ICEMA - Inland Counties Emergency Medical Agency Serving Inyo, Mono & San Bernardino Counties

What's New

San Bernardino County and the Inland Counties Emergency Medical Agency (ICEMA) are pleased to announce the release of the Advanced Life Support and Basic Life Support Ground Ambulance Services, Request for Proposals(RFP).

Interested parties can find the RFP in San Bernardino County’s Electronic Procurement System (ePro) by visiting epro.sbcounty.gov. Prospective bidders must register within the ePro system by clicking the Register button at the top of the webpage.

EMT-P Accreditation Testing Memo - December 1, 2023 - Click Here

Nemsis 3.5 Upgrade Memo - November 30, 2023 - Click Here

2024 STEMI CQI Meeting Dates - Click Here

2024 Stroke CQI Meeting Dates - Click Here

2024 CQILT Meeting Dates - Click Here

Policy and Protocol Manual - Click Here

Policy and Protocol Annual Review Updates 11/10/23- Click Here

AMR San Bernardino County Now Hiring Paramedics - Click Here

Symons Ambulance EMT & Paramedic Positions Available - Click Here

Premier Medical Transport EMT & Gurney Van Drivers Positions Available Click Here

California State STEMI and Stroke Summit - June 27 & 28, 2023, Save the Dates Registration Open in April - Click Here

MAILINGS

June 27, 2023- Base Hospital Revocation (Chino Valley Medical Center) Click Here

May 5, 2023- Conflict of Interest Code for ICEMA Click Here

April 17, 2023- Inyo EMCC Agenda Packet for April 24, 2023 Click Here

April 17, 2023- Mono EMCC Agenda Packet for April 24,2023 Click Here

March 13, 2023- EMCC Meeting Cancellation Notice March 16, 2023 Click Here

March 9, 2023 - Implementation of Policies/Protocols Effective April 1, 2023 Click Here

February 28, 2023 - HP3 Agenda Packet for March 1, 2023 Click Here

February 21, 2023- Medical Advisory Committee (MAC) Agenda Packet for February 23, 2023 Click Here

January 20, 2023 Mono County EMCC Agenda Packet for January 24, 2023 Click Here

January 20, 2023 Inyo County EMCC Agenda Packet for January 23, 2023 Click Here

January 17, 2023 - San Bernardino County EMCC Agenda Packet for January 19, 2023 Click Here

AMBULANCE RATE ADJUSTMENT EFF JULY 1, 2023 - JUNE 30, 2024

June 27, 2023 - FY 2023-24 Ambulance Rate Adjustment Effective July 1, 2023 - June 30, 2024 - Mono County Click Here

June 27, 2023 - FY 2023-24 Ambulance Rate Adjustment Effective July 1, 2023 - June 30, 2024 - Inyo County Click Here

May 23, 2023- FY 2023-24 Ambulance Rate Adjustment Effective July 1, 2023 - June 30, 2024 -

San Bernardino County Click Here

SAN BERNARDINO COUNTY AMBULANCE ORDINANCE

NEMSIS 3.5 Information Click Here

Announcements

AMR San Bernardino County Now Hiring Paramedics - Click Here

ACUTE CORONARY SYNDROME- August 22, 2023 Click Here

EMS CONFERENCE 2023- September 25, 2023 Click Here

STEMI Stroke Conference Click Here

Stroke Summit- November 29, 2023 Click Here

Awards

2016 NACo Awards

ICEMA receives its seventh and eighth National Association of County Organizations (NACo) awards since 2012.

The two awards were for the following programs:

Statewide EMS Data Repository: ICEMA and the Emergency Medical Services Authority (EMSA) worked together to create a statewide data repository for the collection and reporting of EMS data. The initial purpose of this project was to create a standardized statewide repository of EMS data. The goal was to provide a cost effective way to collect EMS patient care and hospital trauma data, allow access to a records management system for smaller LEMSAs that could not afford their own system and support a mechanism for the reporting of information to the National Emergency Medical Services Information System (NEMSIS) for national benchmarking.

Integrating EMS and HIE: The Health Information Exchange (HIE) is the mobilization of health information between organizations and healthcare providers that is designed to unify the entire patient’s medical history and make it readily available for medical providers to review. EMS data has not traditionally included in the HIE. This pilot project demonstrated how EMS data could be integrated with other provider’s healthcare data in HIE so EMS data could be viewed as well. The project included the planning, development, implementation and testing of the infrastructure that was required for the eventual integration of EMS data in the HIE.

2015 NACo Awards

ICEMA receives three NACo Achievement Awards for innovative and money-saving programs from the National Association of Counties (NACo).

The awards were for the following programs:

Medical and Health Operational Area Coordinator (MHOAC) Program: The program provides detailed guidance to the Inland Counties Emergency Medical Agency , Department of Public Health, and Department of Behavioral Health staff responding to medical and public health emergencies. It follows the principles of the Incident Command System, the National Incident Management System, and California’s Standardized Emergency Management System. The MHOAC Program is based on guidance described in the California Public Health and Medical Emergency Operations Manual adopted in July 2011 by the California Department of Public Health and the California Emergency Medical Services Authority.

