self-study report format - central washington university · 2012-07-09 · some additional service...

Committee on Accreditation of Educational ProgramsFor the EMS Professions

4101 W. Green Oaks Blvd. Suite 305-599Arlington, TX 76016

Self-Study Report Format

For Programs Seeking

Continuing Accreditation

For additional information about CoAEMSP and accreditation services visit:www.coaemsp.org

© Copyright 2009 – All rights reserved.

12/14/2009

CONTINUING ACCREDITATION SELF-STUDY REPORT (CSSR)for an Educational Program for the Paramedic

INSTRUCTIONS

Each accredited program must periodically conduct an internal review culminating in the preparation of a continuing accreditation self-study report (CSSR). The CoAEMSP will use thereport, and any additional information submitted, to assess the program’s degree of compliance with the Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions of the Commission on Accreditation of Allied Health Education Programs (CAAHEP) [www.caahep.org]. Programs should carefully read the Standards & Guidelines as well as the CoAEMSP Interpretations to the Standards and Guidelines to fully understand and respond to the corresponding questions in the CSSR. The CoAEMSP Executive Office will review the CSSR and any additional documentation for completeness.

Electronic copies may be submitted on CD or flash/thumb drive in the format set forth in this document (no paper copies are required). The CSSR (electronic) and the Student Evaluation SSR Questionnaires (sent separately) must both be received in the CoAEMSP executive office for the submission to be complete.

FEESThe Reaccreditation Self Study Report Evaluation fee and Site Visit deposit are due with submission of the CSSR

:

(see fee schedule at http://www.coaemsp.org/Fees.htm ).

REPORT FORMAT� Type the text of the response for each question directly into the spaces provided on the

template form.

:

� Consecutively number each page of the report, including appendices.� Prepare four (4) electronic copies on CDs or flash drives. (no paper copies are submitted)

Programs must electronically submit the CAAHEP Request for Accreditation Services whenfiling the CSSR, if not previously submitted.

CAAHEP REQUEST FOR ACCREDITATION SERVICES

Click here to go to the on-line form. (Internet connection required.)

Submit the report with appropriate fees to:

Committee on Accreditation of Educational Programs for the EMS Professions4101 W. Green Oaks Blvd. Suite 305-599 �� Arlington, TX 76016

A continuing accreditation on-site review will occur as scheduled by CoAEMSP and agreed to by the program. The CoAEMSP Site Visit Information form must be completed and copied to each CD/flash drive.

TIMING OF ON-SITE REVIEW:

Click here for the link to the on-line form.

08/25/2009 3

TITLE PAGE

1 Program Name: Central Washington University - EMS Paramedicine Program

2. CoAEMSP Program #: 600051 (6-digit number starting with 600…)

3. Name and address of the program sponsor:

Name Central Washington University

Address 400 E. University Way

City/State/Zip Ellensburg, Washington 98926

Voice (509)963-1098 FAX (509)963-1848

Web site www.cwu.edu

4. Name and contact data for person(s) responsible for the preparation of the report:

Name: Keith A. Monosky, PhD, MPM, EMT-P

Title: Program Director

Phone #: (509)963-1145

FAX #: (509)963-1848

Email: [email protected]

Name: Lori Hauser

Title: Program Secretary

Phone #: (509)963-1098

FAX #: (509)963-1848


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TABLE OF CONTENTS

After sequentially numbering all pages in the self-study report, including appendices, reference the questions in each PART and each Appendix in the Table of Contents with the appropriate page indicated.

The document contains hyperlinks to assist with navigation.

Copy on to each CD/jump-flash drive: CoAEMSP Site Visit Information form.

Section Page Section PageGeneral Information PART E: Standard V

1. 5 1. 142. 5 2. 143. 5 3. 144. 5 4. 145. 6 5. 146. 6 6. 147. 6 7. 14

8. 14PART A: Standard I 9. 14

1. 8 10. 162. 83. 8 PART F: Supplemental4. 8 1. 17

2. 17PART B: Standard II 3. 17

1. 9 4. 182. 9 5. 18

6. 18PART C: Standard III 7. 18

1. 11 8. 182. 113. 11 Appendix A 214. 11 Appendix B 265. 11 Appendix C 276. 11 Appendix D 397. 11 Appendix E 418. 12 Appendix F 489. 12 Appendix G 62

10. 12 Appendix H 62Appendix I 63

PART D: Standard IV Appendix J 641. 13 Appendix K 652. 13 Appendix L 703. 13 Appendix M 71

5

GENERAL INFORMATION

1. Chief Executive Officer (to whom all correspondence will be directed)

Name James L. Gaudino, PhD

Title President


Barge 314

City/State/Zip Ellensburg, WA 98926

Voice 509-963-2111 FAX509-963-3206

E-mail [email protected]

2. Dean or Comparable Administrator

Name Connie R. Lambert, PhD

Title Dean, College of Education and Professional Studies


Black 228-10


Voice 509-963-1411 FAX509-963-1049


3. Program Director:

Name Keith A. Monosky, PhD, MPM, EMT-P

Title Director and Associate Professor


Purser Hall - MS7572


Voice 509-963-1145 FAX509-963-1848


Is the Program Director employed by the sponsor? Full-time Part-time

4. Clinical Coordinator (if applicable)

Name Tamara Downs, BS, EMT-P

Title Clinical Coordinator


6



Voice 509-899-4889 FAX509-963-1848


Is the Clinical Coordinator employed by the sponsor? Full-time Part-time

5. Medical Director(s)

Name Jackson Horsley, MD

Title Medical Director


Student Health Services - MS7585


Voice 509-963-1874 FAX509-963-1886


Co-Medical Director (if applicable)

Name

Title

Address

City/State/Zip

Voice FAX

E-mail

6. List the other health professions programs offered by or within this institution/consortium.

Undergraduate and Graduate Programs in Exercise Science (with Clinical Tracks)Undergraduate and Graduate Programs in Nutrition and Dietetic ScienceUndergraduate Program in Public Health and Pre-NursingUndergraduate Program in Health EducationUndergraduate Program in Safety and Health Management

7. Write a brief (no more than 2 pages) description of the history and development of the program from its inception. Include significant events affecting the program

Program Overview The Paramedic Program at Central Washington University has been in existence since 1973. It awarded a certificate in Paramedic (and continues that as an option for current

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students) and became a degree-awarding Program in 1987. The EMS Paramedicine Program at Central Washington University remains as one of the few paramedic programs in the country that offers a Bachelor of Science Degree in the discipline of Paramedicine. The Program was originally directed by Dorothy Purser, a physical education instructor and coach, as well as Dr. David Lundy, the university’s student health physician. Dorothy Purser continued her oversight of the Program until her death in 2002, at which time her assistant, Carolyn Booth, assumed director responsibilities. Carolyn Booth possessed both a nursing license as well as a Master Degree in Public Health. She directed the Program until July of 2007, at which time her assistant, James E. Pierce assumed Interim Directorship. Mr. Pierce provided oversight to the Program until a subsequent Interim Director, Mr. Mark Raaka, was appointed later that year. Mr. Pierce continues to serve as a primary, full-time instructor in the EMS Paramedicine Program. Mr. Raaka continued his oversight of the Program until September of 2008, at which time the current Program Director, Keith A. Monosky, began his directorship of the Program. The Paramedic Program at CWU has long been accredited through the Committee on Accreditation of Educational Programs for the EMS Professions (CoAEMSP) since 1993.During the last site visit in 2006, the site reviewers made significant recommendations related to equipment and clerical support. The University responded with an investment of over $150,000 in equipment and material support for the Program, as well as a 0.5 FTE clerical support position dedicated to the EMS Paramedicine Program. The Program has benefited tremendously from the support and confidence the administration has demonstrated since the last site review. Each year, the Program’s budget has met the expenditure demands and there have been no appreciable restrictions in the acquisition of needed equipment or supplies, or in recruiting the necessary adjunct support for Program instruction. A proposal is currently under consideration for the construction of a new building to house the Department of Nutrition, Exercise, and Health Sciences, which would include state-of-the-art instructional facilities for the EMS Paramedicine Program. Since the Program began awarding the Bachelor of Science Degree in 1987, the Program contributed a one-year of a concentration in the Major of Paramedic, as well as some additional service courses (e.g., advanced first aid, emergency medical technician, first-aid instructor course, etc.) toward the four-year degree. In 2010, the current Program Director redesigned the Program and developed a two-year concentration in the Paramedicine Major for the four-year degree. This Program curricular expansion is intended to serve several goals: (1) to enhance the educational content of the EMS Paramedicine graduates to better serve the discipline as providers and leaders, (2) to enable practicing paramedics to acquire a Bachelor Degree through CWU regardless of their location, and (3) to serve as an educational model for other degree-awarding institutions for paramedicine. Since the second year of the Paramedicine Major is entirely online (distance education), students can benefit from this process regardless of geographic location. In addition, this delivery platform enables the instructing faculty to be recruited from subject-matter experts from around the country. The EMS Paramedicine Program at Central Washington University takes great pride in its recent accomplishments and boasts a near 97% success rate in the National Registry Examination for Paramedics and a near 100% placement rate for its graduates. The Program continues to strive toward excellence in its instruction, design, and service to the discipline and the community.

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PART A: Sponsorship (Standard I)

1. Is the sponsor a consortium? ......................................................................... Yes No(If yes, at least one member must meet Standard I.A requirements. Proceed toquestion #2 and include a copy of the Consortium Agreement in Appendix L)

Complete the following for the sponsoring institution:

2. Type of Sponsoring Institution (check only one of the following):

a. U.S. Post-secondary institution (Standard I.A.1)

b. Foreign post-secondary institution (Standard I.A.2)

c. Hospital, clinic, or medical center (Standard I.A.3)(1) Is there an allied health program sponsored by the institution? Yes No(2) If no, is there an office of graduate medical education with

at least one residency program for post-graduatephysician education? Yes No N/A

(3) If no to #1 and #2, include a copy of the Articulation Agreement in Appendix L)

d. Branch of the United States Armed Forces (Standard I.A.4)

e. Governmental education or medical service (Standard I.A.4)(1) The sponsor is under the auspices of which government (check only one):

Federal State County City/Town(2) Is the sponsor authorized by the State to provide initial

educational programs? (If no, then not eligible under Standard I.A.4) ........ Yes No(3) Is the sponsor authorized to award college credit? ........................ Yes No(4) If no, is the sponsor recognized by the State as a

post-secondary institution? ........................................... Yes No N/A(5) If no to #3 and #4, include a copy of the Articulation Agreement in Appendix L)

3. Type of award upon program completion: Certificate (Note: Choose only one award level. Accreditation is granted only to the award level curriculum that gives the graduate eligibility for entry into the profession.)

4. Sponsoring Institution Accreditationa. Name of Institutional Accrediting Agency:

Northwest Commission on Colleges and Universities (NWCCU)

b. Current Accreditation Status AccreditedDate of Last Accreditation Review: November 2009Date of Next Accreditation Review: 2011

c. Is the sponsoring institution legally authorized under applicable state laws to provide postsecondary education? Yes No

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PART B: Program Goals (Standard II)

1. Has the program made any changes in the last 3 years based on changes in the needs and expectations of the communities of interest? Yes No

2. If yes, briefly describe the program changes:

The following substantive changes have been made to the Program in the last 3 years:• New Program Director with Program Direction and Curricular Development experience• Additional faculty members, both didactic and lab instructors• Dedicated, part-time Clinical Coordinator• Expansion of Program Curriculum to 2 years concentration in the Major• Expansion of the Program’s clinical objectives to exceed National Standard Guidelines• Additional resource support acquired (equipment, classroom, etc.)

3. List of the individuals and the communities of interest that they represent on the programadvisory committee (must include at least one representative from each group in the drop down list) (for individuals not on the drop down list, use rows 11-20):

Member Name Community of Interest1. Keith A. Monosky, PhD Sponsor Administration 2. Jackson Horsley, MD Physician 3. James Pierce, EMT-P Faculty 4. John Sinclair, Chief Police/Fire Service 5. Jeremy Wyate, CRNA Hospital/Clinic Representative 6. Scott L. Stroming, MD Hospital/Clinic Representative 7. Cheryl Burrows, County EMS Coordinator Key Governmental Official8. Peter South, EMT-P, General Manager Employer 9. Holly Fairbrook, EMT-P Graduate

10. Tami Bridges, EMT Student 11. Tami Walton Public12. Scott Zachau, EMT-P, Provider Provider13. Lori Hauser Program Staff14.15. 16.17.18.19.20.

