NYS DOH Office of Emergency and Trauma Services
Briefing for EMS Agency Leaders and Providers
Thursday, 10/21/21, 4:01 p.m. to 4:46 p.m.
This is not a verbatim transcript of the conference call. Summarized notes of what was said during the conference call were written, revised, and text added as needed later.
There was no prepared agenda distributed prior to the conference call. Questions can be submitted before or during the conference call.
Links to forms or documents are highlighted.
Peter Brodie, Deputy Branch Head of Data and IT (Host)
Ryan Greenberg, Director, Office of EMS and Trauma Services
Jean Taylor, Assistant Director, Department of Education
Richard Robinson, Deputy Chief, Metropolitan Area Regional Office, New Rochelle
Michael Linehan, Emergency Preparedness and Response
Jacob DeMay, clinical support specialist, data division and informatics
Steven Blocker, CEO of MURU
- An extremely short report today. Things in education are moving forward.
- The CME Portal is open to most regions. Gene Myers plans to have all regions on board by the end of November.
- I have recently received several emails from vendors informing me that their branches do not accept newly issued cards. They are not believing that they are real. They are real. They were asking us to review each one of them, let's not. Agencies can verify certifications through the Health Commerce System (HCS).
- 2 Policy statements have just been released and are posted on the DOH website:
- 21-07 Clinical EMT Course Rotation Requirements– It is recognized that hospital ambulance and ER access for students for 10 hours of clinical time was/is limited and this policy opens up more places to complete and document 10 patient contacts in ERs, agencies EMS teams, health care facility emergency rooms, offices, health service clinics, and mass gatherings and sporting events with organized EMS response teams. This cannot be independent work, but must be arranged by the course sponsor and the location the student is going to.
- 21-08 EMS Distance Learning Courses- Describes the BEMS&TS policy and philosophy regarding distance learning. It defines various types of distance learning: synchronous, asynchronous, hybrid, face-to-face, etc.
- Question: I recently saw aEMS Provider Certification Cardwhich identified the level simply as BASIC. Cards used to indicate EMT - BASIC. Nowhere does the new card mention EMT or EMERGENCY MEDICAL TECHNICIAN. If this was intentional, can you explain why? When can we expect the corrected cards to be issued? Answer: We discovered that this was a glitch in the program. BASIC is an EMT - BASIC. We don't know if many came out that way, so now we have a way to go back and print cards. Ryan Greenberg added that providers can submit an online form to request that the card be reprinted. [WatchDOH-4453 Duplicate Card Application]
- Question: The agency reported that EMTs completed recertification through the CME program in March. I did not receive the card. The HCS shows that the certification is up to date. Answer: Submit the duplicate card request.
- Question: I have asked this several times and never got an answer. What constitutes contact with the patient during a call? Do you need to physically touch the patient or be very close, say 1.8 m? must be directly involved in patient care, either hands-on; I don't know how I would assess a patient without touching him. Staying 2 meters away would not consider direct contact with the patient. It is not direct contact with the patient. Patient contact means you went in, questioned the patient, made an assessment of a patient, assessed illness or injury, and made a treatment plan, following that treatment. If you have someone who is actively involved with you doing this, they will also have direct contact with the patient. If you have another EMT with you doing vital signs or splinting, that would be direct patient contact. Standing 6 feet away with a clipboard is not direct patient contact
- Question: I still haven't received my March CLI number. Can you tell me how I can find my number please? Answer: Please contact Liz Donnelly via email atDonnelly@health.ny.gov
- Question: Going back to patient contact, can this be better addressed in a Policy Statement or Collaboration Protocols? Answer: I will raise the issue internally.
- There are no new reports or updates for the Emergency Preparedness and Response Unit.
- Continue supporting vaccination sites.
Amy Eisenhauer (report given by Peter Brodie)
- Limited spaces remain for the Vital Signs Pre-Conference focused on Pediatric Agitation and Pediatric Safe Transport skills sessions.
- EMS for Children will also have a table with pediatric resources and giveaways. Stop by the vendor lounge and talk about pediatric EMS.
