boardreport and recommendation ems case no. 2017-536-e300, nicole l. fountain, certificate no....

State Board of Emergency Medical, Fire, and Transportation Services Thomas Allenstein, Chair

Dudley H.A. Wright II, Vice-Chair Dr. Carol Cunningham, State Medical Director

www.ems.ohio.gov/ems_board.stm 1970 West Broad Street, PO Box 182073, Columbus, Ohio 43218 (614) 466-9447 / (614) 466-9461 FAX

STATE BOARD OF EMERGENCY MEDICAL, FIRE, AND TRANSPORTATION SERVICES DIVISION OF EMERGENCY MEDICAL SERVICES

OHIO DEPARTMENT OF PUBLIC SAFETY

MEETING MINUTES December 12, 2018

~FINAL~ Board Meeting Date and Location: Wednesday, December 12, 2018, at the Ohio Department of Public Safety, 1970 West Broad Street, Conference Room 1106, Columbus, Ohio.

Board Members Present: Thomas Allenstein, Karen Beavers, Herb de la Porte, David DeVore, Geoff Dutton, Patrick Ferguson, Dr. Richard George, Deanna Harris, Ruda Jenkins, Aaron Jennings, Susan Kearns, Mark Resanovich, Julie Rose, Dr. Hamilton Schwartz, George Snyder, Dr. Thomas Tallman, Dr. Glen Tinkoff, Jason Walsh, and Dudley Wright.

Board Members Absent: Kent Appelhans, and Kevin Uhl.

DPS and EMS Staff Members Present: Jean Booze, Peter Casey, Beverly Cooper, Dr. Carol Cunningham, Joel Demory, Dave Fiffick, Melvin House, Valerie Koker, Kris Miller, John Molnar, Ellen Owens, Kris Patalita, LaNese Powell, Bryan Reardon, Joseph Stack, Rob Wagoner, Patrick Williams and Michael Wise.

Assistant Attorney General: Lidia Mowan

Public Present: Diane Simon, Chris Freeze, and Jeremy Lane

EMFTS Board Meeting

Welcome and Introduction

The meeting began at 10:00 a.m. Roll Call

Mr. Thomas Allenstein (Chair) Present Mr. Aaron Jennings Present

Mr. Mark Resanovich Present Ms. Susan Kearns Present

Mr. Kent Appelhans Absent Ms. Julie Rose Present

Ms. Karen Beavers Present Dr. Hamilton Schwartz ** Present

Mr. Herb de la Porte Present Mr. George B. Snyder Present

Mr. David DeVore Present Dr. Thomas Tallman Present

Mr. Geoff Dutton Present Dr. Glen Tinkoff Present

Mr. Patrick Ferguson Present Mr. Kevin Uhl Absent

Dr. Richard George ** Present Mr. Jason Walsh Present

Ms. Deanna Harris Present Mr. Dudley Wright II (V.Chair) Present

Ms. Ruda Jenkins Present **Note – Dr. George and Dr. Schwartz arrived at 10:02.

Ohio Department of Public Safety December 12, 2018

State Board of Emergency Medical, Fire, and Transportation Services of 20

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Open Forum Mr. Allenstein welcomed the newly appointed EMFTS Board members, Dr. George, Ms. Jenkins, Mr. Devore, and Mr. Ferguson. Mr. Allenstein inquired if there were any guests who would like to address the Board. No guests were present.

Consent Agenda Mr. Allenstein requested a motion to approve the Consent Agenda items that were distributed prior to the meeting including the October 17, 2018 EMFTS Board meeting minutes, Certificates of Approval, Certificates of Accreditation, October 2018 90-Day Extension requests, November 2018 90-Day Extension requests, October 2018 EMS Certifications and November 2018 EMS Certifications.

Mr. Allenstein requested a correction in the October minutes under the Grants report. The draft minutes stated 12 agencies; however, it was reported incorrectly and should be 122 agencies.

ACTION: Motion to approve the Consent Agenda items that were distributed prior to the meeting including the October 17, 2018 EMFTS Board meeting minutes with correction to Grants section, Certificates of Approval, Certificates of Accreditation, October 2018 90-Day Extension requests, November 2018 90-Day Extension requests, October 2018 EMS Certifications and November 2018 EMS Certifications. Ms. Harris– First. Ms. Rose – Second. None opposed. Ms. Kearns, Mr. Snyder and Mr. Devore- abstained. Motion approved.

Summary Suspension and Report and Recommendations

Mr. Allenstein introduced himself as the Chair of the State Board of Emergency Medical, Fire, and Transportation Services. The proceedings were called to order at 10:06 a.m. on December 12, 2018 at the Ohio Department of Public Safety, 1970 West Broad Street, Columbus, Ohio 43223.

Roll Call

Mr. Thomas Allenstein (Chair) Present Ms. Susan Kearns Present

Mr. Kent Appelhans Absent Mr. Mark Resanovich Present

Ms. Karen Beavers Present Ms. Julie Rose Present

Mr. Herb de la Porte Present Dr. Hamilton Schwartz Present

Mr. David DeVore Present Mr. George B. Snyder Present

Mr. Geoff Dutton Present Dr. Thomas Tallman Present

Mr. Patrick Ferguson Present Dr. Glen Tinkoff Present

Dr. Richard George Present Mr. Kevin Uhl Absent

Ms. Deanna Harris Present Mr. Jason Walsh Absent

Ms. Ruda Jenkins Present Mr. Dudley Wright II (V.Chair) Present

Mr. Aaron Jennings Present

It was noted for the record that a majority of the members of the Board are present.



