Change is the law of life. And those who look only to the past or present are certain to miss the future. John F. Kennedy

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1 Change is the law of life. And those who look only to the past or present are certain to miss the future. John F. Kennedy Welcome to the Annual Report for fiscal year for the Southern Alleghenies EMS Council. Hopefully you will find the included information to be representative of our various activities throughout the year. Nothing can be truer than the statement above as it relates to EMS in the Nation, in the Commonwealth within the Region, and at your individual services. EMS is facing major challenges in the coming years due to a variety of issues, and now is the time to start preparing for the future. There are a number of different forces coming into play to create the Perfect Storm to drive change within the system. There is an old Chinese proverb, (or curse, depending on how you look at it) that says May You Live in Interesting Times. Pennsylvania now has a new state EMS Director, the Act 37 Rules and Regulations are poised to be published, which include new certification levels and minimum standards, the Affordable Health Care Act will drive dramatic changes across the healthcare and reimbursement sectors, EMS is expanding into non-traditional roles in community paramedicine and mobile integrated healthcare (MIH), and will certainly be forming new relationships as part of Accountable Healthcare Organizations. Clearly EMS will be interesting in the coming years! The past year has been one of great change for the Southern Alleghenies EMS Council, and it is my intent to continue building and renewing relationships; focusing on our ultimate goal of ensuring that the patient receives the best possible EMS care within the region; that services, providers and other stakeholders have the support that they need to do their jobs efficiently and effectively; to provide high quality education at both the basic and continuing 123 OLDE FARM OFFICE ROAD, DUNCANSVILLE, PA (PHONE)~ (FAX) ~ saems@saems.com

2 education level; and to improve our focus on quality improvement and provider safety. We have a great staff at the Council, and we always stand willing to provide support and assistance to EMS stakeholders. I encourage you to become involved in the Council as a general member, committee member or just to provide ideas, suggestions and thoughts on what we could do better to service the EMS community and ultimately ensure that the patient receives the best possible care. Ultimately it is not about you, your organization, the Council, the Bureau of EMS- our ultimate focus needs to remain on the reason we exist, the patient. I thank you for everything that you do every day. It all boils down to the fact that you are the EMS system. You have ownership of the future of the system. Sometimes change is painful, but it is important to ensure that you are looking ahead and preparing for the changes that are coming down the road. The past is gone, the present is now, but the future is always ahead. This year s EMS Week slogan was EMS. One Mission. One Team.. That is my ultimate goal for the Region. Again, THANK YOU for all that you do every day! Sincerely, Carl L. Moen Executive Director

3 Southern Alleghenies EMS Council Annual Report Preparedness EXPLORE SAEMS Providers Recognition Training Community

4 Board of Directors Annual Report Bedford County Sheldon Benton Allen Berkey Justin Keel Tom Stoudnour* Cambria County Mike Brawley* Flo Eberhart Julie Sloan* Tracy Stafford Huntingdon County Fred McKnight Adam Miller Max Park Christy Reed* Blair County Jeff Blake Ed Frontino Steve Ott Gary Watters* Fulton County Brian Barton* Christine Englert Shelby Knepper Sid McConahy Somerset County Dennis Crossen Mark Miller Terry Ruparcic* *Executive Committee Member Regional Medical Director John S. Karduck, M.D. Council Staff Carl Moen, Acting Director Lori Driscoll, Program Specialist II - Dan Eberhart, Operations Officer Herb Enos, Program Specialist I - Rachelle Tippery, Program Specialist I Deb Mellott, Program Assistant II Debbie Pasqualone, Program Assistant I

