board EMFTS Board Minutes - June 20 2018.pdf · Mr. Geoff Dutton Present Mr. Kevin Uhl Absent Ms....

State Board of Emergency Medical, Fire, and Transportation Services Thomas Allenstein, Chair

Dudley H.A. Wright II, Vice-Chair Dr. Carol Cunningham, State Medical Director

www.ems.ohio.gov/ems_board.stm 1970 West Broad Street, PO Box 182073, Columbus, Ohio 43218 (614) 466-9447 / (614) 466-9461 FAX

STATE BOARD OF EMERGENCY MEDICAL, FIRE, AND TRANSPORTATION SERVICES DIVISION OF EMERGENCY MEDICAL SERVICES

OHIO DEPARTMENT OF PUBLIC SAFETY

MEETING MINUTES June 20, 2018

~FINAL~ Board Meeting Date and Location: Wednesday, June 20, 2018, at the Ohio Department of Public Safety, 1970 West Broad Street, Conference Room 1106, Columbus, Ohio.

Board Members Present: Thomas Allenstein, Kent Appelhans, Scott Arthur, Beth Calcidise, Herb de la Porte, Geoff Dutton, Deanna Harris, Aaron Jennings, Mark Resanovich, Julie Rose, Dr. Steven Steinberg, Dr. Thomas Tallman, Jason Walsh, and Dudley Wright.

Board Members Absent: Karen Beavers, James Davis, Susan Kearns, Dr. Hamilton Schwartz, George Snyder, Dr. Glen Tinkoff, and Kevin Uhl.

DPS and EMS Staff Members Present: Jean Booze, Peter Casey, Beverly Cooper, Dr. Carol Cunningham, Joel Demory, Dave Fiffick, Melvin House, Valerie Koker, John Miller, Kris Miller, John Molnar, Ellen Owens, Kris Patalita, LaNese Powell, Bryan Reardon, Cathy Ryder, Joseph Stack, Rob Wagoner, Patrick Williams and Michael Wise.

Assistant Attorney General: Trista M. Turley

Public Present: Diane Simon

EMFTS Board Meeting

Welcome and Introduction

The meeting began at 10:03 a.m. Roll Call Mr. Thomas Allenstein (Chair) Present Mr. Mark Resanovich Present Mr. Kent Appelhans Present Ms. Julie Rose Present Mr. Scott Arthur Present Dr. Hamilton Schwartz Absent Ms. Karen Beavers Absent Mr. George B. Snyder Absent Ms. Beth Calcidise Present Dr. Steven Steinberg Present Mr. James Davis Absent Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Kevin Uhl Absent Ms. Deanna Harris Present Mr. Jason Walsh Present Mr. Aaron Jennings Present Mr. Dudley Wright II (V.Chair) Present Ms. Susan Kearns Absent

Ohio Department of Public Safety June 20, 2018

State Board of Emergency Medical, Fire, and Transportation Services Page 2 of 17

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Open Forum Mr. Allenstein inquired if there were any guests who would like to address the Board. No guests were present.

Consent Agenda Mr. Allenstein requested a motion to approve the Consent Agenda items that were distributed prior to the meeting including the April 18, 2018 EMFTS Board meeting minutes, May 22, 2018 EMFTS Board meeting minutes, Certificates of Approval, Certificates of Accreditation, April 2018 90-day extension requests, May 2018 90-day extension requests, April 2018 EMS certifications and May 2018 EMS certifications.

ACTION: Motion to approve the Consent Agenda items that were distributed prior to the meeting including the April 18, 2018 EMFTS Board meeting minutes, May 22, 2018 EMFTS Board meeting minutes, Certificates of Approval, Certificates of Accreditation, April 2018 90-day extension requests, May 2018 90-day extension requests, April 2018 EMS certifications and May 2018 EMS certifications. Ms. Harris – First. Ms. Rose – Second. None opposed. Mr. Arthur (CHI Health at Home education renewal) - abstained. Motion approved.

Summary Suspension and Report and Recommendations

Mr. Allenstein introduced himself as the Chair of the State Board of Emergency Medical, Fire, and Transportation Services. The proceedings were called to order at 10:06 a.m. on June 20, 2018 at the Ohio Department of Public Safety, 1970 West Broad Street, Columbus, Ohio 43223.

Roll Call Mr. Thomas Allenstein (Chair) Present Mr. Mark Resanovich Present Mr. Kent Appelhans Present Ms. Julie Rose Present Mr. Scott Arthur Present Dr. Hamilton Schwartz Absent Ms. Karen Beavers Absent Mr. George B. Snyder Absent Ms. Beth Calcidise Present Dr. Steven Steinberg Present Mr. James Davis Absent Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Kevin Uhl Absent Ms. Deanna Harris Present Mr. Jason Walsh Present Mr. Aaron Jennings Present Mr. Dudley Wright II (V.Chair) Present Ms. Susan Kearns Absent

It was noted for the record that a majority of the members of the Board are present.

