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November 2017

 Friday, Nov 17 
President Trump signs Protecting Patient Access to Emergency Medication Act into law
President Donald Trump has signed the Protecting Patient Access to Emergency Medications Act of 2016, H.R. 4365, into law.
 Friday, Nov 17 
Carter County dismissed 911 director (Ashland Daily Independent)
The Carter County Fiscal Court met in special session Thursday afternoon to discuss various personnel issues and, after a nearly two-hour executive session, moved to terminate the E-911 director effective immediately.
 Thursday, Nov 16 
Butler County discussing expected dispatch funding shortfall (Bowling Green Daily News)
With an anticipated $30,000 shortfall looming for Butler County’s 911 dispatch, Butler County Fiscal Court and Butler County Emergency Services’ board of directors are looking to raise more money for the service’s operating budget.
 Wednesday, Nov 15 
Trying to overcome trauma? You might be going about it the wrong way (PsychCentral)
Talking about trauma might not be the best way to go about overcoming it.
 Wednesday, Nov 15 
Fatigue, scheduling are critical EMS challenges (EMS1)
EMS Trend Report 2017 findings highlight the importance of fatigue management as a safety issue for both caregivers and patients.
 Wednesday, Nov 15 
Fall edition of The Provider (KAPA)
The Fall edition of The Provider, the Kentucky Ambulance Providers Association's quarterly newsletter.
 Tuesday, Nov 14 
Bevin administration asks for re-do on report that was critical of pension reform (Louisville Courier Journal)
The Bevin administration, which on Monday refused to release one consultant's report on his pension reform bill, asked on Tuesday that a different report released last week that was critical of the bill be revised.
 Tuesday, Nov 14 
Louisville Police investigating after 5 people shot in 1 day (WDRB)
One person is dead and four others are hospitalized after four separate shootings in Louisville on Monday.
 Tuesday, Nov 14 
Why a consistent identity matters for EMS (EMS1)
It's time for EMS providers to adopt the label by which the public already knows us: paramedics.
 Tuesday, Nov 14 
Kentucky pension crisis: Debts on plans for state and local workers jump $5 billion (Louisville Courier Journal)
Debts of the retirement system for state and local government workers jumped by more than $5 billion for the fiscal year that ended June 30.
 Monday, Nov 13 
Report on pension reform bill's impact on government workers withheld (Louisville Courier Journal)
The actuarial report on the impact of proposed pension reform bill was not released Monday.
 Monday, Nov 13 
Study suggests women less likely to get CPR from bystanders (EMS1)
Only 39 percent of women suffering cardiac arrest in a public place were given CPR versus 45 percent of men.
 Monday, Nov 13 
NY hospitals testing 'ambient' ambulance sirens (EMS1)
The hospitals are trying the two-toned, European sirens in an attempt to alleviate noise complaints.
 Sunday, Nov 12 
How 4 community paramedicine programs are positively impacting health care (EMS1)
If you've seen one community paramedicine program, then you've seen one program; here's how successes from four different programs can be translated to new ones.
 Thursday, Nov 9 
Insurer makes patients question ER visit (EMS1)
In an effort to curb unnecessary and costly ER visits, the Blue Cross-Blue Shield insurer has told customers to go to the hospital only in a real emergency.
 Thursday, Nov 9 
Overdose calls soar at Louisville firehouses (WDRB)
Louisville and suburban Jefferson County fire departments already have made more overdose runs so far this year –- 2,018 -- than the 1,500 from all of 2016 data shows. As a result, there will be at least a 35 percent increase in those types of calls this year.
 Wednesday, Nov 8 
Paducah claims big shortfall in reimbursements from 911 fees (Paducah Sun)
Paducah city officials are attempting to recoup more than $120,000 in 911 landline fees they believe telephone providers are billing their customers within the city limits and not reimbursing the city.
 Tuesday, Nov 7 
Mixing business and billing: EMS documentation impact on billing and reimbursement (EMS1)
Ambulance services cannot afford to feed the billing department incomplete, inaccurate or misrepresented information.
 Monday, Nov 6 
Suspect damaged hospital oxygen tank, placed hundreds of lives at risk (WDRB)
Louisville Metro Police has arrested a man authorities say broke a relief valve on an oxygen tank at Jewish Hospital in downtown Louisville.
