1. Personnel Enforcement In 2007, we took 155 enforcement actions against EMS personnel: –6 Emergency Orders (criminal sexual conduct, embezzlement, child pornography); –62 licenses revoked; –68 license suspensions; –3 licensees being monitored; –12 licensure application denials; –4 voluntarily surrendered due to pending disciplinary action.

2. Personnel Enforcement In 2008, we took 89 enforcement actions against EMS personnel: –49 license revocations –8 Emergency Order Suspension (criminal sexual conduct) –6 license suspensions –4 licensure applications denied –18 being monitored –4 voluntarily surrendered license in lieu of disciplinary action

3. Personnel Complaints 2007: 251 personnel complaints were received. –73% related to continuing education –13% related to criminal convictions –14% related to drug diversion, patient care, unlicensed personnel 2008: 204 personnel complaints were received. –35% related to continuing education –53% criminal convictions –12% related to drug diversion, patient care, unlicensed personnel

4. Agency Complaints 2007: 25 complaints 2008: 35 complaints Majority (70%) fall into 2 categories: –Inappropriate patient care –Unlicensed personnel/agencies/vehicles

5. Agency Enforcement 2007: 5 enforcement actions 1 Revocation 3 conditional licenses 1 Monitoring/Compliance Order 2008: 3 enforcement actions 3 compliance orders

6. Regionalization Initiative

7. Other Statewide Regional Programs Stroke Initiative Perinatal STEMI 8 7 6 5 1 3 2N 2S

8. National Education Standards

9. Let’s talk ACCREDITATION! 1.Where is Michigan at in the process? 2.Where did we come from? 3.Where are we going? 4.How are we going to get there?

10. ACCREDITATION: Just the facts Presently, 14 states require CoAEMSP accreditation for their paramedic programs. Cost: Approximately $4500.00 minimum Five year approval $1200.00 annual fee To become reaccredited, new self-study, site visit, and CoAEMSP Board of Directors review required.

11. Dates: 2007-NREMT advises of plan to implement accreditation through CoAEMSP on 1-1-13 2008-Summer meeting in MI to discuss process 2008-November,EMSCC directs EMS section to survey all MI paramedic programs for their input on accreditation

12. SURVEY QUESTION: Is your institution in favor of or opposed to the accreditation process being proposed by NREMT through CoAEMSP? Thirty seven (37) responses received SURVEY SAID: Oppose:23 (62.2%) Favor:11 (29.7%) Neutral: 3 (8.1%) No Reply: 3 Inactive: 4 Fourty four (44) paramedic education programs in Michigan

13. Dates: 2009-January, EMSCC receives survey results, votes to recommend against mandatory accreditation for MI paramedic programs. What happens now? Decision from “upstairs” Committee to decide on plan Implement plan

14. Pan Flu Plan For EMS Preliminary results were received as a result of a review of our Pan Flu Operational Plan. Findings related to EMS: –Integration of EMS and 911 – 67%, Many Major Gaps

15. Pan Flu Plan For EMS Areas of weakness identified include: –Has the state adopted EMS pandemic influenza plans and operational procedures that define the role of EMS in preparing for, mitigating and responding to pandemic influenza? –Has the state established a statewide program of pre- pandemic training and exercising to prepare EMS personnel for their role in preparing for, mitigating and responding to pandemic influenza?

16. Pan Flu Plan For EMS –Has the state established a method for developing and distributing pandemic influenza information, including clinical standards, treatment protocols and just-in- time training to EMS medical directors, personnel, agencies and PSAPs? –Does the state have an effective, reliable interoperable communication system among EMS, 911, emergency management, public safety, public health and health care agencies?

17. Pan Flu Plan For EMS –Is there coordinated statewide medical oversight of EMS pandemic influenza planning, mitigation and response? –Has the state developed mechanisms for rapid development, adoption or modification of prehospital clinical standards and triage/treatment protocols before or during an influenza pandemic that are based upon the most recent scientific information?

18. Pan Flu Plan For EMS –Has the state defined the role of EMS providers in “treating and releasing” patients without transporting them to a healthcare facility?

19. Pan Flu Plan For EMS What have we done to address the gaps? –Established a committee –Reviewed the gaps –Region 6 work related to Pan Flu and the Pre ED Triage Matrix under development; ethics; etc. –Looking at triage, treatment & equipment –Looking at Just-in-time training – utilizing moodle site –Alerting methods (HAN @ regional level)

20. H1N1 CDC H1N1 Flu | Interim Guidance for Emergency Medical Services (EMS) Systems and 9-1-1 Public Safety Answering Points (PSAPs) for Management of Patients with Confirmed or Suspected Swine Influenza A (H1N1) Virus Infection Personal Protection Equipment for the 2009 H1N1 Flu Virus Cleaning equipment and vehicles H1N1 training – moodle site -- https://elearn.mi- emsis.org.https://elearn.mi- emsis.org

21. MCA/LSA Assessment Emergency Preparedness Assessment –Distributed in April and, again, in May –Response Rate 36 MCAs have not yet responded LSAs – information has been sent to Regional BT Coordinators for follow-up

22. Furlough Days Due to Executive Order 2009-22 that reduces state spending, the Michigan Department of Community Health will be closed on the following dates: –Friday, June 19, 2009 –Monday, July 6, 2009 –Friday, July 24, 2009 –Friday, August 7, 2009 –Friday, August 21, 2009 –Friday, September 4, 2009 The department will reopen on our next regularly scheduled business day. Please visit www.michigan.gov for additional information. www.michigan.gov

23. Notes of Interest from NASEMSO Meeting New position paper by AAP (currently in print) related to APLS and PALS for hospital personnel. Health Reform Bill is out – mark up will begin this coming week – moving very quickly. Ryan White Bill – pending Senate Floor Increase of 6% across board in Medicare – introduced in Senate Health IT – has not been released Education Agenda – developing a report and will try to figure out strategies to overcome hurdles; developing draft implementation timeline (draft document should be out in 2-4 weeks). Domestic Preparedness – DHS/FEMA will be discussing ambulance contract with AMR at annual meeting.

24. WEBSITE www.michigan.gov/ems

26. Is it possible that ANYONE may have ANY questions on ANYTHING that has been said ANYTIME this afternoon?