EMS Agenda 2050 Regional Meetings

UntitledThe EMS Agenda 2050 team will host four public meetings throughout the U.S. where attendees will meet and discuss the future of EMS with the project’s Technical Expert Panel (TEP), a group of 10 individuals with wide-ranging and diverse experiences within EMS systems and healthcare organizations. During the meetings, participants will actively engage in conversations and critical thinking exercises to ensure that EMS Agenda 2050

establishes a vision that incorporates a wide range of perspectives.

Prior to the first regional meeting, EMS Agenda 2050 will release a strawman document as a conversation starter to spark thinking and dialogue about the future of EMS. “If you’ve wanted to have a voice in shaping the future of EMS systems, EMS providers’ role in the health and safety of patients, and more, this is your chance,” said Jon Krohmer, MD, Director of the Office of EMS at the National Highway Traffic Safety Administration (NHTSA). “The federal agencies supporting this effort hope these meetings generate great conversations that will drive the development of a new vision for the future of EMS.”

The regional meeting dates and locations are:

Pre-registration for the meetings is required. Visit the EMS Agenda 2050 website to register and for more detailed information, including meeting locations, times and hotel options.

In addition to the four regional meetings, many other opportunities exist to provide input and feedback. Suggestions and comments are always welcome via the project website. In addition, EMS Agenda 2050 will host webinars and conference listening sessions, and anyone is encouraged to reach out to members of the TEP or or organizational liaisons.

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Alert: New OEMS Requirements for Patient Care Documentation

April 17, 2017

TO: Virginia Emergency Medical Services (EMS) agencies
Regional EMS Councils

From: Michael D. Berg, BS, NRP
Manager, Regulation and Compliance
Cam Crittenden, RN
Manager, Trauma and Critical Care

SUBJECT: Patient Care Documentation

Please find attached a revised agency policy regarding the completion of a patient care report for Virginia EMS agencies. This policy is effective July 1, 2017 and remains in effect until acted on by the Office of Emergency Medical Services.

This policy applies to all categories of Virginia EMS agencies (911, non-emergency, ground, air, etc.). Please direct any questions to the appropriate program manager.

I. Purpose

§32.1-116.1 of the Code of Virginia (Code) mandates that each licensed Emergency Medical Services (EMS) agency submit data to the Office of Emergency Medical Services (OEMS) on a prescribed format as approved by the Board of Health (http://law.lis.virginia.gov/vacode/32.1-116.1/ . The Virginia Emergency Medical Services Regulations (Regulations) 12VAC5-31-560 also identifies the need for Emergency Medical Services (EMS) agencies to report patient care data to OEMS (http://law.lis.virginia.gov/admincode/title12/agency5/chapter31/section560/ . The policy exists to provide a consistent standard for OEMS staff and Emergency Medical Services agencies as to when a patient care report is to be completed and data transmitted to OEMS.

II. Scope

Incident documentation involves the recording of all patient assessment and treatment performed by licensed EMS agencies providing prehospital emergency medical services, inter-facility transport or pre-scheduled patient transport. Data submission involves transmitting the required data set that is collected through incident documentation to the OEMS. This policy applies to all EMS agencies licensed to operate within the
Commonwealth of Virginia.

III. Definitions

Medical care facility – means (as defined by § 32.1-102.1 of the Code and 12VAC5-31-10 of the Regulations) any institution, place, building or agency, whether or not licensed or required to be licensed by the Board of Health or the Department of Behavioral Health and Developmental Services, whether operated for profit or nonprofit and whether privately owned or privately operated or owned or operated by a local governmental unit, (i) by or in which health services are furnished, conducted, operated or offered for the prevention, diagnosis or treatment of human disease, pain, injury, deformity or physical condition, whether medical or surgical, of two or more nonrelated persons who are injured or physically sick or have mental illness, or for the care of two or more nonrelated persons requiring or receiving medical, surgical or nursing attention or services as acute, chronic, convalescent, aged, physically disabled or crippled or (ii) which is the recipient of reimbursements from third-party health insurance programs or prepaid medical service plans.

IV. Requirements

A. Whenever an EMS agency is requested (scheduled, unscheduled, emergent or nonemergent) to provide patient care for a real or potential patient, a patient care report shall be completed and the data shall be submitted to OEMS as per the Code of Virginia §32.1116.1 (http://law.lis.virginia.gov/vacode/32.1-116.1/ ). All licensed EMS agencies shall document and submit data on all EMS incidents
including but not limited to:


  1. Cancelled calls (by Public Safety Answering Point – 911 center)
  2. Standby’s (fire assist, law enforcement assist), public events such as recreational events (football games, large gatherings)
  3. Patient refusals (care and/or transportation – established patient provider relationship)
  4. Patient transfers.

