East Region Emergency Medical Services and Trauma Care Council Strategic Plan July 1, 2019 - June 30, 2021
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East Region Emergency Medical Services
and Trauma Care Council
Strategic Plan
July 1, 2019 – June 30, 2021
Submitted by East Region EMS and Trauma Care Council
Approved by EMS & Trauma Steering Committee May 2019Table of Contents
Introduction …….. ……………………………………………………………………….…. 3
Goal 1: Maintain, assess, and increase emergency care resource …………………………....8
Goal 2: Support emergency preparedness activities………………………………………....10
Goal 3: Plan, implement, monitor, and report outcomes of programs to reduce the incidence
and impact of injuries, violence, and illness in the region ………………………... 11
Goal 4: Assess weaknesses and strengths of quality improvement programs in the region....13
Goal 5: Promote regional system sustainability…………………………….………………..15
Appendices: Table of Contents………………………….……………………………….…. 18
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 2 of 64Introduction
The East Region consists of nine counties: Adams, Asotin, Ferry, Garfield, Lincoln, Pend
Oreille, Spokane, Stevens and Whitman. The region is 15,810 square miles with a population
of approximately 675,434 residents and consists of 74 Emergency Medical Services verified
agencies with 2,134 providers, of which 46.5% are volunteers. The region has 18 trauma
designated facilities, which includes Lewiston, ID, and 17 cardiac and stroke categorized
facilities in the region. The East Region is the largest geographic region in the state.
The East Region EMS & TCC maintains a regional website and provides access to county
council and MPD information, injury prevention activities, industry partner information, and
regional council information. http://eastregion-ems.org/
Adams County: Adams County spans 1,930 sq. miles, with a population of 19,506.
Wheat farming was a main focus of early residents. In 1909 Adams County
proclaimed itself "bread basket of the world," with Ritzville reportedly being the
world's largest inland wheat exporter. The county has two BLS Verified Ambulance
agencies with thirty providers, of which 30% are volunteers. http://eastregion-
ems.org/local-councils/adams-county/
Asotin County: Asotin County spans 641 sq. miles with a population of 22,306.
Asotin County is part of the Lewiston, ID-WA metropolitan statistical area, which
includes Nez Perce County, Idaho, and Asotin County. The Region includes Lewiston
in its trauma system. It is the fifth-smallest county in Washington by area. It is part of
the Palouse, a wide and rolling prairie-like region of the middle Columbia basin. The
county has one ILS verified Aid agency, two ALS Ambulances, one ALS Verified
Ambulance, and one BLS Verified Ambulance agency with 122 providers, or which
31% are volunteers. http://eastregion-ems.org/local-councils/asotin-county/
Ferry County: Ferry County spans 2,257 sq. miles with a population of 7,551,
making it the fourth-least populous county in Washington. It is located on the
northern border of WA State. The county has two BLS Verified Ambulances with 23
providers, of which 100% are volunteers. http://eastregion-ems.org/local-
councils/ferry-county/
Garfield County: Garfield County spans 718 sq. miles with a population of 2,210,
making it the least populous county in Washington; with about 3.2 inhabitants per
square mile, it is also the least densely populated county in Washington. The county
has one BLS Verified Ambulance with 28 providers, of which 89% are volunteers.
http://eastregion-ems.org/local-councils/garfield-county/
Lincoln County: Lincoln County spans 2,339 sq. miles with a population of 10,579,
making it the fifth-least populous county in Washington. Lincoln County lies on the
channeled Scablands, known as the Big Bend Plateau. The county has two BLS
Verified Aid Agencies, and seven BLS Verified Ambulance agencies with 75
providers, of which 88% are volunteers.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 3 of 64http://eastregion-ems.org/local-councils/lincoln-county/
Pend Oreille County: Pend Oreille County spans 1,425 sq. miles, located in the
northeast corner of Washington, along the Canada–US border, with a population of
13,354. The county has four BLS Verified Aid agencies, Five BLS Verified
Ambulance Agencies, and one ALS Verified Ambulance Agency with 97 providers,
of which 75% are volunteer.
http://eastregion-ems.org/local-councils/pend-oreille-county/
Spokane County: Spokane County spans 1,781 sq. miles with a population of
506,152, making it the fourth-most populous county in Washington State, the only
county in the East region with an urban city. The county has four BLS Aid Agencies,
four ALS Verified Aid Agencies, eleven BLS Verified Aid agencies, one ALS
Ambulance agency, one BLS Verified Ambulance, and two ALS Verified Ambulance
agencies with 1,387 providers, of which 34% are volunteers.
http://eastregion-ems.org/local-councils/spokane-county/
Stevens County: Stevens County spans 2,541 sq. miles with a population of 44,730,
ranks 23rd in population to the other counties of Washington State. Only 9.400% of
the population lives within the six incorporated cities. The county has one BLS Aid
agency, eight BLS Verified Aid agencies, three BLS Verified Ambulance agencies,
and one ALS Verified Ambulance agency with 166 providers, of which 80% are
volunteers.
http://eastregion-ems.org/local-councils/stevens-county/
Whitman County: Whitman County spans 2,178 sq. miles with a population of
49,046. Whitman County is part of the Palouse, a wide and rolling prairie-like region
of the middle Columbia basin. Whitman County has highly productive agriculture.
Whitman County produces more barley, wheat, dry peas, and lentils than any other
county in the United States. The county has nine BLS Verified Aid agencies, six BLS
Verified Ambulance agencies, and one ALS Verified Ambulance agencies with 206
providers, of which 75% are volunteers.
http://eastregion-ems.org/local-councils/whitman-county/
The East Region was established as part of the Emergency Medical Service (EMS) and
Trauma Care System Legislation in 1990. RCW and WAC states Regional Council
membership is comprised of mandatory membership positions: Local Government,
Prehospital, and Hospital agencies. Additional positions can be Medical Program Directors,
Law Enforcement, Tribal, Dispatch, Emergency Management, Local Elected Official and
Consumers. RCW and WAC authorize counties to have local EMS & Trauma Care Councils
and provide EMS & Trauma System leadership.
The East Regional Council and North Central Regional Council have successfully
consolidated administrative services via contract since July 2013. This consolidation has
reduced duplication of administrative services, significantly reducing expenses. It also allows
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 4 of 64both regions to accomplish the work of the DOH contract while maintaining the same level
of system support.
