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 Healthcare
• Let’s talk about the Proposed Rules
• Chemical Addiction or Abuse Treatment Program
• Moment with Tripp
• We have a lot to talk about……so let’s get started!!!!!!!!
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 levels.
• 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 DualHead 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 state.
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 purpose.
Office of EMS Updates
VIPER Radio ID’s
• According to Mike Hodgson (NCSHP), Viper ID’s
will become available after P-25 migration – Mid.
2014
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 safety.
Office of EMS Updates
• FirstNet will be a public safety-grade network built to
meet the needs of our nation’s first responders.
• 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 today’s land
mobile radio (LMR) networks.
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 Agency’s Case Review Panel addressed 90 cases.
•
The EMS Disciplinary Committee made recommendations
on 55 cases.
Office of EMS Updates
Effective 5/1/2014
• Office of EMS will implement electronic
fingerprinting for submission of Background
Checks.
• 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)
THE EXPLORERS
•
•
•
•
•
•
•
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
Policy
• 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
Let’s 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
Let’s 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
Let’s 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 @ 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.
Let’s Talk about Proposed Rule
Changes recommended by Task Force
Based on Public Comment
• Removed Medical Director - Licensed EMS
Providers
• Removed CAAS & CAMTS reference under
licensing requirements
• Removed Operational EMS Programs
• Replacing the NFPA Instructor Methodology
requirement
• Requiring individuals to take their first attempt at an
initial credentialing exam within 90 days of course
grading date
Let’s 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.
Let’s 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
standard.
• 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 “CAAS-GVS-2015”.
• 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
there?
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 let’s try a different area……….
How many designated Trauma
Centers are in N.C.?
Questions ???