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EMS Administration

The EMS Director, EMS Operations Manager, and the EMS Training Officer are responsible for oversight of the three main focus areas of EMS. 

The Director leads the organization at an executive level with ultimate responsibility for all aspects of the EMS system with concentration in management and direction of strategic planning, service delivery, budgeting, billing, collections, financial management, corporate compliance, employee and system performance review, and agency relations.  The Director reports to the Vice President of Administration at Carolinas Medical Center-Union and is supported by several departments of the hospital.

The Operations Manager is delegated the responsibility of overseeing the day to day operations at a system level, assuring that adequate resources are available to the supervisor and personnel on each shift.  The Operations Manager is responsible for management of EMS facilities and the specification, purchase, and maintenance of EMS vehicles, medical equipment, and supplies.  He assists the Director in developing and managing the expense budgets and actively participates in strategic planning. The Operations Manager oversees all aspects of the EMS operations division and is the direct report for the three shift supervisors.  The Operations Manager reports to the Director.

The Training Officer is delegated the responsibility of overseeing and managing the EMS system's education, training, and quality improvement programs which include verifying and maintaining the clinical credentials of all personnel, development of the system's continuing education, scope of practice, and clinical competency verification.  The Training Officer is heavily involved in the development and review of patient care protocols and oversees the six Field Training Officers' quality assurance, quality improvement, and skills development initiatives.  In concert with the system's physician medical director, the Training/Education Division reviews care provided by clinical staff for compliance with local guidelines and standards of care. The Training Officer participates in strategic planning and reports to the Director.


G. Scott Shew, EMS Director

G. Scott Shew, MHA, FACHE, NREMT-P
EMS Director

In 1997, after years of service and progressive experience as a Paramedic, Training Officer, and Operations Manager in a nearby county EMS System, Scott accepted the challenging and rewarding opportunity to join the Carolinas HealthCare System in managing Union EMS. In a geographic region with explosive growth, he saw the great potential for continued growth and development of the Union EMS System to better serve the needs of the people in Union County. 

Today, with the number of responses over twice that of 1997, Union EMS EMTs and Paramedics continually advance their education and skills to provide increasing capabilities in the timely delivery of paramedic level advanced life support.

Scott has over 24 years full-time EMS experience and considers himself a lifelong learner. He earned his Associate Degree in Emergency Medical Science from Catawba Valley Community College, a Bachelor's Degree in Health Management from Gardner Webb University, and he earned his Master's of Health Care Administration Degree at the University of North Carolina at Chapel Hill.  In addition to maintaining state and national credentials as a paramedic, Scott is board certified in healthcare management and is a Fellow of the American College of Healthcare Executives (FACHE).


Timothy R. Adams, NREMT-P
Tim Adams, NREMT-P
EMS Operations Manager
Tim has an extensive and diverse background in EMS and Emergency Management, having served in a variety of local government capacities including clinician, supervisor, and emergency manager.  Previously working in private industry, Tim has several years of industrial operations and maintenance experience, supplemented by military service experience including tours of duty during the first Gulf War.  Tim joined Union EMS in 1994 as a paramedic and has served in multiple positions including Assistant Shift Supervisor and Shift Supervisor.  He has served as EMS Operations Manager since 2001. 
Margaret K. "Betsy" Ross

Betsy Ross, AASc, NREMT-P
Union EMS Training Officer

Betsy is a charter member of Union EMS who has served our community for nearly 25 years.  As a clinician, Betsy worked first as an EMT and progressed along with the service to EMT-Intermediate, Advanced Intermediate, and Paramedic.  In addtion to her clinical roles, Betsy has served in several leadership roles including Shift Leader, Assistant Shift Supervisor, and Shift Supervisor.  Over the years Betsy has been involved in educating EMTs and Paramedics through Union EMS and the local community colleges in both initial and continuing education programs.  Betsy earned her Associates Degree in Emergency Medical Science from Montgomery Community College and attended the EMS Management Institute at the University of North Carolina at Charlotte.  Betsy is credentialed as a Paramedic by the State of North Carolina and is also credentialed as a Nationally Registered Paramedic.