HomeMy WebLinkAboutMINUTES - 07191988 - 1.57 Vt-
� BOARD GAF SUPERVISORStt
FROM: William Walker, M.D. Contra
County Health Officer \�/oslC1
DATE: June 23, 1988 C-0 �/
SUBJECT: Consent Decree Involving �''
IT Corporation - Status Report
SPECIFIC REQUEST(S) OR RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION
RECOMMENDED ACTION:
y
Accept County Health Officer report on the status of the IT Corporation Consent Decree imple-
mentation.
FINANCIAL IMPACT:
None
BACKGROUND:
On September 15, 1987 your Board designated the County Health Officer to represent Contra
Costa County in discussions with the County of Solano and the cities of Benicia and Martinez
on implementation of certain aspects of the Consent Decree entered into between the State
Department of Health Services and IT Corporation. One provision of ;that Consent Decree is a
requirement that IT Corporation make payments totaling $100,000 per year for five succeeding
years to medical facilities in Solano and/or Contra Costa County(ies) for health care
assistance in the event of an environmental episode as defined and set forth in approved.
Community. Awareness and Response (CAER) plans for IT' s Pacheco and Nine Hill facilities.
The attached "Proposal to Develop Enhanced EMS Hazmat Response Programs in Contra Costa and .
Solano Counties" was developed by Contra Costa and Solano Counties as a result of a number of
meetings involving State Health Services Department, IT Corporation,, the counties, and the
cities and the hospitals specified in the Consent Decree. This proposal provides for three
separate county-administered programs to receive and disburse funds from IT Corporation:
1. Contra Costa County Contingent Health Care Services Fund $130,000
2. Solano County Contingent Health Care Services Fund $130,000
3. Contra Costa/Solano Joint EMS Hazmat Response Program $240,000
Total (over five years) $500,000
Each county' s program would be administered by that county. Contra Costa' s separate program
would be used for health/medical disaster communication equipment, disaster first-aid equip-
ment, and other health/medical equipment to enhance response capabilities to hazardous
materials incidents. The Joint Program would be administered by both Contra Costa and Solano
Counties and would focus on developing and carrying out appropriate training for prehospital
CONTINUED ON ATTACHMENT: X YES SIGNATURE:
RECOMMENDATION OF COUNTY ADMINISTRATOR RECOMMENDATION OF BOARD COMMITTEE
APPROVE OTHER
SIGNATURE S :
ACTION OF BOARD ON APPROVED AS RECOMMENDED OTHER
VOTE OF SUPERVISORS
1 HEREBY CERTIFY THAT THIS IS A TRUE
UNANIMOUS (ABSENT AND CORRECT COPY OF AN ACTION TAKEN
AYES: NOES: AND ENTERED ON THE MINUTES OF THE BOARD
ABSENT: ABSTAIN: OF SUPERVISORS ON THE DATE SHOWN,
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CC: Health Services Department ATTESTED JUL V 1988
Emergency Medical Services
Dr. William Walker, Health Officer PHIL BATCHELOR, CLERK OF THE BOARD OF
County Administrator SUPERVISORS AND COUNTY ADMINISTRATOR
M3W_7HPPTCORP1 DEPUTY'
2.
and hospital emergency department personnel in response to hazardous material incidents.
Provision is made for the establishment in each county of a task force or steering committee
and for a single Joint Oversight Committee to manage the Joint Program.
This proposal has been submitted to IT Corporation and will be a part of the Pacheco and Vine
Hill CAER Programs submitted by IT to the State Department of Health. That package will be
submitted to your Board for approval of Contra Costa' s participation when it is received.
