Countyof Los Ange’es(:~~ CHIEF ADMINISTRATIVE OFFICE

713 KENNETH HAHN HALL OF ADM~iSTRATiON~LOSANGELES, CALIFORNIA 90012~LIFoa’~~

DAVID E. JANSSEN Board of SupervisorsChief Administrative Officer GLORIA MOLINA

First District

July 29, 2003 YVONNE BRATHWAITE BURKESecond DistrictZEV YAROSLAVSKYThird DistrictDON KNABE

TO: Supervisor Yvonne Brathwaite Burke, Chair Fourth District

Supervisor Gloria Molina MICHAELD. ANTONOVICH

Supervisor Zev YaroslavskySupervisor Don KnabeSupervisor Michael D. Antonovich

FROM: David E. Janss~n)’J~&Chief Administr~ti~eOfficqr

THE DEPARTMENT OF HEALTH’ SERVICES’ REQUEST TO APPOINT APHYSICIAN MANAGEMENT POSITION IN THE EMERGENCY MEDICAL SERVICES(EMS) AGENCY

In accordance with the Board’s policy on management appointments, we received arequest from the Department of Health Services (DHS) to appoint William J. Koenig,M.D. as a Chief Physician II, M.D., Item Number 5480A, in the DHS Emergency MedicalServices (EMS) Agency. Dr. Koenig would be placed on Schedule Number M8, Step 13of the Management Physician Pay Plan, at an annual salary of $163,455.18($13,621 .265 monthly). This salary represents a 3 percent annual Physician AdditionalCompensation bonus of $4,381.20 ($365.10 monthly), a 5.5 percent annual BoardCertification bonus of $8,273.16 ($689.43 monthly), and a 3.25 percent annualPhysician Specialist bonus of $4,760.83 ($396135 monthly). This position is fullyfunded in the FY 2003-2004 budget and the Department would like to make thisappointment as soon as possible.

Dr. Koenig will serve as the Medical Director of the EMS Agency and will be responsiblefor providing medical direction and managing the EMS system. The Los AngelesCounty EMS Agency is the largest EMS system in the country. This multi-jurisdictionagency consists of four (4) paramedic provider agencies and eighty-two (82) 9-1-1receiving hospitals. Various responsibilities of the EMS Medical Director includecertifying and accrediting EMS personnel, maintaining a system wide qualityimprovement program, providing medical direction in disaster situations, and ensuringappropriate physician oversight and coverage at the Medical Alert Center, Additionalduties consist of planning, directing, and supervising EMS medical research andconsulting with public and private agencies regarding emergency medical services.

Koenig appointmont.mbs

“To Enrich LivesThroughEffectiveAndCaring Service”

Each SupervisorJuly 29, 2003Page 2

The Department of Health Services states that Dr. Koenig is highly qualified for thisposition based on his substantial experience in the field of emergency medicine.Dr. Koenig is Board certified in emergency medicine and has over 27 years ofexperience in this field and with EMS system leadership. This includes previousemployment with DHS as the EMS Director from 1987 to 1993 and experience as theMedical Director at various hospitals. Additionally, Dr. Koenig is on the Board ofDirectors for the EMS Best Practices Newsletter and the Prehospital Care ResearchForum. Respectively, these agencies are devoted to the promotion of best practices inemergency medical services through publication and recognition of model systems andof research in prehospital care. Furthermore, Dr. Koenig has been a clinical instructorat LAC+USC Medical Center’s Department of Emergency Medicine since 1984 and anexaminer for the American Board of Emergency Medicine since 1981.

Based on his experience in the field of emergency medicine and unique knowledge,Dr. Koenig appears to be an excellent candidate for this position. Therefore, we concurwith DHS’ request to appoint Dr. Koenig to the position of Chief Physician II, M.D. at thespecial step 13 placement with an annual salary of $163,455.18.

In accordance with the policy on managerial appointments, unless otherwise instructedby your offices, we will notify DHS that they are authorized to proceed with theappointment effective August 8, 2003.

If you have any questions or concerns regarding this appointment, please call me oryour staff may contact Gregory Polk of this office at (213) 974-1791.

