boardreport and recommendations ems case no. 2015-401-e100, gregory a. ingram, 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 April 18, 2018

~FINAL~ Board Meeting Date and Location: Wednesday, April 18, 2018, at the Ohio Department of Public Safety, 1970 West Broad Street, Conference Room 1106, Columbus, Ohio.

Board Members Present: Thomas Allenstein, Scott Arthur, Karen Beavers, Beth Calcidise, James Davis, Herb de la Porte, Geoff Dutton, Deanna Harris, Aaron Jennings, Susan Kearns, Mark Resanovich, Julie Rose, George Snyder, Dr. Thomas Tallman, Jason Walsh, and Dudley Wright.

Board Members Absent: Kent Appelhans, Dr. Hamilton Schwartz, Dr. Glen Tinkoff

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

Assistant Attorney General: Trista M. Turley

Public Present: Michael Costello, Gregory Ingram, Jessica Kulik, and Diane Simon.

EMFTS Board Meeting

Welcome and Introduction

The meeting began at 10:01 a.m. Roll Call Mr. Thomas Allenstein (Chair) Present Ms. Susan Kearns Present Mr. Kent Appelhans Absent Mr. Mark Resanovich Present Mr. Scott Arthur Present Ms. Julie Rose Present Ms. Karen Beavers Present Dr. Hamilton Schwartz Absent Ms. Beth Calcidise Present Mr. George B. Snyder Present Mr. James Davis (arrived 10:22) Absent Dr. Thomas Tallman Present Mr. Herb de la Porte Present Mr. Jason Walsh (arrived 10:03) Absent Mr. Geoff Dutton Present Mr. Dudley Wright II (V.Chair) Present Ms. Deanna Harris Present Mr. Aaron Jennings Present

Ohio Department of Public Safety April 18, 2018

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

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Open Forum Mr. Allenstein inquired if there were any guests who would like to address the Board. Mr. Michael Costello addressed the Board with concerns regarding the status of his complaint. He was advised that investigations are confidential information.

Consent Agenda Mr. Allenstein requested a motion to approve the Consent Agenda items that were distributed prior to the meeting including the February 13, 2018 and February 14, 2018 Retreat EMFTS meeting minutes, February 15, 2018 EMFTS Board meeting minutes, Certificates of Approval, Certificates of Accreditation, February 2018 90-Day Extension requests, March 2018 90-Day Extension requests, February 2018 EMS Certifications and March 2018 EMS Certifications.

ACTION: Motion to approve the Consent Agenda items that were distributed prior to the meeting including the February 13, 2018 and February 14, 2018 Retreat EMFTS meeting minutes, February 15, 2018 EMFTS Board meeting minutes, Certificates of Approval, Certificates of Accreditation, February 2018 90-Day Extension requests, March 2018 90-Day Extension requests, February 2018 EMS Certifications and March 2018 EMS Certifications. Ms. Beavers – First. Ms. Calcidise – Second. None opposed. None 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 10:04 a.m. on April 18, 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 Mr. Scott Arthur Present Ms. Julie Rose Present Ms. Karen Beavers Present Dr. Hamilton Schwartz Absent Ms. Beth Calcidise Present Mr. George B. Snyder Present Mr. James Davis (arrived 10:20) Absent Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Jason Walsh Present Ms. Deanna Harris 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. The Board deliberated on one summary suspension and three report and recommendations:



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Summary Suspension

EMS Case No. 2018-148-BE100, Travis J. Dick, Certificate No. 147679

Report and Recommendations

EMS Case No. 2015-401-E100, Gregory A. Ingram, Certificate No. 130788

EMS Case No. 2017-73-E500, Jamal N. Gillespie, Certificate No. 167220

EMS Case No. 2017-372-E100, Brian N. Mendenhall, Certificate No. 136436 The respondents did not file objections to the report and recommendations in the aforementioned cases. Mr. Allenstein recognized Assistant Attorney General Trista Turley for the purpose of providing a brief synopsis of the cases and a recommendation for disciplinary action. EMS Summary Suspensions

EMS Case No. 2018-148-BE100, Travis J. Dick, Certificate No. 147679. Mr. Dick was certified as an EMT. On or about February 9, 2018, Sebring Police Department received a reference from Stark County Job and Family Services regarding a juvenile being touched improperly by a 27 year old male. A search of Mr. Dick’s cell phone revealed that he had sent inappropriate photos to the teenage girls. He was convicted in the Mahoning County court of two counts of Disseminating Matter Harmful to Juveniles and one count of sexual imposition, both misdeamenors. Mr. Dick was sentenced to 180 days in jail with 165 days suspended and credit for15 days for time served. He was put on 12 months of community control. Mr. Dick is required to register as a Tier 1 sex offender. The Division of EMS believes continued practice by Mr. Dick presents a danger of immediate and serious harm to the public; therefore the recommendation is to summarily suspend Mr. Dick.