Summary Suspension ~none~

Report and Recommendations ~none~



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EMS Goldmans These proceedings were held before the Board pursuant to Goldman v. State Medical Board of Ohio where the respondents did not properly request a hearing in the cases. The individuals named did not have the ability to present written or oral testimony; however, they may be present to hear the proceedings and outcome. All Board members received the sworn affidavits and accompanying exhibits for the Goldman proceedings from the EMS investigators. The affidavits contained the evidence and testimony upon which was deliberated. There were six adjudications. The proceedings were in the matters of:

EMS Case No. 2016-71-BE300, Jason G. Edwards, Certificate No. 120281

EMS Case No. 2016-527-E300, Cory E. Byrd, Certificate No. 149719

EMS Case No. 2016-552-E300, Tracey J. Slawnyk, Certificate No. 126118

EMS Case No. 2016-585-E300, Elaine C. Wiechart, Certificate No. 11429

EMS Case No. 2017-208-BE100, Jonathan S. Monroe, Certificate No. 161417

EMS Case No. 2018-148-BE100, Travis J. Dick, Certificate No. 147679 Mr. Allenstein recognized Assistant Attorney General Trista M. Turley for the purpose of providing a brief synopsis of the case and the recommendation for disciplinary action.

EMS Case No. 2016-71-BE300, Jason G. Edwards, Certificate No. 120281. Mr. Edwards is currently certified as an EMT with an expiration of November 21, 2018. He entered into a Consent Agreement with the Board on or about October 19, 2016. Under the terms of the Consent Agreement, Mr. Edwards was required to pay a fine of $250 no later than January 19, 2017 and submit documentation showing proof of completion of 40 hours of continuing education no later than February 29, 2017. Mr. Edward did not timely pay the fine or submit proof of continuing education. The Division sent Mr. Edwards a reminder via mail on or about March 29, 2017; however, no response was received. The Board issued a Notice of Opportunity for Hearing, alleging failure to comply with the consent agreement. No hearing was requested. The recommendation is to revoke Mr. Edwards’ certification.

EMS Case No. 2016-527-E300, Cory E. Byrd, Certificate No. 149719. Mr. Byrd is currently certified as a paramedic with an expiration of April 21, 2019. On his last renewal application he attested that he met all continuing education requirements. On or about May 16, 2016, the Division conducted a random audit of Mr. Byrd’s continuing education. There was no response to the initial notice or to a follow-up notice. A Notice of Opportunity for Hearing was issued. Mr. Byrd eventually submitted continuing education documentation on or about April 27, 2017 and was found to be short 33 hours. He was notified of the deficiency; however, he did not respond. Mr. Byrd did not request a hearing. The recommendation is to revoke Mr. Byrd’s certification.

EMS Case No. 2016-552-E300, Tracey J. Slawnyk, Certificate No. 126118. Tracey Slawnyk is currently certified as an EMT with an expiration of May 18, 2019. On the last renewal Tracey attested that all continuing education requirements had been met. The Division conducted an audit of Tracey’s continuing education on June 15, 2016; there was no response. A Notice of Opportunity for Hearing was issued and no hearing was requested. The recommendation is to revoke Tracey Slawnyk’s certification.



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EMS Case No. 2016-585-E300, Elaine C. Wiechart, Certificate No. 11429. Ms. Wiechart is currently certified as an advanced EMT with an expiration of December 28, 2018. On the last renewal application she certified that she met all continuing education requirements for renewal before her certification expired. On or about January 15, 2016 the Division conducted a random audit of Ms. Wiechart’s continuing education hours. There was no response; therefore, a Notice of Opportunity for Hearing was issued. No hearing was requested and no documentation was submitted. The recommendation is to revoke Ms. Wiechart’s certification.

EMS Case No. 2017-208-BE100, Jonathan S. Monroe, Certificate No. 161417. Mr. Monroe was certified as an Emergency Medical Technician. On or around April 2017 the Division learned from media reports that Mr. Monroe had been accused of sexually assaulting teenage cadets in the Springfield Township Fire Department Cadet Program. On or about January 4, 2018, Mr. Monroe was convicted in the Clark County Court of Common Pleas of rape, sexual battery, gross sexual imposition, and compelling prostitution. Mr. Monroe was sentenced to ten years in prison and designated a Tier III sex offender. He was summarily suspended by the EMFTS Board in February 2017. A Notice of Opportunity for Hearing was served by both certified mail and personal service. No hearing was requested. The recommendation is to permanently revoke Mr. Monroe’s certification.

EMS Case No. 2018-148-BE100, Travis J. Dick, Certificate No. 147679. Mr. Dick was certified as an EMT with an expiration of May 2, 2019. In March 2018, the Division learned from news media reports that Mr. Dick had been charged with multiple sex offenses involving a 13 year old female. On or about March 15, 2018 Mr. Dick was convicted in Mahoning County Court of disseminating matter harmful to juveniles (M1) and sexual imposition (M3). He was fined and sentenced to 180 days in jail with 165 days suspended and 15 days time served; 12 months community control, and designated as a Tier I sex offender. He was summarily suspended by the EMFTS Board on April 20, 2018. A Notice of Opportunity for Hearing was issued; however, no hearing was requested. The recommendation is to permanently revoke Mr. Dick’s certification.

