Transcript Document 7165260

EMS & Trauma Systems Section
Robin Shivley, Manager
Topics
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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
EMS Organizational Structure
EMS & Trauma Systems Section
Robin Shivley, Manager
Paula Fehrenbach
Admin. Asst.
Michelle Mora
Trauma Coordinator
Cheryl Klima, MSW
EMS Bioterrorism Coordinator
Lori Lynn
LSA & Vehicles Expert
Sabrina Slee
Licensure Audit & Compliance Coordinator
Linda Nesbitt
Medical Control Authority Analyst
Lila Snider
Personnel Expert
Carl Martin
EMS Analyst
Marvin Helmker
Education Coordinator
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.
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
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.
EMS & Trauma Systems
Section
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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
Legislation
• Public Acts 368 of 1978 as amended
• Part 209
• Administrative Rules (revised 5/04)
• Administrative Policy
Contracts
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Regional Coordinators
UPEMS
Brent Williams
MSU/KCMS
Image Trend
Regional Coordinator
• John King – [email protected] 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
Regional Coordinator
• Tammy Forbush –
[email protected] or 734/956-5525
Covers the following counties:
Macomb, Oakland, and Wayne
Regional Coordinator
• Glenda Dolehanty –
[email protected] or 810/635-0837
Covers the following counties:
Barry, Clinton, Eaton, Genesee, Huron,
Ionia, Kent, Lapeer, Ottawa, Saginaw, St.
Clair, Sanilac, Shiawassee, and Tuscola
Regional Coordinator
• Jamie Janson – [email protected]
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
Regional Coordinator
• Robert Struck – UPEMS – [email protected] 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
EMS Coordinating
Committee
Life Support Agencies
• Agency inspections – areas of noncompliance:
– 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.
Life Support Agencies
• Agency inspections – areas of noncompliance:
– 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.
Life Support Agencies
• Agency inspections – areas of noncompliance:
– 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.
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.
Cognitive Exams Administered By Year
MFR Exams Administered
1000
600
932
853
779
800
EMT Exams Administered
1876
2000
656
1637
1644
1561
1567
1525
2002
2003
2004
2005
2006
1500
521
481
1000
400
500
200
0
406
0
2002
2003
2004
2005
2006
2007
2001
EMT-S Exams Administered
Paramedic Exams Administered
133
140
120
88
100
123
110
105
800
704
700
600
82
500
400
80
60
40
2007
515
300
20
406
403
2005
2006
281
300
200
34
465
100
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0
2001
2002
2003
2004
2005
2006
2007
2001
2002
2003
2004
2007
EMT
Attempt
Pass
Rates
MFR First
First
Attempt
Pass
Rates
EMT-S
First
Attempt
Pass
Rates
Paramedic
First
Attempt
Pass
Rates
Michigan
Michigan
Michigan
Michigan
National
National
National
National
100
100
100
100
80
80
8080
78 76
67
64
64
59
55
60
60
60
60
43
40
40
4040
82 78
81
79
76 72
75 79
7369
72 71 68
71 70
72
70
7170
67
65
64 63
64
64
62
63
63
63
63
63
62
62
61
60
61
59
57 55
56
49
45
44
42
80
70
20
20
20
20
000
0
2002
2001
2001
2001
2003 20032004 2004 2005 2005 20062006
2003
2004
2006
2003
2004
2005
2006
2002
2002
2002
2007
2007
2007
2007
2008 Pass Rates
First Attempt
Level
MFR
EMT
Specialist
Paramedic
Michigan
490 attempted
83% pass
2014 attempted
69%
122 attempted
83%
492 attempted
59%
National
76%
67%
71%
68%
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).
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:
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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
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.
Audit Process
• Total audits conducted in 2008 will be
approximately 580 – includes MFR.
• Compliance rate is at about 50%