EMS & Trauma Systems Section Robin Shivley, Manager

1. EMS & Trauma Systems Section Robin Shivley, Manager

2. Topics • Organizational Structure • Life Support Agency Inspections • Criminal Background Checks • NREMT Exam Results • Audits/Complaints/Enforcement • Regionalization Initiative • National Education Standards • Pan Flu Plan for EMS • H1N1 – Protocols and Training Site • MCA/LSA Assessment • Furlough Days • Notes from National Conference • Web Site

3. EMS Organizational Structure

4. EMS & Trauma Systems Section The Department shall: • Facilitate and promote programs of public information and education concerning emergency medical services personnel. • In case of actual disasters and disaster training drills and exercises, provide EMS resources.

5. EMS & Trauma Systems Section • Plan, develop, coordinate, and administer a statewide emergency medical services communications system. • Develop and maintain standards of emergency medical services and personnel as follows: • License EMS personnel • License Life Support Agencies • Inspect each life support agency and conduct random inspections of life support vehicles

6. EMS & Trauma Systems Section • Promulgate rules to establish the requirements for licensure of life support agencies, vehicles, and individuals licensed under this part. • Designate Medical Control Authorities • Collect data to assess the need for and quality of EMS • Review and approve education program sponsors, ongoing education program sponsors, and curricula for EMS personnel.

7. EMS & Trauma Systems Section • State Model Protocols • New Emergency Preparedness Protocols • Medical Control Seminar – Annual Seminar • Random Audits • National Registry – CAT • EMS for Children Grant • Office of Highway Safety Planning Grant • Other Initiatives

8. Legislation • Public Acts 368 of 1978 as amended • Part 209 • Administrative Rules (revised 5/04) • Administrative Policy

9. Contracts • Regional Coordinators • UPEMS • Brent Williams • MSU/KCMS • Image Trend

10. Regional Coordinator • John King – regaems@voyager.net or 989/539-4120 Covers the following counties: • Alcona, Arenac, Bay, Benzie, Clare, Crawford, Gladwin, Grand Traverse, Gratiot, Iosco, Isabella, Kalkaska, Lake, Leelanau, Manistee, Mason, Mecosta, Midland, Missaukee, Montcalm, Muskegon, Newaygo, Oceana, Ogemaw, Osceola, Oscoda, Roscommon, and Wexford

11. Regional Coordinator • Tammy Forbush – region3ems@gmail.com or 734/956-5525 Covers the following counties: Macomb, Oakland, and Wayne

12. Regional Coordinator • Glenda Dolehanty – gdolehanty@comcast.net or 810/635-0837 Covers the following counties: Barry, Clinton, Eaton, Genesee, Huron, Ionia, Kent, Lapeer, Ottawa, Saginaw, St. Clair, Sanilac, Shiawassee, and Tuscola

13. Regional Coordinator • Jamie Janson – jjanson@cablespeed.com or 517/655-3914 Covers the following counties: Allegan, Berrien, Branch, Calhoun, Cass, Hillsdale, Ingham, Jackson, Kalamazoo, Lenawee, Livingston, Monroe, St. Joseph, VanBuren, Washtenaw, Indiana and Ohio

14. Regional Coordinator • Robert Struck – UPEMS – upems@aol.com or 906/228-4182 Covers the following counties: Alger, Alpena, Antrim, Baraga, Charlevoix, Cheboygan, Chippewa, Delta, Dickinson, Emmet, Gogebic, Houghton, Iron, Keweenaw, Luce, Mackinac, Marquette, Menominee, Montmorency, Ontonagon, Otsego, Presque Isle, Schoolcraft and Wisconsin

15. EMS Coordinating Committee

16. Life Support Agencies • Agency inspections – areas of non-compliance: • Documentation that each individual operating a licensed life support vehicle during an emergency or patient transport has completed a department approved vehicle operation education and competency assessment.

17. Life Support Agencies • Agency inspections – areas of non-compliance: • Written policies and procedures that address safety and accident reduction & comply with state and federal laws (CLIA, etc.) • Provision of clinical competency assessments prior to the individual practicing.

18. Life Support Agencies • Agency inspections – areas of non-compliance: • Documentation of evidence of an orientation for EMS personnel to familiarize with agency’s policies and procedures. • Evidence of participation in an agency based and/or medical control quality improvement process.

19. Criminal Background Checks • Significantly increased (75 applications per month with 25 needing further action) – applications take time to process • Website: New Criminal Conviction Guidelines – link to Section 20173a • Informal Conference • Subcommittee to review applicants • Recommendations are made based upon criminal history lien, court documents, etc.

20. Cognitive Exams Administered By Year

22. 2008 Pass RatesFirst Attempt

23. Audit Process • Random Audits – the department may require an applicant or licensee to submit documentation to demonstrate compliance with the CE requirement. • The applicant or licensee shall maintain documentation of their compliance with CE requirement for a period of 1 year after the expiration date of the license (effective May 2004).

24. Audit Process • Failure to provide documentation creates a rebuttable presumption that the licensee has made a false and fraudulent statement in applying for a license to practice EMS. • Acceptable documentation of CE shall include: • Name of licensee • Name of sponsoring organization & IC number • Title of program • Hours of CE awarded per category • Date of program • Signature of IC or designee

25. Audit Process • Failure to meet requirements leads to suspension or revocation – 2007 • 68 Suspended • 47 Revocations • Total audits conducted in 2007 was 512 (59% compliant). Included all levels except MFR.

26. Audit Process • Total audits conducted in 2008 will be approximately 580 – includes MFR. • Compliance rate is at about 50%