5 Reviewed, revised and approved new Corporate Bylaws Conducted two regional education programs with over 300 participants Held the first EMS Appreciation Day with over 150 participants 546 continuing education classes were offered in the region Instituted Con-Ed Link in January allowing for easier processing of con-ed rosters Participated in two (2) Statewide Ambulance Safety Inspection Days on January 8, and June 7, Hosted three (3) Recognition/Retention Events Processed 76,170 Patient Care Reports Processed 50 Medical Command Physician applications Inspected four (4) Medical Command Facilities Inspected 116 services;172 vehicles Processed 811 CPR certifications and 440 endorsements Participated in 23 Regional Task Force meetings between South Central Mountains Task Force and Region 13 Participated in the Seasonal Leadership and Training Summit for MRC Attended the Public Health Preparedness Summit in Atlanta, GA Participated in PA-ICE in Anniston, AL Provided support at Creationfest, Huntingdon County Processed 54 fatal accident reports (FARS) Trained and certified 59 EMRs 36 EMTs 4 Paramedics 9 EMT Instructors Medical Reserve Corps supported 5 events

6 Comprehensive Annual Report Summary of Expenditures Fiscal Year: Regional Council Name: South Alleghenies (09) EMSOF Support # Requested # Received Funding Number of Ambulance Services requesting EMSOF: Number of State Recognized QRS Services requesting EMSOF: Number of Recognized Rescue Services requesting EMSOF Support: 8 8 EMSOF Base Contract Amount EMSOF 688,839 Column 1 Column 2 Column 3 Column 4 Column 5 EMSOF Amendments With State Funding $ - Trailers 1,500 EMS Strike Team 36,000 Regional Planning 65,830 Regional Coordinator - Burn Training Patient Tracking 1,200 SNS Program - Category By Program Activity State Funds Expended Federal Funds Expended Administration Cost $ 97,843 $ 97,843 Medical Command System to include facilities inspection $ 13,047 $ 13,047 Ambulance Licensure/Inspection/Recognition QRS and Rescue Assistance $ 130,469 $ 130,469 Public Education and Information $ 13,047 $ 13,047 Quality Assurance/Investigation $ 65,234 $ 65,234 Data Collection $ 13,047 $ 13,047 Training/Continued Education/Provider Reports $ 215,274 $ 215,274 Emergency Preparedness $ 97,860 $ 104,530 $ 202,390 Prehospital Equipment $ 41,481 $ 41,481 Total Expended $ 687, $ 104, $ 791, Money Not Spent $ 1, $ - $ 1, Total (Expended Plus Money Not Spent) $ 688, $ 209, Total Contract $ 688, $ 104, $ 793, Amendments With Federal Funding Total For Fiscal Year $ $ 688,839 $ $ 1,500 $ $ 36,000 $ $ 65,830 $ $ - $ - $ $ 1,200 $ $ - Other Funds Provided To The Region (i.e. County Dollars) $ 104, $ 793, $ -

7 SERVICES IN THE REGION ACOSTA VFC ALEXANDRIA FIRE COMPANY QRS AMED ASHVILLE VFC #1 BAKERSVILLE VFD QRS BEDFORD AREA AMBL SVC BERLIN AREA AMBL ASSN BLACKLICK VALLEY AMBL SVC BLAZING ARROW HOOK & LADDER VFD QRS BLUE KNOB SKI PATROL BLUE KNOB VFC BOSWELL VFD CAMBRIA TWP VFC QRS CENTRAL CITY VFD QRS CHESTNUT RIDGE AMBL ASSN CITY OF ALTOONA FIRE DEPARTMENT COMMUNITY FIRE CO OF LILLY VRSR COMMUNITY VFC OF LILLY QRS CONEMAUGH PREHOSPITAL SERVICES CONEMAUGH TWP EMS CONEMAUGH VALLEY REGIONAL AMBULANCE CONEMAUGH VFD CONFLUENCE COMM AMBL SVC CAMBRIA ALLIANCE CRESSON VFD QRS CRESSON VFD VRSR CUMBERLAND VALLEY TWP EMS DELGROSSO'S AMUSEMENT PARK DUNCANSVILLE EMS INC DUNCANSVILLE FIRE DEPT EMR TEAM EAST HILLS AMBL SVC EBENSBURG AREA AMBL ASSN EXCELSIOR VFC EXCELSIOR VFD #1 FOREST HILLS AREA AMBL FREEDOM TWP VFC QRS FRIEDENS VFC QRS GALLITZIN AMBL SERV GALLITZIN FIRE COMPANY NO 1 GARRETT VFD QRS GEESEYTOWN COMMUNITY FIRE COMPANY GREENWOOD FIRE DEPT HASTINGS AREA AMBL ASSN HEALTH RIDE PLUS HILLTOP AMBL ASSN HOLLIDAYSBURG AMERICAN LEGION AMBL HOOVERSVILLE RESCUE SQUAD HUNTINGDON AMBULANCE AUTHORITY HUSTONTOWN AREA VFC HUSTONTOWN QRS HYNDMAN AREA RESCUE SQUAD JACKSON TWP VFC JENNERSTOWN VFD JOHN CARROLL AREA AMBL JOHNSTOWN FD TAC MED JOHNSTOWN FIRE DEPT QRS #1 JUNIATA COLLEGE ERT JUNIATA VALLEY AMBL SVC LOGAN TOWNSHIP UNITED FIRE DEPT VRSR

