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Florida’s Emergency Medical ServicesStrategic PlanJuly 2010 – June 2012
EMSAC MembersEMS EducatorDaniel Griffin, AS, CCEMT-PThe following is a list of the EMSAC members at the time this strategicplan was published. EMSAC members are appointed by the StateSurgeon General for a term of four years. Ex-officio members of theEMSAC are appointed by the respective agency head. For a current list ofmembers, a copy of the EMSAC bylaws, or general information about theEMSAC, visit the BEMS website at: http://www.fl-ems.com.Emergency Medical Services for Children LiaisonJulie Bacon, RNC, BA, CPEN, C-NPTEMSC Advisory CommitteeChair- Air Ambulance OperatorJohn Scott, RN, EMT-PTampa General HospitalEmergency NurseAmy Paratore, RNTampa General HospitalHospital AdministratorMaria Fernandez, MSNMiami Children’s Hospital LifeFlightCommercial Ambulance OperatorAlan Skavroneck, Chief Operating OfficerAmbitrans Medical TransportDepartment of Highway Safety and Motor VehiclesWalter Liddell, TrooperFlorida Highway PatrolDepartment of EducationTracy YacobelisProgram Specialist, Health Sciences EducationLay PersonRegina E. Sofer, MPAFlorida Education CenterParamedic (Non-Fire Service)Karen Chamberlain, EMT-P, RN, BSN, CFRN, CEN, CCRNDepartment of TransportationTrenda McPhersonDOT Traffic Safety SpecialistParamedic (Fire Service)Charles E. Moreland, EdDDivision Chief, Jacksonville Fire and RescueEmergency Medical Technician (Fire Service)Cory S. Richter, EMT-PBattalion Chief, Indian River County Fire RescueEMS Administrator (Fire Service)William R. Colburn, ChiefReedy Creek Fire DepartmentLay ElderlyDoris Ballard-Ferguson, BSN, ARNP, MNSc, PhDFlorida A & M University School of NursingState EMS Medical DirectorJoe Nelson, DO, MS, FACOEP, FACEPBureau of Emergency Medical ServicesDivision of Emergency Medical OperationsFlorida Department of HealthDepartment of Financial ServicesBarry Baker, ChiefBureau of Fire Standards and TrainingState Fire MarshallEMS Administrator (Non-Fire Service)Michael Patterson, ChiefPutnam County EMSEmergency Medical Technician (Non-Fire Service)Tom Quillin, ChiefLeon County Emergency ServicesPhysicianPatricia Byers, MDUniversity of Miami, Miller School of MedicineDivision of Trauma & Critical CareCover photo courtesy of Nature Coast EMS2010 Florida EMS Photo of the Year - bestdepicting the 2010 National EMS weektheme.“EMS: Anytime. Anywhere. We’ll be there.”PhysicianBradley Elias, MDBaptist Medical Center
Table ofContentsMessage from the State Surgeon General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22009 EMS Photo of the Year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Executive Summary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42010-2012 Goals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5About the Emergency Medical Services Advisory Council . . . . . . . . . . . . . . . . . . . . . . . 6Why Strategic Planning? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82010-2012 EMS Strategic Plan Goals and Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Goal 1:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Florida’s Emergency Medical ServicesStrategic Plan July 2010 – June 2012All photos used with the expressedconsent of:Julie BaconIndian River Fire RescueLeon County EMSMiami Dade Fire RescueNature Coast EMSSeminole Tribe Fire & RescueShands Air CareGoal 2:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Goal 3:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Goal 4:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Goal 5:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Goal 6:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20Goal 7:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24Goal 8:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Goal 9:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Strategic Planning Coordinator:Melissa KeaheyBureau of Emergency Medical Services4052 Bald Cypress Way, Bin C-18Tallahassee, FL 32399(850) 245-4440 ext *2686melissa keahey@doh.state.fl.usGoal 10:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Special thanks to Lynne Drawdy, DEMOQuality Improvement Coordinatorfor her commitment to performanceexcellence and support to the StrategicVisions Committee.Appendix A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Celebrating Our Successes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36Acknowledging Our Partners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Acronyms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Appendix B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Appendix C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 481
