Emergency Medical Services Regulatory Board 2829 University Ave SE Suite 310 Minneapolis, MN 55414 651.201.2800 or 800.747.2011 Fax: 651.201.2812 07/09/18 - 07/13/18 Authorized department personnel can use the online Key Request Form to request a non-residential key. 06/15/20 - 06/19/20 07/10/17 - 07/14/17 10/23/17 - 10/27/17 06/10/19 - 06/14/19 01/13/20 - 01/17/20 01/27/20 - 01/31/20 11/25/19 - 11/29/19 05/23/16 - 05/27/16 Upon submission of the written investigative report to the 06/24/19 - 06/28/19 09/18/17 - 09/22/17 04/17/17 - 04/21/17 05/01/17 - 05/05/17 10/22/18 - 10/26/18 05/18/20 - 05/22/20 01/28/19 - 02/01/19 EMS & TRAUMA SYSTEMS SECTION EMS PERSONNEL DISCIPLINARY ACTION REPORT 2009 and Older Last Updated: 1/18/2013 Page 3 of 34 Name/Profession/Place of Residence License Number Effective Date/Action Nature of Complaint Begerow, Betty, EMT-S Lake Odessa, MI 3202001219 5/31/07-6/1/08 Monitoring Unlicensed Practice Benczkowski, Todd, Paramedic 02/03/20 - 02/07/20 04/27/20 - 05/01/20 11/19/18 - 11/23/18 Pursuant to the Michigan Public Health Code, PA 368 of 1978, as amended, it is required to publish the names of disciplined individuals. 09/05/16 - 09/09/16 Section 423.507: Section: Review of personnel record before releasing information; deletion of disciplinary reports, letters of reprimand, or other records; exceptions. 02/29/16 - 03/04/16 Note: Please submit your request to us in only one format. Orders, including Final Orders, are subject to rescission, modification, or other actions subsequent to the issuance of a DAR. The report also includes updated information regarding licensees who have appealed the Board's action to a higher court. 05/30/16 - 06/03/16 03/11/19 - 03/15/19 04/30/18 - 05/04/18 It is absolutely imperative that supporting documentation be provided in every disciplinary case. 02/20/17 - 02/24/17 As of 8/28/19, there are 28,804 EMS providers, 819 life support agencies, and 3,847 life support vehicles that are licensed by the State of Michigan. 11/21/16 - 11/25/16 Without a user login you may use this portal to: Search or Verify an EMS Provider, Instructor-Coordinator, Life Support Agency, or Education Program: View Michigan scheduled NREMT psychomotor exam dates and locations: 07/03/17 - 07/07/17 04/01/19 - 04/05/19 07/04/16 - 07/08/16 Below is a list of actions taken during the month of January, 2007. 08/19/19 - 08/23/19 10/05/20 - 10/09/20 01/07/19 - 01/11/19 12/04/17 - 12/08/17 11/11/19 - 11/15/19 08/27/18 - 08/31/18 03/27/17 - 03/31/17 11/02/20 - 11/06/20 08/31/20 - 09/04/20 06/06/16 - 06/10/16 05/20/19 - 05/24/19 To comply with this requirement, the Regulatory and Compliance Division in the Bureau of Professional Licensing frequently publishes a Disciplinary Action Report (see below). Nature of Complaint 08/24/20 - 08/28/20 01/16/17 - 01/20/17 04/16/18 - 04/20/18 10/16/17 - 10/20/17 12/02/19 - 12/06/19 08/22/16 - 08/26/16 The Disciplinary Action Report (DAR) lists the disciplinary actions taken against health and occupational licensees who are licensed and regulated by the various health and occupational boards within the Licensing Division. History:€Add. 04/20/20 - 04/24/20 Compiler's note: For transfer of powers and duties of department of licensing and regulatory affairs relative to registration, licensing, 12/05/16 - 12/09/16 08/29/16 - 09/02/16 01/30/17 - 02/03/17 11/20/17 - 11/24/17 The Disciplinary Action section shows if a licensee/registrant currently has an open formal complaint and a listing of any final disciplinary action after January 1, 2005. 