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; input from stateholders, etc. Last quarter we implemented 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 developed four Power Point courses focused on the LOSOP 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 and conducted one Policy Review Committee 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. 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 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 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; input from stateholders, etc. Last quarter Several providers are now approved for Public Safety training and Naloxone and we have implemented use of Ketamine a process to review and this quarter TXA was approvedassist 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. North Coast EMS developed four Power Point courses focused on the LOSOP added this year, including Naloxone utilization for Public Safety and First Responder personnel according to state standards. The FTO program Power Point was also added First Responder programs and Public Safety First Aid are able to the available utilize our EMSC grant with UCD-MC to reimburse instructor training programscosts. • 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 this quarter and conducted convened one Policy Review Committee meetingmeetings via teleconferencing this quarter to 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. 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 numerous 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.

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 providersproviders as staff time allows; input from stateholders, etc. Last This quarter we implemented use initiated discussion on Behavioral Health First Aid training given the increasing number of Ketamine and this quarter TXA was approvedviolent 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 developed four Power Point courses focused on We initated the LOSOP added this year. The FTO program Power Point was also added process to the available training programsassess 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 and conducted one in concert with the Policy Review Committee meetingCommittee. 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. 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 processesquarter 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 numerous 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; input from stateholders, etc. Last quarter we added IFT antibotics to the paramedic scope of practice and this quarter we implemented use of Ketamine and this quarter TXA was approvedKetamine. 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 developed four Power Point courses focused on the LOSOP 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 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 and conducted one Policy Review Committee 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. 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 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; input from stateholders, etc. Last quarter Several providers are now approved for Public Safety training and Naloxone and we have implemented use of Ketamine a process to review and this quarter TXA was approvedassist providers who are unable to acquire medications due to shortages. Contractor Xxxxxx Xxxxx continued continues to take assist each county in 5150 education, help standardized the lead on development or distribution of tools "5150 clock" within Humboldt County, and updated web based training programs specific to support each county, and now is heavily engaged in COVID-19 planning and coordination activities within the management of 5150 patients especially during the pandemicthree counties and State. This 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 help 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 developed four Power Point courses focused on the LOSOP added this year. The FTO program Power Point was also added to the available training programssent 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 this quarter and conducted convened at least one Policy Review Committee meetingmeeting via teleconferencing this quarter to 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. 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 participated in numerous 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 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 providersproviders as staff time allows; input from stateholders, etc. Last This quarter we implemented use of Ketamine and this quarter TXA was approvedcontiued 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 developed four continued Power Point courses focused on the LOSOP added this year. The FTO program Power Point was also added to the available training programsLOSOP. • 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 and conducted one in concert with the Policy Review Committee meetingCommittee. • 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. 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 processesquarter 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 numerous 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.