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Summary Suspensions

EMS Case No. 2018-113-BE100, Anthony D. Gentile, Certificate No. 151469

EMS Case No. 2018-482-BE100, Gregory E. Echelberry, Certificate No. 148896

Report and Recommendation

EMS Case No. 2017-536-E300, Nicole L. Fountain, Certificate No. 166603 Mr. Allenstein recognized Assistant Attorney General Lidia C. Mowad for the purpose of providing a brief synopsis of the case and the recommendation for disciplinary action. Summary Suspension Synopsis

EMS Case No. 2018-113-BE100, Anthony D. Gentile, Certificate No. 151469. Mr. Gentile was certified as an emergency medical technician and had been active with the Perry Township Fire Department. The Chief contacted the Division of EMS to report that Mr. Gentile had admitted to stealing fentanyl from the department. The Division opened an investigation and found in the Stark County Court of Common Pleas that Mr. Gentile entered a guilty plea to four felonies. He was sentenced to “the Chance Program”. The Division believes continued practice presents an immediate danger of public harm and requests a summary suspension.

EMS Case No. 2018-482-BE100, Gregory E. Echelberry, Certificate No. 148896. Mr. Echelberry was certified as a paramedic in Massillon, Ohio. On or about August 6, 2018, Mr. Echelberry submitted his renewal application and reported three (3) pending felony charges. On or about November 3, 2018, in the Cuyahoga County of Common Pleas, Mr. Echelberry entered a plea of guilty to a fourth-degree felony of Attempted Unlawful Sexual Conduct with a Minor. He was required to register as a Tier II Sex Offender and Child Offender. The Division believes continued practice presents an immediate danger of public harm and requests a summary suspension.

Report and Recommendation Synopsis

EMS Case No. 2017-536-E300, Nicole L. Fountain, Certificate No. 166603.

Ms. Fountain was a certified paramedic and when she submitted her EMS Renewal

Application on or about May 7, 2017, she certified that she had completed all educational

requirements. On or about June 15, 2017, the Division sent a letter advising Ms. Fountain

that she had been randomly selected for a continuing education audit. A second letter was

sent due to no response from Ms. Fountain. The Division sent a Notice of Opportunity for

Hearing to which Ms. Fountain did respond and requested a hearing. On or about June 18,

2018 a hearing was held and the department was then represented by Assistant Attorney

General Trista Turley. Ms. Fountain did not submit or present any proof of continuing

education and did not appear at the hearing. The Hearing Officer filed a report and

recommendation which recommended that Ms. Fountain’s paramedic certification be

revoked.



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EMS Goldmans These proceedings were held before the Board pursuant to Goldman v. State Medical Board of Ohio where the respondents did not properly request a hearing in the cases. The individuals named did not have the ability to present written or oral testimony; however, they may be present to hear the proceedings and outcome. All Board members received the sworn affidavits and accompanying exhibits for the Goldman proceedings from the EMS investigators. The affidavits contained the evidence and testimony upon which was deliberated. There were eight adjudications. The proceedings were in the matters of:

EMS Case No. 2016-550-E300, Jay W. Weiss, Certificate No. 126551

EMS Case No. 2017-137-BE300, Glenn D. Burel, Certificate No. 59805

EMS Case No. 2017-48-E300, Alec Hartman, Certificate No. 150584

EMS Case No. 2017-50-E300, June L. Evans, Certificate No. 154686

EMS Case No. 2017-60-E300, Charlene R. Clark, Certificate No. 127740

EMS Case No. 2017-272-E300, Dawn M. Shank, Certificate No. 105135

EMS Case No. 2017-575-E300, Dana M. Walker, Certificate No. 140624

EMS Case No. 2018-122-E300, Dawn R. Waldroff, Certificate No. 18709 Mr. Allenstein recognized Assistant Attorney General Lidia C. Mowad for the purpose of providing a brief synopsis of the case and the recommendation for disciplinary action.

EMS Case No. 2016-550-E300, Jay W. Weiss, Certificate No. 126551. Mr. Weiss was certified as an emergency medical technician. On or about May 11, 2016, Mr. Weiss submitted a renewal application, attesting he had completed all of the continuing education requirements. On or about June 15, 2016, the Division conducted a random audit to which he did not respond. The Division sent a Notice of Opportunity for Hearing on or about December 14, 2016 which was unclaimed and returned to the Division on March 1, 2017. On or about June 11, 2018 the Division spoke to Mr. Weiss and he advised that he had completed his refresher course and would mail the documentation. The Division never received the documentation and continued to contact Mr. Weiss; however, there was no response nor any documentation supplied for consideration and he did not request a hearing. The recommendation is to revoke Mr. Weiss’s certification as an emergency medical technician.

EMS Case No. 2017-137-BE300, Glenn D. Burel, Certificate No. 59805. Mr. Burel was certified as an emergency medical technician. On or about February 8, 2017, Mr. Burel submitted his renewal application, attesting he had completed all of the continuing education requirements. On or about July 23, 2015, Mr. Burel contacted the Division regarding an audit that was done for his fire certification and at that time he disclosed to the investigator that he had not completed any continuing education requirements for any of his certifications including his EMT certification since 2010. When he submitted his renewal application the Division sent Mr. Burel audit forms due to his prior information when he applied for renewal in 2017. On or about October 18, 2017, a Notice of Opportunity for Hearing was delivered to Mr. Burel via certified mail. Mr. Burel contacted the EMS Investigative Services on March 2, 2018 and the Division responded via email and informed him of his option to enter into a Consent Agreement. There was no response. Due to the foregoing and the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Mr. Burel’s emergency medical technician certification.



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EMS Case No. 2017-48-E300, Alec Hartman, Certificate No. 150584. Mr. Hartman was certified as an emergency medical technician. On or about he submitted a renewal on August 11, 2016, attesting he had completed all of his continuing education requirements. On or about September 16, 2016 the Division conducted a random audit. There was no response from Mr. Hartman. A Notice of Opportunity for Hearing was issued on or about June 21, 2017 which was unclaimed. Mr. Hartman never responded or requested a hearing. Due to the necessity of continuing education to ensure up-to-date administration of care, the recommendation is to revoke Mr. Hartman’s emergency medical technician certification.

EMS Case No. 2017-50-E300, June L. Evans, Certificate No. 154686. Ms. Evans was a certified emergency medical technician. On or about May 17, 2016 she attested to completing all continuing education requirements. A random audit was conducted on or about September 16, 2016. Ms. Evans did not respond to any of the attempts to contact her. A Notice of Opportunity for Hearing was issued on or about July 19, 2017. Ms. Evans did not respond. Due to the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Ms. Evans emergency medical technician certification.