08/07/17 - 08/11/17 08/21/17 - 08/25/17 04/15/19 - 04/19/19 10/31/16 - 11/04/16 04/02/18 - 04/06/18 10/10/16 - 10/14/16 01/21/19 - 01/25/19 EMS Personnel Disciplinary Action Report 2/4/2016 2/5/2019 Revoked Poulisse Sr., Lawrence Lake Ann, MI EMT 3203023422 Failure to Meet CE Requirements 2/4/2016 2/5/2019 Revoked Steele, William Howell, MI MFR 3204000889 Failure to Meet CE Requirements 15. h�b```�9,ҷx�(���B�-� θ[n�ܪ�� ��������|c�����0@�4$� ���ܬ�o�^y��E���. 06/05/17 - 06/09/17 11/12/18 - 11/16/18 09/14/20 - 09/18/20 Reports. 09/09/19 - 09/13/19 %%EOF 03/04/19 - 03/08/19 If the provider wishes to appeal any actions, they can request an appeal under DHS 110.59 . 08/13/18 - 08/17/18 Under the Bullard-Plawecki Employee Right to Know Act (MCLA 423.501 et. 10/07/19 - 10/11/19 06/25/18 - 06/29/18 Forms of disciplinary action. seq. 11/27/17 - 12/01/17 07/29/19 - 08/02/19 05/29/17 - 06/02/17 07/01/19 - 07/05/19 10/26/20 - 10/30/20 07/24/17 - 07/28/17 (c) “Personnel record” means a record kept by the employer that identifies the employee, to the extent that the record is used or has been used, or may affect or be used relative to that employee's qualifications for employment, promotion, transfer, additional compensation, or disciplinary action. 06/17/19 - 06/21/19 Public Minnesota Statutes § 144E.28, subdivision 4. 01/20/20 - 01/24/20 07/15/19 - 07/19/19 10/17/16 - 10/21/16 02/18/19 - 02/22/19 07/17/17 - 07/21/17 05/25/20 - 05/29/20 06/27/16 - 07/01/16 These 9 fatalities accounted for 20% of all emergency responders struck-by-vehicle fatalities in 2019. 11/05/18 - 11/09/18 A “personnel record” should include records that identify the employee “to the extent that the record is used or has been used, or may affect or be used relative to that employee’s qualifications for employment, promotion, transfer, additional compensation, or disciplinary action.” The Disciplinary Action Report (DAR) lists the disciplinary actions taken against health  and occupational licensees who are licensed and regulated by the various health and occupational boards within the Licensing Division. 08/08/16 - 08/12/16 12/09/19 - 12/13/19 09/02/19 - 09/06/19 10/21/19 - 10/25/19 02/11/19 - 02/15/19 Divulging disciplinary report, letter of reprimand, or other disciplinary action; notice; exceptions. 08/17/20 - 08/21/20 Jan. 2, 2001. DISCIPLINARY ACTION REPORT EDITORS: Tennessee Code Annotated, Section 68-1-114 requires the Department of Health to issue a monthly press release listing all disciplinary actions taken by the health related boards during the prior month. 10/14/19 - 10/18/19 09/04/17 - 09/08/17 Michigan Department of Health & Human Services Bureau of EMS, Trauma, & Preparedness EMS Section EMS Personnel Disciplinary Action Report 2010 - 2019 Updated:12/30/2019 Date of Action End Action Type of Action Name City/State Profession License No. 08/03/20 - 08/07/20 Welcome to the Michigan EMS eLicensing Portal. Senate Bill 1899, House Bill 2020, and SB 1899 require DSHS to track and record any complaints the department received regarding EMS providers and personnel, in