2021-43 Qs.pdf

REQUEST FOR QUOTES #2021-43

RESPONSE TO CLARIFYING QUESTIONS

July 27, 2021

Note that these are questions submitted by interested firms to the above referenced solicitation. The below answers are for clarification purposes only and in no way alter or amend the RFQ as published.

1.We have found the Emergency Medical Services Strategic Plan online. The final page of the document references Appendix A but I have been unable to locate that. Can you assist by providing a copy of that document or pointing me in the direction to locate it?

Answer: The referenced Appendix A is part of the strategic plan. The strategic plan can be located at the following link:

https://dochub.clackamas.us/documents/drupal/20aaf777-3868-4774-9188-1e068623e3c5.

For convenience, the document is provided and attached to this Clarifying Questions #1.

Please note, due to several emergencies, this document has not been updated.

End of Clarifying Questions https://dochub.clackamas.us/documents/drupal/20aaf777-3868-4774-9188-1e068623e3c5

Q2 2019 (Apr ‐ Jun)

Q3 2019 (Jul ‐ Sept)

Q4 2019 (Oct ‐ Dec)

Q1 2020 (Jan ‐ Mar)

Q2 2020 (Apr ‐ Jun)

Q3 2020 (Jul ‐ Sept)

Q4 2020 (Oct ‐ Dec)

Q1 2021 (Jan ‐ Mar)

Q2 2021 (Apr ‐ Jun)

Q3 2021 (Jul ‐ Sept)

Q4 2021 (Oct ‐ Dec)

Q1 2022 (Jan ‐ Mar)

Q2 2022 (Apr ‐ Jun)

Taskforce assigned responsibility to lead this process.

Google Doc will be created for members to provide comments prior to July meeting.

Taskforce members have until August 13th to submit comments within Google Doc.

Identify key stakeholders to participate in workgroup;

workgroup researches project needs, creates scope of work and need/ budget for consulting services.

RFP released and evaluation occurs.

Facilitator / consultant hired, if decided upon.

Review sessions occur with workgroup.

Review sessions occur with workgroup.

Final report submitted / presented to EMS Council and BCC on ASP updates.

OHA reviews & approves updated Ambulance Service Plan.

Chief Johnson is scheduling meeting with leads & LOCOM staff to develop speaking points for discussion with dispatch partners.

CCOM, LOCOM,

WCCCA,

approached for comment on proposal to station AMR dispatcher at PSAPs, and other integration concepts

Chief Conway inviting CCOM to be members of the EMS Strategic Plan Taskforce.

Update from PSAPs regarding progress toward accreditation Research MPDS capabilty and use

Jason and Mike meeting in June to review and provide update at July taskforce meeting.

Jason and Mike meeting in June to review and provide update at July taskforce meeting.

AMR AVL is working at CCOM;

some tweaks needed.

Confirm CAD upgrade did not affect

AVL

Clackamas County Emergency Medical Services Strategic Plan Appendix A ‐ Workplan

Ambulance Service Area Plan Review Lead: EMS Strategic Plan Taskforce

PSAP Accreditation/MPDS Utilization Lead for CCOM: Bill Conway (Clack Co.), Matt Dale

(Canby) Lead for LOCOM: Don Johnson (LOFD) & Dr. Sahni

AVL Integration Lead: Jason Mahle (AMR) and Mike Corless (CFD1)

Q3 2019 (Jul ‐ Sept)

Q4 2019 (Oct ‐ Dec)

Q1 2020 (Jan ‐ Mar)

Q2 2020 (Apr ‐ Jun)

Q3 2020 (Jul ‐ Sept)

Q4 2020 (Oct ‐ Dec)

Q1 2021 (Jan ‐ Mar)

Q2 2021 (Apr ‐ Jun)

Q3 2021 (Jul ‐ Sept)

Q4 2021 (Oct ‐ Dec)

Q1 2022 (Jan ‐ Mar)

Q2 2022 (Apr ‐ Jun)

Clackamas County Emergency Medical Services Strategic Plan Appendix A ‐ Workplan

QI Committee meets monthly to review clinical quality metrics (ongoing).