4. Does the advisory committee meet at least annually? Yes NoIf No, please explain:For a period of two years, the Advisory Committee did not meet due to change in Program administration and faculty, as well as substantive changes and redesign of Program. The newly formed Advsory Committee is scheduled to meet semi-annually, in May and November of each year.

10

5. List the dates of all advisory committee meetings in the last 3 calendar years:December 4, 2007, March 11, 2008 and May 17, 2011

6. Place in Appendix M copies of Advisory Committee minutes for the past 3 calendar years.

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PART C: Program Resources (Standard III)

1. Place in Appendix A, the completed Resources Assessment matrix (all columns completed).

2. Place in Appendix B, a programmatic organizational chart of the sponsoring institution/ consortium that portrays the administrative relationships under which the program operates. Start with the chief executive officer. Include all program Personnel and faculty, anyone named in the Self Study Report, and any other persons who have direct student contact except support science faculty. Include the names and titles of all individuals shown.

3. Explain any relationship in the programmatic organizational chart, which is other than direct line.

The Program Medical Director and the Program Director have some shared responsibility in programmatic overview. The Program Medical Director has specific responsibilities in supervising medical content, validity of cognitive and psychomotor assessments, inappraising psychomotor performance of clinical and field skills, and in each individual student's cognitive and psychomotor performance at program's end to determine successful completion. For these reasons, the two titles are linked with a dotted line depicting some peer-shared responsibilities.

4. Complete in Appendix C on the forms provided, the designated information for the Program Director, Medical Director, Clinical Coordinator (if applicable), and any other paid faculty. Also, include in the Appendix the job descriptions of the Program Director, the Medical Director, and Clinical Coordinator (if applicable).

5. Complete in Appendix D the Program Course Requirements Table to list all coursesrequired in the Paramedic curriculum.

6. How many total active clinical affiliates are used by the program? 7

As Paramedic Program Director, by checking the box, I verify that an appropriate, authorized clinical affiliate individual has provided and attested to the information presented in the corresponding form in Appendix E.

Complete in Appendix E a Clinical Affiliate Affiliate Institutional Data form for each active hospital affiliate. (Use one page for each clinical affiliate. For more than four affiliates, use the supplemental form from the CoAEMSP web site. Insert as many forms as necessary to report on all affiliates.)

7. How many total active field internship affiliates are used by the program? 14

As Paramedic Program Director, by checking the box, I verify that an appropriate, authorized field internship individual has provided and attested to the information presented in the corresponding form in Appendix F.

Complete in Appendix F a Field Internship Affiliate Institutional Data form for each active hospital affiliate. (Use one page for each clinical affiliate. For more than four affiliates, use the supplemental forms from the CoAEMSP web site. Insert as many forms as necessary to report on all affiliates.)

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8. Complete in Appendix G the Student Clinical Rotation Matrix.

9. Complete in Appendix H the Student Field Internship Rotation Matrix.

10. Do students in the Paramedic program receive all support services available to other students enrolled in the educational institution? ........................... Yes No

a. access to the same health services ................................................ Yes Nob. receive the same personal counseling ............................................ Yes Noc. receive the same academic advising .............................................. Yes No

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PART D: Student and Graduate Evaluation / Assessment (Standard IV)

1. Are evaluations of students conducted in accordance with therequirements of Standard IV,A,1? .............................................................. Yes No

2. Are records of student evaluations maintained in sufficient detailto document learning progress and achievements.?................................... Yes NoLocation where they are stored: ............................................... Department Offices (NEHS)The # of years stored before disposal: ..........................10

3. Note: Upon receipt of the Self Study Report, CoAEMSP will add the most recently submitted Annual Report on file for purposes of reviewing the Outcomes Assessment results.

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PART E: Fair Practices (Standard V)

1. Does the institution/consortium publish a general catalogue/bulletin for its educational programs?......................................... Yes NoIf yes, year(s) of the latest edition?................................2010-2011

2. Are admissions non-discriminatory, and made in accordance withdefined and published practices? ............................................................... Yes No

3. Does the institution/consortium have a student grievance policy? .............. Yes No

4. a. Does the institution/consortium have policies and procedures to ensure compliance with the ADA? ........................................................ Yes No

b. Does the Paramedic program disclose technical standardsin compliance with ADA?...................................................................... Yes No

c. When are students informed of the program’s technical standards? Upon admission to the University and attendance of classes.

5. Does the institution/consortium have a faculty grievance policy? ............... Yes No

6. a. Are all activities required in the program educational?.......................... Yes NoIf no, briefly describe.

b. Are students ever substituted for staff? Yes No

7. Are grades and credits for courses recorded on the student transcript and permanently maintained?.................................................... Yes NoLocation where they are stored: ..................... Documents (transcripts) stored electronicallyIf No, # of years stored before disposal: ........................permanently

8. Is there a formal affiliation agreement or memorandum ofunderstanding with all other entities that participate in theeducation of the students? ......................................................................... Yes No

9. Place in Appendix I a copy of the most recent college catalogue and any other documents that make known to applicants and students the information specified in Standard V.A.2. Complete the following table listing the location(s) of the disclosures:

Disclosures Source Document(s) Page#

Accreditation status of the sponsor with address and phone number

University Catalog; and University Website (http://www.cwu.edu/~avpugrad/accreditation/accreditation_unvlevel.html)

Page 2 of catalog excerpt

15

Accreditation status of the program with address and phone number

Program Website (http://www.cwu.edu/~nehs/paramedics/index.php)Program Overview

Page

Admission policies and practices

University Catalog; Paramedic Manual; Program Website; andUniversity Website (http://www.cwu.edu/~nehs/paramedics/index.php)(http://www.cwu.edu/~admissions/)

Pages 14-17 in Catalog

Policies on advanced placement

Program Website (http://www.cwu.edu/~nehs/paramedics/index.php)and College Catalog

Program Overview

Page; Pages 17-18 of Catalog excerpt

Policies on transfer of credits

College CatalogPages 17-18 of Catalog

exceptPolicies on credits for experiential learning


Page

Number of credits required for program completion

University Catalog; Paramedic Manual; and Program Websitehttp://www.cwu.edu/~nehs/paramedics/index.php)

Page 144 of actual

College Catalog;

Pages 7-8 of Paramedic

Manual; and Major

Course Menu on Website

Tuition, fees, and other program costs

Paramedic Manual and Program Website


Manual; and Program

Costs Menu on Website

Policies and procedures for student withdrawal

University CatalogPages 23-24 of Catalog

excerpt

Policies and procedures for refunds of tuition/fees

University CatalogPage 20 of

Catalog excerpt

Link to on-line catalogue, if applicable: http://www.cwu.edu/~catalogs/

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10. Place in Appendix J a copy of additional material to be provided to enrolling students that makes known the information specified in Standard V.A.3 and Standards V.B and V.C. Complete the following table listing the location(s) of the disclosures:


Academic calendar University Catalog (electronically and hardcopy)

Pages 1-2 of excerpt

Student grievance procedure

University Catalog (electronically and hardcopy) and the Office of Equal Opportunity Website (excerpted)

Appendix A; Pages 1-3 of

excerpt

Criteria for successful completion of each segment of the program

Paramedic Manual and each course syllabi

Page 25 of Paramedic

Manual

Criteria for graduation Paramedic Manual and University Catalog

Page 26 of the Paramedic Manual and

Page 28 of the University Catalog

Policies and procedures for performing service work while enrolled in the program

Paramedic Manual prospective student orientation

Opening Letterof Manual

Non-discrimination policy for student admissions


Appendix A;Separate Policy;and


Non-discrimination policy for faculty employment

University Collective Bargaining Agreement (CWU CBA) and Non-discrimination Policy for Employees

Page 6 of CWU CBA and Pages 1-2 of

Employee policy

Policies and procedures for processing faculty grievances

Office of Equal Opportunity Policies (electronically)


Policies and procedures to safeguard student health and safety University Catalog

Pages 5-9 of Catalog Excerpt

Link(s) to on-line additional materials, if applicable:For Paramedic Manual: http://www.cwu.edu/~nehs/paramedics/index.phpFor University Catalog: http://www.cwu.edu/~catalogs/For Office of Equal Opportunities: http://www.cwu.edu/~oeo/For Office of the President Policies: http://www.cwu.edu/~pres/policies/index.htmlFor Office of VP of Undergraduate Office: http://www.cwu.edu/~avpugrad/accreditation/accreditation_unvlevel.html

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PART F: Supplementary Information / Materials

1. Program Information

Paramedica. Length of program (in months) 10b. Total credit hours for completion 60c. Maximum class size (capacity) 30d. Actual current enrollment – 1st 30year studentse. Actual current enrollment – 2nd 60year students (if applicable)f. Month(s) in which classes are enrolled (e.g., Jan, Sep) Septemberg. Certificate of Completion granted? Yes Noh. # of paid full-time Paramedic program faculty 3i. # of paid part-time Paramedic program faculty 4j. # of unpaid Paramedic program faculty 0k. Number of satellite campuses (see relevant Policy) 0l. Number of program sections (locations) (see relevant Policy) 0m. Date of most recently admitted class September 2010n. Date of completion of next class June 2011o. Year program enrolled the first class ever 1973

Program Strengths & Limitations

2. List the program’s areas of strength:

The Program has many strengths: (1) the didactic content of the paramedic education exceeds the national education standards and provides the students with the means of excelling in their profession; (2) the clinical and field terminal objectives exceed that of current recommendations and enable students to master psychomotor competencies above what is expected; (3) the administrative, University, and faculty support for the Program is exceptional with recognition as one of the "Signature Programs" on campus; (4) the experience and knowledge of the faculty collectively exceed 120 years and brings exceptional "know-how" to student instruction; (5) the equipment used in education is sophisticated and continually replaced and upgraded to meet the demands of paramedic education; (6) many of the clinical and field preceptor sites provide exceptional experiences to our students and have a strong, reciprocal relationship with the Program; (7) the curricula of the degree program has recently been expanded to include new areas of education that will help advance the profession and provide the graduates with the skills necessary to lead the profession into the future; and (8) the Program has transitioned into a partial online (distance education) platform to enable existing paramedics to achieve advanced formal education and the attainment of a Bachelor Degree.

3. List the program’s limitations (areas that need improvement):

The Program has identified several areas that limit our growth and educational potential. They include: (1) the limited number of clinical site opportunities that can serve the aggressive clinical terminal objectives of the Program. We are forced to limit our student cohort size to thirty in order to assure that all students have an ample opportunity to achieve clinical competencies to the satisfaction of the Program's goals; (2) not having

18

direct purview or administrative control over the clinical and field sites creates a limitation in the standardization and effectiveness of preceptor instruction and assessment. Despite our continued best efforts to inform our preceptors, to work closely with our affiliate sites, and to continue monitoring preceptor evaluations, we have occasional variances in preceptor effectiveness and receptivity to our students.

4. Describe the processes and/or evaluation systems used to identify the program’s strengths and limitations.

In addition to the annual student surveys, graduate surveys, and employer surveys, we also solicit input from the clinical and field sites through visits and phone interviews. Many of the clinical and field sites have a genuine interest in improving clinical education of our students and are very supportive. We also solicit feedback from the students at regular meetings and via email exchanges. And, finally, we glean constructive advisements from the preceptors' comments on our clinical and field evaluation forms which have proven to be useful in the past.

5. Provide the program’s analysis of the data collected assessing its strengths and limitations.

Much of our Program effectiveness assessment is qualitative. As such, we examine feedback comments for applicability and feasibility for implementation at our regularly scheduled Team Meetings of faculty and staff. Suggestions deemed appropriate are theninstituted as appropriate. We have no quantitative analysis process for these areas of assessment.

