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EMS & Trauma Systems Section
Robin Shivley, Manager
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
EMS Organizational Structure
EMS & Trauma Systems SectionRobin Shivley, Manager
Paula FehrenbachAdmin. Asst.
Michelle MoraTrauma Coordinator
Marvin HelmkerEducation Coordinator
Carl MartinEMS Analyst
Lila SniderPersonnel Expert
Cheryl Klima, MSWEMS Bioterrorism Coordinator
Lori LynnLSA & Vehicles Expert
Sabrina SleeLicensure Audit & Compliance Coordinator
Linda NesbittMedical Control Authority Analyst
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.
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
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.
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
Legislation
• Public Acts 368 of 1978 as amended
• Part 209
• Administrative Rules (revised 5/04)
• Administrative Policy
Contracts
• Regional Coordinators
• UPEMS
• Brent Williams
• MSU/KCMS
• Image Trend
Regional Coordinator
• John King – [email protected] or 989/539-4120
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
Regional Coordinator
• Tammy Forbush – [email protected] or 734/956-5525
Covers the following counties:
Macomb, Oakland, and Wayne
Regional Coordinator
• Glenda Dolehanty – [email protected] or 810/635-0837
Covers the following counties:
Barry, Clinton, Eaton, Genesee, Huron, Ionia, Kent, Lapeer, Ottawa, Saginaw, St. Clair, Sanilac, Shiawassee, and Tuscola
Regional Coordinator
• Jamie Janson – [email protected] or 517/655-3914
Covers the following counties:
Allegan, Berrien, Branch, Calhoun, Cass, Hillsdale, Ingham, Jackson, Kalamazoo, Lenawee, Livingston, Monroe, St. Joseph, VanBuren, Washtenaw, Indiana and Ohio
Regional Coordinator
• Robert Struck – UPEMS – [email protected] or 906/228-4182
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
EMS Coordinating Committee
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.
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.
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.
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.
MFR Exams Administered
481
779853
932
656
521
0
200
400
600
800
1000
2002 2003 2004 2005 2006 2007
EMT Exams Administered
406
1637 1644 1561 1567 1525
1876
0
500
1000
1500
2000
2001 2002 2003 2004 2005 2006 2007
EMT-S Exams Administered
34
88 82
105
133
110123
0
20
40
60
80
100
120
140
2001 2002 2003 2004 2005 2006 2007
Paramedic Exams Administered
300
515
281
465406 403
704
0
100
200
300
400
500
600
700
800
2001 2002 2003 2004 2005 2006 2007
Cognitive Exams Administered By Year
MFR First Attempt Pass Rates
78 80 8175
8276 72 73 71
62
7879
0
20
40
60
80
100
2002 2003 2004 2005 2006 2007
Michigan
National
EMT First Attempt Pass Rates
5564
71 69 7076
7167 70 68 64 6572 70
0
20
40
60
80
100
2001 2002 2003 2004 2005 2006 2007
Michigan
NationalEMT-S First Attempt Pass Rates
59 60 59 62 62
7972
64 63 6355
6167 70
0
20
40
60
80
100
2001 2002 2003 2004 2005 2006 2007
Michigan
NationalParamedic First Attempt Pass Rates
43 4449
57 5645 42
64 64 63 63 63 61 63
0
20
40
60
80
100
2001 2002 2003 2004 2005 2006 2007
Michigan
National
2008 Pass RatesFirst Attempt
Level Michigan National
MFR
490 attempted
83% pass 76%
EMT
2014 attempted
69% 67%
Specialist
122 attempted
83% 71%
Paramedic
492 attempted
59% 68%
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).
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
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.
Audit Process
• Total audits conducted in 2008 will be approximately 580 – includes MFR.
• Compliance rate is at about 50%
