CoAEMSPSiteVisitors:the2015CAAHEPStandards

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Welcome

GeorgeWHatch,Jr,EdD,LP,EMT-P|ExecuEveDirector

Facilitators

GordonKokx,PhD,NRP|AssistantDirectorofAccreditaEonServices

JenniferAndersonWarwick,MA|AccreditaEonConsultant

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•  DiscussthenewStandardsthatareineffect

•  DiscusstheinterpretaEonsofthe2015CAAHEPStandardsandGuidelines

•  IdenEfyhowyouwillknowwhichsetofStandardstoevaluateaprogram

•  IntroducethenewSiteVisitReport

•  ReinforcebestpracEcesofsitevisitors

ObjecEves

Wherewearenow…

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688 programs

CAAHEP accredited, 517

CoAEMSP Letter of

Review, 171

NumberofProgramsasofDecember19,2016

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TheLargestCoAsinCAAHEPasofDecember19,2016

0 100 200 300 400 500 600 700

527 517 436 217

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171

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0 20 40 60 80

100 120 140 160 180

200

2010 2011 2012 2013 2014 2015 2016 2017

Continuing 1st Continuing Initial 164

Thankyou!ThewildrideconEnues…

NumberofSiteVisitsbyYear186

CAAHEPStandards:TheKeyChanges

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2015CAAHEPStandardsfortheEMSProfessionswentintoeffectforALLprograms

onJanuary1,2016

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Emergency Medical Services (Standards Interpretations 07.30.2016) Page 5 of 26

Standard I.A. Sponsoring Institution A sponsoring institution must be at least one of the following, and must either award credit for the program or have an articulation agreement with an accredited post-secondary institution:

1. A post-secondary academic institution accredited by an institutional accrediting agency that is recognized by the U.S. Department of Education, and authorized under applicable law or other acceptable authority to provide a post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.

2. A foreign post-secondary academic institution acceptable to CAAHEP, which is authorized under applicable law or other acceptable authority to provide a postsecondary program, which awards a minimum of a certificate/diploma at the completion of the academic program.

3. A hospital, clinic or medical center accredited by a healthcare accrediting agency or equivalent that

is recognized by the U.S. Department of Health and Human Services, and authorized under applicable law or other acceptable authority to provide healthcare, and authorized under applicable law or other acceptable authority to provide the post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.

4. A governmental (i.e., state, county, or municipal) educational or governmental medical service, and

which is authorized by the State to provide initial educational programs, and authorized under applicable law or other acceptable authority to provide the post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.

5. A branch of the United States Armed Forces or other Federal agency, which awards a minimum of

a certificate/diploma at the completion of the program. For a distance education program, the location of program is the mailing address of the sponsor.

Interpretation of Standard:

A sponsoring institution must be at least one of the following, and must either award credit for the program or have an articulation agreement with an accredited post-secondary institution: 1. This is a college, university, community college, junior college that is accredited by a regional or national

institutional accrediting body. Vocational schools, proprietary schools, and religious schools may be accredited by regional accrediting agencies or specialized institutional accrediting bodies. A list of approved accrediting organizations can be found on the US Department of Education web site.

If academic credits are not granted during the program offered in the accredited academic institution (e.g., the program is offered through continuing education), there must be an articulation agreement for those who complete the program.

For each state in which the program has enrolled students, the program must document that it has successfully notified the State EMS office that the program has students in that state.

STANDARD I. SPONSORSHIP

DocumentstoSupportthe2015CAAHEPStandardsandGuidelines

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I.A.4.Sponsorship

III.A.2.Resources:TypeandAmount

III.C.1.Curriculum(Sequencing)

III.C.2.Curriculum(Minimums)

IV.A.2.StudentDocumentaEon(Tracking)

V.B.LawfulPracEces–otherStates

III.B.1.a.6)ProgramDirector:PreceptorTraining

III.B.2.a.MedicalDirectorResponsibiliEes

III.B.3.AssociateMedicalDirector

III.B.4.AssistantMedicalDirector

III.B.6.LeadInstructor

KeyChangesto2015Standards

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FireAcademyorEMStrainingagency

Mustbeanagencyoffederal,state,cityorcountygovernment

MustbeauthorizedbytheStatetoprovideiniEaleducaEonprograms

MusthaveanarEculaEonagreementwitheducaEonalinsEtuEonthatcanprovidecollegecredit

ORmustberecognizedbythestateasapostsecondaryeducaEonalinsEtuEon

I.A.4.Sponsorship

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Mustensureexposureto,andassessmentandmanagementof:

•  Adulttraumaandmedicalemergencies

•  AirwaymanagementtoincludeendotrachealintubaEon

•  ObstetricstoincludeobstetricpaEentswithdeliveryandneonatalassessmentandcare

•  Pediatrictraumaandmedicalemergenciesincludingassessmentandmanagement

•  Geriatrictraumaandmedicalemergencies

III.A.2.Resources–Type&Amount

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ProgrammustsetandrequireminimumnumbersofpaEentcontacts

Minimumsmustbereviewed&approvedbythemedicaldirector,andreviewedandendorsedbyadvisorycommiiee(&documented)

TrackingmustdemonstratethateachstudentmeetsALLoftheminimumrequirednumbersofpaEentcontacts(inordertocompletetheprogram)

PeriodicevaluaEonthatminimumsareadequate“toprepareacompetententry-levelparamedics…”(rememberStandardII.C)

LivepaEentencountersmustoccur;simulaEonscanbeintegratedtohelpachievecompetency(notforfieldinternship-teamleads)

III.A.2.Resources–Type&Amount

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moreexplicit

Thetraining/orientaEonmustincludethefollowingtopics:

•  PurposesofthestudentrotaEon(minimumcompetencies,skills,andbehaviors)

•  EvaluaEontoolsusedbytheprogram

•  CriteriaofevaluaEonforgradingstudents

•  ContactinformaEonfortheprogram

•  Program’sdefiniEonofTeamLead

•  Program’srequiredminimumnumberofTeamLeads

•  Coachingandmentorshiptechniques

III.B.1.a.6)PreceptorTrainingProgramDirectorResponsibiliEes

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MustdocumentfulfillmentofeachresponsibilityspecifiedinStandardIII.B.2.a(thereare8responsibiliEes)

Medicaloversightisprimaryrole

Mustinteractwithstudents

Doesnothavetodolecturesorlabs,etc.

