Amendment of Orange County Emergency and Non-Emergency Medical Care and Transportation Ordinance

1. Amendment of Orange County Emergency and Non-Emergency Medical Care and Transportation Ordinance Board of County Commissioners Public Hearing January 26, 2016 1

2. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Action Requested 2

3. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Action Requested 3

4. Purpose • Amend the ordinance relating to Emergency and Non-Emergency Medical Care and Transportation • Modifies the role of the Emergency Medical Services Advisory Council (EMSAC) and the Emergency Medical Services Office (EMSO) to better reflect current functions • Update the Resolution that addresses EMSAC membership in order to address inherent conflicts • Allows for continued participation of the key public safety and health care leaders who make up the system

5. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Action Requested 7

6. Orange County EMS System • Collaboration of 10 EMS agencies, 3 hospital systems, multiple educational and community partners • Provides service to the entire county • Among the largest EMS Systems in the country • Unified approach to patient care and education • Recognized nationally • Streamlined information sharing and best practices EMSAC is the “glue” that keeps the organization together 8

7. EMS Advisory Council • County Code - Chapter 20 requires establishment of the EMSAC by resolution • Provide oversight and strategic planning for EMS System • Form committees regarding EMS operations & quality management • BCC recommendations regarding certificates, licensing, and medical direction contract • Membership: Fire Chiefs, EMS managers, physicians, hospital administrators, and subcommittee chairs EMSAC can not be sustained as currently constructed 4

8. EMS Advisory Council EMSAC Conflicts & Challenges • Term limitations and residency requirements exclude vital members of the EMSAC, including fire chiefs and hospital administrators* • Some important EMS community members not represented • EMSO and Medical Director services provided by contractual agreements in the past are now fulfilled by full-time County employees • Current provisions add extra steps that delay the processing of certificates and licenses *Orange County Code - Section 2, Article VI CREATION, OPERATION, REVIEW OF ADVISORY BOARDS 11

9. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Actioned Requested 10

10. Draft Ordinance • Modifies the function of the EMSAC in recommending BCC approval of COPCNs & Paratransit Licenses • These applications are currently submitted to the BCC for approval by the EMS Office • Addsan annual report from the EMSAC to the BCC • Deletes reference to contractual agreement with Medical Director • EMS Medical Direction has been provided by fulltime county employees for over 10 years Goal: Amend the Code to better reflect current functions of the EMS Office and the EMSAC

11. Draft Ordinance • Preserves EMSAC’s role in maintaining standing committees • Quality Council, Medical Control Committee, EMS Operations Committee • Preserves EMSAC’s role in providing oversight and strategic planning to the EMS System • Does not change EMSAC’s requirement to comply with Florida Sunshine and Public Records laws Goal: Amend the Code to better reflect current functions of the EMS Office and the EMSAC

12. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Actioned Requested 10

13. Draft Resolution Draft Resolution addresses: • Reconstitution of the EMSAC • Membership • Duties and Responsibilities • Subcommittees Goal:Revise the EMSAC Resolution to address inherent conflicts and improve membership profile

14. Draft Resolution • Reconstitution of the EMSAC • Shall not be an “Advisory Council” within the meaning of Section 2, Article VI of the County code • Nominees shall not be subject to MMRB approval • The EMSAC members will be local public safety and health care leaders whose jobs necessitate ongoing participation • MMRB was consulted on this issue and is in support of the proposed change The proposed changes do not effect the EMSAC’s requirement to comply with Florida Sunshine & Public Records Laws

15. Draft Resolution • Membership • 10 Fire Chiefs or designee • 3 hospital CEOs or designee • 1 CPR/AED Outreach committee chairperson • 1 Medical Control committee chairperson • 1 Operations committee chairperson • 1 Valencia Community College EMS Educator • 1 EMS Medical Director (non-voting) The 18 members of the EMSAC would serve in an ex-officio capacity

16. Draft Resolution • Duties and Responsibilities • Strategic Planning • Evaluate recommendations from the standing committees • Provide recommendations to the EMSO, Medical Director, or County Administrator • Issue an annual report to the Board

17. Draft Resolution • Subcommittees • Medical Control • Operations • CPR/AED Outreach

18. Presentation Overview • Purpose • Background • Draft Ordinance • Draft Resolution • Action Requested 14

19. Requested Actions • Approval of an Ordinance of the Board of County Commissioners of Orange County, Florida, relating to Emergency and Non-Emergency Medical Care and Transportation amending sections 20-56, 20-92, 20-93, 20-96, and 20-134 of the Orange County Code. • Approval of a Resolution regarding the Orange County Emergency Medical Services Advisory Council; Reconstituting Such Board as to Duties, Number of Members and Membership Qualifications; Reorganizing the Board’s Responsibilities and Authorities.

20. Amendment of Orange County Emergency and Non-Emergency Medical Care and Transportation Ordinance Board of County Commissioners Public Hearing January 26, 2016 1