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2014 Winter Leadership Symposium


Title: North Carolina Community College Adult Educators Association 2013 Fall Conference Author: ToddMesser Last modified by: Tom Mitchell Created Date – PowerPoint PPT presentation

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Title: 2014 Winter Leadership Symposium

  • 2014 Winter Leadership Symposium
  • April 18, 2014

Happy Good Friday!!
  • Thanks for being willing to spend your holiday,
    supporting this conference!

Topics of Discussion
  • Updates from within the Office of EMS
  • An OEMS perspective of Mobile Integrated
  • Lets talk about the Proposed Rules
  • Chemical Addiction or Abuse Treatment Program
  • Moment with Tripp
  • We have a lot to talk aboutso lets get

Office of EMS Updates
  • OEMS plans to implement new MR EMT exams during
    2nd Quarter of 2014.
  • OEMS plans to implement new Paramedic exams
    during the 3rd Quarter of 2014.
  • AEMT exams will be ready for release, upon
    implementation of the new rules.
  • All new exams will meet the objectives of the
    National Standard Curriculums.

Office of EMS Updates
  • Exams administered during CY 2013
  • 60
  • Number of Students taking exams during CY 2013
  • 6,196
  • Total Credentials Issued during CY 2013
  • 10,690

Office of EMS Updates
  • Epinephrine Certifications Issued during CY 2013
  • 2,112
  • MOST Forms distributed during CY 2013
  • 117,905
  • DNR Forms distributed during CY 2013
  • 171,972

Office of EMS Updates
  • Emergency Medicine Today 2014
  • October 4th- October 8th, 2014

Sessions chosen, and Schedule completed
Registration will open June 1, 2014
Exhibit Registration opened March 28, 2014
Office of EMS Updates
  • The Office of EMS is in the Planning phases for
    creating new EMS patches to reflect the new
  • A stakeholder group is being created to develop a
    process for receiving input into the design.
  • More Information to come on ways that you can
    provide your ideas.

Office of EMS Updates
  • The Changing World of EMS Communications
  • VIPER Radio Project
  • The Office of EMS has secured funds and purchased
    255 Dual-Head Mobile VIPER Radios to work towards
    our goal of having a VIPER Radio on every
    permitted EMS vehicle throughout the state.
  • We are currently compiling data to determine
    which permitted vehicles currently have VIPER or
    funds to purchase VIPER, in order to establish
    agencies that would benefit from this equipment.
  • There are 2,585 permitted ambulances in the

Office of EMS Updates
  • Keep in Mind
  • 2,585 Permitted Ambulances in the State
  • 255 Radios secured through funding by OEMS
  • You do the Math..
  • Everyone will not get radios. We will be looking
    for additional funds to secure additional radios
    for this project. However, we cannot assure
    additional funds will be provided for this

Office of EMS Updates
  • VIPER Radio IDs
  • According to Mike Hodgson (NCSHP), Viper IDs
    will become available after P-25 migration Mid.

Office of EMS Updates
What is FirstNet FirstNet's mission is to
develop, build and operate the country's first
nationwide broadband network dedicated to public
Office of EMS Updates
  • FirstNet will be a public safety-grade network
    built to meet the needs of our nations first
  • FirstNet will provide public safety users with
    priority access to the network.
  • FirstNet will harden the network to assist with
    resiliency during natural disasters, incidents
    and man-made threats.
  • FirstNet will enhance public safety
    communications by delivering mission-critical
    data and applications that augment the voice
    capabilities of todays land mobile radio (LMR)

Inspection Stickers
  • Ability to SCAN a barcode
  • Renewing stickers rather than replacing

Office of EMS Updates
  • The Compliance Section processed 1,362
    fingerprint cards
  • through the Criminal Records Unit of the DOJ.
  • The Office addressed 124 formal complaints.
  • The Agencys Case Review Panel addressed 90
  • The EMS Disciplinary Committee made
  • on 55 cases.

Office of EMS Updates
  • Effective 5/1/2014
  • Office of EMS will implement electronic
    fingerprinting for submission of Background
  • Electronic fingerprinting will benefit both the
    individual and the EMS Agency employing these
    individuals by making this process timelier and
    less burdensome. 
  • This is consistent with 10A NCAC 13P .0511

Healthcare Preparedness
  • National Mobile Disaster Hospital Relocation
  • The MDH has been relocated from Flat Rock, NC to
    Mocksville, NC (co-located with Triad RAC SORT)
  • Benefits
  • Central Location
  • Medical School
  • Decreased Travel Expenditures
  • OEMS Oversight/Succession Planning
  • Team Integration
  • Training Opportunities
  • Exercise Opportunities
  • Sustainment Cost 30 Annual Cost Savings
  • Warehouse Cost and Space
  • Logistical Sustainment

Healthcare Preparedness
  • Funding for the Hospital Preparedness Program was
    reduced at the federal level by 103.5 million
    for the budget period beginning July 1 14.
  • The impact to North Carolina was a 36.4 decrease
    from the current budget period and the state
    budget for FY 14 is 6,183,490.

