Performance Improvement & Regional Committees

The Central Shenandoah Emergency Medical Services Council‘s Medical Control Review Committee (MCRC), is responsible for assuring and improving the quality of pre-hospital medical care within CSEMS region, and for monitoring compliance with the region’s Trauma Triage Plan for both field-to-hospital and inter-hospital transfer of trauma patients.

The mission of this committee is “To ensure high-quality, evidence-based emergency medical services in the Central Shenandoah region through inter-agency collaboration, inter-professional cooperation and continuous quality improvement, meeting or exceeding all national and state performance thresholds.” 

Our vision is “to assure delivery of consistent, timely and equitable emergency care through education and regional standards.”

The objectives of the Committee are:

  • to conduct regional quality improvement evaluations
  • to encourage local agency medical incident reviews as required by state regulation
  • to analyze patient care statistics and trends as an evaluation of system effectiveness
  • to provide constructive feedback on medical quality improvement to all hospital and out-of-hospital EMS professionals within the CSEMS Council region.

PI Topics for FY21

  • Airway Management
  • Cardiac Arrest & Post Resuscitation Care
  • Opioid Overdose Management
  • Pediatric/Neonatal Cardiac Arrest
  • Sepsis Triage and Treatment
  • Stroke Triage
  • Trauma Triage
  • Temperature Management in Trauma and Sepsis

MCRC Membership

The Medical Control Review Committee (MCRC) consists of up to one member from each licensed agency within the CSEMS Region, one member from each hospital serving the region, and one member from the Central Shenandoah Health District. The committee will be staffed by at least one member of the CSEMS/OEMS staff (non-voting), one member of the Board of Directors, and the Regional Medical Director (committee chair). At least 10 voting members must be present to satisfy a quorum for meetings. 


CSEMS Regional Medical Director

Dr. Asher Brand

Augusta Health

Amanda Bennington

Augusta Health Transportation

Matt Coffey

Carilion Clinic Life-Guard

Susan Rivers

Sentara RMH

Donna Hurst

University of Virginia

Valerie Quick

Augusta County Fire-Rescue

Matt Lawler

Harrisonburg Fire Department

Travis Karicofe

Harrisonburg Rescue Squad

Greg Cassis

Hot Springs Rescue Squad

Perlista Henry

Highland County EMS

Carl Williams

Lexington Fire Department

Donnie McBrayer

PHI – AirCare

Taylor Mathis

Rockbridge County Fire-Rescue

Thomas Andrews

Rockingham County Fire & Rescue

Steve Powell

Staunton Fire Department

Adam Nulty

Staunton-Augusta Rescue Squad

Kim Craig

Stuarts Draft Rescue Squad

Carol Glascock

Waynesboro Fire and Emergency Management

Gary Critzer

Waynesboro First Aid Crew

Steven Ward

CSEMS/OEMS Staff Liaison

Daniel Linkins

  1. Dec
    1. 2:00 PM - 4:00 PM

MCRC Meeting Schedule

MCRC Meeting Minutes

MCRC Subcommittees and Workgroups

Performance Improvement  Subcommittee – Chaired by Dr. Asher Brand

Airway management, Cardiac Care & Post-Arrest Workgroup – Led by Adam Nulty and Matt Lawler

Hospital Diversion Planning Workgroup – Led by Donna Hurst

MCI, WMD, and Emerging Infectious Disease Planning Workgroup – Led by Hiliary Cronin

Opioid Epidemic Response Workgroup – Led by Hilary Cronin

Patient Care Protocol Workgroup – Led by Dr. Asher Brand

Pediatric & Neonatal Cardiac Arrest Workgroup – Led by Robin Root

Sepsis Management Workgroup – Led by Leigha Gagliano

Stroke Management Workgroup – Led by Gary Critzer

-Trauma Plan Revision Workgroup – Led by Valerie Quick

Provider Safety and Wellness Subcommittee – Co-chaired by Gary Critzer and Steve Powell

Workgroup Contributor Interest Form

Workgroup Contributor Interest Form

Workgroups are the heart of our committee work. These groups may meet regularly or periodically for specific projects, and are responsible for producing the work products and recommendations for committees. We value a diverse group of individuals with differing perspectives. As such, workgroup leaders are responsible to assure that various stakeholders are represented. Not all requests will be honored, but we will make every effort to involve you in our work. We want your voice to be heard!

Area(s) of Interest

Pharmacy Committee Membership


CSEMS Regional Medical Director

Dr. Asher Brand

Augusta Health

John Lubkowski

Bath Community Hospital

Doug Holroyd

Rockingham County Fire-Rescue OMD

Dr. Nazir Adam

Rockbridge Fire-Rescue OMD

Dr. John Sheridan

Sentara Rockingham Memorial Hospital

Julie Martor

Carilion Stonewall Jackson Hospital

Karen Tomlin

CSEMS/OEMS Staff Liaison

Daniel Linkins

Pharmacy Committee Meeting Minutes

Virginia Office of EMS – Statewide Quality & Evaluation


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Quality And Evaluation

A Leadership Guide to Quality Improvement for EMS Systems The “Leadership Guide to Quality Improvement for Emergency Medical Services (EMS) Systems” was developed to serve as a template for EMS managers who want to establish and maintain a program for continuously monitoring and improving the quality of patient care and support services in all parts of the EMS system.

Regional Councils are responsible for developing regional plans that are consistent with the statewide plan, but factor in local variables unique to each region. Regional Committees and workgroups must incorporate the state EMS plan with local plans.

State EMS Plan

As defined in § 32.1-111.3 of the Code of Virginia, the Board of Health shall develop a comprehensive, coordinated, emergency medical care system in the Commonwealth and prepare a Statewide Emergency Medical Services Plan which shall incorporate, but not be limited to, the plans prepared by the regional emergency medical services councils.

Post expires at 3:27pm on Tuesday September 14th, 2021