Re: Texas Health Professions Commission bill filed

[Guest guest]

> FYI, The Texas Health Professions Comission bill has been filed

>

> Texas Health Professions? Is someone missing? Just asking

>

I wouldn't get too worked up over this bill.

The purpose of this bill is to consolidate some overhead and administrative

functions and costs that could be shared among the fifty-million-little Boards

that currently oversee all other " health professions " .

We're not included at this point because we don't have a Board.

Under this bill, all the existing Boards keep on trucking doing what they do

now, except that this new Commission is responsible for operational budgeting,

administrative functions and other such stuff (section 113.051, page 3).

The analysis of the bill indicate savings of anywhere from half a million to

a few million $$ per year, if each Board isn't operating it's own

administrative overhead.

Trying to " jump on board " with this bill, to be covered by this Commission,

would not accomplish anything for us. This does not create or validate

" professional licensure " for any of the named entities...they already have that

designation in law, and already had/have their own Boards.

P.S. - I'm not smart enough to figure all this out. My wife is the Sr

Strategy Analyst for the Lt. Governor. I'm just passing along what she found

from

the " inside " legislative peeps.

, BS, LP

President

Central Texas Regional EMS

office

www.centraltexasems.com

Faculty, Temple College EMS Professions

Member, Air Medical Committee, GETAC

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[Guest guest]

,

Although I don't have an opinion there are a couple reason why I posted this

information, first of all we discussed it at every committee during GETAC

and secondly I want us to see what the government can do regardless of

stakeholder imput.(although I'm not sure it will become law) I'm not saying it

is

good or bad, just that they should look at it and read it for themselves.

Maxie

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[Guest guest]

FYI, The Texas Health Professions Comission bill has been filed

Texas Health Professions? Is someone missing? Just asking See HB 2939 if you

cant see this link.

http://www.legis.state.tx.us/BillLookup/Text.aspx?LegSess=80R & Bill=HB2939

________________________________________________________________________

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[Guest guest]

Not that I was looking forward to this, but ummmm I think we have been

validated as the bastard step children of healthcare for 2007! There is

specifically NO mention of EMS. So now what?

Mike

From: texasems-l [mailto:texasems-l ] On

Behalf Of maxifire@...

Sent: Thursday, March 08, 2007 6:31 PM

To: texasems-l

Subject: Re: Texas Health Professions Commission bill filed

FYI, The Texas Health Professions Comission bill has been filed

Texas Health Professions? Is someone missing? Just asking See HB 2939 if you

cant see this link.

http://www.legis.state.tx.us/BillLookup/Text.aspx?LegSess=80R

<http://www.legis.state.tx.us/BillLookup/Text.aspx?LegSess=80R & Bill=HB2939>

& Bill=HB2939

__________________________________________________________

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AOL at AOL.com.

[Guest guest]

,

Thank you for this clarification. Your information is very important for us

to understand our position in the universe of Texas Government, which is, not

even a tiny asteroid.

EMS still has NO VOICE in what happens to us, principally because we, as a

group, refuse to join an association that represents us.

We get what we deserve.

EMSAT is our association. If you don't belong to EMSAT, you're a part of

the problem.

Gene G.

>

>

>

>

> > FYI, The Texas Health Professions Comission bill has been filed

> >

> > Texas Health Professions? Is someone missing? Just askingÂ

> >

>

> I wouldn't get too worked up over this bill.

>

> The purpose of this bill is to consolidate some overhead and administrative

> functions and costs that could be shared among the fifty-million- functions

> and

> that currently oversee all other " health professions "

>

> We're not included at this point because we don't have a Board.

>

> Under this bill, all the existing Boards keep on trucking doing what they do

> now, except that this new Commission is responsible for operational

> budgeting,

> administrative functions and other such stuff (section 113.051, page 3).

>

> The analysis of the bill indicate savings of anywhere from half a million to

> a few million $$ per year, if each Board isn't operating it's own

> administrative overhead.

>

> Trying to " jump on board " with this bill, to be covered by this Commission,

> would not accomplish anything for us. This does not create or validate

> " professional licensure " for any of the named entities...they already have

> that

> designation in law, and already had/have their own Boards.