 Monday, Nov 6 
Handling underperforming employees in EMS (EMS1)
Implement a corrective plan which fixes underlying performance issues rather than repeating the cycle of disciplinary action.
 Saturday, Nov 4 
House sends EMS medication bill to President
The House of Representatives has passed by unanimous consent the Protecting Patient Access to Emergency Medicines Act.
 Saturday, Nov 4 
House Republicans still don't have the votes to pass the Kentucky pension reform bill (Louisville Courier Journal)
House Republican leaders continue to struggle to find sufficient votes to pass a pension reform bill.
 Friday, Nov 3 
PHI announces CAMTS accreditation award
PHI Air Medical of Kentucky today announced their award with the prestigious CAMTS accreditation by the Commission on Accreditation of Medical Transport Systems for four consecutive cycles over the past 12 years.
 Thursday, Nov 2 
What EMS providers need to know to protect themselves from fentanyl exposure (EMS1)
Event at EMS World covered steps to avoid accidental fentanyl exposure during scene size-up, patient care and investigation.
 Thursday, Nov 2 
Fentanyl safety recommendations for First Responders (The White House)
The White House released a fact sheet of recommendations for first responders to protect themselves from exposure to opioids.
 Wednesday, Nov 1 
Ephraim McDowell acquiring Haggin hospital (Advocate-Messenger)
Ephraim McDowell Health will be absorbing James B. Haggin Memorial Hospital in Harrodsburg into its “family of health care services” on Dec. 1.
 Wednesday, Nov 1 
Kentucky pension reform: Changes likely to Bevin's plan, GOP leaders predict (Louisville Courier Journal)
Many members of the House Republican majority have concerns about the proposed pension reform bill and some changes will be made, House Speaker Jeff Hoover said Tuesday.
 Wednesday, Nov 1 
Kentucky pension reform: Bill omits some police death benefits (Louisville Courier Journal)
"This was not the intent. The bill will be changed to clarify that police officers, firefighters and other first responders will continue to be eligible for line-of-duty death benefits going forward," Bevin spokeswoman Amanda Stamper said.

October 2017

 Tuesday, Oct 31 
HHS clarifies HIPAA rules in cases of overdose (Dept. of Health and Human Services)
HIPAA regulations allow health professionals to share health information with a patient’s loved ones in emergency or dangerous situations – but misunderstandings persist and create obstacles to family support that is crucial to the proper care and treatment of people experiencing a crisis situation, such as an opioid overdose.
 Monday, Oct 30 
Paramedic shortage not affecting Boyle yet, but may soon (The Advocate-Messenger)
When you call 911 for a medical emergency, you expect trained EMTs and paramedics to be dispatched to your aid. But what happens if there aren’t enough?
 Monday, Oct 30 
Judge strikes down new Kentucky law creating medical review panels (Louisville Courier Journal)
Dealing a major blow to efforts to curb supposedly frivolous malpractice claims, a judge has struck down a new Kentucky law creating medical review panels to screen such cases before they go to trial.
 Monday, Oct 30 
Elliott Co. EMS building damaged in overnight fire (WKYT)
The EMS building in Elliott County is significantly damaged following an overnight fire.
 Monday, Oct 30 
Naloxone reverses 93% of overdoses, but many recipients don't survive a year (CNN)
A review of EMS data shows that once saved from an overdose by EMS, a patient had about a 1 in 10 chance of not surviving a year. About 35% of those who were dead a year later died of an opioid overdose.
 Saturday, Oct 28 
Kentucky pension reform: Massive bill on pension reform is released (Louisville Courier Journal)
The pension reform bill was finally released to legislators late Friday, causing additional concerns to some critics of a framework for the bill released on Oct. 18 by Gov. Matt Bevin and top leaders of the General Assembly’s Republican majorities.
 Saturday, Oct 28 
About that 3 percent ‘pay cut’ in pension plan? Teachers, workers say they’re stumped. (Lexington Herald Leader)
Part of Gov. Bevin’s controversial proposal to reshape Kentucky’s public retirement systems would require school teachers and state and local government employees to pay an additional 3 percent of their salaries into their retiree health insurance funds.