A strong focus has been placed on provider education and injury prevention for all Local
Council areas to strengthen the emergency care system. For the volunteer Local Council
members; meeting attendance and communication with the Regional Council has been
difficult. Utilizing new computer based meeting models has increased participation but due
to limited human resources many agencies cannot attend even the on-line meeting model.
Several Local Council Chairs have expressed challenges over the last two years regarding
recruitment and retention of rural providers. It has been a consistent theme that is being
echoed from our most rural areas that fewer people are in each agency impacting scheduling
and response capability to 911 calls. East Region has attempted to be very efficient with the
dwindling funding by providing new on-line training, in an effort to help our rural providers
obtain current and contemporary education consistent with their OTEP plan.
The East Region’s Strategic EMS & Trauma Care System Plan is comprised of goals adapted
from the State Strategic EMS & Trauma Care System Plan. The Regional Council utilizes
input and recommendations from the local council representatives and stakeholders to meet
the goals of the State and Region through development of applicable objectives and
strategies.
The East Region has established committees and workgroups to facilitate the work of the
strategic plan:
Executive Committee: Comprised of the Council President, Vice President, Treasurer,
Secretary, and a County Council representative.
Training and Education Committee: Comprised of members of the Regional and
Local Council to review regional training needs, develop regional training programs
based on the needs assessment, and quality improvement for training, and education
to improve patient outcomes.
Prehospital and Transportation Committee: Comprised of members of the Regional
and Local Council to review, revise, and provide education on Minimum and
Maximum numbers, Regional Patient Care Procedures, and County Operating
Procedures.
Injury and Violence Prevention Committee: Comprised of members of the Regional
and Local Council, Regional QI Committee, and IVP Partners to review regional
injury, illness and violence statistics; development of regional strategic plan goals and
objectives to correlate with highest risk populations in our region for targeted
interventions, injury prevention, and public education.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 5 of 64 Rehabilitation Committee: Comprised of members from local and regional
rehabilitation centers to develop the regional strategic plan goals and objectives to
correlate with highest risk populations in our region for targeted interventions, injury
prevention, and public education.
East Region QI Committee: Comprised of members of each designated facility’s
medical staff, the RN Coordinator of each service, EMS Providers, Medical Program
Directors, Rehabilitation, Trauma Medical Director, and Regional Council members.
The Mission of the North Central Region QI Committee is “to promote and support a
comprehensive emergency care system in the East Region.”
Mission Statement: To promote and support a comprehensive emergency care system.
Vision: To have all EMS agencies verified and all hospital’s trauma designated at the
appropriate levels in order to provide every person in the region with access to medical
service and trauma care in all communities
The Regional Council has had a number of successes during the 2017-2019 planning period:
Accomplished the work outlined in the 2017-2019 strategic plan including the review
of min/max numbers, trauma response area maps, and review of agency information
provided by the Department of Health.
Completed Council roles and responsibilities education mandated by the State of
Washington.
Completed State Assessment Audits of financial accountability without findings.
Provided assistance to County Councils with min/max review and agency licensure.
Provided EMS System information presentations to County Councils and County
Commissioners in Stevens, Pend Oreille, Ferry, and Lincoln Counties.
Provided $95,800.00 in FY18/19 to INHS and EMS Connect to meet OTEP
requirements for EMS Providers in the region.
Continued Administrative Services contract with the North Central Region decreasing
Administrative costs and allowing more funding towards Programs.
Collaborated with East Region EMS Council to provide Board Development and
Strategic Planning workshops.
Provided $11,800.00 in FY18/19 for initial and renewal EMS Evaluator Courses to
assist region agencies with successful OTEP plans.
Provided $8,908.009 in FY18/19 to prehospital and hospital providers for
scholarships to healthcare conferences.
Provided $60,000.00 in FY18/19 to Spokane Regional Health District for an Injury
Prevention and Public Education Coordinator with a strong focus on Senior Falls that
addresses the leading cause of death and disability in the East Region.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 6 of 64 Participated in Regional Advisory Committee, Prehospital TAC, Licensing and
Verification Adhoc Workgroup, EMS Education Workgroup, Rule Making, and
attended State Steering Committee meetings.
Utilized less than 1% of the region budget for travel expenses to State meetings by
extending travel day hours and decreasing overnight stays.
Continued recruitment efforts of Council membership with increased participation
from County Council members and County Commissioners.
Ongoing challenges:
The East Regional Council has encountered ongoing challenges of Council Board
vacancies.
The dissemination of Department of Health updates and information at the EMS
Provider level is poor due to outdated contact lists.
Agencies continue to express their frustrations with the rising cost of initial EMS
courses. The Region had a significant decrease in funding within 2008-2013 due to
the economy, with no increases to accommodate the rising cost of education in the
years that followed.
Increasing challenges in access to EMS services in rural areas related to a dramatic
decrease in volunteers.
Continuing decreases in reimbursement levels that are negatively impacting the long
term sustainability and viability of rural hospitals and EMS agencies.
Requirements for agency licensure in each county of operations has caused some
changes with the current numbers of agencies in each county; not yet affecting the
minimum/maximum numbers, but requiring significant changes in operations with
some agencies regarding MPD protocols and renewal of EMS Providers in the county
of operation.
EMS Participation, low attendance, at Regional QI remains a problem for facilities.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 7 of 64GOAL 1
Maintain, Assess, and Increase Emergency Care Resources
In an effort to increase access to a quality, integrated emergency care system, we involve our
local EMS councils and regional Trauma and Emergency Cardiac and Stroke CQI partners to
provide input on designation, categorization, and min/max distribution. This approach has
resulted in long-term partnerships between our regional system partners and an
understanding of local and regional prehospital and hospital issues.
Utilizing the min/max distribution process has helped to understand need and duplication of
resources. One challenge the East Region has been faced with is to identify agencies and
their ability to respond. With decreasing numbers of agencies and providers each county has
been asked to identify “If” their citizen’s EMS needs are being met adequately.
There are seventeen acute care with trauma designation facilities in the East Region. Sacred
Heart is the only Level II Trauma Designated for Adult and Pediatric. The East Region relies
on the Department of Health’s standardized methodology to determine the need for minimum
and maximum numbers for both trauma service designation and EMS agency verification.
The Department has categorized levels of Cardiac and Stroke services. The Regional and
County Councils have developed regional Patient Care Procedures and County Operating
Procedures for patient transport to trauma services and cardiac and stroke services. The
Regional Council relies on input and recommendations form County Councils and County
Medical Program Directors to identify and recommend minimum and maximum numbers for
Prehospital levels of licensed and verified agencies, as well as trauma response area maps.
