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Advisory council assigns leads to volunteer EMS protocols, community paramedicine and non-emergency transport
Summary
Members tasked subgroups to draft volunteer refusal protocols, promote community response teams and study Community Paramedicine/MIH and alternative transport partnerships (including conditional interest from 10-15 Transit); planned outreach to peer counties and a site visit to Kirksville, Missouri.
During the June 9 meeting the Wapello County Emergency Medical Advisory Council assigned drafting responsibilities for sections on volunteer EMS/fire assists, community response teams, community paramedicine/mobile integrated health (MIH), high-volume location interventions and alternative/non-emergency transport.
Loren M., Athena S., David C., and Tim R. were assigned to the volunteer EMS and fire department assists section; members raised questions about whether refusals are a training or procedural gap and which personnel are authorized to accept patient refusals. The council did not resolve authorization questions at this meeting and left protocol drafting to the assigned subgroup.
Athena S. and Bryan Z. will draft the Community Response and Assist Teams section, considering whether a United First Aid Team model (requiring somewhat more training) or CERT-style teams better fit local interest and funding. The group planned outreach to William at Van Buren County to learn from that county’s implementation experience.
Cindy H. and Bryan Z. will draft Alternative and Non-Emergency Transport options; Jay from 10‑15 Transit said he would consider providing nighttime service if call-volume analysis shows sufficient demand and staffing viability. Tim R., David C., and Amanda H. will develop Community Paramedicine/MIH content and requested data to estimate how many calls MIH could avoid; members discussed contacting the Des Moines Fire Department for peer program information and planned a site visit to Kirksville, Missouri to consult Adair County services.
David C. and TJ M. will draft interventions for high-volume locations such as a high-rise apartment complex and noted OFD is already working on resident education sessions. Public Education and Access Guidance will be compiled last after the topic sections are drafted.
No policy was adopted; work assignments, peer outreach and further data collection were the primary outcomes.
