thurston county medic one operations committee ~ … packet... · iii. public participation -...
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K:\Adminstration\Committees\Operations Committee\2020\Agendas\7 Ops July 9, 2020 agenda.doc
THURSTON COUNTY MEDIC ONE
OPERATIONS COMMITTEE ~ REGULAR MEETING
VIRTUAL ZOOM MEETING
AGENDA
July 9, 2020, 2:00 PM
I. CALL TO ORDER/ROLL CALL
II. APPROVAL OF AGENDA
III. PUBLIC PARTICIPATION - Recognition of LFD3 Jessica Johnson and OFD Julian Dizon
IV. REVIEW AND APPROVAL OF MINUTES
A. Operations Committee - June 4, 2020
B. EMS Council - June 17, 2020 (Informational Only)
V. COMMITTEE REPORTS
A. COVID-19 Update
1. ESF4 Report – Brooks
2. HPU Update – Miller-Todd
B. West Region EMS Council
C. Subcommittees
1. Equipment Committee (EqC) – Chair or Representative
2. Mass Casualty Incident (MCI) Committee – Chair or Representative
3. Training Advisory Committee (TAC) – Chair or Representative
4. Transportation Resource Utilization Committee (TRU) – Chair or Representative
5. ePCR Committee – Chair or Representative
D. Staff Report
VI. OLD BUSINESS
ITEM
PRESENTER
EXPECTED OUTCOME
A. EMS Council Action Report VanCamp Information
B. Special Projects Kuzma Approve/Disapprove
VII. NEW BUSINESS
ITEM
PRESENTER
EXPECTED OUTCOME
A. L&I Conference Call Brooks Information
VIII. GOOD OF THE ORDER
IX. ADJOURNMENT
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THURSTON COUNTY MEDIC ONE
OPERATIONS COMMITTEE ~ MEETING MINUTES
VIRTUAL
June 4, 2020
PRESENT: Larry Fontanilla, Tony Kuzma, Brian Hurley, Mark Gregory, Mark John, Dave Johnson, Keith Flewelling, Steve
Brooks, Brian VanCamp, Stewart Mason, Malloree Fontanilla, Alex Christiansen, Kathy Pace
ABSENT: Russ Kaleiwahea
EXCUSED:
GUESTS: Chris Clem, Shawn Crimmins
STAFF: Kurt Hardin, Sandra Bush, Ben Miller-Todd, Anna Lee Drewry
I. CALL TO ORDER/ROLL CALL – Chair VanCamp called the meeting to order at 2:00. Staff recorded roll.
II. APPROVAL OF AGENDA –MSC – Removed Recognition of LFD3 Jessica Johnson and OFD Julian Dizon,
added New Business, Item C. Scheduling for the July 2020 meeting. (Brooks/Hurley) move to approve and this
carried.
III. PUBLIC PARTICIPATION – None
IV. REVIEW AND APPROVAL OF MINUTES
1. Operations Committee – May 7, 2020 – MSC (Brooks/Flewelling) move to approve and this carried.
2. EMS Council – May 20, 2020 (informational only)
V. COMMITTEE REPORTS
A. COVID-19 Update:
• ESF4 Report: Brooks reported – There will be a meeting at Emergency Management tomorrow
for developing a “draft work in place” regarding the mask at work directives.
• HPU Update: No report.
B. West Region EMS Council – At the last meeting: A decision has not been made on the conference.
Questions can be directed to either Kathy Pace or Anna Lee Drewry; Reports on how each county is doing;
2021 budget was approved.
C. Subcommittees
1. Equipment Committee (EqC) – Crimmins reported: The committee met on May 21st. There is still a
shortage on D50 ampules and Sodium Bicarb ampules. There is the potential of not being able to get
Epi 1:10,000 pre-filled ampules, so options will be researched. In addition, clipboards have been
designed for MCI bags. The front has job aids and the back is tactics and critical success factors.
Agencies should see Alan at Medic One to receive these. The committee will send out a minimum
item list next week, for every MCI bag.
2. Mass Casualty Incident (MCI) Committee – There will be a zoom meeting soon, and Chief LaVielle will
send out an invite.
3. Training Advisory Committee (TAC) – Chris Clem reported: The committee has met since March, but
there is a meeting scheduled for June 18th.