- The Data & IT team has been incredibly busy the last 2 weeks.
- He participated in state calls. Mention was made of the State Trauma Advisory Committee (STAC), the SEMC Advisory Council for Children (EMSC), the State SEMS Council (SEMSCO), the State Emergency Medical Advisory Committee (SEMAC), and their committees and subcommittees.
- Next week there will be an ImageTrend Users Meeting at the Maynard Fire Station in Marcy, NY (Oneida County). EMS agency leadership in NEMSIS, platform management and problem solving. [More information is athttps://apps.health.ny.gov/pubpal/builder/survey/imagetrendsummitutica]
- Received feedback from various EMS agencies on documentation challenges they encountered and are working with the group, including regional EMS program agencies, EMS agencies, and 2 medical directors. They are working on the problems.
- Question: Is there a place to listen to leadership reports from the EMS agency and past EMS providers? Answer: Recordings of past briefings are not posted online...sorry.
- Question: Any move to get an "Unknown" start time checkbox for calls where this information is not available? Answer: This will not be available until the standard documentation update in 2022... this is a custom value and requires development time for ePCR software programs to display this value.
- He had the last week off.
No report from the Regional Directorate of the Metropolitan Area (MARO). Everything is status quo
- We have made great strides in distance education and learning during the pandemic and the way we teach. Please see the 2 new policy statements [07-21 and 08-21] that are online.
- Several Executive Orders (EOs) came out a few weeks ago. One talks about EMT and Advanced EMT, which includes AEMT, EMT-CC, and EMT-P levels. They may work up to their scope of practice in non-traditional settings, such as a hospital or other settings. assist with the ability and effects of EMS that are happening. The purpose of this is to help the EMS system by reducing unload times, having seamless transfers and things of that nature in the ER. Contact BEMS&TS if you have questions about what is allowed and what is not.
- Another SO is related to Community Paramedicine.S tmi 2North DakotaHey, we've had community paramedics doing things like vaccinations and other community paramedic tasks. This has continued, as has the use of alternate destinations, telemedicine to facilitate on-site treatment, and other things, as long as it is approved by the Commissioner of Health. We currently have 50 Community Paramedicine Programs throughout the state, which they cover approximately 40 counties. The goal is to have 1 community paramedic program per firstname.lastname@example.org
- Alternate destinations are allowed, although they must be approved at the regional level by REMAC and REMSCO, as well as by BEMS&TS, so that it is known where patients go in relation to emergencies and that patient records can pass validation codes. Peter Brodie will enter the information into the system.
- Extensions to EMS provider certifications have been authorized by executive order, but no further extensions to certifications are being made. EO mentions "as needed". If something changes or happens, like another spike in winter, we can't do recertification classes or limit things or the test centers are closed, there would be ways. At this time and for the foreseeable future, there are no extensions to certifications.
- The National Registry of EMT Exam (NREMT) has been reintroduced as an alternative to the New York State final exam. If taking the National Registry exam, the student must notify BEMS&TS of passing the exam by submitting the information electronically. John MacMillan posted the link to the online form at:https://apps.health.ny.gov/pubpal/builder/survey/nr-exam-reciprocity-form-submiss
- The EO also enables BEMT&TS if there is a need to assess currently existing equipment and vehicle requirements or issues due to the pandemic. Other provisions are on Medical Control and expansion of Community Paramedicine.
- Additional guidance on EOs will be released in the coming weeks.
- The Vital Signs Conference will be held 11/11/21-11/14/21 in Saratoga Springs. SEM leaders.
- Diversion notices are coming out of the NYS DOH; we are moving away from regional diversion notifications. It allows the DOH to work with the hospital and EMS systems to ensure that there is always a safe place for patients to go, as well as ensuring that the diversion is not used too quickly, but is used when evaluating everything else. This is managed by Deputy Director Steven Dziura through the Surge & Flex Operations Center.
- Working on a system that we hope will come out in 1S tquarter of 2022. It's called EMResource and it's an online platform that allows reporting centers and agencies to log in and see which hospitals are on diversion, how long on diversions, are they on limited diversion because something like CT isn't working or The hospital cannot accept certain types of patients.
