coaemsp site visitors: the 2015 caahep standards
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CoAEMSPSiteVisitors:the2015CAAHEPStandards
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Welcome
GeorgeWHatch,Jr,EdD,LP,EMT-P|ExecuEveDirector
Facilitators
GordonKokx,PhD,NRP|AssistantDirectorofAccreditaEonServices
JenniferAndersonWarwick,MA|AccreditaEonConsultant
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• DiscussthenewStandardsthatareineffect
• DiscusstheinterpretaEonsofthe2015CAAHEPStandardsandGuidelines
• IdenEfyhowyouwillknowwhichsetofStandardstoevaluateaprogram
• IntroducethenewSiteVisitReport
• ReinforcebestpracEcesofsitevisitors
ObjecEves
Wherewearenow…
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100
200
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688 programs
CAAHEP accredited, 517
CoAEMSP Letter of
Review, 171
NumberofProgramsasofDecember19,2016
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TheLargestCoAsinCAAHEPasofDecember19,2016
0 100 200 300 400 500 600 700
527 517 436 217
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171
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0 20 40 60 80
100 120 140 160 180
200
2010 2011 2012 2013 2014 2015 2016 2017
Continuing 1st Continuing Initial 164
Thankyou!ThewildrideconEnues…
NumberofSiteVisitsbyYear186
CAAHEPStandards:TheKeyChanges
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2015CAAHEPStandardsfortheEMSProfessionswentintoeffectforALLprograms
onJanuary1,2016
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Emergency Medical Services (Standards Interpretations 07.30.2016) Page 5 of 26
Standard I.A. Sponsoring Institution A sponsoring institution must be at least one of the following, and must either award credit for the program or have an articulation agreement with an accredited post-secondary institution:
1. A post-secondary academic institution accredited by an institutional accrediting agency that is recognized by the U.S. Department of Education, and authorized under applicable law or other acceptable authority to provide a post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.
2. A foreign post-secondary academic institution acceptable to CAAHEP, which is authorized under applicable law or other acceptable authority to provide a postsecondary program, which awards a minimum of a certificate/diploma at the completion of the academic program.
3. A hospital, clinic or medical center accredited by a healthcare accrediting agency or equivalent that
is recognized by the U.S. Department of Health and Human Services, and authorized under applicable law or other acceptable authority to provide healthcare, and authorized under applicable law or other acceptable authority to provide the post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.
4. A governmental (i.e., state, county, or municipal) educational or governmental medical service, and
which is authorized by the State to provide initial educational programs, and authorized under applicable law or other acceptable authority to provide the post-secondary program, which awards a minimum of a diploma/certificate at the completion of the program.
5. A branch of the United States Armed Forces or other Federal agency, which awards a minimum of
a certificate/diploma at the completion of the program. For a distance education program, the location of program is the mailing address of the sponsor.
Interpretation of Standard:
A sponsoring institution must be at least one of the following, and must either award credit for the program or have an articulation agreement with an accredited post-secondary institution: 1. This is a college, university, community college, junior college that is accredited by a regional or national
institutional accrediting body. Vocational schools, proprietary schools, and religious schools may be accredited by regional accrediting agencies or specialized institutional accrediting bodies. A list of approved accrediting organizations can be found on the US Department of Education web site.
If academic credits are not granted during the program offered in the accredited academic institution (e.g., the program is offered through continuing education), there must be an articulation agreement for those who complete the program.
For each state in which the program has enrolled students, the program must document that it has successfully notified the State EMS office that the program has students in that state.
STANDARD I. SPONSORSHIP
DocumentstoSupportthe2015CAAHEPStandardsandGuidelines
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I.A.4.Sponsorship
III.A.2.Resources:TypeandAmount
III.C.1.Curriculum(Sequencing)
III.C.2.Curriculum(Minimums)
IV.A.2.StudentDocumentaEon(Tracking)
V.B.LawfulPracEces–otherStates
III.B.1.a.6)ProgramDirector:PreceptorTraining
III.B.2.a.MedicalDirectorResponsibiliEes
III.B.3.AssociateMedicalDirector
III.B.4.AssistantMedicalDirector
III.B.6.LeadInstructor
KeyChangesto2015Standards
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FireAcademyorEMStrainingagency
Mustbeanagencyoffederal,state,cityorcountygovernment
MustbeauthorizedbytheStatetoprovideiniEaleducaEonprograms
MusthaveanarEculaEonagreementwitheducaEonalinsEtuEonthatcanprovidecollegecredit
ORmustberecognizedbythestateasapostsecondaryeducaEonalinsEtuEon
I.A.4.Sponsorship
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Mustensureexposureto,andassessmentandmanagementof:
• Adulttraumaandmedicalemergencies
• AirwaymanagementtoincludeendotrachealintubaEon
• ObstetricstoincludeobstetricpaEentswithdeliveryandneonatalassessmentandcare
• Pediatrictraumaandmedicalemergenciesincludingassessmentandmanagement
• Geriatrictraumaandmedicalemergencies
III.A.2.Resources–Type&Amount
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ProgrammustsetandrequireminimumnumbersofpaEentcontacts
Minimumsmustbereviewed&approvedbythemedicaldirector,andreviewedandendorsedbyadvisorycommiiee(&documented)
TrackingmustdemonstratethateachstudentmeetsALLoftheminimumrequirednumbersofpaEentcontacts(inordertocompletetheprogram)
PeriodicevaluaEonthatminimumsareadequate“toprepareacompetententry-levelparamedics…”(rememberStandardII.C)
LivepaEentencountersmustoccur;simulaEonscanbeintegratedtohelpachievecompetency(notforfieldinternship-teamleads)
III.A.2.Resources–Type&Amount
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moreexplicit
Thetraining/orientaEonmustincludethefollowingtopics:
• PurposesofthestudentrotaEon(minimumcompetencies,skills,andbehaviors)
• EvaluaEontoolsusedbytheprogram
• CriteriaofevaluaEonforgradingstudents
• ContactinformaEonfortheprogram
• Program’sdefiniEonofTeamLead
• Program’srequiredminimumnumberofTeamLeads
• Coachingandmentorshiptechniques
III.B.1.a.6)PreceptorTrainingProgramDirectorResponsibiliEes
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MustdocumentfulfillmentofeachresponsibilityspecifiedinStandardIII.B.2.a(thereare8responsibiliEes)
Medicaloversightisprimaryrole
Mustinteractwithstudents
Doesnothavetodolecturesorlabs,etc.
