Winter Educational ConferenceFebruary 7-10, 2012

Hilton Wilmington RiversideWilmington, NC

2012

NCOEMS OVERVIEW

Regina Godette-CrawfordChief, OEMS

Regina Godette-CrawfordChief, OEMS

OEMS Administration

OEMS ADMINISTRATION

Staff Changes/Retirements/Promotions at

the OEMS

Nadine Pfeiffer, RN, MSN, Assistant Chief, Health Systems has accepted a position with the Division

Danny Harbinson Western Regional Manager retired in December 2011

Anita Cox Western Regional DM Specialist retired in December 2011

OEMS ADMINISTRATION

Staff Promotions at the OEMS

Tom Mitchell, EMT-P, promoted to

Assistant Chief, Administration

OEMS ADMINISTRATION

Interim Appointments at the OEMS

Charles Lewis, RN, EMT-P Interim Western Regional Manager

Eddie Jordan, EMT-P Interim Central Regional Manager

Allen Johnson, EMT-P

Interim Eastern Regional Manager

OEMS ADMINISTRATION

Albert (Al) Delia, appointed Acting DHHS Secretary. Before joining DHHS, Sec. Delia served has the Governor’s senior policy staff advisor.

2012 Budget Targets: DHHS - $400 Million Total $600,000 in Division of Health Service Regulation

New State On-line Job Application launched. Website: www.neogov.com

OEMS ADMINISTRATION

Data Validation Committee organized to review and define data points.

Complete review and update of 10A NCAC Chapter 13 Subchapter P rules.

OEMS will coordinate a meeting with stakeholders to assist with the development of a state ambulance contract. The Association will be represented on this committee.

OEMS Administration“Lead the Wave” Project

Equipment Distribution in final stages with Educational Training provided 1/30 – 2/2 at four sites across the state.

Evaluation of Data will be underway by the EMSPIC to provide feedback to Duke Endowment

OEMS will be assisting Mission Lifeline to ensure adequate standardized education will be provided to recipients of “Lead the Wave” equipment.

OEMS will be reviewing unfunded requests with Duke Endowment.

Letters will be forwarded to all applicants regarding status, once all funds are expended.

OEMS Administration“Lead the Wave” Project

OEMS ADMINISTRATIONOngoing National Initiatives Lead Federal Agency for EMS (draft bill “Field AMS Act”

and white paper) DHHS, DHS or NHTSA?

2012 “EMS on the Hill Day” – March 20-21

2011 National EMS Assessment Final Draft available.

EMS Culture of Safety Draft available for comment.

Ambulance Equipment Lists released for comment. Comment period ends March 1, 2012.

Disaster Medical

FY 11 Hospital Preparedness Grant

Mid year through the FY11 Grant

(July 1, 2011- June 30, 2012) This is Year 3 of a 3 year grant Initiatives:

Planning, Training & Exercise, Communications, SMRS augmentation, Regional Grants, Burn Surge, Data Systems.

DISASTER MEDICAL

FY 12 Hospital Preparedness Grant ASPR and CDC Grant Alignment 1 (FOA) Funding Opportunity Announcement

Joint Application, Joint Reporting Decrease the burden on awardees 2 funding authorities – no comingling of funds

ASPR and CDC Decrease duplication Improve program impact and advance

preparedness and response

DISASTER MEDICAL

Hospital Preparedness Capabilities Released January 2012 8 Hospital Preparedness Capabilities Align with the 15 Public Health Capabilities Designed to facilitate and guide joint ESF #8

preparedness planning

DISASTER MEDICAL

http://www.phe.gov/preparedness/planning/hpp/pages/default.aspx

What do the new capabilities mean for our program?

Identification of gaps Determine specific priorities Development of plans for building and

sustaining capabilities

DISASTER MEDICAL

State Medical Response System SMRS Executive Steering Committee

First meeting held in January Response to Hurricane Irene

State Medical Support Shelter (2) Ambulance Task Force Medical Strike Teams Personnel Packages >75 personnel deployed > 350 patient contacts

DISASTER MEDICAL

Health Systems & Trauma

Trauma Center Designations

Carolinas Medical Center NE was awarded Level III trauma center renewal on November 8, 2011

Cleveland Regional Medical CenterLevel III renewal visit was completed on November 2, 2011. Survey team and OEMS staff will recommend to the Advisory Council Injury committee on February 14, 2012 that they be renewed.

Gaston Memorial HospitalLevel III initial visit was completed on December 8, 2011. Survey team and OEMS staff will recommend to the Advisory Council Injury committee on February 14, 2012 that they receive their initial designation.

Health Systems & Trauma

Trauma Rule Update

Due to a delay in the approval process at the Division level, the Trauma rules are being reviewed before resubmission to ensure they are current.

Health Systems & Trauma

Education

EDUCATION

Agenda for the Future OEMS is working with NC Association of EMS

Educators and the NC Community College System to develop the new curricula and establish a timeline for implementation. Dependent on NCOEMS Education Rules being updated.

Transition courses are being developed to meet National Registry’s requirement for individuals wishing to retain their National Registry certification to take a transition course by 2015. We anticipate a pilot course will be tested summer of 2012.