EMS Report and Recommendations

EMS Case No. 2015-401-E100, Gregory A. Ingram, Certificate No. 130788. Mr. Ingram was certified as an EMT and EMS instructor. He was licensed as a physician by the State Medical Board; however, his certificate to practice medicine and surgery has been permanently revoked. In 2015, Mr. Ingram was convicted in the United States District court for Northern Ohio of 48 counts of Illegal Dispensing of Controlled Substances. On or about February 18, 2016, Mr. Ingram entered into a consent agreement with this Board and voluntarily surrendering his certificates based on the 2015 conviction. He agreed this would constitute a revocation of his certificates; therefore, he was not eligible to apply for reinstatement for one year. Mr. Ingram applied for reinstatement on or about July 24, 2017. He appeared at the hearing and testified on his own behalf. The hearing examiner found that because Mr. Ingram’s certificate to practice was revoked by the Board then the Board is not obligated to reinstate Respondent’s certificate to practice under OAC 4765-8-19(A). When determining whether to reinstate, the Board may consider the nature and severity of the acts that resulted in revocation or suspension pursuant to OAC 4765-8-19 (l)(1). The Board may consider any evidence of rehabilitation including but not limited to appropriate treatment or counseling, pursuant to OAC 4765-8-19 (l)(4). The recommendation by the hearing officer was to refuse to grant the respondent’s application for reinstatement.



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EMS Case No. 2017-73-E500, Jamal N. Gillespie, Certificate No. 167220. Mr. Gillespie was a certified paramedic. On or about January 8, 2017, while working for the

City of Canton Fire Department, Respondent was driving an ambulance in response to an

EMS call and was involved in a minor accident. The City of Canton Fire Department’s

procedures required Mr. Gillespie to submit to a post-accident drug screening. Mr. Gillespie

tested positive for cocaine. He testified at the hearing that he had used cocaine for or five

days before the accident. The Hearing Officer found that there was sufficient evidence to

prove that Mr. Gillespie engaged in the illegal use or illegal acquisition of controlled

substances, alcohol, or other habit-forming drugs or chemical substances that impair the

certificate holder’s ability to practice in violation of OAC 4765-9-01(O). The Hearing Officer

found that there was not sufficient evidence to show that Mr. Gillespie demonstrated an

inability to practice according to acceptable and prevailing standards of care by reason of

habitual or excessive use of drugs, alcohol, or other substances that impair the ability to

practice. The recommendation is a six-month suspension and submission of a clean drug

and alcohol screening prior to reinstatement.

EMS Case No. 2017-372-E100, Brian N. Mendenhall, Certificate No. 136436. Mr. Mendenhall is an applicant for an EMT certificate on or about June 20, 2017. On his application, Mr. Mendenhall disclosed a felony theft conviction in Scioto County. Records obtained from Scioto County Court of Common Pleas showed that Mr. Mendenhall was convicted of Theft from Elderly Person or Disabled Adult, a felony of the third degree. The recommendation from the hearing officer was to deny the application for an EMT certificate.

Mr. Allenstein inquired if any of the individuals or their attorney were present. Mr. Ingram addressed the Board regarding the reinstatement of his certificate. He stated that his actions were completely out of character for him. He sought help for many different issues in his life. Mr. Ingram stated that he has turned his life around in the past three years. He expressed his desire to work as an EMT and asked that the Board reinstate his certification. EMS Goldmans These proceedings will be 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 three adjudications. The proceedings were in the matters of:

EMS Case No. 2015-193-BE100, Timothy D. Durbin, Certificate No. 75756

EMS Case No. 2016-30-E300, Nicholaus A. Werling, Certificate No. 132763

EMS Case No. 2016-32-E300, Charles A. Stewart, Certificate No. 146650



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Mr. Allenstein recognized Assistant Attorney General Trista M. Turley for the purpose of providing a brief synopsis of the case and the recommendation for disciplinary action.

EMS Case No. 2015-193-BE100, Timothy D. Durbin, Certificate No. 75756. Mr. Durbin was certified as a paramedic; however, his certification expired on January 10, 2018. On or about December 18, 2015 Mr. Durbin was indicted in the Delaware County Court of Common Pleas on two counts of gross sexual imposition, four counts of rape and one count of kidnapping. On or about November 15, 2017 Mr. Durbin was convicted on an amended count of abduction; a third degree felony. A Notice of Opportunity for Hearing was issued; however, no hearing was requested. Pursuant to OAC 4765-10-03(B)(2)(a), the Board has the authority to discipline the certificate of any certificate holder convicted of any felony offense. The recommendation is to permanently revoke his certification.

EMS Case No. 2016-30-E300, Nicholaus A. Werling, Certificate No. 132763. Mr. Werling was certified as an emergency medical technician. On or about September 15, 2015, Mr. Werling submitted a renewal application for his certificate on which he attested that he met all of the continuing education requirements. An audit revealed that he was 40 hours short of the required continuing education hours. He entered into a consent agreement with the Board admitting violations of OAC 4765-9-04(A)(3), 4765-9-01(l), and 4765-15-03. As a condition of the consent agreement, Mr. Werling agreed to pay a fine of $250 within 90 days of the effective date of the consent agreement. He also agreed to complete and submit proof of completion of 40 hours of continuing education within 120 days of the effective date of the consent agreement. The effective date was February 18, 2016. On or about July 18, 2016 the Division sent a reminder letter to Mr. Werling reminding him of these conditions. He has not submitted the required documentation. A Notice of Opportunity for Hearing was issued; however, Mr. Werling did not request a hearing. Violating conditions of a consent agreement is in violation of OAC 4765-10-03(B)(6). The recommendation is to revoke Mr. Werling’s certification.