8 SERVICES IN THE REGION LOGAN TWP UNITED FIRE CO QRS LORETTO QRS MAPLETON FIRE DEPARTMENT MARKLESBURG VFC AMBL DIV MCCONNELLSBURG VFC MED VAN TRANSPORT MEYERSDALE AREA AMBL ASSN MILL CREEK VFC QRS MOUNT UNION AMBL NEEDMORE VFC NEWBURG FIRE DEPARTMENT NORTHERN BLAIR CNTY FOREST FIRE CREW NORTHERN EMS ORBISONIA ROCKHILL AMBL PATTON AREA AMBL ASSN PETERSBURG VFC QRS PHOENIX FIRE COMPANY QRS PORTAGE AREA AMBL ASSN PORTAGE VOLUNTEER FIRE COMPANY #1 QRS PORTAGE VFC VRSR RAYSTOWN AMBL SVC READE AREA AMBULANCE REVLOC VFC QRS RICHLAND TWP QRS RIVERSIDE VFC ROCKWOOD VFD RWBT AMBL DIV SALISBURY AMBULANCE SAXTON VFC AMBL DIV SAXTON VOLUNTEER FIRE COMPANY VRSR SEVEN SPRINGS VFD SEVENTH WARD AMBL SVC SHADE GAP AREA FIRE CO QRS SHANKSVILLE VFD QRS SHAWNEE VALLEY AMBL SVC SIX MILE RUN VFC AMBL DIV SMITHFIELD VFC QRS SOMERSET AREA AMBL ASSN SOUTHERN ALLEGHENIES EMS COUNCIL SOUTHERN COVE EMS STAT MEDEVAC STONE CREEK VALLEY VFC STOYSTOWN VFD QRS SUMMERHILL TWP VFC QRS THREE SPRINGS AREA AMBL SVC INC TLC ADVANCED LIFE SUPPORT TRIPLE D AMUSEMENT - LAKEMONT PARK TROUGH CREEK QRS TWIN CREEKS AMBL SVC UPPER YODER VFD VETERANS MEML AMBL SVC INC WARRIORS MARK FRANKLIN QRS WELLERSBURG DIST VFC QRS WEST END AMBL SVC WILLIAMSBURG AREA AMBL

