PEMS FY21 Annual Report

  PEMS FY21 Annual Report

 

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Report of the Council 1 July 2019 – 30 June 2020

For submission to the Virginia Office of EMS

 

About the Council

Mission of the Council

The primary mission of the Peninsulas Emergency Medical Services Council, Inc. is to assist

emergency medical service (EMS) components and to assess, identify, coordinate, plan, and

implement an efficient and effective regional emergency medical services delivery system in

partnership with the Virginia Office of EMS and the Virginia EMS Advisory Board.

Adopted – October 29, 1997

Council Overview

Throughout our communities, individuals suffering a sudden, life-threatening illness or traumatic

injury obtain immediate prehospital emergency medical care and transportation from professional

emergency medical personnel, most commonly alerted by a call to 9-1-1centers. Their professional

certification, vehicle permits, and agency licenses are provided by the Virginia Department of

Health, Office of Emergency Medical Services. These personnel are part of a comprehensive

Emergency Medical System (EMS) that is frequently accompanied by other public services

including fire, rescue, and law enforcement. This EMS system optimally continues when the

patient care is turned over to the medical staff at the most appropriate medical facility capable of

providing definitive medical care.

On a regional level, the Peninsulas EMS Council, Inc., a 501(c)(3) non-profit, tax-exempt agency,

is created by state statute to be an integral part of Virginia's comprehensive EMS system. In

essence, the Council integrates and coordinates resources to ensure a system of rapid response and

expert patient care from the 16 jurisdictions, 10 hospitals and 49 EMS agencies. The Peninsulas

EMS Council delivers, facilitates, and/or coordinates the programs listed as part of a

comprehensive EMS system.

While, in some cases, other agencies could physically provide some of these services, the

Peninsulas EMS Council is responsible for coordinating and monitoring the efficiency and

effectiveness of the following:

1. Regional Medical Direction

§ Regional Medical Advisory Committee

§ Regional Patient Care Protocol, Policies and Procedures Implementation

§ EMS Performance Improvement

§ Regional EMS Supplies Restocking, Drug Box Standardization and Exchange

§ Regional Trauma Triage Plan

§ Regional Stroke Triage Plan

§ Regional ST-Elevation Myocardial Infarction (Heart Attack) Triage Plan

2. Regional Planning

§ Regional EMS Plan

§ Regional Mass Casualty Incident Plan & Support

§ Hampton Roads Metropolitan Medical Response System (HRMMRS)

§ Eastern Virginia Healthcare Coalition (EVHC)

§ Hampton Roads Planning District Commission All Hazards Advisory Committee

(AHAC)

3. Regional Coordination

§ Regional Information and Referral

§ EMS Education and Training

§ Critical Incident Stress Management (CISM) Team

§ Regional EMS Communications Systems Advocacy

§ Peninsulas Interfacility Cooperation Organization (PICO)

§ Mass Casualty Exercise Participation & Coordination

§ VDH & Health Department Coordination

4. PEMS, and VA OEMS Coordination

§ Consolidated EMS Testing

§ Regional Awards Program

§ Rescue Squad Assistance Fund (RSAF) Grant Program

§ EMT Instructor Networking

5. PEMS, VDH, VDEM and Localities

§ COVID-19 Pandemic Response

Code of Virginia

§ 32.1-111.11. Regional emergency medical services Councils.

The Board shall designate regional emergency medical services councils which shall be

authorized to receive and disburse public funds. Each council shall be charged with the

development and implementation of an efficient and effective regional emergency medical

services delivery system.

The Board shall review those agencies that were the designated regional emergency medical

services councils. The Board shall, in accordance with the standards established in its

regulations, review and may renew or deny applications for such designations every three years.

In its discretion, the Board may establish conditions for renewal of such designations or may

solicit applications for designation as a regional emergency medical services council.

Each council shall include, if available, representatives of the participating local governments,

fire protection agencies, law-enforcement agencies, emergency medical services agencies,

hospitals, licensed practicing physicians, emergency care nurses, mental health professionals,

emergency medical technicians and other appropriate allied health professionals.

Each council shall adopt and revise as necessary a regional emergency medical services plan in

cooperation with the Board.

The designated councils shall be required to match state funds with local funds obtained from

private or public sources in the proportion specified in the regulations of the Board. Moneys

received directly or indirectly from the Commonwealth shall not be used as matching funds. A

local governing body may choose to appropriate funds for the purpose of providing matching

grant funds for any council. However, this section shall not be construed to place any obligation

on any local governing body to appropriate funds to any council.

The Board shall promulgate, in cooperation with the State Emergency Medical Services

Advisory Board, regulations to implement this section, which shall include, but not be limited

to, requirements to ensure accountability for public funds, criteria for matching funds, and

performance standards.

Regulations governing Regional EMS Councils were promulgated by the State Board of

Health, with an effective date of January 1, 2008. The regulations can be found in sections

2300 through 2740 at the following link: EMS Regulations

http://leg1.state.va.us/000/reg/toc12005.htm#C0031)

Peninsulas EMS Council Designation

On July 1, 2019, the State Board of Health and the State Health Commissioner redesignated the

Peninsulas EMS Council, Inc. to be the Regional EMS Council for a service area formed by the 16

localities of the Virginia Peninsula, Middle Peninsula, and Northern Neck. The redesignation is

for a period of three years.

Regional Facts

The Peninsulas EMS Council service area includes the sixteen cities and counties located on the

three Virginia peninsulas (the Virginia Peninsula, the Middle Peninsula, and the Northern Neck)

on the western shore of the Chesapeake Bay. These jurisdictions comprise an estimated population

of 6,310,989* spread across 2,727 square miles. *All demographics data is based on University of

Virginia’s Weldon Cooper Center July 1, 2019 estimates.

Virginia Peninsula

Service Area Description:

The Virginia Peninsula or “Peninsula” is the southernmost of three peninsulas on the western

shore of the Chesapeake Bay. It consists of six jurisdictions - the cities of Hampton, Newport

News, Poquoson, and Williamsburg along with the counties of James City and York. In 2019, it

was home to an estimated 489,845 residents. In 1990, the Peninsula Planning District

Commission combined with the Southeastern Planning District Commission to form the Hampton

Roads Planning District Commission. While the land Portion of Hampton Roads has been

historically divided into two areas, the Virginia Peninsula on the north side, and South Hampton

Roads or Tidewater on the south side, Hampton Roads has long been used as a common name for

the metropolitan areas that surround the body of water of the same name. More recently, that

name has been used to formally represent all of the traditional jurisdictions of the Hampton Roads

Metropolitan Urban Area as well as the two southernmost counties the Middle Peninsula.