Healthcare Preparedness
  • Statewide Exercise
  • April 21st 26th, 2014
  • Exercise Planning Committee
  • John Watts Exercise Director
  • Special Medical Support Shelter
  • Options to add objectives for other Stakeholders

Mobile Integrated Healthcare (MIH)
The Perfect Storm for EMS
Mobile Integrated Healthcare (MIH)
  • Wake EMS
  • New Hanover EMS
  • McDowell County EMS
  • Cumberland County EMS
  • Lumberton Rescue Squad
  • Guilford County EMS
  • Rowan County EMS

Mobile Integrated Healthcare (MIH)
  • Strong DMA/OEMS Partnership
  • White Paper in progress
  • Collaboration and Input on revised N.C. Medical
  • Code for SCTP in Draft N.C. Medical Policy

Mobile Integrated Healthcare (MIH)
  • OEMS has requested to Billing / Reimbursement
    Codes for
  • Treat / No Transport
  • Treat Release
  • Treat Transport to Alternative Destination

Lets Talk about Proposed Rule
  • OEMS Staff are assisting the Department and
    Division with Rule Changes for
  • Stroke Center Designation
  • Transparency in Healthcare Costs
  • Mammography Breast Density Reporting
  • Pathogenic Materials (CLIA)
  • Abortion Clinics

Lets Talk about Proposed Rule
  • There are three (3) rule projects underway
    specific to the Office of EMS
  • Current revision to EMS and Trauma Rules
  • Development of Mobile Integrated Healthcare Rules
  • Five Year Cycle Review required by HB 74

Lets Talk about Proposed Rule
  • Current Revision to EMS and Trauma Rules
  • Public Hearings held by Teleconference at 7 sites
    across the state.
  • Additional Public Hearing held on 1/21/14 _at_ East
    Carolina Heart Institute, due to difficulties
    with teleconference equipment.
  • 48 people in attendance at all sites, with 14
    wishing to address task force.
  • Task Force met on 3/10/14 to consider comments.

Lets Talk about Proposed Rule
  • Changes recommended by Task Force
  • Based on Public Comment
  • Removed Medical Director - Licensed EMS
  • Removed CAAS CAMTS reference under licensing
  • Removed Operational EMS Programs
  • Replacing the NFPA Instructor Methodology
  • Requiring individuals to take their first attempt
    at an initial credentialing exam within 90 days
    of course grading date

Lets Talk about Proposed Rule
  • The final draft will be presented to the EMS
    Advisory Council at the May 13th meeting.
  • The final draft will then be posted on the OEMS
    Web Site for public review and comment.
  • The planned effective date of these rules will be
    July 1, 2015.

Lets Talk about Proposed Rule
  • Any Comments are Welcome !!!

Chemical Addiction or Abuse Treatment Program
  • Mission Statement
  • Provide eligible credentialed EMS Professionals
    suffering from chemical addiction or abuse a
    non-punitive means for treatment and
    rehabilitation and ultimately, full restoration
    of their ability to practice in their chosen
    field of emergency medical care.

Chemical Addiction or Abuse Treatment Program
  • Entire Program is currently being handled within
  • OEMS, allowing for a cost-effective method to
  • providing sustainable treatment program for
  • credentialed technicians.

Ambulance Vehicle Standards
  • NFPA has developed a consensus based ambulance
    vehicle standard and published NFPA-1917.
  • To date, no State has adopted the new NFPA
  • This lack of adoption is likely due to the
    inability of NFPA to address concerns in regards
    to safety, efficiency, and technology.

Ambulance Vehicle Standards
  • CAAS has been identified as the appropriate
    organization to develop and maintain a consensus
    based ground ambulance vehicle standard.
  • This committee would develop and maintain the new
    Ground Ambulance Vehicle Standard, named
  • This process is projected to be completed by
    January 2015.
  • The standard would be updated every 3 years.

Model EMS Guidelines
Deadline for Public Comment is April 30, 2014
How well do you know EMS in North Carolina
How many Healthcare Preparedness Capabilities are
How many Type II State Medical Assistance Teams?
How many ambulance strike team regions?
How many Type III State Medical Assistance Teams?
  • There is room for improvement in your knowledge
    of Healthcare Preparedness.
  • Now lets try a different area.

How many designated Trauma Centers are in N.C.?
NC Currently has 13 Designated Trauma Centers
Questions ???
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