Having heard AAG Turley’s synopses and recommended disciplinary actions for the cases, Mr. Allenstein requested a motion to admit the sworn affidavits and the accompanying exhibits in the aforementioned cases into evidence.

ACTION: Motion to admit the sworn affidavits and accompanying exhibits in the aforementioned case into evidence. Mr. Arthur – First. Mr. de la Porte – Second. None opposed. None abstained. Motion approved.

There being no further evidence to come before the Board, the proceedings closed at 10:14 a.m.

Mr. Allenstein requested a motion to recess the meeting for the purpose of entering into quasi-judicial deliberations on the following matters pursuant to Ohio Revised Code Chapter 119 and that are required to be kept confidential under R.C. 4765.102(B). The Board will reconvene following deliberations.

ACTION: Motion to adjourn and go into private session for the purpose of quasi-judicial deliberation on these matters pursuant to ORC Chapter 119 and that are required to be kept confidential under R.C. 4765.102(B). Mr. Jennings – First. Mr. Arthur – Second. None abstained. None opposed. Motion approved.



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EMS Goldman Motions

ACTION: In the matter of EMS Case Number 2016-71-BE300, Jason G. Edwards, Certificate

Number 120281, I move that the Board issue an adjudication order finding that Mr. Edwards failed to comply with the terms of a consent agreement as indicated in the Notice of Opportunity for Hearing and that Mr. Edwards’ certification be revoked. Mr. Jennings – First. Ms. Calcidise – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-527-E300, Cory E. Byrd, Certificate Number

149719, I move that the Board issue an adjudication order finding that Mr. Byrd failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Mr. Byrd’s certification be revoked. Mr. Jennings – First. Ms. Calcidise – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-552-E300, Tracey J. Slawnyk, Certificate

Number 126118, I move that the Board issue an adjudication order finding that Tracey Slawnyk failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Tracey Slawnyk’s certification be revoked. Mr. Jennings– First. Dr. Steinberg – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-585-E300, Elaine C. Wiechart, Certificate

Number 11429, I move that the Board issue an adjudication order finding that Ms. Wiechart failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Ms. Wiechart’s certification be revoked. Mr. Jennings– First. Mr. Dutton – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-552-E300, Tracey J. Slawnyk, Certificate

Number 126118, I move that the Board issue an adjudication order finding that Tracey Slawnyk failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Tracey Slawnyk’s certification be revoked. Mr. Jennings– First. Dr. Steinberg – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-208-BE100, Jonathan S. Monroe, Certificate

Number 161417, I move that the Board issue an adjudication order finding that there is clear and convincing evidence that Mr. Monroe’s continued practice as an emergency medical technician presents a danger of immediate and serious harm to the public based on felony convictions for Gross Sexual Imposition, Compelling Prostitution, Sexual Battery, and Rape; and that Mr. Monroe’s certificate to practice be permanently revoked. Mr. Jennings– First. Mr. Dutton – Second. None opposed. Mr. Resanovich - abstained. Motion approved.

EMS Investigations

ACTION: Motion to adjourn and enter executive session for the purpose of discussing proposed disciplinary action against certificate holders pursuant to O.R.C. Section 121.22(G)(1) and pursuant to 121.22(G)(5) that involve matters required to be kept confidential under O.R.C. Sections 149.43(A)(2) and 4765.102(B). Mr. Wright – First. Mr. de la Porte – Second. None opposed. None abstained. Motion approved.



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Roll Call

Mr. Thomas Allenstein (Chair) Present Mr. Mark Resanovich Present Mr. Kent Appelhans Present Ms. Julie Rose Present Mr. Scott Arthur Present Dr. Hamilton Schwartz Absent Ms. Karen Beavers Absent Mr. George B. Snyder Absent Ms. Beth Calcidise Present Dr. Steven Steinberg Present Mr. James Davis Absent Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Kevin Uhl Absent Ms. Deanna Harris Present Mr. Jason Walsh Present Mr. Aaron Jennings Present Mr. Dudley Wright II (V.Chair) Present Ms. Susan Kearns Absent

ACTION: Motion to close Medical Transportation cases due to lack of jurisdiction, referral to local medical director, deferral to department discipline, certifications have expired, or non-violations of ORC and/or OAC: Ms. Harris – First. Ms. Calcidise – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2015-585-E500 2017-318-E400

ACTION: Motion to accept the following Consent Agreement(s): Ms. Harris – First. Mr. Arthur – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2016-400-E500

2016-568-E300

2016-604-BE100

2017-452-E500

2017-531-E300

2017-646-E300

2017-695-E300

2017-736-BE100

2018-44-E300

2018-47-E300

2018-70-E300

2018-80-E300

2018-89-E100

2018-114-E100

2018-142-E100

ACTION: Motion to accept the following Consent Agreement(s): Ms. Harris – First. Mr. Arthur – Second. Mr. Jennings, Mr. Resanovich and Mr. Wright – Abstained. None opposed. Motion failed.