Natural Boundaries:

Peninsula

Like the Northern Neck and the Middle Peninsula, the Peninsula is located on the tidal coastal

plain. The Peninsula, however, is much flatter and closer to sea level. Similar to the two northern

peninsulas, the eastern boundary of the Peninsula is the Chesapeake Bay. The northern boundary

is the York River, crossed only at Yorktown over the Coleman Bridge. The York River ends at

West Point where it divides into the Pamunkey and Mattaponi Rivers. The Pamunkey becomes

the Peninsula’s northern boundary. The James River on the southern boundary is different from

the northern rivers in that it has far more crossings than the rivers on the northern boundary. The

Hampton Roads Bridge Tunnel, the James River Bridge, and the Monitor Merrimac Memorial

Bridge Tunnel all offer free high speed, high volume crossings. However, congestion and

accidents can significantly impede traffic, requiring transportation alternatives, including

helicopter transport.

Designated Emergency Response EMS Agencies (Patient Flow):

Daily prehospital emergency care in the Peninsula region is provided primarily by career agencies

and combination agencies that are primarily staffed with career personnel with volunteer

personnel support, or primarily staffed with volunteer personnel with career personnel support.

1. James City County

a. James City County Fire Department (Primary patient flow to Sentara Williamsburg

Regional Medical Center and Riverside Doctor’s Hospital Williamsburg)

b. James City County Rescue Squad (Primary patient flow to Sentara Williamsburg

Regional Medical Center and Riverside Doctors’ Hospital Williamsburg)

c. Busch Gardens/Water Country USA (Non-transport agency)

2. York County

a. York County Department of Fire and Life Safety (Primary patient flow to Sentara

Williamsburg Regional Medical Center, Riverside Doctors’ Hospital Williamsburg,

Mary Immaculate Hospital, Riverside Regional Medical Center)

3. City of Hampton

a. Hampton Department of Fire-Rescue (Primary patient flow to Sentara CarePlex

Hospital, Riverside Regional Medical Center)

4. City of Newport News

a. Newport News Fire Department (Primary patient flow to Sentara CarePlex

Hospital, Mary Immaculate Hospital, Riverside Regional Medical Center)

b. Newport News Shipbuilding Fire Department (Primary patient flow to Sentara

CarePlex Hospital, Riverside Regional Medical Center)

5. City of Poquoson

a. Poquoson Fire and Rescue (Primary patient flow to Sentara CarePlex Hospital,

Riverside Regional Medical Center, Bon Secours Mary Immaculate Hospital)

6. City of Williamsburg

a. Williamsburg Fire Department (Primary patient flow to Sentara Williamsburg

Regional Medical Center, Riverside Doctors’ Hospital Williamsburg)

Middle Peninsula

Service Area Description:

The Middle Peninsula is the second of three large peninsulas on the western shore of

Chesapeake Bay. It lies between the Virginia Peninsula and the Northern Neck Peninsula, and

encompasses six Virginia counties: Essex, Gloucester, King and Queen, King William,

Mathews, and Middlesex. These jurisdictions comprise an estimated population of 81,547

spread across 1,283 square miles.

Natural Boundaries:

Although not as isolated as the Northern Neck, the geography and history of the Middle Peninsula

continue to influence the nature of the community. Part of the tidal coast, the district is bounded

on the north by the Rappahannock River. It can be crossed in two places - the Rappahannock

River Bridge in Tappahannock and the Norris Bridge just south of White Stone. The Chesapeake

Bay lies to the east. The southern boundary is the York River, which can be crossed at Yorktown.

The York River divides at West Point into the Pamunkey and Mattaponi rivers, requiring two

bridge crossings to access most of the district.

Designated Emergency Response EMS Agencies (Patient Flow):

Daily prehospital emergency care in the Middle Peninsula is primarily provided by volunteer fire

or rescue squads with limited augmentation by career personnel provided by a county agency.

Below are the licensed EMS agencies within the Middle Peninsula and, in parenthesis, their

primary catchment hospitals for ground transport. Note that while King and Queen, King William

and Essex counties are located in the Middle Peninsula, their primary catchment facilities include

those located in Richmond and the Northern Neck as well as the Peninsula and Middle Peninsula.

1. Essex County

a. Essex County Emergency Medical Services (Primary patient flow to Virginia

Commonwealth University - VCU Tappahannock Hospital, Memorial Regional

Medical Center, VCU Medical Center)

2. Gloucester County

a. Abingdon Volunteer Fire and Rescue, Inc. (Primary patient flow to Riverside

Walter Reed Hospital, Mary Immaculate Hospital)

b. Gloucester Volunteer Fire and Rescue Squad, Inc. (Primary patient flow to

Riverside Walter Reed Hospital)

3. King and Queen County

a. King and Queen County Department of Emergency Services (Primary patient flow

to VCU Tappahannock Hospital, Memorial Regional Medical Center)

b. King and Queen Volunteer Rescue Squad (Primary patient flow to VCU

Tappahannock Hospital, Memorial Regional Medical Center)

c. Mattaponi Volunteer Rescue Squad, Inc. (Primary patient flow to VCU

Tappahannock Hospital, VCU Medical Center, Memorial Regional Medical Center,

Riverside Walter Reed Hospital)

PEMS Annual Report FY2021 Page 7 of 28

4. King William County

a. King William Fire and Emergency Services (Primary patient flow to Memorial

Regional Medical Center, VCU Tappahannock Hospital, Riverside Walter Reed

Hospital, Sentara Williamsburg Regional Medical Center, VCU Medical Center)

b. Mangohick Volunteer Fire Department (Non-transport agency)

c. West Point Volunteer Fire Department (Primary patient flow to Riverside Walter

Reed Hospital, Sentara Williamsburg Regional Medical Center, VCU Medical

Center)

5. Mathews County

a. Mathews County Volunteer Rescue Squad (Primary patient flow to Riverside

Walter Reed Hospital)

6. Middlesex County

a. Middlesex Volunteer Rescue Squad (Primary patient flow to Riverside Walter

Reed Hospital, Bon Secours Rappahannock General Hospital)

Northern Neck

Service Area Description:

The Northern Neck consists of Westmoreland, Richmond, Northumberland, and Lancaster

counties. These jurisdictions comprise an estimated population of 49,897 spread across 746 square

miles. It is rural, having a population density of 51.1, significantly less than the state average of

187.1 according to the most recent census data. The Northern Neck has the second smallest

population of Virginia’s 21 planning districts.

Natural Boundaries:

The Northern Neck is a largely self-contained area. There are no passages over the Potomac River,

the northern boundary of the district. There are only two passages over the Rappahannock River -

the Norris Bridge just south of White Stone and the Rappahannock River Bridge at Tappahannock

- the southern boundary of the region. There are no railroads or major airports in the district. State

Routes 360 and 3 are the major transportation arteries. As a consequence, most of the residents

who work do so within the Northern Neck. The area is a popular retirement location.

Designated Emergency Response EMS Agencies (Patient Flow):

Daily prehospital emergency care in the Northern Neck region is primarily provided by volunteer

fire or rescue squads with limited augmentation by career personnel provided by a county agency.

