Western Mass Emergency Medical Services Committee, Inc.

 

Meeting:                     Regional Council

Date:                           June 14, 2001

Place:                          Dakin, Conference Room A, CDH, Northampton

Presiding:                   Robert Hopkins, President

Called to Order:         10:20 am

Adjourned:                  11:25 am

 

 

Attendance:

 

Present – Brian Andrews, Felicia Bycenski, Michael Clapp, Dr. Ray Conway, Randy Cushing, Mary Cushman, Dr. M.J. Dinneen, Francis Dresser, Harriet Dyer, Dianne Field, Daniel Harrington, Robert Hopkins, Roberta Hover, Dana Johnson, Brian Keefe, Steve Manchino, Linda Moriarty, Linda Murphy, David Neil, Barbara Pummell, Jeff Rawson, Wes Stevenson, Laurie Tuper, and Michael Zlogar

Present by Proxy – Kevin Andrews, Francesca Austin, Lucy Britton, Richard Gebo, Terry Goodrich, John Hayden, and Lee Irish

Excused –  

Absent – Patrick Eline, Dave Keefe, Harvey Madonick, Bruce Stump

Guests -  Paul Braskie, Dr. Lou Durkin, Lisa Herringshaw, Chris Hopewell, Dawn Josefski, and Dennis Tuper

 

Minutes:  A motion was made to accept minutes as written.  This was seconded and approved unanimously.

                                                                                                   

Old Business

 

Physicians Council Report: 

            Discussion –

Dr. Dinneen reported that representatives from the Ware Fire Department attended their meeting with an initial request for a P/B waiver.  Representatives from Adams Ambulance were also in attendance with an initial P/I waiver request.  Both of these waivers were reviewed and are recommended to Regional Council for approval.

The latest diversion reports were discussed and all hospitals are doing fairly well. 

For new business there was discussion about the dosing of Amiodarone. Studies have shown that emphasis needs to be on administration of this medication over the full ten minutes; not how the medication is mixed.

Dr. Conway gave a report regarding the State Medical Services Committee meeting and also presented Physician’s Council with a copy of the PAD Program affiliation agreement that he is currently using.

Finally, the council discussed Glucagon. It was agreed that if a hospital pharmacy changes the form of delivery for a medication, the paramedic services that utilize exchanges with these hospitals will be allowed to use the changed form.  Also, there was discussion about returning Terbutalin to the list of approved Regional medications. It was voted on and approved by Physicians’ Council.  

 

            Action – WMEMS office to send out updated Regional Medication list.

               WMEMS office to send out letter advising paramedic services about using  

               medications that have a change in their form of delivery.

 

Executive Directors Report:

            Discussion –

Ms. Moriarty reported back to the Council regarding ALS Exams and Reciprocity.  After speaking with Lynn Doyle, it was found that for reciprocity and challenging, an application is sent out and upon return to OEMS the application is compared to a check list of required training and experience.  If there is anything outside of the checklist, the application goes to Russ Johansen, and this where the hold up is.  It was asked if Ms. Moriarty could obtain a copy of this checklist.  She will check into it.

In regards to the helicopter, Ms. Moriarty spoke to Mr. Restuccia and he believes that Albany is closer to North Adams and they should be contacted.  Many would like Life Flight to come as opposed to Med Flight as they have a physician on board.  Mr. Johnson asked, if Life Flight is called, will they in turn forward a call to Med Flight.  Ms. Moriarty believes that it is the ambulance services responsibility to call for a flight.

Mr. Harrington made a motion that the communications committee contact all helicopter services and ask where the lines are for helicopter services. Ms. Moriarty felt that this would be a good idea and Mr. Cote will check into this.

In regards to the Big E, the flyers have been sent out and we are already getting sign ups.  A reminder that we can only have two people per shift.

