Four-for-Life Fund

oems_largeOn August 7, 2014, the Regional EMS Councils were informed in person by Gary Brown, Director of the Virginia Office of EMS of an opinion by the Office of the Attorney General the use of the 26% Return to Localities funding–click here to view the letter Mr. Brown distributed.

The letter states that:

  • The 26% Return to Localities money must be transmitted to locality
    • Funds shall only be provided to licensed, nonprofit emergency medical service agencies for the purpose of training and purchase of necessary equipment and supplies.
    • Non-supplanting funds, and
    • Failure to report the use of funds by any local governing body will result in funds being retained.
  • In short, any money going to a regional EMS council to manage and distribute the funds shall be as set forth in the statute–this would require a change in the Code of Virginia.
    • That being said, CSEMS cannot retain/receive $4 for Life funds, charge an administrative fee, and it cannot use them for any other purpose.

Following receipt of this guidance from the Office of EMS and the Office of the Attorney General, Central Shenandoah EMS Council will be terminating its longstanding $4 for Life Escrow program effective immediately. This program—which has been a key part of funding for the Council since its inception in 1979—has served both the Council and its member agencies well for more than 35 years.

The loss of this mutually beneficial program and funding stream will greatly impact the Council and our ability to continue business as usual.

As of September 5, 2014, the Council has issued a check to each locality which participated in the $4 for Life Escrow Program—per the Code of Virginia—for the open balance in the $4 for Life Escrow Program as of July 17, 2014.

If you have any questions or concerns, please feel free to Chad Blosser, Executive Director ( or Gary Critzer, Board President ( EMS Plan” href=””>Regional EMS Plan  – Winter 2015

The Regional EMS Plan provides strategies and initiatives to help guide the regional council Board of Directors and staff in areas which need improvement or require new CSEMS Council involvement over a multi-year period.

Stroke Triage Plan – Spring 2016

The purpose of the Stroke Triage Plan is to establish a uniform set of criteria for the prehospital and inter-hospital triage and transport of acute stroke patients. This plan augments the State Stroke Triage Plan, acknowledging and addressing variations in regional EMS and hospital resources. This Stroke Triage Plan addresses patients experiencing an “acute stroke.” For the purposes of this document, “acute stroke” is defined as any patient suspected of having an acute cerebral ischemic event or stroke with the onset of any one symptom within a three hour period. The primary focus of the plan is to provide guidelines to facilitate the early recognition of patients suffering from acute stroke and to expedite their transport to a Designated Stroke Center able to provide definitive care within an appropriate time window.

Trauma Triage Plan – Winter 2015

The Regional Trauma Triage Plan provides a uniform set of proposed criteria for prehospital and inter-hospital triage and transport of trauma patients in the Central Shenandoah EMS Council region. The development and monitoring of these criteria is performed by the State Trauma Triage Performance and Improvement Committee which is a subcommittee of the Governor’s Advisory Board Trauma System Oversight and Management Committee and the CSEMS Council Medical Control Review Committee.

Performance Improvement Plan – Spring 2015

The Regional Performance Improvement Plan is established by the Performance Improvement Committee (PI), under direction of its Medical Control Review Committee (MCRC).  This Committee is responsible for assuring and improving the quality of pre-hospital medical care within CSEMS region by assessing adherence to regional patient care protocols; identify and a resolving educational needs of the region’s EMS providers; and monitoring and making recommendations to the Performance Improvement Committee related to EMS system issues.

Trauma Performance Improvement Plan – Spring 2015

The Regional Trauma Performance Improvement Plan is developed by the Trauma Performance Improvement Committee (TPI), under direction of its Medical Control Review Committee (MCRC).  This committee  is responsible for assuring and improving the quality of pre-hospital trauma care within CSEMS region, and for monitoring compliance with state and regional Trauma Triage Plans for both field-to-hospital and inter-hospital transfer of trauma patients.