Below are the licensed EMS agencies within the Northern Neck and, in parenthesis, their primary

catchment hospitals for ground transport:

1. Lancaster County

a. Lancaster County Emergency Services (Primary patient flow to Bon Secours

Rappahannock General Hospital, Riverside Walter Reed Hospital, VCU

Tappahannock Hospital)

b. Upper-Lancaster Volunteer Rescue Squad (Primary patient flow to Bon Secours

Rappahannock General Hospital, Riverside Walter Reed Hospital, VCU

Tappahannock Hospital)

c. Kilmarnock-Lancaster Volunteer Rescue Squad (Primary patient flow to Bon

Secours Rappahannock General Hospital, Riverside Walter Reed Hospital, VCU

Tappahannock Hospital)

2. Northumberland County

a. Northumberland County Department of Emergency Services (Primary patient flow

to Bon Secours Rappahannock General Hospital & VCU Tappahannock Hospital)

b. Northumberland County Rescue Squad (Primary patient flow to Bon Secours

Rappahannock General Hospital, VCU Tappahannock Hospital)

c. Mid-County Volunteer Rescue Squad (Primary patient flow to Bon Secours

Rappahannock General Hospital & VCU Tappahannock Hospital)

d. Callao Rescue Squad, Inc. (Primary patient flow to Bon Secours Rappahannock

General Hospital & VCU Tappahannock Hospital)

3. Richmond County

a. Richmond County Department of Emergency Services (Primary patient flow to

VCU Tappahannock Hospital, Bon Secours Rappahannock General Hospital)

4. Westmoreland County

a. Colonial Beach Rescue Squad (Primary patient flow to Mary Washington Hospital)

b. Westmoreland Volunteer Rescue Squad (Primary patient flow to Riverside

Tappahannock Hospital)

c. Colonial Beach Volunteer Fire Department (Non-transport agency)

d. Cople District Volunteer Fire Department (Non-transport agency)

e. Oak Grove Volunteer Fire Department (Non-transport agency)

f. Westmoreland County Department of Emergency Services (Primary patient flow to

VCU Tappahannock Hospital)

g. Westmoreland Volunteer Fire Department (Non-transport agency)

Service Area Hospitals (Catchment Area and Interhospital Transfer Patterns)

1. Bon Secours Rappahannock General Hospital is located in the town of Kilmarnock in

Lancaster County just off Route 3 and offers inpatient and outpatient medical, surgical, and

specialty services, 24 hour emergency care, and diagnostic imaging services.

a. Interhospital transfers include Virginia Commonwealth University Medical Center

(Trauma and Pediatrics), Memorial Regional Medical Center (STEMI), Henrico

Doctors’ Hospital (STEMI)

2. VCU Tappahannock Hospital is located in Essex County at the corner of Route 17 & Route

360. This 67-bed facility cares primarily for citizens in the Tappahannock area, including

Essex, Richmond, and Westmoreland Counties and the northernmost parts of Lancaster,

Northumberland, Middlesex, and King and Queen Counties.

a. Interhospital transfers include Virginia Commonwealth University Medical Center

(Trauma and Pediatrics) and Memorial Regional Medical Center (STEMI), Henrico

Doctors’ Hospital (STEMI)

3. Riverside Walter Reed Hospital is located in the county of Gloucester along Route 17. This

67- bed facility cares primarily for citizens in the Gloucester and Middlesex counties and

southern King and Queen County. Riverside Walter Reed Hospital is a Primary Stroke

Center.

a. Interhospital transfers include Riverside Regional Medical Center (Trauma and

STEMI), Sentara Norfolk General Hospital (Level 1 Trauma), and Children's

Hospital of The King's Daughters (Pediatrics and Pediatric Trauma).

4. Riverside Regional Medical Center began serving the Peninsula community in 1916. In

1963, Riverside moved to the present 56-acre location in Newport News on J. Clyde Morris

Boulevard (Route 17). Riverside Regional Medical Center is a Level II Trauma Center,

STEMI center, and a certified stroke Center.

a. Interhospital transfers include Sentara Norfolk General Hospital (Level 1 Trauma),

Virginia Commonwealth University Medical Center (Trauma), Children’s Hospital

of the King’s Daughters (Pediatrics and Pediatric Trauma), Navy Medical Center

Portsmouth (Military), and Sentara Heart Hospital (Advanced Cardiac).

5. Bon Secours Mary Immaculate Hospital was originally built at the turn of the century by Dr.

Joseph Buxton in the East End area of Newport News. In 1980, it moved to its current

location which is between Route 17 and Jefferson Avenue. On November 1, 1996, Mary

Immaculate Hospital became a member of the Bon Secours Health System. This facility is

also 24 hours STEMI receiving facility and Primary Stroke Center for the Peninsulas region.

a. Interhospital transfers include Riverside Regional Medical Center (Trauma and

STEMI), Sentara Norfolk General Hospital (Level 1 Trauma), Virginia

Commonwealth University Medical Center (Trauma) and Children’s Hospital of the

King’s Daughters (Pediatrics and Pediatric Trauma).

6. Sentara CarePlex Hospital, opened in December 2002, is an acute care facility located in

Hampton, Virginia. This facility is also 24 hours STEMI receiving facility and a stroke

center for the Peninsulas region.

a. Interhospital transfers include Riverside Regional Medical Center (Trauma), Sentara

Norfolk General Hospital (Level 1 Trauma), Sentara Heart Hospital (Advance

Cardiac), and Children’s Hospital of the King’s Daughters (Pediatrics and Pediatric

Trauma).

7. Sentara Williamsburg Regional Medical Center, opened in 2007, is an acute care facility

located in west York County. This facility primarily serves the citizens of James City

County, New Kent County, York County, and the City of Williamsburg with general

inpatient and outpatient services, a STEMI center, and a stroke center.

a. Interhospital transfers include Sentara Norfolk General Hospital (Level 1

Trauma), Riverside Regional Medical Center (Trauma), Sentara Heart Hospital

Advanced Cardiac), and Children’s Hospital of the King’s Daughters

(Pediatrics and Pediatric Trauma).

8. Riverside Doctors’ Hospital Williamsburg, opened in 2014 as an acute care facility located

in Southern James City County. This facility primarily serves the citizens of James City

County, York County, and the City of Williamsburg with general inpatient and outpatient

services.

a. Interhospital transfers include Sentara Norfolk General Hospital (Level 1 Trauma),

Riverside Regional Medical Center (Trauma, Advanced Cardiac, Stroke, Obstetrics),

Sentara Heart Hospital, and Children’s Hospital of the King’s Daughters

(Pediatrics).

Non Service Area Hospitals (Catchment Area and Interhospital Transfer Patterns)

1. Mary Washington Hospital, located in Fredericksburg, is closer to many Northern Neck

agencies than facilities within the Peninsulas region. In addition to the emergency

department, it is a certified STEMI and primary stroke center, and a Level 2 trauma center.

2. Virginia Commonwealth University Medical Center, located in Richmond, serves as the

closest Level 1 Trauma center for much of the Peninsulas region, as well as offering

emergency department services and certified STEMI center and comprehensive stroke

center.

3. Memorial Regional Medical Center, located in Mechanicsville, provides emergency

department and stroke services to many citizens in the Peninsulas region.

4. Henrico Doctors’ Hospital in Henrico County receives many STEMI patients flown out of

the Northern Neck and Middle Peninsula.

