• Direct the executive director of the Division of EMS and advise the EMFTS Board with regard to adult and pediatric trauma and emergency medical services issues. • Serve as an advocate for the EMS system in governmental relations. • Work with local medical directors to develop and implement the protocols and standing orders under which the out-of-hospital care provider functions. • Ensure the appropriateness of initial training of out-of-hospital personnel involved in patient care and telecommunicators. • Assist with development and implementation of an effective regional/state process improvement program for continuous system and patient care improvement. • Promote EMS research at the local, regional, and state level. • Interact with regional, state, and local EMS authorities to ensure that standards, needs, and requirements are met and resource utilization is optimized. • Promulgate public education and information on the prevention of injury and handling of emergencies. • Coordinate the Regional Physician Advisory Board (RPAB) system (ORC 4765.05 and OAC 4765-3). • Serve as a patient advocate in the EMS system. • Recommend contemporary patient care standards to the EMFTS Board. • Develop, recommend, and implement protocols, scopes of practice, and guidelines under which the out-of-hospital care provider functions. • Assist with evaluation and recommendations for equipment used in patient care throughout the system. • Develop and assist with implementation of an effective quality improvement program for continuous system and patient care improvement. • Assist in the review of aggregate data from the Emergency Medical Service Incident Reporting System (EMSIRS) and Ohio Trauma Registry (OTR). • Maintain liaison with the emergency medical care community, including, but not limited to, regional physician advisory boards, hospitals, emergency departments, physicians, out-of-hospital providers, and nurses. • Interact with national, regional, state, and local EMS authorities to ensure standards, needs, and requirements are met and resource needs defined. • Maintain knowledge levels appropriate for an EMS medical director through continuing education.