1. 0 EMS Stakeholders Meeting 2011 August 25, 2011 Bob Leopold EMS and Trauma Systems Program

2. 1 EMS and Trauma Systems Program Roles: Ambulances and Ambulance Services State role: assure that ambulances have the equipment, staffing, documentation and communication capacity to provide quality care Activities: Set equipment and staffing standards for ambulances License ambulances (currently 648 licensed vehicles) Set standards for ambulance agencies and license them (currently 134 licensees) Medical Director for State EMS Program provides model protocols for EMS services, consults individually

3. 2 EMS and Trauma Systems Program Roles: Ambulances Service Area Plans The public expects someone to respond to requests for emergency medical assistance State role: assure that each county has adopted a plan designing the ambulance service(s) responsible for providing care and transport to all parts of the county Activities: Review county ambulance service plans to ensure that they meet staffing and equipment standards Law requires that counties provide ambulance services to every Oregonian Work collaboratively with county governments to fill gaps

4. 3 EMS and Trauma Systems Program Roles: EMS Personnel EMS personnel have access to people’s homes, property and bodies, often when they are incapable of protecting themselves. State role: assure that EMS providers meet minimum competency standards and are trustworthy Activities: Set training requirements for providers Coordinate or Administer written and skills tests required for licensure Set standards for continuing education Provide continuing education in rural and frontier areas through Mobile Training Units and monthly Webinar (with Office of Rural Health) License providers (approximately 12,500 licensees each biennium) Perform criminal background checks on license applicants Investigate approximately 100 complaints each year from public about EMS providers

5. 4 EMS and Trauma Systems Program Roles: EMS for Children Program State role: assure that children’s critical care needs can be met by the Emergency Medical Services System Activities: Specialized training for providers on the special needs of children Simulator training to evaluate the whole system 4-6 times each year around the state Specialized training for school nurses, EMTs responding to brain injuries on sports fields Provide some specialized pediatric supplies to Ambulance services Annual educational conference Childhood injury prevention activities

6. 5 EMS and Trauma Systems Program Roles: Trauma System State role: establish standards for staff and equipment of trauma hospitals and designate hospitals that meet the standards Activities: Formally designate “trauma level” of hospitals Make site visits to hospitals every three years to assure compliance with standards Support regional decision-making for trauma system through seven Area Trauma Advisory Boards Area Trauma Advisory Boards required to create a trauma system plans State sets requirements for plans and approves plans submitted by Area Trauma Advisory Boards State collects data on all trauma patients and provides it to Boards for peer review and quality assurance Conduct quarterly meetings

7. 6 EMS and Trauma Systems Program Roles: Interaction and Coordination with Stakeholders EMS and Trauma Systems Programs mandated boards and committees: Emergency Medical Services Committee Certification and Discipline Sub Committee Emergency Medical Services for Children Advisory Committee State Trauma Advisory Board (STAB) 7 Area Trauma Advisory Boards Physician Orders for Life-Sustaining Treatment (POLST) Registry Advisory Committee (typically 48 meetings a year)

8. 7 Issues * Patient encounter data * Access to applicant written and skills testing sites * Adequate licensed EMS personnel to meet future needs * Role of unlicensed provider organizations * Adequate radio and communication systems to meet current and future needs

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