EMS Stakeholders Meeting 2011

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

2. 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. 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. 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. 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. 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. 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. 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