EMS Case No. 2017-60-E300, Charlene R. Clark, Certificate No. 127740 Ms. Clark was certified as an emergency medical technician. She submitted a renewal application on or about June 24, 2016, attesting completion of all continuing education requirements. A random audit notice was sent on or about September 16, 2016. A second notice was sent with certified confirmation of delivery on November 3, 2016. The investigative services sent a Notice of Opportunity for Hearing on or about July 19, 2017. No response from Ms. Clark. Due to the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Ms. Clark’s emergency medical technician certification.

EMS Case No. 2017-272-E300, Dawn M. Shank, Certificate No. 105135. Ms. Shank was certified as an emergency medical technician. She submitted a renewal application on or about May 23, 2016, attesting completion of all continuing education requirements. On or about September 16, 2016 a random audit was sent with no response. A Notice of Opportunity for Hearing was issued on or about December 13, 2017 and was delivered via certified mail on January 8, 2018. Ms. Shank did not respond after many attempts and did not request a hearing. Due to the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Ms. Shank’s emergency medical technician certification.

EMS Case No. 2017-575-E300, Dana M. Walker, Certificate No. 140624. Mr. Walker was certified as an emergency medical technician. He submitted a renewal application on or about June 29, 2017, attesting completion of all continuing education requirements. On or about July 17, 2017, a random audit was sent to Mr. Walker. He returned the audit form with continuing education documentation; however, after being reviewed it was found that the audit form lack the required signature and was deficient by 12 hours continuing education. A Notice of Opportunity for Hearing was sent on or about April 18, 2018 and delivered via certified mail. The Division tried to contact Mr. Walker multiple times with no response. Due to the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Mr. Walker’s emergency medical technician certification.



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EMS Case No. 2018-122-E300, Dawn R. Waldroff, Certificate No. 18709. Ms. Waldroff was certified as an emergency medical technician. She submitted a renewal application on or about September 21, 2017, attesting completion of all continuing education requirements. On or about January 16, 2018, a random audit was sent to Ms. Waldroff. She submitted course completion certificates; however the audit documentation was incomplete. Ms. Waldroff contacted the Division and stated that she didn’t have additional continuing education hours to submit. A Notice of Opportunity for Hearing was sent on or about July 12, 2018 with the certified mail returned to the Division. There was no response from Ms. Waldroff and she did not request a hearing. Due to the necessity of continued education to ensure up-to-date administration of care, the recommendation is to revoke Ms. Waldroff’s emergency medical technician certification.

Having heard AAG Mowad’s synopses and recommended disciplinary actions for the cases, Mr. Allenstein requested a motion to admit the sworn affidavits and the accompanying exhibits in the aforementioned cases into evidence.

ACTION: Motion to admit the sworn affidavits and accompanying exhibits in the aforementioned case into evidence. Mr. Dutton – First. Ms. Beavers – Second. None opposed. Mr. Allenstein - abstained. Motion approved.

There being no further evidence to come before the Board, the proceedings closed at 10:30 a.m.

Mr. Allenstein requested a motion to recess the meeting for the purpose of entering into quasi-judicial deliberations on the following matters pursuant to Ohio Revised Code Chapter 119 and that are required to be kept confidential under R.C. 4765.102(B). The Board will reconvene following deliberations.

ACTION: Motion to adjourn and go into private session for the purpose of quasi-judicial deliberation on these matters pursuant to ORC Chapter 119 and that are required to be kept confidential under R.C. 4765.102(B). Dr. Schwartz– First. Ms. Beavers – Second. None abstained. None opposed. Motion approved.

EMS Summary Suspension Motions

ACTION: In the matter of EMS Case Number 2018-113-BE100, Anthony D. Gentile, Certificate

Number 151469, I move that the Board issue an order to summarily suspend Mr. Gentile’s certificate to practice. There is clear and convincing evidence that Respondent’s continued practice presents a danger of immediate and serious harm to the public and that the certificate holder has pled guilty to Tampering with Records, Deception to Obtain a Dangerous Drug, Aggravated Possession of Drugs, and Theft in Office. The Board order shall include a Notice of Opportunity for Hearing for violations of Ohio Revised Code 4765.112 and Ohio Administrative Code 4765-10-03(B)(2)(a). Mr. Snyder – First. Dr. Tinkoff – Second. None opposed. Mr. Resanovich and Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2018-482-BE100, Gregory E. Echelberry, Certificate

Number 148896, I move that the Board issue an order to summarily suspend Mr. Echelberry’s certificate to practice. There is clear and convincing evidence that Respondent’s continued practice presents a danger of immediate and serious harm to the public and that the certificate holder has been convicted of Attempted Unlawful Sexual Conduct with a Minor. The Board order shall include a Notice of Opportunity for Hearing for violations of Ohio Revised Code 4765.112 and Ohio Administrative Code 4765-10-03(B)(2)(a). Mr. Snyder – First. Dr. Tinkoff – Second. None opposed. Mr. Wright - abstained. Motion approved.



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EMS Report and Recommendation Motion

ACTION: In the matter of EMS Case Number 2017-536-E300, Nicole L. Fountain, Certificate

Number 166603, I move that the Board issue an adjudication order approving the findings of fact, conclusions of law, and the recommendation of the hearing examiner to revoke Ms. Fountain’s certification. Mr. Snyder– First. Ms. Rose – Second. None opposed. Mr. Wright - abstained. Motion approved.

