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Questions surround recent board appointments By JOHN HULTGREN LOUISVILLE — Drop in on just about any EMS-related meeting in Kentucky and you'll hear people questioning the four latest Kentucky Board of Emergency Medical Services appointments. "As a KBEMS board member, knowing the individuals on the board that did not get reappointed raises some concerns as to the process involved in reappointing or appointing to the KBEMS board," said Joe Prewitt, director of Nelson County EMS and a KBEMS and Kentucky Ambulance Providers Association board member. "Based upon statements made and the general direction taken at the previous KBEMS meeting, I was absolutely shocked to learn that these dedicated men and women had essentially been ousted," said Mark Harrison, director of Marshall County EMS and president of KAPA. On November 3, the Kentucky EMS Connection reported that Kentucky Governor Steve Beshear had appointed four new board members by executive order on October 29. Three were new members to the board and one had been a previous board member a number of years ago. These appointments filled four vacant positions that were created when four board terms ended on Sept. 19, and none of the incumbent board members were reappointed. At the last KBEMS board meeting on Oct. 9, it appeared that all four incumbents were told that they were being reappointed and that they would continue chairing their committees. One, Michael Gribbin, was even elected vice chair of the board for the next year. The four new board members appointed by Beshear are:
While researching the new appointments, the Kentucky EMS Connection filed an open records request with the Kentucky Community and Technical College System, which oversees KBEMS, on Nov. 6, requesting "copies of any nomination forms, application forms, or any written recommendations submitted for the four Kentucky Board of Emergency Medical Services positions that expired on Sept. 19, 2008." That request was answered on Nov. 13 with copies of applications for each of the four that were appointed, implying that there were no other applications received or considered. But outgoing board member Carl "Rudy" Garrett says he sent an application, resume, and cover letter to the Board of Commissions on July 9 asking to be reappointed to his board position. And he said he called in a few days and was told "they had everything they needed." Garrett also said he believed the other three board members replaced also reapplied. Garrett also said he worked with Lt. Governor Daniel Mongiardo's office while seeking reappointment. Garrett is the training director for Somerset Fire/EMS, a flight paramedic for Air Methods Kentucky, and the 1999 recipient of the Kentucky EMS Educator of the Year award. But according to KCTCS' response, it appears that Garrett's application was never included or considered. And that may be troubling to the EMS educators that Garrett represented on the board. While the new appointment to the board position representing EMS educators, KCTCS Chancellor Dr. Keith Bird, clearly has educator credentials, there is no indication on his application that he is an "emergency medical services educator certified by the board" as required by KRS 311A.015. Garrett's Education Subcommittee had been working on the Advanced EMT regulations and new education regulations. "We started the process and were down to a final draft," said Eva Prewitt, an EMS educator and member of Garrett's Education Subcommittee. "We were ready to present it to the Executive Committee. Right now we are going to have to re-educate and start all over again. Rudy had a good working relationship with all entities in the EMS education system." And Dr. Bird's appointment may be troubling to other board members as well because as Chancellor of KCTCS, his agency oversees KBEMS and the executive director of KBEMS, Charles O'Neal, may effectively report to Dr. Bird, which some are viewing as an ethical conflict. Board applications can also shed some insight into who was lobbying for a board appointment. For example, each applicant is required to list two references on their application. On the four application copies provided by KCTCS, none of the references were anyone active in EMS at the state level. The two references included on Dr. Bird's application were Michael Kurtsinger, a division director for the Kentucky Fire Commission, and Ronnie Day, the executive director of the Kentucky Fire Commission. But insiders say that, perhaps even more enlightening, is if someone is shepherding an application through the appointment process, their name is usually written on the lower right-hand corner of the application form.
On two of the four application form copies provided by KCTCS, for Dr. Bird and Walter Lage, the name "Howdy" is written in the lower right hand corner. The third copy has the penned-in name partially cut-off, making it unreadable. On the fourth copy, the document is cut off above the bottom right corner. The identity of "Howdy" isn't made clear, but Kurtsinger goes by the nickname "Howdy." "Due to the simple fact that at least some of the new appointees were apparently very quietly recommended by the Fire Commission, I believe that makes their actions suspicious and worthy of closer scrutiny," said Harrison. "KAPA will be asking some serious questions as to why the Fire Commission suddenly finds KBEMS so interesting." When asked if KBEMS or KCTCS had approached KAPA for any board appointment recommendations, Harrison said "Not to my knowledge. We thought the four were going to be reappointed." It still remains unclear if any other applications for appointment were actually considered, other than the four applications for the individuals who were appointed. If KCTCS fully complied with our open records request, then there were no other applications, nominations, or recommendations considered, but at least one former board member says otherwise. The Kentucky EMS Connection has submitted a request to the Kentucky Attorney General's Office to help clarify this question.
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