To: Board of Supervisors
From: Anna Roth, Health Services Director
Report Title: Establish the classification of Assistant Director of Emergency Medical Services and add one permanent position in the Health Services Department
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
ADOPT Position Adjustment Resolution No. 26072 to establish the classification of Assistant Director of Emergency Medical Services (VAHE) (represented) at salary plan and grade level ZA5 1021 ($14,046 -$17,073) and add one (1) permanent position in the Health Services Department.
FISCAL IMPACT:
This action has an annual cost increase of approximately $331,433.62 which includes pension costs, which will be supported by 100% Hospital Enterprise Fund I. This position will be placed in the Emergency Medical Services Division and may be supported long-term through revenue received through cost recovery.
BACKGROUND:
The department is requesting to establish the classification of Assistant Director of Emergency Medical Services (EMS). Currently, the EMS division receives management oversight and direction from the Assistant Director of Health Services (EMS Director). The EMS Director is responsible in setting program goals and objectives, acting as the regulatory compliance officer, working with appropriate government officials to ensure compliance with all Federal, State, and local laws and regulations, reporting to various public and private stakeholders (State and local government advisory bodies, Board of Supervisors, community organizations) on programmatic operations and address any political concerns. In addition, the incumbent functions as the Medical and Health Operational Area Coordinator (MHOAC) responsible for planning and facilitating the strategic deployment of necessary emergency medical and health resources during times of emergency/disaster which includes coordinating resources within and outside of the operational area and coordinating information among health care entities through situation reporting. This local program must meet all criteria set forth by the California Public Health and Medical Emergency Operations Manual and the California Medical Mutual Aid Plan.
Under direction, the Assistant Director of EMS will assist the EMS Director in the management of the day-to-day operations and development of county-wide EMS service plans, policies, and procedures; and provide supervision and work direction to administrative, clerical, and pre-hospital care coordinator (PHCC) staff working in conjunction with the EMS Medical Director to monitor and evaluate clinical staff and serve as the MHOAC. The incumbent will be responsible in contract development/administration for ambulance services, paramedic services, hospitals, and other health care providers; coordination of activities among hospitals, fire services, and law enforcement agencies; and preparation of the annual EMS plan for submission to the State, which may include a variety of specialty care sub-plans including the Trauma System Plan, ST Elevation Myocardial Infarction (STEMI) System Plan, Stroke System Plan, EMS for Children Plan.
CONSEQUENCE OF NEGATIVE ACTION:
There will not be sufficient management oversight of the Emergency Medical Services Division, which may lead to compliance issues for the Health Services Department.