EMS Goldman Motions

ACTION: In the matter of EMS Case Number 2017-48-E300, Alec Hartman, Certificate Number

150584, I move that the Board issue an adjudication order finding that Mr. Hartman failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Mr. Hartman’s certification be revoked. Mr. Snyder– First. Mr. Dutton – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-60-E300, Charlene R. Clark, Certificate

Number 127740, I move that the Board issue an adjudication order finding that Ms. Clark failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Ms. Clark’s certification be revoked. Mr. Snyder– First. Mr. Jennings – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-575-E300, Dana M. Walker, Certificate Number

140624, I move that the Board issue an adjudication order finding that Mr. Walker failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Mr. Walker’s certification be revoked. Mr. Snyder– First. Dr. Tinkoff – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-272-E300, Dawn M. Shank, Certificate Number

105135, I move that the Board issue an adjudication order finding that Ms. Shank failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Ms. Shank’s certification be revoked. Mr. Snyder– First. Ms. Beavers – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2018-122-E300, Dawn R. Waldroff, Certificate

Number 18709, I move that the Board issue an adjudication order finding that Ms. Waldroff failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Ms. Waldroff’s certification be revoked. Mr. Snyder – First. Ms. Beavers – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-137-BE300, Glenn D. Burel, Certificate

Number 59805, I move that the Board issue an adjudication order finding that Mr. Burel failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Mr. Burel’s certification be revoked. Mr. Snyder– First. Dr. Tinkoff – Second. None opposed. Mr. Wright - abstained. Motion approved.



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ACTION: In the matter of EMS Case Number 2016-550-E300, Jay W. Weiss, Certificate Number

126551, I move that the Board issue an adjudication order finding that Mr. Weiss failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Mr. Weiss’s certification be revoked. Mr. Snyder– First. Dr. Tinkoff – Second. None opposed. Mr. Wright - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-50-E300, June L. Evans Certificate Number

154686, I move that the Board issue an adjudication order finding that Ms. Evans failed to comply with continuing education requirements as indicated in the Notice of Opportunity for Hearing and that Ms. Evan’s certification be revoked. Mr. Snyder– First. Dr. Tinkoff – Second. None opposed. Mr. Wright - abstained. Motion approved.

EMS Investigations

ACTION: Motion to adjourn and enter executive session for the purpose of discussing proposed disciplinary action against certificate holders pursuant to O.R.C. Section 121.22(G)(1) and pursuant to 121.22(G)(5) that involve matters required to be kept confidential under O.R.C. Sections 149.43(A)(2) and 4765.102(B). Mr. Snyder – First. Mr. DeVore – Second. None opposed. None abstained. Motion approved.

Roll Call

Mr. Thomas Allenstein (Chair) Present Ms. Susan Kearns Present

Mr. Kent Appelhans Absent Mr. Mark Resanovich Present

Ms. Karen Beavers Present Ms. Julie Rose Present

Mr. Herb de la Porte Present Dr. Hamilton Schwartz Present

Mr. David DeVore Present Mr. George B. Snyder Present

Mr. Geoff Dutton Present Dr. Thomas Tallman Present

Mr. Patrick Ferguson Present Dr. Glen Tinkoff Present

Dr. Richard George Present Mr. Kevin Uhl Absent

Ms. Deanna Harris Present Mr. Jason Walsh Present

Ms. Ruda Jenkins Present Mr. Dudley Wright II (V.Chair) Present

Mr. Aaron Jennings Present

ACTION: Motion to accept the following Education Consent Agreement(s). Mr. Snyder – First. Ms. Beavers – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2018-584-E300

ACTION: Motion to accept the following Medical Transportation Consent Agreement(s). Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved .

2018-584-E300



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ACTION: Motion to accept the following proposed Consent Agreement(s). Mr. Snyder – First. Mr. Jenkins – Second. Mr. Wright – Abstained. None opposed. Motion approved .

2018-135-E500 2018-138-E500

ACTION: Motion to accept the following Consent Agreement(s): Ms. Harris – First. Mr. Arthur – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2011-816-BE100

2016-499-E300

2017-312-E100

2017-609-E100

2017-687-E300

2017-696-E300

2017-701-E300

2017-801-E300

2018-31-E100

2018-79-E300

2018-129-E300

2018-131-E300

2018-337-E100

2018-403-E300

2018-406-E300

2018-407-E300

2018-424-E300

2018-425-E300

2018-426-E300

2018-435-E300

2018-450-E300

2018-571-E300

2018-600-E300

2018-617-E300

2018-664-E100

ACTION: Motion to close the following Medical Transportation cases due to lack of jurisdiction, referral to local medical director, deferral to department discipline, certifications have expired, or non-violations of ORC and/or OAC: Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2013-608-E500 *Re-open if Re-apply

2017-30-E400 *Issue Warning Letter

2017-472-E500 *Issue Warning Letter

2017-497-E500

2017-606-E400

2018-453-E500 *Letter to subject only

ACTION: Motion to close the following cases due to lack of jurisdiction, referral to local medical director, deferral to department discipline, certifications have expired, or non-violations of ORC and/or OAC: Mr. Snyder – First. Dr. Tinkoff – Second. Mr. de la Porte, Ms. Harris and Mr. Wright – Abstained. None opposed. Motion approved.

2016-153-E500

2016-164-E300 *Re-open if Re-apply

2016-435-E400 *Refer to Hospital Administrator

2017-681-BE500

2017-688-E500

2017-689-E500

2018-1-E300 *Herb de la Porte abstain



2018-500-E100

2018-654-E400 *Refer to Local Medical Director

ACTION: Motion to close the following cases. The Board accepts the surrendering of their respective certificates to practice or teach. Re-open if re-applies: Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2016-633-E300

2017-685-E300

2018-69-E300

2018-256-E300

2018-399-E300

2018-402-E300

2018-404-E300

2018-422-E300

2018-430-E300

2018-469-E300

2018-601-E300

2018-603-E300

2018-604-E300

2018-615-E300

2018-624-E300

2018-626-E300

2018-627-E300

2018-636-E300

2018-659-E300

2018-670-E300



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Discussion

Mr. Snyder inquired if the EMFTS Board can refer fines that have not been paid to the Attorney General’s office for collection. Mr. Wise stated that the Board could make the policy to refer fines to the AG’s office.

ACTION: Motion to refer unpaid fines to the Attorney General’s office for collection. Mr. Snyder – First. Ms. Harris – Second. **Discussion. Motion withdrawn.