4. Transportation Resource Utilization Committee (TRU) – Miller-Todd reported: Over the past couple of
months, TRU has been used as a hospital and pre-hospital collaborative effort to make sure that access to
the hospitals goes smooth. At the last meeting there was discussion on preparing for an increase in call
volume and how to deal with round-robin and diverts. Chief Brooks asked Stewart Mason to talk about
Capital Medical Center’s surgical limitations. Mason said they have had surgical restrictions because
multiple sterilizers have been down, so they are limiting surgeries to life threatening only procedures.
Unaffected areas are Cath Lab IR, OB, Endo, and simple ER procedures. This is being updated on
WATRAC.
5. ePCR Committee – Next meeting is the 3rd Wednesday in June.
D. Staff Report – Included in packet. Hardin reminded everyone about the PPE vigilance, especially in light of
the protests. Staff is working on resuming OTEP as soon as it’s safe to do so and working on distance training
where possible. CPR class were cancelled thru June 15th, and this may be extended.
Ben Miller-Todd presented Thurston County’s cardiac arrest survival for 2019 and used 2 slides from the
MPD’s State of the County inservice presentation. Thurston County’s Utstein criteria survival for 2019 was at
31% which is significantly lower than it has been in the past. One of the slides depicted a chart that provided
statistics on: Ustein | Survive to Admit | Survive to Admit % | Survive to discharge | Survive to discharge % | In-
4A
Page 2 of 2
Hospital Mortality. Ben pointed out that even though the 2019 cardiac arrest survival dropped, there was an
increase of 12% in the number of patients that met Utstein criteria, were resuscitated in the field (ROSC), and
that were subsequently admitted into the hospital from the field (57% in 2018 and 69% in 2019). Our EMS
crews are doing excellent work in the field and their hard work is being translated into more potential
survivors being delivered to the hospital.
VI. OLD BUSINESS
A. EMS Council Action Report – 1) COVID-19 responses activities were discussed. 2) Margaret McPhee was
elected as Chair and Stan Moon was elected as Vice-Chair. 3) Medic One Fund balance was discussed. Kurt is
anticipating a report this month on expected tax revenue.
VII. NEW BUSINESS
A. Special Projects Committee Appointment – VanCamp appointed Tony Kuzma as Chair, and Chief John and
Chief LaVielle as members. Staff will support this committee. Nearly $17,000 in requests came in, with a
budget of $10,000.
B. EMT Class Planning – Anna Lee Drewry presented information on class planning for the Fall EMT class, which
included traditional and distance learning, following the State and County requirements. Delivery Methods
included meeting as a group when possible (PPE precautions, and student screening on entrance); dispersed
practical skills; google classroom; and lecture provided thru Go To Meeting/Zoom/Duo. Staff is working on
ensuring all platforms function (address potential technical problems, ensure hardware is in working condition,
and all students need to have equal access). Medic One will need to develop a partnership with the Fire
Departments for stations that can be used for training (anticipate up to 5 locations), and these stations must
be available through the entire course, supporting all platform requirements. For recruit academy graduates
who are unable to participate in the EMT course, Medic One will train for First Aid and CPR as budget allows.
EMT course goals for the Fall: Accommodate day and evening opportunities; ability to accelerate instructor
process; more students trained per course; easier access for students; pre-course work; reading
comprehension testing; assigned appointments with SEI.
C. Scheduling for the July 2020 meeting – The July Ops meeting will be held July 9th at 2:00.
VIII. GOOD OF THE ORDER –
IX. ADJOURNMENT – (Pace/John) move to adjourn at 2:52, and this carried.
4A
6 EMSC Minutes June 17, 2020 Page 1 of 2
Thurston County Medic One Emergency Medical Services Council – Regular Meeting
Virtual – Go to Meeting June 17, 2020
PRESENT: Cindy Hambly, Frank Kirkbride, John Ricks, Tom Oliva, Stan Moon, Renata Rollins, Sheila Fay, Paul Perz, Gary
Edwards, EJ Curry, Brian VanCamp, Lenny Greenstein, Margaret McPhee
ABSENT: Larry Fontanilla
EXCUSED: Harry Miller
GUESTS: Chris Clem, Steve Brooks, JW Foster, Brian Hurley, Shawn Crimmins, Tony Kuzma
STAFF: Kurt Hardin, Sandra Bush, Ben Miller-Todd, Anna Lee Drewry
CALL TO ORDER/ROLL CALL – C h a i r M cPh ee called the regu la r meeting of the Emergency Medical Services Council (EMSC) to order at 3:30 PM. Kurt Hardin informed the council that zoom meetings do meet the Open
Public Meetings Act.