6. Describe the action plans developed to correct deficiencies for all areas in need of improvement listed in question 3 above:

To address the limitations in clinical and field sites, we have initiated inquiries with several reputable clinical sites that we do not have affiliation agreements with. Our efforts to establish a formal relationship has been rewarded with three additional sites in the last two years. We continue to broach formal relationships with the few remaining clinical sites and are hopeful to receive a favorable response soon. To address the non-standardization ofpreceptor performance issue, we are considering conducting a preceptor workshop for many of the sites. Our obstacle comes in the way of limited availability of the necessary resources - since this is an occassional issue, we plan to address it in the future.

7. Insert the completed Faculty Evaluation SSR Questionnaires from each paid faculty member (didactic, laboratory, and clinical), the Medical Director(s), and the members of the Advisory Committee in Appendix K.

8. Student Evaluation SSR Questionnaires: Assign a student proctor to administer the Student Evaluation SSR Questionnaire. All currently enrolled students are to complete the questionnaire. Have the student proctor distribute a questionnaire to each student, then place all completed questionnaires in a pre-addressed, postage paid envelope, immediately seal the envelope, and mail the envelope with the completed questionnaires directly to the CoAEMSP Executive Office separately from the Self Study Report.

Download the questionnaire from: www.coaemsp.org/Self_Study_Reports.htm

It looks like this:

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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Committee on Accreditation of Educational Programs for EMS ProfessionsStudent Evaluation SSR Questionnaire

Directions to Program: Each Paramedic student shall be given a copy of this questionnaire and provided with a means, either individually or in a group, to return it directly to the CoAEMSP Executive Office.

Directions to the Student: In order to assist CoAEMSP with an anonymous evaluation of the Paramedic program, please complete this questionnaire and return it directly to the CoAEMSP Executive Office. The program must provide a postage paid envelope (as a group or individually) for your convenience and to ensure confidentiality.

Date: __________ CoAEMSP Program # (if known): _____ (accredited programs only)

Name of Sponsor: _________________________________

City: ____________________ State: _____

Level of Training: Paramedic

How many months have you been enrolled in this program? _____

Expected month/year of graduation from Paramedic program: _____ / _____ (month/year)

DISCLOSURE

1. Were tuition/fees and other costs required to complete the program madeknown to you prior to admission into the program? .................................................... Yes NoIf No, please explain.

etc.(The complete questionnaire has a total of 24 questions.)

(Note: This questionnaire is NOT the Student Resource Survey instrument.)

Provide an addressed envelope, postage paid to the student proctor. Mail surveys to:

Committee on Accreditation of Educational Programs for the EMS Professions4101 W. Green Oaks Blvd. Suite 305-599 � Arlington, TX 76016

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LIST OF APPENDICES FOR SELF-STUDY REPORT

APPENDIX A = RESOURCES ASSESSMENT – complete all columns of information(either the matrix format or full-page format).

APPENDIX B = Programmatic organizational chart of the sponsoring institution/ consortium that portrays the administrative relationships under which the program operates

APPENDIX C = Curriculum Vitae of the key personnel (program director, medical director, and clinical coordinator (if applicable); any paid faculty. Job descriptions of key personnel.

APPENDIX D = Completed PROGRAM COURSE REQUIREMENTS table

APPENDIX E = Completed CLINICAL AFFILIATE INSTITUTIONAL DATA forms

APPENDIX F = Completed FIELD INTERNSHIP INSTITUTIONAL DATA forms

APPENDIX G = Completed STUDENT CLINICAL ROTATION MATRIX.

APPENDIX H = Completed STUDENT FIELD INTERNSHIP ROTATION MATRIX.

APPENDIX I = Copy of the most recent college catalogue and any other documents related to Standard V.A.2.

APPENDIX J = Additional materials (not provided in Appendix H) related to Standard V.A.3. Reference documents and page numbers in Appendix Hmaterials, as applicable.

APPENDIX K = Copies of Faculty Evaluation Self Study Report Questionnaires

APPENDIX L = A copy of the Consortium Agreement (Standard I.B) or Articulation Agreement (Standard I.A.3 or I.A.4), as applicable

APPENDIX M = Copies of the Advisory Committee minutes for the past 3 calendar years.

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rn to

PA

RT

C;

ToC

)

#

(A)

RE

SO

UR

CE

(B)

PUR

POS

E (S

)(R

ole(

s) o

f the

re

sour

ce in

the

prog

ram

)

(C)

ME

ASU

RE

MEN

T S

YSTE

M *

(type

s of

m

easu

rem

ents

)

(D)

DAT

E (S

) OF

ME

ASU

RE

MEN

T

(E)

RES

ULT

S an

d A

NAL

YSIS

(Incl

ude

the

# m

eetin

g th

e cu

t sco

rean

d th

e #

that

fell

belo

w th

e cu

t sco

re)

(F)

AC

TIO

N P

LAN

/ FO

LLO

W U

P(W

hat i

s to

be

done

, Who

is

resp

onsi

ble,

Due

Dat

e, E

xpec

ted

resu

lt)

1FA

CU

LTY

Prov

ide

inst

ruct

ion,

su

perv

isio

n, a

nd

timel

y as

sess

men

ts o

f st

uden

t pro

gres

s in

m

eetin

g pr

ogra

m

requ

irem

ents

.

Wor

kw

ith a

dvis

ory

com

mitt

ee,

adm

inis

tratio

n, c

linic

al

affil

iate

s an

d co

mm

uniti

es o

f in

tere

st to

enh

ance

th

e pr

ogra

m.

Con

duct

stu

dent

ad

visi

ng, s

tude

nt

orga

niza

tion

supp

ort,

disc

iplin

e ed

ucat

ion

thro

ugh

com

mun

ity

serv

ice

and

conf

eren

ce

pres

enta

tions

, and

co

nduc

t sch

olar

ly

rese

arch

.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

3. S

tude

nt E

valu

atio

n of

Inst

ruct

ion

(SEO

I)

2/15

/201

1 th

roug

h 3/

11/2

011

End

of e

ach

quar

ter

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r fa

culty

of 4

.52

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

facu

lty o

f 4.3

8

Stud

ent E

valu

atio

n of

In

stru

ctio

n (S

EOI)

for A

LL

facu

lty o

ver p

ast 3

yea

rs:

Cou

rse

effe

ctiv

enes

s:4.

57

Inst

ruct

or e

ffect

iven

ess:

Con

tinue

to m

onito

r

4.62

22

2M

ED

ICA

L D

IRE

CTO

R (S

)

Fulfi

ll re

spon

sibi

litie

s sp

ecifi

ed in

ac

cred

itatio

n St

anda

rd II

I.B.2

.a.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r m

edic

al d

irect

or o

f 3.5

8

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

Med

ical

Dire

ctor

of

Con

tinue

to m

onito

r

4.80

3

SU

PPO

RT

PER

SON

NEL

(c

leric

al,

acad

emic

, an

cilla

ry)

Prov

ide

supp

ort

pers

onne

l/ser

vice

s to

en

sure

ach

ieve

men

t of

pro

gram

goa

ls a

nd

outc

omes

(e.g

. ad

mis

sion

s, re

gist

rar,

advi

sing

, tut

orin

g,

cler

ical

)

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r su

ppor

t per

sonn

el o

f 3.9

8

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

supp

ort s

taff

of

Con

tinue

to m

onito

r

3.78

4C

UR

RIC

ULU

M

Prov

ide

spec

ialty

cor

e an

d su

ppor

t cou

rses

to

ens

ure

the

achi

evem

ent o

f pr

ogra

m g

oals

and

le

arni

ng d

omai

ns.

Mee

t or e

xcee

d th

e co

nten

t and

co

mpe

tenc

y de

man

ds

of th

e la

test

edi

tion

of

the

docu

men

ts

refe

renc

ed in

S

tand

ard

III.C

.

Prom

ote

disc

iplin

e gr

owth

and

lead

ersh

ip

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r cu

rric

ulum

of 4

.77

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

curr

icul

um o

f 4.5

2

Con

tinue

to m

onito

r

23

5

FIN

AN

CIA

L R

ESO

UR

CE

S (fi

scal

sup

port,

ac

quis

ition

/m

aint

enan

ce o

f eq

uipm

ent

/sup

plie

s,

cont

inui

ng

educ

atio

n)

Prov

ide

fisca

l sup

port

for p

erso

nnel

, ac

quis

ition

and

m

aint

enan

ce o

f eq

uipm

ent/s

uppl

ies,

an

d fa

culty

/sta

ff co

ntin

uing

edu

catio

n.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r fin

anci

al re

sour

ces

of 3

.00

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

finan

cial

reso

urce

s of

3.0

6

Alth

ough

the

asse

ssm

ent s

core

pe

rform

ed a

bove

the

cut s

core

of

3.0,

the

mar

gin

was

ver

y sm

all.

Th

eref

ore,

the

Prog

ram

Dire

ctor

, in

con

cert

with

the

Dep

artm

ent

Cha

ir, C

olle

ge D

eans

, and

the

AVP

of U

nder

grad

uate

Stu

dies

, w

ill in

vest

igat

e im

prov

ed fi

nanc

ial

reso

urce

s to

the

EM

S Pa

ram

edic

ine

Prog

ram

, inc

ludi

ng

gran

t mon

ies

and

budg

et

earm

arks

.

6

FAC

ILIT

IES

(cla

ssro

om, l

ab,

offic

es, a

ncilla

ry);

Prov

ide

adeq

uate

cl

assr

oom

, lab

orat

ory,

an

d an

cilla

ry fa

cilit

ies

for s

tude

nts

and

facu

lty.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r fa

cilit

ies

of 3

.25

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

faci

litie

s re

sour

ces

of 4

.16

Alth

ough

the

asse

ssm

ent s

core

pe

rform

ed a

bove

the

cut s

core

of

3.0,

the

mar

gin

was

ver

y sm

all

from

the

Prog

ram

Per

sonn

el a

nd

the

Advi

sory

Com

mitt

ee.

Ther

efor

e, th

e Pr

ogra

m D

irect

or,

in c

once

rt w

ith th

e D

epar

tmen

t C

hair,

Col

lege

Dea

ns, a

nd th

e AV

P of

Und

ergr

adua

te S

tudi

es,

will

inve

stig

ate

impr

oved

fina

ncia

l re

sour

ces

to s

uppo

rt th

e fa

cilit

ies

of th

e E

MS

Para

med

icin

e Pr

ogra

m, i

nclu

ding

gra

nt m

onie

s an

d bu

dget

ear

mar

ks.

7EQ

UIP

ME

NT

/SU

PPLI

ES

Prov

ide

a va

riety

of

equi

pmen

t and

su

pplie

s to

pre

pare

st

uden

ts fo

r clin

ical

ex

perie

nces

.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r eq

uipm

ent/s

uppl

ies

of 3

.5

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

equi

pmen

t/sup

plie

sof

Con

tinue

to m

onito

r

4.24

24

8

CLI

NIC

AL/

FIEL

D

INTE

RN

SH

IPR

ESO

UR

CE

S (a

ffilia

tions

)

Prov

ide

a va

riety

of

clin

ical

exp

erie

nces

to

achi

eve

the

prog

ram

go

als

and

outc

omes

.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r cl

inic

al/fi

eld

inte

rnsh

ip

reso

urce

s of

4.4

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

clin

ical

/fiel

d in

tern

ship

re

sour

ces

of 4

.16

Con

tinue

to m

onito

r

9

LEA

RN

ING

R

ESO

UR

CE

S (p

rint,

elec

troni

c re

fere

nce

mat

eria

ls;

com

pute

r re

sour

ces)

Prov

ide

lear

ning

re

sour

ces

to s

uppo

rt st

uden

t lea

rnin

g an

d fa

culty

inst

ruct

ion.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2. S

tude

nt R

esou

rce

Surv

ey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r le

arni

ng re

sour

ces

of 4

.6

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

lear

ning

reso

urce

s of

4.4

2

Con

tinue

to m

onito

r

10FA

CU

LTY/

STAF

F C

ON

TIN

UIN

G

ED

UC

ATI

ON

Prov

ide

time

and

reso

urce

s fo

r fac

ulty

an

d st

aff c

ontin

uing

ed

ucat

ion

to m

aint

ain

curr

ent k

now

ledg

e an

d pr

actic

e.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r eq

uipm

ent/s

uppl

ies

of 2

.75

Giv

en th

e lo

w s

core

for f

acul

ty

and

staf

f con

tinui

ng e

duca

tion

supp

ort,

the

Prog

ram

Dire

ctor

sh

all m

eet w

ith th

e C

olle

ge

Dea

ns, t

he D

epar

tmen

t Cha

ir,

and

othe

r adm

inis

trativ

e le

ader

ship

to in

vest

igat

e ad

ditio

nal s

uppo

rt an

d fu

ndin

g fo

r pr

ofes

sion

al d

evel

opm

ent.