DEJ: DL

SAS:GP:bjs

Attachment

Executive Officer, Board of SupervisorsDirector, Department of Health ServicesDirector of Personnel

Koenig appointment.mbs

—--BOARD OF SUPERVISORS

Gloria MolinaFirst District

Yvonne Brathwaite BurkeSecond District

Zev YaroslavskyThird District

Don KnabeFourth District

FRED LEAFChief Operating Officer Michael D. Antonovich

Fifth DistrictCOUNTY OF LOS ANGELESDEPARTMENT OF HEALTH SERVICES313 N. Figueroa Street, Los Angeles, CA 90012(213) 240-8107

June 6, 2003

TO: Sheila Shima, Acting Assistant Division ChiefHealth TeamChief Administrative Office

FROM: Sachi Hamai, Direci~1~~Administrative Services

SUBJECT: REQUEST FOR AUTHORIZATION TO APPOINT WILLIAM J. KOENIG, M.D. TOTHE POSITION OF CHIEF PHYSICIAN II, M.D. AT A SPECIAL STEP PLACEMENTIN THE DEPARTMENT OF HEALTH SERVICES’ EMERGENCY MEDICALSERVICES (EMS) AGENCY

On October 1, 2002, the Board of Supervisors instructed that all appointed Department Headsobtain the approval of the Board prior to filling an administrative or management position with anannual salary in excess of $1 07,000.00. As directed in this Board policy, CAO approval is requiredto fill any management vacancy.

Consistent with this policy, this is to request apprd~vplto appoint William J Koenig, M.D. onto aspecial step 13 placement as a Chief FhysicianJt~-F(A.D.,Item Number 5479A,i?i the Department ofHealth Services’ Emergency Mèdicaf-S~ervi~s(EMS) Agency~ anThiriU~lsalary of $163,455.18($13,621.265 monthly). This requested salary represents a 3 percent annual Physician AdditionalCompensation bonus of $4,381.20 ($365.10 monthly), a 5.5 percent annual Board Certificationbonus of $8,273.16 ($689.43 monthly) and a 3 percent annual physician specialist bonus of$4,760.83 ($396.735 monthly). This position is fully funded in the Fiscal Year 2003-04 budget. TheDepartment would like to make this appointment as soon as possible.

The Chief Physician II, M.D. serves as the Medical Director of the EMS Agency as mandated bystatute and is responsible for providing medical direction and management of the EMS system.The Los Angeles County EMS Agency is the largest multi-jurisdictional EMS system in the countryconsisting of four paramedic provider agencies, 829-1-1 receiving hospitals (of which 21 are basestation hospitals, and over 18,000 EMS personnel. This position is essential to ensure compliancewith statutory and regulatory requirements of Health and Safety Code 1798 and Title 22.

THOMAS L GARTHWA~TE,M.D.Director and Chief Medical Officer

Sheila ShimaJune 6, 2003Page 2

The EMS Medical Director receives administrative direction from the EMS Director and medicaldirection from DHS’ Director and Chief Medical Officer with advisory input from the Medical Council,which is comprised of medical representatives of all system constituents. Designated to provide foremergency prehospital medical care and disaster services, the Countywide EMS system is acoordinated composite with sub-elements of public education and information, communication,EMS reimbursement programs, emergency and non-emergency medical transportation, medicalcare, the trauma hospital system, coordination of the patient transfer system,certification/accreditation of prehospital personnel, paramedic services and training, emergencymedical training and approval of EMS training programs.

Efforts to select a qualified candidate have included placing position vacancy notices in applicablephysician journals and also mailing them to members of the California Chapter of the AmericanCollege of Emergency Physicians. Approximately one year ago a qualified candidate declined theposition because he stated that the salary was inadequate. Dr. Koenig is one of the two mostqualified candidates on the current certification list because he possesses “substantial experience inthe practice of emergency medicine” as required by Division 2.5 of the Health and Safety Code.Although the requested salary will be approximately 44% less than his current salary, Dr. Koenigwelcomes the opportunity to have a greater countywide impact on medical care provided in theprehospital care setting while benefiting from the County’s retirement plan.

