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Regina Godette-Crawford Chief, OEMS

Summer Educational Conference Renaissance Hotel Asheville , NC July 7-10, 2012. EMS UPDATE. Regina Godette-Crawford Chief, OEMS. OEMS ADMINISTRATION. Staff Changes/Retirements/Promotions at the OEMS Elva Barnhardt Contracts Manager retired in March 2012

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Regina Godette-Crawford Chief, OEMS

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  1. Summer Educational ConferenceRenaissance Hotel Asheville , NCJuly 7-10, 2012

  2. EMS UPDATE Regina Godette-Crawford Chief, OEMS

  3. OEMS ADMINISTRATION Staff Changes/Retirements/Promotions at the OEMS • Elva Barnhardt Contracts Manager retired in March 2012 • Heather Majernik Education & Credentialing Manager accepted a position with Wake Health & Hospitals in May 2012. • Shelley Carraway Hospital Preparedness Program Manager accepted a position with the Division office in June 2012.

  4. OEMS ADMINISTRATION StaffPromotionsat the OEMS • Chuck Lewis, EMT-P, RN Western Regional Manager • Allen Johnson, EMT-P Eastern Regional Manager

  5. OEMS ADMINISTRATION • Data Review Committee organized to review and define data points. • Completed review and update of 13P 21 NCAC rules as required by Session Law 2011-398 (formerly SB 781). This rule Required annually. • NFPA 1917 Ambulance Standards is forthcoming, which will change the standards for Ambulance Construction in NC. NCOEMS is participating on a committee within NAEMSO to address this issue at the national level. We will work with NCAEMSA to address any standards needed for North Carolina.

  6. OEMS ADMINISTRATION EMS White Paper • H.R. 3144 - introduced in October 2011 • Currently in two (2) Committees House Committee on Energy and Commerce House Committee on Ways and Means Nothing has changed 

  7. Blood & Urine Sampling for DWI Suspects

  8. Blood & Urine Sampling • Memo forwarded out statewide on July 2, 2012 stating OEMS position on current G.S. § 20-139.1(d2)

  9. Statewide Survey Response • Survey was forwarded out to assess impact of issues on EMS Systems across the state. • This survey addressed two topics that has affected most agencies; • Blood & Urine Sampling for DWI Suspects • Medication Shortages

  10. Statewide Response to Survey Alleghany Northampton Currituck Ashe Surry Stokes Rockingham Warren Gates Caswell Person Vance Hertford Camden Pasquotank Granville Halifax Watauga Wilkes Yadkin Perquimans Forsyth Chowan Franklin Guilford Mitchell Avery Orange Bertie Caldwell Alamance Durham Nash Yancey Alexander Davie Edgecombe Madison Tyrrell Martin Iredell Washington Wake Davidson Burke Dare Randolph McDowell Catawba Chatham Wilson Rowan Buncombe Pitt Haywood Beaufort Lincoln Johnston Greene Swain Hyde Rutherford Cabarrus Lee Harnett Graham Henderson Cleveland Montgomery Wayne Jackson Moore Gaston Polk Stanly Lenoir Transylvania Mecklenburg Craven Macon Cherokee Pamlico Cumberland Clay Richmond Hoke Jones Union Anson Sampson Duplin Carteret Onslow Scotland Robeson Bladen Pender Response to Survey 70 Counties New Hanover Columbus No Response 31 Counties Brunswick Specialty Care Responses 4 Agencies Total Agencies Responding to Survey 93 Total Counties Responding to Survey 70

  11. Blood & Urine Sampling • Are you currently being requested by Law Enforcement in your area to obtain blood and/or urine specimens for alcohol and controlled substance testing?

  12. Blood & Urine Sampling • How often does this occur?

  13. Blood & Urine Sampling • Which branch of Law Enforcement has been requesting you to obtain blood specimens for alcohol and controlled substance testing?

  14. Blood & Urine Sampling • Does your EMS Agency/System have a current policy to provide guidance to staff in securing blood and/or urine specimens for Law Enforcement?

  15. Sample Sampling Policies • Several Policies adopted by Agencies were submitted in the Survey, and available to assist any Agency interested in creating a Policy or Guideline for use. • Feel free to contact your Regional EMS Office to obtain copies of these Samples

  16. Blood & Urine Sampling • Has the requirement for obtaining blood and/or urine samples for Law Enforcement been a burden to your EMS Agency/System?

  17. Blood & Urine Sampling • Do you think the requirement as defined in G.S. 20-139.1(d2) for EMS personnel to obtain blood and/or urine samples when directed by law enforcement should be repealed?

  18. Medication Shortage

  19. Medication Shortage • Memo forwarded out statewide on July 2, 2012 stating OEMS position.

  20. Medication Shortage • Has your EMS Agency/System been affected by the current medication shortages?

  21. Medication Shortage • Is your EMS Agency/System currently experiencing a shortage of:

  22. Medication Shortage • Is your EMS Agency/System currently experiencing a shortage of:

  23. Medication Shortage • Is your EMS Agency/System currently experiencing a shortage of:

  24. Medication Shortage • Is your EMS Agency/System currently experiencing a shortage of:

  25. Medication Shortage • Is your EMS Agency/System currently experiencing a shortage of:

  26. Medication Shortage Summary • It appears that EMS Agencies are dealing with current medication shortages. • It is apparent by the survey that EMS agencies will be substantially impacted if the medication shortage continues. • OEMS has been involved in some meetings with Federal partners to determine potential solutions.