25

11PH

YSIC

IAN

IN

STR

UC

TIO

NA

L IN

VOLV

EM

ENT

Prov

ide

phys

icia

n-st

uden

t ins

truct

iona

l in

tera

ctio

n to

ens

ure

conf

iden

t, pr

ofes

sion

al w

orki

ng

rela

tions

hips

bet

wee

n st

uden

ts a

nd

phys

icia

ns.

1. P

rogr

am P

erso

nnel

R

esou

rce

Sur

vey

(Sec

tion

X)

2. S

tude

nt R

esou

rce

Surv

ey(S

ectio

n IX

)

2/15

/201

1 th

roug

h 3/

11/2

011

Prog

ram

Per

sonn

el

Res

ourc

e S

urve

y:

Pers

onne

l Res

ourc

e Su

rvey

re

sulte

d in

ave

rage

sco

re fo

r eq

uipm

ent/s

uppl

ies

of 4

.8

Stud

ent R

esou

rce

Surv

ey:

All R

espo

nses

3 o

r abo

ve

Stud

ent R

esou

rce

Surv

ey

resu

lted

in a

vera

ge s

core

for

phys

icia

n in

volv

emen

tof

4.04

Con

tinue

to m

onito

r

*P

rogr

ams

are

requ

ired

to u

se th

e qu

estio

ns/it

ems

in th

e C

oAE

MSP

“Pro

gram

Per

sonn

el R

esou

rce

Sur

vey”

inst

rum

ent a

nd in

corp

orat

e th

e re

sults

into

the

asse

ssm

ent o

f all

of th

e ab

ove

reso

urce

cat

egor

ies

(row

s).

Pro

gram

s ar

e re

quire

d to

use

the

ques

tions

/item

s in

the

CoA

EM

SP“S

tude

nt P

rogr

am R

esou

rce

Surv

ey” i

nstru

men

t and

inco

rpor

ate

the

resu

lts in

to th

e as

sess

men

t of a

ll of

the

abov

e re

sour

ce c

ateg

orie

s (ro

ws)

, exc

ept “

Facu

lty/S

taff

Con

tinui

ng E

duca

tion”

.

Pro

gram

s ar

e en

cour

aged

to u

se o

ther

inst

rum

ents

and

mec

hani

sms

to p

rovi

de a

dditi

onal

info

rmat

ion

abou

t the

sta

tus

of p

rogr

amre

sour

ces.

26

APPENDIX B – Program Organizational Chart

Insert organizational chart ...(return to PART C; ToC)

here

CWU President – Jim Gaudino

CWU Provost & Vice-President for Academic and Student Life – Maryline Levine

Chairman Department of Nutrition, Exercise, and Health Sciences – Vince

Nethery

Dean College of Education and Professional Studies – Connie Lambert

Program Director – Keith Monosky

Didactic/Lab Instructor – Jim Pierce

Medical Director –Jackson Horsley, MD

Program Secretary – Lori Hauser

Clinical Coordinator – Tamara Downs

Didactic/Lab Instructor – Robert Carlson

New FTTT Faculty – Unknown

27

APPENDIX C1 – Curriculum Vitae and Job Description

Complete the appropriate form for each of the key personnel (Program Director, Medical Director, and Clinical Coordinator(s), if applicable) and any other paid faculty members (no support course faculty).

Insert job descriptions of key personnel…(return to PART C; ToC)

Program Director Information


How long have you been serving in the present position with the program? 2.6 yearsAre you currently certified as a Paramedic? Yes No Have you ever been a Paramedic? Yes No

Educational ExperienceSchool Location Dates Degree Major

University of Pittsburgh Pittsburgh, PA 1991 B.S. Behavioral

Neurosciences

Carnegie-Mellon University Pittsburgh, PA 1996 MPM

Public Management of Health Systems

The George Washington University Washington, DC 2010 PhD Health Policy

Post-graduate TrainingName of program Location Dates Type of program

University of Pittsburgh and Washington Co. EMS, Pennsylvania

Monongahela, PA 1974 EMT/EMT-Paramedic

Work ExperienceEmployer/Institution Job Title Where Dates

The George Washington University

Graduate Program Director and Assistant Professor

Washington, DC 2000 - 2008

University of Pittsburgh Research Coordinator; Faculty Instructor Pittsburgh, PA 1997 - 2000

University of Pittsburgh Medical Center

EMS Specialist, Interim Program Director Pittsburgh, PA 1995 - 2000

Provider/Instructor Information (check all that apply):

Ever been certified? Currently Certified?

Advanced Cardiac Life Support Provider Yes No Yes NoAdvanced Cardiac Life Support Instructor Yes No Yes NoAdvanced Pediatric Life Support (APLS) Provider Yes No Yes NoAdvanced Pediatric Life Support (APLS) Instructor Yes No Yes NoPediatric Advanced Life Support (PALS) Provider Yes No Yes No

28

Pediatric Advanced Life Support (PALS) Instructor Yes No Yes NoPediatric Education for Prehospital Professionals Provider Yes No Yes NoPediatric Education for Prehospital Professionals Instructor Yes No Yes NoInternational Trauma Life Support Provider Yes No Yes NoInternational Trauma Life Support Instructor Yes No Yes NoPre-Hospital Trauma Life Support Provider Yes No Yes NoPre-Hospital Trauma Life Support Instructor Yes No Yes No

Duties / Responsibilities (check all that apply):

Average # of work hours/week while class in session 50 HoursDidactic Lecture Yes No 16 % of time Laboratory Instructor Yes No 12 % of timeHospital Preceptor Yes No % of timeField Preceptor Yes No % of timeAre you involved in the hiring and evaluation of other program personnel? Yes No

Are you involved in developing the program budget? Yes NoAre you involved in modifications of the curriculum? Yes NoHave you been evaluated by your supervisor? Date of most recent evaluation? Yes No 12/7/2009Are there systems in place to demonstrate the effectiveness of the program? Yes No

Are there adequate controls to assure quality of delegated responsibilities Yes No

Are you responsible for:Administration of the educational program? Yes No

If response is “no” to any of these 7 questions, describe below* who is responsible and how that responsibility is attained.

Organization of the educational program? Yes NoSupervision of the educational program? Yes NoContinuous quality review and improvement of the educational program? Yes No

Long range planning and on-going development of the program? Yes No

Effectiveness of the program? Yes NoCooperative involvement of the medical director? Yes No

* Who is responsible and how is that responsibility attained?

Insert job description of the program director…HereProgram Director – The Program Director is responsible for all aspects of programmatic oversight of the EMS Paramedicine Program. This would include administrative, educational, budgetary, marketing, community involvement, curricular development, student counseling, faculty supervision, and similar program concerns.

29

The Program Director must be a faculty member in the Department of Nutrition, Exercise, and Health Sciences (NEHS) under the College of Education and Professional Studies (CEPS). The position answers to the Chairman of the Department of NEHS and to the Dean of the CEPS. The Director shall provide performance feedback to faculty and staff in the Paramedicine Program as necessary and will revise curricular content as deemed appropriate. The Director shall work closely with the Program Medical Director in assuring validity of course content, cognitive and psychomotor assessments, student proficiencies, conflict resolution, and program completion.

30

APPENDIX C2 – Curriculum Vitae and Job DescriptionMedical Director/Co-Medical Director Information

Name: Jackson Horsley, MD

Medical Director Co-Medical Director

Board Certification Specialty:Emergency Medicine as of Date: 2011How long have you been serving in the present position with the program? 20 yearsHave you been a medical director of an ambulance service? Yes No

If yes, how long? 20yearsHave you ever been a paramedic? Yes No


Indiana University

University of Cincinnati

Bloomington Indiana

Cincinnati Ohio

1969-1973

1973-1977

BA

MD

Zoology


Stright Medical Intern

Medical Reseidency

San Juaquin General Hospital Stocton California


06/1977-06/1978

06/1978-06/1979

Internal Medicine

Internal Medicine

Work ExperienceName of job Where Dates Institution

Family Medicine and ER

Emergency Medicine

Ellensburg Washington


June 1979-1958

1985-present

Kittitas Valley Community Hosp.




Advanced Cardiac Life Support Provider Yes No Yes No

31

Advanced Cardiac Life Support Instructor Yes No Yes NoAdvanced Trauma Life Support Provider Yes No Yes NoAdvanced Trauma Life Support Instructor Yes No Yes NoAdvanced Pediatric Life Support (APLS) Provider Yes No Yes NoAdvanced Pediatric Life Support (APLS) Instructor Yes No Yes NoPediatric Advanced Life Support (PALS) Provider Yes No Yes NoPediatric Advanced Life Support (PALS) Instructor Yes No Yes NoPediatric Education for Prehospital Professionals Provider Yes No Yes NoPediatric Education for Prehospital Professionals Instructor Yes No Yes NoInternational Trauma Life Support Provider Yes No Yes NoInternational Trauma Life Support Instructor Yes No Yes NoPre-Hospital Trauma Life Support Provider Yes No Yes NoPre-Hospital Trauma Life Support Instructor Yes No Yes No

Duties / Responsibilities (check all that apply):Avg # Avg # hrs

Hrs/month for program

Lecture to paramedic students? Yes No 1 1Participate in lab (practical) exercises? Yes No 2 2Review written exams for content and appropriateness? Yes No 1/2 1/2

Review practical testing? Yes No 1/2 1/2Review clinical performance? Yes No 1/2 1/2Review field experience? Yes No 1/2 1/2Participate in practical testing? Yes No 1/2 1/2Participate in oral testing? Yes No 1/2 1/2Adequate controls to assure quality of delegated responsibilities Yes No

Are you responsible for/to:Review and approve the educational content of the curriculum to certify its appropriateness and medical accuracy?

Yes No


Review and approve the quality of medical instruction? Yes No

Review and approve the supervision of students? Yes NoReview and approve the evaluation of students? Yes NoReview and approve each student’s progress and assist in development or corrective measures for students that do not show adequate progress?

Yes No

Assure the competence of each graduate of the program in the cognitive, psychomotor, and affective domains?

Yes No

Work cooperatively with the Program Director? Yes No* Who is responsible and how is that responsibility attained?

32

For each additional Medical Director, download a blank copy of the Curriculum Vitae form from www.coaemsp.org/Self_Study_Reports.htm, complete it, give it a unique file name, and save to the CD/flash drive

Medical Director – The Medical Director is responsible for the medical oversight of the EMS Paramedicine Program. This includes, but is not limited to, directing, assessing, and assuring the psychomotor competencies of the students; participating in didactic instruction and assuring the medical validity of the cognitive content; conducting quarter-end and year-end assessment of integrative student performances; contribution in the Advisory Committee and in student-conflict resolution and programmatic problem-solving; serving as a healthcare professional liaison to the affiliate clinical and field sites; assisting with cognitive and psychomotor assessment instruments validity and reliability determinations; and in assisting the Program Director with general aspects of program guidance. The Medical Director also serves as the medical director for the faculty and students in their performance of emergency medical care on-campus and off-campus. The Medical Director is obligated to abide by the laws and legal codes of the state of Washington as prescribed by the Office of EMS and Trauma Care, as well as any applicable federal directives.