APPROVAL OF AGENDA – MSC – (Kirkbride/Moon) move to approve and this carried.
I. PUBLIC PARTICIPATION – None
III. REVIEW AND APPROVAL OF MINUTES
A. EMS COUNCIL – May 20, 2020 (Rollins/Oliva) move to approve, and this carried.
B. OPERATIONS COMMITTEE – June 4, 2020 (informational only)
IV. COMMITTEE REPORTS
A. OPERATIONS COMMITTEE: VanCamp reported: 1) Ben Miller-Todd presented cardiac arrest survival rates. Ben will
present this data to the EMSC at the July meeting. 2) Special Project applications have been received, totaling just under $17,000.
The Ops committee will review and ask for a recommendation from the EMSC at their July meeting. 3) Anna Lee Drewry
presented EMT class information and she is on today’s agenda to present to the council. 4) The July Ops meeting has been
changed to July 9th due to the July 4th holiday.
B. WEST REGION: Staff emailed the WREMS report to the council just prior to the meeting. Paul Perz also reported: 1) There
has been an update on strokes. 2) Stakeholder meeting will be in October to discuss proposed EMS rule changes.
C. STAFF REPORT: Staff report is included in the packet. Kurt highlighted on the following; 1) QI Process is being discussed
with Providence St. Peter’s Hospital. There was a meeting on June 11th to design a workflow process with ALS, and then roll out
with BLS in early 2021. 2) Reminder about PPE vigilance. 3) Draeger has agreed to honor our ALS ventilator professional
maintenance agreement thru January 2022. 4) Anna Lee will talk about EMT classes. 5) Citizen CPR classes started up this
week.
D. COMPREHENSIVE PLAN: No report.
V. OLD BUSINESSA. Budget Committee – Kurt provided a presentation which included Budget Goals; 2021- 2022 Budget Calendar;
Medic One Fund Balance Recap; Budget Summary. This presentation will be emailed to council members.B. Medic One Ballot Measure – Kurt presented a Levy Ballot Process. McPhee appointed the following individuals to
a Ballot Measure Committee: Frank Kirkbride, Paul Perz, Mark Gregory, Meredith Hutchins, Steve Brooks, Cindy
Hambly, and Tom Oliva. A meeting will be scheduled for next week.C. COVID-19 Update – Kurt reported: The BoCC and the Board of Health met this morning and they are requesting
an application for the County to move to Phase III. If the County is approved, then the County will re-open to the
public and public gatherings can increase to 50 people at one location. The County is anticipating hearing backfrom the State on Friday. If County offices do re-open, per Labor & Industries, employees will need to wear a maskunless they are working in an office or cubicle by themselves. People that come into the Medic One office will also
need to wear a mask. There have been questions about the cost to Medic One for the COVID-19 response.There has been a request for CARES funding which will replace the COVID-19 expenses incurred (i.e. PPE due to
4B
6 EMSC Minutes June 17, 2020 Page 2 of 2
the increase in operational cost). Response calls dropped in March, April and the first part of May, however calls are increasing, and the volume is close to normal at this time. Hospital emergency rooms are getting full again
which has caused hospitals to go into divert status. Capital Medical Center is diverting most of their patients currently because of a sterilization situation in their operating rooms.
VI. NEW BUSINESS A. EMT Initial Training/OTEP – The spring EMT course was cancelled and will combine with the fall class. Anna Lee
Drewry presented information on class planning for the Fall EMT class, which included traditional and distance
learning, following the State and County requirements. Delivery Methods included meeting as a group when possible (PPE precautions, and student screening on entrance); dispersed practical skills; google classroom; and lecture provided thru Go To Meeting/Zoom/Duo. Staff is working on ensuring all platforms function (address potential technical problems, ensure hardware is in working condition, and all students need to have equal access). Medic One
will need to develop a partnership with the Fire Departments for stations that can be used for training (anticipate up to 5 locations), and these stations must be available through the entire course, supporting all platform requirements. For recruit academy graduates who are unable to participate in the EMT course, Medic One will train for First Aid
and CPR as budget allows. EMT course goals for the Fall: Accommodate day and evening opportunities; ability to accelerate instructor process;
more students trained per course; easier access for students; pre-course work; reading comprehension testing; assigned appointments with SEI.
