Peninsulas Emergency Medical Services Council Inc

“Form 990 closely reviewed by executive director, board president, and treasurer. Questions asked of outside accountant and information in form 990 agreed to pems books. Form 990 was presented to full board of directors for review prior to issuing.”

“Annual signatures required on conflict of interest form. Reviewed by executive director and maintained in a file.”

“Review and approval by board.”

“Financial statements are available upon request. Form 990 is posted on website.”

“The mission of the peninsulas emergency medical services council is to assist the virginia peninsula, middle peninsula, and northern neck local governments, emergency medical services agencies, and hospitals by assessing, identifying, coordinating, planning and implementing an efficient and effective regional emergency medical services delivery system. Council's work helps to ensure consistent improved prehospital care to the residents and visitors of the virginia peninsula, middle peninsula, and northern neck peninsula, who need emergency medical services. Our oversight of vital areas in the prehospital care setting includes regional treatment protocol development, regional medication box system management, regional equipment exchange agreement management, trauma triage, stroke assessment and care, and mass casualty response. Additionally, the council prepares highly infectious disease and other regional emergency medical planning, emergency medical services provider training, continuing education and test site coordination to assist local governments and their emergency medical services agencies maintain current best practices and excellence.”

“I. Regional medical direction - the peninsulas ems council maintains a medical advisory committee (mac), which develops, approves, implements, expands, and improves programs of medical control and accountability. The mac also coordinates the development and maintenance of regional medical treatment protocols and medical oversight of education and testing for all levels of emergency medical service certification within the region. The policies and protocols established by the mac are the basis for the legal "standard of care" for the provision of prehospital emergency medical care within the geographic boundaries of the peninsula, middle peninsula, and northern neck. "in fy25, pems renewed the professional services contract with amir louka, md, as the regional medical director (rmd) for pems, consistent with responsibilities listed under the virginia ems regulations 12 vac 5-31- 1890. Ii. Protocol, policies, and procedures implementation - the peninsulas ems council provides and manages the region's advanced life support (als), basic life support bls), pediatric, and weapons of mass destruction (wmd) patient care protocols, policies, and procedures for all local governments, ems agencies, ems providers, ems physicians and hospitals in the region. The pems patient care protocols, policies, and procedures are adopted by the medical advisory committee (mac) as a regional template and guide for the provision of prehospital emergency medical care. The pems maintains a protocols, policies and procedures committee (ppp), several clinical program committees (stroke committee, trauma triage committee, and st- elevation myocardial infarction committee) and several clinical specialty committees (pediatric care committee and behavioral health committee) that draft new and revised protocols, policies and procedures for consideration by the mac. Through their work, these committees ensures that regional protocols, policies and procedures continue to meet national standards and reflect continuously changing medical knowledge, ever more effective therapeutic modalities, and promotes continually developing and improving provider knowledge and skill levels. They also create a manual that presents effective and accurate patient treatment in an organized manner. "in fy25 pems continued the process whereby any member of an agency, the healthcare system or the public can make known their concerns regarding specific patient care protocols, policies, or procedures. Throughout the year, multiple such requests were submitted and brought before the protocol, policies and procedures committee for review and processing. Iii. Ems performance improvement - the peninsulas ems council maintains an ongoing performance improvement program that regularly assesses ems system performance to provide the information needed for continuous quality improvement in prehospital emergency medical care and outcomes. The council's ems performance improvement work is led by its multi-disciplinary performance improvement committee (pic). It is responsible for assuring and improving the quality of prehospital care provided within the region. The pic is also responsible for assisting the medical advisory committee with medical case reviews, evaluating patient care and system performance data, and conducting studies and investigations to support the trauma, stemi and stroke committees and others as needed. "the pems ems performance improvement (pi) plan was reviewed without revision by the performance improvement committee and approved by the board of directors. "the pems regional performance improvement templates remain unchanged from when they were approved by the medical advisory committee. In fy22, oems transitioned the electronic prehospital patient care reporting systems from "image trend" to "eso." the new system allows the council to pull performance measures on patient care provided in the region. The data reports are submitted to the appropriate medical direction, clinic”