Dr. Koenig is Board certified in Emergency Medicine and has over 27 years of experience inemergency medicine and EMS system leadership which includes both private practice and previousemployment with the Department of Health Services as the EMS Director from 1987 to 1993. Dr.Koenig is currently the Medical Director of the Emergency Department at Long Beach MemorialMedical Hospital, a Level 2 Trauma Center and the Medical Director for the Sierra SacramentoValley EMS Agency, which encompasses five counties. He is also the Medical Director for MercyAir Ambulance which provides emergency air ambulance coverage to Los Angeles, Riverside,Ventura, San Bernardino, Orange and San Diego Counties. Dr. Koenig is on the Board of Directorsfor the EMS Best Practices Newsletter, which is devoted to the promotion of best practices inemergency medical services through recognition and publication of model systems and on theBoard of Directors for the Prehospital Care Research Forum, which is devoted to the promotion ofresearch in prehospital care. Additionally, he has been a clinical instructor at LAC+USC MedicalCenter’s Department of Emergency Medicine since 1984 and an examiner for the American Boardof Emergency Medicine since 1981.

The salary requested for Dr. Koenig is commensurate with the scope and responsibilities of theChief Physician II, M.D. position. He is highly qualified and possesses the special knowledge, skills,and experience to successfully perform in this critical and highly visible position.

If you have any questions or require additional information, please let me know, or your staff maycontact Susan Montenegro at (323) 890-7903.

SH:posa \koeni~me

Attachments

c. Rene Topalian

PERTINENT INFORMATION FOR WILLIAM J. KOENIG, M.D.CHIEF PHYSICIAN II

DEPARTMENT OF HEALTH SERVICES’ EMERGENCY MEDICAL SERVICES AGENCYCertify that the position is vacant and budgeted.

The chief Physician II, M.D. position is currently vacant and budgeted.

Attachment I - Item Control

Attach an organization chart highlighting the position. Describe where the position fits into the managementorganizational structure.The chief Physician II, M.D. serves as the Medical Director of the EMS Agency as mandated by statute and isresponsible for providing medical direction and management of the EMS system. The Los Angeles County EMSAgency is the largest multi-jurisdictional EMS system in the country consisting of four paramedic provider agencies, 829-1-1 receiving hospitals (of which 21 are base station hospitals, and over 18,000 EMS personnel. This position isessential to ensure compliance with statutory and regulatory requirements of Health and Safety Code 1798 and Title22.

Attachment II - EMS Agency Organization ChartAttachment Ill - EMS Agency Medical Director Organization Chart

Indicate current salary of the individual for whom the request is being submitted. Indicate proposed salary,percentage increase over current salary.William J. Koenig, M.D. is currently the Medical Director of the Emergency Department at Long Beach MemorialMedical Center at an annual salary of $369,235.86 ($30,769.66 monthly). Appointment to Chief Physician II, M.D.Item Number 5479A will place Dr. Koenig on the Management Physician Pay Plan (M8, Step 13) at an annual basesalary of $146,040.00 ($12,170.00 monthly) in addition to a 3 percent Physician Additional Compensation bonus of$4381.20 ($365.10 monthly), a 5.5 percent annual Board Certification bonus of $8,273.16 ($689.43 monthly) and a 3percent annual physician specialist bonus of $4,760.83 ($396.735 monthly) for a total requested annual salary of$163,455.18 ($13,621 .265 monthly). The salary will compensate Dr. Koenig commensurate with his professionalbackground, management experience, and the scope and complexity of his duties and responsibilities.

Attachment IV - Professional ResuméAttachment V — Pay Stubs

Provide a listing of all equivalent internal positions within organization.

Attachment VI — Listing of equivalent management positions

Identify highest paid subordinate reporting to this position.

Millicent Wilson, , Item Number 5477A, Salary Schedule P4, Step 7, Annual Salary

Attachment VII — Listing of subordinate management positions

Identify management position above the position hointi request~d.