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6/10/88
A PROPOSAL TO DEVELOP
ENHANCED EMS HAZMAT RESPONSE PROGRAMS
IN CONTRA COSTA AND SOLANO COUNTIES
Submitted by
Contra Costa County Emergency Medical Services Agency
Solano County Emergency Medical Services Agency
I . SUMMARY
It is proposed that the IT Consent Agreement expenditures
for contingent health care services be divided evenly
between Contra Costa and Solano Counties as follows:
1. Contra Costa County Contingent
Health Care Services Program $ 130 ,000
2. Solano County Contingent Health
Care Services Program 130,000 -
3 . Contra Costa/Solano County Joint
EMS HAZMAT Response Program 240,000
Total $ ';500, 000
Annual expenditures are proposed as follows:
Contra EMS
Costa HAZMAT Solano
County Response County
Program Program Program Total,
First year 18 ,000 26,200 55,800 : 100 ,000
Second year 28,000 53 ,450 18,550 100,000
Third year 28,000 53 ,450 18,550 100 ,000
Fourth year 28,000 53,450 18,550 100,000
Fifth year 28 ,000 53 ,450 18,550 ° 100 ,000
Total 130 ,000 240,000 130,000 500,000
A. Contra Costa County Contingent Health Care Services Program:
1. Health/Medical disaster
communications equipment $ 48 ,000
2 . Disaster first aid equipment 50,000
3 . Other health/medical equipment 32,000
Total ,$ 130 ,000
EMS HAZMAT Proposal, 6/10/88 Page 1
B. Solano County Contingent Health Care Services Program
1. First year funds for first
responder training and equipment $ 55,800
2. Other (incident command equipment,
disaster communications equipment,
development costs for a South County
Emergency Operations Center) 74, 200
C. Joint EMS HAZMAT Response Program
The Joint EMS HAZMAT Response program will include
assessment of EMS HAZMAT response capabilities,, -
establishment
apabilities,establishment of standards for EMS responders and
receiving facilities, development of field treatment
protocols specific to each of the counties ' EMS systems,
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development of response plans as part of each counties '
existing multicasualty and disaster plans, and training of
medical responders - both field responders and hospital
emergency department personnel. Major emphasis !of this
program is on the development of training programs and
training medical personnel.
EMS HAZMAT Proposal, 6/10/88 Page 2
II. PURPOSE
This is a proposal to develop enhanced Emergency
Medical Services (EMS) HAZMAT response programs in Contra
Costa and Solano Counties. The proposed County EMS HAZMAT
response programs will be fully integrated with existing
emergency medical response systems within each county and
with the respective counties' Multicasualty Response
Plans, Hazardous Materials Area Plans, and Multi-Hazard
Functional Plans. The project will include assessment of
existing capabilities of the medical care systems to
respond to hazardous materials incidents; identification
of deficiencies; setting of standards for receiving
facilities, development of EMS HAZMAT response plans;
development of treatment protocols; development of
training programs for medical responders, including;
hospital emergency department personnel; provision of
training to medical personnel; and conduct of training
exercises.
EMS HAZMAT Proposal, 6/10/88 Page 3
III . BACKGROUND
A. Consent Agreement
Under the terms of a Consent Agreement with the State
Department of Health Services, IT Corporation has agreed
to develop a plan to make payments of $100 ,000 annually
over a five year period for contingent health care
services in Contra Costa and Solano Counties in the event
of an environmental episode. In developing this plan, IT
is required to consult with specified county, city, and
hospital representatives. Final approval of the plan is
required by the State Department of Health Services.
B. Organization of Emergency Medical Services
Contra Costa and Solano Counties have each
established emergency medical systems and designated Local
EMS Agencies in accordance with Health & Safety Code
Section 1797.200 to administer and coordinate the county
EMS programs. Contra Costa County has designated its
Health Services Department as the Local EMS Agency.
Solano County has designated its Local EMS Agency within
its Office of Emergency Services. Each County has
designated its Health Officer as Medical Director of its
respective EMS Agency in accordance with H & S Code
Section 1797. 202.
EMS HAZMAT Proposal, 6/10/88 Page 4
The County EMS Agencies have statutory responsibility
for planning, implementing, and evaluating their emergency
medical service systems "consisting of the organized
pattern of readiness and response services based on public
and private agreements and operational procedures. "
(H & S Code Section 1797. 204) The County EMS Agencies
establish policies, protocols, and procedures for
prehospital patient treatment and transport; approve
prehospital training programs and certify emergency
medical technicians (EMT-I ' s) , paramedics (EMT-P's) , and
hospital-based mobile intensive care nurses (MICN's) ; and
develop plans for multicasualty and disaster medical
response. The Contra Costa and Solano EMS Agencies work
closely with hospital, ambulance services, fire services,
law enforcement agencies, and other local organizations to
ensure overall coordination of the counties ' EMS systems.