EMS Case No. 2016-32-E300, Charles A. Stewart, Certificate No. 146650 Mr. Stewart was certified as an emergency medical technician. On or about August 2, 2015, Mr. Stewart signed and submitted a renewal application, attesting that he met the education requirements to renew. He was audited and was found to deficient of 38 hours short of continuing education. He entered into a consent agreement, admitting violations of the OAC 4765-8-04(A)(3), 4765-9-01(I), and 4765-15-03. As a condition of the agreement, Mr. Stewart agreed to pay a $250 fine within 90 days of the effective date of the consent agreement. He also agreed to complete and submit documentation of 38 hours of continuing education within 120 days of the effective date of the agreement which was April 20, 2016. On or about August 5, 206, the Division sent Mr. Stewart a reminder to pay the fine and informed him that he still had not fulfilled the conditions of the consent agreement. Violating conditions of the consent agreement is in violation of OAC 4765-10-03(B)(6). The recommendation is to revoke Mr. Stewart’s certification.

Having heard AAG Turley’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.



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ACTION: Motion to admit the sworn affidavits and accompanying exhibits in the aforementioned case into evidence. Mr. Snyder – First. Mr. de la Porte – Second. None opposed. None abstained. Motion approved.

There being no further evidence to come before the Board, the proceedings closed at 10:21 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). Ms. Kearns– First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

EMS Summary Suspension Motion

ACTION: In the matter of EMS Case Number 2018-148-BE100, Travis J. Dick, Certificate Number 147679, I move that the Board issue an order to summarily suspend Mr. Dick’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 two counts of Disseminating Matter Harmful to Juveniles and one count of Sexual Imposition. 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)(c). Ms. Harris – First. Mr. Snyder – Second. None Opposed. Mr. Davis and Mr. Resanovich– abstained. Motion approved.

EMS Report and Recommendation Motions

ACTION: In the matter of EMS Case Number 2015-401-E100, Gregory A. Ingram, EMT applicant, 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 deny Mr. Ingram’s application for a certificate to practice. Ms. Harris – First. Mr. Arthur – Second. Mr. de la Porte - Opposed. Mr. Wright and Mr. Davis – abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2017-73-E500, Jamal N. Gillespie, Certificate Number 167220, I move that the Board issue an adjudication order approving the findings of fact, conclusions of law, and the recommendation of the hearing examiner. Mr. Gillespie’s certification shall be suspended for a minimum of six months. Following the six-month period, Mr. Gillespie may apply for reinstatement, and his reinstatement shall be conditioned on the submission of a clean drug and alcohol screen. Ms. Harris – First. Mr. Snyder – Second. None Opposed. Mr. Wright and Mr. Resanovich – abstained. Motion approved.



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ACTION: In the matter of EMS Case Number 2017-372-E100, Brian Mendenhall, EMT applicant, 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 deny Mr. Mendenhall’s application for a certificate to practice. Ms. Harris – First. Mr. Arthur – Second. None Opposed. Mr. Wright and Mr. Davis – abstained. Motion approved.

EMS Goldman Motions

ACTION: In the matter of EMS Case Number 2015-193-BE100, Timothy D. Durbin, certificate

number 75756, I move that the Board issue an adjudication order finding that Mr. Durbin has been convicted of Abduction, a felony of the third degree, and that Mr. Durbin’s certification be permanently revoked. Ms. Harris – First. Ms. Calcidise – Second. None opposed. Mr. Wright and Mr. Davis - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-30-E300, Nicholaus A. Werling, Certificate

Number 132763, I move that the Board issue an adjudication order finding that Mr. Werling failed to comply with the terms of a consent agreement as indicated in the Notice of Opportunity for Hearing and that Mr. Werling’s certification be revoked. Ms. Harris – First. Ms. Beavers – Second. None opposed. Mr. Wright and Mr. Resanovich - abstained. Motion approved.

ACTION: In the matter of EMS Case Number 2016-32-E300, Charles A. Stewart, Certificate

Number 146650, I move that the Board issue an adjudication order finding that Mr. Stewart failed to comply with the terms of a consent agreement as indicated in the Notice of Opportunity for Hearing and that Mr. Stewart’s certification be revoked. Ms. Harris – First. Ms. Beavers – Second. None opposed. Mr. Davis and Mr. Resanovich - 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). Ms. Beavers – First. Dr. Snyder – 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 Mr. Scott Arthur Present Ms. Julie Rose Present Ms. Karen Beavers Present Dr. Hamilton Schwartz Absent Ms. Beth Calcidise Present Mr. George B. Snyder Present Mr. James Davis Present Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Jason Walsh Present Ms. Deanna Harris Present Mr. Dudley Wright II (V.Chair) Present Mr. Aaron Jennings Present



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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: Ms. Harris – First. Mr. Snyder – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2017-158-E300 EMT

2017-303-E300 EMT

2017-314-E300 CE Instructor

2017-543-E300 CE Instructor Rescind

NOH 2017-641-E300 EMT Rescind NOH

2017-645-E300 EMT

2017-677-E300 EMT

2017-684-E300 EMR

2017-702-E300 Paramedic

2017-717-E300 EMT

2017-767-E300 EMT


2018-12-E300 EMS Instructor






2018-169-BE300 EMT

2018-173-E300 EMT



ACTION: Motion to accept the following Consent Agreement(s): Ms. Harris – First. Ms. Calcidise – Second. Mr. Wright and Mr. Davis (2016-337-E400), Mr. Resanovich – Abstained. None opposed. Motion approved.