Carol Gunter, (Acting EMS Agency Director), Item Number 4600A, Salary Schedule Ri 1,

Attachment VIII — Listing of positions above Chief Physician II

Attachment IX — Certification List

ATTACHMENT I

late 6/04/03

Iudget Code 02~10~38-•00-00

Budget Monicor

Department 110

Paqe~ 25

COST CENTER 0036 CWPAY~20036

location DIRECTOR/MEDICAL OFFICER - EMERGENCYMEDICAL SERVICES EMERGENCYMEDICAL SERVICES ADMIN

3000, ITEM ORD BUD ASSIG ASSIGNED ASSIGNED ITEM ETIINIC/

ITEM DESCRIPTION POS [‘OS ADJ FILLED OPEN LAST NAME FIRST NAME EMP# ITEM CODE DESCRIPTION FTE ACT NOTES SEX COMMENTS

(1643A ACTG TECH II 100 1.00 0.00 1.00 0.00 BLANCO ROQUE 0643A 02-10-36-00-00 ACTG TECH II 1.00 FS 001 FI/M

0748N FiN SPEC II 3.00 1.00 0.00 1.00 0.00 TON LOC 74CM 02-10-38-00-00 FIN SPEC II 1.00 FS AS/F

0866A ADMIN ASST II 1.00 1.00 0.00 1.00 0.00 PEREZ DIANNA 183A 0210-38-00-00 SR. MED STENO 1.00 FL HI/F

3907A STAFF ASST 1 1,00 1.00 0.00 1.00 0.00 THORNTON JACQUELINE 907A 02-1038-00-00 STAFF ASST I 1.00 FS 001 BL/F

I 077A liD, NOT SRVS,HS 1.00 1 .00 0.00 0.00 1 .00 tVacantt 0.00 /

1136A INT CLERK 1.00 000 0.00 2.00 (2.00) ROMERO LISA 138A 02-10-38-00-00 INT CLERK 1.00 OH 001 HI/F

1136A INT CLERK 5.00 0.00 0.00 2,00 (2.00) STREIFFERT BETHANY 242F 02-10-38-00-00 STUDENT WORKER 1.00 FL MN/F

2I09A MONT SECT’Y III 1.00 1.00 0.00 1.00 0.00 RIDEAUX MARILYN 109A 02-10-38-00-00 MGMT SECTY III 1.00 FS 001 HI/F

1600A EMRGMED SV DIR 2.00 2.00 0.00 2.00 0.00 CHIDESTER CATHY bOA 02-10-38-00-00 EMRG MED SYSTEM 1.00 FS NIl/F

1600A EMRG NED SV DIR 2.00 2.00 0.00 2.00 0.00 GUNTER CAROL OOA 02-10-38-00-00 EMRG MED SYSTEM 1.00 FS NH/F

1612A EMER MED SR DIR 1.00 1.00 0.00 1.00 0,00 HASTINGS E VIRGINIA -12F 02-10-38-00-00 1.00 Fl NIl/F

5481)A CITF PHYS II,M.D 1.00 1.00 0.00 0.00 1,00 tVaCantt 0.00

Date 6/04/03 lludget Monitor Da:le~ 28

Department: 110

lludget Code: 02-10-42-00-00 COST CENTER 0042 CWI’AY: 20047

Location DIRECTOR/MEDICAL OFFICER - EMERGENCYMEDICAL SERVICES - DISASTER TRAINING

01100, ITEM ORD Bill) ASSIG ASSIGNED ASSIGNED ITEM ETIINTC/

ITEM DESCRIPTION PUS P05 601 FILLED OPEN LAST NAME FIRST NAME EMPII I’I’EM CODE DESCRIPTION FTE ACT NOTES SEX COMMENTS

175915 EPIDEMIOL,OGIST 1 .00 1 .00 0.00 0.00 1.00 Vacant.) - 0.00 /

233215 WAREHOUSEWERII 1.00 1.00 0.00 1.00 0.00 ROSALRS ESTEBAN 2332A 02 10-42 00-00 WAREhOUSEWERII 1.00 FS III/M

459515 ART STAFF AN,HS 1.00 1,00 0.00 1.00 0.00 MATTHEWS PEGGY 1595N 02-10-42-00 00 AST STAFF AN,HS 1.00 FR IC NEC Bl,/F

4597A SR.EMRG MED SYS 1.00 1.00 0.00 1.00 0.00 FRUHWIRTH KAROLYN 459714 02-10-42-00-00 SR.EMRG MED SYS 1.00 FS IC ChIC Whl/F