33

APPENDIX C3 – Curriculum Vitae

Other Paid Faculty Information

Name: James Pierce

Clinical Coordinator Paid Faculty, Specify: Didactic and Lab Instructor

How long have you been serving in the present position with the program? 8 yearsAre you currently certified as a paramedic? Yes No Have you ever been a paramedic? Yes No



Advanced Cardiac Life Support Provider Yes No Yes NoAdvanced Cardiac Life Support Instructor Yes No Yes NoAdvanced Trauma Life Support Provider Yes No Yes NoAdvanced Trauma Life Support Instructor Yes No Yes NoAdvanced Pediatric Life Support (APLS) Provider Yes No Yes NoAdvanced Pediatric Life Support (APLS) Instructor Yes No Yes NoPediatric Advanced Life Support (PALS) Provider Yes No Yes NoPediatric Advanced Life Support (PALS) Instructor Yes No Yes NoPediatric Education for Prehospital Professionals Provider Yes No Yes NoPediatric Education for Prehospital Professionals Instructor Yes No Yes NoInternational Trauma Life Support Provider Yes No Yes NoInternational Trauma Life Support Instructor Yes No Yes NoPre-Hospital Trauma Life Support Provider Yes No Yes NoPre-Hospital Trauma Life Support Instructor Yes No Yes No


Average # of work hours/week while class in session 40 HoursDidactic Lecture Yes No 30 % of time Laboratory Instructor Yes No 12 % of timeHospital Preceptor Yes No % of timeField Preceptor Yes No % of timeHave you been evaluated by your supervisor? Date of most recent evaluation? Yes No 6/30/2010

Didactic Instructor – All instructors of didactic sessions must have a minimum of 5 years experience as an EMS provider of advanced life support. It is also preferred that didactic instructors have previous instructional experience. They must be certified or willing to become certified as an instructor in Advanced Life Support (ACLS), Pediatric Advanced Life Support (PALS), one of the trauma life support certifications (PHTLS or

34

BTLS), and other relevant instructor certifications. Didactic instructors are preferred to have a Bachelor Degree at a minimum. They will be responsible for independent didactic instruction, both in the classroom as well as online (distance education). Didactic instructors are expected to construct cognitive assessments and verify their validity and reliability. The cognitive assessment instruments should be sent to Testing and Evaluation for grading and analysis and reports should be placed on file for each exam. Didactic instructors are also expected to assess students in the affective domain and provide reasonable counsel to students as a first-level advisor and advocate. Instructional material should be reliable and accurate and easy accessible to students and faculty. Validation of instructional content and performance assessments may be conducted by the Program Director at any time. Didactic instructors are expected to be a student advocate, but also support the mission, vision and policies of the Program and University at all times.

Lab Instructor – Instructors in the lab must have a minimum of 3 years experience as a certified EMS provider of advanced life support or be an allied health professional with demonstrated knowledge and expertise in a specific clinical area that is relevant to paramedic education. Lab instructors will be directed by the faculty and Program Director as to specific goals and expectations in psychomotor and cognitive domain objectives and will be expected to conform to program-designated skill performance guidelines and descriptions. Questions or uncertainty among lab instructors should be directed first to the faculty present and then to the Program Director for clarification or resolution. The preeminent goal of lab instruction is to insure the continued skill proficiencies of the students in accordance to the Program’s guidelines. Lab instructors should be familiar with all lab equipment and principles of psychomotor practice in which they will be instructing.

35


Clinical Coordinator

Name: Tamara Downs, BS, NREMT-P

Clinical Coordinator Paid Faculty, Specify:






Average # of work hours/week while class in session 10 HoursDidactic Lecture Yes No 1 % of time Laboratory Instructor Yes No % of timeHospital Preceptor Yes No % of timeField Preceptor Yes No % of timeHave you been evaluated by your supervisor? Date of most recent evaluation? Yes No January 2011

Clinical CoordinatorThe position of “Clinical Coordinator” for the EMS Paramedic Program at Central Washington University is an integral part of the education process for certificate and baccalaureate graduates of the Program. Effective psychomotor application of cognitive learning and refinement of essential skill sets by the students are critical to their

36

success as career professionals and cannot be achieved without effective clinical coordination. To that end, the Clinical Coordinator plays an integral role in the Program’s Mission and students’ successes. Responsibilities of the Clinical Coordinator are diverse and complex as the processes and clinical/field environments are dynamic and subject to change. For these reasons, the Clinical Coordinator must be adaptive and responsive. In particular, the Clinical Coordinator must be intimately familiar with contemporary practices of paramedicine, the educational goals of the EMS Paramedic Program, and with the nature and intricacies of the EMS delivery systems throughout the state of Washington. The demand for independence in decision-making and problem-resolution is considerable for this role, as is the variable workload associated with this position. Nonetheless, the Clinical Coordinator, which has direct reporting responsibilities to the Program Director, must establish an effective dialogue between the Program Director, the students, the clinical and field preceptors, and the Program faculty and staff at all times.Responsibilities of the Clinical Coordinator include, but are not limited to:

� Orienting the Paramedic student cohort to the polices and guidelines related to clinical and field rotations as defined in the Paramedic Manual and as directed by the Program Director

� Establishing and enforcing clinical/field benchmarks for the student cohort� Monitoring all clinical/field activity conducted by the students and resolving

simple scheduling, logistic, and interpersonal conflicts as they arise (the essence of which should be reported to the Program Director)

� Establishing and maintaining the scheduling process for all students in the EMS Program for field and clinical rotations through the FISDAP Scheduler. This includes any and all scheduling conflict resolutions, meeting the scheduling limitations or requests of clinical or field sites, coordinating and approving any scheduling changes, deletions, additions, or exchanges among students, and monitoring clinical/field student progress.

� Monitoring and enforcing student adherence to Program policies and procedures as well as that of the individual clinical/field sites.

� Monitoring student adherence to Program policies and guidelines related to documentation practices and provision of instructional corrections

� Monitoring and reporting student performance to established clinical terminal objectives to the Program Director and Program faculty to assure timely student goal attainment.

� Maintain effective communication with designated contacts at each clinical and field site and avail themselves to the clinical preceptors for response to questions, clarification, or problem-identification.

� Effective coordination between and among the various affiliate field and clinical sites of the EMS Program will likely constitute considerable travel and the need to visit with each site either routinely or for occasional crisis resolution.

� Systematically review and critique all of the clinical and field documentation submitted by the students, providing them with critical feedback for performance and documentation improvements. All reviews and feedback delivery should be conducted in a timely manner to be effective to the student and to enable programmatic goals.

37



Name: Robert Carlson

Clinical Coordinator Paid Faculty, Specify: didactic and lab instructor







For each additional faculty member, download a blank copy of the Curriculum Vitae form from www.coaemsp.org/Self_Study_Reports.htm, complete it, give it a unique file name, and save to the CD/flash drive

Didactic Instructor – All instructors of didactic sessions must have a minimum of 5 years experience as an EMS provider of advanced life support. It is also preferred that didactic instructors have previous instructional experience. They must be certified or willing to become certified as an instructor in Advanced Life Support (ACLS), Pediatric Advanced Life Support (PALS), one of the trauma life support certifications (PHTLS or BTLS), and other relevant instructor certifications. Didactic instructors are preferred to

38

have a Bachelor Degree at a minimum. They will be responsible for independent didactic instruction, both in the classroom as well as online (distance education). Didactic instructors are expected to construct cognitive assessments and verify their validity and reliability. The cognitive assessment instruments should be sent to Testing and Evaluation for grading and analysis and reports should be placed on file for each exam. Didactic instructors are also expected to assess students in the affective domain and provide reasonable counsel to students as a first-level advisor and advocate. Instructional material should be reliable and accurate and easy accessible to students and faculty. Validation of instructional content and performance assessments may be conducted by the Program Director at any time. Didactic instructors are expected to be a student advocate, but also support the mission, vision and policies of the Program and University at all times.


Total number of CV files saved to CD/flash drive: 5

List the names of the individuals’ CV saved to CD/flash drive:

Monosky; Horsley; Pierce; Downs; and Carlson

39

APP

END

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41

APPENDIX E# 1 – Clinical Affiliate Institutional Data FormComplete as many of these forms as necessary to report data on all clinical affiliates. A file with a blank form is available on the CoAEMSP web site.(http://www.coaemsp.org/Self_Study_Reports.htm )

Insert the file(s) of supplemental forms at the end of this Appendix.

Continuing Accreditation Self Study Report (CSSR) AFFILIATE #: [ ]CLINICAL AFFILIATION MATRIX

Name: Central Washington Hospital

Address: 1201 South Miller, Wenatchee, WA 98801

Chief Administrative Officer: John Evans, CEO

Telephone #: 509-662-1511, Ext. 2716

Distance from the location of the program: [ 71 ] miles [ 83 ] minutes travel

Is there a signed, current agreement with this affiliate? [ x ] Yes [ ] No

Who supervises the students? [ x ] affiliate personnel [ ] program personnel

Are there written policies as to what students may do in each area? [ ] Yes [ x ] No

Are the preceptors formally trained? [ ] Yes [ x ] No

For how many hours?

Rotation Annual Visits/Shifts

Students Per Shift

Average # Shifts for a

Student

Hours per Shift

Emergency Dept. N/A N/A N/A N/A

Operating Room 7,4008, 10 & 12 hr 1 1.25 8

CCU/ICU N/A N/A N/A N/A

Pediatrics N/A N/A N/A N/A

Psychiatry N/A N/A N/A N/A

Obstetrics N/A N/A N/A N/A

Other (specify): N/A N/A N/A N/A

42




Name: Kittitas Valley Community Hospital

Address: 603 South Chestnut Street, Ellensburg, WA 98926

Chief Administrative Officer: Craig Wilson, Patient Care Administrator/CNO

Telephone #: 509-962-7319




Are there written policies as to what students may do in each area? [ x ] Yes [ ] No

Are the preceptors formally trained? [ x ] Yes [ ] No

For how many hours? Variable


Students Per Shift


Student

Hours per Shift

Emergency Dept. 12,1808 & 12 hour 1 1.11 8

Operating Room 9818 hour 1 2.05 8

CCU/ICU 4798 & 12 hour 1 1.28 8



Obstetrics 4218 & 12 hour 1 2 8


43




Name: Mary Bridge Childrens Hospital

Address: 317 Martin Luther King Junior Way, Tacoma, WA 98405

Chief Administrative Officer: Diane Cecchettini, CEO

Telephone #: 253-403-1400






For how many hours?


Students Per Shift


Student

Hours per Shift


Operating Room N/A N/A N/A N/A






44




Name: Providence Hospital Everett

Address: 900 Pacific Avenue, Everett, WA 98201

Chief Administrative Officer: John Koster, President/CEO – Providence Health & Services

Telephone #: 425-258-7443






For how many hours?


Students Per Shift


Student

Hours per Shift






Obstetrics 3,8868 & 12 hour 1 3.81 8


45




Name: Valley Medical Center

Address: 400 South 43rd Street, Renton, WA 98058

Chief Administrative Officer: Rich Roodman, CEO

Telephone #: 425-228-3440, Ext. 4457






For how many hours? 8+ hours


Students Per Shift


Student

Hours per Shift

Emergency Dept. 73,44512 hour 1 2.21 1

Operating Room 17,12112 hour 1 1.67 8






46




Name: Yakima Regional Medical Center

Address: 110 South 9th Avenue, Yakima, WA 98801

Chief Administrative Officer: Rich Robinson, CEO

Telephone #: 509-575-5000






For how many hours?


Students Per Shift


Student

Hours per Shift







Other (specify): IV Team unknown 1 1.14 9.5

47




Name: Yakima Valley Memorial Hospital

Address: 2811 Tieton Drive, Yakima, WA 98801

Chief Administrative Officer: Rick Linneweh, CEO

Telephone #: 509-249-5669






For how many hours?