Objective 1: By May, 2021, Strategy 1: By December 2019, the Regional Council
the Regional Council will will develop the template for Local Councils to utilize in
Determine min/max numbers determining min/max numbers for verified prehospital
for verified prehospital services.
services. Strategy 2: By June 2020, the Regional Council will
attend a meeting of each Local Council to review the
template and provide guidance on determining min/max
numbers for verified prehospital services.
Strategy 3: By October 2020, the Regional Council will
request Local Councils perform a min/max assessment
utilizing the template to determine min/max needs for
their county council area.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 8 of 64Strategy 4: By December 2020, the Local Councils will
provide the results and recommendations of the Local
Council min/max assessment for verified prehospital
services to the Regional Council.
Strategy 5: By March 2021, the Regional Council will
submit recommendations to the Department for verified
prehospital services as identified by the Local Councils
min/max assessment.
Strategy 6: By May 2021, the Regional Council will
submit the completed assessment report from each Local
Council to the Department.
Objective 2: By August 2020, Strategy 1: By March 2020, the Regional Council will
the Regional Council will submit the current Department list of designated trauma
Determine min/max numbers and rehabilitation services to the Regional QI
for designated trauma and Committee with request for recommendation of trauma
rehabilitation services. service needs.
Strategy 2: By June 2020, the Regional QI Committee
will submit recommendations to the Regional Council
for designated trauma and rehabilitation services.
Strategy 3: By August 2020, the Regional Council will
submit recommendations to the Department for
designated trauma and rehabilitation services identified
by the Regional QI Committee.
Objective 3: By August 2020, Strategy 1: By March 2020, the Regional Council will
the Regional Council will submit the current Department list of categorized cardiac
review and document and stroke services to the Regional QI Committee with
categorized cardiac and stroke request for review and recommendations of cardiac and
facilities. stroke service needs.
Strategy 2: By June 2020, the Regional QI Committee
will submit recommendations for categorized cardiac
and stroke services to the Regional Council.
Strategy 3: By August 2020, the Regional Council will
submit recommendations for categorized cardiac and
stroke services to the Department as identified by the
Regional QI Committee.
WA State Department of Health Links:
Trauma Designated Services List
Cardiac and Stroke Categorized Facilities
Interactive Emergency Medical Care Map
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 9 of 64GOAL 2
Support Emergency Preparedness Activities
Regional healthcare preparedness and response coordination in North Central Region EMS &
Trauma Care Council, South Central Region EMS & Trauma Care Council and East Region
EMS & Trauma Care Council is led by the Regional Emergency and Disaster Healthcare
Coalition (REDi HCC). The REDi HCC supports healthcare emergency preparedness across
the healthcare system to create resilient communities within the nineteen and four tribes of
eastern Washington. To fulfill the coalition mission to ensure quality patient care during
medical surge events, the REDi HCC collaborates with all healthcare disciplines and
provider types, emergency management, public health and emergency medical services
(EMS) on capability-based projects and activities that advance regional planning, training,
exercise, response and recovery.
With the consolidation of the Healthcare Coalitions from nine to two; the ability to access
and participate in planning and exercises on a frequent basis at the local and regional level
have diminished. The REDi Coalition continues to host meetings to discuss regional response
and include EMS in the Regional Response Plan. The Region focus is on determining what
our participation will be and how we will fit in. A weakness identified within the region is
EMS knowledge and activation of the DMCC, patient tracking, and no current mechanism
for funding to adequately support this branch of EMS.
Objective 1: During July Strategy 1: On an ongoing basis, the Regional Council,
2019-June 2020, the Regional Executive Director will distribute emergency
Council will coordinate with, preparedness information and updates received from
and participate in, emergency REDi HCC to regional system partners.
preparedness and response to Strategy 2: By July 2020, the Regional Council,
all hazards incidents, patient Executive Director will distribute the REDi HCC
transport, and planning Response Plan to regional system partners.
initiatives to the extent
possible with existing Strategy 3: By October 2020, the Regional Council will
resources. develop and/or revise a PCP for Regional patient
placement (Disaster Medical Coordinator Center,
DMCC) plans.
Strategy 4: By December 2020, the Regional Council
will approve a PCP for Regional patient placement
(Disaster Medical Coordinator Center, DMCC) plans.
Strategy 5: By January 2021, the Regional Council will
submit the PCP for Regional patient placement (Disaster
Medical Coordinator Center, DMCC) plans to the
Department for approval.
Strategy 6: By March 2021, the Regional Council will
distribute the Department approved PCP for Regional
patient placement (Disaster Medical Coordinator Center,
DMCC) plans to regional system partners.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 10 of 64GOAL 3
Plan, Implement, Monitor, and Report Outcomes of Programs to Reduce
the Incidence and Impact of Injuries, Violence, and Illness in the Region
The East Region has an active Injury and Violence Prevention Committee that promotes
programs and policies to reduce the incidence and impact of injuries, violence and illness.
Elderly falls continue to be the number one injury in the East Region. The Regional council
understands the importance of maintaining and expanding the fall prevention programs in all
nine counties of the region.
The Regional Council currently contracts with Spokane Regional Health District for an
Injury Prevention Coordinator. Spokane Regional Health District (SRHD) has demonstrated
strong leadership in the area of fall prevention for the East Region EMS and Trauma Care
Council for several years. SRHD is abreast of evidence-based strategies to address fall
prevention among community-dwelling older adults. The Prevention Coordinator continues
to expand the fall prevention program and it has seen amazing growth over the years. The
Injury Prevention Coordinator in actively involved in the State Injury and Violence
Prevention Committee.
The East Region Injury and Violence Prevention Committee provides education to system
partners on injury prevention topics not limited to, but that include; Safe Kids, Opioid
Overdose, Suicide, and Vaping and Smoking Cessation.