Message from theStateSurgeonGeneralOn behalf of the Florida Departmentof Health and our partners I present toyou the July 2010–June 2012 FloridaEmergency Medical Services StrategicPlan for Florida’s EMS system. This plan isan evolving and fluid document that willchange as best practices are discoveredand implemented. The Florida EmergencyMedical Services Advisory Council andits Strategic Visions Committee are thestrategic plan oversight team. This team iscomprised of health and medical leadersfrom all disciplines around the stateand is responsible for setting priorities,allocating resources, providing oversightand coordination, and communicating andmonitoring progress against targets.The new 2010-2012 EMS State StrategicPlan was developed through a series of2consensus-building discussions, projects,and prioritization exercises. The tengoals with supporting objectives werepresented to the Florida EmergencyMedical Services Advisory Council forendorsement in January 2010. Thecouncil endorsed these recommendationsand will focus on the following emphasisareas for the next two years: leadership,prehospital incident data collection,outreach, injury prevention, accessto care, public education, workforceeducation and development, workforcesatisfaction, service delivery, disasterpreparedness and response, air medicalsafety, patient safety, personnel safety,radio communications, and emergencymedical dispatch.We all play a key role in the EMSsystem. Continuing to grow andexpand our community partnershipsand collaborative efforts strengthensthe success of the plan and the servicesprovided to Floridians. I recognize allthose involved in the developmentand implementation of this plan. Theircontinued drive to link the continuumof care through their strategic planningefforts is to be commended.Sincerely,Ana M. Viamonte RosAna M. Viamonte Ros, M.D., M.P.H.State Surgeon General
2009 EMSPhoto ofthe YearPhoto courtesy of:Seminole Tribe Fire Rescue Best depicting the2009 National EMS Week Theme,“EMS: A Proud Partnerin Your Community.”3
ExecutiveSummaryPhoto courtesy of Leon County EMS - 2010 Florida EMS Provider of the Year.4
2010-2012Florida Statute 401.24 requires the FloridaDepartment of Health, Bureau of EmergencyMedical Services, to develop and bienniallyrevise a comprehensive state plan for basic andadvanced life support services. At a minimum,the plan must include:1) emergency medical systems planning, including the prehospital andhospital phases of patient care, injury control efforts, and the unificationof such services into a total delivery system to include air, water, and landtransport;2) requirements for the operation, coordination and ongoing developmentof emergency medical services which include: basic life support oradvanced life support vehicles, equipment, and supplies;communications; personnel; training; public education; state traumasystem; injury control; and other medical care components; and3) the definition of areas of responsibility for regulating and planning theongoing and developing delivery service requirements.GoalsGoal 1: Improve the EMS system through effective leadershipand communication by the EMS Advisory Council.Goal 2: Improve EMS data collection and participation throughadvocacy, outreach, and improved accessibility to EMSincident-level data.Goal 3: Improve customer satisfaction through injury prevention,public education and knowledge of the EMS system.(Customer as defined by the EMS agency).Goal 4: Improve EMS work-force education, performance, andsatisfaction.Goal 5: Ensure economic sustainability of the EMS system andserve as a clearinghouse for EMS legislative issues.Goal 6: Improve performance of key EMS processes throughbenchmarking and partnerships.Florida Statute 401.245 created the EmergencyMedical Services Advisory Council (EMSAC) forthe purpose of acting as the advisory body tothe state’s emergency medical services program.The duties of the council are outlined in Section401.245, F.S., and includes 401.245(1)(f), F.S.:“Providing a forum for planning the continued development of the state’s emergencymedical services system through the joint production of the emergency medicalservices state plan.”Goal 7: Assure the EMS system is prepared to respond to allhazard events in coordination with state disaster plans.Goal 8: Maintain an accident-free environment and promote aculture of safe and appropriate utilization of Florida airassets.Goal 9: Increase access to care by improving patient safety,responder safety, and the safety of the general public.Goal 10: Improve consistency, efficiency and education ofpublic safety personnel with respect to incidentrelated emergency medical dispatch (EMD) and radiocommunications.5