Proposal submitted from Intterra. Chair Conway, Dr. Sahni and Philip will be meeting with them to review. AMR progressing to have First Watch / First Pass.

QI Committee meets monthly to review clinical quality metrics (ongoing).

Proposal submitted from Intterra. Chair Conway, Dr. Sahni and Philip will be meeting with them to review. AMR progressing to have First Watch / First Pass.

Demo provided by FirstWatch and new quote provided. Waiting on County-wide ESO deployment to begin process.

Chief Conway reaching out to FirstWatch to get updated quotes for agencies pushing data to system but not use dashboards.

Software aquired using Clackamas County system enhancement fund.

Build out team developed.

FirstWatch connections to CAD at CCOM and

LOCOM

established.

Connection to ProQA established.

ATP and customer care kick off.

County-wide clinical metrics are aggregated and made avaliable to the public.

CFD1 worked with Clackamas County Public Health on submitting a federal DOJ grant to expand & sustain Project Hope. Awards annouced in September 2019.

CFD1 worked with Clackamas County Public Health on submitting a federal DOJ grant to expand & sustain Project Hope.

Awards annouced in September 2019.

AMR and CFD1 present outcomes from Project Hope (opioid prevention) pilot project, as well as data from work with homeless and vulnerable adults.

Agencies work to secure federal funding to expand program (ongoing);

convene partners to meet residents' quality of life needs (housing, finances, ED utilization, etc.).

Canby, Molalla and CFD1 partnering to create a shared community paramedic

Explore interest and feasibility of a Community Paramedic Program Workgroup; CCPH convenes & monitors community paramedic activities for county; seeking legislative champion to expand cost recovery for community paramedicine.

Try to get Dr Sahni or Dr Turner to attend the Regional MIH meetings! :)

Develop Community Medicine Workgroup.

Boughey/Santos to co-chair and develop membership.

CFD1 and AMR working to document a pilot for "shared forces" and adding DaMascus / Boring to the suburban coordinated zone.

Inventory of Fire/AMR resources in Clackamas ASA;

analysis of duplication of resources, i.e % of rig arrival within 2 mins of eachother.

Discussion of, and written recommendations for, potential to combine resources to inform ASA review discussions.

Research centralization for Medical Direction across Clackamas County. Written proposal under development.

Medic Unit pilot program started Q1.

Due to COVID extending through end of Q4.

Obtain commitment from agencies interested in centralized medical direction.

Develop centralized medical direction plan.

Quality Assurance / Quality Improvement Integration

Lead: Dr. Ritu Sahni Support: EMS QI Committee

Community Paramedic Program and Response Lead: Josh Santos (CFD1)

Support: Clackamas County Public Health

Combined Resources Lead: EMS Strategic Plan Taskforce Support: EMS Operations Committee

Q3 2019 (Jul ‐ Sept)

Q4 2019 (Oct ‐ Dec)

Q1 2020 (Jan ‐ Mar)

Q2 2020 (Apr ‐ Jun)

Q3 2020 (Jul ‐ Sept)

Q4 2020 (Oct ‐ Dec)

Q1 2021 (Jan ‐ Mar)

Q2 2021 (Apr ‐ Jun)

Q3 2021 (Jul ‐ Sept)

Q4 2021 (Oct ‐ Dec)

Q1 2022 (Jan ‐ Mar)

Q2 2022 (Apr ‐ Jun)

Clackamas County Emergency Medical Services Strategic Plan Appendix A ‐ Workplan

Pilot for LOFD single paramedic resource reponse occuring.

Pilot for LOFD single paramedic resource reponse occuring.

Workgroup is meeting to discuss:

unknown injury acidents, Card 33, contract barriers, development of baseline facility profile

LOFD pilot results presented with report to EMS Council during October meeting.