Students Per Shift


Student

Hours per Shift


Operating Room 10,08912 hour

N/A N/A N/A

CCU/ICU 2,52512 hour 1 1.36 8


Psychiatry 6318 & 12 hour 1 2.48 8

Obstetrics 3,2178 & 12 hour 1 1.58 8

Other (specify): Respiratory 1 1.58 8

48

APPENDIX F# 1 – Field Internship Institutional Data Form

Complete as many of these forms as necessary to report data on all field internship affiliates. A file with a blank form is available on the CoAEMSP web site.(http://www.coaemsp.org/Self_Study_Reports.htm )


Continuing Accreditation Self Study Report (CSSR) AFFILIATE #: [ ]FIELD INTERNSHIP AFFILIATION MATRIX

Name: Advanced Life Systems

Address: 2106 West Washington Avenue #3, Yakima, WA 98903

Chief Administrative Officer: Peter South, General Manager

Telephone #: 509-574-8444



Who supervises the students? [ x ] field agency personnel [ ] program personnel



Or how many hours? 8 hours

Is there on-line medical direction for this affiliate? [ x ] Yes [ ] No

Does this affiliate provide Advanced Life Support? [ x ] Yes [ ] No

Is there a quality improvement program that reviews runs? [ x ] Yes [ ] No

# of runs per year 12,000# of active EMS units (excluding backups) 6# trauma calls per year Unknown# critical trauma calls per year 118# pediatric call per year 476# cardiac arrests per year 94# cardiac calls (less cardiac arrest) per year 1,326# Shifts per student 8.82average # runs per shift for a student 2.48# hours per shift 24

49





Name: American Medical Response – Grant County

Address: 116 West 4th Avenue, Moses Lake, WA 98837

Chief Administrative Officer: Barbara Maier (Grant County Only)

Telephone #: 509-765-2155










# of runs per year 2,636# of active EMS units (excluding backups) 3# trauma calls per year 878# critical trauma calls per year 62# pediatric call per year 126# cardiac arrests per year 26# cardiac calls (less cardiac arrest) per year 210# Shifts per student 1.6average # runs per shift for a student 1.62# hours per shift 24

50





Name: American Medical Response – Yakima

Address: 229 South 2nd Avenue, Yakima, WA 98902

Chief Administrative Officer: Mark Bruning, President or Timothy Dorn, CEO

Telephone #: 509-248-3611






Or how many hours? 8+ hours




# of runs per year 11,000# of active EMS units (excluding backups) 6# trauma calls per year Unknown# critical trauma calls per year Unknown# pediatric call per year Unknown# cardiac arrests per year Unknown# cardiac calls (less cardiac arrest) per year Unknown# Shifts per student 5.67average # runs per shift for a student 2.05# hours per shift 24

51





Name: Arlington Fire Department

Address: 6231 188th St. N.E., Arlington, WA 98223

Chief Administrative Officer: Bruce Stedman, Fire Chief

Telephone #: (360) 403-3602

Distance from the location of the program: [ 150 ] miles [ ] minutes travel





Or how many hours?





52





Name: Ballard Ambulance

Address: 1020 North Wenatchee Avenue, Wenatchee, WA 98801

Chief Administrative Officer: Shawn Ballard, Co-Owner

Telephone #: 509-662-5111






Or how many hours?




# of runs per year 6,000# of active EMS units (excluding backups) 3# trauma calls per year Not Reported# critical trauma calls per year Not Reported# pediatric call per year Not Reported# cardiac arrests per year Not Reported# cardiac calls (less cardiac arrest) per year Not Reported# Shifts per student 4.57average # runs per shift for a student 2.32# hours per shift 24

53





Name: Kennewick Fire Department

Address: 8656 W. Gage Blvd., Suite: 302, Kennewick, WA 99336

Chief Administrative Officer: Neil Hines, Fire Chief

Telephone #: 509-737-0911 ext. 12











54





Name: Kittitas Valley Fire & Rescue

Address: 102 North Pearl, Ellensburg, WA 98926

Chief Administrative Officer: John Sinclair, Fire Chief

Telephone #: 509-933-7232






Or how many hours?




# of runs per year 3200# of active EMS units (excluding backups) 5# trauma calls per year 429# critical trauma calls per year 41# pediatric call per year 228# cardiac arrests per year 31# cardiac calls (less cardiac arrest) per year 350# Shifts per student 2.87average # runs per shift for a student 2.08# hours per shift 24

55





Name: Lifeline Ambulance

Address: 501 North Wenatchee Ave. Wenatchee, WA 98801

Chief Administrative Officer: Wayne Walker, General Manager

Telephone #: 509-663-4602






Or how many hours? Unknown




# of runs per year 4,700# of active EMS units (excluding backups) 2# trauma calls per year Est. 1,000# critical trauma calls per year Est. 100# pediatric call per year Est. 50# cardiac arrests per year Est. 24# cardiac calls (less cardiac arrest) per year Est. 500# Shifts per student 6.54average # runs per shift for a student 2.36# hours per shift 24

56





Name: Marysville Fire District

Address: 1635 Grove Street, Marysville, WA 98270

Chief Administrative Officer: Greg Corn, Fire Chief

Telephone #: 360-363-8504






Or how many hours?





57





Name: Monroe Fire Department

Address: 163 Village Court, Monroe, WA 98272

Chief Administrative Officer: Jamie Silva, Fire Chief

Telephone #: 360-794-7666






Or how many hours?





58





Name: Pierce County Fire District #2 – Lakewood Fire

Address: 10928 Pacific Highway SW, Lakewood, WA 98449

Chief Administrative Officer: William Barber

Telephone #: 253-377-7740






Or how many hours?





59





Name: Snohomish County Fire Protection District #1 – Everett

Address: 12310 Meridian Avenue, Everett, WA 98208

Chief Administrative Officer: Ed Widdis, Fire Chief

Telephone #: 425-551-1200






Or how many hours?




# of runs per year 18,000# of active EMS units (excluding backups) 12# trauma calls per year 1,500# critical trauma calls per year 50# pediatric call per year 250# cardiac arrests per year 100# cardiac calls (less cardiac arrest) per year 3,000# Shifts per student 4.47average # runs per shift for a student 2.71# hours per shift 24

60





Name: Snohomish County Fire District #8 – Lake Stevens

Address: 12409 21st Street NE, Lake Stevens, WA 98258

Chief Administrative Officer: Chief Lingenfelter

Telephone #: 425-330-5512






Or how many hours?





61





Name: Walla Walla Fire Department

Address: 170 N. Wilbur Ave., Walla Walla, WA 98362

Chief Administrative Officer: Brad Morris

Telephone #: 509-524-4605






Or how many hours?




# of runs per year 5,200# of active EMS units (excluding backups) 2# trauma calls per year 738# critical trauma calls per year Unknown# pediatric call per year Unknown# cardiac arrests per year 24# cardiac calls (less cardiac arrest) per year 467# Shifts per student 2.84average # runs per shift for a student 2.36# hours per shift 24

62

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63

APPENDIX I – College Catalogue and Documents(return to PART E; ToC)

Insert copy of the most recent college catalogue and any other documents related to Standard V.A.2.

Here

A separate file for this Appendix has been placed on the CD/drive named: Appendix I

64

APPENDIX J – Additional College Materials(return to PART E; ToC)

Insert additional materials related to Standard V.A.3. ...

here

A separate file for this Appendix has been placed on the CD/drive named: Appendix J

65

APPENDIX K – Faculty Evaluation SSR Questionnaires(return to STRENGTHS; ToC)

Blank versions of the Faculty Evaluation SSR Questionnaire are available on the CoAEMSP web site at:http://www.coaemsp.org/Self_Study_Reports.htm.

Committee on Accreditation of Educational Programs for EMS ProfessionsFaculty Evaluation SSR Questionnaire

Advisory Committee Evaluation SSR QuestionnaireFor Self Study Report

Instructions: Have each paid faculty member (didactic, laboratory, and clinical/field internship), the Medical Director(s), the Clinical Coordinator(s), if applicable, and members of the Advisory Committeecomplete this questionnaire as a part of the Self Study process.

Name of Sponsor: Central Washington University


This form to be completed by the Program Director:

� Program Director

Please rate each of the following items by circling the appropriate rating according to the following scale:

Strongly Agree Generally Agree Neutral Generally Disagree Strongly Disagree Not Applicable5 4 3 2 1 N/A

Administrative support is sufficient to meet program goals. 5 4 3 2 1 N/AA. College Administration (Dean, Division Chair)B. Financial ResourcesC. Teaching LoadsD. Communities of Interest (e.g. employers)

Program resources meet the stated purpose for the program. 5 4 3 2 1 N/AA. Clerical SupportB. Support StaffC. Classroom FacilitiesD. Laboratory FacilitiesE. Laboratory Equipment and SuppliesF. Instructional Reference MaterialsG. Overall Hospital/Field Internship ResourcesH. Computer Resources

Faculty teach effectively. (Do not rate your own position) 5 4 3 2 1 N/AA. Program DirectorB. Clinical Coordinator, if applicableC. Medical DirectorD. Hospital/Field Internship FacultyE. Other Paramedic FacultyF. Science Faculty

Curriculum is sufficient to meet program goals. 5 4 3 2 1 N/AA. Depth and scope of programB. Course SequencingC. General Education and Science Courses

66

D. Paramedic Theory and Skill DevelopmentE. Emergency DepartmentF. Operating RoomG. ICU/CCUH. PediatricsI. PsychiatryJ. ObstetricsK. TraumaL. Field Experience

Clinical Coordination is sufficient to meet program goals. 5 4 3 2 1 N/AA. Communication by program with clinical sites/preceptorsB. Hospital/Field Internship evaluation InstrumentsC. Parallel experiences among studentsD. Supervision of studentsE. Consistency of evaluation of students

What do you consider to be the major strengths of the program?

The curricular content; the talent and knowledge of the faculty; the support from administration; and the recent expansion of the Program

What areas do you believe need improvement?

Performance of field preceptors needs standardized and some instructional support; Clinical Coordinator performance; laboratory facilities need some improvement; computer support needs improved; marketing of Program nationally; need for a part-time equipment manager; and some support in medical direction.

Thank you for completing this questionnaire.

67

APPENDIX K – Faculty Evaluation SSR QuestionnairesBlank versions of the Faculty Evaluation SSR Questionnaire are available on the CoAEMSP web site at:http://www.coaemsp.org/Self_Study_Reports.htm.



Instructions: Have each faculty member (didactic, laboratory, and clinical), the Medical Director(s), the Clinical Coordinator(s), if applicable, and members of the Advisory Committee, complete this questionnaire as a part of the Self Study process.



This form to be completed by the Medical Director:

� Medical Director






Curriculum is sufficient to meet program goals. 5 4 3 2 1 N/AA. Depth and scope of programB. Course SequencingC. General Education and Science CoursesD. Paramedic Theory and Skill DevelopmentE. Emergency Department

68

F. Operating RoomG. ICU/CCUH. PediatricsI. PsychiatryJ. ObstetricsK. TraumaL. Field Experience

Clinical Coordination is sufficient to meet program goals. 5 4 3 2 1 N/AA. Communication by program with clinical sites/preceptorsB. Hospital/Field Internshipl evaluation InstrumentsC. Parallel experiences among studentsD. Supervision of studentsE. Consistency of evaluation of students


The CWU’s professors, the field Internship experience in several different ambulance services and hospital rotations


Preceptor workshops to improve the consistency of evaluations and learning experience


69

APPENDIX KFaculty Evaluation SSR Questionnaires (continued)

Advisory Committee Evaluation SSR Questionnaires (continued)

For each additional faculty member (didactic, laboratory, clinical/field internship) and Advisory Committee member, download a blank copy of the questionnaire from the CoAEMSP web site (www.coaemsp.org/Self_Study_Reports.htm), complete it, give it a unique file name, and save to the SSR CD/flash drive.

Total number of Faculty Evaluation SSR Questionnaire files saved to CD/flash drive: 5

Total number of Advisory Committee SSR Questionnaire files saved to CD/flash drive: 6

List the names of the individuals’ questionnaires saved to CD/flash drive:

Faculty: Jack Horsley, Keith Monosky, James Pierce, Tamara Downs, and Robert Carlson. Advisory: Holly Fairbrook, John Sinclair, Jeremy Wyatt, Peter South, Cheryl Burrows, and Tami Bridges

CoAEMSP will insert the additional completed Faculty Evaluation SSR Questionnaires.

here

70

APPENDIX LConsortium Agreement (Standard I.B) or

Articulation Agreement (Standard I.A.3 or I.A.4), as applicable

(return to PART A; ToC)

Insert a copy of the agreement ...

