November 5, 2003          VAGEMSA ANNUAL MEETING MINUTES

August 8, 2003               VAGEMSA MEETING MINUTES

May 9, 2003                    VAGEMSA MEETING MINUTES

February 7, 2003           VAGEMSA MEETING MINUTES

February 8, 2002          VAGEMSA MEETING MINUTES

November 7, 2001         VAGEMSA ANNUAL MEETING MINUTES

ANNUAL MEETING MINUTES: November 08, 2007

Marriott Waterside, Norfolk

President Abernathy called the meeting to order at 1945 hours.

President Abernathy had everyone introduce him or herself.

A motion was made by George Brown and seconded by David Hoback to approve the minutes from the August 17th, meeting.  Hearing no objections, the motion was passed.

Treasurer’s Report – Linda Johnson   

• Current account balances are: checking - $2446.52; Savings - $3460.97
• Approval Motion made by Jennie Collins; seconded by Seth Mowles

 Lobbyist Report – Ed Rhodes 

• See written report provided by Mr. Rhodes.

 OEMS Report – Gary Brown: 

• EMS advisory Board meeting mandated reporting for suspected child abuse Office will write a position paper. Have many concerns and the paper was on the concept of the EMS reporting. They were for mandated reporting just has reservations about the penalty.
• Regional council report is done there will be changes and we are looking into what they will be. There will be a lot to come.
• State medical director is still in the process and there will be a part time role State employee position.
• OEMS in government is still up in the air and there is no real decision made. FLAP committee passed a motion to support OEMS to department status and place in the most appropriate secretariat that will support patient care. Draft legislation has been worked on but no definite yet.
• Regulations have been approved by governor will start NORA in January 2008.
• Board of health have approved the state EMS plan and NORA
• Commonwealth is going through budget reduction and has mandated plan for that will affect poison control centers.
• General fund to trauma center fund has been eliminated.
• DR Strubby has announced retirement by end of this year.
• Return to locality funds process will be changed. Shifting year internally from April to March and then will be distributed on April or May.
• Scope of practice will change the intermediate curricula but will not be a National Registry certification. It will be maintained as a certification within the commonwealth.  
• National EMS Officials Annual conference will be held in Virginia October 2010 and will be in Norfolk.

Rohn Brown

• Thanks to VAGEMSA with help on diversity in EMS hour long program can be a good addition to your EMSAT program 
• 4 hour long presentation for the recruitment and retention study (James City County) we will be sponsoring that presentation at Thursday May 15^th place to be announced.

Old Business:  

• Annual dues Raised from 50 to 75 for full members and 10 to 15 for associate members

Motion: Steve Simon

Second: Jennie Collins

Voted and Carried and will go into effect 2008.  

• Website: we will be looked for vendor to provide service for website. Will report back next meeting.
• OEMS move has been and will continue to have the opinion to stick with what makes the most sense and elevate it to the Department status.

President’s Report – Randy Abernathy

• Bill bullock sitting on interoperability committee.
• Executive board meeting will be meeting before every VAGEMSA meeting to address any pressing issue/s
• James City County has done a wonderful job with the ALS recruitment and retention pilot.
• Randy reappointed as chair of professional development committee.
• Mandatory child abuse reporting has been opposed by VAGEMSA do to the restrictions that have been placed on EMS providers in reference to the mandatory reporting. We will support them as long as we see the bill that will be proposed. There will be a bill that will mirror the elder abuse bill.

   1^st Vice President Report – Jennie Collins 

• According to by laws will have to do a financial report and everything is balanced and checked out OK.

New Business: 

• Don Barklage will be considered for Life membership with VAGEMSA. Will be voted on in February meeting. Jennie Collins, Linda Johnson

Committee Reports: 

1. Communications: no report

2. CISM: Linda Johnson – No Report

3. EMS Emergency Management: No report

4. FARC: Wayne Peer - plan to go to Rappahannock; plan ahead for your grants the dates are set and they have been having some invalid grants do to lack of completion.  

5. FLAP: Jennie Collins - passed a motion to support OEMS to department status and place in the most appropriate secretariat that will support patient care. Draft legislation has been worked on but no definite yet.  

6. Professional Development: - No Report

7. Medevac: Randy Abernathy – No Report

8. Medical Direction: Advisory Board Member –  Probably will do away with intubation for basics and enhanced. That was pushed by state OMD’s 

9. Workforce Development: Dan Fermil – No Report

10.  Regulation & Policy: Jennie Collins -  No report

11.  Transportation: Craig Bryant – No Report

12. Trauma System Oversight & Management: Advisory Board Member – No report

13. Symposium: Bob Ryalls – looking at next years program and if you want to provide a topic or instructor for next years please let them know asap.

 Door prizes

Motion to Adjourn by David Palmer   Time: 21:25

The next meeting will be held February 08, 2008 at the Richmond Marriott West at 1030.

ANNUAL MEETING MINUTES: November 09, 2006

Marriott Waterside, Norfolk

President Hoback called the meeting to order at 1900 hours.

President Hoback had everyone introduce him or herself.

A motion was made by Randy Abernathy and seconded by Randy Abernathy to approve the minutes from the August 4th, meeting.  Hearing no objections, the motion was passed.

Treasurer’s Report – Jennie Collins   

• Current account balances are: checking - $ 1,694.82; savings - $4,953.16

 Lobbyist Report – Ed Rhodes

• See written report provided by Mr. Rhodes.

 OEMS Report – Gary Brown:

• Gary welcomed everyone to the 2006 EMS Symposium. 
• Ideas and proposals are being accepted for Symposium 2007.  Please forward those to Bob Ryalls. Currently, the Symposium is maxed out in regards to space for additional presentations.    
• Expect future enhancements to committee reports.  These reports should accurately reflect the structure of the EMS system. 
• Gary gave high remarks about VAGEMSA and its efforts to enhance the Virginias EMS system.
• There are new appointees to the EMS Advisory Board: Dave Barrick, Bruce Edwards, Poky Harris, and Anthony Wilson.  The State Fire Chiefs has submitted its names for their vacancy on the Advisory Board.  Katherine Hutchinson has submitted her resignation from the Advisory Board.
• The data collected through the PPCR reporting and trauma registry was compiled and a report was produced showing statewide EMS stats.
• An RFP is out to seek a review of the OEMS and Regional Council structure.
• There is a possibility that the part-time medical director will be changed to full-time. 
• Gary wanted everyone to know that even though EMS will see the full amount of the 4-for-life monies July 1^st, the VA State Police will still get 1.5 million from that funding.
• President Hoback asked about the status of the certification levels in the state.  Gary replied that VA will be keeping the current levels.