Documentation and data to be submitted includes:

  1. Any transport to or from a physician’s office, clinic or health care facility that is for prescheduled testing, evaluation or treatment.
  2. Discharges from a medical care facility.
  3. Scheduled admissions to a medical care facility whether from a private residence or another medical care facility

B. This applies to all EMS agencies including surface and air agencies.

C. In the event multiple permitted vehicles are involved in the same incident, only one report per patient is required unless a mass casualty event has been declared.

D. In a multi-agency response to an incident, one patient care report documenting the incident and the EMS agency response will suffice providing no patient care has been rendered or a patient is transported to a medical care facility by the responding EMS agency.

1. In the event a mass casualty event has been declared, the use of triage tags will suffice in lieu of individual patient care reports. One main patient care report shall be completed by the primary (lead) EMS agency identifying the event and the number of patients involved in the incident.

E. For EMS agencies who provide large event staffing, scheduled or as part of their “mission”(i.e. Kings Dominion, Busch Gardens, concert venue, etc.): If no patient is transported or transferred to a transport agency as a result of assessment and treatment, then only a patient care report noting “standby only” is required and submitted. Any patient transfer or transport must be documented and the data transmitted to OEMS.

F. Data related to the use of permitted vehicles performing administrative, training or maintenance functions can be documented for agency use; however, it should NOT be submitted to the Office of EMS.

V. Conditions

This policy will remain in effect until revised or terminated by OEMS.

VI. Effective Date: July 1, 2017

(Click here to download document.)



Virginia Will Become the First State to Opt-In to FirstNet’s National Public Safety Broadband Network

seal of the commonwealth

Commonwealth of Virginia
Office of Governor Terry McAuliffe

Date: July 10, 2017

Office of the Governor
Contact: Brian Coy
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Virginia Department of Emergency Management
Contact: Jeff Caldwell
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: (804) 896-6263

Virginia Will Become the First State to Opt-In to FirstNet’s National Public Safety Broadband Network

~ Ceremonial event to take place in Reston tomorrow at FirstNet headquarters ~

– Governor McAuliffe today signed a letter of intent declaring that the Commonwealth of Virginia will allow the First Responder Network Authority (FirstNet) and AT&T to proceed with the deployment of the of the Nationwide Public Safety Broadband Network in Virginia. Following today’s letter signing, Governor McAuliffe will hold a ceremonial letter signing tomorrow at FirstNet Headquarters, 12201 Sunrise Valley Drive Reston, Va. at 1:30 p.m.

FirstNet is the result of the 9/11 Commission’s recommendation that a dedicated public safety interoperable, nationwide mobile broadband network be created to enable continued communication during a disaster or other large-scale event. The Governor’s decision marks a significant step in the realization of this recommendation.

“I am proud that Virginia is the first state in the nation to opt in to this program that will help our first responders communicate during times of emergency,” said Governor Terry McAuliffe. “While this is only the beginning of the process, I look forward to the continued coordinated efforts among Virginia, FirstNet, and AT&T to provide public safety officials with innovative new technologies that will help them keep Virginians safe.”

“Public safety has spent years advocating for a nationwide network following the September 11, 2001 terrorist attacks, and today, Governor McAuliffe is helping to answer that call by joining the FirstNet network,” said FirstNet CEO Mike Poth. “FirstNet will be able to put the technology citizens use every day—like smartphones and apps—into the hands of Virginia’s first responders, modernizing how they help save lives and protect residents while creating a single, interoperable system across the Commonwealth and across the country.”

Public safety subscribers to AT&T will be able to take advantage of priority service on AT&T’s existing LTE network nationwide. Localities will have full local control to identify their responders and assign priority as needed based on the circumstances. By the end of 2017, public safety subscribers will also have preemption capability on the network, helping to further ensure their ability to communicate.

“Allowing FirstNet and AT&T to move forward with the deployment of the Nationwide Public Safety Broadband Network in Virginia moves public safety closer to the reliable, mission‑critical broadband service that is needed for evolving threats,” said Secretary of Public Safety and Homeland Security Brian Moran.

“I am extremely pleased that Virginia is choosing to opt into the network,” said Fairfax County Fire Chief Richard Bowers “Access to the network will provide us with additional tools to help ensure we can do our job when the time comes.”

The Commonwealth will continue to work with FirstNet and AT&T and our local partners to provide feedback in order to ensure a viable network that will enhance public safety communications throughout Virginia.


Charlotte Gomer
Office of Governor Terence R. McAuliffe
Press Assistant
This email address is being protected from spambots. You need JavaScript enabled to view it.

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Alert - DEA Guidebook for First Responders

Due to the increasing instances of responder exposure to fentanyl and related substances, the DEA, in coordination with CDC and other agencies, has provided guidance to emergency responders who may encounter these substances.  Click on the graphic to download the guidelines.  PEMS recommends that this information be included in in-service training as soon as practical for all responders.

Fentanyl Guide Fire EMS June 2017 Public

  Click here to download document.

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