ACTION: Motion to close the following cases. Individuals entered into Consent Agreements with the Board, but did not meet the requirements of the Consent Agreement prior to the expiration of their respective certificates to practice. Re-open if re-applies. Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2011-769-E300 2016-34-E300 2016-229-E300

ACTION: Motion to close the following cases, individuals have met the stipulations of their Consent Agreements: Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2015-607-E300

2015-682-E500

2015-698-E300

2016-40-E300

2016-83-E300

2016-106-E300

2016-223-E300

2016-225-E300

2016-230-E300

2016-337-E400

2017-127-E500

2017-220-E100

2017-128-E500

ACTION: Motion to issue Notices of Opportunity for Hearings for the following cases: Mr. Snyder – First. Dr. Tinkoff – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2014-383-BE100

2016-568-E300

2016-693-E300

2018-151-E300

2018-263-BE100

2018-493-E300

2018-499-BE100

ACTION: Motion to close the following cases due to one of the following reasons; inadvertently marked yes to conviction question, misdemeanor convictions which the Board has previously deemed “not involving moral turpitude,” continuing education cases which now meet the requirements, non-patient care issues, and grandfathering issues of certification/conviction. Mr. Snyder – First. Mr. de la Porte – Second. Mr. Wright – Abstained. None opposed. Motion approved.

2018-3-BE100

2018-136-E500

2018-137-E500

2018-315-E100

2018-336-BE100

2018-495-BE100

2018-568-E100

2018-570-BE100

2018-575-B100

2018-595-E100

2018-612-E100

2018-640-BE100

2018-643-E500

2018-644-E500

2018-647-E500

2018-649-E100

2018-651-B100

2018-656-E100

2018-658-E100

2018-678-E100

2018-681-E100



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**A discussion ensued regarding the dollar amount that should be referred for collections. Ms. Rose suggested that more research be completed before making a decision.

Second withdrawn by Ms. Harris. Motion withdrawn by Mr. Snyder.

EMFTS Board Chair’s Report, Tom Allenstein

Mr. Allenstein stated that the EMFTS Board Retreat will be held on February 12th and 13th, and the Board meeting will be held on February 14, 2019. It is imperative that all Board members attend the retreat. It is important for Board members to be involved with membership to committees due to the fact that the law requires that each committee have a Board member as chair and vice chair. Therefore the Board members are encouraged to complete a committee application. Mr. Allenstein expressed his appreciation for the work completed on the strategic plan.

State EMS Medical Director Report, Dr. Carol Cunningham Dr. Cunningham reported that there were requests for new appointments into the Regional Physician Advisory Board (RPAB) membership. RPAB

New Appointments o Dr. John Leskovan – Region 1

ACTION: Motion to appoint Dr. John Leskovan to the Regional Physician Advisory Board.

Ms. Harris – First. Dr. Schwartz – Second. None abstained. None opposed. Motion approved.

Reappointments o Dr. Daniel Celik – Region 5 o Dr. Thomas Charlton – Region 6 o Dr. Eric Cortez – Region 4 o Dr. Ashley Larrimore – Region 4 o Dr. Christopher McIntosh – Region 3 o Dr. Howard Werman – Region 4

ACTION: Motion to appoint the following physicians to the Regional Physician Advisory Board: Dr. Daniel Celik, Dr. Thomas Charlton, Dr. Eric Cortez, Dr. Ashley Larrimore, Dr. Christopher McIntosh and Dr. Howard Werman. Mr. Snyder – First. Ms. Kearns – Second. Mr. Ferguson and Mr. Walsh - abstained. None opposed. Motion approved.

Dr. Cunningham reported that a list of proposed revisions of the scope of practice from the RPAB Chairs has been provided to the Medical Oversight Committee for consideration as the MOC workgroup assigned to this task begins this project. The Ohio EMS Medical Director Conference was a success. There were 158 registrants and the feedback has been positive. A conference will be planned for next year. Many thanks to Ohio ACEP, the Division of EMS staff, speakers, and to all of the participants. The Ohio Department of Health received a Coverdell Stroke grant to focus on how EMS can improve stroke systems in Ohio. The Center for Disease Control (CDC) site visit was held on November 15, 2018 with a report provided by Dr. Cunningham to include the updated stroke guideline with the new algorithm as well as the stroke center map on the EMS website.



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The State of Ohio Weapons of Mass Destruction Guideline will be reviewed this year. The utilization of the nerve agent guideline is mandated anytime there is a CHEMPACK deployment per the CDC. The Ohio Department of Health is revising their CHEMPACK program operations plan. DuoDote® is no longer available; therefore, the ATNAA® auto-injector will replace it. The CDC has divided up the pediatric population into infant and older child categories instead of just small child.

ACTION: Motion to approve the revised nerve agent guideline for incorporation into the State of Ohio WMD Guidelines and Procedures Manual. Ms. Harris – First. Ms. Beavers – Second. None abstained. None opposed. Motion approved.

EMS Staff Legal Counsel, Michael Wise Mr. Wise introduced himself stating that he works for ODPS and is the legal counsel for the EMFTS Board and Homeland Security. He introduced Assistant Attorney General Lidia Mowad to the new Board members. Mr. Wise stated that there are five chapters ready to be filed with the Joint Committee on Agency Rule Review (JCARR).

ACTION: Motion to approve the filing of Ohio Administrative Code Chapters 4765-1 (EMS Definitions), 4765-2 (Public Notices and Meetings), 4765-3 (Regional Physician Advisory Boards), 4765-6 (EMT Curriculums), and 4765-18 (EMS Training and Continuing Education Programs) with the Joint Committee on Agency Rule Review (JCARR). Mr. Snyder – First. Mr. Tinkoff – Second. None abstained. None opposed. Motion approved.

Assistant Attorney General, Lidia Mowad

Ms. Mowad introduced herself to the Board; reporting that she is originally from the Cleveland area and she is happy to be working with the EMFTS Board.

EMS Legislative Liaison, Emily Mayfield Ms. Mayfield was unavailable; therefore, Director House presented the summary of the legislative report she provided.