Here <No Consortium Agreement>

71

APPENDIX M – Advisory Committee Minutes(return to PART B; ToC)

Insert Advisory Committee minutes ...

HereAdvisory Board Meeting

Central Washington University, Michaelson Hall 223December 4, 2007; 1500 – 1700 hours

Advisory Board:Dr. Jack Horsley (CWU) – Medical Program DirectorDr. Stephen Jefferies (CWU) – CWU HHPN Department ChairMark Raaka, (CWU) – Interim Program DirectorJames Pierce, (CWU) – FTNTT Paramedic InstructorTyler Johnson, (CWU) – Current Program Student RepresentativeHunter Chumbley II (East Pierce Fire & Rescue) – Past Graduate RepresentativeRich Elliot (Kittitas Valley Fire & Rescue) – Field Agency RepresentativeBarbie Maier (Grant County Fire District #5) – Field Agency RepresentativeLisa Hagreen (Yakima Valley Memorial Hospital) – Clinical Agency RepresentativeMarilyn Brincat (Central Washington Hospital) – Clinical Agency RepresentativeBetty Butcher (Kittitas County EMS/TC) – EMS / Trauma Council RepresentativeFred Johnston (General Public) – Healthcare User Representative

Agenda

� Introductions

� New Advisory Board Members – The following individuals have agreed to join the board:� Dr. Stephen Jefferies is the new chair of CWU’s Health, Human Performance and Nutrition

department, which includes the paramedic program. � Tyler Johnson will serve as the Current Student Representative for the 2007-2008 academic

year. � Hunter Chumbley II is a firefighter/paramedic with East Pierce Fire & Rescue and will be the

new Past Graduate Representative. � Lisa Hagreen from Yakima Valley Memorial Hospital and Marilyn Brincat of Central Washington

Hospital both join the board as Clinical Site Representatives. � Betty Butcher is a paramedic with Kittitas County Hospital District #2, and is the ALS

representative on the Kittitas County EMS/TC, and is joining as the EMS/TC representative. � Fred Johnston, owner of Recycle Bike Shop in Ellensburg, will be serving in the previously

unassigned position of General Public / Healthcare User Representative.

For those new to the advisory board (and as a reminder to those already on the board), the purpose of board is to provide representation of the communities of interest that are served by the program including, but are not limited to, students, graduates, faculty, administration, hospital/clinic representatives, physicians, employers, police and fire services, key governmental officials, and the public. The board is designated and charged with the responsibility of meeting at least bi-annually, to assist faculty and administration in formulating and revising goals and objectives, monitoring needs and expectations, and ensuring program responsiveness to change. Because of the many on going changes over the past year and the next year to come, we would like to meet quarterly through at least 2008. Tentative dates for 2008 advisory board meetings are March 11th, June 3rd, September 16th, and December 2nd. All meetings are on Tuesdays from 3-5pm.

� Program Staffing Changes – Mark Raaka has been hired full time for the remainder of the 2007 –2008 academic year to fill the position of Interim Program Director secondary to both the need for two full time instructors due to the workload of the program and accreditation requirements for the position of director. Jim Pierce will continue to instruct full time as he has for the past five years. The university

72

is currently advertising for the permanent program director position, with the intent the position will be filled in the fall of 2008. It is the university’s intent at this time to find a qualified candidate with a minimum of a master’s degree. The current job posting announcement can be found at https://jobs.cwu.edu/applicants/jsp/shared/frameset/Frameset.jsp?time=1195869140719.

� Accreditation Update – In October the university received a letter from the Committee on Accreditation of Educational Programs for the EMS Professionals (CoAEMSP), who are charged with making recommendations to the Committee on Accreditation of Allied Health Education Programs (CAAHEP), stating they would be making a recommendation of probationary accreditation for our program. Their reason for this recommendation was that “no progress has been made regarding the program resources in more than 1 year.” The items noted for improvement during the last site visit by CoAEMSP in 2006 were “(a) the need for clerical support, (b) equipment appropriate to the skills being taught including sufficient mannequins in working order and modern monitor/defibrillators, and (c) sufficient space to permit skills practice.” We have responded to their letter requesting a reconsideration of their recommendation based upon the following actions:

� Approval of dedicated clerical support. Lori Hauser will be starting on Jan 3, 2008 as our support staff at up to 20 hours per week.

� Allocation of $160,000 for immediate equipment purchases and upgrades, including:� Two (2) Phillips® MRX Heart Monitor/Defibrillators� One (1) Laerdal Central IV Torso Trainer� Two (2) neonatal resuscitation baby trainers� Two (2) PROMPT birthing simulator standard manakins� Three (3) ALS Simulator Training Manikins� Three (3) Megacode Kid Advanced Manakins with VitalSim� Three (3) Vitalsim Contro Units� Three (3) replacement head assemblies for existing adult airway trainers� Three (3) replacement head assemblies for existing infant manikins� Six (6) Laerdal AED trainer 2’s� Ten (10) AED Resusci Anne Torso Skillreporters

� Workspace modifications to both Michaelson 223 and 224 to increase the amount of space available for practical skills training

� Schedule modifications to allow for simultaneous use of both classrooms for dedicated practical skills labs

We will provide copies of the reconsideration request letter to CoAEMSP at the meeting, as well as give the committee a complete list of all equipment purchases and a walk-through of the pending modifications to both classrooms. We will also update the board on CoAEMSP’s recommendation as soon as we receive a reply from them. We are currently working on completion of the annual required progress report to CoAEMSP. This report is due in January of 2008, and we will make copies available to the board upon its completion. The university is currently in the process of developing Program goals and Student learner outcome plans for all departments. We will be competing this in the coming weeks and will provide copies of the goals to the board for review before our next meeting.

� 2007 Class Status – There are currently two students from the last class still finishing up their field experiences; Ben Pieper and David Torvik. Ben is about finished and I just received word today that David just got his last needed field tube yesterday, so both of these individuals should be turning in their notebooks in the coming weeks and the 2006-2007 should be officially finished by year’s end.

� Modifications to the 2007 – 2008 program� Classroom organization – Jim and Mark spent approximately two weeks this past summer

removing outdated equipment and unusable supplies and organizing all the training aids and donated medications in the classroom.

73

� Student notebooks – The student handbook was updated and revised and incorporated into anew student notebook which was printed by custom publishing on campus and sold as a course pack for the first time in program history. All the forms used by students were color-coded and standardized. Custom tabs were made to insure that all student notebooks are arranged in a similar format. Additionally, the HHPN department should see a noticeable reduction in copies by the program as previously all the forms used by the students were copied within the department.

� Class poster and signed Code of Conduct – We have developed a laminated poster with class pictures and a copy of a signed Code of Conduct which all students have agreed to abide by. All field and clinical sites have received posters for each department / station where students complete internship hours. Preliminary feedback indicates clinical and field agencies are grateful for this information.

� Weekly clinical and field site emails – This year we have started sending out weekly emails to our contacts at both field and clinical sites to inform them of topics currently being studied by the students and skills the students are practicing. During recent site visits we noted repeatedly that there exists a level of frustration among field and clinical site providers in the frequency of communications and the ability to contact faculty in the past. Our hope is that these weekly emails this will provide a foundation for regular means of communication between the program faculty and the clinical and field sites, so that questions and concerns can be addressed in a more timely manner.

� Didactic and skills labs modifications –� Airway management and IV skill labs have been moved forward to get the students trained in

these skills sooner. � Previously students had to complete 50 manikin intubations in the classroom prior to being

able to go to the anesthesia suite to intubate live subjects. However, the intubations could be peer supervised. We have modified the requirement to 30 faculty-supervised intubations.

� Starting in winter quarter there will be four hours of regular dedicated skills labs every week. � Class credit loads have been modified to insure that students are now receiving credit for the

number of hours traditionally instructed each week.

� Field internship modifications –� Students are limited to no more than 48 consecutive hours on the ambulance. Then they

must take a minimum of 24 hours off the ambulance before riding again.� All students have been assigned home agencies, and are required to ride at least once per

month at their home agency to allow a regular set of preceptors to track their progression throughout the year.

� Our 12 field sites have been divided into 5 geographical regions. Students are no longer required to ride at all 12 sites, but rather must ride a minimum of 96 hours with one agency within each region. This should help build familiarity among students and preceptors, as well as eliminate the need for students to continually need to “reprove” themselves to a new set of preceptors every few weeks.

� Clinical internship modifications:� We have eliminated the PAC shifts. � Operating time has been incorporated into the Anesthesia shifts, and students are required to

document 40 hours of observed surgeries. � Anesthesia shifts are now required a minimum of once every month to maintain proficiency of

this high critical / low frequency skill. � We are currently seeking a site to provide clinical training in hospice / end-of-life care for the

students.

� 2008 class status – Students are currently finishing up the first quarter of the academic year. Classes this quarter included EMS 335 Introduction to Paramedicine, EMS ___ PHTLS, EMS 440 Medical Math and Terminology, and EMS 443 Arrhythmias. Students have also begun both their field and clinical internships, and we are pleased to report that due to above noted changes in the timeline

74

for airway management training, we have had multiple students complete field intubations in November – a first for this program. Jim and Mark also completed mid-quarter academic counseling sessions with the students in the lowest 20% combined academic scores. We have noted two students who are in danger of not passing at least one class, and they have been removed from field and clinical experience while they work on improving their academic performance.

� Upcoming projects –� Website and Brochure Updates� Files and recordkeeping addressed. Lori will be updating our recordkeeping system, including

moving most of the past student records to archives after an electronic database is established. This will speed up the administrative process of the program and give us increased workspace due to our limited office space.

� Proposed future modifications:� Evaluate and adjust course contents and credit loads: Over the past two decades the amount

of information taught to paramedic students has grown substantially, however the actual classes as listed in the course catalog have remained unchanged officially. Unofficially the content has been added in, class hours have been extended, and students and faculty have come in at night for additional lab hours, not reflected in either the student’s credit hours or the faculty workload. As already mentioned, we have addressed this on a short-term basis with the addition of special topics courses and dedicated lab hours. However, the long term need is to review all the courses and contents and make sure they (1) reflect the national standards in development, and (2) are properly reflected in the number of credit hours percourse.

� Address required courses within the major: � There has been discussion around revising the required courses within the major in

addition to adjusting credit loads in the previous point. Currently part of the requirement for the major is First Aid, First Aid Instructor, and EMT. However, no one is able to apply for the program unless they are already an experienced EMT. It is the program faculty’s proposal that these three courses be eliminated from the major at the time when the other classes and credits are adjusted.

� The Biology department has recently added new prerequisites to taking their two-quarter anatomy and physiology class. Previously our students only required instructor permission. Now however all students must take Micro Biology beforehand, and to take Micro they must have a full year of chemistry (111, 112, 113). This change, and the fact that while the Biology department A&P is very comprehensive, it may actually cover a lot of information that paramedics do not need, has led to preliminary discussions within the HHPN department about teaching an A&P for Emergency Medical Care Providers course. Many other paramedic programs use such a course for their A&P requirements and our feeling is that a course specially tailored to their educational and practical needs would be a better use of their limited time. Such a class would also allow us to focus in depth on subjects paramedics need a more focused understanding of such as pulmonary, cardiovascular, and nervous systems. We have one desk copy of one potential text that we will share at the meeting.

� 2009 class interview process – The application period for the 2008 – 2009 class starts January 1, 2008 and closes on March 31, 2008. We will continue to use the recently modified interview formatutilized this past year, which seemed to be effective in keeping the process on track time-wise. Additionally, in past years a variety of current class students have been used to evaluate the practical EMT-B skills of the incoming candidates. Starting this year we will be utilizing a single SEI for the practical skills evaluations of all candidates to insure consistency. We will be conducting interviews on the following dates:

Monday, April 14Monday, April 21

Thursday, April 17Thursday, April 24

Friday, April 18Friday, Aril 25

75

We again are asking for advisory board members to assist with the interview process if you are available. Interviews will start at 0900 and typically last until 1700 hours. We currently need 2-3people for each date. Any dates you are available to assist, your help would be greatly appreciated. Please contact Mark with your availability if interested.