Information was sent out from OEMS regarding Epi-Pens and Web Based Diversion Site.  EMCAB has recommended that adult and pediatric epi-pens be carried on all ambulances.  One of the sheets sent out was a comment sheet. The comment period ends July 20.  There has been some concern about services being able to obtain them. If this is a problem for your service, please let OEMS know.

The Web Based Diversion Comment Sheet: By October 2001 all hospitals, ambulance services, or dispatch sites will be required to access this site 24 hours per day, 7 days a week.  Please read these papers over and make comments.  Mr. Andrews stated that there was a great deal of discussion  at the state communications meeting. Mr. Prenney asked Ms. Moriarty if she had any idea how much it would cost to get our region connected to this system so she is wondering if the state would be able to assist our area with our expenses. 

Also sent out from OEMS to licensed ambulance services was the AR5-211 Special Project Waiver. If anyone is interested in doing a special project, this needs to be filled out.

According to the state training committee, the state has not yet approved the training programs for ALS Combitubes or LMA’s.

Finally, there was a lawsuit settlement against a Massachusetts ambulance service for $10 million for an incident that happened a few years ago resulting in a permanent injury to a child.  OEMS is looking into a regulation whereby we report to them any “untoward” results of a call. Ms. Moriarty has found out since that this lawsuit didn’t involve any service in Region 1.

 

Action –  Ms. Moriarty to check into getting a reciprocity checklist from Lynn Doyle.

                            Mr. Cote to contact helicopter services to figure out where lines are.

 

Treasurers Report:

            Discussion –

Ms. Cushman reports that our checking account has a balance of $20253.32, Savings Account $642.37, and the Scholarship Account is $6020.00.

 

            Action – None

 

PIER Committee:

            Discussion –

Mr. Cote circulated a sign up sheet looking for volunteers to be on this committee. There is a state level PIER committee that educates the public in regards to EMS . On a local level, there are many people that don’t know what we do.  Mr. Cote is looking for suggestions about how we can accomplish this.

 

            Action – Notify the office if you are interested in serving on this committee.

 

 

Training Committee:

            Discussion –

The Scholarship Form has been completed and presented to Regional Council for approval. Once this is approved, the WMEMS office will mail them out to all EMS services in Region 1. 

Also, more training programs need to be developed for sharing with the entire region.

 

            Action –  Upon Regional Council  approval, WMEMS office to mail out scholarship

                            application.

 

Communications Committee:

            Discussion –

The Hampden East Project is currently being developed to solve some communications problems in the Eastern part of the region.  We have received some money from the state under the condition that construction be under way by June 30. If not, we lose the money. Currently, we are looking at proposals. With this recent activity, the committee members seem more enthusiastic.  The RFP’s are out with 2 proposals received from vendors. A review panel will be appointed to review these proposals.

Mr. Andrews stated there will have to be a special executive council meeting to follow up the recommendations from the communications committee. There is a possibility that if we are unable to come up with a plan by July 1, we could get the money back next year.

Finally, Mr. Cote would like to invite anyone that is interested to the monthly committee meetings. If you are interested call Mr. Cote at 586-6065.

 

            Action –  Mr. Cote to continue to obtain proposals from vendors.

 

Awards Committee:

            Discussion –

At this meeting there were 4 submissions. Two of these were approved and 2 needed more information.

A reminder: the award nomination forms are posted on the WMEMS website.

 

            Action – WMEMS to notify award receipiants.

 

Berkshire County Report:

            Discussion –

Berkshire County held their EMS awards dinner.  There were 94 people attended and all felt it went very well.

 

            Action – None

 

Franklin County Report:

            Discussion –

Franklin County held their EMS awards dinner and it was well attended.  All thought that Dr. Dinneen did an excellent job speaking at this event.

Other issues: there have been some communication problems in this area.  Dispatching for BHS will now be done on High Street.  There have been some problems with Shelburne Control and their dispatching the Franklin County committee is working on this.