SB 229 Controlled Substances Regulation (Eklund, Lehner) This bill was amended last week and will see another sub bill Wednesday before being voted out of committee, get a floor vote, and concurrence. The sub bill includes changes to the appointment of board members. Executive Director House advised the Board that he will let them know which version gets adopted. This bill also includes the NEMSIS amendment that will permit the sharing of data. The other amendment would alter how Boards are appointed. The current process would continue; however, the amendment allowed the new Governor to select appointments if they have not received nominations from the nominating agencies in a timely manner. ED House thanked Dr. Schwartz and Dr. Cunningham for their work on this bill.

SB 119 Addiction Treatment and Prescriptions (Hackett, Hottinger) This bill took on amendments on December 5th and was passed by the House on December 6th. Part of HB 535 (Naloxone reporting) was amended into the bill and they added new language as well. There are EMS concerns related to the new language due to information that tends to identify the agency which is against our laws. This is something that can be cleaned up in the budget if necessary.

HB 7 Medical Care Protections (Cupp) This bill was passed by the Senate and the House concurred on amendments made by the Senate. This bill will be headed to the Governor for signature.

HB 38 Criminal Offenses-Violence (Greenspan) was passed by the Senate and the House concurred on Senate amendments. This increases penalties for criminal offenses against first responders. This bill will be headed to the Governor for signature.



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HB 451 Crime Victim Privacy Protection (Retherford) This bill was reported out of Senate Judiciary as amended last week. This bill could be voted on the floor this week, get concurrence and be sent to the Governor.

SB 255 Occupational Licensing Boards Review (McColley) This bill received a sub bill and was reported out of committee. This bill was just re-referred to committee. This has the potential to be voted on the floor this week and go for concurrence. (Sub bill/comp doc can be found here: https://www.legislature.ohio.gov/legislation/legislation-documents?id=GA132-SB-255)

SB 320 Temporary Licenses Military (Beagle, Lehner) This bill received a sub bill and was reported out of Senate committee. All of EMS requested changes appear to be in this version.

o https://www.legislature.ohio.gov/legislation/legislation-documents?id=GA132-SB-320 o LaRose explained that the sub bill would address “practical issues” by reducing the duration

of a temporary license or certificate to one year to provide time for the applicant to obtain a full license or certificate; being free of charge; clarifying “in good standing;” limiting scope of practice; requiring a criminal background check and that the individual be physically and mentally fit, unimpaired and not otherwise disqualified; and requiring rules and an annual report.

o This bill is unlikely to go during lame duck. Ms. Beavers suggested that if anyone reviews a bill that only states fire and law enforcement, the Board members should contact the sponsors so that EMS can be added.

Executive Director and Staff Reports, Melvin House

Executive Director House reported that all of the EMFTS Board seats have been filled.

Staff Vacancies

Program Administrator 2 – Education. John Miller moving back to Pennsylvania due to family issues; and is last day is December 28, 2018. The position will be posted as soon as possible.

Program Administrator 3 – Education. Interviews were conducted with a job offer tendered; however, the candidate declined the position. New interviews being conducted.

Administrative 4 – Testing. This new position that will assist with firefighter, fire safety inspector, hazard recognition officer, EMS and fire instructor testing.

Program Administrator 2 – Education. Joe Posey started in November. Mr. Posey introduced himself. He has fire and EMS experience in order to answer any questions our providers may have.

Rescue Task Force A/V Project

The narrated training program has been completed and is posted to the ODPS Public Safety Training Campus.

An updated narrated version has been created for use by EMS training programs.

ODPS Training Campus Update (April 2018 through December 1, 2018) o 3099 attempted training module o 3048 completed training module/51 Incomplete o Survey results forthcoming

DEMS Database Project

Completed o EMS & Fire Course Administration and Testing o Certifications o Education – Phases 1 & 2 o Grants o Medical Transportation o Investigations

Underway

https://www.legislature.ohio.gov/legislation/legislation-documents?id=GA132-SB-255

https://www.legislature.ohio.gov/legislation/legislation-documents?id=GA132-SB-320



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o Examination and Testing Update (new fire certifications) o Investigations o Education – Phase 3 (due December 2018) o EMS agency/management (due first quarter 2019) o Online Applications (instructor certifications; accreditations, charters and CE sites;

medical transportation) – Due mid-2019

EMSIRS Project – Rob Wagoner Mr. Wagoner stated that on October 1, 2018 the EMSIRS project was underway to bring the data in-house under the control of ODPS. The project is set to be completed by December 31, 2019.

Legislation o Continue to pursue legislation authorized by the EMFTS Board o SB229 – NEMSIS amendment

Ohio EMS Medical Directors Conference o The Division of EMS co-sponsored the first annual Ohio EMS Medical Directors

Conference with the State Board of Emergency Medical, Fire, and Transportation Services (EMFTS) and the Ohio Chapter of the American College of Emergency Physicians (ACEP) was held on November 14, 2018 in the ODOT Auditorium. The event included a wide range of speakers on topics important to Ohio’s EMS agency medical directors, EMS agency management, and EMS providers. There were 65 physicians, 85 EMS agency managers and EMS providers, and eight DEMS/Ohio ACEP staff members. The feedback has been very positive and discussions have been initiated regarding a potential second annual event.

ED House participated in the National Governor’s Association Opioid Roundtable held October 25-26, 2018 in Washington, DC.

DEMS focus o Certifications, Medical Transportation, EMS grants, Investigations, Education o Data (EMSIRS, Trauma, DEMS internal), Education (EMS & Testing), EMS-Children

(pediatric guidelines, webinars, support for committee), pursuit of legislation, Board support (strategic plan and comprehensive rule review)

ED House thanked the EMFTS Chair, Thomas Allenstein and the entire Board for their participation; especially at the committee level. At this time, each committee is required to have a Board member as the Chair and Vice Chair. He also thanked the Division of EMS staff for the great work they are doing. The certifications section and Dr. Cunningham were recognized by ODPS Director John Born before ODPS senior staff on November 27, 2019.