  27. RULES UPDATE

  28. RULES UPDATE Rule .0221 “Transportation of Patients Between Hospitals” became effective July 1, 2012. • This rule allows traditional and Specialty Care programs to transport non-specialty care patients between hospitals using an RN or other allied health professional attending the patient.

  29. Healthcare Preparedness Response and Recovery

  30. Healthcare Preparedness Response and Recovery Operations • Statewide Exercise May 2012 • State Medical Support Shelters • Pitt County/Cumberland County • SMRS • Local Support • Mission Packages • Working with NC Emergency Management • Capability focused (no longer team)

  31. Healthcare Preparedness Capabilities • Released January 2012 • 8 Capabilities • Aligned with the 15 PH Capabilities http://www.phe.gov/Preparedness/planning/hpp/reports/Documents/capabilities.pdf

  32. Healthcare Preparedness Response and Recovery • FY12 ASPR Grant $10,319,477 • State Projects of Interest • Patient Tracking • Resource Tracking • Inventory Management • Regional Applications • Capabilities based • Risk Assessment • Gap analysis • Due August 1, 2012

  33. Healthcare Preparedness Response and Recovery Democratic National Convention (DNC) • DNC Health and Medical Planning • SMRS Response • SMAT II • SMAT III • AST • Mobile Disaster Hospital • Rapid Response Unit • Medical Coordination Team • NC Baptist Men Logistical Support

  34. Healthcare Preparedness Response and Recovery EMS Assessment Project • Assessment by UNC-School of Public Health • Goal to conduct a program assessment to include; Disaster Trauma EMS • Currently completing a survey and interviews with OEMS staff and management • EMS Systems will receive survey link within the next month • SMAT Teams will receive survey link within the next 2 months and possibility of on site interviews • Assessment with recommendations to be completed by January 2013

  35. Healthcare Preparedness Response and Recovery Program Changes • New Staff • HPR&R Operations - Jeff Peterson Vacancies: • Hospital Preparedness Program Coordinator • Shelley Carraway • June 1 moved to DHSR Planning Section • Position Posted • Communications • Danny Allen • Position under review

  36. System Update

  37. EMS SYSTEMS UPDATE 2012 NCCEP Protocols are now released Posted at www.ncems.org • You may begin your implementation of these protocols, and submitting your applications for approval. • Please direct any questions to your Regional EMS Office. • We will be making available the Protocol Implementation Form.

  38. HEALTH SYSTEMS & TRAUMA

  39. UPCOMING TRAUMA SITE VISITS • Moses H. Cone Memorial Hospital/Cone Health – August 2012 • Duke University Medical Center – October 2012 • Wake Forest Baptist Medical Center – November 2012 • High Point Regional Health System – November 2012 • New Hanover Regional Medical Center – December 2012 • WakeMed/Raleigh Campus – March 2013

  40. TRAUMA REGISTRY • Updating software to enable capture of data in compliance with NTDB standards and ACS Guidelines. • New Validation Tool to ensure trauma registry data quality. • New process implemented for data completion. Record completion reduced from 365 days post patient discharge, down to 80 days post patient discharge.

  41. EDUCATION

  42. EDUCATION Agenda for the Future • OEMS is working with the NC Association of EMS Educators and the NC Community College System to develop the new curricula. • The NC Association of EMS Educators is applying for a grant for curriculum development. • One NREMT transition course was conducted as a pilot. Two courses are pending to after January 1, 2013 as NREMT will not accept transition courses conducted prior to that date. • A floating timeline for implementation has been developed. This is dependent on NCOEMS Education Rules revision. • OEMS would like to implement all levels by January 1, 2014.

  43. EDUCATION Credentials • NCOEMS is receiving an influx of Expired Emergency Medical Dispatch (EMD) Credentials. • Please remind your EMD communication center that personnel must maintain an up-to-date North Carolina EMD Credential or they are not allowed to process EMD calls. • NCOEMS, with the help of the EMS PIC, initiated a system to notify providers of pending credential expiration. The system has been in operation for the past two months.

  44. Emergency Medicine Today October 6-10, 2012 Koury Convention Center, Greensboro NC Registration InformationConference registration will be available in late July or early August.

  45. COMPLIANCE UPDATE

  46. COMPLIANCE UPDATE OEMS Enforcement Statistics January 1, 2012 – June 30, 2012 77 - Total Complaints Received. 23 - Complaints closed with no substantiated rule violations. 44 - Complaints became formal investigations with substantiated rule violations. 10 - Complaints are presently been addressed.

  47. COMPLIANCE UPDATE • The agency’s Case Review Panel reviewed 60 cases involving investigations and individuals with criminal histories. • The NC EMS Disciplinary Committee interviewed 25 individuals.

  48. COMPLIANCE UPDATE • Enforcement actions taken resulted in: • 6 Individuals credentials revoked. • 2 Credentialing Applications denied. • 3 Credentials Summarily Suspended.

  49. COMPLIANCE UPDATE Enforcement actions were necessary due to: • Potential Substance abuse issues. • Criminal histories including felonies. • Providing medical care and treatment outside the credentialed scope of practice. • Falsification of credentialing application.

  50. COMMUNICATIONS

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