5216A SR.N1IRSE TNSTR 2.00 2.00 -0.00 2.00 0.00 CRAIITREE JAMES 1216A 02-10-42-011-00 SR.N1JRSE INSTR 1.00 FR Whl/M

5216A SR.NURSE INSTR 2,00 2.00 0.00 2.00 0.00 CROW JERRY 1216N 02-10-42-00-00 SR.NURSE INSTR 1.00 FS IC CHG WH/M

54776 PHYS. SPEC. MD 1.00 1.00 0.00 1.00 0.00 WILSON MILLICENT 1477A 02-10-42-00-00 PHYS. SPEC. MD 1.00 FS 111,/F

550415 PHARM TECHN 1.00 1.00 0.00 1.00 0.00 ARCHER CHIYAUKAA 5504A 02-10-42-00-00 PHARM TECHN 1.00 FS IlL/F

29ate: 6/04/03 Budget Mon7ror

Department: 110

udget Code: 02-10-39-00-00 COST CENTER: 0039 CWPTIY: 20019

,ocation : DIRECTOR/MEDICAL OFFICER - EMERGENCYMEDICAL SERVICES - DISASTER MANAGEMENT .

170(1 ITEM ORD BUD ASSIG ASSIGNED ASSIGNEI) ITEM ETIINIC/

I’EM DESCRIPTION POS POS ADJ FILLED OPEN LAST NAME FIRST NAME EMPfl ITEM CODE DESCRIPTION Fl’S ACT NOTES SEX

)888N ADMIN ASST II 1.00 5.00 0.00 1.00 0.00 WHITE JOYCE 462815 02-1039-00-00 SPC ART IIIIS 1.00 FIt 01/F

51415 DIS SRVCS ANAL 1.00 1.00 0.00 1.00 0.00 SMITIl JR JACK 5146 02-10-39 00 00 DIR SRVCS ANAL 1.00 FR 001 WH/M

51581 SR DIR SRVCS 1.00 7.00 0.00 1.00 0.00 EADS II TAMES .515H 02-10-39-00-00 SR DIR SRVCS 1.00 FR NIl/N

475A PHYSICIAN. M.D. 1.00 1.00 0.00 1.00 0.00 CELENTANO JOIIN 54756 02-10-39-00-00 PI-IYSICIAN, M.D. 1.00 FR 001 WH/M

COMMENt’S

ATTACHMENT II

LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY

~.~rnHJ

Office of Prehospitat CertificationPM AccreditationMICH CertificationEMT.I Certication

- AED Accreditation

Training Program Approval

— Office of Risk Management &Investigations

APPROVED: Carol Gunter

EFFECTIVE: May 27. 2003

Office of Communication Systems

Systems Analysis 8 Design

Application Development~PEPSI (Certification)

PItS (Patient Transfers)~ACTS ~

DDCS(Disaster)

Geographic Information Systems

Network & PC Support

EMS Medical Director

Vacant(Chiet Physician II)

Medlcat & ClinIcal Affairs

Research

Medical Alert Center

Walter Johnson, ManagerJohn Quiroz, RN,, MICN

Sr. EMS Program Head

Ginger Gruzlnski

Office of Quality ImprovementDl ProgramsEMS System Evaluation

- Medical Data Management(TEMIS)

EMSReceiving HospitalBase HospitalTrauma Hospital

Office of Trauma SystemTrauma HospitalsPrevention/Epidemiology

Otfice of Administration ServicesBudget

- ProcurementGrants

- Legislation

Office of Personnel ManaqenrentPersonnel ManagementTravel & Traininq

Direclor of Heatth Services andChief MedIcal Officer

Thomas 1. Garthwaite, M.D.

EMS Director

Carol Gunter(Currently In Acting capacity)

Office of Prehospitat Care OperationsALS & BLS ProvidersBase HospitalsEDAP/PCCC Designation

Monitoring/Contracts/PoliciesMedicat Atert Center

Paramedic Training tnstitute &Education Development

— Office of Ambulance Programs

Office of Patient Transportation

EMS Assistant Director

Cathy Chidester

EMS Assistant Dtreclor

Carol Gunter

Office of EMS ReimbursementPrograms

- HospitalsPhysicians

Office of Disaster ManagementPlanning & EducationRDMHCDMAT OperationsTerrorism (NMRT/MMST(