Both counties have also established Emergency Medical Care
Committees (EMCC's) comprised of health, medical,
educational, public safety, and consumer representatives
appointed by the respective Boards of Supervisors to
provide advise on EMS issues and oversight to the EMS
systems.
EMS HAZMAT Proposal, 6/10/88 Page 5
IV. PROJECT MANAGEMENT
A. The County Health Officer in each county shall
appoint a County Steering Committee or Task Force to
establish local priorities and to oversee the
operation of the program within its respective
county. Each county group shall include
representatives of those agencies and hospitals
within the county identified in the Consent Agreement
and other persons deemed appropriate by the County
Health Officer. IT Corporation shall designate a
nonvoting representative to serve on each county
Steering Committee or Task Force. Each county group
shall select its own chair.
B. A Joint Oversight Committee shall provide overall
management of the Joint EMS HAZMAT Response Project
and shall prepare annual budgets, approve
expenditures, make decisions regarding contracts, and
issue an annual reports.
The Joint Oversight Committee shall consist of seven
voting members, including the health officers and EMS
directors of each county, an additional
representative chosen by each county' s local Steering
Committee or Task Force, and one individual selected
jointly by the two health officers. IT Corporation
EMS HAZMAT Proposal, 6/10/88 Page 6
shall designate a representative to serve as a
nonvoting member of the Joint Oversight Committee.
The Joint Oversight Committee shall choose its own
chair.
The role and responsibilities of the Joint Oversight
Committee shall be set forth in an exchange of
letters between the counties.
C. The Joint Oversight Committee shall select a staff
Project Director with appropriate technical expertise
to oversee all aspects of the Joint EMS HAZMAT
project.
D. The Joint Oversight Committee shall submit an annual
report for the proceeding year and a detailed
workplan and budget for the forthcoming year to IT
Corporation and the State Department of Health
Services for approval. The annual report and
workplan shall be submitted 30 days prior to the end
of the project year.
E. Each county shall establish a special Contingent
Health Care Services Program fund to receive payments
from IT Corporation and to make disbursements related
to the county's Contingent Health Care Services
Programs. Contra Costa County shall, in addition to
its Contingent Health Care Services Program fund,
establish a Joint Solano-Contra Costa EMS HAZMAT
EMS HAZMAT Proposal, 6/10/88 Page 7
Response Program fund to received payments from IT
Corporation and to make disbursements related to the
Joint Program. Interest on funds held in these
accounts shall be credited to the respective account
and shall be available for project expenses. All
disbursements for this fund shall be regulated by the
Joint Oversight Committee.
F. Each County Task Force or Steering Committee shall
c
submit an annual report 60 days prior to the end of
the project year to the Joint Oversight Committee
~
summarizing the accomplishments and status of the
project within it's county and proposing the next
year ' s plan for use of funds. The Joint ,Oversight
i
Committee shall submit an report to IT Corporation
and to the State Department of Health Services at the
conclusion of each project year.
is
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EMS HAZMAT Proposal, 6/10/88 Page 8
V. OBJECTIVES
A. Establish EMS HAZMAT Planning Task Forces in each county
representing local government (including cities proximate
}
to IT sites) , health and medical, consumer, public
I.
safety, emergency service, and industry representatives
to oversee the planning process in each county. 1�
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B. Assess the existing capabilities of the EMS systems to
respond to hazardous materials incidents. This
t _
assessment will focus on hospitals, ambulance services,
and first responders and will include assessment of
facilities and equipment, planning, and training
programs.
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C. Establish standards for receiving hospitals.
D. Develop and/or approve field treatment protocols for f
victims of hazardous materials incidents.
E. Develop an EMS HAZMAT Response Plan in each county. ';
These plans will be consistent with existing
Multicasualty Response Plans, Hazardous Materials Area
Plans, Multi-Hazard Functional Plans and will include
checklists for hospital and ambulance personnel.
F. Develop a training program for hospital emergency
department personnel in handling victims of hazardous ';
materials incidents. This program will utilize existing
r
materials where available, but will include training with
EMS HAZMAT Proposal, 6/10/88 Paas- Q
respect to local procedures, resources, andl!hazards. The
training program will include materials for ;,live
i
presentation as well as a video presentation suitable for
independent viewing.