9 Service Inspections Annual Report Bedford County Bedford Ambulance Service (ALS) Provisional License Raystown Ambulance (ALS) Re-licensed Saxton VFC Ambulance (ALS) Provisional License Shawnee Valley Ambulance Service (BLS) Re-licensed Six Mile Run VFC Ambulance (BLS) Re-licensed Six Mile Run VFC (QRS) Ceased operations Blair County Blue Knob Ski Patrol (QRS) Re-recognized City of Altoona Fire Dept. (QRS) Re-recognized DelGrosso s Amusement Park (QRS) Re-recognized Excelsior VFC (QRS) Re-recognized Geeseytown Community FD (QRS) Pending Inspection Corrections Greenwood FD (QRS) Re-recognized Hollidaysburg American Legion Ambulance Service (ALS) Re-licensed Newburg FD (QRS) Re-recognized Northern Blair Forestry (QRS) Re-recognized Triple B Amusement Lakemont Park (QRS) Re-recognized Warriors Mark Franklin (QRS) Re-recognized Cambria County Adams Twp (QRS) ceased operations Blacklick Valley Ambulance Service (ALS) Re-licensed Cambria Twp VFC (QRS) Re-recognized Conemaugh VFD (BLS) Re-licensed Forest Hills Area Ambulance (ALS) Re-licensed Gallitzin VFD (QRS) Re-recognized Jackson Twp VFC (ALS) Re-licensed John Carroll Area Ambulance (ALS) Re-licensed Patton Area Ambulance (ALS) Re-licensed Reade Area Ambulance (BLS) Provisional

10 Fulton County McConnellsburg VFC (ALS) Re-licensed Huntingdon County Juniata College(QRS) Re-recognized Juniata Valley Ambulance (BLS) Re-licensed Mapleton Fire Dept. (QRS) Re-recognized Marklesburg VFC Ambulance (BLS) Re-licensed Orbisonia Rockhill Ambulance (BLS) Re-licensed RWBT Ambulance Divison (ALS) Re-licensed Smithfield VFC (QRS) Re-recognized Three Springs Ambulance Service (BLS) Re-licensed Trough Creek (QRS) Re-recognized Somerset County Acosta VFC (QRS) Re-recognized Conemaugh Twp EMS (ALS) Re-licensed Friedens VFC (QRS) Re-recognized Hooversville Rescue Squad (QRS) NEW Recognized Hooversville Swiftwater Rescue (QRS) NEW Recognized Jennerstown VFD (BLS) Re-licensed New Centerville (BLS) Ceased operations Northern EMS (ALS) Re-licensed Rockwood VFD (BLS) Re-licensed Salisbury Ambulance (BLS) Re-licensed Wellersburg District VFC (QRS) Re-recognized

11 Spot Inspections The Bureau of EMS mandated three (3) statewide safety days to conduct spot inspections during the year. SAEMS also conducted other spot inspections as needed to ensure compliance to the EMS Act and safe response throughout our region. The following are the services inspected during these times and the results of the inspection. AMED 9 units passed Bedford Ambulance 2 units passed Berlin Area Ambulance 1 unit passed Blacklick Valley Ambulance 2 units passed Boswell VFD 1 unit passed Cambria Alliance EMS 2 units passed Chestnut Ridge Ambulance 1 unit passed Conemaugh Twp EMS 3 units passed Duncansville EMS 3 units passed East Hills Ambulance 4 units passed Ebensburg Area Ambulance 4 units passed Forest Hills Area Ambulance 2 units passed Gallitzin Ambulance Service 2 units passed Hastings Area Ambulance 2 units passed Hilltop Ambulance Association 1 unit passed Hollidaysburg American Legion Ambulance Service 6 units passed Huntingdon Ambulance 1 unit passed Jackson Twp VFC 1 unit passed McConnellsburg VFC 1 unit passed Med-Van 4 units passed

12 Spot Inspections continued Meyersdale Area Ambulance 1 unit passed Northern EMS 1 unit passed Portage Area Ambulance 1 unit passed Priority Response 1 unit failed (removed from service) Priority Response 1 unit passed (returned to service) Raystown Ambulance 2 units passed Seventh Ward Ambulance 2 units passed Somerset Area Ambulance 3 units passed Upper Yoder VFD 1 unit passed Veterans Memorial Ambulance Service 1 passed West End Ambulance Service 3 units passed Williamsburg Area Ambulance 1 unit passed