>

> P.S. - I'm not smart enough to figure all this out. My wife is the Sr

> Strategy Analyst for the Lt. Governor. I'm just passing along what she found

> from

> the " inside " legislative peeps.

>

>

>

> , BS, LP

> President

> Central Texas Regional EMS

> office

> www.centraltexasems www

> Faculty, Temple College EMS Professions

> Member, Air Medical Committee, GETAC

>

> ************ ******** ******** *******

> AOL now offers free email to everyone.

> Find out more about what's free from AOL at http://www.aol.http

>

>

[Guest guest]

Dudley is right.

Where are WE? We have no Commission of our own. Why is that? I leave

you to answer.

Do we want a Commission of our own, or are we content to float upon the waves

of the sea as defined by the legislature? Apparently we are content to

float upon the waves, without a stabilizing Commission of our own.

Until EMS develops a persona separate from fire services, we will never have

a Commission, nor will we ever get any respect. The fire services suck the

energy out of every attempt that non-fire based EMS people try to gain some

recognition.

Until we in EMS decide whether we're " public safety people " or " medical

people " we'll have this dichotomy of support for what we do.

I am on record as saying that fire service based EMS is bad. I don't like

it, I don't think it serves the public well in the long run, and I want it

destroyed. I want Third Service EMS, run by medical people rather than public

safety people. EMS ought to work with the public safety people at scenes, and

we value their skills, but it is what its name says: Emergency MEDICAL

Service. It's MEDICAL. Not rescue, not public safety, but MEDICAL. Rescue

should be separate. Public safety should be separate. EMS should be just

that: Emergency MEDICAL Service.

How many Trauma Physicians do you know who are also experts at vehicle

extrication? Few.

Vehicle Extrication is totally separate from EMS care. EMS care is not

nearly as sexy as vehicle extrication. It's not nearly as sexy as trauma care,

but the facts are that most EMS patients are medical. They have heart

problems, breathing problems, gut problems, and so forth. They're only

exciting

when they code, and after a few codes, those are not very exciting either.

What

is exciting is being able to figure out that the reason that your patient has

been throwing up for 3 days, whose urine is the color of coffee, and whose

scleras are yellow, has Hepatitis.

Not sexy. Of course it's not.

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Many of you will disagree. Let's hear your arguments.

Gene G.

>

> Wait just a minute....3 weeks ago there was widespread panic and anger on

> this very list serve because we were going to be " lumped " into this pot....

>

> Which is it...are we the bastard step children because we DIDN'T get

> included...or are we the bastard step children BECAUSE we were lumped in....

>

> Actually this leads to a much larger question...one that is argued on and

> off again on here and many other lists...are we healthcare or are we public

> safety...lumped into this (with all other healthcare) surely would have helped

> define this a little better for those who believe healthcare..

>

> Read through the bill VERY carefully... Read through the bill VERY

> carefully...<wbr>if you look closely you can see that those professions

without their

> own regulatory board can easily be slid into this later....much room

>

> Dudley

>

> Re: Texas Health Professions Commission bill filed

>

> FYI, The Texas Health Professions Comission bill has been filed

>

> Texas Health Professions? Is someone missing? Just asking See HB 2939 if you

> cant see this link.

>

> http://www.legis.http://wwhttp://www.leghttp://wwwhttp://www.

> <http://www.legis.http://wwhttp://www.leghttp://wwwhttp://www. & <wbr>Bill=H>

> & Bill=HB2939

>

> ____________ ________ ________ ________ ________ ________

> AOL now offers free email to everyone. Find out more about what's free from

> AOL at AOL.com.

>

>

[Guest guest]

Wait just a minute....3 weeks ago there was widespread panic and anger on this

very list serve because we were going to be " lumped " into this pot....

Which is it...are we the bastard step children because we DIDN'T get

included...or are we the bastard step children BECAUSE we were lumped in....

Actually this leads to a much larger question...one that is argued on and off

again on here and many other lists...are we healthcare or are we public

safety...lumped into this (with all other healthcare) surely would have helped

define this a little better for those who believe healthcare...

Read through the bill VERY carefully...if you look closely you can see that

those professions without their own regulatory board can easily be slid into

this later....much room left specifically for these reasons possibly.