2016-337-E400

2017-240-E300

2017-270-E300

2017-296-BE300

2017-317-E300

2017-508-BE100

2017-563-E300

2017-617-E300

2017-628-E300

2017-647-E300

2017-654-BE100

2017-678-E300

2017-694-E300

2017-698-E300

2017-703-E300

2017-707-E300

2017-714-E100

2017-720-E300

2017-815-E100

2018-50-E300

2018-127-E300

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: Ms. Calcidise– First. Ms. Kearns – Second. Mr. Davis (2017-400-E400), Mr. de la Porte (2017-581-E400) and Mr. Wright – Abstained. None opposed. Motion approved.

2017-400-E400 *refer to the local medical director







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

2016-642-E500 Close & Flag to Re-open/Re-apply

ACTION: Motion to close the following case(s). The following cases have been recommended to be closed 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. Ms. Harris– First. Mr. Wright – Second. Mr. Davis, Mr. Resanovich and Mr. Snyder - Abstained. None opposed. Motion approved.

2016-283-E400 *SNYDER ABSTAIN*

2017-228-E500 Close and flag for audit at next renewal 2017-466-E400 refer to local medical director *DAVIS

ABSTAIN* 2017-778-E500 refer to prosecutor’s office

ACTION: Motion to close the following case. Individual did not provide required documentation; therefore, the application is rendered incomplete. Ms. Harris – First. Mr. de la Porte – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2017-609-E100



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EMFTS Board Chair’s Report, Tom Allenstein

Mr. Allenstein stated that the committees worked on the strategic plan. Ms. Beavers commented on the fact that legislators should understand that it is not only about firefighters but should be expressed to include EMS providers.

Deputy Director Rob Wagoner reviewed the information identified for the strategic plan and stated that each task was assigned to a specific committee or two committees working together. The strategic plan will be ongoing for three to five years. This gives the committees a direction and a map and is meant to empower the committees with specific ways to begin these projects. EMS is evolving over time and adjustments will be made accordingly.

ACTION: Motion to close the following cases, individuals have met the stipulations of their Consent Agreements: Ms. Harris – First. Ms. Calcidise – Second. Mr. Resanovich – Abstained. None opposed. Motion approved.

2012-413-BE500

2012-415-BE100

2013-275-BE100

2013-276-BE100

2013-277-BE100

2013-278-BE100

2013-280-BE100

2013-281-BE100

2013-283-BE100

2015-48-BE100

2015-64-BE100

2015-229-E300

2015-354-E300

2016-607-E500

2017-37-E400

2017-85-E100

2017-160-E500

2017-214-E500

2017-306-E500

2017-405-BE100

ACTION: Motion to issue Notices of Opportunity for Hearings for the following cases: Ms. Harris – First. Mr. Harris – Second. Mr. Wright (2017-500-E500) and Mr. Resanovich - Abstained. None opposed. Motion approved.

2013-282-BE100

2017-161-BE100

2017-274-E300

2017-312-E100

2017-313-E300

2017-500-E500-Wright

abstain

2017-507-E100

2017-540-E300

2017-541-E300

2017-545-E300

2017-550-E300

2017-558-E300

2017-642-E300

2017-644-E300

2017-706-E300

2017-716-E300

2018-42-E300

2018-49-E300

2018-126-E300

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: Ms. Harris – First. Ms. Calcidise – Second. Mr. Resanovich– Abstained. None opposed. Motion approved.

2010-16-E200

2015-209-E300

2015-325-E300

2016-505-BE100

2016-506-BE100

2016-507-BE100

2017-114-E500

2017-302-E300

2017-506-BE100

2017-522-E100

2017-527-E300

2017-528-E300

2017-586-BE100

2017-605-E500

2017-607-E400

2017-667-E100

2017-669-BE100

2017-672-BE100

2017-711-B100

2017-721-E100

2017-729-E100

2017-739-E100

2017-761-BE100

2017-762-BE100

2017-780-E100

2017-791-BE100

2017-792-E100

2017-811-E100

2018-21-BE100

2018-22-E100

2018-23-E100

2018-30-BE100

2018-33-BE100

2018-46-E300

2018-57-E300

2018-59-E300

2018-62-E100

2018-77-E100

2018-78-BE100

2018-94-E400

2018-96-BE100

2018-116-BE100

2018-120-E400

2018-139-BE100

2018-140-BE100

2018-141-BE100

2018-143-E100

2018-146-BE100

2018-147-E100

2018-159-E100

2018-160-E100



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Mr. Allenstein expressed his appreciation to all of the committees for the work done thus far on the strategic plan. Executive Director House stated that if any Board members have any other projects to bring these to the attention of the committee chairs. EMS Legislative Liaison, Dan Fitzpatrick Mr. Fitzpatrick stated there were a number of bills that he would like to bring to the EMFTS Board’s attention.