Mike Berg  

·         The service areas for the Field Representatives have been reconfigured.  OEMS is also asking for 2 more Field Representatives.

Old Business:

• Bill Bullock – An RFP has been initiated to assess and type communication equipment around the state.  There was $300,000 turned back in from a communications project in the Winchester/Rappahannock area.  This will be redistributed.  Oct 2^nd plain language initiative is done.  State Police has endorsed and DCJS is rewriting the training programs.  Bill is requesting a motion to support the plain language initiation.   Motion made and second.  Motion passed.  The next grant cycle will be 5 million dollars.  3 million will go to police and 2 million will go to homeland security.  Please view Interoperability website for release of grants.     

·         Don Barklage – Medical Oversight Committee – This committee is studying the medical director issue.   Don also asked, “Where is the money coming from to pay for the full time medical director”.  Gary, “There is money in the 4-for-life funds to help pay for this.     

• There is no information available on the location of OEMS within the government. 

New Business:

·         Erin Sutton gave a presentation on the Tidewater Region Cities Readiness Initiative.  Please refer to the presentation hand-out.     

·         Safe Haven Law - Craig Bryant:  An article appeared on Fredericksburg.com that outlined the Virginia Safe Haven Law.  Localities that have 24-hour stations should be aware that a child, up to 14 days old, can be left at that station without any repercussions.

·         President Hoback made a motion to accept Don Taylor as a Life Member for VAGEMSA.  Motion carried and will be brought before membership for a vote at the next meeting. 

·         The annual financial review of VAGEMSA’s financial records was complete and validated.  No problems found.

·         Door prizes of $100.00, $50.00, and $25.00 were approved for the Symposium Karaoke competition.

·         President Hoback welcomed Past President Dave Palmer.  Mr. Palmer is serving as an Executive Director of Marion County EMS Alliance in Florida and commented how well structured Virginia’s EMS system is.  Mr. Palmer explained that there is work being done on making criminal background checks easier for agencies.

·         Bill Bullock – IAFC is has a $600,000 contract to help VA develop an operations plan.  In 2007 VA will begin working on this plan.  Moneys will then be available to test the plan.     

Committee Reports: 

1. Communications: no report

2. CISM: Linda Johnson – CISM June Conference information is posted.

3. EMS Emergency Management: Mike Player – No report

4. FARC: no report        

5. Professional Development: Randy Abernathy – Competency based EMT training results have been very good.  More agencies and people have requested to part of the program.    

6. Medevac: Randy Abernathy – Medevac Regs are under Attorney General review and will be included in the NOIRA process for the Rules and Regs from OEMS.  A subcommittee is working on best practices for Virginia’s medevac industry.  There is discussion about establishing an Air Medevac Authority which would include a single dispatching source, but there is significant resistance to it.  

7. Medical Direction: Advisory Board Member – no report    

8. Workforce Development: Dan Fermil – On Oct 19^th this committee identified 4 priority projects.  One is developing criteria for agency accreditation.  Dan is soliciting names for this sub-committee. 

9.  Regulation & Policy: Jenny Collins – Draft Rules and Regs will be submitted to the Advisory Board for their endorsement and advancement to the NOIRA process.  Changes include revisions to the criminal enforcement section, specifically dealing with DUI convictions.  In the revisions, agencies will be required to have their own policies outlining driver training, record review, etc.  Additionally, agencies must require DMV record checks, upon affiliation, and on a biannual basis.  Lastly, epi-pens and O2 being personally carried by EMT’s was placed in past legislation and regulations outlining the requirements have been drafted and are included in this revision.    

10.  Transportation: Craig Bryant – Requests for ambulance grant funding were reviewed graded.   OEMS is still working on state ambulance contracts.  Singer still has the Type III.  Discussion is still pending on whether to re-bid the entire ambulance contract or bid out just the contract that is does not have a vendor.  

11.  Trauma System Oversight & Management: Advisory Board Member – No report

12. Symposium: Bob Ryalls – Welcome to the Symposium.  Ideas are being accepted for Symposium 2007.

Election of Officers

·            1^st Vice President – Jennie Collins nominated.  Unanimously accepted and confirmed by present membership.   

·          2^nd Vice President- Craig Bryant nominated.  Unanimously accepted and confirmed by present membership.

·         Treasurer – Linda Johnson nominated.  Unanimously accepted and confirmed by present membership.

·         Secretary – Seth Mowles nominated.  Unanimously accepted and confirmed by present membership.

Meeting adjourned at 2043  

The next meeting will be held February 09, 2007 at the Richmond Marriott West at 1000.

MEETING MINUTES: May 12, 2006

Hilton Gardens

President Hoback called the meeting to order at 1000 hours.

Minutes approval from the February 10 meeting had to be tabled.            

Secretary Report – Craig Bryant: 

• Everyone needs to update the directory.  Several emails keep coming back as undeliverable.

 Treasurer’s Report – Jennie Collins   

• Current account balances are: checking - $ 1,909.82; savings - $4,948.18

 Lobbyist Report – Ed Rhodes (summary)

 ·         Full Report is attached  

OEMS Report

• Gary Brown announced that the 2006 EMS symposium speaker would be Randolph Mantooh from the TV show, Emergency. 
• Gary Brown acknowledged that there are key issues that would be discussed during the Advisory Board meeting and encouraged everyone to stay for that meeting.
• OEMS is working on replacing the PCR reporting system.
• There are initiatives to study the structure of the EMS councils. Information will be available soon.  
• Gary invited everyone to the OEMS Open Forums that are scheduled through out the state.  The dates are listed on OEMS’ website. 
• Mike Berg – the OEMS Field Representative is Ms. Heatherfield.  There is still 1 field representative position open.  The application process just closed for that position.   

Old Business:

• Bill Bullock – National Institute of Justice is finalizing the interoperability grant process.  Please see the links on the State Interoperability web site.

·         Bill Bullock – the amount for Virginia in FY06 is around 7 million.  Requests must follow the state strategic plan and reflect the state price.  In addition, these grants favor taking a regional approach for interoperability and assisting smaller agencies in interoperability.