“I. Regional strategic ems plan - the peninsulas ems council utilizes a regional strategic ems plan with established strategies and initiatives to provide the council and staff guidance in the continued development and improvement of the regional emergency medical services system over time. This document is not a recipe for day-to-day management or oversight activities. Rather, it represents a broad-brush approach addressing the bigger picture surrounding the provision of services and coordination interactions between stakeholders. The document focuses on five core strategies: promoting collaborative approaches, creating tools and resources, developing infrastructures, assuring quality and evaluation, and strengthening the regional council. "in fy25, the peninsulas ems council completed an annual review of the regional strategic ems plan and its core strategies and strategic initiatives. The plan was approved without change by the board of directors. Ii. Mass casualty incident/mass gathering event support - the peninsulas ems council provides coordination and assistance with mass casualty incident/mass gathering event planning and training on local, regional, and state levels. In conjunction with the tidewater ems council, the peninsulas ems council provides and updates a regional mass casualty incident (mci) plan and guide for all ems agencies, ems providers, ems physicians and hospitals in the region. "in fy 25, the peninsulas ems council, the tidewater ems council and the hampton roads metropolitan medical response system completed and released a re-write of the hampton roads mass casualty incident response guide (hrmcirg) with the assistance of olson group consultants and subject matter experts and ems stakeholders. The new hrmcirg has a mass casualty incident management framework with several annexes and six incident specific response guides: active threat, complex coordinated attack, hazardous materials, mass fatality, mass gathering special events incident, and transportation incident. "in the new hrmcirg framework, the primary patient triage tool, simple triage and rapid treatment (start) method was replaced by the nationally recognized sort, assess, lifesaving interventions, and treatment/transport (salt) method. "throughout fy25, the pems council continued to coordinate or participate in regional planning and improvement of health system response to disasters including pandemics. "the pems council participated with local, regional, state and federal pandemic planning, response and evaluation efforts "in fy25, the peninsulas ems council's planning and emergency management coordinator assisted christopher newport university and the virginia department of emergency management with a full-scale active shooter mci exercise involving 55 patients/victims. "in fy25, the peninsulas ems council assisted in planning of and participation in the virginia department of health, the eastern virginia healthcare coalition and the federal emergency management administration's "full moon cruise ship" tabletop exercise involving an infectious disease outbreak on a cruise ship docked in norfolk. "in fy25, the peninsulas ems council conducted two basic moulage classes sponsored by the eastern virginia healthcare coalition. The council also works with the peninsulas interfacility cooperation organization (pico) and the virginia hospital and healthcare association to monitor the hospital diversion notification and closure process. Iii. Hampton roads metropolitan medical response system (hrmmrs) - in partnership with the tidewater ems council, the peninsulas ems council assists with the management and implementation of the hrmmrs, a program to improve regional medical response to any large disasters or acts of terrorism within the jurisdictions served by the hampton roads planning district commission (hrpdc), and to include surge capacity planning. Sustainment funding from the sixteen hrpdc cities and counties and various federal contracts and”

“I. Regional information and referral - the peninsulas ems council aided local jurisdictions, ems agencies, ems providers, ems physicians, hospitals, other health care providers, public safety officials, and the public with ems information and referrals; served as a clearinghouse for regional and state ems pamphlets, posters, displays and other ems public relation and recruitment materials; maintained and updated an informational website. All course offerings were posted, to include courses offered by the peninsulas ems council as well as other ems-related courses. On-line registration for courses was also included on the website. Through the council website, staff also provided contact information, including telephone numbers and e-mail addresses so that agencies, providers, and members of the community could contact any staff member with a minimum of delay. All council business involving hipaa/phi communications takes place using secure email and fax systems. The council sponsors facebook and twitter accounts and distributes information throughout the region on a regular and ongoing basis. Ii.ems education and training - the peninsulas ems council provides, facilitates, and supports education and training programs, including continuing education required topics, throughout the region by coordinating instructor networking which facilitates and aids in the provision of quality education to support ems agencies within the region. The council partnered with hospitals in the region to provide an annual trauma symposium and a stroke symposium for pre-hospital and hospital emergency medical care providers, maintained cdc, vdh and other health-related information on the council website, partnered with education and training centers including rappahannock community college ems programs (emt-basic, emt-intermediate and emt- paramedic) oversight committee, and virginia peninsula community college (emt-basic, emt-intermediate and emt-paramedic) oversight committee. In fy25, the peninsulas ems council's executive director served as the chair of both the rappahannock community college ems programs advisory committee and the virginia peninsula community college ems/fire programs advisory committee. Iii. Critical incident stress management (cism) team - the peninsulas ems council supports and manages one of the sixteen critical incident stress management (cism) teams recognized by the commonwealth of virginia. The pems cism team provides critical support to the entire peninsulas ems council emergency services community including police, fire, emergency medical services, emergency communications, and hospital emergency departments who experience psychologically traumatic events or suffer from the effects of cumulative events. The pems cism team also provides services to members of the community involved in similar events. Team members provide pre-incident education, post-incident defusing, demobilization, and debriefing. "in fy25, the peninsulas ems council's cism team responded to requests for cism team interventions and education requests from both agencies and individuals in the region. Hosted and provided staff support at semi-annual meetings of the cism team. "in fy25, the peninsulas ems council continued its liaisons with ems, fire, and law enforcement agency peer support teams in the region, providing coordinating education and assisting them with state accreditation. Iv. Ems education and training - the peninsulas ems council provides, facilitates, and supports education and training programs, including continuing education required topics, throughout the region. "in fy25 the peninsulas ems council's ems field coordinator - education programs was a resource to the region's ems agencies to help ensure ems providers developed and maintained the knowledge, skills and abilities required to remain relevant in the rapidly changing prehospital emergency medical care environment. "in fy25 the peninsulas ems council coordinated instructor netw”

“I. The peninsulas ems council interacts with the virginia office of emergency medical services committees to provide avenues for two-way information sharing and statewide system improvements and enhancements. State committees for which the peninsulas ems council has committed staff, volunteers, and resources include: - governor's secure and resilient commonwealth panel-health and human resources subpanel - state emergency medical services advisory board - state emergency medical services advisory board next steps working group - state emergency management committee - state emergency medical services awards committee - state financial assistance review committee - state legislation and planning committee - state medical direction committee - state provider health and safety committee - state trauma performance improvement committee - state workforce development committee - office of ems/board of pharmacy/drug enforcement agency task force - virginia regional ems medication kit transition workgroup - virginia regional directors group - virginia stroke care quality improvement advisory group”

“In-kind services 6,080 in-kind services -6,080”