HB171 which is the EMS work hours to limit the hours worked in a work shift and to require work breaks for emergency medical service providers. The bill states no more than 12 hours per shift and no less than 10 hours between shifts. Representative Patmon submitted a substitute bill with three changes. Mr. Fitzpatrick does not anticipate this bill to pass. HB195 which is the bill regarding the transporting disabled persons to modify the provisions concerning the transport of persons who require the use of a wheelchair or other mobility aid in nonemergency circumstances. The bill has passed and has been sent to the Governor to be signed into law. HB419 is a fairly new bill to modify the defense to the liability of a member of a police or fire department or emergency medical service of a political subdivision for the negligent operation of a motor vehicle in response to an emergency by requiring that the vehicle has its lights and sirens simultaneously activated. This bill has had three hearings in the House. HB535 is a naloxone-naltrexone data reporting bill to require certain reports regarding overdoses and naloxone, to include naltrexone within the Ohio Automated Rx Reporting System, and to name this act the “Opioid Data and Communication Expansion Act.” A discussion ensued regarding whether if all naloxone administrations are being reported to include law enforcement or the Project Dawn kits. HB464 which is the stroke centers and treatment protocols to provide for recognition of stroke centers and establishment of protocols for assessment, treatment and transport to hospitals of stroke patients. This bill would require medical directors to establish protocols to consult with hospitals. HB575 which is the tax credit proposed for volunteer firefighter and EMS personnel to grant income tax credits to persons who serve as volunteer firefighters or emergency medical service technicians. The credit is based upon the years of service. State EMS Medical Director Report, Dr. Carol Cunningham Dr. Cunningham reported that there are requests for new appointments into the Regional Physician Advisory Board (RPAB) membership. RPAB

New Appointments o Dr. Bentley Curry – Region 6 o Dr. Douglas Gallo – Region 5

ACTION: Motion to approve the new appointments to the Regional Physician Advisory Board (RPAB); Dr. Bentley Curry, Region 6 and Dr. Douglas Gallo, Region 5. Mr. de la Porte – First. Ms. Kearns – Second. None opposed. None abstained. Motion approved.



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The next RPAB Chair meeting will be held on May 9, 2018 at 1:00 p.m. The update of the State of Ohio Adult EMS Guidelines and Procedures manual was completed and approved by the EMFTS Board in February. A few minor changes have been made to the pain management guideline that was included in your board packet. Additional medications to be added to the medication appendix to include acetaminophen, hydromorphone, ibuprofen, ketorolac and nitrous oxide.

ACTION: Motion to approve the changes to the pain management guideline to add additional medications to be added to the medication appendix to include acetaminophen, hydromorphone, ibuprofen, ketorolac and nitrous oxide. Mr. de la Porte – First. Ms. Kearns – Second. None opposed. None abstained. Motion approved.

EMS Children has been given the task to begin an update to the State of Ohio Pediatric EMS Guidelines and Procedures manual. The U.S. Department of Homeland Security selected Dr. Cunningham, one of two people, to represent the United States at a meeting in Brussels. EMS Staff Legal Counsel, Michael Wise Mr. Wise stated that he did not have a report.

Assistant Attorney General, Trista Turley

AAG Trista Turley requested a motion to enter into executive session for the purpose of discussing pending court action involving the Board.

ACTION: Motion to adjourn and enter executive session pursuant to O.R.C. Section 121.22(G)(3) for the purpose of discussing with the Board’s attorney pending court action involving the Board. Ms. Beavers – First. Dr. Snyder – 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 Mr. Scott Arthur Present Ms. Julie Rose Present Ms. Karen Beavers Present Dr. Hamilton Schwartz Absent Ms. Beth Calcidise Present Mr. George B. Snyder Present Mr. James Davis Present Dr. Thomas Tallman Present Mr. Herb de la Porte Present Dr. Glen Tinkoff Absent Mr. Geoff Dutton Present Mr. Jason Walsh Present Ms. Deanna Harris Present Mr. Dudley Wright II (V.Chair) Present Mr. Aaron Jennings Present

Executive Director and Staff Reports, Melvin House

Executive Director House introduced Jason Walsh who was appointed to seat #5, program manager. Dr. Glen Tinkoff was appointed to seat #4 and Aaron Jennings was appointed to seat #17. ED House reminded the Board members that when the new seat was added that some of the seat numbers have changed. The ODPS Director’s office worked with the governor’s office to fill



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the remaining vacant Board seats to include seat #2, Trauma Surgeon and Seat #10, EMS Provider.

Staff Vacancies

Epidemiology Investigator 3 – Trauma Data. Interviews ongoing. The position remains posted as continuous until filled.

Program Administrator 2 – Education. Interviews ongoing. The position remains posted as continuous until filled.

Administrative Professional 2 – Investigations. Expectation interview completed and the tentative start date is May 14, 2018.

Administrative Professional 2 – Education. Sarah Hall who was previously in the certifications section has now moved to the education section.

DEMS Database Project

Completed o EMS & Fire Course Administration and Testing o Certifications o Grants o Medical Transportation

Underway o Examination and Testing Update (new fire certifications) o Investigations

Next initiative to be addressed o EMS Agency Database

The Active Shooter Rescue Task Force Awareness Training program that was approved by the Board has been completed and is posted to the ODPS Public Safety Training Campus. A press release and program dissemination is underway. The Board moved to add to the EMR and EMT curriculum; however, there was not a clear motion for continuing education.

ACTION: Motion to require the Active Shooter Rescue Task Force Awareness Training program to be completed one time as continuing education on the Ohio Department of Public Safety Training Campus. Each certificate holder will receive a certificate of continuing education upon completion. Mr. Resanovich – First. Dr. Snyder – Second. None opposed. None abstained. Motion approved.