EMS Exemption Requests, Jean Booze

Jean Booze reported that there was one dual certified EMT requesting continuing education exemption for medical purposes; 2018-12-01. All medical documentation has been received. Staff recommends approval and requests a motion to approve.

ACTION: Motion to approve the dual certified EMT request for continuing education exemption for medical purposes; 2018-12-01. Mr. de la Porte – First. Ms. Kearns – Second. None opposed. None abstained. Motion approved.

Ms. Booze reported that there is a request from a paramedic certificate holder, Amy Eisele, certificate number 113490 who is requesting approval to surrender her certificate.



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ACTION: Motion to approve the request of Amy Eisele to surrender her paramedic certification, certificate number 113490. Mr. de la Porte – First. Ms. Kearns – Second. None opposed. None abstained. Motion approved.

Education, Kris Miller

Ms. Miller stated she had two schools, Maplewood Career Center in Ravenna, Ohio and Wayne County Schools in Smithville, Ohio who are closing. Neither of those schools have had any classes in the last two years. Director House stated that this was for informational purposes only with no Board action required.

Medical Transportation – Dave Fiffick

Mr. Fiffick presented the list of medical transportation renewal applications with expiration dates of October, November, December 2018 and January 2019. Staff is requesting a motion and approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation renewals with expiration dates of October, November, December 2018 and January 2019; pending a satisfactory inspection. Mr. Resanovich – First. Ms. Beavers – Second. None opposed. Mr. de la Porte (Life Care) -abstained. Motion approved.

Mr. Fiffick presented the list of medical transportation applications for new ambulette and ambulance services. Staff is requesting a motion and approval pending a satisfactory inspection.

ACTION: Motion to approve the new ambulette and ambulance services; pending a satisfactory inspection. Mr. Jennings – First. Ms. Rose - Second. None opposed. None abstained. Motion approved.

Mr. Fiffick presented the list of new medical transportation headquarters (1 ambulette and 1 ambulance) and new satellite locations (1 ambulette and 2 ambulances). Staff is requesting a motion for approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation new headquarters (1 ambulette and 1 ambulance) and new satellite locations (1 ambulette and 2 ambulances). Ms. Kearns – First. Ms. Beavers – Second. Mr. Resanovich (Smith Ambulance Service, Inc.) - abstained. None opposed. Motion approved.

Grants, Johanna Burgess

Ms. Burgess reported that the grant cycle for 2018-2019 is coming to an end for the Priority 1 and Supplemental Grants. Ninety three (93) agencies have outstanding balances of $300 or more for a total of $222,067.00. The Division is communicating with those agencies so that they are aware that the funds have to be expended by December 31st and invoices are due by January 31, 2019. After January 31, 2019 the dollars are reallocated.

Director House stated that he and Deputy Director Wagoner are presented the “big checks” to several of the agencies in the rural areas. They are very appreciative.



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Director House was invited by the Ohio EMS Chiefs Association to speak at their conference at which time they surprised him with the “Making a Difference” award. Director House stated that he was appreciative of the award and thanked Mr. Jennings.

Board Committee Reports

Trauma Committee, Diane Simon

Ms. Simon reported that the Trauma Committee met on November 14, 2018 and there was a quorum.

The Trauma Committee is in the process of developing their 3 year strategic plan. An EMS grant is doing a gap analysis for trauma education. The results will be available in June; therefore, the current plan will be extended until that time.

The 2017 Ohio Trauma Registry Annual Report was sent to all the Board members in the board packet. Ms. Simon thanked ODPS and the staff for putting the annual report together. A special thanks to Dr. George for his work on the project. A motion is requested for approval.

ACTION: Motion to approve the 2017 Ohio Trauma Registry Annual Report. Ms. Beavers – First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.

EMS Children Committee, Dr. Hamilton Schwartz

Dr. Schwartz stated that the committee met on December 11, 2018 and there was a quorum.

EMSC Performance Measures

Ohio EMSC is one of nine state programs to receive funding for the EMSC Pediatric Emergency Care Coordinator Learning Collaborative. The State of Ohio team is made up of pre-hospital and hospital providers and is working on a communication plan to promote PECC to EMS agencies throughout Ohio. Ohio EMSC is planning a registration system for agencies to identify their PECC and will work to provide additional resources for PECCs to succeed in their role. The Pediatric Champion workgroup met on December 4, 2018, and started plans for the project. Initial plans are to repeat the Ohio Department of Health survey of 2016 to determine if the gaps indicated then were still significant problems for ensuring quality pediatric emergency care. The discussion included development of a tiered system for categorizing hospitals, providing a self-assessment for hospitals to gauge their current pediatric care, and providing assistance to hospitals in implementing a Pediatric Champion in emergency departments. Other Activities

The Ohio Pediatric Disaster Preparedness Coalition met December 6, 2018. Most of the discussion was on the Pediatric Champion project, as well as the potential for regional drills and developing one-year and five-year plans for the Coalition. The next meeting will be March 13, 2018. The Ohio EMSC Committee is reviewing the current State of Ohio Pediatric EMS Guidelines and Procedures Manual to ensure its compatibility with the NASEMSO National Model EMS Clinical Guidelines. Dr. Schwartz is coordinating this effort for Dr. Cunningham.



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The initial child maltreatment module, “Child Maltreatment Tutorial: Definitions and Epidemiology,” is now available on the Public Safety Training Campus and offers one hour of EMS continuing education. Christina Wedding, EMSC Family Representative, is working to get a speaker for the EMFTS Board Retreat on blood factor administration. The speaker would be affiliated with Danny’s Dose, a national organization dedicated to improving medical care for people with rare diseases and special medical needs in emergencies. The next meeting will be held at the Ohio Department of Public Safety on April 16, 2019.

EMS System Development, Deanna Harris

Ms. Harris reported that the committee met on December 11, 2018.

The committee is reviewing the non-transports where there is a financial concern as the percentage of non-transports may include diabetics who may be treated but not transported. Data is necessary to support this initiative in obtain funding for programs such as community paramedicine. Ms. Harris requested that the Board members reach out to their organizations.