B. ALS Contract Renewal – A draft contract was included in the meeting packet. Kurt provided an overview of
changes to the contract. A recommendation from the council to the BoCC will be asked at the July EMSC meeting. C. ALS Fund Policy – The ALS Fund Policy created in 2017 will go away once the 2021-2022 ALS contracts are in
effect. As part of the 2020 budget reductions, Medic One has asked ALS agencies to no longer bill for items in the
policy thru 2020. The budget will be reviewed in the 13th month for available funds.
VII. PUBLIC PARTICIPATION – None
VIII. GOOD OF THE ORDER – Kurt said zoom meetings will most likely be a permanent way of meeting.
IX. ADJOURNMENT – 4:48
4B
OPS COMMITTEE STAFF REPORT FOR 7/09/2020
ALS Update:
• Medic One will be initiating QI review of all cardiac-related primary impressionsfor ALS providers over the course of July 9th - September 30th. This is a pilotprocess to design a workflow that we can apply to the entire system. We willinitiate this process with the ALS providers and perfect the system for rollout tothe BLS departments in early 2021.
• We need to remind our crews to continue their PPE vigilance as the pandemicwears on. We have had some close calls in recent weeks with PPE “fatigue.”
• Battelle has been able to sterilize up to 67% of the masks that we have beensending to their facility. The process is working smoothly, and Medic Oneencourages agencies to drop of any N95s that need to be sterilized.
• Medic One has been able to acquire blue, plastic gowns to bolster stock goinginto the fall. There are still supply chain constraints on PPE, but we are lookingto build up a stockpile to make the PPE reserves more resilient going into thecoming months.
BLS Update:
• The Fall 2020-2 EMT Course planning continues:
▪ All Departments have confirmed their students’ attendance from the
spring course for a total of 28 students. Course schedules and
applications will be sent to all Departments in July.
▪ The course schedule is being re-worked to reflect online assignments,
virtual meetings/lectures and evaluations.
▪ Class lectures are being modified and formatted for virtual
classroom/independent learning.
▪ Some lectures will be live presentation via Zoom.
▪ Regular meetings with individual students and SEI (course lead) will be
built into the course schedule. These may be virtual meetings.
▪ Reading assignments, course work and quizzes are also being formatted
and added to the virtual classroom.
▪ Each online module will be followed up with live (via Zoom) review, case
studies and group work sessions. These sessions will be a weekly
function.
▪ We have identified Fire Stations as satellite locations for distance
practical skills training that can accommodate the need for internet
bandwidth, space enough for social distancing requirements/storage and
proximity for students. Each Department will be contacted in July to
confirm willingness to host students and course staff and store
equipment throughout the course.
▪ Screening, facial covering and decontamination procedures will be strictly
followed during skill sessions.
5D
OPS COMMITTEE STAFF REPORT FOR 7/09/2020
▪ Equipment is inventoried and will be distributed between skill training
sites. Some new equipment will need to be purchased to accommodate
all locations.
▪ Tablets will be used by instructors at each skill training site to ensure the
SEI can monitor all sessions.
▪ EMT Course Tests will be proctored and delivered online at satellite
locations.
▪ Instructors and evaluators will be in-serviced to ensure they are updated
on course expectations and prepared to instruct students for distance
learning.
▪ To date, our students will do Emergency Department Rotations for
patient contacts. This may change depending on future hospital
requirements/restrictions.
▪ Evaluation tools will be used as the course progresses to identify
strengths and weaknesses.
• OTEP Training has resumed with social distancing and decontamination
guidelines in place. Training with SGAs (supraglottic airways) has been lead by
Amy Johnson-Carpenter to ensure a consistent roll out of this new skill for EMTs.
CPR Update:
• Citizen CPR Classes resumed June 16th with social distancing and
decontamination guidelines in place. 1137 citizens have been trained as of June
30th, 2020.