The East Region members of the Regional and Local Council, Medical Program Directors,
Critical Access Hospital, Hospital Based EMS Agencies, Emergency Room Trauma
Coordinators, and other system stakeholders participate in State and National Initiatives for a
Community based Paramedicine and/or Mobile Integrated Healthcare System that promotes
collaboration of healthcare partners within the East Region to address community challenges
for care and/or transport of patients
Objective 1: Annually, by Strategy 1: Annually, by August, the Regional Council
March, the Regional Council will review relevant regional/injury data from
will review relevant data from Department of Health, and identify regional partners that
Department of Health and will provide best-practice prevention programs.
other data sources, and utilize Strategy 2: Annually, by November, the Regional
regional injury and violence Council will choose regionally funded prevention
prevention partners to identify activities to support recommended by the Injury and
and recommend evidence- Violence Prevention workgroup.
based and/or best- practice Strategy 3: Annually, by January, the Region, Executive
activities to support Director, will secure deliverable contract(s) with
prevention efforts in the North selected injury prevention partners to provide injury
Central Region. prevention programs.
Strategy 4: Bi-annually, by March, the contracted injury
prevention partners will provide Regional Council with
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 11 of 64program activity reports and accomplishments as
outlined in the contract agreement.
Strategy 5: Bi-annually, by March the Region Council
will include program activity reports in the bi-monthly
deliverable report to Department of Health.
Objective 2: During July Strategy 1: On an ongoing basis, the Regional Council
2019-June 2020, the Regional will participate in efforts to support (MIH) Community
Council will identify and Paramedicine partners with Regional PCPs.
explore emerging concepts for Strategy 2: On an ongoing basis, the Regional Council
Mobile Integrated Healthcare will collaborate with stakeholders to evaluate
(MIH) Community opportunities for the utilization of (MIH) Community
Paramedicine. Paramedicine programs.
WA State Department of Health Links:
Trauma Designated Services List
Cardiac and Stroke Categorized Facilities
Interactive Emergency Medical Care Map
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 12 of 64GOAL 4
Assess Weaknesses and Strengths of Quality Improvement Programs in the
Region
The East Region QI Committee is committed to optimal clinical care and system
performance in the Region as it relates to trauma, cardiac, and stroke patients as evidenced
by patient outcomes. A multidisciplinary team approach to concurrent and retrospective
analysis of care delivery, patient care outcomes and compliance with the requirements of
Washington State as per RCW 70.168.090 is the fundamental goal. Region Council
members attend the Regional QI Committee meetings and are actively involved in QI for the
Region. The Region QI Committee has identified EMS participation as an area of weakness
in the regions QI system.
This planning cycle the Regional Council will evaluate County QI processes by working with
the Local Councils and Medical Program Directors to perform an S.W.O.T Analysis of
current QI processes and report out on any gaps for EMS QI. The work involved in the
analysis will provide an opportunity to educate EMS on the importance of QI, their role, and
how it benefits the system.
A goal is to identify barriers to utilization of electronic medical records for reporting. The
Region recognizes they cannot mandate utilization of a system agencies may not be able to
afford or understand. With an evaluation of barriers the region may identify ways to impact
participation.
Objective 1: By March 2021, Strategy 1: By March 2020, the Regional Council will
the Regional Council will partner with Regional QI to develop a SWOT template
conduct a SWOT analysis for for the Region and Local Council to determine gaps in
QI at a regional and local QI for EMS.
county level; report out on Strategy 2: By August 2020, the Regional Council will
gaps in EMS. request County MPDs provide QI outline and status of
QI efforts for EMS.
Strategy 3: By October 2020, the Regional Council will
review the QI findings as reported by County MPDs and
identify gaps in EMS QI.
Strategy 4: By December 2020, the Regional Council
will submit a regional report on all County QI efforts
with identified gaps in EMS to MPDs for review and
request for recommendations.
Strategy 5: By March 2021, the Regional Council will
submit regional report on all county QI efforts with
identified gaps in EMS and MPD recommendations to
the Department and regional system partners.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 13 of 64Objective 2: By March 2021, Strategy 1: By June 2020, the Regional Council will
the Regional Council will request from the Department a report on current EMS
identify and implement partner’s utilization of WEMSIS.
strategies to increase Strategy 2: By September 2020, the Regional Council
prehospital services reporting will utilize WEMSIS report received from the
to and participation in Department and EMS partner survey to identify other
prehospital data sources. data sources utilized and/or any barriers to utilization of
prehospital data sources.
Strategy 3: By December 2020, the Regional Council
will provide EMS partner survey results identifying
sources of prehospital data utilization, and barriers to
utilization identified, to the Department.
Strategy 4: By March 2021, the Regional Council will
explore methods to remove barriers to increasing
utilization as identified in the EMS Partner Survey.
Objective 3: During July Strategy 1: Annually, in October, as resources are
2019-June 2020, the East available, the Rehabilitation Committee will present a
Region Rehabilitation trauma case review to the Regional Council and/or
Committee will provide public community partners that include all components of the
education to the Regional Emergency Care System.
Council and community Strategy 2: On an ongoing basis, the Rehabilitation
partners. Committee will post educational opportunities related to
trauma topics on the eastregion-ems.org website.
WA State Department of Health Links:
Trauma Designated Services List
Cardiac and Stroke Categorized Facilities
Interactive Emergency Medical Care Map
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 14 of 64GOAL 5
Promote Regional System Sustainability
Pursuant with RCW 70.168.100 and WAC 246-976-960; The East and North Central Region
has demonstrated efficiency by sharing administrative resources since 2013. The two regions
maintain independent business operations while serving the needs of the communities.
The East Region has multi-disciplinary workgroups and committees, Local EMS Councils,
and County MPDs involved in regional educational programs provided to strengthen the
emergency care system.
With the increasing costs for EMS Education, agencies have difficulty with recruitment and
retention of EMS Providers. The East Region will perform a cost analysis on EMS education
in this planning period to assist in determining the training and education committee budget.
The Prehospital and Transportation workgroup reviews County Operating Procedures,
Regional Patient Care Procedures, and Min/Max numbers in determining unserved or
underserved areas. The workgroup will collaborate with the regional Training and Education
Committee to distribute and educate providers on the Regional Patient Care Procedures and
County Operating Procedures.
Objective 1: During July Strategy 1: Annually, by June, the Regional Council will
2019-June 2021, the Regional review and approve a fiscal year budget for
Council will manage the Administration and Programs as outlined in the
business of the Council, Department contract.
501(c)(3) status, and Strategy 2: On an ongoing basis, the Regional Council
Department contractual work, will review and approve financial reports and
of the Regional Council. Department contract deliverables.
WAC Strategy 3: On an ongoing basis, the Regional Council,
Executive Director, will coordinate Council and
Committee meetings and communications with regional
partners.