2017-80-BE100

ACTION: Motion to close the following cases due to lack of jurisdiction, referral to local medical director, deferral to department discipline, certifications have expired, or non-violations of ORC and/or OAC: Ms. Harris – First. Ms. Calcidise – Second. Mr. Resanovich– Abstained. None opposed. Motion approved.

2011-894-BE100 *Re-open if Re-apply

2013-639-BE100 *Re-open if Re-apply

2016-423-E500 *Re-open if Re-apply

2016-523-E400 *Refer to local Medical Director

2016-593-E500 *Letter to FD advising required MD

reporting

2017-437-BE500

2017-610-BE100

ACTION: Motion to close the following cases, individuals have met the stipulations of their Consent Agreements: Ms. Harris – First. Mr. Wright – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2011-871-BE100

2011-1092-BE100

2012-758-E300

2014-138-E100

2015-218-E300

2015-318-E300

2015-326-E300

2015-327-E300

2015-389-E300

2015-406-E300

2015-465-E300

2017-714-E100

2017-815-E100



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ACTION: Motion to close the following cases. The Board accepts the surrendering of their respective certificates to practice or teach. Re-open if re-applies: Ms. Harris – First. Mr. Arthur – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2016-394-E300 *Rescind NOH

2016-596-E300

2017-243-E300

2017-514-E300

2017-690-E300

2018-249-E300

2018-251-E300

ACTION: Motion to close the following cases. Individuals entered into Consent Agreements with the Board, but did not meet the requirements of the Consent Agreement before their respective certificates to practice expired. Re-open if re-applies. Ms. Harris – First. Mr. Wright – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2012-393-E100 2015-307-E300

ACTION: Motion to close the following cases. Individuals entered into Consent Agreements with the Board, but did not meet the requirements of the Consent Agreement. They opted to surrender their certificates to practice and/or teach. Re-open if re-applies. Ms. Harris – First. Mr. de la Porte – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2012-104-BE100

ACTION: Motion to issue Notices of Opportunity for Hearings for the following cases: Ms. Harris – First. Mr. Dutton – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2017-300-E300

2017-359-E300

2017-575-E300

2017-643-E300

2017-696-E300

2017-699-E300

2017-701-E300

2017-715-E300

2018-43-E300

2018-98-E100

2018-110-E500

2018-122-E300

ACTION: Motion to close the following cases due to one of the following reasons: inadvertently marked yes to conviction question, misdemeanor convictions which the Board has previously deemed “not involving moral turpitude,” continuing education cases which now meet the requirements, non-patient care issues, and grandfathering issues of certification/conviction: Ms. Harris – First. Mr. Dutton – Second. Mr. Resanovich– Abstained. None opposed. Motion approved.

2012-426-E500

2012-631-E500

2012-659-E500

2014-321-E500

2015-437-E100

2016-203-E100

2016-255-E100

2016-602-E100

2017-115-E300

2017-610-BE100

2017-719-E300

2017-722-E400

2018-100-BE100

2018-112-E100

2018-123-E100

2018-157-BE100

2018-159-BE100

2018-165-E500

2018-166-BE100

2018-202-E100

2018-204-E500

2018-207-E500

2018-210-E100

2018-211-E100

2018-217-E100

2018-218-E100

2018-220-E100

2018-221-E100

2018-223-BE100

2018-226-E100

2018-235-BE100

2018-237-E100

2018-239-E100

2018-240-E500

2018-245-BE100

2018-246-E100

2018-255-E100

2018-257-BE100

2018-258-BE100

2018-261-E100

2018-267-E100

2018-269-E100

2018-271-BE100

2018-273-E100

2018-276-E100

2018-277-BE100

2018-281-E100

2018-282-E100



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EMFTS Board Chair’s Report, Tom Allenstein

Mr. Allenstein stated that all of the committees worked on the strategic plan. There were some concerns from committee members that legislators do not understand that the focus it is not only about firefighters and should be formally expressed to them that EMS providers are included.

Deputy Director Rob Wagoner reviewed the information identified for the strategic plan and stated that each task was assigned to a specific committee or two committees working together. The strategic plan will be ongoing for three to five years. This gives the committees a direction and a map and is meant to empower the committees with specific ways to begin these projects. EMS is evolving over time and adjustments will be made accordingly.

Mr. Allenstein expressed his appreciation to all of the committees for the work done thus far on the strategic plan. Executive Director House stated that if any Board members have any other projects they would like added to the strategic plan to bring these to the attention of the committee chairs. State EMS Medical Director Report, Dr. Carol Cunningham Dr. Cunningham stated that the RPAB membership is represented throughout the state; however, more members would be beneficial in Regions 7 and 8. The next RPAB Chair meeting will be held on September 12, 2018 at 1:00 p.m. EMS Staff Legal Counsel, Michael Wise Mr. Wise stated that he did not have a report.

