Consultant Introduction PWW is a national EMS law and consulting - PDF document

Ventura County EMS Agency EMS System Review Project Agenda Ventura County EMS Agency EMS System Review  Introductions  Stakeholder Discussions  Project Overview • Future System EMS SYSTEM REVIEW  Configuration options  Stakeholder Discussions On-Site Stakeholder Meeting  Grandfathering vs. Bid • Current System March 8, 2019  Next Steps  Pros  Individual Stakeholder Presented by Doug Wolfberg  Cons Page, Wolfberg & Wirth, LLC Interviews 1 2 About PWW Consultant Introduction  PWW is a national EMS law and consulting firm based in the Harrisburg, Pennsylvania area The PWW Team - 2019 3 4 About PWW PWW’s California Connection  Our firm’s  PWW’s work in California has spanned 20 years principals have  In California specifically, we have represented: decades of hands- on EMS, fire, rescue • Cities and emergency • Fire Districts services experience • Local EMS Agencies • Ground and Air Ambulance Companies • Hospitals • Firefighters Unions 5 6 On-Site Stakeholder Meeting – March 8, 2019 Page 1

Ventura County EMS Agency EMS System Review Project PWW’s California Connection PWW’s California Connection  PWW has conducted numerous competitive  PWW also had a California procurement processes and EMS system assessments office for the first several in Counties throughout California years of its existence until the passing of Jim Page in 2004 7 8 James O. Page PWW’s Focus  Our Founding Partner, James O.  High-quality clinical care Page, was a longtime Fire Chief in  Evidence-based EMS several departments in California  National consensus-based best practices and also worked for many years at  EMS system economic sustainability LA County F.D.  He also founded Jems and was the Technical Advisor to the TV show Emergency! 9 10 Douglas M. Wolfberg PWW Consultants EMS Attorney/Consultant On-Site Today  Founding Partner, PWW  Started in EMS and rescue in 1978 as a provider  Served as a county and regional EMS director  Worked for a state EMS agency and in US DHHS Division of EMS Systems prior to law school 11 12 On-Site Stakeholder Meeting – March 8, 2019 Page 2

Ventura County EMS Agency EMS System Review Project Ryan S. Stark Chris Kelly EMS Attorney/Consultant EMS Attorney/Consultant  Partner, PWW  Practicing attorney 20+ years  Prolific EMS industry author  Full-time EMS practice over 10 and lecturer since 2007 years  Works with EMS agencies, fire  Joined PWW in 2018 departments and other clients  Works with EMS clients across the United States throughout the U.S. 13 14 Kenneth E. Brody EMS Attorney/Consultant  Not on-site today but is key member Stakeholder Introductions of the project team  For over 20 years, Ken served as counsel to a state EMS agency  Ken has been extensively involved in EMS legal and consulting work in California and nationally 15 16 Project Overview 17 18 On-Site Stakeholder Meeting – March 8, 2019 Page 3

Ventura County EMS Agency EMS System Review Project Consultant Scope of Work PWW Contract and Other Project Documents Available  Methods: • Stakeholder Meetings/Focus Groups Here: • Individual Stakeholder Interviews • Data and Documentation Reviews http://www.vchca.org/ambulance-system-review  Work Product: • SWOT analysis report of Ventura County EMS System and recommendations for system enhancements 19 20 Consultant Scope of Work Timeline  We will utilize a combination of on-site and remote (web-based, e-mail and phone) meetings and interviews 21 22 Major Areas for Assessment Key Issue:  Response Times  County Demographics The assessment will also… identify available  Critical Care Transport  EMS System Financials options , which will be to negotiate new contracts  Non-Emergency  EMS System Deployment with our existing grandfathered emergency ambulance Services  EMS System service providers or to hold a competitive process  Detailed Findings and Communications to modify the existing system and seek new applicants for Recommendations the provision of emergency ambulance services. 23 24 On-Site Stakeholder Meeting – March 8, 2019 Page 4

Ventura County EMS Agency EMS System Review Project Important Note: Document and Data Requests Ultimately, the results of the assessment will be presented to the Ventura County Board of Supervisors , who will decide on the direction for future ambulance service agreements . 25 26 Documents/Data Agency Document/Data Requests  This project is highly dependent upon data and  Individual agency (EMS, fire and FCC) sent by documents provided by VCEMS and stakeholders VCEMSA on February 22 nd  Available comparative data will be utilized from  Please submit requested documentation/data on or outside sources as well before March 31 st 27 28 If you have any questions about Submission Process the document/data requests or  Each agency received an individualized upload link to the upload process: PWW’s secure FTP site (called ShareFile)  Please put basic identifying info in file names Steve Carroll – Steve.Carroll@ventura.org  Examples: Ken Brody – kbrody@pwwemslaw.com • QAPlanVCFD.pdf • 2018PayorMixAMR.xls 29 30 On-Site Stakeholder Meeting – March 8, 2019 Page 5

Ventura County EMS Agency EMS System Review Project Individual Stakeholder Interviews Additional interviews to be  Individual Interviews – Round 1 10:30 a.m. – Noon scheduled via web/phone/video  Individual Interviews – Round 2 1:00 – 5:00 p.m. • Interviews will be in 30-minute slots • Three slots available per half hour 31 32 Open Stakeholder Discussion Web: pwwemslaw.com  Current System E-mail: • Pros dwolfberg@pwwemslaw.com • Cons  Future System • Configuration options • Grandfathering vs. competitive bids 33 34 On-Site Stakeholder Meeting – March 8, 2019 Page 6