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National Ski Patrol. EMS Regulation and Medical Quality Assurance. MSAA Summer Conference August 5-8, 2012. EMS Regulation Update. Between 2009-2011, EMS sought to regulate patrollers and ski patrol operations in four states: Wash., Idaho, Pa., and Calif.).

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national ski patrol

National Ski Patrol

EMS Regulation

and Medical Quality Assurance

MSAA Summer Conference

August 5-8, 2012

ems regulation update
EMS Regulation Update
  • Between 2009-2011, EMS sought to regulate patrollers and ski patrol operations in four states: Wash., Idaho, Pa., and Calif.).
  • EMS primary concerns are OEC Scope of Practice and Medical Quality Assurance (physician oversight).
  • Regulation would include state registration of OEC technicians, EMS fees, background checks, EMS medical director oversight, EMS reporting format, and EMS inspection of facilities and equipment.
  • State regulation would impede portability of OEC credential across state lines.
  • To date, Washington, Idaho and Pennsylvania have withdrawn this regulation, and California is still pending.
addressing ems looking forward
Addressing EMS: Looking Forward
  • Continue to deliver high-quality OEC courses and refreshers.
  • Consider model state EMS OEC legislation solution (possible model: pending CAL-EMSA legislation).
  • Be prepared to address state EMS regulation efforts as they pop up.
  • Educate and improve relations with EMS services at local and national level.
addressing medical quality assurance looking forward
Addressing Medical Quality Assurance:Looking Forward
  • Adopt an industry-wide, medical-quality best practices program (NSP, NSAA, ASDA, insurance carriers).
  • Educate ski area patrols regarding medical-quality best practices (NSAA 2012 Fall Workshop program).
ski patrol medical adviser qualifications
Ski Patrol Medical Adviser Qualifications
  • M.D./D.O.
  • Preferred: emergency room M.D. with linkage to local hospital or trauma center.
  • When M.D. not available, an NSP medical affiliate or patroller with advanced medical training, such as nurse or paramedic.
ski patrol medical adviser duties
Ski Patrol Medical Adviser Duties
  • Provide linkage to local hospital or trauma center.
  • Review reports and periodically provide feedback to patrollers on types of injury treatment.
  • Serve as an adviser on medical matters to mountain management and patrol director.
  • Advise patrol on new medical equipment and techniques.
  • Serves as adjunct instructor during OEC basic and refresher programs.
medical professional coverage
Medical Professional Coverage
  • Most ski area insurance carriers provide coverage for medical professionals up to the level of their training for their “immediate care” of the injured skier.
  • Personal Medical Malpractice Insurance.
  • Good Samaritan Statutes.
medical quality best practices sample program
Medical-Quality Best Practices Sample Program
  • Each patrol has a medical review person and/or team made up of available personnel (ER Doctor, PA, Nurse, Paramedic, EMT, OEC).
  • Medical assessment and treatment information is captured at time of incident (standard NSAA/NSP medical report form).
  • Medical review person or team conducts routine review of the report forms and uses that information to provide continuing education to patrollers throughout the season.
  • Serious injury or illness incidents are reported to medical review person or team for review to include: medical information contained in the incident report forms, contact local EMS agency, contact destination health care facility, use this information to provide feedback to attending patrollers.