·         Bill Bullock – 06 NIMS requires the adoption of plain text communications.  This has been controversial because of possible safety concern for responders.  Bill is part of a committee that is looking at these concerns of which is trying to design universal signals to address this concern

·         Don Taylor – There was over a 1000 attendees at the Pandemic Planning Summit in Richmond.  There was a lot of interest from the fire – EMS attendees of which participated in breakout sessions to address concerns.  Interestingly, the 3 topics that were given to the fire – EMS group were never addressed.  The group felt other areas needed more attention.  There may be another meeting in June.       

·         Jennie Collins – the 4^th recruitment and retention tool kit is out for agency comment.  Craig Bryant and Jennie Collins have both participated in the development of this tool kit.

·         Randy Abernathy – The BLS accreditation process has been suspended.  The future of this process is unknown.

·         President Hoback – Don Barklage has been appointed as VAGEMSA’s representative on the Medical Oversite Committee. 

New Business:

• President Hoback – Two agencies are requesting VAGEMSA membership, Campbell County and Quantico Fire Department. A motion was made with a second followed by unanimous vote to accept the both agencies.

·         President Hoback – Randy Abernathy has been appointed as VAGEMSA’s representative on the Governor’s Advisory Board.  His passion and desire to see EMS advance is honorable

·         President Hoback – The contract for Ed Rhodes consulting was renewed for another year

·         Craig Bryant – The VDEM/VDFP stake holders summit was held on May 10, 2006 at the Virginia EOC.   There were 19 items that were openly discussed in a brainstorming type of facilitation.  Key items affecting EMS were mass sheltering, interstate mutual aid, defining OEMS role within State Government, and recruitment and retention.  No decisions were made on any of these topics.  However, a major concern is the lack of a definitive plan for mass evacuation of the Eastern seaboard in relation to the upcoming hurricane season.  Localities should stay abreast of this issue.            

·         President Hoback  – Discussion was brought forward to the membership about the location of the OEMS in the State Government.   The question was posed to the membership; where should OEMS be placed?  Is the location of OEMS meeting the mission, training, and response?   How should VAGEMSA approach this issue?

Discussion – Kent Weber suggested that VAGEMSA find out what efforts are being done on this issue and collaborate a response.  Gary Brown also suggested that the issue should be addressed through the Advisory Board.  Issues such as OEMS structure and how people are appointed.  Randy Abernathy, who was attending the Finance, Legislation, and Planning committee (FLAP) came in during the meeting and explained that the FLAP committee discussed this very issue and has plans to address this issue during the Advisory Board.  The FLAP committee also drafted a resolution requesting the Governor to solicit input from the Advisory Board on the location of the OEMS. 

Other Discussion – Don Taylor stated that VDH Dr. Kapowitz has made that statement that OEMS needs to be more involved in the Virginia Department of Health.  Randy also concurred with Don’s statement about what Dr. Kapowitz and the Commissioner of Health have implied.

·         Motion made by Kent Weber and second by Jennie Collins with a unanimous vote to support the FLAP recommendation and President Hoback would speak for VAGEMSA during the Advisory Board meeting in support of the Advisory Board having an active role in advising the Governor of the proper placement of the OEMS.  

·         President Hoback – A nomination committee needs to be formed.  The office of Second Vice President, Secretary, and Treasurer is up for nomination.  President Hoback is taking open for members to serve on this committee.   

Committee Reports: 

1. Communications: Advisory Board Member – 2 PSAP centers are up for accreditation, Chesapeake and Waynesborough.  This committee is also working on a resource list for PSAPs  

2. CISM: Advisory Board Member – No report

3. EMS Emergency Management: Karen Owens – MCI I & II are being updated to reflect NIMS.  This committee is also working on plans for EMS at special events      

4. FARC: none

5. Professional Development: Randy Abernathy – This committee is looking at how to better use resources on EMS education delivery. 

6. Medevac: Randy Abernathy – This committee is working on guidelines for operation of aircraft.  The best practices are still under review and will soon be going through the NOIRA process.  It includes dispatching med-evac, over flights, training, and working together.  Eventually this committee will be reorganized.      

7. Medical Direction: Advisory Board Member – no report

8. Public Information & Education: Bob Ryalls – no report

9.  Regulation & Policy: President Hoback – There is proposal to change the 5 year driving restriction for those who have been convicted of a DUI.  The proposed changes ask for DMV checks every 2 years and if a member or employee is convicted of a criminal act they must report that to the agency within 10 days.  In addition, legislation is being drafted to assist with national criminal searches of members and employees.   Jennie Collins – EVOC is changing to reflect Fire Programs curriculum.          

10. Transportation: Don Taylor – Craig Bryant appointed as VAGEMSA representative.

11. Trauma System Oversight & Management: Advisory Board Member – no report

12. Legislative (Fire programs): Dave Hoback – No report

13. Symposium: Bob Ryalls – Symposium 06 is being finalized.  May 15^th is the next meeting.

Open Discussion 

·         Bill Bullock made a motion for VAGEMSA support of the State Action Committee to form a plain text plan for NIMS.  Motion second by Randy Abernathy and passed by unanimous vote. 

Meeting adjourned at 1110 hours.

The next meeting will be on August 04, 2006, 1000 hours, at the Hilton Gardens.

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ANNUAL MEETING MINUTES: November 09, 2005

Norfolk, Waterside Marriott

President Hoback called the meeting to order at 1900 hours.

President Hoback had everyone introduce him or herself

A motion was made and second to approve the minutes from the August 2005 meeting.  Hearing no objections, the motion passed.          

Secretary Report – Craig Bryant:

• Everyone needs to update the directory.  Several emails keep coming back as undeliverable.

Treasurer’s Report – Jennie Collins 

• Current account balances are: checking - $ 1,834.82; savings - $4,942.44
•  

Lobbyist Report – Ed Rhodes (summary)

·         Full Report is attached  

OEMS Report – Gary Brown:

• Gary welcomed everyone to the symposium and offered the OEMS support to the VAGEMSA organization.      
• Progress is being made on the BLS specialist position; advertisement of position has occurred and applications are being accepted.
• An internal staffing plan has been developed and staff has discussed some reorganization of positions with OEMS.  The Commissioner’s Office has approved eight positions.  Stay tuned for any future information regarding any reorganization that may take place.    
• Due to the fact of a new Governor elect, there may be some changes in appointed positions.
• There is currently an RFP out in order secure a meeting place for the Advisory Board and Standing Committees.

