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Chief medical officer briefs committee on proposed 2025–26 medical control board budget
Summary
Dr. Jeffrey Goodloe told the Urban and Economic Development Committee that EMS clinical capabilities have expanded and the proposed medical control board budget aims to remain largely flat aside from modest labor changes and a new data-support position; much of the oversight budget is covered by MSAA CQI funding rather than city general funds.
Dr. Jeffrey Goodloe, chief medical officer, told the Tulsa Urban and Economic Development Committee on May 14 that the medical control board is seeking the committee's consideration of the proposed 2025–26 medical control board budget while stressing clinical improvements and cost restraint.
Goodloe said the EMS system has adopted new cardiac monitors, defibrillators and airway-management tools and described a recent on-scene whole-blood transfusion for a trauma patient as an example of improved capabilities. "We are in a good place, in our overall EMS, system," he said. He described the board's approach as "very, very careful with cost conservation" and said the proposed budget keeps expenses flat outside of "very small labor adjustments." The budget includes a 2.5% pay increase for full‑time personnel and funding to hire a part‑time 1099 data‑entry position to support the cardiac arrest database.
The committee heard that the cardiac arrest registry has grown substantially; Goodloe referenced a rise from the low hundreds to roughly a thousand resuscitations annually and described continued growth in case volume that requires additional data support to maintain oversight and quality improvement.
Councilor Bellis asked how Medicaid reimbursements factor into the oversight funding. Goodloe said detailed reimbursement structure would be addressed by the CFO for MSAA CQI but added broadly that government payers (Medicare, Medicaid, TRICARE) currently reimburse below the cost of care and that the commercial insurance cohort currently carries a large share of the health‑care safety net. He quantified grants and program funding: "79.5% of our budget comes from MSAA CQI funding," and said only a marginal city contribution is expected, with any city costs included in the Tulsa Fire Department budget.
Dr. Patrick Cody, identified by Goodloe as a member of the medical oversight team, was introduced as the physician who focuses on innovative and alternative response programs including behavioral health and opioid‑use disorder responses. Goodloe and the committee emphasized the board's interest in keeping medical oversight costs low while maintaining clinical capability.
No formal vote or motion on adoption of the 2025–26 medical control board budget was recorded in the committee discussion portion of the transcript; the item was presented for review and committee questions.
The committee did not take a recorded final action during this meeting; staff and medical oversight leaders offered to supply additional budget detail as requested.
Ending: The committee moved on after questions; no ordinance or adoption vote appears in the transcript segment provided.
