EMS Commander

Leadership Roles and Responsibilities

Vires acquirit eundo

Why? Command has become task-oriented No longer a leadership position Lack of leadership showing up in the field Lack of consistency And the biggie…

If we don’t define it, someone else will

Purpose Define role of Commander Redefine leadership position Set Commander priorities Retake the role of Clinical and Operational

Expert

Un-delegate the Leadership

Delegate the tasks

Process Multiple meetings Diverse attendees Cross section with Comm, Clinical, Field

and Rescue Review of Budget Office Key Indicators Brainstorming Passionate debate at every turn…

Department Mission, Vision, Values and

Goals

City Performance Measures

Key IndicatorsEmployee

performance

Employee’s attitude toward the

job

Success of the employee

Comm

ande

r

Step 1: Defining the Role

The Commander will enthusiastically motivate employees towards preserving

life, improving health and promoting safety while fulfilling the role of Community, Department and Public Safety agency

liaison.

Step 2: Command Mission Statement

Highest Impact Focused on Primary Delivery Relational Leadership Setting the Standard Moving from Management to Leadership

Step 3: Setting Priorities

The ResultsNo particular order…

Information

Timely Sought and Exchanged

ClarifiedCommander as

information source

System resourceCall response

System status awareness Echo response

On-scene expertise High acuityHigh profile Multi-agency

Public Information OfficerPrimary problem solver

Leadership

Employee development

Directing Coaching Supporting Mentoring Delegating Active in Professional

Development

Active in vision setting Establishing goals we

are all driving towards Active participants at the

table Department priorities

On-going relationship development

Vital leadership role Closing the gap

Clinical expertise Educators

Real time Quality Assurance / Quality Improvement

Front line clinical resource

Educators Needs to be un-delegated Commanders first to receive education and

new clinical information Primary educators for platoon-level training Active in Academy processes Active in Professional Development of Field

and Command Staff

Real-Time QA / QI Clinical Issues

POC for clinical issues Clinical investigative process

QI “Hot Button” (Code Stroke, STEMI, or other clinical focus) calls On-site education Real-time review

Frontline clinical resource

Primary contact for clinical questions and/or issues

Coordination point for complex questions and issues

Primary On scene and Online resource

Community Liaison Public Information Officers

On scene PIO during high acuity calls PIO for on-duty PR events

Customer Service representative Critical CS issues Time sensitive CS issues

Consistency Regularly scheduled Command meetings

Clinical review Clinical discussion/education Operational review and discussion Open forum Face to face to enhance communication and consistency Consistent review and application of standards

Weekly show up calls Regularly-scheduled shift-specific gatherings Team-based approach to decision making, even on the little

stuff

Professional decorum

Professional integrity Importance of perceptions

Personal and professional indiscretions Workforce morale

Every action magnified by the position we hold Respect is earned, not demanded Commander conduct Commanders will set the tone for professional

courtesy, respect and integrity Familiarity breeds contempt

Accountability Accountable to each other Police our own Command Review and Accountability Board

Staffed by randomly assigned Commanders Reviews Commander leadership outcomes Also reviews Command performance sentinel events

One slacker hurts the team

Next Steps – Logistics PROMOTE! Determine Command Shift Schedules Re-districting and Bid process Set Command Priorities Set Command-led monthly Professional

Development Re-engage with Medical Director Commanders as Medical Officers

Next Steps- Logistics (Continued)

Streamline information exchange (right after we solve world hunger)

PIO Training CAD configuring for

Command Response Redesign:

Customer Service intake Pony Express processes

Flesh out education and professional development

CRAB Redesign Command SSPR Seat at the Planning Table Command job satisfaction Dive into the Parking Lot Redesign Command

Process

DiscussionVires acquirit eundo