Designated regional emergency medical services councils will perform a scope of work operating and identifying as an extension of OEMS that is defined through a negotiated contract, including Key Performance Indicators (KPIs). The scope of work includes, but is not limited to, the following: A. Regional Infrastructure (§32.1-111.4:2, 12VAC5-31-2720, 12VAC5-31-2350, 12VAC5-31-2730, 12VAC5-31-2740) • Establish and/or maintain a place of operations within the service area to facilitate stakeholder support, engagement, and liaison • Maintain a routine operating schedule to facilitate the delivery of regional EMS services • Hire and/or maintain adequate staffing to deliver regional EMS services • Maintain other resources to ensure regional EMS delivery (such as fleet, IT infrastructure, hardware) • Develop and/or maintain key partnerships/collaborations to enhance system development o Local health districts, local emergency planning committees o Local emergency associations or similar o Other regional/state partners • Ensure accountability for public funds (12VAC5-31-2740) and compliance with matching fund requirements B. Governance and Stakeholder Representation and Engagement (12VAC5-31-2330, 12VAC5-31- 2650, 12VAC5-31-2660, §32.1-111.4:2) • Ensure organization board/governance structure is broadly represented by EMS stakeholders from within the defined service area through by-laws or articles of incorporation that define agencies/entities represented and method of selection and appointment • Establish policy guidance for monitoring, encouraging, and assuring stakeholder participation in governance • Engage representatives from participating local governments, fire protection agencies, lawenforcement agencies, emergency medical services agencies, hospitals, licensed practicing physicians, emergency care nurses, mental health professionals, emergency medical technicians and other appropriate allied health professionals in regional EMS delivery C. Regional Liaison and Support (§22.1-279.8, §32.1-111.3, §32.1-111.4:2, 12VAC5-31-2330) • Interact with EMS agencies and personnel to identify and address needs and/or service gaps and provide technical assistance • Engage with Regional Coordinators and/or other OEMS staff on other relevant EMS delivery matters including but not limited to o External grant application support or assistance o Agency recruitment/retention support o Provider health and safety and/or peer support o Decedent blood exposure program support o Assistance with special projects such as OEMS developed or supported surveys o Continuity of Operations Planning • Participate in the development and/or review of public-school crisis, emergency management, and medical emergency response plans as mandated by §22.1-279.8 • Support other programs/initiatives of OEMS, as communicated by Regional Coordinators • Develop region-specific programs and initiatives as deemed necessary by regional stakeholders and approved by the governing body • Coordinate and collaborate to complete an annual regional EMS needs assessment