Region I Emergency Medical Services Council
SheridanCountyEMS, Hoxie, Kansas
April 14, 2010
David Stithem, Region Chair, called the April 14, 2010 meeting of the Region I EMS Council to order at . John Miller, Kansas Board of EMS member and Norton County Commission, and Steve
Sutton, Interim Executive Director, Kansas Board of EMS,
The minutes of the February 17, 2010 Council meeting were posted on the web
site for review. Motion for approval as written was made by Aden Schillig with second by Kenny Gatlin. Motion carried.
The financial report was presented and motioned for approval
by Aden Schillig. Nancy Schmidt provided motion second.
The ESF-8 Mass Casualty Appendix Draft had been
presented at the last meeting. Comments are due back before the end of April.Please send your comments to David Stithem, Gary Winter, or Deb Kaufman.
Trauma Committee Report:
Deb Kaufman reported Kerry McCue had a
conflict and could not attend tonight. The ACT had not met since the last
The ITV Trauma Education Series is
available on the 4th Tuesday of the month from 12:00 p.m. to 1:00 p.m.
The Kansas Rural Health Options Project
(KRHOP) funding application for trauma education (ATLS, TNCC, PHTLS, and
RTTDC) is available.
Each service trauma representatives should
have received packets for the general membership meeting in Hays, KS on
May 5, 2010. Registration is due by April 28, 2010. In addition to other
speakers, Steve Sutton and Dr. Hornung are presenting
on the SCOPE regulation and the involvement of medical direction in Kansas
EMS. There is also a segment
on identifying trauma cases in your system for quality improvement. An EMS Executive Council position currently held
by Deb Kaufman is up for re-election as well as several other members.
Please nominate those interested. The trauma education needs assessment
survey has been completed. Please refer to the minutes for more
We were reminded there is training
available at CrisisCity at no cost.
KDOT is now managing that program under the direction of Frank Coots.
Contact information is on the KDEM website.
Tami Wood gave a report on the hospital
strategic plan. Deb Kaufman has the document available to send out by
request. Their 800 MHz training is beginning and they will be exercising
Representatives from the Fire Marshall`s Office gave a presentation regarding the International
Association of Fire Chiefs resource typing information system they will
have funding to develop. More details are forthcoming. We also viewed bomb
squad and fire investigations resources they have available to the area.
A reminder we need to be very aware of
narrow-banding of frequencies and budget accordingly. Mike Albers is
gathering information for the Region. We do not anticipate there will be
Homeland Security dollars to assist local counties and are reminded of the
January 2013 deadline.
school mapping project is progressing. The contract will need to be
The Highway Patrol reported they are
putting computers, GPS, and
printers in their vehicles to have more access to information.
We did an analysis of Cross Match
systems and all Sheriff`s are reporting them in
The IMT teams are busy with additional
training. Each member has position specific training as well as general
team training. They continue to outfit their response trailers. The
initial contracts are up. We need to recruit more members. Please contact
them if you are interested.
The emergency medical response trailers
are here. The process to acquire equipment and outfit the trailers is time
intensive, but we are making progress.
KRAF Grant: Gary
Winter reported their final meeting was March 23, 2010. At that meeting they finalized the approved
list and that document was submitted to the Board for their final approval. The
committee meets again August
24, 2010 to make recommendations for changes in the program for the
following cycle. Steve Sutton reported the award letters will be sent as
dollars are available. $238,000 is available now. Matching funds will need to
be validated. Steve Sutton will meet with Jeff Scott at Fisher in regard to same
equipment pricing discrepancies. There is still $92,000.00 available from KDHE
H1N1 hospital bio-terrorism awareness dollars that will be utilized.
EDTF Committee Report: David Stithem reported the report will be given in conjunction with the
report on the Board meeting. There is currently a position open. If you are
interested, contact David Stithem.
EMSC Pediatric Symposium: Pat Conrad will be awarded a scholarship to attend.
April Board of EMS Meetings: David Stithem reported on the meetings.
Planning and Operation Committee:
Condolences were expressed to Joe
Moreland as his father had just passed away.
Joe Megredy thanked the audience for all
the public comments following Dale Wasson`s
The agreement between the board and
Fleetwood Transport has not yet been signed and returned. It was supposed
to have been mailed the previous day. The denial for licensure will be
withdrawn when received. The new radios are in place per Dave Cromwell.
HeartlandPark wants to use EMTs and MICTs at the raceway.
A committee motion was made to recommend approval.
There was a lot of discussion regarding
who could sign protocols on the protocol approval report for 2009. A
letter will be mailed to services the board staff did not feel had correct
signatures for 2010.
Steve Sutton would like to change the
committee to a working committee and provide information and work on
issues prior to the board meeting, i.e. scope changes.
The 3rd group has started in the KEMIS
project. Steve Sutton wants to look at their involvement in the process
due to the costs. This would include the trauma agency, HospitalBridge,
etc. Joe Megredy requested a list of the projects to see where the money
is being spent.