Strategy 4: On an ongoing basis, the North Central and
East Region councils will continue to evaluate the
collaboration of administrative resources and additional
opportunities for sustainability.
Objective 2: During July Strategy 1: Annually by January, the Regional Council
2019-June 2021, the Regional will review current membership to identify and recruit
Council will manage Regional for open positions.
Council membership to ensure Strategy 2: On an ongoing basis, the Regional Council,
membership as outlined in Executive Director, will maintain a current roster with
RCW is represented. Regional Council membership positions, appointment
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 15 of 64expirations, and maintain records of all Council
appointments and reappointments.
Strategy 3: On an ongoing basis, the Regional Council,
Executive Director, will maintain a current roster with
Regional Council member compliance with Open Pubic
Meeting Act and other pertinent council member
training.
Objective 3: Annually, by Strategy 1: By February 2020, the Regional Council
June, the Regional Council Training and Education Committee will evaluate the
will enhance workforce cost of providing initial and ongoing EMS provider
development, and support education through a Regional Training Program.
training and education for Strategy 2: By May 2020, the Regional Council and
prehospital providers. Training and Education Committee will submit the
results of the Cost Evaluation Study to the Department.
Strategy 3: By February 2020, the Regional Training
and Education Committee will distribute a Needs
Assessment Survey to EMS Agencies, providers, and
MPDs.
Strategy 4: Annually, by April, the Regional Training
and Education Committee will review the compiled
results of the Needs Assessment Survey and the Cost
Evaluation Study.
Strategy 5: Annually by June, the Regional Training and
Education Committee will utilize the results of the
Needs Assessment Survey, and the cost evaluation
study, to determine a fiscal year training plan and
budget.
Strategy 6: Annually, by June, the Regional Training
and Education Committee will submit the proposed
fiscal year training plan and program budget to the
Regional Council for approval.
Strategy 7: Annually, by July, the Regional Council will
submit the compiled results of the Needs Assessment
Survey and the Cost Evaluation Study to the Department
with the Regional Council approved program budget.
Objective 4: During July Strategy 1: On an ongoing basis, the Regional
2019-June 2021, the Regional Prehospital and Transportation Committee will utilize
Council will review and Department of Health guidance document and format to
update regional Patient Care review Regional Patient Care Procedures (PCPs).
Procedures (PCPs); and work Strategy 2: On and ongoing basis, the Regional
toward statewide Prehospital and Transportation Committee will include
standardization of Regional system partners, local councils, and county MPDs in
PCPs. review and development of Regional PCPs.
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 16 of 64Strategy 3: Annually by February, the Regional
Prehospital and Transportation Committee will review,
develop, and submit recommended drafts and revisions
of the Regional PCPs to the Regional Council for
approval.
Strategy 4: Annually by April, following the Department
approved PCP approval guidance document, the
Regional Council will submit approved Regional PCPs
to the Department.
Strategy 5: Annually, by July, The Regional Council
will distribute Department approved Regional PCPs to
system partners, local councils, and Medical Program
Directors.
Objective 5: By May 2021, Strategy 1: By February 2021, the Regional Council will
the Regional Council will develop a resource list and current marketing
explore opportunities for opportunities for EMS recruitment campaigns.
sustainable practices for rural Strategy 2: By May 2021, the Regional Council will
EMS systems. distribute the resource list and current marketing
opportunities to regional system partners for use in EMS
recruitment campaigns.
WA State Department of Health Links:
Trauma Designated Services List
Cardiac and Stroke Categorized Facilities
Interactive Emergency Medical Care Map
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 17 of 64APPENDICIES Appendix 1. Approved Minimum/Maximum Numbers of Trauma Designated Hospitals ………………………........................................................................................................19 Appendix 2. WA State Emergency Care Categorized Cardiac and Stroke System Hospitals …………………………………………………................................................................19 Appendix 3. Approved Min/Max Numbers for Trauma Rehabilitation Facilities …………………………………………………………………………………………....20 Appendix 4. EMS Resources, Prehospital Verified Services, Prehospital Non-Verified Services …………………………………………………………………………….....…20 Appendix 5. Approved Min/Max Numbers for Trauma Verified EMS Services………..26 Appendix 6. Approved Trauma Response Areas for Verified EMS Services…………...30 Appendix 7. EMS Approved Training Programs………………………………………..39 Appendix 8. Regional Patient Care Procedures (PCPs)…………………………………41 Appendix 9. Department of Health Trauma, Cardiac, and Stroke Triage Tools …………………………….……………………………………………………………..64 NOTE: The appendices within this plan contain detailed charts with specific information for use in system planning. These are living documents and as such change during the plan period. The use of links (as available) to the WA DOH website will provide the most current information. East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 18 of 64
Appendix 1. Approved Minimum/Maximum (Min/Max) numbers of Designated
Trauma Care Services (General Acute Trauma Services).
State Approved
Level Current Status
Min Max
I 0 0 0
II 1 3 1
III 3 4 4
IV 4 7 5
V 3 9 7
II P 1 2 1
III P 1 2 1
WA State Department of Health Resource links:
Trauma Designated Services Facility List
Trauma Designated Services Minimum/Maximum List
Appendix 2. Washington State Emergency Care Categorized Cardiac and Stroke
System Hospitals.
Categorization
Level Hospital City County
Cardiac Stroke
II III East Adams Rural Ritzville Adams
II III Ferry County Memorial Hospital Republic Ferry
II III Odessa Memorial Hospital Odessa Lincoln
II III Othello Community Hospital Othello Adams
I II St. Joseph Regional Medical Center Lewiston Nez Perce
II II Tri State Memorial Hospital Clarkston Asotin
II III Multicare Valley Hospital Spokane Valley Spokane
II III Whitman Hospital Colfax Whitman
I I Multicare Deaconess Hospital Spokane Spokane
II III Garfield County Hospital District Pomeroy Garfield
II III Lincoln Hospital District 3 Davenport Lincoln
II III Newport Hospital and Health Newport Pend Oreille
Services
II II Providence Holy Family Hospital Spokane Spokane
II III Providence Mount Carmel Hospital Colville Stevens
I I Providence Sacred Heart Medical Spokane Spokane
Center and Children’s Hospital
II III Providence St. Joseph’s Hospital Chewelah Stevens
II III Pullman Regional Hospital Pullman Whitman
WA State Department of Health Resource links:
Cardiac and Stroke Categorized Facilities
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 19 of 64Appendix 3. Approved Minimum/Maximum (Min/Max) numbers of Designated
Rehabilitation Trauma Care Services
State Approved
Level Current Status
Min Max
I-R 1
I-PR 1
II-R 1 2 0
II-PR 0
WA State Department of Health Resource links:
Trauma Designated Services Minimum/Maximum List
Appendix 4. EMS Resources, Prehospital Verified Services, Prehospital Non-Verified
Services.