Executive Director House stated that the program is a narrated training program to be taken online and they will receive a certificate for continuing education. A press release will be sent and will be providing details on the change to all of our certificate holders.

DEMS staff is working with the Ohio Department of Homeland Security grant program for funding on an operations level funding to potentially include training equipment and planning.

The National Ebola Training and Education Center (NETEC) is working on an EMS clinical biosafety training program which includes an awareness curriculum, operations curriculum, technician curriculum and train-the-trainer materials. Information will be disseminated on the EMS website.

Executive Director House reminded EMFTS Board members that they are required to file their financial disclosures by May 15, 2018.



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EMS Exemption Requests, Jean Booze

Jean Booze reported that there was one EMS military exemption request for two certificates, an EMT and EMS Instructor; 2018-4-2. The individual is still on active duty and all military documentation was received for this request. There is one EMS medical exemption for a dual certified holder; 2018-4-3. All medical documentation has been received. Staff recommends approval and requests a motion to approve.

ACTION: Motion to approve the military continuing education exemption request for 2018-4-2 and the medical continuing education exemption for 2018-4-3.

Mr. de la Porte – First. Ms. Kearns – Second. None opposed. None abstained. Motion approved.

Education, John Molnar

Mr. Molnar requested a motion for approval for a continuing education site for Spring Valley Township Fire Department.

ACTION: Motion to approve Spring Valley Township Fire Department for continuing education.

Mr. Davis – First. Mr. Snyder – Second. None opposed. None abstained. Motion approved.

Medical Transportation – Connie White

Ms. White presented the list of medical transportation renewal applications with expiration dates of February, March, April and May 2018. Staff is requesting a motion and approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation renewals with expiration dates of February, March, April and May 2018; pending a satisfactory inspection. Mr. Davis – First. Ms. Rose – Second. None opposed. Mr. de la Porte (LifeCare Ambulance, Inc.) -abstained. Motion approved.

Ms. White presented the list of medical transportation applications for ten new ambulette services and four ambulance services. Staff is requesting a motion and approval pending a satisfactory inspection.

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

Ms. White presented the list of new medical transportation headquarters (5 ambulettes and 1 ambulance) and new satellite locations (3 ambulettes and 5 ambulances). Staff is requesting a motion for approval pending a satisfactory inspection.

ACTION: Motion to approve the medical transportation new headquarters, (5 ambulettes and 1 ambulance) and new satellite locations (3 ambulettes and 5 ambulances). Mr. Snyder – First. Mr. Davis – Second. None abstained. None opposed. Motion approved.



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Ms. White presented the list of medical transportation agencies that have requested an upgrade in level of service from ALS to MoICU. Staff is requesting a motion for approval.

ACTION: Motion to approve the upgrade in level of service from ALS to MoICU for MedCare Ambulance and Pickaway Plains Ambulance Service, Inc. Mr. Davis – First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

Grants, Johanna Pickett

Ms. Pickett reported that for the 2017/2018 grants there have been two grant cycles. The original grants awarded totaled $2,223,442 and there was $296,258 unspent. The Division received 25 extension requests for total of $68,697 and reallocated $212,571 to the supplemental grants. The total for the year for the supplemental grants was $319,691 for Board priority for the first half of the grant cycles and $32,212 for the economic hardship with reallocation of $166,221 for Board priority and $46,350 for the economic hardships. A total of $564,474 was awarded for the supplemental funds this year. The Division has received three standard research grants proposals for priority 2-5. The Grants section is in the process of sending the proposals out for review and scoring.

The electronic tablet grant has resulted in the receipt of 600 tablets. The serial numbers have been logged and the tables are ready for distribution. To date 393 completed applications have been received for a total of 725 tablets. A second order has been placed. The number of tablets for each department was capped at 10; however, the larger departments that have more vehicles will be reviewed and hopefully those requests can be filled.

A request has been made from an agency to add ballistic vests and/or helmets to the training and equipment grant. Another agency requested a luminometer, a bacteria measuring device, to be added to the training and equipment grant.

ACTION: Motion to approve the addition of ballistic vests, helmets and the luminometer to the training and equipment grant list. Mr. Davis – First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

A discussion ensued regarding the addition of ballistic vests and/or helmets to the training and equipment grant. It was agreed that agencies should be allowed to purchase these outside of any rescue task force grants. Agencies want to protect their providers.

Board Committee Reports

Trauma Committee, Diane Simon

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

The Committee is still in the process of trying to capture all of the free standing ED’s. A memo was sent to all of the hospital administrators to help identify these facilities. Data reporting is improving.

The original burn surge protocol was evaluated and found to be inadequate; therefore, Dr. Cunningham worked to better define it for mass casualty incidents and it was approved.



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The Regional Trauma System met in April and they now have a vision statement and a mission statement. They have approved their charter and are in process of setting up a steering committee and would like representation from each region.

The Center for Disease Control is sending an Epidemic Intelligence Service (EIS) Officer through the health department to evaluate the state trauma registry. A workgroup is being created to discuss this issue as to what objectives and goals they have for the report.

EMS Children Committee, Dr. Hamilton Schwartz

Dr. Schwartz was not present; therefore, Ms. Beavers, vice chair, presented the report for the committee.