Assistant Attorney General, Trista Turley

AAG Trista Turley reported that the case in Trumbull County is moving forward.

Executive Director and Staff Reports, Melvin House

Executive Director House reported that all of the EMFTS Board seats have been filled.

Staff Vacancies

Epidemiology Investigator 3 – Trauma Data. Interviews are ongoing. The position has been filled and they will start on June 25, 2018.

Program Administrator 2 – Education. Interviews are ongoing. The position remains posted as continuous until filled.

Program Administrator 3 – Education. John Molnar has resigned with his last day being June 22, 2018. The position posting closed on June 15, 2018. Applications and resumes will be reviewed.

Rescue Task Force A/V Project

The narrated training program has been completed and is posted to the ODPS Public Safety Training Campus

Updating narrated version for use by EMS training programs

Rescue Task Force information has been shared via GovDelivery CHEMPACK

Completing the last of the CHEMPACK live training rollouts during the week ending June 22, 2018



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Rural Flex Grant Needs Assessment – Regional Meetings

Five regional meetings are being coordinated by the Paramedic Foundation and the Ohio Department of Health

DEMS Database Project

Completed o EMS & Fire Course Administration and Testing o Certifications o Education – Phases 1 & 2 o Grants o Medical Transportation

Underway o Examination and Testing Update (new fire certifications) o Investigations o Education – Phase 3 (due December 2018) o EMS Management/Report – (due December 2018)

Next initiative to be addressed o EMS Agency Database

A discussion ensued regarding the certification level of the AEMT versus paramedic. Two concerns include education curriculum and the stepping stone to being a paramedic. The Education Committee will review this issue.

The EMFTS Board members received two rule documents in the EMFTS Board packet. Ms. Cooper reported that there was an update to the rules in one document and the other document had draft rules. In August the Board will vote on these rules to be filed with the Common Sense Initiative. Should anyone have questions, suggestions or concerns regarding the rules, they should submit them electronically via the EMS rules email address.

EMS Exemption Requests, Jean Booze

Jean Booze reported that there was one medical exemption request from a paramedic certificate holder; 2018-6-2. All medical documentation has been received. Staff recommends approval and requests a motion to approve.

ACTION: Motion to approve the medical exemption request for 2018-6-2. Ms. Harris – First.

Ms. Calcidise – Second. None opposed. None abstained. Motion approved.

Education, John Molnar

Mr. Molnar requested a motion for approval for three continuing education sites:

Silver Township Fire and EMS in Greene County for an initial approval

Fayette County Memorial Hospital EMS in Fayette County for a three-year renewal

Jefferson Township Fire Department, Montgomery County for a three-year renewal

ACTION: Motion to approve the following continuing education sites: Silver Township Fire and EMS, Greene County, Fayette County Memorial Hospital EMS, Fayette County, and Jefferson Township Fire Department, Montgomery County. Ms. Rose – First. Mr. Arthur – Second. None opposed. None abstained. Motion approved.



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Medical Transportation – Dave Fiffick

Mr. Fiffick presented the list of medical transportation renewal applications with expiration dates of April, May, June and July 2018. Staff is requesting a motion and approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation renewals with expiration dates of April, May, June and July 2018; pending a satisfactory inspection. Mr. Dutton – First. Mr. Arthur – Second. None opposed. Mr. de la Porte and Ms. Rose (Community Care Ambulance Network, Inc.) -abstained. Motion approved.

Mr. Fiffick presented the list of medical transportation applications for new ambulette and ambulance services. Staff is requesting a motion and approval pending a satisfactory inspection.

ACTION: Motion to approve the new ambulette and ambulance services; pending a satisfactory inspection. Mr. de la Porte – First. Mr. Arthurs - Second. None opposed. None abstained. Motion approved.

Mr. Fiffick presented the list of new medical transportation headquarters (3 ambulettes and 1 ambulance) and new satellite locations (5 ambulettes and 4 ambulances). Staff is requesting a motion for approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation new headquarters, (3 ambulettes and 1 ambulance) and new satellite locations (5 ambulettes and 4 ambulances). Mr. de la Porte – First. Mr. Walsh – Second. Mr. Appelhans (Hanco EMS LLC) - abstained. None opposed. Motion approved.

Mr. Fiffick presented the list of medical transportation agencies that have requested an upgrade in level of service from BLS to ALS. Staff is requesting a motion for approval.

ACTION: Motion to approve the upgrade in level of service from BLS to ALS for Legacy Medical Transport. Mr. de la Porte – First. Mr. Walsh – Second. None abstained. None opposed. Motion approved.

Grants, Johanna Burgess

Ms. Burgess distributed the list of grants for approval.