Ground Personnel
Vehicles
County Credential # Agency City Agen Car # # # # #
Name cy e A AID B I A
Type Lev M L L L
el B S S S
Adams 2 8 0 20 6 2
AMBV.ES.00000001 East Adams Ritzville AMBV BLS 5 0 13 0 2
Rural
Hospital
AMBV.ES.00000002 Othello Othello AMBV BLS 3 0 7 6 0
Ambulance
Service
Asotin 5 17 6 59 9 49
AIDV.ES.00000004 Clarkston Clarkston AIDV ILS 0 3 6 3 10
Fire
Department
AMB.ES.60115262 Clarkston Clarkston AMB ALS 4 0 6 0 1
Fire
Department
AMB.ES.60534793 PACT EMS Moscow AMB ALS 3 0 1 0 2
AMBV.ES.00000904 Lewiston Lewiston AMBV ALS 7 0 20 4 36
Fire
Department
AMBV.ES.60444690 Asotin Co. Clarkston AMBV BLS 3 3 26 2 0
Fire District
#1
Ferry 2 7 1 20 2 0
AMBV.ES.00000123 North Ferry Curlew AMBV BLS 3 0 7 2 0
County
Ambulance
AMBV.ES.00000126 Ferry CO Republic AMBV BLS 4 1 13 0 0
EMS District
No 1
Garfield 1 2 0 26 2 0
AMBV.ES.00000137 Garfield Pomeroy AMBV BLS 2 0 26 2 0
County Fire
District #1
Lincoln 9 10 8 60 14 0
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 20 of 64AIDV.ES.00000412 Lincoln Reardan AIDV BLS 0 3 16 0 0
County Fire
Protection
Dist #4
AIDV.ES.60094304 Lincoln Creston AIDV BLS 0 1 0 1 0
County Fire
District #7
AMBV.ES.00000410 Lincoln Sprague AMBV BLS 2 1 5 2 0
County Fire
District #1
AMBV.ES.00000413 Lincoln Harrington AMBV BLS 1 0 3 0 0
County Fire
Protection
Dist No. 6
AMBV.ES.00000416 Creston Creston AMBV BLS 1 0 7 5 0
Ambulance
Service
AMBV.ES.00000417 Wilbur Fire Wilbur AMBV BLS 1 1 7 2 0
Department
AMBV.ES.00000420 Odessa Odessa AMBV BLS 2 0 9 0 0
Memorial
Healthcare
Center
AMBV.ES.60456753 Davenport Davenport AMBV BLS 2 0 9 2 0
Ambulance
AMBV.ES.60744082 Lincoln Almira AMBV BLS 1 2 4 2 0
County Fire
District 8
Pend 10 12 22 78 7 5
Oreille
AIDV.ES.00000471 Pend Oreille Cusick AIDV BLS 0 2 4 0 0
County Fire
District #5
AIDV.ES.00000472 Pend Oreille Newport AIDV BLS 0 3 8 0 0
Fire District
#6
AIDV.ES.00000477 Ione Fire Ione AIDV BLS 0 1 1 0 0
Dept
AIDV.ES.60104745 Pend Oreille Newport AIDV BLS 0 1 2 0 0
County Fire
District #8
AMBV.ES.00000468 Pend Oreille Ione AMBV BLS 3 2 23 2 1
County Fire
Dist #2
AMBV.ES.00000481 Ponderay Usk AMBV BLS 1 0 4 0 0
Newsprint
Ambulance
AMBV.ES.60620522 Kalispel Usk AMBV BLS 2 4 5 1 0
Tribal Fire
Department
AMBV.ES.60683795 Pend Oreille Newport AMBV BLS 2 2 9 2 1
Co Fire
Protection
District #4
AMBV.ES.60720550 South Pend Newport AMBV BLS 2 7 19 2 1
Oreille Fire
and Rescue
AMBV.ES.60834025 Pend Oreille Newport AMBV ALS 2 0 3 0 2
Paramedics
Spokane 23 53 202 1009 44 312
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 21 of 64AID.ES.60352468 Northern Airway AID BLS 0 1 3 1 3
Quest Heights
Resort and
Casino
AID.ES.60419544 Fairchild Fairchild AID BLS 0 5 12 0 0
AFB Fire Air Force
Department Base
AID.ES.60551074 Mount Spokane AID BLS 0 1 4 0 0
Spokane
Ski Patrol
AID.ES.60777437 Spokane Airway AID BLS 0 3 0 0 0
County Heights
Raceway
AIDV.ES.00000663 Spokane Spokane AIDV ALS 0 13 124 1 41
Valley Fire Valley
Department
AIDV.ES.00000665 Spokane Cheney AIDV BLS 0 12 79 1 0
County Fire
District # 3
AIDV.ES.00000666 Spokane Chattaroy AIDV BLS 0 34 128 2 10
County Fire
Dist 4
AIDV.ES.00000667 Spokane Nine Mile AIDV BLS 0 5 5 1 0
County Fire Falls
District #5
AIDV.ES.00000669 Spokane Valleyford AIDV ALS 0 13 47 1 16
County Fire
Protection
District #8
AIDV.ES.00000670 Spokane Mead AIDV ALS 0 25 88 3 26
County Fire
District #9
AIDV.ES.00000671 Spokane Airway AIDV BLS 0 12 48 2 0
County Fire Heights
District 10
AIDV.ES.00000672 Spokane Rockford AIDV BLS 0 3 15 1 0
County FPD
#11
AIDV.ES.00000673 Spokane Waverly AIDV BLS 0 3 5 0 0
County Fire
District #12
AIDV.ES.00000674 Newman Newman AIDV BLS 0 2 9 5 0
Lake Fire Lake
and Rescue
AIDV.ES.00000691 Airway Airway AIDV BLS 0 4 34 1 0
Heights Fire Heights
Department
AIDV.ES.00000692 City of Cheney AIDV BLS 0 4 4 5 3
Cheney Fire
Department
AIDV.ES.00000694 City of Medical AIDV BLS 0 5 15 0 0
Medical Lake