Terminalcompetencysignoffmustoccurforeachgraduate
Mustreviewexams,curriculum,qualityofinstrucEon,studentprogress
MustreviewandapproveprogramminimumrequirednumbersofpaEentcontacts
III.B.2.a.MedicalDirectorResponsibiliEes
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“WhentheprogramMedicalDirectordelegatesspecifiedresponsibiliEes,theprogrammustdesignateoneormoreAssociateMedicalDirectors.TheAssociateMedicalDirectormust:1)FulfillresponsibiliEesasdelegatedbytheprogramMedicalDirector”
III.B.3.AssociateMedicalDirector(delegated)
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“WhentheprogramMedicalDirectororAssociateMedicalDirectorcannotlegallyprovidesupervisionforout-of-statelocaEon(s)oftheeducaEonalacEviEesoftheprogram,thesponsormustappointanAssistantMedicalDirector.TheAssistantMedicalDirectormust:1)MedicalsupervisionandoversightofstudentsparEcipaEnginfieldexperienceand/orfieldinternship.”
III.B.4.AssistantMedicalDirector(out-of-state)
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“a.ResponsibiliEesWhentheProgramDirectordelegatesspecifiedresponsibiliJestoaleadinstructor,thatindividualmust:
PerformduEesassignedunderthedirecEonanddelegaEonoftheprogramdirector.
b.QualificaEonsTheLeadInstructormustpossess1)aminimumofanassociatedegree2)professionalhealthcarecredenEal(s)3)experienceinemergencymedicine/prehospitalcare,4)knowledgeofinstrucEonalmethods,and5)teachingexperiencetodelivercontent,skillsinstrucEon,andremediaEon.”
III.B.6.LeadInstructor
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“ProgressionoflearningmustbedidacEc/laboratoryintegratedwithorfollowedbyclinical/fieldexperiencefollowedbythecapstonefieldinternship,whichmustoccuraKerallcoredidacJc,laboratory,andclinicalexperience.”
CorecoursesarethedidacEc,laboratory,clinical,andfieldexperiencecoursesthatimparttheparamediccompetenciestoassessandmanageanypaEenttype.
InternshipmustoccuraqercompleEonofallcoredidacEc,laboratory,andclinicalexperience.
CertainlyintegraEonisokay!
III.C.1.Curriculum-Sequencing
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“TheprogrammustsetandrequireminimumnumbersofpaEent/skillcontactsforeachoftherequiredpaEentsandcondiEonslistedintheseStandards,andatleastannuallyevaluateanddocumentthattheestablishedprogramminimumsareadequatetoachieveentry-levelcompetency.”
AdvisoryCommiNeereviewsandendorsesprogramrequiredminimumnumbersofpaEentcontacts,includingTeamLeads(SSR-AppendixG)
MedicalDirectorreviewsandapproves
III.C.2.Curriculum–PaEentMinimums
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“a.RecordsofstudentevaluaEonsmustbemaintainedinsufficientdetailtodocumentlearningprogressandachievements,includingallprogramrequiredminimumcompetenciesinalllearningdomainsinthedidacEc,laboratory,clinicalandfieldexperience/internshipphasesoftheprogram.b.TheprogrammusttrackanddocumentthateachstudentsuccessfullymeetseachoftheprogramestablishedminimumpaJent/skillrequirementsfortheappropriateexitpointaccordingtopaJentage-range,chiefcomplaint,andintervenJons.”
IV.A.2.StudentDocumentaEon
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“AprogramconducEngeducaEonalacEviEesinotherState(s)mustprovidedocumentaEontoCoAEMSPthattheprogramhassuccessfullyinformedthestateOfficeofEMSthattheprogramhasenrolledstudentsinthatstate.”
V.B.LawfulPracEces
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SelfStudyReport
ExecuEveAnalysis
SiteVisitReport
NewStandards=NewDocuments
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HousekeepingItems
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PerDiems
• MealsandIncidentals
ExpenseReports
• Mileage
• Parking
• Lodging
TeamCaptains
• Reachouttoteammember&programdirectorASAP
• Look@program’swebsite
• AddiEonallocaEons?
Reminders
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OncetherehasbeenafinaldeterminaEonofthefindingsleier,
thesiteteammembersandanyothersitevisitparEcipantswho
receivedmaterialsfromtheCoAEMSP,shalldestroyall
materialsandcommunicaJonsrelatedtothatsitevisit,such
as:alldocumentsreceivedpriortovisit,anyemailspertaining
tothevisit,theunofficialandofficialteamreports,andnotes
takenduringvisit.DestrucEonofmaterialsrequiresdeleEngall
electronicfilesandshreddingofanypaperdocumentsreceived.
DestrucEonofMaterialspolicy
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MAGIC:theAccreditaEonManagementSystem
WhatisComing?
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JenniferAndersonWarwickjennifer@coaemsp.orgGordyKokxgordy@coaemsp.orgGeorgeHatch,Jrgeorge@coaemsp.org
QuesEons?
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