5D
Thurston County Medic One Special Projects Application - DATE
PROJECTS RATING MATRIX
Special Projects Budget: $10,000
Response Time Square Miles PopulationMulti-
AgencyAlt Funding Criteria
Comments MPD
Approval? Special Projects
Budget
A = 2
B = 1
C = 0
D = -1
E = -2
>30min = 2
10-30min = 1
<10min =0
>30 mi = 2
10-30 mi = 1
<10 mi = 0
>40k = 2
10-40k = 1
<10k = 0
>3 = 2
2-3 = 1
1 = 0
0 = Yes
1 = No
5 = New
4 = Enhance
3 = Replace
2 = Repair
1 = Potential
Improvement
No points applied for
comments or MPD
approvals
Project
Amount
Agency's Match
Request Amount
Allowable - per
SP criteria
Special Projects Committee
Funding Recommendation $10,000
Staff Comments
A Dist. 17 - Rehab for Safety 9 2 0 2 0 0 1 4 4,500 2,250 2,250 10,000
BDist. 9 - Ballistic Vest Armor
Plate Replacement9 2 0 2 1 0 1 3 8,000 4,000 4,000 10,000
CDist. 8 - Low Angle Rescue
Training9 1 0 2 1 0 1 4 4,400 2,200 2,200 10,000
DDist. 12 - Extrication battery
powered tools9 2 0 2 0 0 1 4 1,612 806 806 10,000
EDist. 6 - Personnel Bailout
System6 0 0 1 1 0 1 3 5,000 2,500 744 10,000
F Dist. 1 - Portable Radios 6 -1 0 2 1 0 0 4 13,249 5,187 0 10,000
G 0 10,000
H 0 10,000
BALANCE REMAINING IN BUDGET: $36,761 $16,943 $10,000 $0 $10,000
Comments:
APPLICANT AGENCY &
PROJECT NAME
Expenditure Detail
TOTAL
POINTS
Cost/ Benefit
Ratio
6B1
THURSTON COUNTY MEDIC ONE EMERGENCY MEDICAL SERVICES SYSTEM
SPECIAL PROJECTS IMPLEMENTATION APPLICATION – 2020 Please Complete One Application Per Project Request
Applications are due by: May 31, 2020
Return applications and any (additional and/or required) attachments electronically to:
Or mail to: Thurston County Medic One
2703 Pacific Ave SE Ste C, Olympia WA 98501
Agency South Bay Fire Department Project Title Low Angle Rescue Training Project Coordinator Name:
Christopher Pawlowski [email protected]
360-516-8253
Email Address: Contact Phone:
Project Criteria
Application Packet – Section III
☐ Implementation of NEW EMS Project(s)☐ New to your Agency OR ☐ New to Thurston County EMS Agencies
☐ ENHANCEMENT of Current EMS Project(s)☐ REPLACEMENT of Current EMS Project(s)☐ REPAIR of Current EMS Project(s)☐ POTENTIAL Improved Project(s)
Agency Response Time: 9:09 Agency Response Area (sq mi) : 31.4 Agency Area Population : 12,100
If Multi-Agency* use, Estimate your Agencies Response Time to provide assistance to these agencies
If Multi-Agency* use, Estimated Response Area(sq mi)
If Multi-Agency* use, Estimated Total Population Effected
PLEASE PROVIDE A LIST OF THESE ADDITIONAL AGENCIES:
*If you are claiming Multi-Agency use, please attach letters of acknowledgment from the agencies that they are in agreement with theproject/equipment request.
Alternate Funding? No Alternate Funding Source (i.e. agency bills for service provided):
Project Budget: $4400.00 Claiming Financial Hardship: No Additional Requested:
I have the authority to sign for this agency. In submitting this application, we agree to comply with all applicable laws and regulations controlling the delivery of emergency medical services, and with patient care guidelines and protocols adopted by the proper authorities in our service area(s).
This agency recognizes its obligation for its share of the project within this application and verifies that such funding is budgeted and will be available if this funding request is approved.
_ Authorized Signature Print Name/Title Christopher Pawlowski, LT Date 4/28/20
DESCRIPTION OF SPECIAL PROJECT - 2020 (Attach additional pages if necessary.)
Agency South Bay Fire Department
Project Title Low Angle Rescue Training Project Criteria
☐ NEW EMS ☐ ENHANCEMENT ☐ REPLACEMENT ☐ REPAIR ☐ POTENTIAL IMPROVEMENT1. Why is the project necessary (what is the issue or problem)?South Bay Fire Department (SBFD) covers hilly terrain, and perhaps once per quarter an EMS call involves low angle terrain, causing delayed access to EMS patients or requiring responders to work beyond their current training.
