NOTICE

1. NOTICE This presentation was provided by Wayne Davis of American Medical Response on April 1, 2008 for the Contract Extension Review Committee. The presentation was requested by the County. This is not a County EMS Agency document.

2. Performance Review American Medical Response 2001 - 2008

3. Operational and Financial Areas (2001 to Present) • TX by year • Unit Hours by year • Gross/Net by year • Collection Rate by year

4. Transports By Year

5. Unit Hours by Year

6. Gross Revenue by Year

7. Collection Rate by Year

8. NetRevenue by Year

9. Cooperation with EMS System • GPS • Stroke Project • Bariatric Unit • Bike Team • NCTI • AMR Instructors provide training for Fire • Capnography • 12 Lead

10. Cooperation with EMS System • (Continued) • Mark One • STEMI Centers • Meds Program • EZ IO • EMS Air Utilization • Exemption Review • Pre-Hospital Providers Advisory • CPAP • MDAC

11. Cooperation with EMS System • (Continued) • SNFs/Clinics/Psych/Jails (Deanna Merritt) • Mutual Aid to neighboring Counties • EPCR Development and Implementation • Fines and Penalties Committee • Cardiac Care Committee • Trauma Committee Support • 91 Radios for Fire

12. Cooperation with EMS System • (Continued) • Cardiac Task Force • Radio and Communication upgrades • Backboard Standardization • EMS Drill Participation • Event IAPs- System Wide/ Small events • Ongoing enhancements to QRV system • Development of Star Car

13. Cooperation with EMS System • (Continued) • Lower Cost Purchase (Fire) • Data Exchange –CoCom/AMR • Supervisor Ability to Monitor CAD System • Several Enhancements to Alpha Numeric Pagers • EM Track • Cahan • Baymax • Expanded Frequencies

14. Quality Improvements • Extended Call Review/ Routing/ Zone • Deployment/ Demand Analysis- Compliance • Clinical-Skills-Meds • Incident Database • Infrequent Skills • Random Chart Review

15. Quality Improvements • (Continued) • Academies • Local Hiring • QLC • PIPs • EVOC • Shift Bid • FTO

16. Performance Reports • Zone • Workload • On-Scene • Out of Chute • Turn Around • Dry Run • BLS Code 3 • Lost Unit Hours

17. Community Involvement

18. Professional Image • Policy and Procedure- Maintaining Professionalism and Image as it relates to Uniforms and Grooming. • Regularly scheduled meeting with City Council and BOS Members • Assigned Public Information Officer (PIO) to Point of Contact for media inquiries • Internship with Central County Occupational Centers • Informational brochures on AMRs role in Santa Clara EMS • Provide Personnel and Leadership in support of ‘Every 15 Minutes’, a program dealing with teen drinking and driving.

19. Professional Image • Ambulance Demos • General Manager’s role as Board of Directors for the YWCA • Safe Surrender Sites • Supporter of Silicon Valley Chamber of Commerce COMPAC • Stars of Life • Active in supporting local Political Candidates • For over 15 years has supported our ‘Choices’ program

20. Professional Image • (Continued) • Past membership on Board of Directors for ‘Crime Stoppers’ which supports communities against crime. • Provide Assistance to Local CERT • Exchange Club • Little Treasures

21. Integration • EMS Chief meeting • Supervisor/SJ Fire meeting • Open Door Policies • Meds • Fire Fighter ABC • FTO Meeting • QLC Group • Pre-Hospital Providers • Commendations • Rotary Club • SNFs/ Clinics/ Psych/ Jails

22. Cooperation (Fitch) ‘AMR, the County Contractor, has also matured in its role. Relationships with the area fire departments have improved markedly since the 2004 review.’ ‘While there is a natural tension between first responders and the ambulance provider, interviews with the various entities indicate respect for each participant’s contributions to the EMS system and to patients.’

23. Cooperation (Fitch) (Continued) ‘The majority of the first response agencies made positive comments about their organization’s relationship with AMR. Individuals cited several specific examples of how AMR works with them on programs, supports them when needed and responds to their requests. Specific AMR employees were cited as being supportive. AMR managers also reported good working relationships with the majority of many fire departments.’

24. Cooperation (Fitch) (Continued) ‘Overall AMR has built good relationships with the Santa Clara County fire departments and vice versa. They have demonstrated a willingness to partner and work with departments to create innovative solutions to existing problems.’

25. Comments “AMR, we have always had a top notch relationship from day one, we work together really well. AMR has been 100 percent responsive and has been an advocate for me.”

26. Effectiveness (Fitch) ‘Santa Clara residents and visitors receive a high level of service from the system.’ ‘Fire departments and the ambulance provider are consistently in compliance with the Master Contract requirements for EMS services.’

27. This presentation was provided by Wayne Davis of American Medical Response on April 1, 2008 for the Contract Extension Review Committee. The presentation was requested by the County. This is not a County EMS Agency document.