OEMS – Scott Winston 

·         OEMS is meeting quarterly with DFP on training and operations issues.  Currently a memorandum of understanding to have a joint bookstore is being negotiated

·         Please review the OEMS web site on Initiative 2009 for information on changes about training and testing

·         The EMS workforce retention project will be working on the next book of which will focus on recruitment and retention of personnel of municipal and commercial services.  VAGEMSA is part of this project.

·         OEMS is contracting with Central Shenandoah EMS Council to develop a guide for EMS billing.  This will soon be available.  This guide will provide lessons learned, tips, and ideas for officials.

Old Business:

• Bill Bullock – National Institute of Justice is working on a grant process.  Please see the links on the State Interoperability web site.

·         Bill Bullock – There was 1.7 million dollars last year for interoperability, this amount is 2.1million for 05-06.  Requests must follow the state plan and reflect the state price. 

o        Discussion – Can we do a regional grant? Yes, amount is $75,000 per agency.  If you received money’s last year, does this exclude you from this year?  No, this does not exclude those agencies.

·         Bill Bullock – There needs to be an alternate for Bill on the Interoperability Committee.  If interested, please get this information to President Hoback.

• Don Taylor – Version 3.0 of the scope of practice is not officially out; however, this supposedly the final version.   This version is very similar to Version 2.  The Advanced Paramedic has been removed.  Two agencies spoke for the Scope of Practice: IAFF and AMR.  Regardless of outcome, Virginia is going to maintain the Intermediate level.       

• President Hoback - VAGEMSA hosting Shakers Forum on Thursday, Nov 10 and EMS Billing on Saturday Nov 12.

·         Karen Wagner from VAVRS updated VAGEMSA on the EMS Leadership Challenge.  This program is to address leadership issues from the JLARC study.  Currently there are numerous participants.   There is a roster of 25 field testers for this program of which works with competency skills of students.   Karen handed out brochures on this program.  

New Business:

·         President Hoback – VAGEMSA needs solid representation on committees.  When committees are formed, an email will go out to the membership.  A primary and secondary representative will be identified.

·         2006 symposium – Bob Ryalls will be the representative.  He is already taking requests for classes.  Please forward this information to Bob.

·         Bill Bullock – The IAFC has developed a mass mailer brochure on the Avian Bird Flu.  It will be sent to all agencies and constituents.  There is a concern about the lack of EMS representation in the State plan.  Agencies need to be aware of this and work on a plan for EMS.

·         Ron Early – The Firefighter Near Miss program began in August.  Please visit the website for information or if you want to submit information.

·         Gary Brown – The return to locality monies have gone up.  This is due to the increase in fees last year of which is not paid to the localities until a year later.  3.45 million dollars of the funds continue to go into the General Fund versus being returned to EMS system.

·         Bill Bullock – He has been appointed to a group with IAFC to study and recommend changes involving interstate/intrastate issues.  

·         Randy Abernathy – The Administrative Review Committee reviewed VAGEMSA’s financial records and reported there were no discrepancies found.

Committee Reports: 

1. Communications: Advisory Board Member – Gary Brown commented that the committee was working on PSAP accreditation with OEMS having some authority over PSAPs.  There is information on the OEMS website for PSAP accreditation. 

2. CISM: Advisory Board Member – No report

3. EMS Emergency Management: Mike Player – DMAT-working on legal issues and support.  Legislative changes are being looked at to offer support.  Steve Simon - What is the situation about how task forces can apply to career personnel, since they are not a volunteer with the State?  Gary Brown – commented OEMS was looking at this issue and exploring these concerns.      

4. FARC: Gary Brown commented that group is currently identifying initiatives for funding, emergency operations, and multi-agency initiatives.

5. Professional Development: Billy Altman - Met Oct. 12.  This committee is looking at EMT-B accreditation standards and BLS/ALS program curriculum.  NR looking at only having two tests NR-EMT or NR-Paramedic.  The Intermediate is slated to run through 2007.  Pearson education will administer this test.  Distance learning CE is still being explored.  This committee is looking at Cat 1 and Cat 2 CE to see if a broader delivery method is possible.  There are recommendations for EMSAT to go web based.  Last, there has been discussion on the EMT instructor and the lack of the training program.

6. Medevac: Randy Abernathy – This committee is working on guidelines for operation of aircraft.  There is a draft copy of the rules and regulations.  This 50-page draft will be presented at the Nov. 18^th Advisory Board meeting.  Medevac restructuring will involve other multiple agencies, not just air services.    

7. Medical Direction: Advisory Board Member – no report

8. Public Information & Education: Bob Ryalls – no report

9.  Regulation & Policy: Jennie Collins – Committee is being restructured to encourage a wider system of stakeholders’ representation.  The next meeting is scheduled to be on Nov. 17.  The medevac rules and regs will be on the agenda.  

10. Transportation: Don Taylor – This committee met on Monday, Nov. 07.  A meeting with Scott Winston and Karen Wagner took place to discuss how this committee can improve.  Issues at hand include a 7-month delay on Ford F-series chassis and whether or not EVOC is meeting the needs of today’s service.  In addition, this committee is looking at decreasing the needless supplies on ambulances.  There has been discussion about what to do with alternate transport vehicles.    

11. Trauma System Oversight & Management: Advisory Board Member – no report

12. Legislative (Fire programs): Dave Hoback – No report

13. Symposium: Bob Ryalls – Please see new business

Meeting adjourned at 2045 hours.

The next meeting will be on February 10, 2005, 1000 hours, at the Place at Innsbrook.

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MEETING MINUTES: August 05, 2005

The Place at Innsbrook

1^st Vice President Abernathy called the meeting to order at 1000 hours.

1^st Vice President Abernathy had everyone introduce him or herself

A motion was made and second to approve the minutes from the May 2005 meeting.  Hearing no objections, the motion passed.          

Secretary Report – Craig Bryant:

• Everyone needs to update the directory.  Several emails keep coming back as undeliverable.

Treasurer’s Report – 1^st Vice President Abernathy 

• Current account balances are: checking - $ 2,555.82; savings - $4,939.95

Lobbyist Report – Ed Rhodes

·         There is proposed legislation to make ambulance coverage mandatory in insurance policies that do not have it.  Insurance lobbyists are questioning who determines if a transport by ambulance is medically necessary.  Ed will keep us informed. 