EDUCATION

Accreditation Graduation from a CoAEMSP (Committee on

the Accreditation of Educational Programs for Emergency Medical Services Professions) Accredited program is required by National Registry for all Paramedic applicants seeking NR certification beginning January 1, 2013.

CoAEMSP accreditation is not currently required by NC OEMS.

EDUCATION

Education Reports Available in CIS to all Educational Programs,

based on Job Titles.

EDUCATION

Emergency Medicine TodayOctober 6-10, 2012

Koury Convention Center, Greensboro NC Disaster Medical Preparedness conference will be combined

with EM T oday. Disaster related topics will be covered as possible pre-

conference, general sessions & breakout sessions.

Call for presentations link is now activethrough the OEMS website

http://www.ncdhhs.gov/dhsr/EMS/conferences.html

Emergency Medicine TodayOctober 6-10, 2012

Upcoming Changes

Expanded Exhibit Hall w/additional vendors

Disaster Medical Track within EM Today

EDUCATION

Credentialing Exams: 38 Regional and Provider exams administered (July 1 – December 31, 2011)

Current Credentialing count by level

EMT – Basic 24,076Up 3.7% from Jan 2011

EMT – Intermediate 2,609Down 1.5% from Jan 2011

EMT – Paramedic 7,312Up 7.0% from Jan 2011

Emergency Med Dispatch 2,179Up 3.2% from Jan 2011

Medical Responder 1,992Down 10.1% from Jan 2011

Total 38,168Up 3.1% from Jan 2011

OEMS INITIATIVES

OEMS INITIATIVES The Systems Workgroup has worked closely with Dr. Winslow on two

projects;1. Rapid Sequence Intubation; and,2. Needle Chest Decompressions.

A letter was sent in January to all systems regarding RSI Airway Forms.  The forms should be returned to the appropriate regional OEMS office on a monthly basis.

The Systems Workgroup is participating with the Mission Lifeline Initiative.

The Systems Workgroup is working to update applications including the addition of Tactical Medical Teams to Systems.

If you have a need for a System Modification, contact your OEMS regional office and ensure you have the latest version of the document. 

COMMUNICATIONS

EMS COMMUNICATIONS

FCC MANDATORY NARROWBANDING

“Narrowbanding” refers to a requirement by the FCC that — on or before January 1, 2013 — all existing licensees implement equipment designed to operate on channel bandwidths of 12.5 kHz or less.

The FCC expects that licensees ultimately will implement equipment that is designed to operate on channel bandwidths of 6.25 kHz or less.

EMS COMMUNICATIONS

To comply with the FCC mandate, the state converted the UHF MED system (MED-8 and MED-10) to narrowband.

All hospital UHF MED control stations are now converted to narrowband.

Mobile radios and communications centers must also be converted.

EMS COMMUNICATIONS

OEMS is supporting conversion of hospital and EMS communication to the 800 MHz state shared “interoperable” VIPER network.

Plans are underway to convert the state VIPER network to a “P-25” open standard network.

The conversion will require programming all existing portable, mobile and control stations.

The P-25 conversion will add additional channels and capabilities to the network.

EMS COMMUNICATIONS

P-25 conversion additionally requires some radios, such as the Community Health Centers and early SMAT equipment to be “flash” upgraded.

The flash programming will be funded through the ASPR grant program.

EMS FOR CHILDREN

EMS for CHILDREN

Safe Pediatric Transports “Here to Help: Proper Child Restraints in Emergency Vehicles”

online video training now available – http://www.ncems.org/pediatric-transport/ . Link available from our web site, www.ncdhhs.gov/dhsr/EMS/ on EMSC page.

Objectives: Understand importance of appropriately restraining children

in ground ambulances Learn how to use various restraint devices One hour in length, quiz, obtain certificate of completion for

1 CEU from OEMS All EMT-B, EMT-I, EMT-P transporting agencies should

have received 1 DVD copy of the training as well.

EMS for CHILDREN

Report from state Child Fatality Prevention Team on EMS Response to Child Fatalities

Available on our web site, www.ncdhhs.gov/dhsr/EMS/ on EMSC page. Indicates that opportunities may be being

missed to report suspected child maltreatment to DSS and to receiving hospitals.

Workgroup formed to determine barriers to reporting to help in developing training to increase reporting.

EMS for CHILDREN

PEPP and ENPC Courses supported in past year KIDBase program materials available soon in Spanish

for Spanish-speaking families with medically-fragile children.

ED Preparedness for Pediatrics Hospital survey had 94% response rate. Regional and statewide reports being developed. EMS Triage and Destination plans for trauma and

pediatric illness included in analysis of emergency medical care system preparedness for pediatric patients.

CIS DATA SYSTEMS

CIS DATA SYSTEMS

The EMS data system website was redesigned and went live in December 2011.

A new feature was added to the reports

section that allows users to subscribe and unsubscribe to reports.

There is a new menu option on the Reports menu that lists all subscribed reports.

CIS DATA SYSTEMS

FREQUENTLY ASKED QUESTION LINKS

Credentialing Information System (CIS) video tutorials http://www.emspic.org/applications/cis

Credential Information System (CIS)http://www.emspic.org/faqs/cis

PreMIS video tutorials http://www.emspic.org/applications/premis

State Medical Asset Resource Tracking Tool (SMARTT) video tutorials

http://www.emspic.org/applications/smartt

Questions?