 Friday, Oct 27 
Treating first responder mental health, addiction, PTSD and suicide (EMS1)
A new fire/EMS-specific treatment facility caters to specific job-related trauma while making first responders feel at home.
 Thursday, Oct 26 
President Trump declares opioids a public health emergency (WDRB)
In ringing terms, President Donald Trump on Thursday declared the opioid crisis a nationwide public health emergency - a step that won't bring new dollars to fight a scourge that kills nearly 100 Americans a day but will expand access to medical services in rural areas, among other changes.
 Thursday, Oct 26 
This Kentucky county failed to collect almost $2 million for ambulance runs (Lexington Herald Leader)
The Clay County government didn’t try to collect nearly $2 million in delinquent bills for ambulance runs over four years, according to an audit released Wednesday.
 Wednesday, Oct 25 
The opiate addiction backlash in EMS (EMS1)
From fentanyl, to heroin, to ketamine, to carfentanil: the drug epidemic didn’t start in the back of an ambulance.
 Wednesday, Oct 25 
Bevin fires back at critics of pension reform plan (Louisville Courier Journal)
Gov. Matt Bevin fired back Tuesday at critics of a GOP plan to revamp Kentucky’s chronically underfunded public pension systems, saying they have no alternatives and warning that doing nothing is a “path to insolvency.”
 Tuesday, Oct 24 
Standards for use of drones by public safety agencies released (EMS1)
The new standards will provide guidance on the tactical, legal and ethical use of unmanned aircraft systems.
 Monday, Oct 23 
Private vs. public ambulance services: What's the difference? (EMS1)
The discussion of private versus public ambulance services is often met with animosity; here's a no-fuss breakdown of the two.
 Monday, Oct 23 
KSP: Driver nearly struck first responders Sunday (Murray Ledger & Times)
A Mayfield man was arrested Sunday afternoon after police say he almost struck several first responders directing traffic at an injury collision.
 Monday, Oct 23 
Kentucky health officials announce new weekly flu report (U.S. News & World Reprot)
State health officials in Kentucky say there's a new way to keep track of flu outbreaks.
 Friday, Oct 20 
October Certificate of Need Newsletter (Cabinet for Health and Family Services)
The October edition of the Certificate of Need Newsletter.
 Thursday, Oct 19 
2018 Rural Healthcare Training Weekend announces call for presentations (Lincoln County EMS)
The 2018 Rural Healthcare Training Weekended is seeking calls for presentations.
 Thursday, Oct 19 
Bardstown pediatrician honored as 2017 KY Medical Director of the Year award (Nelson County Gazette)
Bardstown pediatrician Dr. Alan Smith was honored Monday night by the Kentucky Ambulance Providers Association as the 2017 Medical Director of the Year.
 Thursday, Oct 19 
7 things government workers and retirees need to know about Bevin’s pension plan (Lexington Herald Leader)
Here are seven highlights of the proposal that have a direct impact on current and retired state and local government employees who are enrolled in non-hazardous pension plans.
 Thursday, Oct 19 
Bevin’s plan: No pensions for most future workers. Costly changes for current workers (Lexington Herald Leader)
They don’t have a bill to share with the public yet, and there still isn’t a date for a special legislative session, but Republican Gov. Matt Bevin and GOP legislative leaders on Wednesday unveiled a summary of their proposed long-term solution for Kentucky’s public pension crisis.
 Thursday, Oct 19 
Father of man killed by Lexington firefighter files lawsuit alleging excessive force (Lexington Herald Leader)
A Lexington firefighter used excessive force in killing a man after he grabbed another officer’s gun during a search for explosive devices in Harlan County, a lawsuit charges.
 Wednesday, Oct 18 
It's good. It's horrible. Here's what people are saying about Bevin's pension reform (Louisville Courier Journal)
Not everyone is happy with the proposal, which has left retiree advocates questioning how much good it will really do.
 Wednesday, Oct 18 
Summary of Gov. Matt Bevin's pension reform plan
Kentucky Governor Matt Bevin released on Wednesday morning his long-awaited plan to fix Kentucky's pension crisis.