OEMS Report – Gary Brown:

• Gary handed out symposium brochures to VAGEMSA members.  Registration will be on the OEMS website soon. 
• Today is the first meeting of the EMS Advisory Board with the three new positions and new appointees.  Orientation training is currently taking place.  Gary welcomed VAGEMSA members to get a copy of the EMS Advisory Board Member manual. 
• OEMS no longer responsible for non-emergent wheel chair, patient transportation.
• There may be changes to programs associated with the RSAF monies.  He will keep us informed.                   

New Business:

·         VAGEMSA members Jenny Collins-representing Northern VA EMS Council and Don Taylor representing State Fire Chiefs Association have been appointed to the Advisory Board.

·         Stake Holders meeting was last week on Wednesday.  Group toured the new EOC.  Concern was raised about emergency management and fire sharing the same desk.  There is a fusion center that will coordinate the dissemination of information, such as terrorist threats and security issues. 

o        The expected EOC completion date is December.  Construction is currently 6 months behind schedule.

o        Discussion-Hopefully this will cut down on the poor communications among the EOC.  For example, when you call, you get the same person and same information.

o        Discussion-Hopefully the expanded space will allow for better representation in the fusion center.   

·         WVEMS council’s associate membership was accepted and passed.   Motion made by Michael Player, second by Bill Bullock. 

·         Don’s term for serving as Chair of the Advisory Board has ended.  Thank you Don Barklage for the dedication and hard work.

·         Karen Wagner with VAVRS presented a Leadership and Management program that will focus on core competencies for being a leader volunteer and career.   College credits will also be given.  This program is in the initial stages.  The program was made possible by a 45,000.00 grant.  The program includes a self-study and an online self-assessment.  The program promotes interaction between personal trainers and trainees, peer reviews, and a camp at Rescue College.  Program is slated to start after Jan 01, 2006.  The first group is expected around 50 people.  The length of the program is estimated to take 3 years.             

·         Continue to recruit members for VAGEMSA            

Old Business:

• Bill Bullock – 1.5 million in grants given out to the states for interoperability.  There may be another 2 million coming available.  There is concern to review rather agencies are buying what they say they are buying, as listed within the grant application. 
• Randy Abernathy – He and Don Taylor went to the open microphone forum for comments on the 2^nd edition of the Scope of Practice.  A question that remains unanswered is what benefit is there to the patient.  Opponents of the Scope of Practice feel that a decision to move forward with the document has already been made.  The intermediate program within the Commonwealth of VA will continue.  There was discussion among the VA opponents that there was not enough collaboration for example utilizing the OMD’s.
• Discussion-Randy expressed the real reason for driving the Scope of Practice is unknown.
• Bill Bullock-expressed concern with NHTSA about the time frame of implementing the scope of practice.
• Discussion – Dr. Gilbert advised VAGEMSA that the Medical Directors Committee plans to write a position paper on the second draft, opposing the draft.
• Gary Brown emphasized that OEMS will have to do what is in the best interest of the state.  OEMS cannot support the Scope of Practice.  It does not follow the EMS Education Agenda for the Future.
• EMS Symposium-VAGEMSA hosting Shakers Forum on Thursday, Nov 10 and EMS Billing on Saturday Nov 12.   

Committee Reports: 

1. Communications: Advisory Board Member – Working on PSAP accreditation, PSAP directory and reviewing grants from PSAPs

2. CISM: Advisory Board Member – No report

3. EMS Emergency Management: Mike Player – DMAT-working on legal issues and support.  Legislative changes are being looked at to offer support.

4. FARC: need to see if VAGEMSA has a rep.

5. Professional Development  – Billy Altman Looking at minimum standards for high school EMT programs.  Committee looking at EMT-B accreditation standards and an online EMT pilot program.  NR looking at only having 2 tests NR-EMT or NR-Paramedic.  NR also looking at revamping their tests on or around Jan of 2007.          

6. Medevac: Continuing to work on regulations. 

7. Medical Direction: Advisory Board Member – Working on the EMT-B accreditation

8. Public Information & Education: Bob Ryalls – no report

9.  Regulation & Policy: Don Barklage –Review current regs, Financial Assistance and Review for EMS will be coming out soon for public comment.  This group discussed the voluntary dropping of a certification.  Should this be changed, dropped, left alone or left to local area.

10. Transportation: Mike Harmon – No report

11. Trauma System Oversight & Management: Advisory Board Member –Template given to councils for trauma plan.  May see final in the next month.

12. Legislative (Fire programs): Dave Hoback – No report

13. Symposium: Dave Hoback / Bob Ryalls – Brochures coming out.

Meeting adjourned at 1115 hours.

The next meeting will be on November 09, 2005, 1900 hours, at the Marriott in Norfolk, VA.

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MEETING MINUTES: May 06, 2005

The Place at Innsbrook

President Hoback called the meeting to order at 1000 hours.

President Hoback had everyone introduce himself or herself

A motion was made and seconded to approve the minutes from the February 04, 2005 meeting.  Hearing no objections, the motion was passed.

President’s Report – David Hoback:

• President Hoback attended the Virginia Secure Commonwealth Initiative in December and reported that the goal was to find out where the Commonwealth is, in terms of preparedness.
• Results showed that the Commonwealth is good on equipment.  However, lacked in training, call out and implementation.
• VAGEMSA Executive Committee met on February 04, 2005 at 0800 to discuss future mid-year EMS billing and Leadership seminars.  Unanimously, the committee agreed that VAGEMSA should take an active role in providing this type of education for the managers of public safety.
• The committee also discussed improving communications among the members and recruiting more members to VAGEMSA.
• The idea of Best Practices or an accreditation initiative that will promote structure, training, and administration was proposed to the membership.  This accreditation focuses on Commonwealth Virginia agencies who want to strive to meet a set of standards, however may not want to go or can’t afford to go through an accreditation process that is sponsored by a third part agency.  This process would “raise the bar” and promote EMS agencies to do better.  EMS systems would be promoting more than Virginia Rules and Regulations.  This would be a voluntary initiative. Benefits of this would include, for example waiving of EMS inspections.  President Hoback asked the membership to think about the idea.
• Discussion - Randy Abernathy, “This process would help the community has a whole.  It may attract business, promote growth and assure a quality of service.”
• Discussion – Chris Slemp, “Recruitment for employees and members may increase.”               