addition to investigations and disciplinary actions initiated by the department under the Emergency Health 01/11/16 - 01/15/16 %PDF-1.5 %���� 12/12/16 - 12/16/16 10754 0 obj <>/Filter/FlateDecode/ID[<5A2B46C068B08A498784CD70C48AEDE3><0236183E2CE74D4CACAAE20FF8D6750E>]/Index[10741 20]/Info 10740 0 R/Length 73/Prev 344834/Root 10742 0 R/Size 10761/Type/XRef/W[1 2 1]>>stream 10741 0 obj <> endobj 10/08/18 - 10/12/18 09/16/19 - 09/20/19 03/07/16 - 03/11/16 06/03/19 - 06/07/19 The report also includes updated information regarding licensees who have appealed the Board's action to a higher court. A: The term “personnel record” is defined by Michigan law. 05/14/18 - 05/18/18 07/27/20 - 07/31/20 Click here to review past disciplinary action reports. The date of compliance may not be listed for disciplinary actions occurring prior to January 1, 2005. Any individual may report to the Board personal knowledge of conduct of a First Responder or EMT, AEMT, or Paramedic that the individual reasonably believes would constitute the above listed grounds for disciplinary action. 06/08/20 - 06/12/20 07/08/19 - 07/12/19 02/19/18 - 02/23/18 Paramedic License discipline is not a punishment on the individual – it is an administrative action against the license to ensure that the public’s health and safety is protected. 09/25/17 - 09/29/17 09/12/16 - 09/16/16 Disciplinary Actions Listed below are the monthly summaries of disciplinary actions taken against health professionals and/or unlicensed individuals. To obtain a copy of administrative documents pertaining to a specific health professional or to obtain copies of previous Disciplinary Action Reports write to: Department of Licensing and Regulatory Affairs, c/o FOIA Coordinator, PO Box 30004, Lansing, MI 48909. 01/02/17 - 01/06/17, 12/26/16 - 12/30/16 04/13/20 - 04/17/20 11/18/19 - 11/22/19 10/01/18 - 10/05/18 04/29/19 - 05/03/19 02/08/16 - 02/12/16 10/29/18 - 11/02/18 02/15/16 - 02/19/16 04/03/17 - 04/07/17 07/30/18 - 08/03/18 10/30/17 - 11/03/17 04/23/18 - 04/27/18 04/11/16 - 04/15/16 Date of Action End Action Type of Action Name City/State Profession License No. 10/19/20 - 10/23/20 11/13/17 - 11/17/17 Incidents that require review by the EMS Manager should be reported on the Incident Report form available in the EMS office. The punitive action defined in this form will usually be unwelcome by most employees, so it would be considered wise to document it, then present it in writing. 11/07/16 - 11/11/16 03/14/16 - 03/18/16 02/26/18 - 03/02/18 08/12/19 - 08/16/19 09/30/19 - 10/04/19 10760 0 obj <>stream 05/22/17 - 05/26/17 09/23/19 - 09/27/19 05/09/16 - 05/13/16 10/12/20 - 10/16/20 03/06/17 - 03/10/17 06/12/17 - 06/16/17 04/25/16 - 04/29/16 An employee disciplinary action form is designed to inform an Employee, unable to follow the policies or expectations set by his or her Employer, of the result(s) of his or her action(s). 03/12/18 - 03/16/18 08/28/17 - 09/01/17 02/17/20 - 02/21/20 06/11/18 - 06/15/18 09/11/17 - 09/15/17 Incident refers to any unresolved or serious condition, conflict, or misconduct requiring intervention or disciplinary action. 01/29/18 - 02/02/18 2016 Report on Emergency Medical Services Complaints and Investigation (PDF 440KB) If you have any questions, you can contact: Crystal Gallegos, EMS Compliance Specialist Phone: 737-218-7159 Email: crystal.gallegos@dshs.texas.gov 01/25/16 - 01/29/16 01/08/18 - 01/12/18 05/06/19 - 05/10/19 Click here to review past disciplinary action reports. 