2021-04-22 Minutes1
EMS JPA Executive Board
Minutes
April 22, 2021
The EMS JPA Executive Board met this date via Zoom. Present: Kuna Fire Commissioner Randall
Feaster, Commissioner Kenyon, Commissioner Davidson, Mayor Simison, Boise City Council Chairperson
Elaine Clegg, Star Fire Commissioner Steve Martin, and Eagle Fire Commissioner Josh Tanner
Others Present: Shawn Rayne, Mark Niemeyer, John Blake, Jeremy Schabot, Mark Babson, Tony
Piscopo, Nancy Werdel, Charlie Butterfield, Jon Roundy, Kris Blume, Peder Humlen, Rod Beck, Tyler
Lewis, Greg Timinsky, and Ryan Larrondo
The meeting is called to order at 2:03 pm by Commissioner Kenyon.
CHANGES TO THE AGENDA
New Business
Item C – Election of Vice‐Chair
Motion to accept the change to the agenda is made by Clegg and seconded by
Simison. Motion carries.
APPROVAL OF MINUTES
Motion to approve the minutes from the January 28, 2021, meeting is made by
Simison and seconded by Clegg. Motion carries.
OLD BUSINESS
Update from the Administrative Committee
The Joint Powers Agreement calls for two groups; Administrative Committee which is the EMS chief, fire
chiefs and associated staff that specialize in EMS who, then report to the Executive Board. The other
important part of the JPA is the Medical Directors.
One of the things that the Administrative Committee is responsible for is to develop response time
standards for the system. Executive Board approved city limit times at their last meeting. A first look at
the data will be provided at the July meeting.
The Administrative Committee held a three‐and‐a‐half‐hour workshop on April 12, 2021. During that
time, they discussed:
Finalized the FY22 Budget.
Finalized an ACCESS responder recognition process.
Started discussion on response time standards for outside of city limits.
Defined ACCESS sub‐committees; Training, Quality Assurance & Infection Control, Records Management,
Standing Written Orders & Equipment and Technology. Each group has a fire chief or EMS chief as a
representative.
JD Hendrick from Meridian Fire is representing ACCESS on the Time Sensitive Emergency State Wide
Committee.
Discussed purchasing a new SIMMAN Manikin and the possibility of using State grant funds or Federal
stimulus funds for that purchase.
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Niemeyer provides an overview of the Joint Powers Agreement. The Joint Powers Agreement was
signed in 2013 by all agencies. That stemmed from years of disagreements and jurisdictional boundary
control issues and lawsuits. The JPA was created with specific things to stand the test of time. Idaho
State EMS Bureau recognized ACCESS as the first system that had a single entity license. Kuna was kept
separate as they maintained their own license.
We have multiple reports that have been done on EMS services. Everything from consolidation to
lawsuits going back to the 1970’s. A BSU study from 1994 recommended the EMS service collaboration
on medical direction, joint purchasing, joint training and complete automatic aid.
The Administrative Committee will meet through the summer to continue the positive work that has
been taking place over the last eight years. Relationships are strong, jurisdictional conflicts and barriers
have been eliminated, and field providers are working well together.
Admin Committee feels now is a good time to have a white board discussion: If the board were wiped
clean, how would we set up an EMS system? Compare those outcomes against our current processes
and procedures. We want to be outcome based in any discussion.
Goals moving forward; produce further collaboration, ensure defined outcomes can be met, continue to
provide better service to the community and continue to try find budgetary savings collectively.
Commissioner Kenyon feels that moving into a five‐year strategic planning session is great.
Commissioner Kenyon has OPE reports from 2010 and 2013 which list seven different
recommendations/design attributes. She asks the Admin Committee to go back and look at those
findings and let the Executive Board know, out of those seven findings, what has been accomplished and
what has not. If it has not, why, and what are the barriers.
There is also a final report from 2005 to the Ada County Commissioners and there are three main
recommendations and one is to consolidate fire and EMS in Ada County. The combined budgets are $80
million fire and $18 million ACP. We need to tell our tax payers where the money is going, how we can
continue to do better, and what is being done to help save money.
Report back on what the Admin Committee finds when going back over that 2010 and 2013 OPE reports.
Answer the questions; why we get multiple vehicles responding to the different calls. Where are the tax
dollars going? As elected officials receiving these calls, the information would be really helpful for the
public’s questions.
NEW BUSINESS
Personnel Recognition Process
The Admin Committee has developed a process to recognize the great work that the first responders do
day in and day out. Recognition is done through an on‐line form that will be completed and sent to the
Admin Committee to review and approve. The form is available to the agencies and hospital systems. A
list of those recognitions will be brought the Executive Board at their quarterly meetings.
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FY22 Budget Approval
Proposed budget is presented and approved at the Admin Committee level and Executive Board level
and is then taken back to each governing board for approval.
Medical director payments for the two physicians includes a 2% increase for their services.
ESO is the reporting writing software.
Disposable medical supplies to ensure that all of the apparatus have the appropriate medical supplies
for every call. Also includes supplies to be used for training.
PPE costs increased with COVID.
We will continue to have the stores of PPE so that we are always prepared in case of pandemics or mass
use events.
QA/QI and Education positions are shared. The positions are different rates as they are not on the pay
scale in the same place.
Advertising is used for PulsePoint and CPR events and other JPA events. We believe that we can start
doing public education again in 2022. PulsePoint cost is the App and Verified Responder. Verified
Responder is only for first responders and gives notifications to homes versus public locations only.
Motion to approve the ACCESS Fiscal year 2022 Budget is made by Clegg and seconded
by Tanner. Motion carries.
Give the elected officials any feedback and information that you would like for the group to review,
study, research as you get ready to head into the five‐year strategic planning.
Clegg suggests using a charrette like model where we ask the staff and responders to do the in‐depth
work and come back to the Board once or twice during the process to make sure they are on the right
track. Work collaboratively during the process with the Board.
Election of Vice‐Chairperson
Nomination of Mayor Simison as vice‐chairperson is made by Clegg.
Motion to elect Mayor Simison as Vice‐Chairperson of the ACCESS Executive Board is
made by Clegg and seconded by Kenyon. Motion carries.
Kenyon feels that we are in a good spot with the collaboration work being done and she is appreciative.
Niemeyer thanks Commissioner Beatty for his service on the Executive Board. Introduces Commissioner
Randall Feaster as the rep from Kuna and his alternate will be Commissioner Greg McPherson.
ADJOURNMENT
Meeting is adjourned at 2:47 pm.