- Meetings of the State Emergency Medical Board (SEMSCO) and the State Emergency Medical Committee (SEMAC) were held earlier this week. and several new TAGs. there was an excellentpresentment [EMS in Crisis a New York State Perspective] to the EMS Sustainability Systems Committee by Michael Benenati, EMS Administrator, LaGrange Fire District, Dutchess County on the issues facing EMS and a TAG was established on the issue. Another TAG group co-chaired by Jared Kutzin, RN and Jeffrey Rabrich, MD on Diversity-Equity-Inclusion has been established and will take into account what is happening, finding facts and best practices.
- Question: Can paramedics administer flu shots? Answer: Not at this time. Working on it.
- EMS is part of the healthcare ecosystem. All kinds affect each other. Problems getting ambulances out affect incoming patients. 2 hours and affects the ability to respond to the next patient. They are not isolated silos. This is a more recent look at what's been done in the past, partly because we're more connected to that ecosystem. It was mentioned that ET3 and Community Paramedicine help the ecosystem.
- Question: Any update on the supraglottic airway pilot program? Answer: Currently under review by the DOH and the Commissioner's office. I hope to have an answer at the January meetings.
- There is no general New York State [vaccination] mandate for all EMS providers. term that began on 09/27/21. If you are affiliated with a hospital, say in New York, working for a commercial ambulance that provides 911 service that is affiliated and you would need [to be vaccinated]. If you are employed by a hospital based on that hospital system's membership, you may be an affiliate. If a commercial service is deemed to be affiliated with a hospital, there will be a mandate. There is no New York State mandate for EMS providers beyond that. The Mayor of New York announced last day that all New York employees must be vaccinated by 11/01/21. At the federal level, we've heard that agencies that receive funding from Medicare and Medicaid can have a mandate, but that mandate and those regulations haven't come out yet and there's still one pending and we're waiting to see if it's going to be a mandate from that side. .
- Question: Any clarification on the BLS providers that can perform COVID-19 tests through the Executive Order? Answer: EMS providers can administer COVID-19 vaccines. 1.
- Question: What is the schedule for EMS providers to receive a booster vaccine against COVID-19? Answer: Analyzing.
- Question: Who can we contact to verify NYC REMAC status? Answer: Contact NYC REMSCO.
- Question: Regarding the MURU app, is there a way to add original EMT students to the app? Currently, an agency affiliation is required. Since they are original students, they do not yet have that affiliation. It would be helpful to have students comfortable with this application during scenarios. Response: Work with state and program agencies, REMACS and REMSCO to add EMS course sponsors as an agency so they can add their students.
- Question: Can MURU add thrombectomy centers to the selection of hospitals? Answer: It is already there. It is a term specific to NYC and appears for providers with locations in NYC. 🇧🇷
- Question: Is there a way for BLS providers to see the ALS protocols? This can be useful if an ALS provider asks a BLS provider to find something for them during a call, or if the phone stops working, etc. This is currently available in the Collaborative Protocol app and it works great. Answer: Working on a fix for this right now. When MURU answers a question for you, it answers based on your credential level. If there's any question about a dose, we want to make sure it's Medical Control or not for your certification level. As of right now, we have no way to switch to a certification level that you don't have, but we will have it soon, but we need to make sure that when you use it, you know it's outside of your certification level. . If the ALS provider needs help, handing out a phone was mentioned.
The next informational calls for EMS leaders and providers are scheduled for Thursday, 11/4/21 at 4:00 PM. m. and Thursday 11/18/21 at 4:00 p.m. m.
The next informational call on EMS education issues is scheduled for 3thirdWednesday of November, 11/17/21 at 3:00 p.m.
NHTSA National 911 Program
NHTSA's Office of EMS oversees the National 911 Program, which envisions an emergency response system that best serves the public, providing immediate help in all emergency situations.