Private EMS Agencies (Non-Designated Emergency Response Agencies)

1. American Medical Response Mid-Atlantic Inc. (AMR), Hampton, VA, provides ALS and

BLS transport services throughout Hampton Roads (Peninsulas and Tidewater regions).

2. Busch-Gardens – Water Country USA, Williamsburg (Peninsula) (Non-transport agency)

3. Cardinal Ambulance Services, Newport News, (Peninsula) provides ALS and BLS

transport services.

4. Eastern State Hospital, Williamsburg (Peninsula) provides ALS and BLS transport

5. ISC Medical Transport, Newport News (Peninsula) provides ALS and BLS transport

6. LifeCare of Fredericksburg, Newport News, (Peninsula) provides ALS and BLS transport

services.

7. Medical Transport, Inc., Virginia Beach, VA, provides ALS and BLS transport services

throughout Hampton Roads (Peninsulas and Tidewater regions).

8. O’Gara Training and Services, Montross, (Northern Neck) (Non-transport agency)

Federal and Military EMS Resources (Patient flow): Daily prehospital emergency care on federal

and military facilities in the Peninsula region is provided primarily by Department of

Defense/Military EMS resources.

1. Camp Perry Fire and EMS (Primary patient flow to Sentara Williamsburg Regional

Medical Center)

2. Fort Eustis/Fort Story Fire and Emergency Services (Primary patient flow to Mary

Immaculate Hospital, Riverside Regional Medical Center)

3. Langley Air Force Base Fire Department (Non-transport agency)

4. McDonald Army Health Center (provides ALS and BLS transport)

5. Navy Region Mid-Atlantic Fire and Emergency Services- Naval Weapons Station,

Yorktown and Cheatham Annex Naval Base (Primary patient flow to Mary Immaculate

Hospital, Riverside Regional Medical Center)

Helicopter EMS Agencies

1. Nightingale Regional Air Ambulance Service, flying from Norfolk, primarily transports

patients from the Peninsula, but also transports from the Middle Peninsula and Northern

Neck. Transports include emergent stroke, STEMI and trauma patients, as well as

interfacility transports for the Sentara system.

2. PHI Air Medical Fredericksburg, flying from Fredericksburg, VA, transports emergent

patients from the Northern Neck and Middle Peninsula. Transports include emergent

stroke, STEMI and trauma patients, as well as interfacility transports.

3. Virginia Commonwealth University LifeEvac 3, flying from Mattaponi in King William

County primarily transports patients from the Middle Peninsula and Northern Neck,

but occasionally transports from the Peninsula, including interfacility transports for the

Virginia Commonwealth University Health system and Riverside Health System.

Transports include emergent stroke, STEMI and trauma patients.

Peninsulas EMS Council Information Designation

Office Location:

6876 Main Street, Gloucester Main Street Center

Gloucester, VA 23061

Phone Numbers:

Main Number: (804) 693-6234

Fax Number: (804) 693-6277

HIPAA/PHI Fax Number (804) 302-6073

Office Hours:

Monday thru Friday – 0830 to 1630

Since March 15, 2020, the office has operated virtually due to the COVID-19 pandemic.

Deliveries and in-person meetings have been arranged by appointment.

Directions:

The Peninsulas EMS Council office is located in the Main Street Center, next door to the U.S.

Post Office in historic Gloucester Courthouse.

Council Leadership

Council Staff

(All Positions current as of June 30, 2021)

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Board of Directors

Name

Agency/Facility

Position

Appointment Exp

Trisha Anest, MD

Bon Secours Mary Immaculate Hospital

Hospital

12-16-23

J. David Barrick, NRP* (Treasurer)

Citizen

At Large

06-16-24

Bradley Beam, NRP

Williamsburg Fire Department

Licensed EMS Agencies (Virginia Peninsula)

06-16-23

Jeff Beasley, NRP*

Westmoreland County Emergency Services

At-Large

09-18-22

Jimmy Brann, NRP*

Essex County Emergency Services

City/County Government (Middle Peninsula)

06-16-23

Christianne Clifford, DO

Riverside Doctors’ Hospital of Williamsburg

Hospital

06-16-24

William P. Dent, EMT*

(Vice-President)

Williamsburg Fire Department

At-Large

06-19-22

Lisa Dodd, DO

VCU Tappahannock Hospital

Hospital

09-18-22

Eleanor Erwin, MD

Sentara Williamsburg Regional Medical Center

Medical Advisory Committee

06-19-22

Julie Glover, NRP*

(President)

Abingdon Volunteer Fire and Rescue

At Large

09-18-22

Kimberly Harper, RN

Emergency Nursing Association

At Large

06-16-24

Gregory Hunter, NRP*

King & Queen County

Licensed EMS Agency (Middle Peninsula)

12-18-22

Shannon Kennedy, EdD

Rappahannock Community College

Business (Northern Neck)

06-16-23

Stephen Kopczynski, EMT

York County Department of Fire & Life Safety

City/County Government (Virginia Peninsula)

06-19-22

Amir Louka, MD*

Peninsulas EMS Council

Regional Medical Director

06-16-23

David Masterson

Sentara Williamsburg Regional Medical Center

Hospital

06-21-23

Michael Player, NRP*

(Secretary)

Peninsulas EMS Council (Executive Director)

Peninsulas EMS Council

N/A

Mitchell Paulette

Richmond County EMS

City/County Government (Northern Neck)

03-17-24

Gary Samuels, NRP

Bon Secours Healthcare

Hospital

12-19-21

Jeff Sensenig, MD

Riverside Walter Reed Hospital

Hospital

03-20-22

Matthew Smith, NRP

Lancaster County EMS

Licensed EMS Agency (Northern Neck)

06-16-23

Jason Sweet, NRP

James City County Fire Department

Licensed EMS Agency (Virginia Peninsula)

12-21-16

Sherwin Smith

Sentara CarePlex Hospital

Hospital

06-16-24

Sadie Thurman, RN

Peninsulas EMS Council

Riverside Regional Medical Center

State EMS Advisory Board

Hospital

06-18-22

Frank Wingfield*

Virginia Country Real Estate

Business (Middle Peninsula)

03-15-23

(All positions current as of June 30, 2021) *Denotes Executive Committee

 

Peninsulas EMS Council Committees

(All Positions current as of June 30, 2021)

Standing Committees

§ Executive Committee – Julie Glover, NRP, Chair

§ EMS Operations Committee – Brad Beam, NRP, Chair

§ Medical Advisory Committee – Lisa Dodd, DO, Chair

§ Peninsulas Interfacility Cooperation Organization – Elizabeth Cumbie, RN, Chair

