Agenda 05/13/2013 Item #10H5/14/2013 10.H.
EXECUTIVE SUMMARY
Recommendation that the Board of County Commissioners consider the creation of a
countywide Office of the Medical Director ("OMD ") to provide outstanding clinical
oversight to all of Collier County's emergency care providers, so that collectively these
providers can deliver compassionate and professional services at the highest standard of
emergency response and patient clinical care. The OMD would consist of the Medical
Director, Deputy Medical Director, Associate Medical Directors (representing the ALS
service providers and BLS Transport providers from organizations throughout the
county), an Executive Director, and an Assistant Executive Director. (Only the positions of
the Medical Director and Deputy Medical Director would be county funded.) The OMD
would consist of 5 divisions: 1. Clinical Practice of Medicine/Medical Protocol
Coordination - to include for example, protocol development, controlled substance
management, equipment review, quality assurance. 2. Performance Measure/Research -
to include for example, the development of performance bench marks, provide an annual
report, and develop an information web page. 3. Emergency Preparedness - to include for
example, Infectious Diseases, Immunizations, SWAT, HAZMAT, and EOC liaison.
4. Continuing Education Development and Coordination - for both ALS and BLS
providers. 5. Strategic Initiative Coordination - to include for example, the AED program,
injury prevention, Code Save -A- Heart, and Stroke Alert. These divisions would be staffed
by representatives from the EMS provider agencies. The OMD would be advised /reviewed
by the Public Safety Authority and the EMS council. Such a coordinated, professional and
comprehensive approach to EMS management will lead to the highest level of emergency
services that the residents and visitors of Collier County can expect. That the Board of
County Commissioners put forth the above recommendation for review and input from the
PSA to be brought back for adoption at the second meeting of the Board of County
Commissioners in September, 2013.
OBJECTIVE: That the Board of County Commissioners consider the creation of a county wide
Office of the Medical Director ( "OMD ") to provide outstanding clinical oversight to all of
Collier County's emergency care providers, so that collectively these providers can deliver
compassionate and professional services at the highest standard of emergency response and
patient clinical care. The OMD would consist of the Medical Director, Deputy Medical Director,
Associate Medical Directors (representing the ALS service providers and BLS Transport
providers from organizations throughout the county), an Executive Director, and an Assistant
Executive Director. (Only the positions of the Medical Director and Deputy Medical Director
would be county funded.) The OMD would consist of 5 divisions: 1. Clinical Practice of
Medicine/Medical Protocol Coordination - to include for example, protocol development,
controlled substance management, equipment review, quality assurance. 2. Performance
Measure/Research - to include for example, the development of performance bench marks,
provide an annual report, develop an information web page. 3. Emergency Preparedness - to
include for example, Infectious Diseases, Immunizations, SWAT, HAZMAT, EOC liaison. 4.
Continuing Education Development and Coordination - for both ALS and BLS providers. 5.
Strategic Initiative Coordination - to include for example, the AED program, injury prevention,
Code Save -A -Heart, and Stroke Alert. These divisions would be staffed by representatives from
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5/14/2013 10.H.
the EMS provider agencies. The OMD would be advised /reviewed by the Public Safety
Authority and the EMS council. Such a coordinated, professional and comprehensive approach
to EMS management will lead to the highest level of emergency services that the residents and
visitors of Collier County can expect. That the Board of County Commissioners put forth the
above recommendation for review and input from the PSA to be brought back for adoption at the
second meeting of the Board of County Commissioners in September, 2013.
CONSIDERATIONS: A centralized, comprehensive approach to emergency management will
serve to raise the core competency of all emergency providers. The OMD will work with all
emergency providers to ensure compliance with laws, regulations and standards, inspiring
confidence in the public that these providers have the knowledge and tools to save lives. The
level of service standard with respect to the public's safety will be raised across the board, across
the entire County.