The New York City EMS System is comprised of over 70 Emergency Medical Service agencies from the Volunteer, Proprietary, Hospital – Based and Municipal Sectors. Each sector of EMS serves a unique and important role in the EMS System and operates under the protocols established by the Regional EMS Council of NYC.What agencies are responsible for the control of EMS systems? ›
Traditionally, the source of Federal funding and oversight comes from the Office of EMS under the National Highway Traffic Safety (NHTSA), which is part of the United States Department of Transportation (DOT).What government agency published EMS Agenda for the Future? ›
The National Highway Traffic Safety Administration (NHTSA) and the Health Resources and Services Administration, Maternal and Child Health Bureau sponsored The EMS Agenda for the Future.What is the highest rank of EMS? ›
The three levels are defined as the Supervising EMS Officer, the Managing EMS Officer and the Executive EMS Officer.How much do EMS workers make in NYC? ›
|Number of Years||Salary|
|After 3 Months||$39,386 – $47,016|
|After 1 Year||$41,616 – $47,828|
|After 2 Years||$42,357 – $61,580|
The New York City Fire Department Bureau of Emergency Medical Services (FDNY EMS) is a division of the New York City Fire Department (FDNY) in charge of emergency medical services for New York City.What are the 6 types of EMS services? ›
- Bystander care.
- Prehospital care.
- Emergency department care.
- Definitive care.
The law also identified 15 essential elements that should be included in an EMS system: manpower, training, communications, transportation, facilities, critical care units, public safety agencies, consumer participation, access to care, patient transfer, coordinated patient record keeping, public information and ...
Upon arrival at the scene, the EMT, together with any other EMTs who have responded, assumes responsibility for the assessment, care, package, and transport of the patient. 1.What does patient advocacy not include? ›
Thus, even if clinical capacity is present, a patient advocate must not provide a diagnosis, provide clinical opinions, recommend or prescribe any specific tests or treatment, or perform hands-on care.What are the 6 guiding principles in the EMS Agenda 2050? ›
Socially equitable, reliable and preparedness, adaptable and innovative, sustainable and efficient, integrated and seamless, and inherently safe and effective are the six guiding principles mentioned by the agenda.What is the purpose of the EMS agenda for the Future? ›
The EMS Agenda for the Future provides an opportunity for all health care providers to examine what has been learned during the past 30 years. Its purpose is to outline the most important directions for future EMS development.Is EMT better than EMS? ›
EMT services operate as a part of EMS. They provide a very specific service within the realm of EMS. EMS services encompass most first responder roles, including fire, EMT and police services. EMT professionals possess a very narrow professional scope compared to the much wider scope of EMS professionals.What is the highest degree for a paramedic? ›
The Bachelor of Science in Emergency Medical Services degree program provides paramedics with the education necessary to practice at the highest level, becoming leaders in their field.What is the difference between a paramedic and an EMS? ›
EMTs and paramedics: the difference explained
Paramedics are more highly trained EMTs capable of more advanced medical procedures, such as providing oral and intravenous medication, monitoring electrocardiograms (EKG), and performing tracheotomies.
Being an EMT can often be very stressful. Dealing with life-or-death situations and having to make decisions quickly and accurately is no walk in the park. You will also be working in physically demanding conditions with little rest.How do I make the most money in EMS? ›
- Ask your HR or supervisor if your agency uses a GS Scale. If so, check out the current paramedic pay scale increase already practiced.
- Attend training courses. ...
- Request a review. ...
- Join associations. ...
- Negotiate. ...
- Add credentials. ...
- Research paramedic salaries.
Stress and EMS
In EMS, we have many stressors. They include workplace conflicts (colleagues, management), high call volumes, overtime, shift work, abuse of the 9-1-1 system, unstable and dynamic working conditions, skills proficiency and protocol changes.
- EMTs in Seattle make a median salary of $80,470.
- For some people, in the 90th percentile, salaries can reach as high as $102,900 – $103,900.
- Cost of Living Index (COLI): 199.
- The cost of living in Seattle is 26% more expensive than the average of all the cities in our study.