Secretary Report – Craig Bryant:

• Everyone needs to update the directory.  Several emails keep coming back as undeliverable.

Treasurer’s Report – Jennie Collins 

• Current account balances are: checking - $ 3,385.82; savings - $4,938.30
• FY 05 invoices have been mailed out to members.  No payment has been received from:  Accomack Co., Arlington Co., City of Harrisonburg, City of Virginia Beach, City of Williamsburg, Colonial Heights, Fairfax County, Madison County, MWAA, Petersburg, Prince Georges Fire and EMS, Roanoke County, and York County  

Lobbyist Report – Ed Rhodes

·         1.5 million taken from the 4 for life has not been returned to EMS.  Efforts to return this money are ongoing. 

·         Several public safety entities continue to meet on legislative issues that affect funding.  The latest includes the 1 million taken from the Safer Act and deposited in the General Fund.  This leaves on $250,000.00 as Virginia match to this federal funding.    

·         Ed asked for VAGEMSA support in writing a letters to several political leaders to generate a Fire and EMS Caucus.  A motion was made by Billy Altman and second by Chris Slemp.  Motion of support passed.

·         This is election year for House of Delegates.  Many political supporters of fire and EMS have opposition.  It is very important to stay abreast of whom supports fire and EMS. 

·         Chris Slemp asked about the Best Practices Bill.  Ed confirmed that the bill was moved to the EMS plan as an objective.      

OEMS Report – Gary Brown:

• No report

Scott Winston

• State ambulance contract has been awarded.  Singer Associates has the contract for Type I and Medium Duty ambulances.  Performance Specialty has the contract for Type II and Type III.  Information is now posted on the web.   

Mike Berg

·Recruitment and Retention plan is moving forward.  Contract company should have the first book mailed out soon.  The second book is in its final draft form.  The 3^rd book of which targets growth agencies and the 4^th book that targets paramedic agencies is still under development.

·         The contract company is working with other entities including the VFCA to promote recruitment and retention projects.

·         The regional council FY/06 contracts are currently under negotiation.

·         Memo regarding ambulances transporting deceased patients has been rescinded.  EMS is not bound by these regulations restricting the transport of deceased persons as set forth by the Board of Funeral Directors.

·         Received an interpretation from the Attorney General’s Office that VAOSHA does not apply to volunteers in respect to Infection Control enforcement.  It is unclear if the federal OSHA has the same application.

·         Update memo on the storage of medications will be posted on the web very soon.  This summarized the manner of how keys/locks are maintained on apparatus that have schedule II-VI drugs.                     

New Business:

·         Randy Abernathy – VA Firefighters Public Safety Conference-hosted by the IAFF, Several stakeholders met and reviewed the successes and failures of legislation from the last General Session.  Supporting each other and keeping informed seemed to be the agenda.  In addition this meeting focused on “turning up the heat” on legislatures to support funding for public safety.  The next meeting will be June 01, 2005 at the VAVRS building.  The VA State Police Association was not part of this meeting.

·         Jennie Collins – Advisory Board Retreat, Don Barklage challenged the board on committee structure.  Should committees be consolidated or streamlined?  Is the current committee structure meeting the needs of the EMS community?  Other items included: 

o        The OEMS training staff presented future C.E. opportunities and changes in EMT-B testing.  These innovations include computer based C.E. and allowing training centers to conduct their own EMT-B testing.

o        The group divided into work groups and made recommendations to the OEMS plan.  This plan outlines OEMS’ goals and objectives

o        JLARC study was reviewed in detail.

·         Contract to continue to utilize Ed Rhodes was accepted-motion made by Bill Bullock, Second by Don Barklage.  Motion passed

·         President Hoback emphasized to the membership how important it is for committee members to attend and report the agenda of the committee.  If you are unable to attend please contact President Hoback so that a VAGEMSA representative can be sent. 

·         VAGEMSA will host a Fees for Service Seminar and the Shakers Forum.  Both will be on Thursday of the symposium.  The Fees for Service will be open to finance directors and the alike.  The symposium will be finalized at the next meeting. 

·         Bill Bullock – Federal Regulations for the Safer Act will soon be out.  Waiting on final signatures.   You can log onto www.firegrantsupport.com of which will notify you that the application process is open.  So far, Virginia is the only state with matching funds.  1.5 million has been allotted however 1 million will be placed in the general fund, leaving only $500,000.00.  This will be a first come first serve type grant.  This grant will assist with EMS, recruitment, and retention.  August 01 is the target date for distribution of this money.

·         Randy Abernathy – there was a meeting involving stakeholders who actively plan for terrorist and related responses.  OEMS was not part of this planning.  After some discussion, OEMS was invited to this meeting.  However, OEMS is usually privy to this planning.  Randy asked to membership to support a letter to the Advisory Board that suggests the OEMS be involved in these planning sessions.  Motion made by Randy Abernathy, Second by Chris Slemp.  Motion passed.

·         VAGEMSA shirts are available for $20.00.  Please see Jenny Collins

·         Dave Palmer’s mother is in critical condition.  Please keep he and his family in your thoughts. 

·         President Dave Hoback presented Bill Bullock with a plaque for his contribution to VAGEMSA in the 2003-2004 term.

·         Continue to recruit members for VAGEMSA            

Old Business:

• Bill Bullock – 25 interoperability grants were issued in for 2004.  There is speculation that another grant of 3 million will be available.  Localities must start working towards the State Interoperability Plan to continue to receive funding in the future.  Localities will have until 2015 to show compliance with the State Interoperability Plan.
• Don Taylor – requests for samples of QA/QI programs were sent out several months ago.  15 were received.  This information has been forwarded to Gary Brown.    Melinda Duncan – A system for patient tracking is being reviewed.  Currently the hardware to run this program is not what we currently have.  She will keep VAGEMSA posted on this new development.
• Dave Hoback – Letter to oppose the first draft of the Scope of Practice was sent.  The second draft of the Scope of Practice is out for public comment.  The deadline for comment is June 01, 2005.  The second draft still eliminates EMT-I.  The advanced paramedic is still cited in the draft.  More hours for EMT-B instruction are also proposed.  There is an open forum in Washington DC for public comment.  Dave Hoback is planning to attend this open forum and speak on behalf of VAGEMSA. 
• Discussion – Dr. Gilbert advised VAGEMSA that the Medical Directors Committee plans to write a position paper on the second draft, opposing the draft.
• Gary Brown emphasized that OEMS will have to do what is in the best interest of the state.  OEMS cannot support the Scope of Practice.  It does not follow the EMS Education Agenda for the Future.
• Michael Berg – the medical directors committee is sending a letter to NHTSA to extend the comment deadline. 
• Randy Abernathy – Please check with your local IAFF representative to see if everyone’s best interest was presented in reference to the first draft.  The IAFF gave support for the first Scope of Practice version.  “Here say” does not match this position.