 Wednesday, Oct 18 
Kentucky pension crisis: Bevin plan would move workers to 401(k)-like plans (Louisville Courier Journal)
Both current and future workers in “hazardous duty” jobs would not go into the 401(k)-type plans. They would retain their current pension benefits instead.
 Wednesday, Oct 18 
FEMA releases refreshed National Incident Management System (EMS1)
NIMS provides nationwide guidelines on utilizing the community to manage emergencies.
 Wednesday, Oct 18 
Kentucky pension crisis: Bevin reform plan doesn't raise retirement ages, avoids clawbacks (Louisville Courier Journal)
After months of planning and closed-door negotiations, Gov. Matt Bevin and the leaders of the General Assembly’s Republican majorities on Wednesday released their plan to tackle Kentucky’s multi-billion dollar pension debt – a plan they say honors past promises to retirees and public employees.
 Wednesday, Oct 18 
How will Kentucky solve the pension crisis? Today we could finally find out (Louisville Courier Journal)
The long-awaited framework for reforming Kentucky’s beleaguered public pension plans will be released Wednesday morning.
 Tuesday, Oct 17 
Kentucky governor says pension announcement coming soon (WHAS)
Kentucky's governor says he is close to calling state lawmakers back into session so they can make changes to one of the country's worst-funded public pension systems.
 Tuesday, Oct 17 
Lawsuit: During struggle over gun, firefighter killed handcuffed prisoner 'execution style' (WDRB)
The lawsuit argues that, as a medic, he had a duty to render aid but instead stood at the scene for about 20 minutes and “did nothing.”
 Tuesday, Oct 17 
Funeral arrangements for Charlie Riggle
Riggle was an EMT for 33 years, teaching EMT/Fire classes across the state.
 Tuesday, Oct 17 
Report says Kentucky’s proposed pension ‘reforms’ could make everything worse (Lexington Herald Leader)
Sweeping changes recommended for Kentucky’s public pension systems would cost taxpayers and public employees more money while making public employment far less attractive to future generations, according to a report released Monday.
 Monday, Oct 16 
A football player broke his leg during a game. Why wasn’t an ambulance on site? (Lexington Herald Leader)
Fayette County schools officials said that KHSAA rules recommend, but do not require, an ambulance to be on site at every football game.
 Monday, Oct 16 
Fentanyl claims top spot for US overdose deaths (Newser)
Fentanyl, other synthetic opioids killed more than 21K people last year.
 Saturday, Oct 14 
Former EMT turned high school teacher helps boy having seizure (WLKY)
A former EMT turned high school teacher put his emergency training to use when a 10-year-old needed help.
 Saturday, Oct 14 
Digital radio system enhances city, county emergency communications (Bowling Green Daily News)
Warren County Emergency Management Director informed Warren County Fiscal Court magistrates this week that the new city-county digital radio system is fully operational, capping off a 10-year-long transition from analog to digital.
 Friday, Oct 13 
What will state pension changes look like? Retiree groups wait, worry (Lexington Herald Leader)
Kentucky’s pension crisis has left retirees concerned about proposed legislative changes. Kentucky Public Retirees and Kentucky Government Retirees have heard about potential changes that would include moving future and some current employees into a 401-K plan and capping pension benefits after 27 years.
 Friday, Oct 13 
Trump to issue stop-payment order on health care subsidies (WDRB)
The White House said the government cannot legally continue to pay the so-called cost-sharing subsidies because they lack a formal authorization by Congress.
 Thursday, Oct 12 
Doing more with less: 6 ways rural EMS makes providers better (EMS1)
Less resources makes stronger, more independent clinicians, able to think on the fly and find creative solutions to EMS challenges.
 Wednesday, Oct 11 
Advocates passed Tim's Law to help mentally ill people – now they say it's time to use it (Louisville Courier Journal)
Seven months after the General Assembly passed Senate Bill 91 — and had to override a controversial veto of the bill by Gov. Matt Bevin to save it — advocates say they think it's time to find ways to implement the law, which is not being used.
