Idaho EMS Bureau

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Idaho EMS Bureau

• EMS Medical Director Training

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Idaho EMS Bureau

• CAH/EMS system assessments
• Based on the NHTSA State Technical Assistance
  Team Criteria and process
• Conducted 26 between 2001-2005
• Funded with Flex through the State Office of
  Rural Health

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Idaho EMS Bureau

• Medical Direction a common area of concern and
  recommendations
• Many EMS agency medical directors werent active
  or existed in name only

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Idaho EMS Bureau

• Polled EMS agencies for medical director job
  descriptions
• Developed model for optional use

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Idaho EMS Bureau

• In 2002, 2004 and 2006 the EMS Bureau provided a
  one day EMS Medical Director Course
• Based on the ACEP/National Association of
  Emergency Medical Services Physicians course

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Idaho EMS Bureau

• Instructors were active physicians on the state
  EMS advisory committee
• Agency medical directors were provided with a
  stipend and paid travel expenses

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Idaho EMS Bureau

• In 2006 the Idaho Legislature repealed the
  authority of the state Board of Medicine over EMS
• Created the EMS Physician Commission to set
  standards for the supervision of EMS personnel,
  medical control, and scope of practice

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Idaho EMS Bureau

• EMSPC rules clarified gray areas and conflicts in
  existing rule and updated the medical director
  roles and responsibilities
• Included contemporary concepts like planned
  deployment

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Idaho EMS Bureau

• Contemporary laws and rules in place
• Continued competency maintenance for EMS medical
  directors still a need
• So now what?

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Idaho EMS Bureau

• 2008 Plan (funded by Idaho SORH)
• Acquire web-based access to EMS medical director
  resources through the Critical Illness and Trauma
  Foundation
• Level 1 CMEs (six hours)

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Idaho EMS Bureau

• Offer 3 EMS Medical Director Seminars around the
  state (Level 2 CME approval pending)
• Seminar instructors are EMSPC members, mentorship
  to follow
• 600 stipend, paid travel expenses

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Idaho EMS Bureau

• Create a Medical Director Handbook
• Technical assistance from Regional Consultants
• Post event survey and follow up

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Idaho EMS Bureau
Produce templates and guidelines for Idaho
specific items

• Medical Agreements
• Medical Supervision Plans
• Credentialing of EMS personnel

• Treatment protocols
• Quality Assurance program
• Models related to specific laws or rules

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Idaho EMS Bureau

• Continuity plan (pending funding)
• Offer the full seminar in 2009 and 2010, then
  every other year thereafter
• Beginning in 2011, offer focused seminars of
  shorter duration

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Idaho EMS Bureau

• Questions?
• Neeki Larsen
• 208-334-4000
• larsenm2_at_dhw.idaho.gov
• www.IdahoEMS.org