EMS

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EMS Trauma Systems Section Robin Shivley,
Manager
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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

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EMS Organizational Structure
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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.

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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

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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.

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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

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Legislation

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

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Contracts

• Regional Coordinators
• UPEMS
• Brent Williams
• MSU/KCMS
• Image Trend

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Regional Coordinator

• John King regaems_at_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

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Regional Coordinator

• Tammy Forbush region3ems_at_gmail.com or
  734/956-5525
• Covers the following counties
• Macomb, Oakland, and Wayne

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Regional Coordinator

• Glenda Dolehanty gdolehanty_at_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

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Regional Coordinator

• Jamie Janson jjanson_at_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

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Regional Coordinator

• Robert Struck UPEMS upems_at_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

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EMS Coordinating Committee  
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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.

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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.

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Life Support Agencies

• Agency inspections areas of non-compliance
• Documentation of evidence of an orientation for
  EMS personnel to familiarize with agencys
  policies and procedures.
• Evidence of participation in an agency based
  and/or medical control quality improvement
  process.

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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.

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Cognitive Exams Administered By Year
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(No Transcript)
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2008 Pass RatesFirst Attempt
Level Michigan National
MFR 490 attempted 83 pass 76
EMT 2014 attempted 69 67
Specialist 122 attempted 83 71
Paramedic 492 attempted 59 68
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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).

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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

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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.

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Audit Process

• Total audits conducted in 2008 will be
  approximately 580 includes MFR.
• Compliance rate is at about 50