Dudley

Re: Texas Health Professions Commission bill filed

FYI, The Texas Health Professions Comission bill has been filed

Texas Health Professions? Is someone missing? Just asking See HB 2939 if you

cant see this link.

http://www.legis.state.tx.us/BillLookup/Text.aspx?LegSess=80R

<http://www.legis.state.tx.us/BillLookup/Text.aspx?LegSess=80R & Bill=HB2939>

& Bill=HB2939

__________________________________________________________

AOL now offers free email to everyone. Find out more about what's free from

AOL at AOL.com.

[Guest guest]

Gene,

Since you are beating the drum for the creation of a commission, maybe you could

take a little time and explain to the readers how a commission differs, read

would be a better opportunity, for us then a Bureau or current form of

regulation. That might help make a better informed public regarding this debate.

Also regarding the classification of EMS, has anyone given thought to the fact

that maybe we are a better fit into the public health arena than anywhere else

we have been lumped? When you look at the roles that we, as a profession, have

played in the past few years, as well as the roles we will be asked to assume,

say in the event of a flu pandemic, I would suggest that maybe public health is

a better descriptor of what we are and what we do.....so having said that why

don't we begin to look for alliances and relationships within that arena? Just a

thought for discussion.

>>> 3/9/2007 2:55 AM >>>

Dudley is right.

Where are WE? We have no Commission of our own. Why is that? I leave

you to answer.

Do we want a Commission of our own, or are we content to float upon the waves

of the sea as defined by the legislature? Apparently we are content to

float upon the waves, without a stabilizing Commission of our own.

Until EMS develops a persona separate from fire services, we will never have

a Commission, nor will we ever get any respect. The fire services suck the

energy out of every attempt that non-fire based EMS people try to gain some

recognition.

Until we in EMS decide whether we're " public safety people " or " medical

people " we'll have this dichotomy of support for what we do.

I am on record as saying that fire service based EMS is bad. I don't like

it, I don't think it serves the public well in the long run, and I want it

destroyed. I want Third Service EMS, run by medical people rather than public

safety people. EMS ought to work with the public safety people at scenes, and

we value their skills, but it is what its name says: Emergency MEDICAL

Service. It's MEDICAL. Not rescue, not public safety, but MEDICAL. Rescue

should be separate. Public safety should be separate. EMS should be just

that: Emergency MEDICAL Service.

How many Trauma Physicians do you know who are also experts at vehicle

extrication? Few.

Vehicle Extrication is totally separate from EMS care. EMS care is not

nearly as sexy as vehicle extrication. It's not nearly as sexy as trauma care,

but the facts are that most EMS patients are medical. They have heart

problems, breathing problems, gut problems, and so forth. They're only

exciting

when they code, and after a few codes, those are not very exciting either.

What

is exciting is being able to figure out that the reason that your patient has

been throwing up for 3 days, whose urine is the color of coffee, and whose

scleras are yellow, has Hepatitis.

Not sexy. Of course it's not.

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Many of you will disagree. Let's hear your arguments.

Gene G.

>

> Wait just a minute....3 weeks ago there was widespread panic and anger on

> this very list serve because we were going to be " lumped " into this pot....

>

> Which is it...are we the bastard step children because we DIDN'T get

> included...or are we the bastard step children BECAUSE we were lumped in....

>

> Actually this leads to a much larger question...one that is argued on and

> off again on here and many other lists...are we healthcare or are we public

> safety...lumped into this (with all other healthcare) surely would have helped

> define this a little better for those who believe healthcare..

>

> Read through the bill VERY carefully... Read through the bill VERY

> carefully...<wbr>if you look closely you can see that those professions

without their

> own regulatory board can easily be slid into this later....much room

>

> Dudley

>

> Re: Texas Health Professions Commission bill filed

>

> FYI, The Texas Health Professions Comission bill has been filed

>

> Texas Health Professions? Is someone missing? Just asking See HB 2939 if you

> cant see this link.

>

> http://www.legis.http://wwhttp://www.leghttp://wwwhttp://www.