Continuation of Specialty Care Program: Trauma, stroke and heart attack represent a significant consequence to health and remain three of the top 10 causes of serious injury and death in the United States. Considering the diversity of the geography and the remoteness of many areas of the county, accessing specialty medical care for specialized treatment is often difficult. The ICEMA Continuation of Specialty Care Program is designed to deliver these patients to a hospital with specialized services since rapid and definitive care at a specialty care center often means the difference between survival, lifelong disability or death. The improvement in time to treatment reduces morbidity and mortality and improves the quality of services provided to residents and visitors.

EMS Credentialing Portal: ICEMA implemented a paperless online EMS Credentialing Portal to complete credential applications from any location at any time. Emergency medical services personnel are credentialed by ICEMA to practice in San Bernardino, Inyo and Mono counties. The credentialing process required personnel to visit ICEMA’s office during normal business hours to submit a paper application and payment, which took about an hour. The online process improved efficiency by allowing staff to review and issue new credentials in less than 15 minutes. The process ultimately reduced costs and enhanced overall customer satisfaction.

2015 CSAC Awards

San Bernardino County wins three prestigious awards from state organization: Automating hospital referral records, improving the quality of health care for patients and streamlining access to services for the homeless are three of the outstanding County programs recognized Tuesday by the California State Association of Counties.

Three 2015 CSAC Challenge Awards will be presented to the County’s Information Services Department, Inland Counties Emergency Medical Agency (ICEMA) and the Sheriff’s Department at an upcoming Board of Supervisors meeting.

“These awards show our County’s commitment to improve the lives of our residents, particularly in the field of health and wellness,” said Board of Supervisors Chairman James Ramos. “It’s an honor and a pleasure to be recognized once again by CSAC.”

The CSAC Challenge Awards are part of a competitive recognition program that honors the best and most innovative among California’s 58 counties. This year, CSAC received more than 250 entries and judges awarded 40 programs throughout the state.

The following are descriptions of each of the County’s CSAC Challenge Awards:

Automated Referral Tracking System - Information Services Department: The Automated Referral Tracking System is a web-based system designed to assist doctors and medical staff at Arrowhead Regional Medical Center to efficiently track and manage referrals on a daily basis. Prior to the ARTS system implementation, referrals were handled in a manual process, backlogged and in some cases got lost. Now medical staff has eliminated the backlog and the possibility of a lost or dropped referral is down to zero.

ICEMA Continuation of Specialty Care - ICEMA: ICEMA designed a program for EMS providers to recognize the specialized needs of patients - particularly those with trauma, stroke and heart issues - and deliver them to a hospital that is best able to treat their needs. Through the end of 2014, approximately 25 percent of 8,000 patients included in the ICEMA registries with these specialized needs were transferred to specialty care and half of those transfers were made in under an hour. Now patients that may have otherwise had to wait longer for transfer to an appropriate medical facility will not have to endure a delay in treatment.

The Homeless Outreach Proactive Enforcement (H.O.P.E.) program - Sheriff’s Department: The H.O.P.E. team is a collaborative effort among law enforcement and public agencies to accomplish a more meaningful and efficient response to homelessness. Deputies team up with mental health clinicians and conduct outreach to the homeless. Integrating resources such as the Department of Public Health, Behavioral Health, Housing Authority, Veterans Affairs and Code Enforcement has made it possible for deputies to link the homeless with services or shelter, instead of simply relying on arrest and incarceration to solve the problem.

Since July 2013, the H.O.P.E. program has contacted more than 820 homeless people and obtained housing for 110 people and linked 400 others to some form of assistance.

                   2014 NACo Award

ICEMA receives its third NACo Achievement Award in 2014.

ICEMA Health Information Network: ICEMA developed the ICEMA Health Information Network to provide a centralized access and collection point for the accumulation of prehospital and specialty care documentation, ensure data consistency and interoperability between EMS providers and analyze and improve prehospital care provided throughout San Bernardino County.

                   2013 NACo Award

ICEMA receives its second NACo Achievement Award in 2013.

Neurovascular Stroke Receiving Centers: The goal of the Neurovascular Stroke Receiving Center (NSRC) Specialty Program was to improve the care provided to patients in the ICEMA region by establishing a system for the rapid identification of stroke patients and transport to facilities that had demonstrated an ability to provide definitive neurovascular care and a commitment to identify opportunities for improvement and education.

                   2012 NACo Award

ICEMA receives its first NACo Achievement Award in 2012.

Cardiovascular STEMI Receiving Centers: The goal of the ST Elevation Myocardial Infarction (STEMI) Specialty Program was to improve the care provided to patients by establishing a system for the early recognition and prompt transport of patients to specially designated hospitals. The program recognized facilities that demonstrated an ability to provide definitive cardiac care using appropriate interventions and a commitment to identify opportunities for improvement and education.