Other Committees, Work Groups, Task-Forces Established by Resolution

§ CTS Committee – Michael Tate, NRP, Chair

§ Mass Casualty Incident Workgroup – Stephen Pincus, NRP, Staff

§ Pediatric Care Committee – Samuel Bartle, MD, Chair

§ Performance Improvement Committee – Lou Ann Miller, RN, Chair

§ Pharmacy Committee – Mary Gidley, PharmD, Chair

§ Protocol, Policies, and Procedure Committee – David Justis, MD, Chair

§ Rescue Squad Assistance Fund Review Committee – J. David Barrick, Chair

§ STEMI Committee – Kim Harper, RN, Chair

§ Stroke Committee – Dana Gibler, RN, Chair

§ Trauma Triage Committee – LouAnn Miller, RN, Chair

Other State Committees (Peninsulas EMS Council Representatives)

§ Emergency Management Committee of the State EMS Advisory Board – Michael Player,

NRP, Regional Council Representative

§ Financial Assistance Review Committee – Tracy Hanger, NRP – PEMS Representative

§ Health and Human Resources Subpanel of the Secure Commonwealth Initiative - Michael

Player, NRP, EMS Representative

§ Legislation and Planning Committee of the State EMS Advisory Board - Michael Player,

NRP, Virginia Fire Chiefs Association Representative

§ Medical Direction Committee of the State EMS Advisory Board – Amir Louka, MD,

 

PEMS Representative

§ Regional Executive Directors Group - Michael Player, NRP, Vice-Chair, PEMS

Representative

§ State EMS Advisory Board – Sadie Thurman, RN, PEMS Representative

§ Transportation Committee of the State EMS Advisory Board – J. David Barrick, Chair,

PEMS Representative

§ Virginia Stroke Systems Task Force – Debbie Thomas, NRP, PEMS Representative

§ Virginia Trauma System Oversight and Management Committee – Lou Ann Miller, RN,

PEMS Representative

§ Virginia Heart Attack Coalition – Debbie Thomas, NRP, PEMS Representative

Other Local Committees & Teams (Peninsulas EMS Council Representatives)

§ Bon Secours Mary Immaculate STEMI Committee – Debbie Thomas, NRP, PEMS

Representative

§ Bon Secours Mary Immaculate Stroke Committee – Debbie Thomas, NRP, PEMS

Representative

§ Critical Incident Stress Management Committee – Stacy Young and Shannon Hodges,

Clinical Directors; Amy Ashe, NRP, Team Coordinator

§ Eastern Virginia Healthcare Coalition – Michael Player, NRP, Executive Council;

PEMS Representative

§ Hampton Roads Planning District Commission All-Hazards Advisory Committee –

Michael Player, NRP, Stephen Pincus, EMT, PEMS Representative

§ Hampton Roads Planning District Commission Urban Area Working Group –

Michael Player, NRP, PEMS Representative

§ Hampton Roads MMRS Strike Team Leadership Committee, Michael Player, NRP,

PEMS Representative

§ Hampton Roads Trauma Symposium Committee – Debbie Thomas, NRP, Seth

Craig, NRP, Michael Player, NRP, PEMS Representatives

§ Rappahannock Area Health Education Center Advisory Committee - Michael

Player, NRP, PEMS Representatives

§ Rappahannock Community College EMS Program Oversight Committee – Michael

Player, NRP, Chair - PEMS Representative

§ Sentara CarePlex STEMI Committee – Debbie Thomas NRP, PEMS Representative

§ Sentara Williamsburg Regional Medical Center STEMI Review Committee – Debbie

Thomas, NRP, EMS Representative

§ Thomas Nelson Community College EMS and Fire Science Program Oversight

Committee – Michael Player, NRP, Chair – PEMS Representative

§ Riverside Regional Medical Center Chest Pain Accreditation Committee – Debbie Thomas,

NRP, PEMS Representative

§ Rappahannock General Hospital Stroke Committee – Debbie Thomas, NRP,

PEMS Representative

§ Riverside Regional Medical Center Trauma Review Committee – Debbie Thomas, NRP,

PEMS Representative

§ Sentara Williamsburg Regional Medical Center Stroke Committee – Debbie

Thomas, NRP, PEMS Representative

§ Sentara CarePlex Stroke Committee – Debbie Thomas, NRP, PEMS Representative

 

PENINSULAS EMERGENCY MEDICAL SERVICES COUNCIL, INC.

STATEMENT OF ACTIVITIES

June 30, 2021 AND 2020

 

PUBLIC SUPPORT & REVENUE

FY2020

FY2021

Public support:

Local support

 

$82,097

 

$81,656

Grants

$62,750

$106,174

Total public support

$144,847

$187,830

Revenues:

State funds

 

$392,526

 

$398,460

Training materials Interest

Gain on Sale

Other

  $9,985

 

   $776

$2,103

 

$172,934

Total revenues

$403,287

$573,497

Total support and revenue

$548,134

$761,327

EXPENSES

Program

 

$486,493

 

$549,824

General and Administrative

$61,712

$69,336

Total expenses

$548,205

$619,160

CHANGE IN NET ASSETS

$(71)

$142,167

NET ASSETS, BEGINNING OF YEAR

$288,668

$288,597

NET ASSETS, END OF YEAR

$288,597

$430,764

The PEMS Council’s FY20 financial statements were audited by Wells Coleman. The FY21 financials were

audited by Wells Coleman. The full report and the Council’s federal 990 tax return are available for inspection

at the Council office. The federal 990 is also available for inspection on the Council’s website.

 

PENINSULAS EMERGENCY MEDICAL SERVICES COUNCIL, INC.

STATEMENT OF FINANCIAL POSITION

June 30, 2021 AND 2020

 

ASSETS

 

2020

 

2021

Cash and cash equivalents Investment

Accounts receivable

 

     $183,883

 

     $114,052

$249,846

 

$127,779

Prepaid Expenses

 

$6,848

$9,430

Total current assets

 

$304,783

$387,055

Property and equipment – net

 

$109,971

$94,831

Other Assets

 

$2,319

$2,319

TOTAL ASSETS

 

$417,073

$484,205

LIABILITIES AND NET ASSETS

CURRENT LIABILITIES

Accounts payable

$7,338

   $10,394

Accrued Payroll

$12,092

$19,411

Accrued vacation

$17,046

$23,636

Funds Held on Behalf of Others  

                  $20,000

  

Notes Payable - Long Term

                  $72,000

 

Total liabilities

$128,476

$53,441

NET ASSETS

Temporarily restricted

$45,809

$61,889

Unrestricted

$242,788

$368,875

Total net assets

$288,597

$430,764

TOTAL LIABILITIES AND NET ASSETS

 

$417,073

$484,205

 

The PEMS Council’s FY20 financial statements were audited by Wells Coleman. The FY21 financials were audited by Wells Coleman. The full report and the Council’s federal 990 tax return are available for inspection at the Council office. The federal 990 is also available for inspection on the Council’s website

Our Major Contributors and Funders

Platinum Partner:

Riverside Health Systems

 
     

Gold Partners:

Sentara Healthcare

 
     

Silver Partners:

VCU Medical Center

Bon Secours Mary Immaculate Hospital

 

 

   

Sponsors

Gloucester Rotary Club

2021

Protocol App

 

   

Additional Contributors:

City of Hampton

 
 

City of Newport News

 
 

City of Poquoson

 
 

City of Williamsburg

We truly thank all

 

Essex County

of  our contributors, events

 

Gloucester County

sponsors, and supporters!