About theEmergencyMedicalServicesAdvisory Council“EMS: Anytime. Anywhere. We’ll be there.”Photo courtesy of Nature Coast EMS - 2010 Florida EMS Photo of the Yearbest depicting the 2010 National EMS week theme.6
EMSAC Mission:To facilitate, promote, and ensure the bestprehospital emergency medical care to the residentsand visitors of Florida.EMSAC Vision:A unified EMS system that provides evidencebased prehospital care to the people of Florida andserves as the recognized leader in EMS responsenationwide.EMSAC ValuesLeadership: To achieve and maintain quality results,accountability, and outcomes through guidance,direction, encouragement, and reinforcement.Customer Service & Satisfaction: To put thepatient first – always!!!Public Welfare & Safety: To dedicate ourselves toensure services are available that benefit and protectthe public.Collaboration: To encourage active collaborationto solve problems, make decisions and motivateproviders to work together in provider evidencebased prehospital care to achieve common goals.Ethics: To ensure ethical behavior in all decisions,actions, and stakeholder interactions.Quality Improvement: To use the most rigorousof scientific methods to support our policies anddecision making.The Emergency Medical Services Advisory Council was created forthe purpose of acting as the advisory body to the emergency medicalservices program. Pursuant to Section 401.245, Florida Statutes, theduties of the council include, but are not limited to:(a) Identifying and makingrecommendations to the departmentconcerning the appropriateness ofsuggested changes to statutes andadministrative rules.(f) Providing a forum for planning thecontinued development of the state’semergency medical services systemthrough the joint production of theemergency medical services state plan.(b) Acting as a clearinghouse forinformation specific to changes inthe provision of emergency medicalservices and trauma care.(g) Assisting the department in developingthe emergency medical services qualitymanagement program.(c) Providing technical support to thedepartment in the areas of emergencymedical services and trauma systemsdesign, required medical and rescueequipment, required drugs anddosages, medical treatment protocols,emergency preparedness, andemergency medical services personneleducation and training requirements.(d) Assisting in developing theemergency medical services portionof the department’s annual legislativepackage.(e) Providing a forum for discussingsignificant issues facing the emergencymedical services and trauma carecommunities.(h) Assisting the department in settingprogram priorities.(i) Providing feedback to the departmenton the administration and performanceof the emergency medical servicesprogram.(j) Providing technical support to theemergency medical services grantsprogram.(k) Assisting the department in emergencymedical services public education.(l) Assisting in the development of thedepartment’s injury prevention andcontrol program.Evidence-based Medicine: To research, identify andadopt evidence-based science and best practicesshown to reduce mortality and morbidity.Education: To continually educate the public, theEMS system, and all EMS stakeholders (i.e. personnel).7
Why StrategicPlanning?Strategic Planning PhasesThe four-phase process includes Plan, Develop,Implement and Review. The Florida Emergency MedicalServices Strategic Plan is the result of these processesand is outlined in this document.1)The Plan phase includes a foundation reviewof existing goals, objectives, and strategies;identification, analysis, and prioritization ofkey organizational factors.Strategic planning is the process that supports thejoint efforts between the EMS Advisory Council, theEMS community, and the Florida Department ofHealth. No single force working alone can accomplisheverything needed to improve and expandprehospital care in Florida.In coordination with the Florida Department ofHealth’s Bureau of Emergency Medical Services, theEMS Advisory Council took a collaborative approachwith a multitude of EMS constituency groups todevelop Florida’s 2010-2012 Emergency MedicalServices Strategic Plan. This plan is designed to bea framework to strengthen Florida’s EMS system toachieve one vision.Vision: A unified EMS system that provides evidencebased prehospital care to people of Florida andserves as the recognized leader in EMS