Lake Fire
Department
AIDV.ES.00000697 Spokane Spokane AIDV ALS 0 43 255 3 97
Fire
Department
AIDV.ES.60424330 Spokane Spokane AIDV BLS 0 1 12 0 0
International
Airport Fire
Department
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 22 of 64AMB.ES.60661477 Life Flight Aurora AMB ALS 5 0 12 0 28
Network
AMBV.ES.00000664 Fairfield Fairfield AMBV BLS 1 0 4 0 0
Ambulance
Service
AMBV.ES.00000709 American Spokane AMBV ALS 42 11 57 7 83
Medical
Response
AMBV.ES.00000712 Deer Park Deer Park AMBV ALS 5 2 49 10 5
Volunteer
Ambulance
Stevens 13 11 40 124 40 0
AID.ES.60330867 49 Degrees Chewelah AID BLS 0 0 6 0 0
North Ski
Patrol
AIDV.ES.00000722 Stevens Clayton AIDV BLS 0 8 23 15 0
County Fire
Protection
District #1
AIDV.ES.00000723 Stevens Valley AIDV BLS 0 10 9 0 0
County Fire
District #4
AIDV.ES.00000724 Stevens Colville AIDV BLS 0 9 12 1 0
County Fire
Dist 7/Arden
Fire
Department
AIDV.ES.00000725 Joint Fire Kettle AIDV BLS 0 4 12 3 0
Protection Falls
District 3
and 8
AIDV.ES.00000726 Stevens Rice AIDV BLS 0 3 5 0 0
County Fire
Protection
District #12
AIDV.ES.00000730 Northport Northport AIDV BLS 0 2 3 0 0
Fire
Department
1st
Response
AIDV.ES.60019790 Stevens Addy AIDV BLS 0 3 2 0 0
County Fire
District #5
AIDV.ES.60839524 Stevens Evans AIDV BLS 0 1 0 0 0
County Fire
District 13
AMBV.ES.00000733 Stevens Colville AMBV BLS 4 0 19 9 0
County
Sheriffs
Ambulance
AMBV.ES.00000734 Chewelah Chewelah AMBV BLS 3 0 19 7 0
Rural
Ambulance
Association
AMBV.ES.60448538 Spokane Wellpinit AMBV BLS 4 0 11 5 0
Tribal
Emergency
Response
AMBV.ES.60800657 Deer Park Deer Park AMBV ALS 0 0 3 0 0
Volunteer
Ambulance
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 23 of 64Whitman 16 18 22 167 17 19
AIDV.ES.00000835 Palouse Palouse AIDV BLS 0 1 15 0 0
EMS
AIDV.ES.00000836 Whitman Lamont AIDV BLS 0 2 1 0 0
County FPD
#5
AIDV.ES.00000838 Steptoe Fire Steptoe AIDV BLS 0 1 4 1 0
Department
AIDV.ES.00000840 Whitman Colton AIDV BLS 0 2 15 0 0
County Fire
Protection
District #14
AIDV.ES.00000844 Malden Fire Malden AIDV BLS 0 1 0 1 0
and EMS
AIDV.ES.00000845 Whitman Oakesdale AIDV BLS 0 2 2 0 0
County Fire
District #10
AIDV.ES.00000850 Colfax Fire Colfax AIDV BLS 0 3 4 0 0
Department
AIDV.ES.60340004 Whitman Endicott AIDV BLS 0 1 9 0 0
County Fire
District No.
6
AIDV.ES.60506154 Pullman- Pullman AIDV BLS 0 1 2 0 0
Moscow
Regional
Airport Fire
Department
AMBV.ES.00000846 Pullman Pullman AMBV ALS 5 1 32 3 19
Fire
Department
AMBV.ES.00000852 Garfield- Garfield AMBV BLS 2 1 7 0 0
Farmington
EMS
AMBV.ES.00000853 Tekoa Tekoa AMBV BLS 2 0 9 0 0
Community
Ambulance
Association
AMBV.ES.00000854 Volunteer Colfax AMBV BLS 4 0 34 4 0
Firemen Inc
AMBV.ES.60044365 Whitman Lacrosse AMBV BLS 1 0 8 0 0
County Fire
District No 8
AMBV.ES.60679634 Whitman Rosalia AMBV BLS 2 3 12 8 0
County Fire
District #7
AMBV.ES.60858728 Whitman Pullman AMBV BLS 2 3 13 0 0
County
Rural Fire
Protection
District #12
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 24 of 64Total Prehospital Verified Services by County*
AMBV- AMBV- AMBV- AIDV- AIDV- AIDV-
County
ALS ILS BLS ALS ILS BLS
Adams 0 0 2 0 0 0
Asotin 1 0 1 0 1 0
Ferry 0 0 2 0 0 0
Garfield 0 0 1 0 0 0
Lincoln 0 0 7 0 0 2
Pend Oreille 1 0 5 0 0 4
Spokane 2 0 1 4 0 11
Stevens 1 0 3 0 0 8
Whitman 1 0 6 0 0 9
Numbers are current as of December 2018 EMS Resource List
Total Prehospital Non-Verified Services by County*
AMB- AMB- AMB- AID- AID- AID-
County ESSO
ALS ILS BLS ALS ILS BLS
Adams 0 0 0 0 0 0 0
Asotin 2 0 0 0 0 0 0
Ferry 0 0 0 0 0 0 0
Garfield 0 0 0 0 0 0 0
Lincoln 0 0 0 0 0 0 0
Pend Oreille 0 0 0 0 0 0 0
Spokane 1 0 0 0 0 4 0
Stevens 0 0 0 0 0 1 0
Whitman 0 0 0 0 0 0 0
Numbers are current as of December 2018 EMS Resource List
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 25 of 64Appendix 5. Approved Minimum/Maximum (Min/Max) numbers of Verified Trauma
Services by Level and Type by County.
