chi-170

Code Sections 1757 and 1752 and Board Order # 56 of April 20, 1999, Ordinance No. 99-0027, Board Order #39 of February 6, 2008, Ordinance No. 2008-0006.

a.	One emergency medical care physician in a paramedic base hospital nominated by the California Chapter of the American College of Emergency Physicians

b.	One cardiologist nominated by the American Heart Association, Western States Affiliate

c.	One mobile intensive care nurse nominated by the California Chapter of the Emergency Nurses' Association

d.	One hospital administrator nominated by the Hospital Association of Southern California

e.	One representative of a public provider agency nominated by the Los Angeles Chapter of California Fire Chiefs Association

f.	One representative of a private provider agency nominated by the Los Angeles County Ambulance Association

g.	One orthopedic, general, or neurological surgeon nominated by the Los Angeles Surgical Society

h.	One psychiatrist nominated by the Southern California Psychiatric Society

i.	One physician nominated by the Los Angeles County Medical Association

J.*	A licensed paramedic nominated by the California State Firefighters Association, Emergency Medical Services Committee

k.	Five public members, one nominated by each Supervisor. No public member shall be a medical professional or affiliated with any one of the other nominating agencies

l.	One law enforcement representative nominated initially by the California Highway Patrol. After the first term of office for this position is completed, the law enforcement representative shall be nominated by the Los Angeles County Peace Officers Association

m.	A City Manager nominated by the League of California Cities, Los Angeles County Chapter

No member of the Commission may serve more than two consecutive four year terms. The Board may, by order, extend the length of service or waive the limit for individuals or the Commission as a whole.

A member's position on the Commission shall become vacant upon his or her death, resignation, or removal by the Board. In the case of such a vacancy, the Board shall appoint a successor to fill the unexpired term.

Third Wednesday of each odd month, at 1:00 p.m. The Commission holds their meetings at various locations.

The provisions of Chapter 5.12 of the County Code shall not apply to the Commission.

The Commission shall perform all the functions of the Emergency Medical Care Committee as defined in Sections 1750 et seq. of the Health and Safety Code and shall have the following duties:

a.	Act in an advisory capacity to the Board of Supervisors and the Director of Health Services regarding County policies, programs, and standards for emergency medical care services throughout the County, including paramedic services.

b.	Establish appropriate criteria for evaluation and conduct continuous evaluations on the basis of these criteria of the impact and quality of emergency medical care services throughout Los Angeles County.

c.	Conduct studies of particular elements of the emergency medical care system as requested by the Board of Supervisors, the Director of Health Services or on its own initiative; delineate problems and deficiencies and to recommend appropriate solutions.

d.	Acquire and analyze the information necessary for measuring the impact and the quality of emergency medical care services.

e.	Report its findings, conclusions and recommendations to the Board of Supervisors at least every twelve months.

g.	Recommend, when the need arises, that Los Angeles County engage Independent contractors for the performance of specialized, temporary, or occasional services to the Commission which cannot be performed by members of the classified service, and for which the County otherwise has the authority to contract.

h.	Advise the Director and the Department of Health Services on the following matters:

1.	Policies, procedures, and standards to control the certification of mobile intensive care nurses and paramedics

2.	Proposals of any public or private organization to initiate or modify a program of paramedic services or training

3.	Arbitrate differences in the field of paramedic services and training between all sectors of the community, including but not limited to, County agencies, community colleges, hospitals, private companies, and physicians

A decision of the Commission regarding a matter which the Commission hears under its arbitration function pursuant to Subparagraph 9 hereinabove will be final and binding upon the parties who appeared before the Commission on the matter unless the Board of Supervisors at any time promulgates policy which is inconsistent with such determination.

The Commission shall refer to the Board of Supervisors and any other affected provider agency any such decision of the Commission which will either affect the budget of the county, or any other provider agency, for the paramedic program, or operate to change an existing County-approved policy. Such decision shall not become final and binding unless adopted by the Board of Supervisors. Additionally, any such decision of the commission shall be advisory only if its implementation will affect any County paramedic program matter which the County Health Officer, the local emergency medical services agency, or the Board of Supervisors, has power to regulate pursuant to Section 1480 et seq. and Section 1797.200 of the Health and Safety Code.

f.	Review and comment on plans and proposals for emergency medical care services prepared by County departments.