Kerry McCue gave a report on statewide
communications. SB 48, the E911 bill, died. The sunset may be extended for
another year to keep it in place with the current funding. The Sherman and GrahamCounty
towers will be completed with NW Homeland Security funding. Kerry McCue reminded
everyone to be planning for the narrow banding deadline for reprogramming
radios. That date is January
1, 2013. This includes pagers, storm sirens, as well as radios.
Kerry suggested adding the national hailing frequencies when
reprogramming. (NPSTC Channel Naming Plan)
Sarah House with EMSC reported the
pediatric protocols are coming along. There are eight left. The pediatric
symposium is coming up. She also gave a handout for the STEMI Summit on May 20, 2010 in Hutchinson.
Way reported Kansas
received a grant to field test the field triage guidelines in the
Southeast region. They will meet in Atlanta
for three days. He also reported the trauma education grants are now
available online (www.kstrauma.org)
for PHTLS, etc.
Jane Faubion reported for the Office of
Local and Rural Health. She provided a copy of the Trauma Education Needs
Survey to the committee. There was a 96% response rate from EMS
Steve Sutton gave a report on 2010
SB220 - died in House Committee (definitions)
SB221 - was pulled by the Board
SB222 - has not progressed out of committee
SB223 - may be dead (subpoena)
SB224 - may be dead (fines)
SB262 - passed (scope bill)
SB497 - Allows carrying of a switchblade knife with a blade less than 4``
HB2685 - would allow anyone to carry a concealed weapon anywhere - will
An additional $93,000 was just made
available for the KRAF Grant
Darrel Kohls presented the KRAF
Committees recommendations for the grant. JR Behan suggested a ``helpful
hints`` document be sent to services to show why they did not receive
grant funding. The committee moved to accept the recommendations for the
36 services have made application for
EIG funding so far, for a total of $83,763. There is approximately $20,000
Dr Hornung gave a presentation on the
Medical Advisor Council. Following the presentation, the committee moved
to approve the makeup of the council with a Board member, a physician Board
member, two urban physicians, a rural physician from the east, a rural
physician from the west, and two physicians at large. There was another
motion to allow Dr Hornung to select the names and bring them to this
committee. It was also recommended the Board chair select the board
The ability of the board to define or
refine the scope was removed from SB262. There was discussion as to
whether or not the board already had this ability due to other statutes.
Board staff is trying to set up a secure
site for some board information for the next meeting, i.e. investigations
The EDTF presented the clean-up changes
to 109-5-1 (continuing education), 109-5-3 (program provider) and 109-11-1
The committee reviewed two versions of
109-15-2 (non-Kansas certified credentialing)
The EDTF will look into the process of
allowing out-of-state entities to provide Kansas continuing education.
The concerns over the makeup of the EDTF
Attendant Education audits will begin on
April 29, 2010.
The delinquent letters are being updated. The process will be: audit
notices mailed. If no response, notice of intent to revoke sent, followed
by a summary order of revocation.
There was a variance request to gain a
TO certification. The person was advised BCCC was holding a class. The
variance was withdrawn.
Another variance request was a request
to gain an IC certification without an IC class. The individual has been a
college instructor and holds a PhD. Carman Allen recommended allowing it,
but with the required Kansas
specific training. There was a motion to deny the variance, but allow him
to follow Carman Allen`s recommendations.
Jon Friessen gave a Scope update. He is
working on lesson plans. There is ongoing discussion on requiring testing
during the course modules versus a comprehensive exam after the course, or
the possibility of Medical Director sign-off.
The committee moved to conceptually
approve 109-5-1, the continuing education regulation. It is at the AG`s office.
The committee moved to conceptually
approve 109-11-1, which contained definitions for continuing education. It
is at the AG`s office.
The committee moved to approve 109-11-3,
109-11-4 and 109-11-6, which had been waiting on 109-11-1 before being
able to move forward.
The committee moved to approve 109-15-3,
which would allow distance learning through a program provider.
The committee moved to approve the EDTF
version of 109-15-2
The question was asked if an EMT would need to become an AEMT prior to
becoming a paramedic, or could they go directly to the paramedic. The new
guidelines are set up that each level contains more depth and breath of
education and understanding than the previous level.
The committee went into two executive
sessions with Carman Allen, Steve Sutton, and the attorney to discuss the
exam MOAs. When back in open session, Region II was
recommended as the vendor.
A representative from Junction City would like to maintain
education certificates electronically instead of printing certificates and
putting them in a file. Board staff will look into this.
The case involved a minor killed at a
MVC. The service director took photos of the scene and at the funeral home
with the intent to use the material for EMS education. She is no longer
the director of the service. Dr Allin believes
the service should have a policy in place to account for this. There was a
motion to dismiss. Board staff will put a recommendation on the list-serv
for service to have policies to address this type of situation.
