To: Chancellor Leon Richardsoctober 13, 2015

To: Chancellor Leon RichardsOctober 13, 2015

Via:Vice-Chancellor Louise Pagotto

From:Dean Patricia O'Hagan

Re: EMS Department - Approval of MICT Curriculum

This memo is to provide the details of state statutes and administrative rulesthat must be followed in conjunction with the university curriculum approval process. These details are required for the appropriate functioning of the KCC-EMS programs.

The issue being addressed is the KCC-MICT Program Director's request for curriculum approval to increase the MICT program from 1427hours to 1835hours; however, the approval by DOHis required and should include all aspects of budgetary considerations.

The MICT curriculum is currently stated at 1427 hours in the course catalogue. This is an increase from 1215 minimum hours approved and stated under DCCA HAR Chapter 16. However, there is no documentation provided of DOH's required approval for this increase.

The misstep of not securing DOH approval priorto increasingcurriculum hours should not be replicated. The 1835 hour request hasnot moved forward through the curriculum process because of the requirement to receive DOH oversight and approval.

Additionally, what must be taken into consideration along with the DOH approval process, is assuring that the MICT program curriculum aligns with the CAAHEP National Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions. CAAHEP 2005 standards states the following for the MICT program:

Emergency Medical Technician-Paramedic

Accredited programs typically range from 1000-1300 clock hours, including the four integrated phases of education (didactic, laboratory, and clinical and field) to cover the stated curriculum. Further pre-requisites and/or co-requisites may be required to address competencies in basic health sciences (Anatomy and Physiology) and in basic academic skills (English and Mathematics) and together with the core content of the Emergency Medical Technician-Basic and Emergency Medical Technician-Paramedic curricula may lead to an academic degree.(

The 2005 CAAHEP standards identifies this range of hours but there are examples of programs exceeding these hours and therefore, the 2015 standards has removed the typical range of hours. However, the number of hours of the program requirecareful considerationwhich includes a submitted budgetto answer the fundamental question of how and whether the proposed increase of teaching hours is fiscally sustainable.

Furthermore, going forward, the establishment of the MICTcurriculum and competencies should be developed by the educational subject matter experts (KCC faculty)in collaborationwith county medical directors and theStateEmergency Medical Services & Injury Prevention System Branch (EMSIPSB)experts as stated in HAR chapter 11-72-10.

In closing, given that the EMSIPSB has a new Chief of EMS as of August 31/15, we can begin the discussion. Our first appointment is tomorrow October 14/15 at 3:30 pm

For your review I am providing you with the excerpts of relevantHawai‘i Statues (HRS) and Administrative Rules (HAR)covering the curriculum approval requirement:

1.HRS 321-229:Details the authority of the emergency medical services personnel, training programs.

Emergency medical services personnel, training programs. (a) The University of Hawaii shall provide training courses in basic, intermediate, and advanced life support for emergency medical services personnel.The curricula and syllabi of these courses shall be approved in advance by the department of health. The curricula and syllabi of courses for ambulance personnel shall be consistent with the scope and level of the practice of emergency medical services associated with emergency ambulance personnel certification defined by the Hawaii medical board under part II of chapter 453.

(b) The University of Hawaii, or other accredited community college, college, or university, or any professional organization that is approved by the department of health to provide emergency medical services training, shall consult with the department of health to determine the number and type of emergency medical services courses necessary to support the staffing requirements for emergency medical services. The basic life support and advanced life support training programs shall be relevant to and consistent with the training course required for certification under chapter 453.

(c)The department shall develop standards for emergency medical services course instructors and standards for emergency medical services training facilities for all basic life support personnel, advanced life support personnel, users of the automatic external defibrillator, and emergency medical dispatch personnel that shall be at least equivalent to or exceed the standards necessary to meet the requirements, pursuant to part II of chapter 453, for the certification of basic life support personnel and advanced life support personnel.

(d) The department of health may conduct annual inspections of the training facilities and evaluate the qualifications of course instructors to ensure that the standards and qualifications are consistent with the medical standards for basic life support personnel, advanced life support personnel, users of the automatic external defibrillators, and emergency medical dispatch personnel. [L 1978, c 148, pt of §1; am L 1980, c 285, §3; am L 1981, c 93, §5; am L 1984, c 168, §5; am L 1996, c 210, §2; am L 1999, c 212, §2; am L 2008, c 9, §3]. Cross References: Certification of emergency medical service personnel, see §§453-31 to 33.62

2.HRA 11-72-15 (E): Personnel and Training

D. State-funded courses used for training and retraining of the EMS personnel shall include:

State-approved CPR training, using at least the American Heart Association heart-saver course;
State-approved public safety first responder training using at least the United States Department of Transportation “Emergency Training Course” dated Hatch 1979;
State approved EMT training;
State approved MICT training; and
Any other state-approved BLS or ALS training.

E.The department of health shall approve all basic life support and advanced life support courses as required by the board of medical examiners.

This statement covers the proposed changes that DCCA will be making with the addition of the AEMT program and subsequent credit hour change that will be made to the Paramedic's curriculum and Basic's

F. There shall be annual refresher or continuing education sessions available for public safety first responder, EMT, and MICT emergency medical services personnel in each county.

3.HAR 11-72-10: Covers the role of EMS District Medical Directors.

There shall be a qualified physician as district EMS medical director in each county who shall be experienced in the conduct and delivery of prehospital emergency medical services in the State and who shall be responsible for the off-line medical management of the emergency medical services system in the county to include medicom communications review, medical-surgical case reviews of ambulance patient care report forms generated in the county, monthly base station meetings to review selected cases, counseling of ambulance personnel in the county, and recommendation of continuing education programs for the ambulance personnel in the county; participation in continuing education programs in the county.

5.HAR 85_7:Details theDCCA statement Medical Examiners regarding the current hours of the paramedic program (Basic course + Paramedic).

6.HAR 16-85-56 Courses of training.

(b) The EMT-Paramedic course of training shall be as follows:

(1) The course of training shall be based on, but not limited to, the national Emergency Medical Technician-Paramedic (EMT-P) curriculum of the United States department of transportation;

(2) The course shall include all knowledge and skills required at theEMT-Basic level in addition to the minimum theoretical knowledgenecessary to provide advanced life support skills in the delivery ofprehospital emergency medical services in the following subjects,for a minimum of four hundred hours:

(3) The course of clinical internship shall be for a minimum of eight hundred fifteen hours;

[Eff. 12/17/82, am and comp 7/27/87; am and comp 10/28/89; comp 8/25/90; am and comp 12/22/97] (Auth: HRS §453-33) (Imp: §§ 453-31, 453-32)