The Ohio EMS Survey of EMS agencies began November 1st and concluded January 31, 2018. The survey focused on the new EMSC Performance Measures: a Pediatric Emergency Care Coordinator (PECC), and a process for skill verification using pediatric equipment, both at the EMS agency level. Over 67% of Ohio EMS agencies surveyed responded, our highest response rate to date. Results show that 29% of responding agencies have a pediatric care coordinator, and 20% met the minimum score for frequency of skill verification processes. The Ohio EMS for Children Committee has two PECC Workshops planned for 2018: Tuesday, May 22nd at the Ohio EMS Conference, held at the Greater Columbus Convention Center, and Wednesday, June 27th, at ProMedica Learning and Education Building in Toledo. The workshops provide initial information about the PECC concept and offer breakout sessions for sharing best practices in pediatrics. The EMS for Children Program will survey hospitals across the country to determine emergency department preparedness for caring for pediatric patients. The survey will start in mid-May and close mid-August. All Ohio hospitals with a 24/7 emergency department will be surveyed; free-standing EDs and military hospitals are excluded. The survey list has been completed and submitted, and notice will go out to Ohio hospitals very shortly. The Ohio EMSC Committee is working with the Ohio Hospital Association and the Ohio Department of Health to create a program for encouraging and developing pediatric champions in hospital emergency departments. A workgroup of the Ohio Pediatric Disaster Preparedness Coalition met on Thursday, April 5th, to begin this process. The Coalition meets next on Thursday, June 14th. Joe Stack and Christina Wedding, the Ohio EMSC Family Representative, will attend the EMSC Grantee meeting in Austin, Texas, later this month. Joe will be presenting to the other state EMSC managers about the Ohio PECC Workshops. Joe Stack and Dr. Naa Allotey presented information about the PECC concept to the 2018 ITLS Conference on Friday, April 13th. Approximately 100 attendees received information about the importance of having a pediatric coordinator and initial results from the EMS agency survey. The Ohio EMSC Committee is reviewing the current State of Ohio EMS Pediatric Guidelines and Procedures Manual to ensure its compatibility with the NASEMSO National Model EMS Clinical Guidelines. Dr. Schwartz will be coordinating this effort for Dr. Cunningham. The Health Resources and Services Administration has approved the Ohio EMSC Partnership Grant for the next four-year grant cycle, through 2022.



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EMS System Development, Deanna Harris

Ms. Harris reported that the committee met on April 17, 2018. Ms. Harris requested a motion to appoint Joseph Natko to the EMS System Development Committee. He attended the meeting as a guest even though he was not yet an official member.

ACTION: Motion to approve Joseph Natko as a new member to the EMS System Development Committee. Ms. Harris– First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

Ms. Harris reported that the committee took on several tasks from the strategic plan. Their focus is on data collection and to have appropriate data in order to produce a 2018 data annual report.

Committee members will collaborate with OHTrac along with the Ohio Hospital Association to look at how triage is being met for large scale disasters.

Other strategic plan tasks include funding for EMS and non-emergent transports.

The next meeting will be held at the Ohio Department of Public Safety on June 19, 2018.

Homeland Security Subcommittee, Deanna Harris

Ms. Harris reported that they have had two meetings since the last Board meeting.

The Ohio Department of Public Safety, Division of EMS contracted with the Ohio Department of Health to develop and/or assist with modules for the CHEMPACK training. The EMFTS Board has approved the EMS section of the CHEMPACK training. There are five other modules that have been created which include dispatch and law enforcement, host hospitals, non-host hospitals, public health and a summary for regional and local responses. Ms. Harris requested that the EMFTS Board approve the other five modules.

ACTION: Motion to approve the CHEMPACK training modules that include dispatch and law enforcement, host hospitals, non-host hospitals, public health and a summary for regional and local responses. Dr. Tallman – First. Mr. de la Porte – Second. None abstained. None opposed. Motion approved.

Dr. Cunningham informed the Board that live rollouts will be provided beginning in May. Mr. Molnar will provide a list of the dates and times of the CHEMPACK rollouts to the Board members. All committee members should also be provided the list.

The violence in the workplace program is being developed by Micha Stoll.


EMS Rural Committee, Ms. Beavers

Ms. Beavers reported that a meeting was held April 17, 2018.



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Discussions included the recruitment and retention plan. Open houses are planned throughout the state. The first one scheduled is May 8th at the Lima Memorial Hospital with Executive Director Melvin House presenting.

Committee members are reaching out to junior cadet or explorer programs to speak to them regarding EMS and fire careers.

The committee is planning many other activities to help with recruitment and retention.

Executive Director House reported that there is a Federal grant available to rural EMS. The Ohio Department of Health has a survey out to rural agencies to be used for a series of five focus groups to help identify what the needs are for rural EMS. The three rural issues include recruitment and retention, community paramedicine and continuing education.


Education Committee, George Snyder

Mr. Snyder stated that the committee had a meeting on April 17, 2018.

There have been many discussions regarding the overall pass rates. The committee has requested that Mr. Molnar collect data for the committee in reference to how these programs are performing.

The scope of practice was also discussed and Mr. Snyder requested that the Medical Oversight Committee work together with the Education Committee.

A discussion ensued regarding whether EMS providers who are students can be employed.