Approved Min/Max numbers of Verified Trauma Services by Level and Type by County
Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 0 0 0
AIDV ILS 0 0 0
ALS 0 0 0
Adams
BLS 2 2 2
AMBV ILS 0 0 0
ALS 0 0 0
BLS 1 1 0
AIDV ILS 1 1 1
ALS 0 0 0
Asotin BLS 1 1 1
AMBV ILS 0 0 0
ALS 1 1 1 (Idaho)
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 26 of 64Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 0 0 0
AIDV ILS 0 0 0
ALS 0 0 0
Ferry BLS 2 2 2
AMBV ILS 0 0 0
ALS 0 0 0
Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 0 0 0
AIDV ILS 0 0 0
ALS 0 0 0
Garfield BLS 1 1 1
AMBV ILS 0 0 0
ALS 0 0 0
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 27 of 64Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 2 3 2
AIDV ILS 0 0 0
ALS 0 0 0
Lincoln BLS 6 8 7
AMBV ILS 0 0 0
ALS 0 0 0
Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 6 7 4
AIDV ILS 0 0 0
ALS 0 0 0
Pend Oreille BLS 2 7 5
AMBV ILS 0 0 0
ALS 0 2 1
Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 12 12 11
AIDV ILS 0 0 0
ALS 4 4 4
Spokane BLS 1 1 1
AMBV ILS 0 0 0
ALS 2 2 2
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 28 of 64Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 4 8 8
AIDV ILS 0 2 0
ALS 0 0 0
Stevens BLS 3 5 3
AMBV ILS 0 2 0
ALS 1 1 1
Current
State Status
Verified State
Approved (total #
County Service Care Level Approved
Maximum verified for
Type Minimum #
# each service
type)
BLS 10 13 9
AIDV ILS 0 0 0
ALS 0 0 0
Whitman BLS 8 13 6
AMBV ILS 1 5 0
ALS 1 1 1
WA State Department of Health Resource links:
Interactive Emergency Medical Care Map
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 29 of 64Appendix 6. Trauma Response Areas (TRAs) by County.
*Key: For each level the type and number should be indicated
Aid-BLS = A Ambulance-BLS = D
Aid-ILS = B Ambulance-ILS = E
Aid-ALS = C Ambulance-ALS = F
Type and # of
Verified Services
Adams Trauma Description of Trauma Response Area’s available in each
County Response Geographic Boundaries Response Areas
Area Number (Description must provide boundaries that can be (*Use key below –
mapped and encompass the entire trauma response area **See
– may use GIS to describe as available explanation)
Adams 101 D-1
GIS description is on file with the Department Of
Health
Adams 102 D-1
GIS description is on file with the Department Of
Health
Adams 103 D-1
GIS description is on file with the Department Of
Health
Adams 104 D-1
GIS description is on file with the Department Of
Health
Adams 105 D-1
GIS description is on file with the Department Of
Health
Adams 106 D-1
GIS description is on file with the Department Of
Health
Type
Asotin of
Trauma Description of Trauma Response Area’s Verified
County Response Geographic Boundaries Services
Area Number (Description must provide boundaries that can be in each
mapped and encompass the entire trauma response area area
– may use GIS to describe as available
Asotin 201 GIS description is on file with the Department Of B-1
Health F-1
Asotin 202 GIS description is on file with the Department Of B-1
Health F-1
Asotin 203 GIS description is on file with the Department Of B-1
Health F-1
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 30 of 64*Key: For each level the type and number should be indicated
Aid-BLS = A Ambulance-BLS = D
Aid-ILS = B Ambulance-ILS = E
Aid-ALS = C Ambulance-ALS = F
Type
Trauma Description of Trauma Response Area’s of
Ferry Response Geographic Boundaries Verified
County Area Number (Description must provide boundaries that can be Services
mapped and encompass the entire trauma response in each
area – may use GIS to describe as available area
Ferry 1001 GIS description is on file with the Department Of D-2
Health
Ferry 1002 GIS description is on file with the Department Of D-4,
Health
Ferry 1003 GIS description is on file with the Department Of
Health
Ferry 0CCT GIS description is on file with the Department Of
Health
Type and # of
Garfield Trauma Description of Trauma Response Area’s Verified Services in
County Response Geographic Boundaries each Response
Area Number (Description must provide boundaries that can be Area
mapped and encompass the entire trauma response
area – may use GIS to describe as available
GIS description is on file with the Department Of A1
Garfield 1 Health D1
GIS description is on file with the Department Of
Garfield 0 Health (Covered by Oregon) NA
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 31 of 64*Key: For each level the type and number should be indicated
Aid-BLS = A Ambulance-BLS = D
Aid-ILS = B Ambulance-ILS = E
Aid-ALS = C Ambulance-ALS = F
Description of Trauma Response Area’s
Geographic Boundaries
Trauma (Description must provide boundaries that can be
Lincoln Type and # of Verified
Response Area mapped and encompass the entire trauma
County Services in each Area
Number response area – may use GIS to describe as
available
Lincoln 2201 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2202 GIS description is on file with the Department Of A-3
Health D-2
Lincoln 2203 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2204 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2205 GIS description is on file with the Department Of D-1
Health
Lincoln 2206 GIS description is on file with the Department Of D-1
Health
Lincoln 2207 GIS description is on file with the Department Of A-2
Health D-2
Lincoln 2208 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2209 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2210 GIS description is on file with the Department Of D-1
Health
Lincoln 2211 GIS description is on file with the Department Of D-1
Health
Lincoln 2212 GIS description is on file with the Department Of A-2
Health D-1
Lincoln 2213 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2214 GIS description is on file with the Department Of D-1
Health
Lincoln 2215 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2216 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2217 GIS description is on file with the Department Of D-1
Health
Lincoln 2218 GIS description is on file with the Department Of A-1
Health D-1
East Region EMS and Trauma Care Council Strategic Plan 2019-2021 Page 32 of 64Lincoln 2219 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2220 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2221 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2222 GIS description is on file with the Department Of D-1
Health
Lincoln 2223 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2224 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2225 GIS description is on file with the Department Of A-1
Health D-1
Lincoln 2226 GIS description is on file with the Department Of
Health
Trauma Description of Trauma Response Area’s Type and # of Verified
Pend Response Geographic Boundaries Services in each
Oreille Area Number Response Areas
* Use key
County
GIS description is on file with the Department Of
Health A-1
Pend Oreille 2604 D-1
GIS description is on file with the Department Of
Health A-1
Pend Oreille 2602 D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2604 Health D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2604 Health D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2605 Health D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2606 Health D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2604 Health D-1
GIS description is on file with the Department Of A-1
Pend Oreille 2608 Health D-1
GIS description is on file with the Department Of
Health
Pend Oreille 2609 D-1
GIS description is on file with the Department Of
Health
Pend Oreille 3201 D-1
Pend Oreille The geographical location and all areas inclusive
(2) 60164514 of the area owned by the Kalispell Tribe. Licensed but not verified.
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