <br />Status: If approved by the Board, the CQI/QA procedures can easily be established <br />with changes to the existing QA policies. A continuing education program <br />will be determined with participation by all parties involved in the EMD <br />Program. <br />4. Arrange, schedule and conduct all requisite and pre -EM training programs. Send <br />personnel to the EMD Instructor Training Course if training will be provided locally. <br />Status: Deputy EMS Chief Brian Burkeen attended the APCO Instructor Course in <br />March and he is certified to teach and train all dispatchers to be Emergency <br />Medical Dispatchers. The 9-1-1 management staff has been very <br />cooperative in this endeavor and has arranged for the 27 dispatchers to be <br />trained over a 30 day period. This training will create an overtime expense <br />for the total of eight days of training (8 hours a day for 4 days each class <br />spread over 4 weeks, including CPR). Training cannot commence until an <br />EMD vendor is selected and the guidecards are customized and received so <br />they can be used during the training course. <br />April 28, 1998 <br />