 Wednesday, Oct 11 
Kentucky pension reform plan is still under construction after three-hour meeting Tuesday (Louisville Courier Journal)
Members of the Kentucky House Republican majority discussed pension reform in closed caucus for three hours Tuesday but their leader said afterward that more work is needed before the framework for a reform bill will be released.
 Wednesday, Oct 11 
Paying for pensions with pot? (WHAS)
Powerful Kentucky GOP lawmaker pushes for marijuana legalization as an answer to the Commonwealth’s pension crisis.
 Tuesday, Oct 10 
Kentucky pension crisis: More public employees are retiring as Gov. Bevin works on reform (Louisville Courier Journal)
The number of public employees deciding to retire has surged in recent weeks as the governor and legislative leaders prepare to enact a pension reform plan this fall.
 Tuesday, Oct 10 
Funeral arrangements for Phil Coombs
Philip Wentworth Coombs, 71, of Louisville, KY, passed away Sunday, October 8, 2017. Coombs was retired from the City of Louisville where he helped start up Louisville EMS.
 Tuesday, Oct 10 
New Boyd EMS director takes reins (Daily Independent)
New Boyd Emergency Medical Services director Charles “Chuck” Cremeans said he will work to give his staff the tools it needs to save lives in an aging county with a staggering overdose rate.
 Monday, Oct 9 
Why states took so long to dispatch disaster aid to Puerto Rico (EMS1)
State officials say Puerto Rico was slow to ask for or accept assistance — a charge the commonwealth governor disputes.
 Monday, Oct 9 
This one fact explains why Kentucky’s pension system is broken (Lexington Herald Leader)
The number of retirees drawing a pension from the struggling Kentucky Employees Retirement System is greater than the number of active workers paying into it.
 Sunday, Oct 8 
Trump willing to pursue 'temporary deal' on health care (WDRB)
Looking to break the logjam in Washington on repealing and replacing ObamaCare, President Donald Trump said Saturday evening that he was willing to pursue “a temporary deal” to get a new health care plan in place.
 Thursday, Oct 5 
Should EMS providers be sent into active scenes? (EMS1)
EMS1 readers debate over whether or not EMS providers should be sent into a scene before it is neutralized to treat trauma victims.
 Thursday, Oct 5 
Local emergency services get grant funds (Glasgow Daily Times)
The City of Glasgow and Barren County Fiscal Court are among the announced recipients of Kentucky Office of Homeland Security grants, with a combined $47,500 for radio equipment, according to a press release from KOHS.
 Wednesday, Oct 4 
Officials say University Hospital prepared for mass shooting (WDRB)
Days after a mass shooting at a concert on the Las Vegas strip, officials at University Hospital in Louisville say they are prepared for a similar situation.
 Wednesday, Oct 4 
Gov. Bevin and Republican leaders could release early pension reform plan within days (Louisville Courier Journal)
Gov. Matt Bevin and leaders of the General Assembly's Republican majorities are likely to release the framework for pension reform legislation either later this week or next week, some legislative leaders said Monday.
 Monday, Oct 2 
Prepare for the worst: Four EMS takeaways from the Las Vegas shooting (EMS1)
It is paramount first responders learn what happened after the shooting began in the worst mass-shooting event in U.S. history.
 Monday, Oct 2 
Boyd EMS director honored for distinguished career (Ashland Daily Independent)
Tom Adams retired from his post as director of Boyd County EMS on Friday, nearly 38 years after his first day with the agency.
 Monday, Oct 2 
10 ways to make bad days better in EMS (EMS1)
Mix a little science with lots of trial and error to reframe a tough call or a challenging day.
 Monday, Oct 2 
Kentucky public workers rally for pension plan (WHAS)
Public workers, retirees and their families joined together Sunday afternoon in Louisville looking toward an uncertain future, rallying for their pension plans waving signs reading "A Kentucky Pension is a Kentucky Promise."
 Monday, Oct 2 
3 benefits of investing in powered patient transport equipment (EMS1)
Power cots and loading systems simplify lifts, help protect providers from injuries and provide greater stability for patients.
 Sunday, Oct 1 
Barren-Metcalfe County Ambulance Service to purchase two new ambulances (Glasgow Daily Times)
The Barren-Metcalfe County Ambulance Service is moving closer to having an up-to-date fleet.


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