6.1. SR 03-28-1994
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AGENDA ITEM 6.1.
MEMORANDUM
FROM:
MAYOR & CITY COUNCIL
PAT KLAERS, CITY ~RATOR
MARCH 28, 1994 P'
TO:
DATE:
SUBJECT: HEALTH CARE COMMISSION ANNUAL
REPORT
We have no written document from the Health Care Commission to present
to the City Council as an Annual Report. Attached for your review is the
Health Care Commission Roster, the Health Care Commission Ordinance,
and the most recent Health Care Commission minutes. No minutes are
available from the Commission's February 17 meeting.
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I understand that Commission member Mary Jo Swanson will be in
attendance at this meeting to make a presentation to the City Council on the
status of the Health Care Commission and its activities. Mark Stutelberg
will also be present to answer any questions regarding ALS services. Other
Commission members may also be in attendance.
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P.O. Box 490 . 13065 Orono Parkway · Elk River, MN 55330 · (612) 441-7420 · Fax: (612) 441-7425
HEALTH CARE DELIVERY COMMISSION
e Three year term of all members
COMMISSIONER TERM EXPIRES PHONE
DR. DAVID GOLDSTEEN 1 2/31 /95
Health Span Transportation
167 Grand Avenue
St. Paul, Mn 55102
Medical Director
MARK STUTTLEBERG 12/31/95
Health Span Transportation
167 Grand Ave.
Sf. Paul, MN 55102
Health One Representative
STEVE DITTBENNER 12/31/96 .",
12861 188th Ave. NW
Elk River, Mn 55330
Ambulance Coordinator
e ROBERT DREISSIG 12/31 /96
533 6th St. NW
Elk River, Mn 55330
Ambulance Staff Member
TOM TYLER 1 2/31 /94
19981 Troy St. NW
Elk River, Mn 55330
E.R.P.D. Representative
MARY JO SWANSON 1 2/31 /94
19938 lronton St. NW
Elk River, Mn 55330
Resident Representative
DR. LEE ROCK 12/31/95
19780 Brentwood Lane
Elk River, Mn 55330
Elk River Medical Representative
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SECTION 212.00 - HEALTH CARE DELIVERY COMMISSION
212.00 - ESTABLISHMENT OF HEALTH CARE DELIVERY COMMISSION
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There is hereby established in the City of Elk River a Health
Care Delivery Commission pursuant to the provisions of this
Ordinance.
212.02 - MEMBERS AND TERM
The Health Care Delivery Commission shall consist of seven (7)
members who shall be appointed by the Council at the first
meeting of the year for terms of three (3) years except that of
the members first appointed, two shall serve for a term of
three (3) years, two for a term of two (2) years, and three for
a term of one (1) year. The Commission will consist of the
following:
1. A resident of Elk River.
2. Medical Director for Elk River Ambulance or designee.
3. A member of Health One Transportation.
4. Coordinator for Elk River Ambulance.
5.
6.
Elk River ambulance staff member.
Representative of Elk River Police Department.
7. Member of the Elk River medical community.
A vacancy during the term of any member shall be filled by City
Council appointment for the remainder of the term.
212.04 - POWERS AND DUTIES
The Health Care Delivery Commission shall have those powers and
duties imposed upon them by local ordinance. The Commission
shall:
1. Listen and respond to community input and comments on the
delivery of emergency medical transportation services in
the City of Elk River.
2. Communicate this input and these comments to the emergency
medical transportation services staff.
3. Monitor, on an ongoing basis, the needs of the Elk River
community for emergency medical transportation services.
4.
Submit an annual report to the City Council which shall
include the Commission's findings on the needs for
2.20
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emergency medical transportation services provided in the
City of Elk River with appropriate recommendations.
212.06 - MEETINGS
The Commission shall meet at least two times each calendar
year, at such time and place as the Commission shall
determine. Notice of Commission meetings shall be posted at
City Hall and published in the City's official newspaper.
2.21
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HEALTH CARE DELIVERY COMMISSION MINUTES
September 16, 1993
6:00 p.m.
DRAFT
Present: Steve Dittbenner, Rob Dreissig, Mark Stutelberg, M.J.
Swanson, Torn Tyler, Dr. Rock
Absent: Dr. Goldsteen
Meeting called to order at 6:15 p.m. by Steve Dittbenner.