- - - Office of Planning & PublicInformation

I (om~:c:nrqcla:ts:FMSA O’Q :‘,:,04 vId

ATTACHMENT III

LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AGENCY *

~calCo&,nctl-

EMS Medical DirectorVacant

(Chief Physician Ii) I

‘[:?;~M,~3T~5 ‘.1 ~ysI~~~77

Medical Advisorsof

42 EMS ProviderAgencies (ambulance, law & fire)

APPROVED. Carol Gunler

EFFECTIVE: Ju,Ie 5, 2003

Paramedic Training Instilule

Lee Nelson, M.D.Medical Director

Physician Specialist, M.D.: P4/5477

Trauma Programs

D. Demelnades, M.D.Trau,na Medical Consultant

Physician Specialisl, M.D.: P4/5477

I :e,,vc,s0vg,.rn,c:E USA O’q (,~:,:l5

ATTACHMENT IV

William J. Koenig,M.D., FACEP

SUMMARY:

Medical Director, LongBeachMemorialMedicalCenterEmergencyDepartment- MedicalDirector, SierraSacramentoValley EMS Agency- Medical Director,MercyAir Services - AmericanBoardofEmergencyMedicineExaminer- Clinical Instructor,Departmentof EmergencyMedicine.Los AngelesCounty/USC- Chairman,PracticeAdvisory TaskForce,AmericanBoardof EmergencyMedicine- PastMedical Editor,Journalof EmergencyMedical Services- Past Chairman,StateofCaliforniaEmergencyMedicalServicesCommission- PastChairmanEmergencyMedical ServicesMedicalDirectorsAssociation- PastChairmanStateofCaliforniaScopeofPracticeCommitteePleaseSeeEmploymentSectionPage3 for Addressesand phonenumbers of Placesof Employment

EXPERIENCE:

MedicalDirectoraEmergencyDepartmentsLongBeachMemorialMedicalCentersLongBeachCalifornia 9/1/1995 to Present

EmergencyPhysician,Board Certified, Long BeachMemorial Medical Center 10/1/1981 to PresentMemorial Medical Centeris an urbantertiarymedical centerin LongBeachwith over700beds.TheEmergencyDepartmentservesover55,000patientsper year. It is aLevel 2TraumaCenter,seesover15,000children annually,andis affiliated withMemorial Women’sHospital.TheDepartmentservesasaPediatricCritical CareCenterreceivingcenter.Responsibilitiesincludeoverallmanagementof the physiciansstaffingtheemergencydepartment,assistingwith physicianContinuousQualityImprovement,ensuringrepresentationto hospitaladministration.ServedasAssistantMedicalDirectorfrom 1985 to 1991, andhavebeencontiouslyemployedsince1976. As Presidentof ColumbiaEmergencyMedical Group,haveresponsibilityfor hiringpersonnelandoverseeingthe budgetfor thecorporation.Responsiblilityalso includedteambuilding, liaisonwith hospitaladministration,andintegrationof theemergencydepartmentinto medicalcenteractivities. Involvedin direct patient care andresidentteaching.Employedcontinuouslyat LongBeachMemorialMedicalCenterEmergencyDepartmentsinceSeptember1, 1976

MedicalDirectoraSierraSacramentoValley EMS Agency . 4/1/1993to Present

TheSsierraSacramentoValley EMS agencycoversfive countieswith both denseurbanandveryrural areasandoversees40,000paramedicruns peryear. TheAgency is responsiblefor oversightof theEMS system,including traumacenterdesignation,settingof pre-hospitalstandards,certificationandaccreditationofEMS personnel,anddevelopmentandapprovaloftreatmentprotocolsanddestinationpolicies.The MedicalDirectoris responsiblefor investigationsandactionsinvolvingEMTcredentialing.With the participationof amedicalcouncil, themedicaldirectordevelopsandapprovespre-hospitalstudies andcontinuousquality improvementprojects.The MedicalDirectorprovidesadviceto theJointPowersgoverningboard,andoverseestheDisasterMedicaloperationsof theEMS agency.Otherareasof responsibilityinvolve medical oversightoftheprofessionalstaff, andservingas aliaison to hospitalcouncilandmedicalsocieties.