Next Advisory Board Meeting: Tuesday March 11, 2008, 1500-1700 hours, Michaelson 223.

Advisory Board MeetingCentral Washington University, Michaelson Hall 223

March 11th, 1500 – 1700 hours

Advisory Board:Dr. Jack Horsley (CWU) – Medical Program DirectorDr. Stephen Jefferies (CWU) – CWU HHPN Department ChairMark Raaka, (CWU) – Interim Program DirectorJames Pierce, (CWU) – FTNTT Paramedic InstructorLori Hauser (CWU) – Administrative AssistantTyler Johnson, (CWU) – Current Program Student RepresentativeHunter Chumbley II (East Pierce Fire & Rescue) – Past Graduate RepresentativeRich Elliot (Kittitas Valley Fire & Rescue) – Field Agency RepresentativeBarbie Maier (Grant County Fire District #5) – Field Agency RepresentativeWayne Walker (Lifeline Ambulance) – Field Agency RepresentativeMarilyn Brincat (Central Washington Hospital) – Clinical Agency RepresentativeBetty Butcher (Kittitas County EMS/TC) – EMS / Trauma Council RepresentativeFred Johnston (General Public) – Healthcare User Representative

Agenda

� Introductions

� New Advisory Board Members – The following individuals have agreed to join the board:� Lori Hauser is our new administrative assistant for the program� Marilyn Brincat of Central Washington Hospital oins the board as Clinical Site Representative.� Betty Butcher is a paramedic with Kittitas County Hospital District #2, and is the ALS

representative on the Kittitas County EMS/TC, and is joining as the EMS/TC representative.� Wayne Walker is a paramedic supervisor with Lifeline Ambulance in Wenatchee


� Accreditation Update – The University’s response to the October 2007 letter from CoAMPSE is attached. This letter was to be considered at the February meeting of the accreditation body. As of

76

today we have yet to hear back from CoAMPSE in response to our actions taken to address their concerns. � Workspace modifications have been made to both Michaelson 223 and 224 to increase the

amount of space available for practical skills training. A new AV system has also been installed in Michaelsen 223

� Schedule modifications have also been completed for both winter and spring quarters to allow for simultaneous use of both classrooms for dedicated practical skills labs and group scenario practice.

� The annual survey of past graduates (one-year post-completion and their employers), which is a required component of our accreditation is due on March 15th and is being finalized as we speak. We will have a list of comments from the students, and areas we’ve identified for improvement at the meeting.

� 2007 Class Status – The last student from the 2006-2007 class has turned his notebook in and there are no more students from the previous class working towards completion. It is our hope that the modifications made to this year’s class layout, as well as the implementation of monthly accumulative benchmarks will keep all students on track this year and prevent a reoccurrence of students taking as long to complete the program as has occurred in years past.

� 2008 Class Status – Students are finishing up Spring quarter. Classes this quarter included Paramedic Clinical Training, Pharmacology, and Advanced Cardiac Life Support, as well as additional clinical and field internship hours. At the last advisory board meeting it was noted that Jim and Mark had counseled two students who were in danger of not passing at least one class fall quarter, andwere given direction regarding steps to be taken improve their academic performance. Both students successfully passed all their fall classes. This quarter, one student is currently struggling with one class and has also been counseled. Dr. Horsley, Mark and Jim also completed the first set of quarterly progress reports with all students in January and will be doing the next set after spring break in late March.

� Accumulative Benchmarks – as noted above, this year saw the implementation of monthly benchmarks designed to keep students on track for timely completion of the program. We recently reviewed the progress of this year’s class in comparison to the previous three years classes for field and clinical experience from the beginning of the program through the end of February. We have noticed that in terms of both actual hours and skills completed to date, on average this year’s class has more hours and skills completed than previous classes for the same time period.

Class Year Field Hrs YTD Calls YTD Hrs/Call2005 398 49 8.12006 496 65 7.62007 478 59 8.1

3 year average 457.3 57.7 7.92008 574 77 7.4

Change +25.5% +33.5% -6.3%

The students are not only ahead on calls YTD, but are also getting slightly more calls per shift as reflected in the number of hours ridden per call. We believe this is attributed to the following factors-1) The addition of Advanced Life Systems in Yakima as a ride site over this past year, which runs

approximately 70% of the 9-1-1 calls for Yakima.2) The reduction in the number of agencies the students are required to ride with during the

program. Since students are now only required to ride with one agency per each of the five regions instead of all twelve agencies, they are spending less time “re-proving themselves” at different agencies and are instead working more often with crews they have already become familiar with.

� Completed and Upcoming projects –

77

� Program Website – the website’s program overview, as well as all the student clinical and field experience forms have been standardized and updated. Please visit our website at http://www.cwu.edu/~phls/paramedics.html.

� Program Brochure – an updated brochure is currently being developed� Administrative Assistant – Lori Hauser began her position when we returned from winter break,

and the following is a summary of what she has accomplished to date:� Relocated and organized applicant and student files to new area; sent old applicant files,

grade books and misc paperwork for shredding� Updated Paramedic program website� Established contract with new back ground check company-Certified Background� Created databases for paramedic students, prospective students and preceptor evaluations� Reviewed current student files (2007-2008) for completion and emailed all students who are

missing documents (internship requirements through Career Services) and all those with expired CPR cards

� Surveyed 2005-2006 and 2006-2007 graduates and their employers as a part of the CoAEMPS accreditation report process

� Contacted all 2008-2009 prospective students communicating new application process information (new background company and schedule of HOBET exam) and requested replies to provide current contact information and verify where students ar ein the application processOngoing projects/tasks:

� Completion of data entry into the CoAEMPS system for the annual report� Answer prospective students emails and phone calls regarding the program� Maintain student, prospective student and preceptor databases� Continue to archive or destroy old student files, schedule HOBET exams and applicant

interviews, continue to communicate new information to prospective students� Enter students into major using Safari� Continue working with Career Services and the Wellness Center to make sure all

documentation for Paramedic and EMS internships is completed and submitted on timeFuture projects/tasks:

o Begin contacting student ride sites – student auditingo Track student monthly benchmarkso Create accounting spreadsheet and track classroom expenseso Audit FISDAP data entrieso Collate new student handbooks

� Job Fair – over the past few years many fire and EMS agencies have visited the campus to recruit our pending graduates. This year we are organizing a set day for agencies to visit the class and make presentations about their agencies and inform our students about any pending hiring processes they can consider applying for. The job fair is set for Wednesday, May 7th.

� 2009 class interview process – The application period for the 2008 – 2009 class starts January 1, 2008 and closes on March 31, 2008. To date we have 17 known individuals who are in the process of applying and 27 other individuals who have either indicated via email, telephone conversations, or major/pre-major declarations that they are interested and planning to apply this year. Because the application packet is quite detailed and has multiple requirements, only a couple have actually returned their entire packets at this point, however we anticipate seeing a steady increase over the next few weeks as the deadline approaches. We will be conducting interviews and skills testing on the following dates:Monday, April 14Monday, April 21



We need 2-3 people to assist with the interview process, which typically runs from 0900 until 1600. If you are interested in helping on any of the dates above please contact Mark with your availability.

Committee on Accreditation of Educational ProgramsFor the EMS Professions

4101 W. Green Oaks Blvd. Suite 305-599Arlington, TX 76016

Self-Study Report Format

For Programs Seeking

Continuing Accreditation

For additional information about CoAEMSP and accreditation services visit:www.coaemsp.org

© Copyright 2009 – All rights reserved.

12/14/2009

CONTINUING ACCREDITATION SELF-STUDY REPORT (CSSR)for an Educational Program for the Paramedic

INSTRUCTIONS

Each accredited program must periodically conduct an internal review culminating in the preparation of a continuing accreditation self-study report (CSSR). The CoAEMSP will use thereport, and any additional information submitted, to assess the program’s degree of compliance with the Standards and Guidelines for the Accreditation of Educational Programs in the Emergency Medical Services Professions of the Commission on Accreditation of Allied Health Education Programs (CAAHEP) [www.caahep.org]. Programs should carefully read the Standards & Guidelines as well as the CoAEMSP Interpretations to the Standards and Guidelines to fully understand and respond to the corresponding questions in the CSSR. The CoAEMSP Executive Office will review the CSSR and any additional documentation for completeness.

Electronic copies may be submitted on CD or flash/thumb drive in the format set forth in this document (no paper copies are required). The CSSR (electronic) and the Student Evaluation SSR Questionnaires (sent separately) must both be received in the CoAEMSP executive office for the submission to be complete.

FEESThe Reaccreditation Self Study Report Evaluation fee and Site Visit deposit are due with submission of the CSSR

:

(see fee schedule at http://www.coaemsp.org/Fees.htm ).

REPORT FORMAT� Type the text of the response for each question directly into the spaces provided on the

template form.

:

� Consecutively number each page of the report, including appendices.� Prepare four (4) electronic copies on CDs or flash drives. (no paper copies are submitted)

Programs must electronically submit the CAAHEP Request for Accreditation Services whenfiling the CSSR, if not previously submitted.

CAAHEP REQUEST FOR ACCREDITATION SERVICES

Click here to go to the on-line form. (Internet connection required.)

Submit the report with appropriate fees to:

Committee on Accreditation of Educational Programs for the EMS Professions4101 W. Green Oaks Blvd. Suite 305-599 �� Arlington, TX 76016

A continuing accreditation on-site review will occur as scheduled by CoAEMSP and agreed to by the program. The CoAEMSP Site Visit Information form must be completed and copied to each CD/flash drive.

TIMING OF ON-SITE REVIEW:

Click here for the link to the on-line form.

08/25/2009 3

TITLE PAGE

1 Program Name: Central Washington University - EMS Paramedicine Program

2. CoAEMSP Program #: 600051 (6-digit number starting with 600…)

3. Name and address of the program sponsor:

Name Central Washington University



Voice (509)963-1098 FAX (509)963-1848

Web site www.cwu.edu

4. Name and contact data for person(s) responsible for the preparation of the report:


Title: Program Director

Phone #: (509)963-1145

FAX #: (509)963-1848


Name: Lori Hauser

Title: Program Secretary

Phone #: (509)963-1098

FAX #: (509)963-1848


4

TABLE OF CONTENTS

After sequentially numbering all pages in the self-study report, including appendices, reference the questions in each PART and each Appendix in the Table of Contents with the appropriate page indicated.

The document contains hyperlinks to assist with navigation.

Copy on to each CD/jump-flash drive: CoAEMSP Site Visit Information form.

Section Page Section PageGeneral Information PART E: Standard V

1. 5 1. 142. 5 2. 143. 5 3. 144. 5 4. 145. 6 5. 146. 6 6. 147. 6 7. 14

8. 14PART A: Standard I 9. 14

1. 8 10. 162. 83. 8 PART F: Supplemental4. 8 1. 17

2. 17PART B: Standard II 3. 17

1. 9 4. 182. 9 5. 18

6. 18PART C: Standard III 7. 18

1. 11 8. 182. 113. 11 Appendix A 214. 11 Appendix B 265. 11 Appendix C 276. 11 Appendix D 397. 11 Appendix E 418. 12 Appendix F 489. 12 Appendix G 62

10. 12 Appendix H 62Appendix I 63

PART D: Standard IV Appendix J 641. 13 Appendix K 652. 13 Appendix L 703. 13 Appendix M 71

5

GENERAL INFORMATION

1. Chief Executive Officer (to whom all correspondence will be directed)

Name James L. Gaudino, PhD

Title President


Barge 314


Voice 509-963-2111 FAX509-963-3206


2. Dean or Comparable Administrator

Name Connie R. Lambert, PhD

Title Dean, College of Education and Professional Studies


Black 228-10


Voice 509-963-1411 FAX509-963-1049


3. Program Director:

Name Keith A. Monosky, PhD, MPM, EMT-P

Title Director and Associate Professor




Voice 509-963-1145 FAX509-963-1848


Is the Program Director employed by the sponsor? Full-time Part-time

4. Clinical Coordinator (if applicable)

Name Tamara Downs, BS, EMT-P

Title Clinical Coordinator
