Common use of Staffing and Training Clause in Contracts

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are or can be discussed; staff attendance at state and federal meetings where state and national standards and best practices may be reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allows; input from stateholders, etc. This quarter we contiued to work on adding additional scope as needed. Contractor Xxxxx continued to take the lead on development or distribution of tools to support the management of 5150 patients especially during the pandemic. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing education, etc. • Providing training programs and classes as needed We continue the process to approve Public Safety First Aid and coordinating First Responder courses as needed for the three counties. North Coast EMS continued Power Point courses focused on the LOSOP. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to work closely with Public Health and other EMS partners to ensure ongoing assistance with COVID related policies. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols this quarter in concert with the Policy Review Committee. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and the updated QIP Plan was approved by the EMSA. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allows. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated in a few case reviews this quarter. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are or can be discussed; staff attendance at state and federal meetings where state and national standards and best practices may be reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allowsproviders; input from stateholders, etc. This Last quarter we contiued to work on adding additional scope as neededimplemented use of Ketamine and this quarter TXA was approved. Contractor Xxxxx continued to take the lead on development or distribution of tools to support the management of 5150 patients especially during the pandemic. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing education, etc. • Providing training programs and classes as needed We continue the process to approve Public Safety First Aid and coordinating First Responder courses as needed for the three counties. North Coast EMS continued developed four Power Point courses focused on the LOSOPLOSOP added this year. The FTO program Power Point was also added to the available training programs. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to work closely with Public Health and other EMS partners to ensure ongoing assistance with COVID related policies. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols this quarter in concert with the and conducted one Policy Review CommitteeCommittee meeting. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and the updated QIP Plan was approved by the EMSA. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allowsquarter. With the assistance of contractor Xxx Xxxxxx, we continued the process to consolidate and integrate CQI Policies and the CQI Plan update, including clearer linkage to the Evidence Code to ensure disclosure protection of case review processes. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated in a few numerous case reviews this quarter. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are or can be discussed; staff attendance at state and federal meetings where state and national standards and best practices may be reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allows; input from stateholders, etc. This quarter we contiued to work initiated discussion on adding additional scope as neededBehavioral Health First Aid training given the increasing number of violent attacks in Emergency Departments. Contractor Xxxxx continued to take the lead on development or distribution of tools to support the management of 5150 and psychiatric patients especially during the pandemic. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing education, etc. • Providing training programs and classes as needed We continue the process to approve Public Safety First Aid and coordinating First Responder courses as needed for the three counties. North Coast EMS continued Power Point courses focused on We initated the LOSOPprocess to assess local Behavorial Health First Aid training. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to work closely with Public Health and other EMS partners to ensure ongoing assistance with COVID related policies. This quarter we opened discussion thanks to stakeholder input on ways to streamline the paramedic accreditation process, which usually take about three working days, by eliminating the PCMD signature requirement; and, the internship review process to ensure that new accreditations are clinically competent, compliant with state standards and are not unecessarily held up. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols this quarter in concert with the Policy Review Committee. We are also discussing ideas to help streamline our internal policy review process. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and draft the updated Annual QIP Plan was approved by Update, soon to be submitted to the EMSA. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allows. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated and participated in a few case reviews this quarter. Regional EMS Coordinator continues the process to review PCRs and maintain the case review log to ensure loop closure. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are or can be discussed; staff attendance at state and federal meetings where state and national standards and best practices may be reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allowsproviders; input from stateholders, etc. This Last quarter we contiued added IFT antibotics to work on adding additional the paramedic scope as neededof practice and this quarter we implemented use of Ketamine. Contractor Xxxxx continued to take the lead on development or distribution of tools to support the management of 5150 patients especially during the pandemic. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing education, etc. • Providing training programs and classes as needed We continue the process to approve Public Safety First Aid and coordinating First Responder courses as needed for the three counties. North Coast EMS continued Power Point courses focused on the LOSOP. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We conducted a three-county wide virtual Policy Committee meeting this quarter, and continued to work closely with Public Health and other EMS partners to ensure ongoing assistance with COVID related policies. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols this quarter in concert with the and conducted one Policy Review CommitteeCommittee meeting. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and the updated QIP Plan was approved by the EMSA. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allowsquarter. With the assistance of contractor Xxx Xxxxxx, we continued the process to consolidate and integrate CQI Policies and the CQI Plan update, including clearer linkage to the Evidence Code to ensure disclosure protection of case review processes. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated in a few numerous case reviews this quarter. We also updated our case tracking system. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are discussed or can be discussedrequested; staff attendance at state and federal meetings and conferences where state and national standards and best practices may be are reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allowsproviders; input from stateholders, etc. Several providers are now approved for Public Safety training and Naloxone and we have implemented a process to review and assist providers who are unable to acquire medications due to shortages. Xxxxxx Xxxxx continues to assist each county in 5150 education, help standardized the "5150 clock" within Humboldt County, and updated web based training programs specific to each county, and now is heavily engaged in COVID-19 planning and coordination activities within the three counties and State. This quarter we contiued quarter, North Coast EMS expanded and/or updated polices and protocols involved with COVID-19, including: COVID Testing by paramedics, re-implementation a ventilator assist policy, etc. We also distributed several PPE related policies and/or guidelines to work on adding additional scope as needed. Contractor Xxxxx continued to take the lead on development or distribution of tools to support the management of 5150 patients especially during the pandemichelp ensure responder protection. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing educationContinuing Education, Naloxone etc. • Providing training programs and classes as needed We continue Because of COVID-19, several ongoing or planned training efforts have been postponed or redirected to online training. The planned EMSC conference portion of the process federal grant was postponed due to approve Public Safety First Aid and coordinating First Responder courses as needed for COVID-19 with a six month extension to utilize the three countiesunderspent amount. North Coast EMS continued Power Point courses focused on the LOSOPsent a letter of support for a Mendocino Community College Paramedic Training Program. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to work closely with Public Health conducted at least one three-county wide Policy Committee teleconference meeting this quarter and other EMS partners to ensure ongoing assistance with COVID related policiesare assessing options for further enhancement of our policy review and update processes and scope of practice expansion. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols convened at least one Policy Review Committee meeting via teleconferencing this quarter in concert with the Policy Review Committeeto ensure routine regionwide review and revision of North Coast EMS clinical policies. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and the updated last QIP Plan Update was approved by the EMSA. The QIP Plan Update was submitted to EMSA this quarter. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allowsquarter. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated participated in a few at least one case reviews review this quarter. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.

Staffing and Training. Objective - To ensure LEMSA authorized personnel functioning within the EMS system are properly trained, licensed/certified/authorized and/or accredited to safely provide medical care to the public. Tasks: The responsibilities of the EMS agency, at a minimum, include: • Ongoing assessment of local training program needs North Coast EMS has numerous mechanisms for determining training program needs, including: meetings where EMS system and training needs are discussed or can be discussedrequested; staff attendance at state and federal meetings where state and national standards and best practices may be are reviewed; communications with regional EMS instructors; review of quarterly QIP reports from base hospitals and providers as staff time allowsproviders; input from stateholders, etc. This quarter Several providers are now approved for Public Safety training and Naloxone and we contiued have implemented a process to work on adding additional scope as neededreview and assist providers who are unable to acquire medications due to shortages. Contractor Xxxxxx Xxxxx continued continues to take assist each county in 5150 education, standardized the lead on development or distribution of tools "clock" within Humboldt County, and updated web based training programs specific to support the management of 5150 patients especially during the pandemiceach county. • Authorizing and approving training programs and curriculum for all certification levels North Coast EMS has numerous approved training programs that have been verified to meet or exceed state minimum standards, including curriculum and instructor requirements. These programs include: Public Safety, First Responder, EMT-I, Paramedic, MICN, continuing education, Naloxone etc. • Providing training programs and classes as needed We continue the process to approve approving Public Safety First Aid and coordinating First FIrst Responder courses as needed for the three counties, including Naloxone utilization for Public Safety and First Responder personnel according to state standards. North Coast EMS continued Power Point courses focused on the LOSOPThe First Responder programs and Public Safety First Aid are able to utilize our EMSC grant with UCD-MC to reimburse instructor training costs. • Providing ongoing certification/authorization/accreditation or personnel approval of local scope of practice for all certification levels North Coast EMS issues numerous EMT-I certifications, paramedic accreditations and MICN authorizations annually. We have policies specific to BLS and ALS scope of practice and numerous continuously updated protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to work closely with Public Health conducted a three-county wide Policy Committee teleconference meeting this quarter and other EMS partners to ensure ongoing assistance with COVID related policiesare assessing options for further enhancement of our policy review and update processes and scope of practice expansion. • Developing and maintaining treatment protocols for all certification levels North Coast EMS has numerous policies specific to the BLS and ALS scope of practice and continuously updates protocols and policies specific to the EMT-I and EMT-P scope of practice. We continued to update, add and modify policies and protocols convened one Policy Review Committee meetings via teleconferencing this quarter in concert with the Policy Review Committeeto ensure routine regionwide review and revision of North Coast EMS clinical policies. • Maintaining communication link with Quality Improvement program to assess performance of field personnel North Coast EMS has extensive QI policies and the updated QIP Plan was approved by the EMSA. We previously approved all base hospital and ALS Providers QIP Plans and require all approved ALS providers and designated base hospitals to submit quarterly QIP reports summarizing activities in each of the QIP regulation required categories. We also select a focused review topic each quarter as staff time allowsquarter. • Conducting investigations and taking action against certification when indicated North Coast EMS did not take any actions against a certificate holder but particpated in a few case or conduct any reviews this quarter. • Authorizing, maintaining, and evaluating EMS continuing education programs North Coast EMS has approximately 33 approved CEU providers and policies are in place to authorize new and review existing providers if needed.