·         Dave Hoback asked for a motion to draft a position paper on opposing the second edition of the Scope of Practice.  It will parallel the Advisory Boards opposition.  Motion made by Jenny Collins.  Second by Billy Altman.   

Committee Reports: 

1. Communications: Advisory Board Member – No report

2. CISM: Advisory Board Member – No report

3. EMS Emergency Management: Mike Player – No report

4. Evaluation: Kent Weber – No report

5. FARC: Chris Slemp – The old grant sheets were used for the current grant cycle.  This has been OK’d until the new application is ready.

6. Professional Development  – Billy Altman OEMS is looking at Web based CE.  A “thinking out of the box” approach is being sought.  Committee is seeking information on High School EMT programs.  This could be of assistance in recruitment and retention efforts.  This committee does oppose the 2^nd draft of the Scope of Practice.        

7. Medevac: Mike Berg – This service is being reviewed and revised.  Anticipated to have the new revision available for the November Advisory Board meeting. 

8. Medical Direction: Advisory Board Member – This committee is reviewing EMTs transporting patients with IV’s and EMTs with Epi pens.  This committee also will be drafting a position paper opposing the Scope of Practice.    

9. Public Information & Education: Bob Ryalls – There has been an increase in the DDNR forms since the Terri Shiavo case.  Every provider will be receiving a reference card that will give the facts about the DDNR forms. 

10.  Regulation & Policy: Don Barklage –Rules and Regs review is moving forward.     The 6 sections that were removed are being reviewed.  Committee received an opinion that if a document is referenced in the Rules and Regs, it must accompany the Rules and Regs through the NOIRA process.  This committee has also been reviewing QA/QI processes.    

11. Transportation: Mike Harmon – No report

12. Trauma System Oversight & Management: Advisory Board Member – No report

13. Legislative (Fire programs): Dave Hoback – No report

14. Symposium: Dave Hoback / Bob Ryalls – Please see New Business

Meeting adjourned at 1130 hours.

The next meeting will be held on August 05, 2005, 1000 hours, at The Place at Innsbrook.

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MEETING MINUTES: February 04, 2005

The Place at Innsbrook

 The meeting was called to order by President Hoback at 1000 hours.

President Hoback had everyone introduce themselves

A motion was made and seconded to approve the minutes from the November 10, 2004 meeting.  Hearing no objections, the motion was passed.

President’s Report – David Hoback:

• President Hoback attended the Virginia Secure Commonwealth Initiative in December and reported that the goal was to find out where the Commonwealth is, in terms of preparedness.
• Results showed that the Commonwealth is good on equipment.  However, lacked in training, call out and implementation.
• VAGEMSA Executive Committee met on February 04, 2005 at 0800 to discuss future mid-year EMS billing and Leadership seminars.  Unanimously, the committee agreed that VAGEMSA should take an active role in providing this type of education for the managers of public safety.
•  
• The committee also discussed improving communications among the members and recruiting more members to VAGEMSA.
• The idea of Best Practices or an accreditation initiative that will promote structure, training, and administration was proposed to the membership.  This accreditation focuses on Commonwealth Virginia agencies who want to strive to meet a set of standards, however may not want to go or can’t afford to go through an accreditation process that is sponsored by a third part agency.  This process would “raise the bar” and promote EMS agencies to do better.  EMS systems would be promoting more than Virginia Rules and Regulations.  This would be a voluntary initiative. Benefits of this would include, for example waiving of EMS inspections.  President Hoback asked the membership to think about the idea.
• Discussion - Randy Abernath, “This process would help the community has a whole.  It may attract business, promote growth and assure a quality of service.”
• Discussion – Chris Slemp, “Recruitment for employees and members may increase.”             

Secretary Report – Craig Bryant:

• Everyone needs to update the directory.  Several emails keep coming back as undeliverable.

Treasurer’s Report – Jennie Collins 

• Current account balances are: checking - $ 1,826; savings - $4,935.05
• FY 05 invoices have been mailed out to members.

Lobbyist Report – Ed Rhodes

·        Composition of the EMS Advisory Board (brought forward by Don Barklage).  This gives the EMS councils more rotating representation on the board.  VAVRS seats remain at 2.

·        Other bills currently in committee or under review include HB 1828-Helmit bill, SB 1344-Wheelchair Vehicle exemption,

·        Most House and Senate bill are under review at the present time.

OEMS Report – Gary Brown:

·        House Bill 2238, currently in the General assembly that gives OEMS authority to assess fines for non compliance to Rules and Regs.  Fines would go to OEMS.

o       Discussion – President Hoback asked “Who sets the fines?”

o       Discussion – Gary Brown stated, “If the law passes OEMS will solicit input from agencies.

o       Discussion – All concerns from VAGEMSA are welcome and should be forwarded to President Hoback. 

·        VAGEMSA notified about House Bill 2253 and 2521 of which are in committee.

·        OEMS is currently trying to get the 3.45 million from the state budget back into EMS.  In addition, efforts to try and move forward on the new distribution schedule are in works.

·        2 Governor’s awards have been added to the current categories.  They include Outstanding EMS Dispatcher and Outstanding Contribution to EMS by a High School Student.  A $1,000.00 scholarship will be given to the high school student of this award

·        The National Associations of EMS directors and Physicians issued an opinion on the National EMS Scope of Practice.  No other information has been made available in reference the Scope of Practice.

·        Present Hoback confirmed that VAGEMSA did forward a letter regarding the Scope of Practice.

Scott Winston

• 3 positions with the OEMS are being filled these include: 
  • Technical Assistant Coordinator – will be responsible for regional council contracts, technical assistance to agencies, JLARC, and recruitment and retention
  • Emergency Prepardness and Response Coordinator – will work on survellance and inter-agency planning
  • Wage Position – assist with patient care data     

·        OEMS is working on getting full compliance with data submission.  Over 100 agencies still are not submitting data.  A person will be dedicated to work on this compliance issue.