13 Regional Projects and Prehospital Provider Equipment (aka EMSOF) There was a total of $34,958 available in This is an increase of almost $10,000 over the previous year. The increase was possible from funds recouped in other areas of the budget so we could distribute more items directly to the services. The main focus of this year was training, safety and saving lives. The Board of Directors made the decision to fund the following. Metronomes for services to place on each vehicle to ensure the correct CPR compression rate. ($4,872.75) Continuation of the CO detector project for first in bags for all services. ($17,085) High visibility seat belt covers as part of a multi-regional safety project to encourage providers to utilize their seatbelts and to make it easier to verify seatbelts are in use. ($2,197) 75 EMT textbooks to be distributed through the EMS Education Institutes to help decrease the cost of training for students. ($8,250) 10 Pocket CPR compression monitors to support high-function CPR training throughout the region. ($1,290) 5 HazMat Awareness Instructor Toolkits for EMS Education Institutes to meet the new pre-requisite for all certification classes. ($2,093.75) 6 Field Training Officer Kits to train services to serve as field training sites for EMT students. ($1,311) Through other savings in the budget, we were able to purchase additional supplies of the Patient Transfer form and the QRS Patient Care report to continue to provide these for services use.

14 Two regional one day seminars were offered this year for pre-hospital providers and our partners. Dangers in the Street...Active Shooters and Gang Updates Presented by: John E. Burruss, BS, NREMT-P; Master Firefighter, Charlottesville Fire Department & Phillip Harchack, retired Pennsylvania State Police Mass Casualty Incident: The Israeli Experience in Emergency Management Presented by: Chaim Rafalowski, Disaster Management and Projects Coordinator in the Director General s Office at the Israeli Center for Emergency Preparedness (ICEP)

15 This year saw a change in CPR with the Hand s Only CPR approach for the public. SAEMS participated in multiple events throughout the spring including the state kickoff at the Pennsylvania Farm Show in Harrisburg, a local kick off on Valentine s Day, and opening day with the Altoona Curve. Many services and facilities also have participated at various venues from bingo to community festivals to church groups promoting this new technique. This has been a collaborative effort across the Commonwealth to reach 250,000 people by EMS Week in May. That goal was blasted out of the water and a new goal was set to reach one million people by the end of February 2014 which is National Heart Month. This has proven to be a great initiative to get many groups to work together to help educate our communities on how to save a life.

16 CPR and First Aid Annual Report Sixty-five (65) CPR and/or First Aid classes were held through our American Heart Training Center. Healthcare Provider CPR 33 classes 380 people certified Heartsaver AED 11 classes 140 certified Heartsaver First Aid 5 classes 62 certified Heartsaver First Aid with CPR 13 classes 136 certified Friends and Family 2 classes 60 participants Bloodborne Pathogens 1 class 13 certified

17 PA - ICE Healthcare professionals from across Pennsylvania participated in an intensive, week long training at the federal Centers for Domestic Preparedness in Alabama, including many healthcare professionals from the Region. One hundred forty-three professionals from public health entities, Emergency Medical Services (EMS) and hospitals attended the training April The Pennsylvania contingent was the largest group ever to complete this training, Acting Secretary of Health Michael Wolf said. The Federal Emergency Management Agency worked very closely with us to customize the exercise specifically for our needs, providing our designated professionals with tailored preparedness tools and experience. The attendees received extensive training specific to their professions. The week culminated with the participants coming together for Integrated Capstone Event (ICE) training, an all-hazards exercise that focuses on emergency response to a catastrophic natural disaster or terrorist act. Specifically, the Pennsylvania ICE scenario involved a small domestic terrorist organization carrying out multiple attacks on a fictional city, resulting in more than 300 injured people needing immediate triage and treatment. A combination of role players and state-of-the-art human patient simulators were used for the ICE training. All training costs were fully funded by the Federal Emergency Management Agency (FEMA).

18 Recognition, Recruitment, Retention Annual Report EMS Night with the Johnstown Tomahawks, EMS Appreciation Day, & SAEMS Night at PNG Ballpark This year saw significant changes in the Recognition Events. HOCKEY.The first ever EMS Night with the Johnstown Tomahawks happened on January 11, at the Johnstown War Memorial. Julie Sloan, EMT from Cambria County, opened the evening with a beautiful rendition of the National Anthem. Scott Keyser, EMT from Cambria County, dropped the first puck.