The committee is working with Deputy Director Wagoner and Mike Snyder (Ohio CARES Coordinator) in building EMSIRS to integrate CARES data into run reports.

The committee is reviewing Ohio State Highway Patrol Crash Reports for fire and EMS to determine if there is anything that can be done for the safety of those being transported and for the providers.

The committee is researching other ways for funding in addition to the seat belt fines.

The next meeting will be held at the Ohio Department of Public Safety on April 16, 2019.

Homeland Security Subcommittee, Deanna Harris

Ms. Harris reported that the committee did not meet in December.

Ms. Harris stated that her Board seat expires in November 2019 and would like to plan for a succession plan for someone to step in and Chair the Homeland Security Subcommittee.

The next meeting will be held at the Ohio Department of Public Safety on January 4, 2019.

EMS Rural Committee, Karen Beavers

Ms. Beavers stated that they met on December 11, 2018; however, there was not a quorum.

The Paramedic Foundation and the Ohio Department was Health representatives were present and they explained the outcomes of their survey. Recruitment and retention is of the utmost importance and there is some grant money available. The Rural Flex program will have an area on website to allow documentation of any grants available and will publish in the monthly newsletter.


Education Committee, George Snyder



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Mr. Snyder stated that a meeting was held on December 11, 2018; and there was a quorum.

The Medical Transportation Committee requested that the Education Committee review the Pro Trainings for approval for CPR training for ambulette drivers. After an extensive discussion their request for approval has been tabled. They are approved by the Commission on Accreditation for Prehospitcal Continuing Education (CAPCE) for face-to-face training; however, there is a question as to if they are approved for virtual training.

A discussion ensured regarding reciprocity. Executive Director House reported that there has been an issue with obtaining information from other states as to what training the EMS providers receive in comparison to the training in Ohio.

The Education Committee is appointing Chuck Sowerbrower to the Human Resources (HR) Ad Hoc Workgroup as their representative to this workgroup.


Medical Oversight Committee, Geoff Dutton

Mr. Dutton reported that the meeting was held on December 11, 2018 with a quorum.

Mr. Dutton thanked Mr. Resanovich for agreeing to be the vice chair for the Medical Oversight Committee.

The Ohio EMS Medical Director’s Conference was a great event. Many paramedics and fire fighters attended the conference as well as program directors.

In order to make some progress in the strategic plan it may be necessary to create some specific workgroups. This topic will be discussed in further detail at the Board Retreat.

Medical direction for EMS providers working in hospitals is still being researched. The MOC contemplated what issues may arrive in five years. There are many issues to be discussed regarding this matter.


Medical Transportation Committee, Tom Allenstein

Mr. Allenstein reported that the committee met December 11, 2018 and there was a quorum.

Prestige Patient Transport and LifeCare Medical Service have applied for approval of their passenger assistance program for ambulettes. Both services meet or exceed all stipulations. Mr. Allenstein requested a motion to approve these two programs.

ACTION: Motion to approve the passenger assistance programs of Prestige Patient Transport and LifeCare Medical Service. Mr. Allenstein – First. Dr. Tinkoff – Second. None abstained. None opposed. Motion approved.

The fatigue issue on the strategic plan is being transferred to the HR Ad Hoc Workgroup.



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Hospice facilities have requested permission about alternative type vehicles to transport patients. The committee is going to review different types of vehicles for in the future. An ad hoc workgroup will be created to move this issue forward.

The committee had a discussion regarding old ambulances that are decertified. The challenging question is whether this is our purview or the Bureau of Motor Vehicles area to pursue.

Critical Care Subcommittee, Julie Rose

Ms. Rose reported that the subcommittee had a meeting on December 11, 2018 and there was a quorum.

Ms. Rose stated that a position paper regarding interfacility transport of patients by EMS providers was sent it to the associations. Positive feedback was received.

The subcommittee is working on the air medical rules. Discussion ensued regarding satellite locations.

The committee continued to discuss the issue of endorsements. The committee voted to draft language to create a critical care endorsement to include the criteria needed to receive the endorsement. A rule change will be drafted and brought before the EMFTS Board.

EMS Star of Life Awards, Dr. Tallman

Dr. Tallman reported that the Ohio EMS Star of Life Awards nomination packet will be completed, will be available for distribution, and placed on the Division of EMS website by the end of December. He asked that each of the Board members let their organizations be aware of the awards and invite them to make nominations. The awards ceremony will be held Wednesday, May 22, 2019.

Old Business

Mr. Allenstein requested additional nominations for the chair and vice chair of the EMFTS Board for 2019. The nominations for vice chair at the October meeting included Geoff Dutton and Kent Appelhans. Mr. Dutton withdrew himself from the nominations.

ACTION: Motion to close the nominations for the vice chair position for 2019. Mr. Snyder– First. Mr. Tinkoff – Second. None abstained. None opposed. Motion approved.

ACTION: Motion to cast a unanimous ballot for Kent Appelhans for the vice chair position for 2019. Mr. Snyder– First. Mr. Dutton – Second. None abstained. None opposed. Motion approved.

ACTION: Motion to close the nominations for the chair position for 2019. Mr. Resanovich– First. Mr. Jennings – Second. None abstained. None opposed. Motion approved.

ACTION: Motion to cast a unanimous ballot for Dudley Wright for the chair position for 2019. Mr. Snyder– First. Mr. Dutton – Second. Mr. Wright - abstained. None opposed. Motion approved.

New Business ~ none

The meeting adjourned at 1:00 p.m. Mr. Snyder – First. Mr. de la Porte – Second.



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NEXT MEETING: The next EMFTS Board meeting will be held Thursday, February 14, 2019. The EMFTS Board Retreat will be held Tuesday, February 12th and Wednesday, February 13th. All meetings will be held at the Ohio Department of Natural Resources Division of Geological Survey’s Horace R. Collins Lab, 3307 S. Old State Road, Delaware, Ohio.

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