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May 13-16, 2019
Salt Lake City, Utah

 

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Aug. 2018
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NASEMSO News 2018

News Archives: 2017 | 2016 | 2015 | 2014 | 2013 | 2012 | 2011 | 2010 | 2009 | 2008 | 2007 | 2006

NREMT Appoints Bill Seifarth as New Executive Director

(06/12/18) The National Registry of Emergency Medical Technicians on June 12 announced the appointment of Bill Seifarth as its new executive director. An industry veteran, Seifarth brings more than 20 years of experience to the position, including Emergency Medical Services (EMS) leadership at both the state and federal levels, along with a background of managing several comprehensive certification programs. Download NREMT press release.

Alabama, Tennessee and South Carolina Join National Collaborative for Bio-Preparedness

(05/17/18) The Alabama Department of Public Health, Office of EMS, Tennessee Department of Public Health, Office of EMS, and South Carolina Department of Health and Environmental Control have each completed Data Use and Analytic Agreements with Biospatial, Inc. to join the National Collaborative for Bio-Preparedness (NCBP). These states will be submitting National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance each states’ ability to visualize their data with other data layers of relevance.

These three states bring the total number of the National Association of State EMS Officials’ (NASEMSO) South Region participating in the collaborative to six, with 10 total states across the nation. NASEMSO news release.

NASEMSO Contributes Report of its Activities on Response to the Opoid Epidemic for May 3 NSA Roundtable

(05/01/18) NASEMSO has compiled a report detailing current programs that it has conducted in response to the national opioid epidemic to the May 3, 2018, Opoid Roundtable, hosted by the National Sheriffs' Association (NSA) and the Daniel Morgan Graduate School of National Security in Washington, DC. U.S. Download the NASEMSO report here

Attorney General Jeff Sessions and additional cabinet-level officials are slated to address senior government officials and relevant private sector partners. Mel House, Executive Director, Ohio Department of Public Safety Division of EMS and NASEMSO Health & Medical Preparedness Council Chair-Elect, will represent NASEMSO at the summit. To focus the agenda, stakeholder organizations were asked to submit any recommendations and current programs they may have in place.

NASEMSO Program Manager Kevin McGinnis Named as 2018 Top 10 Innovator in EMS

(04/30/18) The winners of this year’s EMS10: Innovators in EMS awards were announced today following a closed formal presentation on Feb. 20, 2018, at an exclusive banquet, hosted as part of EMS Today 2018 in Charlotte, NC.

A panel of professional EMS colleagues and peers selected the distinguished winners, who each displayed initiative, creative thinking, action-orientation and a desire to positively impact EMS, patients and their communities. See photo of winners.

This year's winners included Kevin McGinnis, MPS, a FirstNet Board member, who is recognized for spearheading the development of a broadband network devoted solely to public safety, the first of its kind in the United States. Kevin served as the state EMS director in Maine from 1986 through 1996, receiving the Maine EMS Board Governor’s Award from Governor Angus King in 1997. Since leaving state government, he has served as a consultant for government, hospital, and EMS provider clients, specializing in service evaluation and creative system building.

Kevin is the communications technology advisor to five national EMS associations, including NASEMSO, and specializes in EMS system development in community paramedicine and rural EMS.

NASEMSO Joins the Road to Zero in Releasing Proposed Framework for Eliminating Deaths by 2020

(04/19/18) NASEMSO – as a member of the Road to Zero Coalition and its Steering Group, managed by the National Safety Council – released a comprehensive report, “The Road to Zero: A Vision for Achieving Zero Roadway Deaths by 2050,” explicitly laying out strategies for ending all roadway deaths in the United States by 2050. It is the first time in the nation’s history that so many organizations – more than 600 – have collaborated to put forth a comprehensive plan to address motor vehicle fatalities, which have been increasing after years of decline. The report is released in the midst of a national discussion about infrastructure and the need to rebuild our nation’s transportation systems.

“This initiative has yielded an unprecedented opportunity to address the safety net of post-crash care for victims of motor vehicle related incidents,” stated NASEMSO President R. Keith Wages. “Effective emergency medical and trauma systems must be in place to provide optimal outcomes for patients with severe injuries and avoid preventable deaths.” Visit nsc.org/roadtozero for additional information about the Coalition and to read the full report. Download NASEMSO news release.