2. State the project objectives (what you want to accomplish).Develop department-wide competence in low angle rescue, such that a regularly staffed engine crew cansafely deliver an EMT to a patient on a slope to render care while awaiting a SORT callout for patientretrieval.
3. Describe the method for project implementation (how you are going to do it).Train 8 key responders, with 4 to be train-the-trainer qualified, to NFPA 1670 "operations" levelcompetency. These will be a combination of volunteer and career members, who will in turn train the restof the department. The department will acquire appropriate equipment separately.
4. Describe how you will evaluate the effectiveness (impact) of the project.Per-call and yearly review of affected calls, concurrent with yearly refresher training to maintaindepartment-wide competence.
5. Project Budget:
ITEM(S) TOTAL COST AGENCY SHARE
MEDIC ONE SHARE1
(Max 50%)
1) Class, "Rope Rescue: Engine Company Operations" 4400 2200 2200
2)
3)
4)
5)
TOTALS 4400 2200 2200
Applicants requesting Medic One support at an amount greater than a 50% share must provide written justification for financial hardship. Refer to the information packet, Section V., Projects Cost Guidelines (Page 3) for required details.
THURSTON COUNTY MEDIC ONE EMERGENCY MEDICAL SERVICES SYSTEM
SPECIAL PROJECTS IMPLEMENTATION APPLICATION – 2020 Please Complete One Application Per Project Request
Applications are due by: May 31, 2020
Return applications and any (additional and/or required) attachments electronically to:
Or mail to: Thurston County Medic One
2703 Pacific Ave SE Ste C, Olympia WA 98501
Agency
Project Title
Project Coordinator Name: Email Address: Contact Phone:
Project Criteria
Application Packet – Section III
☐ Implementation of NEW EMS Project(s)☐ New to your Agency OR ☐ New to Thurston County EMS Agencies
☐ ENHANCEMENT of Current EMS Project(s)☐ REPLACEMENT of Current EMS Project(s)☐ REPAIR of Current EMS Project(s)☐ POTENTIAL Improved Project(s)
Agency Response Time Agency Response Area (sq mi) Agency Area Population
If Multi-Agency* use, Estimate your Agencies Response Time to provide assistance to these agencies
If Multi-Agency* use, Estimated Response Area(sq mi)
If Multi-Agency* use, Estimated Total Population Effected
PLEASE PROVIDE A LIST OF THESE ADDITIONAL AGENCIES: ____________________________________________________________________________________________________________________ *If you are claiming Multi-Agency use, please attach letters of acknowledgment from the agencies that they are in agreement with the project/equipment request.
Project Budget: Claiming Financial Hardship: Yes No Additional Requested:
I have the authority to sign for this agency. In submitting this application, we agree to comply with all applicable laws and regulations controlling the delivery of emergency medical services, and with patient care guidelines and protocols adopted by the proper authorities in our service area(s).
This agency recognizes its obligation for its share of the project within this application and verifies that such funding is budgeted and will be available if this funding request is approved.
____________________________________________________________________________________________________________________ Authorized Signature Print Name/Title Date
Alternate Funding? NoAlternate Funding Source (i.e. agency bills for service provided): Yes
DESCRIPTION OF SPECIAL PROJECT - 2020 (Attach additional pages if necessary.)
Agency
Project Title Project Criteria
☐ NEW EMS ☐ ENHANCEMENT ☐ REPLACEMENT ☐ REPAIR ☐ POTENTIAL IMPROVEMENT1. Why is the project necessary (what is the issue or problem)?
2. State the project objectives (what you want to accomplish).
3. Describe the method for project implementation (how you are going to do it).
4. Describe how you will evaluate the effectiveness (impact) of the project.
5. Project Budget:
ITEM(S) TOTAL COST AGENCY SHARE
MEDIC ONE SHARE1
(Max 50%)
1)
2)
3)
4)
5)
TOTALS
Applicants requesting Medic One support at an amount greater than a 50% share must provide written justification for financial hardship. Refer to the information packet, Section V., Projects Cost Guidelines (Page 3) for required details.