Specifications include, but are not limited to: Serve as the Emergency Medical Services Medical Director, the medical advisor to the County on EMS clinical matters, including emergency preparedness planning efforts. 2. Serve as the Medical Director for the provider selected to operate the Clackamas Ambulance Service Area (ASA), CCOM, LOCOM, and additional agencies that contract with Clackamas County for the provision of EMS medical direction services a. Act as Physician Supervisor for EMTs and paramedics employed by the Clackamas County ASA ambulance service provider (Ambulance Contractor) for emergency services including the Reach and Treat Team and River Rescue programs, and all additional agencies contracted with Clackamas County Health Division (CCPHD) for medical direction services b. Provide regular office and telephone consultation: provide approximately two (2) office hours each week and two (2) hours of telephone consultation. The office hours may be used for committee meetings, quality improvement projects, meetings with individual EMTs, and educational planning needs. Telephone consultations will be available for operations and activities with immediate needs. c. Quality Improvement Program: Oversee the Ambulance Contractor’s and additional contracted agency’s quality improvement program, including the development of countywide clinical Key Performance Indicators (KPI). d. Field Training Program: Oversee the Ambulance Contractor’s and additional contracted agency’s Field Training Program and provide ride-along time, as needed, for quality assurance. e. Education program. Work with training officers for the ambulance contractor and additional contracted agencies to develop initial and ongoing education – including academy lectures, multi-agency training, recorded/virtual materials 3. Oversee and provide advising and support for county-wide EMS quality improvement program. 4. Serve as the Medical Review Agent for the County ambulance provider contract. 5. Seek feedback and input from EMS physicians before implementing changes within the system. 6. Address urgent issues and complaints of an egregious clinical nature and provide expertise in investigations and/or interventions in collaboration with partner agencies, as needed. 7. Establish and maintain credentialing, certification and authorization standards for ambulance and Participating Providers' EMT and paramedics. 8. Establish requirements for communication with online medical control and receiving hospitals. 9. Serve as a clinical liaison to the hospitals, including the emergency departments and specialty services. 10. Establish initial, recurrent and competency-based training standards and may require training and education. 11. Chair the Clackamas County EMS Physicians Advisory Board. 12. Approve protocols for Emergency Medical Dispatch and Priority Dispatch. 13. Actively participate in the regional Protocol Development Committee. 14. Establish standards for certification, equipment, standards of care, clinical protocols and patient hand-off procedures for Participating Provider agencies. 15. Supervise, lead and mentor the County’s Associate EMS Medical Directors. 16. Work directly with county staff on multiple EMS matters, including but not limited to: a. Ambulance Service Plan standards b. Clinical standards in ambulance contracts c. Countywide clinical KPI development d. Public health and EMS integration e. Preparedness planning 17. Work directly with County Public Health Officer as necessary 18. Work directly with staff, other County EMS medical directors, agencies, and hospitals on implementing countywide EMS data technologies such as county-wide electronic health records, data aggregation and surveillance (ESO, FirstWatch, and hospital data exchange (HDE).