 

James City County

 
 

King and Queen County

 
 

King William County

 
 

Lancaster County

 
 

Mathews County

 
 

Middlesex County

 
 

Northumberland County

 
 

Richmond County

 
 

Virginia Department of Health

 
 

Westmoreland County

 
 

York County

 
     

The Peninsulas EMS Council, Inc. was chartered in 1976 under the laws of the

Commonwealth of Virginia.

The council is a private, non-profit, tax exempt organization described in section

501 (c) (3) of the Federal IRS Code.

 

Council Activity

Organization’s Mission

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.

Regional Medical Direction

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 FY21, PEMS entered into a 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.

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 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) that drafts new and revised

protocols, policies and procedures for consideration by the Medical Advisory Committee.

Through their work, the PPP 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 2021, a Pediatric Care Committee was created to begin the periodic review and update

of the region’s pediatric protocols.

• The 2021, PEMS protocol revisions were approved by the Medical Advisory Committee

and the revisions became effective on 1 April, 2021, after rollout training during

February and March of 2021.

EMS Performance Improvement – The Peninsulas EMS Council maintains an ongoing

performance improvement program that regularly assesses EMS system performance in order 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.

Medical Incident Reviews - The EMS Field Coordinator- Clinical Care also performs Medical

Incident Reviews of patient care activities that are reported by prehospital or hospital caregivers

or members of the public as potential deficiencies in patient care practices, departures from

protocol compliance, or other areas of concern. The Coordinator makes a sanitized report to the

Performance Improvement Committee and/or the Peninsulas Inter-Facility Cooperation

Organization to address systemic issues. Referrals to other agencies (OEMS, law enforcement,

etc.) are made when deficiencies requiring mandated reporting are identified. General data on

trends from MIR reports can also drive local or regional procedure/policy/protocol changes.

Regional Medication and EMS Supplies Restocking Programs – The Peninsulas EMS Council

provides a Regional Medication and EMS Supplies Restocking Agreement with all EMS agencies

and the eight non-federal hospitals with full-service emergency departments and two federal

hospitals within the region. This agreement meets all current federal regulations and describes the

region’s restocking procedures between the hospitals and EMS agencies located in the Peninsulas

EMS Council region. The Agreement is maintained by the Council’s standing hospital facilities

committee, the Peninsulas Interfacility Cooperation Organization (PICO).

• Updated Regional EMS Supplies Restocking Program and Agency/Hospital Agreements

to remain consistent with regional protocols and procedures. The new agreement was

reviewed by the Board of Directors.

• In FY21, the Peninsulas EMS Council renewed both its Class 6 Controlled Substance

Registration and Clinical Laboratory Improvement Amendment (Certificate of Waiver) for

EMS Agencies throughout the Peninsulas EMS Council region to add the Abbott

BinaxNow COVID-19 AgCard Test Kits.

 

Medication Kit Standardization and Exchange – Medication Kits, RSI Medication Kits, and

Training Medication Kits are located throughout the Peninsulas EMS Council region in support

of the regional standard of care as identified in the Regional Patient Care Protocols, Policies and

Procedures. While the individual EMS agencies purchase additional or replacement Medication

Kits, the Peninsulas EMS Council assumes the ownership of the boxes for repair, replacement,

and system oversight. The Medication Kits and “EPI” Drug Boxes were provided by the Council

through grant funds. The contents of the Medication Kits, RSI Medication Kits, and “EPI Drug

Boxes are restocked after use and are owned by the region’s hospital pharmacies. Training

Medication Kits are stocked through a training medication supplier.

The Medical Advisory Committee, in cooperation with the Pharmacy Committee, develops the

content lists for both Medication Kits and the related protocols. All EMS agencies within the

region comply with the standardization of the Medication Kits and participate in the Regional

Medication Kit Exchange Program managed by the Peninsulas EMS Council's Pharmacy

Committee. The Council's EMS Field Coordinator (Operations) is responsible for the inventory

control and maintenance of the region's drug boxes. The Regional Medication Kit Exchange

Program was revised in the third quarter of FY20 and approved by the Board of Directors on 18

September, 2020.

The Pharmacy Committee works to assure adequate supplies of approved medications, or in the

face of continued national medication shortages, works with the Medical Advisory Committee to

develop alternative treatment modalities. Systems were also established to identify drug boxes

with incomplete contents. The Pharmacy Committee modified the content list for the region's

drug boxes to support changes in regional treatment protocols.

The Medical Advisory Committee, in cooperation with the Pharmacy Committee, develops the

content lists for both Medication Kits and the related protocols. All EMS agencies within the

region comply with the standardization of the Medication Kits and participate in the Regional

Medication Kit Exchange Program managed by the Peninsulas EMS Council’s Pharmacy

Committee. The Council’s EMS Field Coordinator (Operations) is responsible for the inventory

control and maintenance of the region’s drug boxes.

• The Regional Medication Kit Exchange Program was revised in the 2020 and approved

by the Board of Directors.

• The Pharmacy Committee worked to assure adequate supplies or worked with the

Medical Advisory Committee to develop alternative treatment modalities as well as

systems to identify drug boxes with incomplete contents in the face of continued national

medication shortages.

• The Pharmacy Committee modified the contents list for the region’s drug boxes to support

changes in regional treatment protocols.

• The PEMS staff developed a training video to address the shortage of epinephrine prefilled

syringes. The video provided clear instruction on how to appropriately create the

epinephrine dosage of 0.1/mg/ml when the pre-filled syringes are not available.

PEMS Annual Report FY2021 Page 21 of 28

Regional Planning

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.

• 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.

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.

The Hampton Roads Mass Casualty Incident Response Guide – The Response Guide

incorporates the Virginia Triage Tag as well as the Simple Triage and Rapid Treatment (START)

and JumpSTART (pediatric) patient triage processes adopted by the Commonwealth of Virginia.

The Peninsulas EMS Council provides MCI exercise planning and evaluation, and MCI training,

on request, throughout the region. The Council also works with the Peninsulas Interfacility

Cooperation Organization (PICO) and the Virginia Hospital and Healthcare Association to

monitor the Regional Hospital Diversion Plan.

• Throughout 2021, the PEMS Council continued to coordinate or participate in regional

planning and improvement of health system response to disasters including pandemics.

• The PEMS Council was part of the COVID-19 Multi-Area Coordination Center on the

Peninsula and worked with the Three-Rivers Health District Response Planners to help

manage the COVID-19 response, including PPE distribution, testing, vaccinations, and

boosters.