> <<A

href= " http://www.legis.http://wwhttp://www.leghttp://wwwhttp://www. & amp;http://w\

ww.legis.http://wwhttp://www.leghttp://wwwhttp://www. & <WBR>Bill=H>

> & Bill=HB2939

>

> ____________ ________ ________ ________ ________ ________

> AOL now offers free email to everyone. Find out more about what's free from

> AOL at AOL.com.

>

>

[Guest guest]

Just like what Wes did with the other bill, each of us need to contact

the writer of the Bill and ask questions. If we wait on someone else

to work for us it will never happen. My $0.02.

R.

>

> Not that I was looking forward to this, but ummmm I think we have

been

> validated as the bastard step children of healthcare for 2007!

There is

> specifically NO mention of EMS. So now what?

>

>

>

> Mike

[Guest guest]

In a message dated 3/9/2007 2:56:32 A.M. Central Standard Time,

wegandy1938@... writes:

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Gene with all the respect that I have for you (and it is a HUGE amount both

personally and professionally) I respectfully disagree that this is the first

reason we have our " issues " I feel that before one can argue this point one

must have a solid front as EMS regardless of the model that the local

government chooses to set up their EMS under. I feel that the model issue is a

local

issue and if one system chooses to be fire based (say Houston) and another

Public Health based (say Beaumont) , and yet another Third Service Municipal

(say Austin) that's just that a local call based on local needs and desires.

The real crux of the problem to me is that if I got to Austin as a Member of

the BoD of the EMS Association for the State of Texas I have all of 300 names

behind me when I sit in front of any given legislator, as you know that is

less than 1% of the Providers in this state if I had 10% or roughly 5,000 I'd

have every man and woman elected to a state office in Texas likely wanting to

take me to lunch to hear my (our) concerns and issues.

Fix that and some of the other stuff may well line up pretty easy (easier).

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

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[Guest guest]

In a message dated 3/9/2007 2:09:00 A.M. Central Standard Time,

wegandy1938@... writes:

EMS still has NO VOICE in what happens to us, principally because we, as a

group, refuse to join an association that represents us.

We get what we deserve.

EMSAT is our association. If you don't belong to EMSAT, you're a part of

the problem.

On this we agree 100%.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

http://www.aol.com.

[Guest guest]

In a message dated 3/8/2007 11:48:46 P.M. Central Standard Time,

THEDUDMAN@... writes:

Read through the bill VERY carefully...if you look closely you can see that

those professions without their own regulatory board can easily be slid into

this later....much room left specifically for these reasons possibly.

Open ended bills like this scare me for this reason. Once it or something

like it passes it opens a door that might well not be able to be closed or

maybe it closes a door such as one that would lead to a separate Commission for

EMS.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

http://www.aol.com.

[Guest guest]

I agree that it is a local issue, but I persist in my thought that EMS needs

to be MEDICAL rather than RESCUE or PUBLIC SAFETY.

That said, of course, these are items that can be worked out AFTER we get

our Commission.

We need the Commission.

Gene

>

>

>

> In a message dated 3/9/2007 2:56:32 A.M. Central Standard Time,

> wegandy1938@wegandy writes:

>

> Until we in EMS decide that we're MEDICAL rather than public safety or a

> stepchild of fire service, we will never progress.

>

> Gene with all the respect that I have for you (and it is a HUGE amount both

> personally and professionally) I respectfully disagree that this is the

> first

> reason we have our " issues " I feel that before one can argue this point one

> must have a solid front as EMS regardless of the model that the local

> government chooses to set up their EMS under. I feel that the model issue is

> a local

> issue and if one system chooses to be fire based (say Houston) and another

> Public Health based (say Beaumont) , and yet another Third Service Municipal

> (say Austin) that's just that a local call based on local needs and desires.

>

> The real crux of the problem to me is that if I got to Austin as a Member of

> the BoD of the EMS Association for the State of Texas I have all of 300

> names

> behind me when I sit in front of any given legislator, as you know that is

> less than 1% of the Providers in this state if I had 10% or roughly 5,000

> I'd

> have every man and woman elected to a state office in Texas likely wanting

> to

> take me to lunch to hear my (our) concerns and issues.

>

> Fix that and some of the other stuff may well line up pretty easy (easier).