The self-reported case involved an EMT-I who removed IV solutions and supplies
and started an IV on his ex-wife. He was not on duty. He was place on
administrative leave, suspended for 3 days without pay, had to write a
paper, teach continuing education and placed on probation for one year by
the service. The committee moved to accept local action and close the
falsified applications to obtain her EMT
and EMT-I. She marked NO on
the felony questions. A paramedic background check revealed 2 felony
convictions for habitual violation of driving on a revoked or suspended
license. The felony convictions have now been expunged. She was dismissed
from the paramedic program and from her position with the college. She
will be required to teach 10 hours of CE on falsifying records within the
This came from a previous case. An
attendant worked for an ambulance service without a certification,
continuing to work after the certificate was suspended. Following a
hearing on the revocation, the attendant was reinstated. The committee
wants to know why the service allowed her to continue on the service. The
service renewed online and it had not been caught. This person no longer
works there. The service had no idea she was suspended, and removed her
immediately upon finding out she was no longer certified. The service knew
she was going to be suspended, but not when it was going to happen. The
committee moved to close the case.
The applicant marked yes on the felony
question on a renewal application in 2008 due to a felony conviction in Texas. The renewal
was denied in 2009. He has now finished probation, being released almost a
year early, and is now seeking reinstatement. He has filed the application
and has obtained the hours. The committee moved to allow reinstatement.
Joe Megredy requested a case log be included
in the committee members` packets.
Joe Megredy questions if the
investigations are getting back logged due to education audits. He was to
discuss this with Steve Sutton and Jerry Cunningham to find resolution.
There was discussion on a 2008 case
involving an individual audited, failed to get the necessary education
after receiving the order, and asked for a hearing prior to having his
certificate revoked. He though he could get his certification back with
additional hours. The committee will require him to take an initial course
and have him come before the committee prior to gaining his certification.
The felony question is now at the
beginning of the education process. If the question is marked yes, but
expunged prior to the end of class, it does not need to come before the
There was an inspection in Kansas where the
service was missing files, call logs, and attendant cards. They also had a
new service director for 10 months without any notification to board
staff. There were many new problems also. They will be re-inspected. If
not better, they will be brought to this committee. They have 30 days. The
service has had historically bad inspections for 3 years.
April 2, 2010
The minutes for the previous board
meeting and two teleconferences were approved.
Dr Allin thanked Joe Megredy for
agreeing to take over the investigations committee. Rick Rook will chair
the planning committee.
The regulations from the education
committee were recommended to move forward.
Deb Kaufman reported on a group working
on the initial courses and the decision that has to be made regarding
designing a Kansas
level specific curricula vs guidelines.
The MOA RFP award to Region II was
The KRAF recommendations were approved
The recommendations for the medical
advisory council were approved: the Board makeup, having the Chair appoint
the Board position, having the doctor position on the Board recommend the
remaining positions to the executive committee for appointment, and the
recommended purpose of the council. The purpose of the council is to
consider proposed changes in the scope of practice, yearly review current
scope of practice, review/approve protocols as requested by services,
approval of medical devices for EMS
use, weigh in on any project requiring medical opinion to the Board,
investigate quality of care issues, advise the Board on trends in EMS medicine, and make recommendations to the Board
The office is moving toward electronic
data exchange. They are planning to start with two secure log-on sites,
one for medical directors and one for investigations material.
New attendant cards are not being issued
until a new executive director is in place. A certificate will be issued.
Patti Artzer updated the Board on the
executive director job description and the hiring process. The Board will
from the certificate requirement. The Board moved to go forward and post
It was suggested to get recommendations
from the EMS
public and national organizations/publications on where to post the job
opening. They will look at putting it in the Kansas Register, Kansas
League of Municipalities, KLM
and KAC publications. The Board is aiming for June interviews.
Chy Miller would like for
representatives from independent instructors, non-accredited community
colleges who teach EMT
classes, and accredited institutions to be included in the initial
education discussions. He also thanked JR Behan and Joe Megredy for
letting him speak yesterday, since it does not happen with all other organization`s committees. Additionally, he thanked
the Board for the hard decisions they have made.
Chad Pore thanked the Board and everyone
else. The new Greensburg
hospital grand opening was in March. He thanked everyone for their
assistance during the rebuilding process.
Terry David thanked the Board for their
attendance and let them know it was appreciated.
KEMSA is having a one day workshop in Salina. There will be
three separate tracts dealing with medical director issues, legal issues
and fire issues. The cost is $35.
The committee chairs met after the
meeting to discuss committees and organization.
Discussion was held regarding
complications with service renewals. Service rosters were not updating in some
cases despite local information submitted.
Noted all attendants will need to operate under medical protocols effective
January 15, 2011.
John Miller lead discussion on the 911 Funding issue. Current
funding is based on a 75/55 formula. It may be the legislature will be
extending current levels for the next year. After that it may go to a 40/60
formula. He asked each county to look at funding levels to see what actual
expenditure levels are. Get that information to John Miller, Deb Kaufman or David
Stithem to forward to Kansas Associations of Counties or Kansas Legislative
Narrow banding was again discussed as well as the need for county wide
Steve Sutton reported the
transition is still in the decision making stage. The regulatory process will
take a minimum of 6 months following Board action and regulatory changes made
and approved. Please check the Board website and Friesen Transition website for
Pat Conrad moved to adjourn.
Nancy Schmidt provided motion second. Motion passed.
Deb Kaufman, Secretary
(These minutes are pending Council approval.)