• The PEMS Council participated with local, regional, state and federal pandemic

planning, response and evaluation efforts

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 grants fund

this program. Members of the Peninsulas EMS Council and EMS agencies staff MMRS

Committees, serve on the MMRS Medical Strike Team, provide operational support to the

Strike Team, and maintain and augment a Strike Team equipment and communications cache. In

FY20, the HRMMRS:

• In 2021, the HRMMRS continued regional planning and improvement of the health system

response to disasters by actively participating with local and regional groups such as

Virginia Department of Health Emergency Planning and Response Planners (VDH

EP&R), the Virginia Department of Emergency Management (VDEM), the Hampton

Roads All-Hazards Advisory Committee, Regional Catastrophic Planning Grant

Workgroup, Regional Catastrophic Planning Grant Planning Team and Mass Care and

Sheltering Workgroup, Secure Commonwealth Health and Medical Subpanel, the Eastern

Virginia Hospital Preparedness Coordinating Group, the Cities Readiness Initiative and

the Regional All Hazards Advisory Committee.

Eastern Virginia Healthcare Coalition – The Peninsulas EMS Council partners with the

Eastern Virginia Healthcare Coalition to develop resiliency within the Hampton Roads and

Eastern Virginia region's hospitals and healthcare facilities, EMS agencies, non- government and

private healthcare organizations and services and public health in times of crisis. The Council's

Executive Director serves on the Coalition's Executive Committee.

Regional Coordination

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 EMSrelated

courses. On-line registration for test sites, courses, etc. were 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 a listserv, Face Book and Twitter accounts and distributes information to

subscribers on a frequent basis. Subscription is made available to anyone interested.

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 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 EMTParamedic)

Oversight Committee, Thomas Nelson Community College (EMT-Basic, EMTIntermediate

and EMT-Paramedic) Oversight Committee, and the Tidewater Community

College (EMT-Intermediate and EMT-Paramedic) Oversight Committee, & ECPI (Paramedic)

Oversight Committee.

In FY21, PEMS continued the scheduling and coordination of unique State funded

continuing education opportunities for the 16 jurisdictions making up the PEMS region.

 

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 FY21, 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 FY21, the Peninsulas EMS Council also developed liaison with EMS, Fire, and Law

Enforcement agency PEER Support Teams in the Region, coordinating education and

assisting them with state accreditation.

EMS Education and Training – The Peninsulas EMS Council provides, facilitates, and supports

education and training programs, including continuing education “required topics,” throughout

the region.

§ Coordinated instructor networking to facilitate and aid in the provision of quality

education to support EMS agencies within the region.

§ Partnered with hospitals in the region to provide an annual Trauma Symposium for prehospital

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; Thomas Nelson Community College (EMT-Basic, EMT-Intermediate and

EMT-Paramedic) Oversight Committee and the Tidewater Community College (EMTIntermediate

and EMT-Paramedic) Oversight Committee & ECPI (Paramedic) Oversight

Committee.

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 FY20, 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.

 

Consolidated EMS Testing – The Peninsulas EMS Council coordinates and manages at least

twelve consolidated testing sites at locations across the region each year, including sites on the

Peninsula, Middle Peninsula, and Northern Neck. The Council is responsible for recruiting and

training staff, securing simulated patients and supplies, test sites and providing all equipment and

supplies needed for the test sites. The Council is also responsible for registering candidates and

paying test site personnel.

• In 2020, PEMS scheduled, coordinated and supported Consolidated Test Sites in the

region until March 2020 when COVID-19 caused all such in-person testing to be

cancelled for the remainder of 2020 and 2021.

Regional Awards Program – Each year, the Peninsulas EMS Council conducts a Regional

Awards Program. These awards recognize the unique and essential role EMS plays in the

community and honor the individuals and agencies that have made a significant contribution to

EMS in the Peninsulas EMS Council region. The regional award winners are nominated for the

Governors EMS Awards. The Council also works with the hospital emergency departments and

emergency physician groups to provide a Regional Award Program to honor the nominees and

recipients of the annual Regional EMS Awards.

§ This year, for the second year in a row, COVID-19 prevented PEMS from presenting its

awards as has been customary at a special "Celebrate EMS" day at Busch

Gardens. Instead, the list of recipients was published and individual awards presented at

work places using CDC precautions to prevent COVID-19 transmission

In January, the Council launched its 2021 Regional EMS Award campaign with the slogan

“Recognize Excellence!”.

§ The 2021 Michael B. Player Award for Excellence in EMS was awarded to Wayne Berry,

NRP, Virginia Office of Emergency Medical Services, and Newport News Fire Department.

§ The 2021 Peninsulas EMS Council Award for Innovation Excellence in EMS was awarded

to the City of Williamsburg, James City County, York County, Colonial Williamsburg

Foundation, William & Mary, Virginia Department of Health Peninsula District for the

Greater Williamsburg COVID-19 Vaccination Clinic.

§ The 2021 Joseph B. Howard Award for Outstanding Prehospital Provider was awarded to

Kimberly A. Davidson, NRP, of the Newport News Fire Department.

§ The 2021 Gaylord Ray, MD Award for Outstanding EMS Physician was awarded to Cara-

Marie Jackson, D.O., FACEP of the Riverside Regional Medical Center and York County

Department of Fire and Life Safety.

§ The 2021 Peninsulas EMS Council Award for Outstanding Prehospital Educator was

awarded to Seth Craig, IV of Gloucester Volunteer Fire and Rescue, Peninsulas EMS

Council, and Rappahannock Community College.

§ The 2021 Melissa Holloway Award for Nurse with Outstanding Contributions to EMS was

awarded to Cathryn M. Mitchell, RN, of Riverside Doctor’s Hospital of Williamsburg.

§ The 2021 Russell L. Lowry, Jr. Award for Outstanding EMS Leadership was awarded to

Jason A. Sweet, NRP, of the James City County Fire Department.

§ The 2021 Peninsulas EMS Council Award for Outstanding Contribution to Emergency

Preparedness and Response was awarded to Cynthia Williams, of Riverside Regional

Medical Center.

§ The 2021 Peninsulas EMS Council Award for Outstanding Contributions to EMS for

Children was awarded to the Children’s Hospital of the King’s Daughters Trauma

Department – Pediatric Trauma Symposium.

§ The 2021 Peninsulas EMS Council Award for Outstanding Contributions to EMS Health

and Safety was awarded to the Newport News Safety Officers.

§ The 2021 Peninsulas EMS Council Award for Outstanding Call of the Year was awarded to

the Newport News Fire Department.

§ The 2021 Peninsulas EMS Council Award for Outstanding EMS Telecommunications

Officer was awarded to Heather C. Jenkins, of the Lancaster County Sheriff’s Office.

§ The 2021 Peninsulas EMS Council Regional Scholarship for Outstanding High School

Senior was awarded to John M. VanLandingham of the Callao Volunteer Rescue Squad.

§ A 2021 Peninsulas EMS Council Regional Special Award was awarded to Jim Huffman for

Information Technology and Regional EMS Systems Collaboration Infrastructure Support.

§ A 2021 Peninsulas EMS Council Regional Special Award was awarded to the Virginia

Department of health/Peninsula Health District, Riverside Health System, Sentara

Healthcare, Bon Secours Mercy Health, City of Hampton, City of Newport News, City of

Poquoson, City of Williamsburg, James City County, and York County for Operation

Vaccinate Virginia.