Medical Director - Mercy Air Ambulance 6/1/1994- Present

MercyAir providesemergencyair ambulancecoverageLos Angeles,Riverside,Ventura,SanBernardino,Orange,andSan -

DiegoCounties.It is oneof the largestair ambulanceprovidersin thecountry,andincludesfixed wing coverage.MedicalDirectoractivities include programmedicalsupervision,continuousquality improvement,andprotocolgenerationandrevision.The medicaldirectorprovidesadviceto administrationon areasofmedical integration.Prior to this positionservedasMedicalDirectorof Life Flight ofSouthernCalifornia.

Boardof Directors- EMS BestPractices 2/1I1999~present

This newsletteris devotedto thepromotionof bestpracticesin EmergencyMedical Servicesthroughrecognitionandpublicationof modelsystems.It reviewsimprovingefcencyandmotivation in paramedicsystems.Topicsreviewedincludescopeof practicecontroversiesEMS personnel,methodsof approvalandconductiontrial studies. It servesasaforumfor EmergencyMedicalServices. Fire Services,andHazmatandhasanationaldistribution.

Board of Directors - PrehospitalCareResearchForum 3/1997-present

Theprehospitalcareresearchforumis devotedto the promotionof researchin prehospitalcare.Theforumdeliversworkshopson researchmethodology,publishesabstracts,andpromotesevidencebasedmethodologyin thepracticeof emergencymedicalcare. It hassuccessfullydeliveredworkshopsthroughout thecountryon the propermethodsfor conductionofPrehospitalcareresearch.Participatedin the developmentof the initial workshopsdeliveredatEMS todayprogram.

Clinical Instructor- LA County USCDepartmentof emergencymedicine 1984 to present

Examiner9AmericanBoardof EmergencyMedicine 10/25/1981to present

Chairman~ Advisory TaskForce- AmericanBoardof EmergencyMedicine 1999-2000

TheAmericanBoardof EmergencyMedicineadministerstheABMS certifying examinationin EmergencyMedicine.ResponsibilitieshaveincludedadministrationoftheOralExaminationover20 times, including responsibilityfor leadershipofexaminerteams.ThePracticeadvisorytaskforceparticipatedin the overallrevisionof theEmergencyMedical scopeof practice,andgavetheAmericanBoard input from agroupactively involved in thepracticeof emergencymedicine.Thetaskforceresultswerelaterpublishedin theANNALS OF EMERGENCYMEDICiNE.

Chairman- Stateof CaliforniaEmergencyMedicalServicesCommission 1991-1993Commissioner- Stateof CaliforniaEmergencyMedicalServicesCommission 1987-1993

RepresentedtheAmericanCollegeof EmergencyPhysiciansto theCommission,whichservesto advisethe StateEMS Authorityon statewideemergencymedical issues.Theseissuesinvolve paramediclicensureand certification, andevaluationof systemwide componentsof EmergencyMedical Services.The Commissionreviews andapprovesstateguidelinesandregulations.Aschairman,responsiblefor developingthe agendain conjunctionwith theEMS agencyandoverseeingthe meetings.Paramedicregulationswerereviewedandapprovedduringmy commissionservice.

1991-1993 1987-1993

PastChair- EmergencyMedical ServicesMedicalDirectorsAssociation 1985

This associationis recognized in State Statute and advisesthe authority on emergencymedical servicesissues and has

responsibilityof overseeingprojectsproposedby EMS agencies.Serveasacurrentmember.PastMedicalDirector- Los AngelesCountyEmergencyMedical ServicesAgency 1987-1993

The Los Angeles county EMS Agency overseesthe largestEMS system in the world with over 2500 paramedicsand 80receiving hospitals.The medical director is responsiblefor system medical direction, approval of policies and procedures,disasteroversight,andprotocoldevelopment.Responsibilitiesalsoincludeddevelopingand maintainingoverall systemqualityimprovementand propermanagementof medical suppliesandpharmaceuticals.The overall system improvements,includingimplementationoftraumasystemsandpediatriccritical caresystems,alsofall underEMS agencypurview.

Chairman- Scopeof PracticeCommittee,Stateof California 1993-1999

Thescopeof practicecommitteereviewsall aspectsof the paramedicscopeof practicein theStateof California, anddeterminesmedical appropriatenessof treatmentmodalitiesin thestate.It is responsiblefor ensuringadequatedocumentationandsupportinthe literaturefor therapiesusedin theprehospitalsetting.