19 SAEMS Staff having fun with the mascot Fun on the ice

20 EMS Appreciation Day was held during EMS week in honor of the EMS providers in the region. The day included 17 continuing education classes, vendors, displays, food, prizes, and loads of fun. Over 150 EMS providers and partners attended the event that was held at the Newry Lions Club.

21 Saturday, June 15,, marked the 11 th year for SAEMS Night with the Altoona Curve baseball team. It is a fun tradition each year for many providers and their families to attend. And some years it really doesn t rain. Staff and helpers prepared for the crowds to enter What did I win? What did I win?.

22 Response Superstorm Sandy pummeled the east coast Fall 2012 causing the Region 09 Strike Team to be deployed to two separate locations in New Jersey to offer assistance to some of the hardest hit areas. The teams operated out of two (2) separate base camps: one in the Atlantic City area and the other in East Rutherford. They helped with evacuations, covered calls, worked in shelters, and provided sustenance to other emergency responders and themselves when necessary. AMED has two teams and both were deployed; the first team for eleven (11) days and the second team for eight (8) days. The teams included James Greene (Paramedic & Crew Chief), Joseph (Casey) Eaton (Paramedic), Caleb Stephens (EMT), Brian Stewart (EMT), Robert Seiler (2 nd Crew Chief & Paramedic), and Tom Miller (EMT). Conemaugh Twp EMS was deployed for seven (7) days. Their team included Terry Ruparcic (Paramedic & Region 09 Strike Team Leader), Heidi Lampel (Paramedic & Crew Chief), John Chipchosky (EMT), John Zellam (EMT) and John Bowman (EMT). Ebensburg Ambulance Service was deployed for seven (7) days. Their team included Mindy Maraj-Owens (Paramedic & Crew Chief), Tracey McGinnis (EMT), Dennis Gresh (EMT), and Gregory Wagner (EMT).

23 Hollidaysburg American Legion Ambulance Service was deployed for seven (7) days. Their team included Robert Craig (Paramedic & Crew Chief), Kristina Starr (EMT), Marcus Angello (EMT), and Daniel Eastep (EMT). Hustontown Area VFC was deployed for five (5) days except for Brian Barton (EMT) who served as the second Region 09 Team Leader and was deployed for seven (7) days. The remaining members of their team included Christine Englert (EMT & Crew Chief), Shelby Knepper (EMT), and Randy Black (EMT). Med Van deployed Jim Smith (Paramedic) as the Region 09 Team Leader for the second deployment. 7 th Ward Ambulance was deployed for eight (8) days. Their team included Toni Grove (Paramedic & Crew Chief) and Joe Brawley (EMT).

24 The Medical Reserve Corps was also activated during Superstorm Sandy and assisted the American Red Cross with staffing shelters in Huntingdon and Fulton counties in anticipation of having to evacuate homes due to flooding. In Huntingdon County, Jean Dunn (EMT), Lydia Lane (RN) and Fred McKnight (EMT) were on hand in the event medical services were required. In Fulton County, Brian Seiler (Paramedic) and Judy Eisman (RN) were prepared to provide medical services. Luckily, neither shelter had to be utilized and the volunteers were sent home within 24 hours. During the entire deployment, the Council worked closely with the Bureau of EMS, the American Red Cross, and our local EMA Directors to ensure all needs were met and our communities were safe.

25 Toys for Tots Our community service project this year was a toy collection for the underprivileged children in the region. We held our collection a little differently this year by putting the challenge out to involve all EMS. We had some services that jumped right on board to help collect the toys. Conemaugh Township EMS led the way by collecting 195 toys followed by Bedford Ambulance Service who collected 94 toys. Overall, 377 toys were donated to the local Toys for Tots program. This now will become an annual event hopefully building each year to collect more and more toys to help provide a little magic for the children in the region.

Greater Johnstown/Cambria County Chamber of Commerce, Inc. 245 Market Street, Suite 100 Johnstown, PA 15901 (814) 536-5107 or (800) 790-4522

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