12/30/19 - 01/03/20 Eff. 05/11/20 - 05/15/20 COMPLAINT INVESTIGATION, REPORTS AND REMEDIATION APB 2016-008 3-1-2016 ADMINISTRATIVE POLICY FACILITIES/HOSPITAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES assure the timely and effective implementation of disciplinary and/or remedial action on the substantiated violation. 08/20/18 - 08/24/18 Generally, a progressive discipline scale begins with an oral reprimand, followed by a … expertise in emergency medical services personnel testing and approved by the department. 05/07/18 - 05/11/18 It is unlikely that an employer would take disciplinary action without documentation to support the decision. h�bbd``b`:$7�� �, $�W �� �Dp�3��>D��t�5[�,Ft���/ �/ 09/03/18 - 09/07/18 The same documentation is important to this agency in 12/18/17 - 12/22/17 01/06/17 - 01/13/17 Building and Room Access. 07/13/20 - 07/17/20 July 2, 1990; Am. 12/11/17 - 12/15/17 03/28/16 - 04/01/16 06/04/18 - 06/08/18 05/28/18 - 06/01/18 07/22/19 - 07/26/19 05/04/20 - 05/08/20 05/13/19 - 05/17/19 05/02/16 - 05/06/16 04/06/20 - 04/10/20 06/18/18 - 06/22/18 05/15/17 - 05/19/17 Final administrative disciplinary action is subject to judicial review. 03/21/16 - 03/25/16 You may also request a copy by emailing LARAFOIAInfo@michigan.gov or fax to 517-335-4037. 02/10/20 - 02/14/20 06/20/16 - 06/24/16 02/27/17 - 03/03/17 06/29/20 - 07/03/20 04/18/16 - 04/22/16 Michigan Department of Community Health EMS and Trauma Systems Section 320 S. Walnut Lansing, MI 48913 (517) 241-0179 Emergency Medical Services Personnel Continuing Education Record Authority: P.A. endstream endobj 10742 0 obj <. 08/06/18 - 08/10/18 09/26/16 - 09/30/16 09/07/20 - 09/11/20 Eff. 09/10/18 - 09/14/18 10/15/18 - 10/19/18 02/22/16 - 02/26/16 04/04/16 - 04/08/16 07/02/18 - 07/06/18 Discipline: A disciplinary action taken by a relevant employer pursuant to California Code of Regulations, Title 22 Division 9, Chapter 6, Section 100206.2 or certification action taken by a medical director, or both a disciplinary plan and certification action. 05/21/18 - 05/25/18 01/06/20 - 01/10/20 02/24/20 - 02/28/20 08/10/20 - 08/14/20 07/06/20 - 07/10/20 The report includes the names of the licensee, their professional license number, the type of disciplinary action taken, the effective date of the action and the general nature of the complaint. 03/20/17 - 03/24/17 02/25/19 - 03/01/19 03/26/18 - 03/30/18 Michigan Discipline: What you need to know Progressive discipline is a disciplinary model in which the severity of the penalty increases each time an employee commits an infraction. 03/05/18 - 03/09/18 10/24/16 - 10/28/16 12/03/18 - 12/07/18 06/13/16 - 06/17/16 10/03/16 - 10/07/16 When the investigation is complete, a determination is made by the EMS Office and the DHS Office of Legal Counsel EMS Attorney if a violation has occurred and if disciplinary action will be pursued. 03/19/18 - 03/23/18 12/24/18 - 12/28/18 03/18/19 - 03/22/19 07/16/18 - 07/20/18 01/23/17 - 01/27/17 12/17/18 - 12/21/18 Personnel Records Law Q: What is the definition of “personnel record”? 