 

            Action – None

 

Hampden County Report:

            Discussion –

They held their EMS banquet and it was very good.

Also, a special congratulations to Mr. Manchino on his appointment to Lieutenant.

 

            Action – None

 

Hampshire County Report:

            Discussion –

The EMS banquet was a huge success.  At their monthly meeting they looked at the roles and responsibilities of Hampshire EMS. There appears to be some new interest in the committee and this  could be very promising for the future.

 

            Action – None

 

Bylaws Committee:

            Discussion –

Mr. Andrews reports that the bylaws have been sent out to all reflecting the changes that were noted. There was one change that had been missed in 4.2.  This section refers to the at-large positions. With revision he would like it to say “No more than 4 at-large positions”.  A motion was made to accept the bylaw changes as distributed with the above addendum.  The motion was seconded and approved unanimously with 0 abstentions.

           

            Action –WMEMS to amend the final version of the bylaws and post on the website.

 

Committee Chairperson Binders:

            Discussion –

The binders are on hold awaiting the final copy of the bylaws.

 

            Action – Upon receiving the final copy of bylaws, the binder can be completed

 

 

New Business

 

Scholarship Application:

            Discussion –

Mr. Andrews had a question regarding the request for copies of federal taxes on the scholarship application. Is this necessary?  His concern is that someone may not want to send their tax information for fear it would get in the wrong hands.  Ms. Pummell feels that the income taxes are important because it can reflect need.  Ms. Cushman feels that there could be something on this form that mentions it will be confidential.  Mr. Zlogar wondered if it was necessary that all schedules be included as this could be very lengthy if perhaps someone owns a business, etc.  Mr. Neil reports that he is on a scholarship committee and they do not request tax information.  Mr. Johnson feels that many would be reluctant to report all income.

A motion was made by Mr. Neil to amend line #1 to total household income for previous year.

The committee voted to accept this amendment.  A motion was made to approve this scholarship application with the above correction noted.  The motion was seconded and approved unanimously with 0 abstentions.

 

            Action – Upon making the correction to line 1, the WMEMS office will distribute the

                           scholarship application to Region 1 EMS services.

 

Ware Fire Department Initial P/B Waiver:

            Discussion –

A motion was made to approve Ware Fire Departments P/B Waiver. This motion was seconded and approved unanimously with 0 abstentions.

 

            Action – The WMEMS office to send a letter to OEMS.

 

Adams Ambulance Initial P/I Waiver:

            Discussion –

A motion was made to approve Adams Ambulance P/I Waiver. This motion was seconded and approved unanimously with 0 abstentions.

 

            Action – The WMEMS office to send a letter to OEMS.

 

 

Letters to Services in Regards to Medications:

            Discussion –

Mr. Cushing made a motion that the WMEMS office or Regional Council draft and send a letter to OEMS and the FDA in support of allowing ambulance services to purchase medications from outside vendors (as at times this would be cost saving).

 

            Action – Ms. Moriarty to send a letter.

 

Announcements

                Discussion –

Ms. Pummell announced the passing of Lee Desrosiers.  He died last Saturday morning.  A motion was made to send Regional Councils condolences to Lees’ friends and family.  Mr. Hopkins directed the WMEMS office to send a sympathy card to Joe Desrosiers, Lees’ brother, at Human Services Training Consultants.

            Action – The office to send a card.

 

Mr. Cushing announced the New England Fire Chiefs Show will be at the Big E June 22, 23, and 24.  There will be a $5.00 charge per person.

 

From the WMEMS office: Have a safe and happy summer and see you in September!!!!

 

Next Meeting:

            Discussion –

The next meeting will be held on September 13, 2001 at 10:00 am.  This meeting will be held in Dakin, Conference Room A.

 

 

Adjourn:  A motion was made to adjourn at 11:25 am. This motion was seconded and approved unanimously.

 

 

Lisa Herringshaw, Secretary, Recorder