FISCAL IMPACT: Office space to be provided by the County. Consider reallocation of the
county wide EMS grant to the office of the OMB for administration towards this initiative.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney, raises no
legal issues at this time, and requires majority support for direction. —JAK
RECOMMENDATION: That the Board of County Commissioners consider the creation of a
county wide Office of the Medical Director ( "OMD ") to provide outstanding clinical oversight to
all of Collier County's emergency care providers, so that collectively these providers can deliver
compassionate and professional services at the highest standard of emergency response and
patient clinical care. The OMD would consist of the Medical Director, Deputy Medical
Director, Associate Medical Directors (representing the ALS service providers and BLS
Transport providers from organizations throughout the county), an Executive Director, and an
Assistant Executive Director. (Only the positions of the Medical Director and Deputy Medical
Director would be county funded.) The OMD would consist of 5 divisions: 1. Clinical Practice
of Medicine/Medical Protocol Coordination - to include for example, protocol development,
controlled substance management, equipment review, quality assurance. 2. Performance
Measure/Research - to include for example, the development of performance bench marks,
provide an annual report, develop an information web page. 3. Emergency Preparedness - to
include for example, Infectious Diseases, Immunizations, SWAT, HAZMAT, EOC liaison. 4.
Continuing Education Development and Coordination - for both ALS and BLS providers. 5.
Strategic Initiative Coordination - to include for example, the AED program, injury prevention,
Code Save -A -Heart, and Stroke Alert. These divisions would be staffed by representatives from
the EMS provider agencies. The OMD would be advised /reviewed by the Public Safety
Authority and the EMS council. Such a coordinated, professional and comprehensive approach
to EMS management will lead to the highest level of emergency services that the residents and
visitors of Collier County can expect. That the Board of County Commissioners put forth the
above recommendation for review and input from the PSA to be brought back for adoption at the
second meeting of the Board of County Commissioners in September, 2013.
PREPARED BY: Commissioner Georgia Hiller - Chair - District 2
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COLLIER COUNTY
Board of County Commissioners
Item Number: 10.10.H.
5/14/2013 10.H.
Item Summary: Recommendation that the Board of County Commissioners consider the
creation of a county wide Office of the Medical Director ( "OMD ") to provide outstanding clinical
oversight to all of Collier County's emergency care providers, so that collectively these
providers can deliver compassionate and professional services at the highest standard of
emergency response and patient clinical care. The OMD would consist of the Medical Director,
Deputy Medical Director, Associate Medical Directors (representing the ALS service providers
and BLS Transport providers from organizations throughout the county), an Executive Director,
and an Assistant Executive Director. (Only the positions of the Medical Director and Deputy
Medical Director would be county funded.) The OMD would consist of 5 divisions: 1. Clinical
Practice of Medicine /Medical Protocol Coordination - to include for example, protocol
development, controlled substance management, equipment review, quality assurance. 2.
Performance Measure /Research - to include for example, the development of performance
bench marks, provide an annual report, and develop an information web page. 3. Emergency
Preparedness - to include for example, Infectious Diseases, Immunizations, SWAT, HAZMAT,
and EOC liaison. 4. Continuing Education Development and Coordination - for both ALS
and BLS providers. 5. Strategic Initiative Coordination - to include for example, the AED
program, injury prevention, Code Save -A- Heart, and Stroke Alert. These divisions would be
staffed by representatives from the EMS provider agencies. The OMD would be
advised /reviewed by the Public Safety Authority and the EMS council. Such a coordinated,
professional and comprehensive approach to EMS management will lead to the highest level of
emergency services that the residents and visitors of Collier County can expect. That the Board
of County Commissioners put forth the above recommendation for review and input from the
PSA to be brought back for adoption at the second meeting of the Board of County
Commissioners in September, 2013. (Commissioner Hiller)
Meeting Date: 5/14/2013
Prepared By
Name: BrockMaryJo
Title: Executive Secretary to County Manager, CMO
5/8/2013 8:52:26 AM
Submitted by
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Title: Executive Secretary to County Manager, CMO
Name: BrockMaryJo
5/8/2013 8:52:27 AM
Approved By
Name: OchsLeo
Title: County Manager
Date: 5/8/2013 9:42:44 AM
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