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.  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 Orange County EMS System 8 EMSAC is the “glue” that keeps the organization together

7.  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 EMS Advisory Council 4 EMSAC can not be sustained as currently constructed

8. 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 EMS Advisory Council 11 *Orange County Code - Section 2, Article VI CREATION, OPERATION, REVIEW OF ADVISORY BOARDS

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  Adds an 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.  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 Draft Ordinance 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 1)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. 2)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