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/ FF/

> Freelance Consultant/Trainer/ Freelance Cons Freelance Consultant/Traine

> LNMolino@...

>

> (Cell Phone)

> (IFW/TFW/FSS Office)

> (IFW/TFW/FSS Fax)

>

> " A Texan with a Jersey Attitude "

>

> " Great minds discuss ideas; Average minds discuss events; Small minds

> discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

>

> The comments contained in this E-mail are the opinions of the author and the

> author alone. I in no way ever intend to speak for any person or

> organization that I am in any way whatsoever involved or associated with

> unless I

> specifically state that I am doing so. Further this E-mail is intended only

> for its

> stated recipient and may contain private and or confidential materials

> retransmission is strictly prohibited unless placed in the public domain by

> the

> original author.

> <BR><BR><BR><wbr>****<wbr>****<wbr>****<wbr>****<w<BR> AOL now offers free

> email to everyone. Find out more about what's free from AOL at

> http://www.aol.http

>

>

[Guest guest]

Dudley, that makes WAY too much sense, so of course it wouldn't work (exit

sarcasm). So are you saying that an Uber commission like the one proposed

would ONLY focus on the INDIVIDUAL License, while another agency such as

DSHS would focus on PROVIDERS?

From: texasems-l [mailto:texasems-l ] On

Behalf Of THEDUDMAN@...

Sent: Sunday, March 11, 2007 4:49 PM

To: texasems-l

Subject: Re: Texas Health Professions Commission bill filed

Here is a question on this front...is the problem that EVERYTHING about EMS

is regulated by a single agency...thereby, we get caught up in the minutiae

of " My Brand " vs. " Your Brand " instead of Paramedic and EMT issues...

RN's and MD/DO's are regulated by an agency that regulates their

licenses...no matter if they work in a NH, ED, ICU, Office, etc...with

several agencies regulating these places...but not the people who work in

them.

Would it be easier for us to agree on certification things...if that was

regulated separately from where/what it was we were doing with the

certification???

For example, back a few weeks on the Bill to make it a worse felony if you

assault an EMT/Paramedic while on duty...we started arguing about " Private

vs. Public, 911 vs. Non-emergency " as qualifying for this protection...so

even though the law applied to the certificant...we started arguing about

the validity of the brand under which those certificants work...would be

like a law saying attacking a physician while on-duty was a Super-Secret

Class Double YY felony...and the doctors start arguing about it having to be

in the ED, or ICU...but not in a physicians office, etc, etc....

Hopefully this is clear as mud...but would it make a difference?

Dudley

Re: Texas Health Professions Commission bill filed

In a message dated 3/9/2007 2:56:32 A.M. Central Standard Time,

wegandy1938@... <mailto:wegandy1938%40aol.com> writes:

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Gene with all the respect that I have for you (and it is a HUGE amount both

personally and professionally) I respectfully disagree that this is the

first

reason we have our " issues " I feel that before one can argue this point one

must have a solid front as EMS regardless of the model that the local

government chooses to set up their EMS under. I feel that the model issue is

a local

issue and if one system chooses to be fire based (say Houston) and another

Public Health based (say Beaumont) , and yet another Third Service Municipal

(say Austin) that's just that a local call based on local needs and desires.

The real crux of the problem to me is that if I got to Austin as a Member of

the BoD of the EMS Association for the State of Texas I have all of 300

names

behind me when I sit in front of any given legislator, as you know that is

less than 1% of the Providers in this state if I had 10% or roughly 5,000

I'd

have every man and woman elected to a state office in Texas likely wanting

to

take me to lunch to hear my (our) concerns and issues.

Fix that and some of the other stuff may well line up pretty easy (easier).

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@... <mailto:LNMolino%40aol.com>

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

http://www.aol.com.

[Guest guest]

No...not at all. Although it appears as though this Health Professions

Commission only deals with individual licenses...EMS is not included...

My question didn't necesarrily have to do with this Commission as much as

wondering if we, as an industry, could get better representation if we all just

concentrated on helping EMT's and Paramedics...and not continually get hung up

on where or how the EMT's and Paramedics work...much like other Health

Professions are done today...