OversightAdvisory Committee- Pediatric Airway ManagementProject 1993-1999

Medical Editor eJournalof EmergencyMedicalServices 1985-1998

SMedical Director- MichaelCriley ParamedicTrainingInstitute 1981-1985

Boardof Directors- California Chapter, 1984-1987AmericanCollegeof EmergencyPhysicians 1997-1999

Vice President- CaliforniaACEP ‘ 1985-1987

Chairman- EMS Committee- California ChapterACEP 1983-1988

Editorial Review Board& EmergencyMedical Abstracts 1976-1985

2

ContributingAuthor sYearbookof EmergencyMedicine 1988-1994

EMPLOYMENT:

MedicalDirector,COLUMBIA EMERGENCYMEDICAL GROUP,EmergencyDepartment,LongBeachMemorialMedicalCenter,LongBeachMedicalDirector 1995-present

Contact: ColumbiaEmergencyMedicalGroupEmergencyDepartmentLongBeachMemorialMedicalCenter2801 Atlantic BoulevardLongBeach,California 90801562-933-1411

LONGBEACH MEMORIAL EMERGENCYDEPARTMENTGROUP,LongBeachMEMORIAL EMERGENCYDEPARTMENT.1976-1995

Contact: ColumbiaEmergencyMedicalGroupEmergencyDepartmentLongBeachMemorialMedicalCenter2801 AtlanticBoulevardLongBeach,California 90801562-933-1411

SIERRA SACRAMENTO VALLEY EMSAGENCY, ROCKLIN, CALIFORNIA MedicalDirector1993 to PresentContact: Leonard Inch, Director

SierraSacramentoValley EMS Agency5955PacificStreetRocklin, California95677916-625-1702

MERCY AIR AMBULANCE, RIALTO, CALIFORNIA Medical Director, 1995 to presentContact: AlaineSchauer,RN, ProgramDirector

Mercy Air Service1670 Miro WayRialto, California92376909-357-9006

LOS ANGELESCOUNTY EMS AGENCY, LOS ANGELES, CALIFORNIA. MedicalDirector 1987 -1993Contact: CarolGunter,RN, Interim Director

Los AngelesCountyEMS Agency5555FergusonDrive, Suite 220City of Commerce,California90022323-890-7539

EDUCATION:

UniversityofCalifornia, Berkeley,CaliforniaBA., Economics,with HONORS

University of Californiaat Los AngelesM.D., 1973

Universityof SouthernCalifornia, LosAngeles,CaliforniaResidency,EmergencyMedicine, 1976

LICENSESAND CERTIFICATION:

CaliforniaMedicalLicenseCaliforniaStateBoardof MedicalExaminers1976 - current

BoardCertified in EmergencyMedicine- AmericanBoardof EmergencyMedicine 1981 with Recertification2000through2010

Fellow AmericanCollegeofEmergencyPhysicians1981

InstructorStatusin ACLS andPediatricAdvancedLife Support- current

PROFESSIONALAFFILIATIONS:AmericanBoardof EmergencyMedicine,AmericanCollegeofEmergencyPhysicians.EmergencyMedicalServicesMedicalDirectorsof California,NationalAssociationof EMSPhysicians,CaliforniaMedicalAssociation,LongBeachMedicalAssociation,AmericanMedicalAssociation,Air MedicalPhysiciansAssociation

4

ATTACHMENT V

COUNTY OFLOS ANGELES - DEPARTMENTOF HEALTH SERVICESCERTIFICATION LIST

Area /Language

0 ABE

William J. Koenig

Marc Eckstein

Constantine 3. (sean

Khalid A. Kamal

JaniceM. Nelson

Total countof Examno 6

4/16/03 I 0 M

4/18/03 I - 0

3/5/03 I 0 M

4/16/03 1 0 BDH

3/5/03 1 60 1 0 M

Authonze~Si,~nature/Representative

Monday. May 19, 2003

Date

Y5480S - CHIEF PHYSICIAN II,M.D.~’ARJOUSSPECIALITIESPromulgationDate:

Life of List

Various

6 monthsJob Type: p Type: OC

ExpirationDate: Various

LaureneMascola

Name Address Work/HomePhone

Certified /Withhold Dt

3/26/03

Dept Group \‘et

295

Page241 of 466