Ms. Burgess reported that the supplemental applications are scored based on specific criteria. The supplemental grant recommendations include 15 agencies with Board priority awards in the amount of $229,566.00, and economic hardship awards in the amount of $116,174.40 with a total of $345,740.40.

ACTION: Motion to approve the supplemental grants to include Board priority awards in the amount of $229,566.00 for and economic hardship awards in the amount of $116,174.40. Mr. Dutton – First. Ms. Harris – Second. None abstained. None opposed. Motion approved.



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Ms. Burgess requested a motion for approval of the Priority 2-5 RFP Research Proposals and the Priority 2-5 Research Proposals.

ACTION: Motion to approve the 2018-2019 Priority 2-5 RFP Research Proposals. Ms. Harris – First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.

Ms. Burgess requested a motion for approval of the 2018-2019 Priority 1 grants.

ACTION: Motion to approve the list for the 2018-2019 Priority 1 grants. Ms. Harris – First. Mr. Dutton – Second. Mr. Appelhans (Hanco EMS LLC), Mr. Jennings (Delaware County EMS and Porter Kingston Fire District), Mr. de la Porte (Lifecare Ambulance Inc.), and Mr. Wright (Monroe Township Fire Department) abstained. None opposed. Motion approved.

Ms. Burgess reported that over 600 tablets have been distributed. Another 400 will be ordered July 1st and then be distributed. There are enough tablets to fund all of the applicants. EMS Legislative Liaison, Emily Mayfield Ms. Mayfield reported that next week will be the last week before the legislators break for summer.

HB464 will most likely be passed. This bill is in regards to the stroke centers and treatment protocols to provide for recognition of stroke centers and establishment of protocols for assessment, treatment and transport to hospitals of stroke patients. This bill would require medical directors to establish protocols to consult with hospitals.

HB513 is scheduled for a floor vote today, June 20, 2018. HB513 is in regards to the Homestead Exemption-Surviving Spouses; to enhance the homestead exemption for surviving spouses of peace officers, firefighters, and emergency medical personnel killed in the line of duty.

HB535 has already passed one chamber and has been referred to the Senate Health, Human Services and Medicaid Committee. HB535 is in regards to Naloxone-Naltrexone Data Reporting.

HB171 held the last hearing was April 10, 2018 and ODPS has not been informed of any movement. HB171 in in regards to EMS work hours.

SB110 has only had one hearing in January; therefore it is unlikely that it will move forward. SB110 is in regards to Health Care Professionals-Identification; to require health care professionals to wear identification when providing care or treatment in the presence of a patient.

Ms. Harris inquired about a federal bill, SB2830, Supporting and Improving Rural EMS Needs 2018 or the Siren Act of 2018. It is grant funding for 20 million dollars. Ms. Mayfield stated that she inquire about the bill.

Board Committee Reports

Trauma Committee, Diane Simon

Ms. Simon reported that the Trauma Committee met on May 9, 2018 and there was a quorum.

The state of Ohio has 15 level 1 trauma centers, 15 level 2 trauma centers, and 19 level 3 trauma centers for a total of 49 verified trauma centers.



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Data submission is part of our strategic plan with a goal of 80% submission rate.

Trauma centers – 97.9% submission rate

Acute care hospitals – 72.4% submission

Free-standing emergency departments – 38.9% submission rate

The original burn surge protocol was found to be inadequate and is being evaluated and updated. There were issues with implementation; especially in the rural areas.

The committee is working on the trauma annual report for 2019.

EMS Children Committee, Dr. Hamilton Schwartz

Dr. Schwartz was not present; therefore, Joe Stack, EMS-C coordinator, presented the report for the committee. The meeting held on June 19th did not have a quorum.

EMSC Performance Measures

The Ohio EMS for Children Committee held a Pediatric Emergency Care Coordinator (PECC) Workshop as part of the OhioHealth Ohio EMS Conference on May 22. Sixteen pre-hospital providers received information on the PECC concept and participated in best practices discussion in several topic areas. The next workshop is scheduled on Wednesday, June 27th, at the ProMedica Learning and Education Building in Toledo.

The EMS for Children Program survey of hospitals began on May 14th and will continue through mid-August. All Ohio hospitals with a 24/7 emergency department will be surveyed; free-standing EDs and military hospitals are excluded. We currently have a 35% response. More follow-up in the next few weeks should help push the response rate closer to the 80% target.

The Ohio EMSC Committee is working with the Ohio Hospital Association and the Ohio Department of Health to create a program for encouraging and developing pediatric champions in hospital emergency departments. A workgroup of the Ohio Pediatric Disaster Preparedness Coalition began this process in April. The workgroup will partner with interested hospitals to help promote this process.

Other Activities

The Ohio Pediatric Disaster Preparedness Coalition met June 14th and held a pediatric surge drill with 31 hospitals participating. The Coalition is asking the EMSC Committee to help develop a definition for “pediatric patient” and to help provide training for hospitals in pediatric triage for sick and injured children. The next meeting will be September 12th.