Dudley

Re: Texas Health Professions Commission bill filed

In a message dated 3/9/2007 2:56:32 A.M. Central Standard Time,

wegandy1938@... <mailto:wegandy1938%40aol.com> writes:

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Gene with all the respect that I have for you (and it is a HUGE amount both

personally and professionally) I respectfully disagree that this is the

first

reason we have our " issues " I feel that before one can argue this point one

must have a solid front as EMS regardless of the model that the local

government chooses to set up their EMS under. I feel that the model issue is

a local

issue and if one system chooses to be fire based (say Houston) and another

Public Health based (say Beaumont) , and yet another Third Service Municipal

(say Austin) that's just that a local call based on local needs and desires.

The real crux of the problem to me is that if I got to Austin as a Member of

the BoD of the EMS Association for the State of Texas I have all of 300

names

behind me when I sit in front of any given legislator, as you know that is

less than 1% of the Providers in this state if I had 10% or roughly 5,000

I'd

have every man and woman elected to a state office in Texas likely wanting

to

take me to lunch to hear my (our) concerns and issues.

Fix that and some of the other stuff may well line up pretty easy (easier).

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@... <mailto:LNMolino%40aol.com>

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

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[Guest guest]

In a message dated 3/11/2007 11:04:13 P.M. Central Daylight Time,

THEDUDMAN@... writes:

My question didn't necesarrily have to do with this Commission as much as

wondering if we, as an industry, could get better representation if we all

just concentrated on helping EMT's and Paramedics...and not continually get

hung

up on where or how the EMT's and Paramedics work...much like other Health

Professions are done today...

My confusion on this is that if a person gets a certification from the TX

SDHS as a FR or any other level of this or that they are free to work to that

level under a medical director that allows them to practice at the level they

are trained. DSHS could care less if it's in an ambulance or at a field

hospital at a motto track so when you talk about certifications DSHS already has

this. Of course they do also regulate things like what is an ALS unit versus a

BLS unit in non personnel terms but how does this differ from what you are

asking?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

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[Guest guest]

I was under the impression that TDSHS does not regulate anything that does not

have to do with working on an ambulance. Is this not correct?

If it is correct then an agency such as what is being spoken about would not

be double regulatory but it would focus on the specific certification and

regulation of proper conduct for all EMS certified personnel. Is this the

correct conclusion?

Danny L.

Owner/NREMT-P

PETSAR INC.

(Panhandle Emergency Training Services And Response)

Office

Fax

[Guest guest]

Does EMSAT have any ties to IAFF? If not why, I`m not sure how the IAFF

deals with other political groups but thier website does say they support

Fire and EMS employees and they would defiantly be a good group to have on

your side despite any differences. We all seem to work for the same team

anyway and that is the public! Just curious

_____

From: texasems-l [mailto:texasems-l ] On

Behalf Of Tom LeNeveu

Sent: Monday, March 12, 2007 9:40 PM

To: texasems-l

Subject: Re: Texas Health Professions Commission bill filed

Just FYI,

Last night I spoke to six differnet Medstar and AMR medics. None had heard

of EMSAT. I spent a few minutes with each giving them the website, and info.

If my local people don't know. I don't think its known state wide.

I know advertising, and getting the word out has been discussed and cussed

many times. But its got to get out.

Tom LeNeveu

Paramedic

Fort Worth Texas

Re: Texas Health Professions Commission bill filed

It is the same problem when you ask anyone to join a group dedicated to

changing things. Most will sit and stare out the window in hopes that change

will happen automatically. Others will look around and wonder why they have

to get involved (let someone else stick their heads up to see if the coast

is clear), still others feel just fine where they are (no need to rock the

boat, just let it sail wherever).

I would think that most EMS personnel in Texas do not understand there is an

organization dedicated for the progression of our profession. I see little

and hear little of it. Until you are involved in it you do not understand

what EMSAT is about.

I can compare this to the professional organization CLEAT for Law

Enforcement (I believe this organization still exists). Many don't know it

is there so they do not understand how it can help.

I would also note that many in our profession see themselves as technicians

( I would guess much like a plumber) and are told that anyone can do the job

we do (even though we have a large diversity in our working environment) .

Much to the discourse of those voices and just as a side note " Not Everyone

can do the job we do. "

Not all do the job well, but still there are very few who even last past the

first traumatic event the profession can dish out.