GHSA releases updated "Guide for Effectively Partnering with State Highway Safety Offices"

(04/18/18) The Governors Highway Safety Association is pleased to release the April 2018 edition of its Guide for Effectively Partnering with State Highway Safety Offices. First published in 2004, this comprehensive update builds upon the original document to help organizations identify how they can best collaborate with State Highway Safety Offices (SHSOs). The guide includes: a checklist for successfully partnering with SHSOs; case studies of innovative state partnerships; an overview of the ins and outs of how SHSOs work; and tips for executing both funded and non-funded partnerships.

RWJF Nurses Week Video Challenge — Submit by Apr. 24, 2018

(04/12/18) The It Takes A Nurse Facebook community is organizing a special Nurses Week 2018 video contest to show the world how nurses change lives and transform communities! It’s very easy to enter – just film a 30-75 second video about how you (or a nurse friend!) are going above and beyond to promote healthy lifestyles and email it to ItTakesANurse@gmail.com. Enter by April 24 for a chance to win (check out the contest guidelines here). The videos will be reviewed by the Robert Wood Johnson Foundation (RWJF) and we have exciting prizes! Shoot us a message on our Facebook page if you have any questions!

Rob Wagoner Recognized with 2017 Rocco V. Morando Lifetime Achievement Award

(04/05/18) The National Registry of EMTs (NREMT) recently announced Rob Wagoner as the recipient of the 2017 Rocco V. Morando Lifetime Achievement Award. The award, presented by the National Association of Emergency Medical Technicians (NAEMT) and sponsored by NREMT, is a prestigious honor recognizing a lifetime of commitment, contribution and leadership to emergency medical services.

“For over three decades, Rob has demonstrated an unwavering commitment to the EMS industry,” said Deb Cason, Immediate Past Chair, NREMT Board of Directors. “His work with the National Registry helped advance our mission to maintain the integrity of the EMS profession, and we are proud to recognize his contributions as he continues to promote safe EMS practices and improve patient care.” Learn more.

Montana Joins National Collaborative for Bio-Preparedness

(03/29/18) The Montana Department of Public Health and Human Services (MDPHHS) has completed Data Use and Analytic Agreements with Biospatial, Inc., to become the seventh state to join the National Collaborative for Bio-Preparedness (NCBP). Montana will be submitting National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance the state’s ability to visualize their data with other data layers of relevance. The other states participating include Arkansas, Florida, Illinois, Kansas, Mississippi and Rhode Island.

Jim DeTienne, section supervisor for EMS and Trauma Systems, states that the collaborative provides an“opportunity to collect information from disparate datasets in other agencies that will help us all strengthen our programs and partnerships. I can’t think of a better way to utilize data to help strategize and prioritize our programs and initiatives.” To this end, he has a wide range of data he would like to incorporate into the system, including trauma registry, hospital discharge, crash records and CDC’s syndromic surveillance data (ESSENCE). DeTienne believes that the NCBP project gives his office the ability,“to actually use data, not just collect it.” Also, this will provide EMS services the tools to see the value of their data.

Biospatial and UNC are working closely with NASEMSO to develop and grow the Collaborative through state EMS offices. NASEMSO has partnered with the NCBP because of the value the analytics can provide to the NEMSIS data that state EMS offices collect. The NCBP has created a pathway to contribute to state-specific surveillance and offer real-time value to state epidemiologists and state health officers. Download NASEMSO news release.

States Achieve Major Milestone on Treatment of Suspected Opioid Overdose by EMS

(03/20/18) Since 2015, the National Association of State EMS Officials (NASEMSO) has provided technical assistance to its members to improve state policy efforts on the use of opioid antagonists for suspected opioid overdose in out-of-hospital settings. A campaign of awareness and education as well as a partnership with the National Highway Traffic Safety Administration (NHTSA) to revise the National EMS Scope of Practice Model to include the administration of opioid antagonists by EMS providers at the basic life support level has resulted in 100% compliance among states to authorize the practice at all EMS licensure levels.