·        President Hoback asked about the State Ambulance Contract.  Scott explained the contract expires February 15, 2004.  Bids have gone out and 3 of the 4 bids received are compliant with current regulations.  It is not known if the price will be affected.   

 Mike Berg

·        Paul Sharp is working on the PPDR program.  OEMS was marked in the JLARC           

survey for the lack of data reporting.  Several issues of the lack of reported data.     Technological issues is one of the contributions to the lack of data submission.  Paul Sharp was asked to provided Mike with a list of agencies who are not submitting data.  Options to get agencies to report include utilizing OEMS reps, citations, and with holding 2 for Life monies.  However, nothing is set.

o       Discussion – Gary Brown, “This is one of reasons for fines and penalties law.”

Old Business:

• Ken Crumpler on the State Interoperability Work Group – Legistation is being proposed  for interoperability.  Grants for interoperability have been awarded.  

·  Craig Bryant on Federal Issues Paper Working Group – Group of stake holder from VAGEMSA, VAVRS, Fire Programs, York County Fire and Rescue and VAHMRS attended to a meeting in December to discuss hot topics that affect public safety.  Fire Programs was going draft a letter outlining the concerns of the above individuals and set up another meeting before it is sent to the Federal lawmakers.  No follow up meeting has been scheduled.

New Business:

• OEMS asked for support from VAGEMSA on enforcing the rules and regulations that affect EMS.  This includes, if passed, HB 2238.
  • Discusion – Do agencies have the methods to report data?  Gary Brown – Yes everyone has the opportunities to report data.
  •  Randy Abernath made a motion to support OEMS in enforcing compliance.  Ronnie Early seconded the motion. Motion pass by full vote.       
• Melinda Duncan – A system for patient tracking is being reviewed.  Currently the hardware to run this program is not what we currently have.  She will keep VAGEMSA posted on this new development.

Committee Reports: 

1. Communications: Advisory Board Member – No report

2. CISM: Advisory Board Member – No report

3. EMS Emergency Management: Mike Player – No report

4. FLAP: Don Barklage / Ronnie Early – Tracking bills and current legislation.  They are not sure how much position they can take on current bills.

5. FARC: Chris Slemp – The special projects grant will have detailed questionnaire.  A position paper on representation on the Advisory Board will be drafted.

6. Human Resources and Training – Billy Altman reported that they are looking at certification versus licensure.  BLS course re-imbursment is being evaluated. Comparing it to the ALS re-imbursment. OEMS is looking at Web based CE.  Currently, the firewall at the state level will not let this system work.  Maybe within 6 months this program will be up and running.  There have been some concerns on students on ambulances.  A sub-committee will be formed to look at this issue.  Committee is seeking information on High School EMT programs.  Committee is looking into the consolidated testing limitations that do not allow instructors to participate in test sights.    

7. Medevac: Advisory Board Member – No report

8. Medical Direction: Advisory Board Member – No report

9. Public Information & Education: Bob Ryalls - No report

10.  Regulation & Policy: Don Barklage –Is looking at the existing Rules and Regs.  A position on the 6 sections that were removed will be formed.  The troublesome areas will be compared to the JLARC study. Committee received an opinion that if a document is referenced in the Rules and Regs, it must accompany the Rules and Regs through the NOIRA process.    

11. Transportation: Mike Harmon – No report

12. Trauma System Oversight & Management: Advisory Board Member – No report

13. Legislative (Fire programs): Dave Hoback – No report

14. Symposium: Dave Hoback / Bob Ryalls – Feb 15^th is deadline for topics.  VAGEMSA is sponsoring an EMS Billing seminar and Financial Liability for volunteer groups.  It is unclear if the Shaker’s Forum is going to make it through the selection process.   

Recruitment and Retention Project

VAGEMSA was shown the project results on recruitment and retention study that is in process.  A PowerPoint presentation with handouts on the future publications and information that will be available to tackle this issue was presented to the membership.  The presentation identified the types of agencies with in Virginia and the recruitment and retention problems they face.  These toolkits will soon be available.

VAGEMSA was asked to make people aware of this project, contribute information and keep OEMS aware of any efforts.

Meeting adjourned at 1130 hours.

The next meeting will be held on May 06, 2005, 1000 hours, at The Place at Innsbrook.

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November 10, 2004      VAGEMSA ANNUAL MEETING MINUTES

Norfolk Marriott - 2004 EMS Symposium

President’s Report – Bill Bullock:

Secretary/Treasurer Report – Jennie Collins:

Lobbyist Report – Ed Rhodes

·         Recent items

·         Legislative summit recap of items for VAGEMSA membership discussion:

OEMS Report – Gary Brown:

·         Recent JLARC studies re: EMS are posted on their website – EMS report has 20 recommendations and staff will use this as a road map for the Office.  The report on Trauma Care shows money is needed for system improvements.

Old Business:

New Business:

A motion was made by Bob Ryalls to endorse the recommended slate of officers as presented.  This was seconded by Dave Barrick and unanimously approved.

• Door Prizes – were awarded.

Committee Reports:  Dispensed with due to time.  Any significant action items were requested – no items identified.  Bill Bullock stressed the importance of members attending committee meetings & being an active participant.

1. Communications: Advisory Board Member
2. CISM: Advisory Board Member
3. Emergency Management: Mike Player
4. Evaluation: Kent Weber
5. FARC: John Snyder
6. Human Resources and Training: Billy Altman
7. Medevac:  Advisory Board Member
8. Medical Direction: Advisory Board Member
9. Public Information & Education: Bob Ryalls
10. Regulation & Policy: Don Barklage
11. Transportation: Mike Harmon
12. Trauma System Oversight & Management:  Advisory Board Member
13. Legislative (Fire Programs): Dave Hoback
14. Symposium: Dave Hoback / Bob Ryalls

Other Comments

• Randy Abernathy commented on position papers from Medical Direction & Professional Development for scope of practice.  Comments from groups to the Advisory Board are needed.
• Bob Ryalls commented that the Web page is a product of the group and if you would like to send any information for inclusion, send it to him.  He also distributed cards for the member access section.

Meeting adjourned at 2120 hours.

The next meeting will be held on February 4, 2005 at 1000 hours.  We will meet at The Place in Innsbrook, Richmond.