Do I know the answer, sadly my answer would be NO. I have been involved with

recruiting personnel for organizations in the past and it is no easier today

than it was yesterday.

I do believe that a voice of larger than 300 is needed.

One last question: What would it hurt to join an organization dedicated to

the progression of what we do with compassion, interest, and agression?

Better pay?

Better understanding of what we do?

That is all that will be accomplished, A better anything. Better than

nothing?

lnmolino (AT) aol (DOT) com wrote:

In a message dated 3/9/2007 2:56:32 A.M. Central Standard Time,

wegandy1938@ aol.com writes:

Until we in EMS decide that we're MEDICAL rather than public safety or a

stepchild of fire service, we will never progress.

Gene with all the respect that I have for you (and it is a HUGE amount both

personally and professionally) I respectfully disagree that this is the

first

reason we have our " issues " I feel that before one can argue this point one

must have a solid front as EMS regardless of the model that the local

government chooses to set up their EMS under. I feel that the model issue is

a local

issue and if one system chooses to be fire based (say Houston) and another

Public Health based (say Beaumont) , and yet another Third Service Municipal

(say Austin) that's just that a local call based on local needs and desires.

The real crux of the problem to me is that if I got to Austin as a Member of

the BoD of the EMS Association for the State of Texas I have all of 300

names

behind me when I sit in front of any given legislator, as you know that is

less than 1% of the Providers in this state if I had 10% or roughly 5,000

I'd

have every man and woman elected to a state office in Texas likely wanting

to

take me to lunch to hear my (our) concerns and issues.

Fix that and some of the other stuff may well line up pretty easy (easier).

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/ EMSI

Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection Consultant

LNMolino (AT) aol (DOT) com

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

<BR><BR><BR> ********* ********* ********* ********* **<BR> AOL now offers

free

email to everyone. Find out more about what's free from AOL at

http://www.aol. com.

[Guest guest]

In a message dated 3/12/2007 10:42:10 P.M. Central Daylight Time,

aggiesrwe03@... writes:

Does EMSAT have any ties to IAFF? If not why, I`m not sure how the IAFF

deals with other political groups but their web site does say they support Fire

and EMS employees and they would defiantly be a good group to have on your

side despite any differences. We all seem to work for the same team anyway and

that is the public! Just curious

Depends on what you mean " ties " EMSAT allows anyone that meets its

membership guidelines to join, We've been having talks with some rather large

services

about expanding that to include " Squad " level memberships where it's

essentially a bulk rate to join based on some affiliation. I'd have no issue

with

anyone with an IAFF card or any other " union " joining EMSAT and in fact we have

many members (not sure how many) that are likely Union Members.

That said a Union and an Association are different animals and they are very

different in many ways for many reasons. Unions represent a given group of

folks for the purpose of collective bargaining in an employment situation EMSAT

would and should never go there it's not our place to be a bargaining unit

and in fact would likely violate the terms of our 501 © (6) (not 501 © (3)

status).

As for all working on the same team while I would love to say yes we do in

fact the reality of things is that some people and some organizations will

always have their " agendas " ' and at times those personal and organization based

agendas are not going to mesh well with others. Now if we could all agree to

play nice and the like that would be a great idea, weather we can pull that

off is another factor of reality.

I would welcome any IAFF participation in EMSAT as I would welcome any

participation that brings more Members to the EMSAT table period.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

Member of the board of directors of the EMS Association of Texas

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

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[Guest guest]

In a message dated 3/12/2007 9:40:38 P.M. Central Daylight Time,

emsleneveu@... writes:

I know advertising, and getting the word out has been discussed and cussed

many times. But its got to get out.

And the way you did it one on one face to face is the VERY best, not the

reach the masses very best but still if someone asks you who you see for teeth

cleaning are they not likely to be more likely to go see that person than a

stranger?

If you would like we can send brochures to anyone that wants them just

E-mail me off list at LNMolino and give me some time to get those in the mail.

I mean ANYONE.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

<BR><BR><BR>**************************************<BR> AOL now offers free

email to everyone. Find out more about what's free from AOL at

http://www.aol.com.