The Ohio EMSC Committee is reviewing the current Ohio EMS Pediatric Guidelines and Procedures Manual to ensure its compatibility with the NASEMSO National Model EMS Clinical Guidelines. Dr. Schwartz will be coordinating this effort for Dr. Cunningham.

A link to the training will be sent to all EMFTS Board members to review the Child Maltreatment Training to be presented for approval at the August 15, 2018 EMFTS Board meeting.



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The next EMS-C meeting will be August 14, 2018.

ACTION: Motion to appoint Samantha Gee to the EMS Children’s Committee. Ms. Harris – First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

EMS System Development, Deanna Harris

Ms. Harris reported that the committee met on June 19, 2018.

The committee is reviewing the non-transports where there is a financial concern as the percentage of non-transports may include diabetics who may be treated but not transported. Data is needed to support the issue. The committee requested that 30 minutes be added to the upcoming Ohio EMS Medical Director’s Conference to discuss the data reporting regarding non-transport. Data is necessary to obtain funding for programs such as community paramedicine.

The committee’s focus is on data collection and the committee is hopeful that the 2018 Annual Report will be produced in January 2019.

Committee members will collaborate with OHTrac® along with the Ohio Hospital Association to look at how triage is being met for large scale disasters.

Ms. Harris reported that Executive Director House’s presentation in Lima, Ohio was very informative in regards to what the Division of EMS is providing along with the work of the EMFTS Board.

The next meeting will be held at the Ohio Department of Public Safety on August 14, 2018.

Homeland Security Subcommittee, Deanna Harris

Ms. Harris reported that they met on June 1, 2018.

Micah Stoll is continuing to work on the training for violence in the workplace. Based on the response he may operate a train-the-trainer class to provide safety to EMS providers.

The Rescue Task Force (RTF) training is posted on the ODPS Training website.

The committee discussed an endorsement for the tactical EMS (TEMS).

The next meeting will be held at the Ohio Department of Public Safety on June 6, 2018.

EMS Rural Committee, Karen Beavers

Ms. Beavers was not in attendance; therefore, Ms. Harris reported on the meeting held on June 19, 2018.

ACTION: Motion to appoint Tristan Coomer to the EMS Rural Committee. Ms. Harris – First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.



FINAL

FINAL

Mr. LaRue reported to the committee that the program held at the Lima Memorial Hospital was well attended. Executive Director House gave a presentation regarding the Division of EMS and the EMFTS Board.

In partnership with the Medical Oversight Committee and the Education Committee, the EMS Rural Committee will work with the Ohio Department of Education to improve EMS education at the vocational schools.


Education Committee, George Snyder

Mr. Snyder was not in attendance. Ms. Harris reported that there was a meeting held on June 19, 2018. Ms. Kearns, vice chair conducted the meeting. There was a quorum.

Mr. Allenstein requested a motion to appoint Russell Moser to the Education Committee.

ACTION: Motion to appoint Russell Moser to the Education Committee. Mr. Dutton – First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

Executive Director House reported that the committee has formed several workgroups.

Dr. Julie Leonard from the Nationwide Children’s Hospital Child Maltreatment Program and a member of the EMS-Children Committee requested that the Education Committee approve the pediatric module. Once approved it would be placed on the Ohio Department of Public Safety Training Campus for continuing education credit.


Medical Oversight Committee, Geoff Dutton

Mr. Dutton reported that the meeting was held on June 19, 2018 with a quorum.

Mr. Dutton requested approval to expand the number of committee members to 16 members.

ACTION: Motion to approve the expansion of the number of Medical Oversight Committee members to 16 members. Mr. Dutton – First. Ms. Harris – Second. **Discussion. None abstained. Mr. Resanovich - opposed. Motion approved.

**A discussion ensued regarding the addition of committee members. Concerns included the issues with having quorum at each meeting and that it is more difficult to have quorum with more members. It was suggested that members only be added if they have a specific expertise. Anyone can attend these committee meetings and participate in discussions.



FINAL

FINAL

Mr. Dutton requested approval to appoint Scott Arthur and Jason Waltmeier to the Medical Oversight Committee.

ACTION: Motion to appoint Scott Arthur and Jason Waltmeier to the Medical Oversight Committee. Mr. Dutton – First. Ms. Harris – Second. None abstained. Mr. Resanovich - opposed. Motion approved.

Dr. Cunningham reported that speakers are being identified for the upcoming Ohio EMS Medical Directors Conference. Plans have been made for the Ohio Resuscitation Academy to provide three classes at no charge. A fact sheet/awareness sheet will be provided regarding suicide.

Dr. Cunningham requested approval to amend Ohio Administrative Code 4765-17-03 paramedic scope of practice to add “ultra sound-guided peripheral venuous access, when approved by the Medical Director and appropriately trained.”

ACTION: Motion to approve the amendment to the Ohio Administrative Code 4765-17-03 paramedic scope of practice to add “ultra-sound guided peripheral venous access, when approved by the Medical Director and appropriately trained.” Mr. Dutton – First. Mr. Jennings – Second. Mr. de la Porte - abstained. None opposed. Motion approved.