Dr. Julie Leonard from the Nationwide Children’s Hospital Child Maltreatment Program and a member of the EMS-Children committee requested that the Education Committee approve the pediatric module. Once approved it would be placed on the Ohio Department of Public Safety Training Campus for continuing education credit.


Medical Oversight Committee, Geoff Dutton

A meeting was held April 17, 2018 with enough members to have a quorum.

Mike Snyder, the Ohio CARES coordinator encouraged everyone to spread the word regarding the CARES program.

An EMS medical director conference is tentatively scheduled for November 14, 2018. The event will be held at the Ohio Department of Transportation auditorium. There will be a nominal registration fee to cover expenses. The committee is partnering with the American College of Emergency Physicians and working on completeing the process which will allow physicians to receive continuing education credit for attending the conference. The Medical Oversight Committee requested approval of the EMS medical director conference.

ACTION: Motion to approve the EMS medical director conference. Mr. Snyder – First. Mr. Arthur – Second. None opposed. None abstained. Motion approved.



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Physicians have suggested to the Pharmacy Board that the added requirement to have the medical director’s names on the boxes of Narcan® was not necessary for medical directors of EMS agencies. A discussion ensued regarding this matter. It was decided that it is not within this Board’s authority.

It was brought to the attention that the satellite fees have been increased by the State Board of Pharmacy.

Mr. Dutton reported that there is an immense interest in behavioral health. The incidence of suicides and post-traumatic stress disorder in EMS providers is increasing. A survey is being developed in order to move forward.


Medical Transportation Committee, Tom Allenstein

Mr. Allenstein reported that the committee met April 17, 2018.

The strategic plan goals were discussed and specific items were affirmed.

Ambulettes are required for passenger assistance programs, first aid, and CPR. The rules permit them to develop their own course. Four programs applied for passenger assistance programs. Two withdrew their applications.

ACTION: Motion to approve Physicians Ambulance Service Inc’s passenger assistance program. Mr. Allenstein – First. Ms. Harris – Second. None opposed. None abstained. Motion approved.

First Advance EMS presented a program with only an outline without any content. The Division contacted them regarding the correct content.

ACTION: Motion to deny First Advance EMS’s passenger assistance program. Mr. Allenstein – First. Mr. Snyder – Second. None opposed. None abstained. Motion approved.

Two programs, the National Safety Council and the Hand That Move Hearts, applied for approval on their first-aid and CPR instruction courses. Both of these programs follow a national program; therefore, meeting the requirements.

ACTION: Motion to approve the first-aid and CPR instruction course of the National Safety Council and the Hand That Move Hearts. Mr. Allenstein – First. Ms. Beavers – Second. None opposed. None abstained. Motion approved.

A hospice facility has requested permission to transport patients via a stretcher. Hospice has contacted a legislator to move forward on legislation concerning this matter. The committee has many concerns and will be discussed further.

A request from an EMS system that has a gator, an all-terrain vehicle that has ability to mount a stretcher and has lights and sirens. It is licensed to be on the highway. The request came to the Division because of licensing issues. They want to transport patients from areas where an ambulance cannot traverse, such as in a wooded area or on a highway. It was decided that the Division of EMS cannot license them as a non-transport vehicle.




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Critical Care Subcommittee, Julie Rose

Ms. Rose reported that the subcommittee had a meeting on April 17, 2018.

The subcommittee has accepted the strategic plan goals.

The committee felt that anyone doing critical care transports need to follow the standards whether public or private.

The memo regarding inter-facility transport should add language to include additional training.


EMS Star of Life Awards, Dr. Tallman

Dr. Tallman reported that the Ohio EMS Star of Life Awards program will be held on May 22, 2018 at the Ohio Department of Transportation auditorium. The selection committee has decided on the recipients. Mr. Allenstein stated that there were numerous nominations and it was a very difficult decision-making process to select the awardees.

The awards being presented include 14 EMS Stars, provider of the year, medical director of the year, agency of the year, educator of the year and the lifetime achievement award.

Ms. Harris requested that the Board consider adding an award for mobile integrated healthcare community paramedicine programs.

Executive Director Mel House reported that Jim Whitworth has agreed to do the voice over for the videos for the awards program. He also reminded the Board that there will be a short EMFTS Board meeting the morning of May 22nd before the awards ceremony.

Old Business

Ms. Harris reported there have been some issues regarding the amount of emails committee members receive. It was suggested that the documents be attached to the calendar on the EMS website. The Division will follow-up regarding this issue.

Ms. Harris inquired as to the process of an investigation. Executive Director House stated that they are notified of the investigation and the steps being taken in that investigation.

A discussion ensued regarding anonymous complaints both for EMS and fire. At this time anonymous complaints are not accepted for fire certificate holders.

New Business

The Ohio Mental Health and Addiction Services appointed by the Governor has received grant money regarding behavior issues involving EMS, fire and law enforcement.

A questions was posed regarding crash data for ambulances. There is not a national or state database for ambulance crashes. The EMS System Development Committee will add this to their strategic plan.

The meeting adjourned at 2:08 p.m. Mr. de la Porte – First. Mr. Snyder – Second.



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NEXT MEETING: The next EMFTS Board meeting will be held Tuesday, May 22, 2018 at 10:00 am at the Ohio Department of Public Safety, Conference Room 1106, 1970 West Broad Street, Columbus, Ohio.

boardreport and recommendations ems case no. 2015-401-e100, gregory a. ingram, certificate no....

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