Kaiser complex ambulance only pilot begins.

CCOM

implements Card 37.

CFD1 & LOFD no ambulance to non injury accident pilots begin.

Due to COVID-19, Kaiser and MVA pilots extended through Dec 31, 2020.

Due to COVID-19, Kaiser and MVA pilots extended through Dec 31, 2020.

Due to COVID-19, Kaiser and MVA pilots extended through Dec 31, 2020.

Increase in participation of agencies -planning and attendance.

MAT group convenes to develop QI informed 3-year training plan.

Plan will be enhanced to include Water Rescue & Reach and Treat teams.

County provides agencies tools to complete equity of care assessments and plans.

Agency PIOs convene to develop two county-wide social marketing campaigns (Stop the Bleed; Hands Only CPR).

Outreach / curriculum development for presentations and recruitments at local high schools and Clackamas Community College (leads

TBD).

Inventory of current electronic equipment, and future intended electronic purchases across Fire and AMR.

Initial feasability discussion on standardization.

Fire agencies are researching standardization of ePCRs.

Survey sent out with participation from all agencies in Clackamas & Washington Counties regarding cardiac arrest monitors.

Current equipment projects: Cardiac Arrest Monitors, ESO, Response Kits

Ops Committee working on System Enhancement proposal for EMS Response kits

Implement ESO contract.

Purchase & deliver Stat-Pak kits to agencies.

Develop cardiac monitor evaluation tool.

Go live for county-wide ESO (Oct 1).

Field Testing of availalble cardiac monitors to begin end of Q4.

Public agencies begin capital budgeting process for cardiac monitors for FY21/22.

Education and Training Lead: EMS Training Committee and EMS Council

Single Resource Response Lead: EMS Strategic Plan Taskforce

Public Education Lead: EMS PIOs Committee

Equipment Standization Lead: EMS Operations Committee

Q3 2019 (Jul ‐ Sept)

Q4 2019 (Oct ‐ Dec)

Q1 2020 (Jan ‐ Mar)

Q2 2020 (Apr ‐ Jun)

Q3 2020 (Jul ‐ Sept)

Q4 2020 (Oct ‐ Dec)

Q1 2021 (Jan ‐ Mar)

Q2 2021 (Apr ‐ Jun)

Q3 2021 (Jul ‐ Sept)

Q4 2021 (Oct ‐ Dec)

Q1 2022 (Jan ‐ Mar)

Q2 2022 (Apr ‐ Jun)

Clackamas County Emergency Medical Services Strategic Plan Appendix A ‐ Workplan

Identify key stakeholders to participate in workgroup. The workgroup reserches project needs and scope of work, as well as timeline and progress goals.

Review of regional water rescue capabilities. Future training and purchases. Eg.

Expected HSTF grants to acquire shallow draft boats.

Examination for potential integration of capabilities.

EMS County staff shares draft of compliance summaries and recieves feedback from participating agencies. (Stalled due to County EMS Coordinator vacancy).

EMS County staff shares draft of compliance summaries and recieves feedback from participating agencies. (Stalled due to County EMS Coordinator vacancy).

Workgroup established to review compliance process to align with ASA recommendations, if needed, and streamline / modernize process.

Research compliance module purchase for FirstWatch.

Research compliance module purchase for FirstWatch.

Review of cost for supplies being paid for reimbursement vs current market rate.

Reviewed and agreed upon to keep at curent rate ($9.25/transport).

Complete In Process Not Started / Stalled

LEGEND

Compliance Transparency and Improvement Lead: Clackamas County EMS Coordinator

Supply Reimbursement Lead: Bill Conway (CFD1) and Jason Mahle (AMR)

Water Rescue, and Reach and Treat team Integration

Lead: Clackamas Fire Defense Board

THIS SECTION NEEDS TO BE EXAPNDED UPON