.,
1. M.J. pointed out that our meeting was not published in the
local newspaper or The Current. Steve said he would check
into this for future meetings.
2. M.J. asked about the turn-around times on runs. Mark did not
have the figures, but said he would get them.
3.
M.J. and Tom asked Steve if the service had taken any steps
toward upgrading the level of training and service. Steve
said that three more people have been added to the service
roster. He said that there have been no steps taken to
formally upgrade the level of training or service at this
time. He said that the service would eventually go to ALS,
but would first go to EMT-I level. He had no specific plan in
place as to how and when this would happen.
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The issue of starting intravenous fluids (IVs) at the scene
was discussed. Steve said that Dr. Letourneau said that the
state would allow EMT-I level to start IVs for fluid
replacement, only. Steve said the service was generally in
favor of moving to EMT-I level. He said they may have a few
members quit if this happened. Dr. Rock endorsed the EMT-I
level and felt that two IV lines should be established in all
trauma cases. Steve did not know how Dr. Goldsteen felt about
the issue of EMT-I and IVs. Dr. Rock felt Steve should check
with Dr. Goldsteen about this. Steve added that he felt a
maj ori ty would vote in favor of moving to EMT- I level,
however, there has been no official discussion among the
members or no vote taken.
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M.J. questioned the Commission as to whether it was within our
jurisdiction to make a recommendation to the city council to
take steps toward moving to EMT-I level. Mark was initially
opposed to doing this. His reasoning was that he felt we
would be putting Steve "behind the eight ball" on the issue
and felt members may resign because of it. M. J. and Torn
voiced the concern that the service was not taking specific
action in planning a timetable and the steps necessary to move
to EMT-I in a timely fashion. They felt this was important
and that the city council should be approached with a
recommendation reflecting that the service take steps to
formally consider going to EMT-I level. M.J. made a motion to
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HEALTH CARE DELIVERY COMMISSION MINUTES
September 16, 1993
Page 2
DRAFT
direct Steve to approach the ci ty council wi th a
recommendation from the Commission that the Elk River Fire
Department Ambulance Service take steps to formally consider
moving to EMT-I level training and service. Second by Tom.
Discussion followed. Mark said he did not strongly oppose the
motion to consider the move, but still had reservations about
actually making the move to EMT-I. Voice vote was taken -
Steve, Rob, Tom, M.J., Dr. Rock - AYE; Mark - NAY. Motion
carried.
4. M.J. had a question about protocol for the auto defibulation
machine. She wondered why the machine shocked at 200 twice;
why it didn't go to 360 on the second. Steve said it was
programmed that way and it could be re-programmed. No formal
action taken.
s.
Tom questioned whether the service had considered dropping the
requirement that ambulance EMTs also be firefighters. He felt
that they could increase their roster if they did this. Steve
said the roster is now 14. The ideal number of ambulance
members would be 20. Steve said that he is personally in
favor of changing. There has been discussion, but Steve feels
that the majority do not want to change and feels there will
be no change in the near future. No action taken.
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6. Steve gave run statistics through August: 109 Advance Life
Support (ALS) , up 3% from last year; 226 Basic Life Support
(BLS) , up 11% from last year; 171 No Charge/No Load (NC) , up
6% from last year. He also reported that the service had
completed its two year license renewal.
7. Steve reported that the Rum River Clinic was planning on using
Elk River Ambulance for its BLS runs.
8. Dr. Rock reported that there is a problem with Elk River
deaths that are pronounced at Mercy or other out-of-county
hospitals. He suggested that Sherburne County look at the
possibility of using Anoka County medical examiners for
autopsies. This issue would have to be addressed by the
Sherburne County Sheriff's and Attorney's Offices. No action
taken.
9 .
Steve reported that the West Sherburne Tribune had an article
on advanced life support coming to the Big Lake-Monticello
Ambulance Service. Steve said the reception to ALS was not
good. He said Big Lake Township expressed an interest in
using Elk River Ambulance if this occurred. Some Commission
members felt that our ambulance service could potentially be
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HEALTH CARE DELIVERY COMMISSION MINUTES
September 16, 1993
Page 3
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overburdened if they took in Big Lake Township. Steve said the
ambulance service is not presently supporting the idea.
10. Steve will clarify appointees to the Commission for 1994.
Next meeting set for February 17, "1994, 6:00 p.m., Elk River City
Hall.
Meeting was adjourned at 7:10 p.m.
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Elk River Ambulance
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