“This achievement marks a true commitment by the states to serve and protect the public through this public health epidemic. NASEMSO remains committed in its efforts to make sure that EMS personnel have the tools they need to provide effective and safe care for victims of opioid overdose,” stated R. Keith Wages, NASEMSO President. See NASEMSO news release.

A companion project to develop and disseminate an evidence based guideline on the administration of the opioid antagonist, naloxone, is currently underway and expected to be published in Fall 2018. More information is available here. According to the Centers for Disease Control and Prevention (CDC), deaths from drug overdose have been rising steadily over the past two decades and have become the leading cause of injury death in the United States. On average, 115 Americans die every day from an opioid overdose.

Call for Volunteers: CAAS Standards Revision Committee

(02/15/18) The Commission on Accreditation of Ambulance Services (CAAS) is an independent, not for profit accrediting organization that exists to encourage and promote the highest standards for medical transportation systems. CAAS is now preparing to review and revise the existing CAAS Accreditation Standards and is seeking applications from individuals willing to participate on the CAAS Standards Revision Committee.

The objective of the CAAS Standards Revision Committee is to review the existing CAAS Accreditation Standards Version 3.0, and to develop proposed revisions or additions to the standards as necessary. If you are interested in participating, please complete the online application form no later than Mar. 9, 2018.

Arkansas Joins National Collaborative for Bio-Preparedness

(02/12/18) The Arkansas Department of Health (ADH) has completed Data Use and Analytic Agreements with Biospatial, Inc., to join the states of Illinois, Kansas, Florida, Mississippi and Rhode Island in the National Collaborative for Bio-Preparedness (NCBP). Arkansas will be submitting
National EMS Information System (NEMSIS) data elements both to assist in national preparedness and to enhance the state’s ability to visualize their data with other data layers of relevance.

Greg Brown, ADH branch director for trauma and emergency response, envisions linking multiple data sets within the NCBP, including Hazmat Responses, Urgent Care, Trauma System and Hospital Discharge data. A high priority is the linkage of eCrash reports to EMS records. Mr. Brown states, “This project is incredibly valuable to the Arkansas Department of Health, and without the integration of the eCrash data, we will not be able to provide the actionable information that we need to look at outcomes and trauma-related deaths and injuries. We also feel that with the high rise in opioid use and Narcan administration that their opioid dashboard is invaluable." Download NASEMSO news release.

New Infographic — EMS Providers: How to Stay Safe on the Job

(01/09/18) EMS providers are critical to public health and safety. This National Institute for Occupational Safety and Health (NIOSH) resource, co-branded with the National Highway Traffic Safety Administration (NHTSA) Office of EMS, recommends ways that EMS providers can prevent injuries. Download the infographic.

Fatigue in EMS Risk Management Guidelines Go Live

(01/11/18) Workplace fatigue is a common complaint among shift workers. Emergency Medical Services (EMS) personnel work shifts and deliver emergent health care to the acutely ill and injured on the roadside, in patients’ homes, and other environments. They must deliver this care while under significant time pressure and stress. Fatigue is a threat that is often overlooked by EMS leadership and personnel as “just part of the job.“

The number of fatigue-related safety incidences involving EMS personnel and their patients is on the rise. Recent research shows that more than half of emergency medical services (EMS) personnel report severe mental and physical fatigue while at work, poor sleep quality, and poor recovery between shifts. Half of EMS personnel obtain less than 6 hours of sleep per day. The industry has a fatigue problem, yet few have developed solutions informed by the evidence or best practice.

NASEMSO has partnered with a team led by University of Pittsburgh School of Medicine scientists to develop new fatigue guidelines published early online in the journal Prehospital Emergency Care. The aim of the guidelines is to mitigate the effects of fatigue with recommendations based on a comprehensive evaluation of the best available evidence related to numerous fatigue mitigation strategies such as using caffeine and napping during shifts.
Evidence Based Guidelines for Fatigue Risk Management in Emergency Medical Services are now online, and and all companion materials, including background information, systematic reviews, evidence tables, and expert commentaries are also available.

