The 2012-2013 Santa Clara County EMS System Strategic Assessment and Planning Process evaluated the opportunities and threats facing the EMS System from national, regional and local influences and set goals to optimize the structure, processes, and outcomes of the EMS System. The assessment considered threats and opportunities in the context of the strengths and weakness of the EMS System, and emphasized a 3 to 7 year planning horizon, focusing on: 1) maintaining or improving clinical care; 2) improving patient satisfaction; and 3) improving operational efficiency, and assuring the cost effectiveness and the financial solvency of the EMS System. The project was divided into three phases.
Phase 1 was the strategic assessment of the Santa Clara County EMS System. During this phase, the consulting firm conducted individual and group interviews with key EMS System stakeholders, including County and Health and Hospital System leadership, fire service leadership and labor, law enforcement leadership, ambulance provider leadership and labor, hospital leadership, emergency room physicians and nurses, EMS Agency personnel, the EMS Medical Director, and others. They reviewed EMS System policies, procedures, and clinical protocols, and examined financial and operational records and reports. They rode on ambulances and fire apparatus and visited the County Communications Center. Phase 1 concluded in late October, 2012 with the release of the Santa Clara County EMS Assessment Phase 1 Report.
Phase 2 was the development of the Santa Clara County EMS System Strategic Plan, based on the information derived during Phase 1 and public strategic planning workshops. Phase 2 started on November 1, 2012 and concluded in June, 2013. This phase included developing the EMS System's Mission, Vision, Values, Goals and Objectives. Like Phase 1, this was a collaborative process, and included consensus building processes, town hall meetings, and significant opportunities for input. A public comment draft was released in February, 2013.
The ten goals within the Santa Clara County EMS System Strategic Plan are the most relevant to the EMS System’s ability to adapt to the changing healthcare environment. The first six goals in this draft strategic plan are necessary to assure clinical and operational quality, cost effectiveness, and patient and stakeholder satisfaction, even if the EMS System does not restructure to better meet the anticipated changes in the healthcare environment -- these changes are necessary to simply keep pace with improving standards of EMS care. The remaining four goals in the draft strategic plan position the Santa Clara EMS System to proactively prepare to meet anticipated changes in the healthcare environment, driven by the Patient Protection and Affordable Care Act, and other statutory, regulatory, and economic changes.
From early March, 2013 to late May, 2013 the EMS Agency engaged EMS System decision makers, medical and government leaders and health finance organizations in focused dialogues to better understand funding mechanisms, the local EMS healthcare environment, and to validate the Strategic Plan’s proposed goals. Based on these discussions, a final draft of the EMS System Strategic Plan was released in early June, 2013, a final workshop to receive final comments from stakeholders was held in mid-June, and the and host a Strategic Planning Summit in late June 2013 to roll out the final approved Santa Clara County EMS System Strategic Plan. EMS System Strategic Plan was endorsed by the Santa Clara County Board of Supervisor’s Health and Hospital Committee on June 12, 2013 and accepted by the Santa Clara County Board of Supervisors on June 25, 2013.
Phase 3 was the development of the Strategic Plan Implementation Plan. The implementation plan supports the EMS System Strategic Plan by prioritizing and sequencing the goals and objectives in the Strategic Plan, and by showing the linkages between and among goals and objectives in the Strategic Plan. The implementation plan also recommends stakeholders whose engagement is crucial for successful implementation of each goal and suggests schedules for each goal.
All announcements, reports and presentation materials related to the Santa Clara County EMS System Strategic Assessment and Planning Process are posted below.