Cayuga County
EMS
Advisory
Board
Continuing Quality Improvement
(CQI) Committee Comment Form

Cayuga County EMS Medical Director:

Dr. Marilee DiRubbo

Email: MLCD@aol.com

CC Emergency Management Dep. Director of EMS:

Roman Rotko

Email: em901@ccaes.org

President of the CQI Committee:

Lon Fricano

Email: LonFricano@aol.com

Auburn Memorial Hospital Emergency Room Physician Director:

Dr. A. J. Ciaccio. M.D.

Email: jciaccio@auburnhospital.org

Auburn Memorial Hospital Emergency Room Nurse Manager:

Mark Ambrose RN

Email: mambrose@auburnhospital.org

   
  * Required                 * Name:
Title:
Rank Title or Other:
Fire or EMS Department:
Subject:
* Date of Occurence:
* Time of Occurence:
Date Submitted:

Type Comments in box below:

(Please reference PCR# 

do not use any names!)