Information Concerning Utah Health Information Network (UHIN) and Their Successful Integration of EMS data with Their HIE

Note from NASEMSO: (01/17/18) The information we distributed below on the Utah Health Information Network (UHIN) was written by the project’s coordinator and reprinted at the request of the Office of National Coordinator for Health IT who awarded the grant for Utah to implement the system. NASEMSO acknowledges that several EMS software vendors can provide this capability, and references in the article should not be construed as a NASEMSO endorsement of a particular vendor. We apologize for the confusion.

(01/03/18) When you think of health information exchange (HIE), you probably think of doctors receiving hospital admission and discharge alerts, or accessing critical medical records. But in Utah, one ambulance service is using HIE in an innovative way. Gold Cross Ambulance in Salt Lake City, uses the data in Utah’s HIE for quality improvement and training.

Through ESO, its patient care reporting system (PCR is the emergency medical service industry’s equivalent to EHR), Gold Cross is one of the over 500 data sources submitting to UHIN’s CHIE, the state-designated HIE in Utah. The system-agnostic, bi-directional feed allows Gold Cross crew members to receive patient outcomes.

How It Works
Through ESO, UHIN pushes outcome information to the Gold Cross home screen dashboard, which includes a tab for crew members to view new patient outcomes. The information includes the patient demographics, EMS record number, and disposition point (i.e. where the patient was released - to their home, a care facility, etc.). It also includes the crew member’s cited reasoning for treatment that is chosen from a list of pre-determined options, and provides the ER physician’s actual diagnosis.

What It Provides
This information provides the Gold Cross crew members the opportunity to understand when their cited reasons for treatment differ from the actual diagnosis. Moreover, it offers invaluable training opportunities — whether it is as simple as reviewing coding procedures or helping crew members understand symptoms.

Equally important, these pushed outcomes provide crew members with a plethora of additional advantages, including confirmation of their initial assessment, positive reaffirmation of their skill set, and increased job satisfaction. Additionally, this HIE-generated information can offer important closure to crew members, who previously had no means of knowing what happened to the patients for whom they provided preliminary care. This resolution is especially important for crews responding to calls on children and the elderly.

Through ESO, Gold Cross’s quality director is also able to view a report of all hospital diagnoses, cross referenced with the percentage of those diagnoses cited by their EMS crew. This information allows for trend analysis and the determination of what, if any, additional training may be necessary.

Going Forward
Going forward, Gold Cross hopes to use the data it receives from the CHIE to create prevention programs. It is already working with UHIN and other community partners on fall preventions. Another potential use of the data would be internal clinical studies to provide for greater quality protocol development and improved patient care.

This innovative exchange of data was made possible as part of an ONC grant UHIN received in 2015 to advance interoperability. The grant allowed for the bi-directional exchange of data between Gold Cross and the CHIE.

NASEMSO Partnering with California EMS Authority on the Health Information Exchange Network
NASEMSO is partnering with the California EMS Authority to lead a national group to promote greater connectivity and interoperability between the target audiences of EMS agencies and hospitals to improve transitions of patient care through the sharing of electronic patient information.

State EMS offices are the logical place to champion this effort. Moreover, as a result of the opportunity for Medicaid funding for EMS onboarding and data analytics through Sept. 30, 2021, state EMS offices may be well-positioned to take advantage of this opportunity.

For those interested in participating in the Health Information Exchange Workgroup, please contact Joe Ferrell at joe@nasesmo.org.

NASEMSO Mourns the Loss of Esteemed Colleague Tom Nehring

(01/03/18) NASEMSO is saddened to learn of the unexpected loss of a friend and colleague, Tom Nehring. Tom began his career in EMS in the early 1970s as one of North Dakota’s first nationally registered paramedics. He was a leader in the development of paramedic training programs in North Dakota and a founder and first president of the North Dakota EMS Association. Throughout his career, he served in a number of leadership roles in healthcare, hospitals and EMS, including director of the Division of Emergency Medical Systems and Trauma in the North Dakota Department of Health. As a member of NASEMSO’s Board of Directors, Tom was always the first to volunteer for committees and projects, particularly when they served the best interests of rural EMS. He recently served as the co-chair for the Joint Committee on Rural EMS Care, an organizational link between NASEMSO and the State Offices of Rural Health. Tom retired from his position as a state EMS director in 2017. He will be greatly missed. online obituary notice