responsenationwide.Strategic planning is a tool that provides a pathway foran organization or system to fulfill its vision. Florida’sEMS Advisory Council provides a voice for Florida’sEMS community and the patients we serve.2)The Develop phase includes identificationand prioritization of strategic goals;development of strategic objectives andstrategies; and determination of leadsand measures.3)Communication of strategiesto staff and stakeholders anddevelopment of detailedaction plans complete theImplementation phase.4)Reviews of measures,outcomes, action plans,and an annual review atthe first EMS AdvisoryCouncil of each yearensures strategies andactions stay currentwith organizational,customer andstakeholderneeds ectives support goals, mission, and vision.goalsGoals support mission and vision, and dictate objectivesstrategymissionMission supports vision, and dictates goals.8vision
Photo courtesy of Miami Dade Fire Rescue – 2009 Florida EMS Provider of the Year9
2010-2012EMSStrategicPlanGoals and ObjectivesGoal 1:Improve the EMS systemthrough effective leadershipand communication by the EMSAdvisory Council.Goal Owner: EMS AdvisoryCouncilEMS system is defined as alllicensed providers, EMS personnel,and EMS training centers.Photo Courtesy of Leon County EMS – 2010 Florida EMS Provider of the Year10
1.1: Amend the EMSACbylaws to supportStrategic PlanSuccessive leadershipAmend the EMSAC bylaws to support Strategic PlanOngoingOfficer’s leadershipEMSACParliamentarianEMSAC MembersAssign goals to EMSAC subcommittees- these committees serve asgoal owners who are to report status at each council meetingEach committee has a tie in to strategicplan# of strategic planning milestones metEncourage all EMSAC members and constituency group presidents(or designated liaisons) to attend every Strategic Visions meetingand conference calls to ensure plan is being deployed and tofacilitate the dissemination of informationEMSACSubcommitteesEMS ConstituencyGroupsDevelop strategic planning guidelines for the EMSAC1.2: Improve therelevancy and regularityof communicationbetween the EMSAC andthe EMS system# of EMSAC members participating withan EMSAC subcommittee (minimum twomembers)# of constituency group meetings coveredby an EMSAC memberMeasure dissemination of strategic plan and strategic planninginitiatives through agencies and hospital based systems1.4: Conduct or hostleadership workshopsfor the EMSAC andprovide information onleadership seminars,fellowship opportunitiesto the EMS system# of new members assigned a mentorAssign EMSAC mentors to new members# of EMSAC members who have served asmentorsAssign mentors to new members of an EMSAC subcommittee1.5: Develop asuccession plan forthe EMSAC members,chair, and EMS Systemleadership to ensuresuccession is fluid# of action plan updates submitted to theEMSAC Strategic Visions Committee# of EMS constituency groups and otherEMS stakeholders participating in strategicplanning efforts# of new members who have received anorientation# of EMSAC members who haveparticipated in leadership workshops,seminars, webinars, or other fellowshipopportunitiesSuccession plans developedRequire all EMS constituency groups and EMSAC subcommittees tosubmit meeting agendas and meeting minutesOngoingEMS ConstituencyGroupsPublish or post best practices, strategic planning updates, and otherstrategic planning resources on the Bureau of EMS (BEMS) website,the Florida EMS Community Listserv (FLEMSCOMM), and thequarterly EMS newsletter (EMS Vitals)# of groups who include the strategic planin their agenda and meeting minutes(minimum of two items)Goal OwnersObjective LeadsTrack EMSAC members who are responding back with informationrelated to the strategic plan1.3: Identify theEMS direct customerbase and strengthenthe relationshipby monitoring theachievement of theStrategic Plan throughthe meetings held inconjunction with theEMSAC# of meeting minutes submitted to beposted to the EMSAC webpageEMSACEMS StakeholdersBureau of EMS(BEMS)EMSACEducate all EMS stakeholders that the Strategic Visions Committeeprovides a forum in which customer needs can be raised to beincorporated into strategic planning effortsEMSACSubcommitteesOngoingEMS ConstituencyGroupsEMSACCoordinatorTrack customer complaints and resolution of complaintsIntegrate work being done between EMSAC and EM
Karen Chamberlain, EMT-P, RN, BSN, CFRN, CEN, CCRN Paramedic (Fire Service) Charles E. Moreland, EdD Division Chief, Jacksonville Fire and Rescue Physician Patricia Byers, MD University of Miami, Miller School of Medicine Division of Trauma & Critical Care Physician Bradley Elias, MD Baptis