Becoming an EMT or paramedic is a great career choice. Demand for Emergency Medical Services (EMS) professionals is multiplying. The pay is relatively high for the amount of education required, and you get the satisfaction of helping others daily.How much does an EMT get paid hourly? ›
The average hourly wage for an Emergency Medical Technician in the United States is $17 as of January 26, 2023, but the range typically falls between $16 and $20.What is the best ambulance company to work for? ›
- U.S. Air Force. 4.4. 29,473 reviews.
- Hunter EMS / Hunter Ambulance. 3.0. 89 reviews.
- CARE AMBULANCE. 3.3. 140 reviews.
- AMR. 3.3. 1,814 reviews.
- City Ambulance Service. 3.7. 113 reviews.
Longest ambulance ride with a patient: The record for the longest ambulance ride with a patient is 2,373 miles, achieved by Ambulix Fire and Rescue in a Mercedes Benz Sprinter 312 Diesel ambulance between Aug.Who is the largest ambulance service in the world? ›
The Edhi Foundation is funded entirely by private donations and full services are offered to people irrespective of ethnicity, religion or status. It runs the world's largest volunteer ambulance service (operating over 1,500 of them) and offers 24-hour emergency services.Will FDNY EMS get a raise? ›
EMS Local 2507 WAGE AGREEMENT HIGHLIGHTS:
will increase to $68,700, and after 20 years it will go up to $74,100. $86,379 with 5 years on the job and $91,779 after 20 years.
Accordingly, the respiratory-protection standard clearly requires firefighters to be clean shaven where an SCBA seals against their face.How much does a FDNY EMS Lieutenant make? ›
These can be road-going vans, boats, helicopters, fixed-wing aircraft (known as air ambulances), or even converted vehicles such as golf carts.
- Voluntary EMS. Emergency medical services are also offered by NGOs, and that falls into the category of being classified as voluntary EMS. ...
- Government EMS. ...
- Private Ambulance Services. ...
- Hospital-Based Emergency Services.
These are usually classified as a Basic Life Support (BLS) level and Advanced Life Support (ALS) level. The typical "all-Advanced Life Support" system operates as a one type fleet of ambulances managing urgent and non-urgent care of patients.What are the 3 main areas an EMS should cover? ›
Analyzing the environmental impact of your company. Reviewing your company's environmental goals. Assessing compliance and/or legal obligations. Setting environmental objectives and targets.What are the 7 EMS? ›
- Radio waves.
- Infrared radiation.
- Visible light. 5 × 10 - 6 m t o 0 . 8 × 10 - 6 m.
- Ultraviolet radiation.
- Gamma rays.
- On-Scene Care,
- Care in Transit,
- Transfer to Definitive Care.
Paramedics are regulated by the Health and Care Professions Council (HCPC). The HCPC sets standards for professional education, training and practice. The HCPC also regulates 14 other Allied Health Professionals. To understand more about what the HCPC do watch their short video here.What are 3 responsibilities of the EMS medical director? ›
In addition to providing medical oversight and direction, EMS medical directors support EMS personnel and first responders through train- ing, protocol development, and resource deployment advice.What is negligence in EMS? ›
This refers to the failure to meet the legal duty a paramedic owes to a patient. It involves a lack of care or diligence necessary when administering emergency care to a patient, and it may make a paramedic liable for damages, injury and even wrongful death.What are the three rules of advocacy? ›
To increase your chances of success when advocating, remember these 3 golden rules: be Polite, be Prepared, and be Persistent.Do you have to pay for an advocate? ›
Your advocate might listen to the views of others (your GP, carers, social worker, family), but their role is to help you put your views across. Advocacy is usually free of charge.