10/02/17 - 10/06/17 12/16/19 - 12/20/19 06/22/20 - 06/26/20 08/14/17 - 08/18/17 Disciplinary Plan: A written plan of action … 09/17/18 - 09/21/18 03/02/20 - 03/06/20 06/19/17 - 06/23/17 11/14/16 - 11/18/16 12/23/19 - 12/27/19 Disciplinary Action Reports Information in Disciplinary Action Reports (DAR) is from an Order of a Board or other appropriate authority. Two Fire/EMS personnel were off duty when they were struck at motor vehicle crash scenes. 04/08/19 - 04/12/19 368 of 1978, as amended Type or Print Only Name … The EMS disciplinary process is guided by strict legal requirements. Section 423.508: Section 11/04/19 - 11/08/19 11/06/17 - 11/10/17 01/18/16 - 01/22/16 12/19/16 - 12/23/16 07/18/16 - 07/22/16 02/12/18 - 02/16/18 09/28/20 - 10/02/20 @U�30�� ) �_@���,v Hg10ɤ�͙������Q � ��3� 1990, Act 179, Imd. 09/21/20 - 09/25/20 The date of compliance may not be listed for disciplinary actions occurring prior to January 1, 2005. Any actions taken by the boards must be filed with the Administrative Procedures Division of the Secretary of State’s Office in … 07/23/18 - 07/27/18 0 07/31/17 - 08/04/17 For more information about the MI EMS System, please click on the tabs below. 07/25/16 - 07/29/16 01/22/18 - 01/26/18 03/09/20 - 03/13/20 07/20/20 - 07/24/20 2000, Act 375, Imd. 08/15/16 - 08/19/16 05/08/17 - 05/12/17 07/11/16 - 07/15/16 12/10/18 - 12/14/18 08/05/19 - 08/09/19 06/01/20 - 06/05/20 Preliminary Determination Request for Health Licensing, Change of Name or Address/Duplicate License Request for Health Licensees, Changes to the Fingerprinting Process for Health Licensees, Verify a Nursing License Regulated by BPL (Other than Temporary Military Spouse, Special Volunteer, and Honorary License), Contact the Bureau of Professional Licensing, Occupational License Disciplinary Action Reports, Renew/Update Your Nursing License Online (Other than Temporary Military Spouse or Special Volunteer). 03/13/17 - 03/17/17 02/01/16 - 02/05/16 02/04/19 - 02/08/19 02/05/18 - 02/09/18 01/15/18 - 01/19/18 04/10/17 - 04/14/17 01/01/18 - 01/05/18 10/09/17 - 10/13/17 Appeals If there is an appeal process, this must be stated and described in detail at the time of the discipline. 09/19/16 - 09/23/16 11/28/16 - 12/02/16 09/24/18 - 09/28/18 Abuse of this policy may result in disciplinary action. 9 Fire/EMS personnel were struck and killed in 2019. Incident Reports. Nature of Complaint 2/1/2017 2/1/2020 Consent Order/Monitoring Rafferty, Matthew, Michael Sterling Heights EMT 3203060177 Criminal Conviction 2/15/2017 2/19/2017 Suspended Campbell, Cheryl Detroit, MI IC-Paramedic 3205000048 Failure to Meet CE Requirements 02/13/17 - 02/17/17 01/14/19 - 01/18/19 04/09/18 - 04/13/18 01/04/16 - 01/08/16, Corporations, Securities & Commercial Licensing, Financial Statements, Tax Reports, & Licensee Purchase Data, Local Government & Law Enforcement Resources, Michigan Office of Administrative Hearings and Rules. 06/26/17 - 06/30/17 05/16/16 - 05/20/16 02/06/17 - 02/10/17 08/01/16 - 08/05/16 12/25/17 - 12/29/17 11/26/18 - 11/30/18 03/16/20 - 03/20/20 The Disciplinary Action section shows if a licensee/registrant currently has an open formal complaint and a listing of any final disciplinary action after January 1, 2005. 03/30/20 - 04/03/20 08/26/19 - 08/30/19 The other 7 fatalities were line-of-duty deaths. 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