Dr. Cunningham requested a motion to approve the amendment of the Ohio Administrative Code 4765-17-03 A24 from “Blood chemistry analysis; to “Blood and body fluid analysis, with the exception of amniotic fluid.”

ACTION: Motion to approve the amendment of the Ohio Administrative Code 4765-17-03 A24 from “Blood chemistry analysis” to “Blood and body fluid analysis, with the exception of amniotic fluid.” Mr. Dutton – First. Ms. Harris – Second. Mr. de la Porte - abstained. None opposed. Motion approved.


Medical Transportation Committee, Tom Allenstein

Mr. Allenstein reported that the committee met June 19, 2018.

The strategic plan goals were discussed and specific items were affirmed.

A hospice facility has requested permission to transport patients via a stretcher. Hospice has contacted a legislator to move forward on legislation concerning this matter. The committee has many concerns and will be discussed further.

The committee had discussions regarding fatigue in the workplace. Committee members will do more research and bring the information to the next meeting for additional discussion.

Mr. Allenstein proposed a motion to approve a passenger assistance program presented by Apex Transit Solutions.

ACTION: Motion to approve the passenger assistant program by Apex Transit Solutions. Mr. Dutton – First. Ms. Harris – Second. Mr. de la Porte - abstained. None opposed. Motion approved.




FINAL

FINAL

Critical Care Subcommittee, Julie Rose

Ms. Rose reported that the subcommittee had a meeting on June 19, 2018.

The subcommittee has accepted the strategic plan goals.

Ms. Rose stated that a position paper regarding interfacility transport of patients by EMS providers and the scope of practice is outdated. The document has been updated due to the need for additional training. A clarification is needed for purposes of Medicare reimbursement. The EMFTS Board members received a copy of the proposed changes to the position paper. It is very important that the providers have the training in advance of the interfacility transport. A discussion ensued regarding the continuation of the infusion of the chemotherapeutic agents. It was the opinion that this needs to be addressed at the local level with the medical director. This position paper is only a recommendation by the EMFTS Board and it is the responsibility of the local medical director.

Ms. Rose requested a motion to approve the updated position paper; Regarding Interfacility Transport of Patients by EMS Providers and the Scope of Practice.

ACTION: Motion to approve the updated position paper; Regarding Interfacility Transport of Patients by EMS Providers and the Scope of Practice. Ms. Rose – First. Mr. Dutton – Second. Ms. Harris - abstained. None opposed. Motion approved.

At the committee meeting a discussion ensued regarding endorsements. The committee voted to draft language to create a Critical Care Endorsement to include the criteria needed to receive the endorsement. A rule change will be drafted and brought before the EMFTS Board.

Ms. Rose requested an expansion of committee members to 17 members. **A discussion ensued regarding the importance of having representation of EMFTS Board members on the committees.

ACTION: Motion to approve the expansion of committee members to 17 members. Ms. Rose – First. Mr. Arthur – Second. **Discussion. None abstained. Mr. Jennings, Mr. Resanovich, Dr. Steinberg and Mr. Wright - opposed. Motion failed.

It was important to note that the public is welcome to attend the committee meetings and participate in the discussions; however, they do not have the power to vote.

Ms. Rose requested an expansion of the Critical Care Subcommittee members to 16 members.

ACTION: Motion to approve the expansion of the Critical Care Subcommittee members to 16 members. Ms. Rose – First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.

Ms. Rose requested approval for the appointment of Samantha Gee and Scott Arthur.

ACTION: Motion to approve the appointment of Samantha Gee and Scott Arthur to the Critical Care Subcommittee. Ms. Rose – First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.

The committee felt that anyone doing critical care transports needs to follow the standards whether public or private.



FINAL

FINAL

The memo regarding interfacility transport should add language to include additional training.


EMS Star of Life Awards, Dr. Tallman

Dr. Tallman reported that the Ohio EMS Star of Life Awards program on May 22, 2018 was a success. Over 300 attended the event; therefore, a search will begin to reserve a larger venue for the event. Dr. Tallman expressed his gratitude for all of the work done by the Division of EMS, Executive Director House, and the EMS Star of Life Coordinator, Valerie Koker.

Old Business ~ none

New Business

Mr. Allenstein reported that the dates for the annual EMFTS Board Retreat and Board meeting are February 12, 13, and 14, 2019 and they will be held at the Ohio Department of Natural Resources Division of Geological Survey’s Horace R. Collins Lab in Delaware, Ohio. The EMFTS Board members are encouraged to save the dates due to the important business that is conducted during the retreat.

The meeting adjourned at 12:34 p.m. Mr. Jennings – First. Dr. Steinberg – Second.

NEXT MEETING: The next EMFTS Board meeting will be held Wednesday, August 15, 2018 at 10:00 am at the Ohio Department of Public Safety, Conference Room 1106, 1970 West Broad Street, Columbus, Ohio.

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