Not necessarily. You probably don't need a patient advocate if you're able to process medical information and make informed decisions about your care. A supportive partner, family member, or friend may also negate the need for an advocate.What is the EMS Agenda 2050? ›
EMS Agenda 2050 describes a vision for the nation's EMS systems. This new EMS agenda for the future envisions a people-centered EMS system, built around principles that should guide the advancement of EMS even as technologies and best practices evolve.What is EMS agenda 2050 a people centered vision for the Future of Emergency Medical Services? ›
EMS Agenda 2050: A People Centered Vision for the Future of Emergency Medical Services calls for an industry that is integrated with the rest of the nation's healthcare system and a vision for an evidence-based, data-driven industry.What are the guiding principles of EMS Agenda 2050 P 12? ›
To achieve that goal, EMS Agenda 2050 describes six guiding principles that need to be at the heart of efforts to implement the vision. EMS systems must be: inherently safe and effective, integrated and seamless, reliable and prepared, socially equitable, sustainable and efficient, and adaptable and innovative.What does the EMS Education Agenda for the Future a systems approach recommend? ›
The EMS Education Agenda for the Future describes an interdependent relationship among the five system components and recommends specific lead groups for development and revision responsibilities. The National EMS Core Content is a comprehensive list of skills and knowledge needed for out-of-hospital emergency care.What are the three domains of EMS research as defined in the National EMS Research Agenda? ›
There are three domains within the spectrum of EMS research: clinical, systems, and educational.What is the most important reason for EMS providers to participate in research efforts? ›
Ongoing EMS research is critical to developing the evidence base necessary to support the use of both new and existing clinical interventions in the prehospital setting.What is the lead state agency for EMS in New Mexico? ›
The Emergency Medical Systems Bureau ( EMSB ) is designated as the lead agency for the emergency medical services system, including injury prevention, and establishes and maintains programs for regional planning and development, improvement, expansion and direction of emergency medical services throughout the state.Which of the following agencies is the Federal source for the EMT? ›
What agency is the federal source for the EMT curriculum? National Highway Traffic Safety Administration.How many EMS agencies are there in the US? ›
The EMS Authority provides statewide coordination and leadership for the planning, development, and implementation of local EMS systems. California has 33 local EMS systems that are providing emergency medical services for California's 58 counties.
What is the name of the lead federal agency responsible for tracking and improving the quality safety efficiency and effectiveness of health care for Americans? ›
The Agency for Healthcare Research and Quality (AHRQ) is the lead federal agency charged with improving the quality and safety of America's health-care system.Is EMS in the military? ›
Military EMTs provide emergency medical treatment, limited primary care, force health protection, and evacuation in a variety of operational and clinical settings from point of injury or illness through the continuum of military healthcare. They may work in military health facilities or in the field.What are the different levels of EMT in New Mexico? ›
New Mexico State EMT Exam and Certification Summary
New Mexico Department of Health is responsible for presiding over EMS for the state for all levels of EMS including: First Responder, EMT Basic, EMT Intermediate, and Paramedic. The National EMS Certification Required for Initial New Mexico State Licensure.
In the United States, emergency medical services are not considered essential services. They are provided and funded mainly by local governments, which leads to a wide variation in the cost and quality of services. Nationwide, the cost of ambulance transport for ground ambulance providers varies substantially.How does EMS make money? ›
EMS is paid for through local taxes/municipal budgets and by billing insurance companies, Medicare and Medicaid for transporting patients. Public EMS agencies typically receive taxpayer support to fund operations and pay staff. Volunteer organizations may also receive some tax support.What is the new name for EMT? ›
Emergency medical technician.
The EMS Authority is the licensing agency with oversight for Paramedic licenses; the local EMS agencies and other approved certifying entities have oversight and jurisdiction over EMT certification. 3.What is the busiest ambulance in the US? ›
|Department Name||Ambulance||Total Calls|
|Baltimore City, MD||M4||6,826|
|Corpus Christi, TX||M10||6,393|
Three important themes in healthcare access are the problem of poverty, the many barriers to healthcare access, and the question of healthcare resource allocation.What are two government agencies that support quality improvement in healthcare? ›
- Agency for Healthcare Research and Quality (AHRQ) ...
- American Health Quality Association (AHQA) ...
- American Hospital Association (AHA) ...
- Centers for Medicare and Medicaid Services (CMS) ...
- Commonwealth Fund. ...
- Federal Office of Rural Health Policy (FORHP) ...
- Flex Monitoring Team.
The primary responsibility of fiduciaries is to run the plan solely in the interest of participants and beneficiaries and for the exclusive purpose of providing benefits and paying plan expenses.