§ Additional 2021 Peninsulas EMS Council Regional Special Awards were awarded to

Christopher Newport University, Colonial Williamsburg Foundation, Hampton University,

York Senior Center, Three Rivers health District, and Williamsburg Drug Company for

COVID-19 Community Vaccination Clinics.

The recipients of the regional awards were submitted as nominees for the coveted 2021

Governor's EMS Awards, which were awarded on November 7, 2021 at the Virginia EMS

Symposium in Norfolk.

§ The 2021 Governor’s Award for Outstanding Contribution to Emergency Preparedness and

Response was awarded to Cynthia Williams, of Riverside Regional Medical Center.

Rescue Squad Assistance Fund (RSAF) – The Peninsulas EMS Council provides local

governments, hospitals and EMS agencies with comprehensive resources for EMS grants

information and assistance. In addition, the Council provides equipment and educational

opportunities through extensive federal, state and regional grant programs.

§ PEMS Conducted reviews in Fall of 2020 and Spring of 2021 to grade the requests and

make comments. The grades and comments were forwarded to the Virginia Financial

Assistance Review Committee to consider during their process of recommending Virginia

Rescue Squad Assistance Fund grants awards.

Peninsulas EMS Council and Virginia Office of EMS Coordination

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:

§ State Emergency Medical Services Advisory Board

§ 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 Stroke Care Quality Improvement Advisory Group,

§ Governor’s Secure and Resilient Commonwealth Panel–Health and Human Resources

Subpanel

Greater Williamsburg HEARTSafe Alliance – The Peninsulas EMS Council accepted the

Greater Williamsburg HEARTSafe Alliance as a program of the Council in FY21. A

community program involving the cities of Williamsburg and Poquoson and the Counties of

James City and York, the College of William & Mary, the Greater Williamsburg Chamber and

Tourism Alliance, Riverside Health System and Sentara Healthcare. The Council agreed to

accept the HEARTSafe program because its mission to: “SAVE LIVES by improving the

survival rate of sudden cardiac arrest in James City County, York County, City of Williamsburg,

and City of Poquoson,” is consistent with the Peninsulas EMS Council’s mission.

In 2021, the Greater Williamsburg HEARTSafe Alliance engaged the Greater

Williamsburg community through citizen education, hands-only CPR training and

awareness of AED access.

Through the use of the Alliance’s funded two smart phone apps “PulsePoint” and

“PulsePoint AED,” the two public safety answering points providing 9-1-1 emergency

dispatching in the Greater Williamsburg area, notified citizens when cardiac arrests

occurred in public and the location of the closest available AED.

EMS Systems Information Technology – In 2021 the PEMS Council created a staff position

titled EMS Systems – Information Technology Specialist to manage the Peninsulas EMS

Council’s website and social media. This individual assisted the Peninsulas EMS Council in the

assessment, adoption and implementation of large-scale technology solutions such as cloud

network services, laptop systems, system integrations, local and cloud-based software, upgrades

and transitions. These are EMS System (planning, delivery, and evaluation) Information

Technology Tools.

• The Peninsulas EMS Council acted as the regional resource and advocate for technology

solutions to secure timely and effective regional EMS system data collection,

management, and sharing.

• The EMS Systems IT Specialist worked with Council staff, committees and volunteers,

EMS agencies, jurisdictions and Hospitals to develop and implement technology

solutions to acquire information needed for EMS system planning, patient care delivery

decisions and evaluation.

• With the help of the EMS Systems IT Specialist, the Peninsulas EMS Council assisted

EMS agencies and the Virginia Office of EMS transition the Electronic Prehospital

Patient Care Reporting contract from Image Trend to ESO.

COVID-19 Pandemic Response

COVID-19 - The Peninsulas EMS Council Office operated virtually from home throughout

2021. All staff, Board and committee meetings were conducted via conference call/webinar for

the fiscal year.

• The Peninsulas EMS Council Medical Advisory Committee developed a COVID-19 Task

Force to evaluate the changing clinical environment in order to ensure providers had the

best information and most effective medical direction. The Task Force developed two

products which were distributed for use; the COVID-19 Viral Respiratory Pathogen

Exposure Reduction Procedure, and the COVID-19 Tiered EMS Response Protocol.

• The Peninsulas EMS Council shared best practices and guidelines from the CDC, VDH

and the other Virginia Regional EMS Councils with our agencies along with national,

state and local pandemic information and resources.

• The Peninsulas EMS Council developed several informal communications networks to

coordinate COVID-19 information using available social media apps. The Peninsulas

EMS Council was actively involved in two combined operations groups; one for the

Peninsula jurisdictions (Cities of Hampton, Newport News, Poquoson and Williamsburg,

and the Counties of James City and York), and one for the Middle and Northern Neck

Peninsulas (the Counties of Essex, Gloucester, King and Queen, King William, Lancaster,

Mathews, Middlesex, Northumberland, Richmond and Westmoreland).

• The Peninsulas EMS Council monitored systems and critical systems, and participated in

COVID-19 planning, mitigation and response activities with regional and statewide

healthcare delivery partners.

• The Peninsulas EMS Council maintained an Emergency Personal Protective Equipment

(PPE) Cache - received donations of personal protective equipment (PPE) for EMS

agencies from the National Strategic Stockpile, the Virginia Department of Health Office

of EMS, private corporations and individuals and distributed them to EMS agencies

based on need.

• The Peninsulas EMS Council also received Abbott BinaxNow COVID-19 Antigen AgCard

Test Kits for distribution to its constituents. The strong collaboration of the Peninsulas

EMS Council during the COVID-19 pandemic helped to seek out and develop economies

of scale in order to reap the benefit of joint purchasing to maximize available resources.

Summary

This year has been a challenging for the region’s entire health care system and the Peninsulas EMS Council.  We continue to work with our partners, stakeholders and citizens to ensure that the Peninsulas EMS system continues to be one of the most effective and efficient in the nation for the delivery of high-quality prehospital emergency medical care.  To do this, we respond to the increasing needs of the regional EMS delivery system’s development, coordination and management while we simultaneously seek the resources necessary which meet the Council’s basic fiscal responsibilities.  We sincerely thank all our partners for their continued support of our mission and goals.  The Council continues to assure you that we will continue to use your contributions wisely and responsibly maximize our efforts on your behalf and on behalf of the region’s prehospital EMS patients.

A coordinated, efficient and effective regional EMS system of sixteen jurisdictions, 49 EMS agencies, and 10 hospitals exists only as a result of the hard work of literally hundreds of volunteers staffing committees, work groups and task forces, thousands of career and volunteer EMS providers answering emergency calls and providing prehospital emergency medical care and transportation alongside even more physicians, nurses and medical staff continuing that care in state of the art medical facilities.  In recognition of this important fact, we continue to use the phrase “We Are PEMS!” to represent the modern and responsive EMS delivery system serving the three peninsulas. This year we have added the wording “using partnerships, science, and synergy to create regional EMS excellence for you” to explain how we do what we do and why we are so successful.

Thank you for your continued support and we sincerely look forward to working with you as we continue our success in achieving our mission in the region.

We Are PEMS!

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