G. Conduct periodic training sessions at area hospitals for
emergency department personnel.
H. Develop a medical response training program for ambulance
and public safety personnel. This program too will make
use of available training materials but will focus on
local procedures, resources, and hazards. Tn addition to
materials for live presentation, a video will be made
available.
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I. Conduct periodic training programs for ambulance and
public safety personnel. (Priority shall be given to
assuring that responders in the vicinity ofi;the Panoche
and Vine Hill sites have the opportunity to receive
adequate training. )
I,
J. Conduct periodic functional field exercises 'involving
including hospitals, cities, field responselagencies, and
industry representatives.
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K. Establish within each county a high level of medical
preparedness to respond to hazardous materials incidents
which will be sustained on a permanent basis.
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EMS HAZMAT Proposal, 6/10/88 Page 10
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VI . WORKPLAN
A. First Year
I'
1. Establish EMS HAZMAT Planning Task Forces in each
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county.
Product: Minutes of meetings; annual reports.
2. Survey literature on medical standards for HAZMAT
response.
Product: Written report summarizing the literature
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survey and providing reference lists and other
specifics as appropriate.
I:
3 . Develop plan for and conduct assessment of
hospital, ambulance service, and public safety
medical response capabilities and develop data
f.
collection instruments.
Product: Written assessments of the medical
response capabilities within each county and an
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evaluations of each county's needs to enhance
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medical response to hazardous materials
i
incidents.
4. Review existing training materials for medical
personnel and begin developing training programs.
j',
Product: A written review of existing training
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EMS HAZMAT Proposal, 6/10/88 Page 11
materials; a list compiling existing training
programs; an evaluation of the applicability of
existing training programs to Contra Costa and
Solano Counties ; recommendations for the purchase
of training materials; and, if any development of
training materials is required, a detailed scope
of work for such development.
B. Second year
1. Recommend standards for receiving hospitals.
Product: Written standards for receiving
hospitals.
2 . Develop and approve field treatment '�protocols.
Product: Written field treatment protocols for
each county to be incorporated into `the
counties ' existing EMS protocols.
3 . Complete development of training materials and
initiate training for hospital emergency
department personnel.
Product: Course syllabus and other course
materials; course video tape suitable for
independent viewing.
4. Complete development of training materials and
initiate training for ambulance and public safety
EMS HAZMAT Proposal, 6/10/88 Page 12
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G.
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personnel.
Product: Course syllabus and other course
materials; course video tape suitable for
independent viewing.
5. Complete EMS HAZMAT response plans for field
responders and hospitals.
Product: Written EMS HAZMAT Response Plans for
each county integrated, as appropriate, into
existing hospital disaster plans, county
multicasualty response plans, multi-4'hazard
functional plans, and area plans.
C. Third year
1. Continue training of hospital emergency department
personnel.
Product: Updated version of course ' syllabus
video tapes.
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2 . Continue medical response training of ambulance and
public safety personnel.
Product: Updated versions of course video tapes.
3 . Hold two functional field exercises.
Product: Written critiques of exercises; video
tapes of exercises.
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EMS HAZMAT Proposal, 6/10/88 Page 13
D. Fourth year
1. Continue training of hospital, ambulance, and
public safety personnel.
Products: Updated course materials and video
tapes, as appropriate.
2. Hold at least two functional field exercises in
each county.
Product: Written critiques of exercises; video
tapes of exercises.
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E. Fifth year
1. Continue training of hospital, ambulance, and
public safety personnel.
Product: Updated course materials and video
tapes, as appropriate.
2. Hold additional functional field exercises.
Product: Written critiques of exercises; video
is
tapes of exercises.
3 . Conduct a reassessment of hospitalsl,,and medical
responders.
VI . PROJECT COST
EMS HAZMAT Proposal, 6/10/88 Page 14
Total cost of the Joint EMS HAZMAT Response,`will be
$240,000 over a five year period. Expenditures will be made
to provide equal benefit to the two counties as may be
is
reasonably determined by the Joint Oversight Committee.
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EMS HAZMAT Proposal, 6/10/88 Page 15