Terminalcompetencysignoffmustoccurforeachgraduate

Mustreviewexams,curriculum,qualityofinstrucEon,studentprogress

MustreviewandapproveprogramminimumrequirednumbersofpaEentcontacts

III.B.2.a.MedicalDirectorResponsibiliEes

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“WhentheprogramMedicalDirectordelegatesspecifiedresponsibiliEes,theprogrammustdesignateoneormoreAssociateMedicalDirectors.TheAssociateMedicalDirectormust:1)FulfillresponsibiliEesasdelegatedbytheprogramMedicalDirector”

III.B.3.AssociateMedicalDirector(delegated)

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“WhentheprogramMedicalDirectororAssociateMedicalDirectorcannotlegallyprovidesupervisionforout-of-statelocaEon(s)oftheeducaEonalacEviEesoftheprogram,thesponsormustappointanAssistantMedicalDirector.TheAssistantMedicalDirectormust:1)MedicalsupervisionandoversightofstudentsparEcipaEnginfieldexperienceand/orfieldinternship.”

III.B.4.AssistantMedicalDirector(out-of-state)

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“a.ResponsibiliEesWhentheProgramDirectordelegatesspecifiedresponsibiliJestoaleadinstructor,thatindividualmust:

PerformduEesassignedunderthedirecEonanddelegaEonoftheprogramdirector.

b.QualificaEonsTheLeadInstructormustpossess1)aminimumofanassociatedegree2)professionalhealthcarecredenEal(s)3)experienceinemergencymedicine/prehospitalcare,4)knowledgeofinstrucEonalmethods,and5)teachingexperiencetodelivercontent,skillsinstrucEon,andremediaEon.”

III.B.6.LeadInstructor

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“ProgressionoflearningmustbedidacEc/laboratoryintegratedwithorfollowedbyclinical/fieldexperiencefollowedbythecapstonefieldinternship,whichmustoccuraKerallcoredidacJc,laboratory,andclinicalexperience.”

CorecoursesarethedidacEc,laboratory,clinical,andfieldexperiencecoursesthatimparttheparamediccompetenciestoassessandmanageanypaEenttype.

InternshipmustoccuraqercompleEonofallcoredidacEc,laboratory,andclinicalexperience.

CertainlyintegraEonisokay!

III.C.1.Curriculum-Sequencing

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“TheprogrammustsetandrequireminimumnumbersofpaEent/skillcontactsforeachoftherequiredpaEentsandcondiEonslistedintheseStandards,andatleastannuallyevaluateanddocumentthattheestablishedprogramminimumsareadequatetoachieveentry-levelcompetency.”

AdvisoryCommiNeereviewsandendorsesprogramrequiredminimumnumbersofpaEentcontacts,includingTeamLeads(SSR-AppendixG)

MedicalDirectorreviewsandapproves

III.C.2.Curriculum–PaEentMinimums

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“a.RecordsofstudentevaluaEonsmustbemaintainedinsufficientdetailtodocumentlearningprogressandachievements,includingallprogramrequiredminimumcompetenciesinalllearningdomainsinthedidacEc,laboratory,clinicalandfieldexperience/internshipphasesoftheprogram.b.TheprogrammusttrackanddocumentthateachstudentsuccessfullymeetseachoftheprogramestablishedminimumpaJent/skillrequirementsfortheappropriateexitpointaccordingtopaJentage-range,chiefcomplaint,andintervenJons.”

IV.A.2.StudentDocumentaEon

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“AprogramconducEngeducaEonalacEviEesinotherState(s)mustprovidedocumentaEontoCoAEMSPthattheprogramhassuccessfullyinformedthestateOfficeofEMSthattheprogramhasenrolledstudentsinthatstate.”

V.B.LawfulPracEces

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SelfStudyReport

ExecuEveAnalysis

SiteVisitReport

NewStandards=NewDocuments

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HousekeepingItems

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PerDiems

•  MealsandIncidentals

ExpenseReports

•  Mileage

•  Parking

•  Lodging

TeamCaptains

•  Reachouttoteammember&programdirectorASAP

•  Look@program’swebsite

•  AddiEonallocaEons?

Reminders

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OncetherehasbeenafinaldeterminaEonofthefindingsleier,

thesiteteammembersandanyothersitevisitparEcipantswho

receivedmaterialsfromtheCoAEMSP,shalldestroyall

materialsandcommunicaJonsrelatedtothatsitevisit,such

as:alldocumentsreceivedpriortovisit,anyemailspertaining

tothevisit,theunofficialandofficialteamreports,andnotes

takenduringvisit.DestrucEonofmaterialsrequiresdeleEngall

electronicfilesandshreddingofanypaperdocumentsreceived.

DestrucEonofMaterialspolicy

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MAGIC:theAccreditaEonManagementSystem

WhatisComing?

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JenniferAndersonWarwickjennifer@coaemsp.orgGordyKokxgordy@coaemsp.orgGeorgeHatch,Jrgeorge@coaemsp.org

QuesEons?