1. EMS & Trauma Systems Section Robin Shivley, Manager

2. 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

3. 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

4. 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.

5. 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

6. 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.

7. 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

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

9. Contracts Regional Coordinators UPEMS Brent Williams MSU/KCMS Image Trend

10. Regional Coordinator John King – regaems@voyager.net or 989/539-4120regaems@voyager.net 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

11. Regional Coordinator Tammy Forbush – region3ems@gmail.com or 734/956-5525 region3ems@gmail.com Covers the following counties: Macomb, Oakland, and Wayne

12. Regional Coordinator Glenda Dolehanty – gdolehanty@comcast.net or 810/635-0837 gdolehanty@comcast.net Covers the following counties: Barry, Clinton, Eaton, Genesee, Huron, Ionia, Kent, Lapeer, Ottawa, Saginaw, St. Clair, Sanilac, Shiawassee, and Tuscola

13. Regional Coordinator Jamie Janson – jjanson@cablespeed.com or 517/655-3914jjanson@cablespeed.com Covers the following counties: Allegan, Berrien, Branch, Calhoun, Cass, Hillsdale, Ingham, Jackson, Kalamazoo, Lenawee, Livingston, Monroe, St. Joseph, VanBuren, Washtenaw, Indiana and Ohio

14. Regional Coordinator Robert Struck – UPEMS – upems@aol.com or 906/228-4182upems@aol.com 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

15. EMS Coordinating Committee

16. 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.

17. 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.

18. Life Support Agencies Agency inspections – areas of non- compliance: –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.

19. 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.

20. Cognitive Exams Administered By Year

22. 2008 Pass Rates First Attempt LevelMichiganNational MFR 490 attempted 83% pass76% EMT 2014 attempted 69%67% Specialist 122 attempted 83%71% Paramedic 492 attempted 59%68%

23. 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).

24. 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

25. 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.

26. Audit Process Total audits conducted in 2008 will be approximately 580 – includes MFR. Compliance rate is at about 50%