2014 Winter Leadership Symposium April 18, 2014

Happy Good Friday!!Happy Good Friday!!

Thanks for being willing to spend your holiday, supporting this

conference!

Topics of DiscussionTopics 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 UpdatesOffice 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 UpdatesOffice 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 UpdatesOffice of EMS Updates

Emergency Medicine Today 2014October 4th- October 8th, 2014

Sessions chosen, and Schedule completed

Registration will open June 1, 2014

Exhibit Registration opened March 28, 2014

Office of EMS UpdatesOffice 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 UpdatesOffice 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 state.

Office of EMS UpdatesOffice 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 UpdatesOffice 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 UpdatesOffice 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.

Ability to SCAN a barcode

Renewing stickers rather than replacing

Inspection Stickers

Office of EMS UpdatesOffice of EMS Updates

• The Compliance Section processed 1,362 fingerprint cardsthrough 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 recommendationson 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 PreparednessHealthcare 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

• 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

Healthcare PreparednessHealthcare 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 Mobile Integrated Healthcare (MIH)(MIH)

• Wake EMS• New Hanover EMS• McDowell County EMS• Cumberland County EMS• Lumberton Rescue Squad• Guilford County EMS• Rowan County EMS

THE EXPLORERS

Mobile Integrated Healthcare Mobile Integrated Healthcare (MIH)(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 Mobile Integrated Healthcare (MIH)(MIH)

• OEMS has requested to Billing / Reimbursement Codes for:

– Treat / No Transport

– Treat & Release

– Treat & Transport to Alternative Destination

Let’s Talk about Proposed RuleLet’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 RuleLet’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 RuleLet’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 RuleLet’s Talk about Proposed Rule

Changes recommended by Task ForceBased 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 RuleLet’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 RuleLet’s Talk about Proposed Rule

Any Comments are Welcome !!!

Chemical Addiction or Abuse Chemical Addiction or Abuse Treatment ProgramTreatment Program

Mission StatementProvide 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.?

NC Currently has 1

3

Designated Trauma

Centers

Questions ???