Cape and Islands Emergency Medical Services System, CIEMSS, serves as the liaison organization between the EMS providers in the Cape Cod area and the area hospital Medical Directors and the Massachusetts Department of Health - Office of Emergency Medical Services. CIEMSS provides coordinated quality assurance and improvement activities, assistance with regulatory compliance and a variety of EMS related education and training programs. Established in 1974, CIEMSS has continuously been committed to the development of emergency medical care within the region and continues to this day its commitment to help provide the best pre-hospital medical care.




Donna Rex, NRP

Donna has had a long and distinguished career as a Firefighter / Paramedic with the Barnstable Fire Department and is a well respected and sought after EMS educator.

Jonathan Cook


Jonathan Cook, NRP-Ret

Jonathan is a retired Trooper with the Maryland State Police where he spent his career in Special Operations as a Flight Paramedic and Tactical Paramedic. He has enjoyed teaching for years has a background in both online education and business.

Affiliate Hospital Medical Directors

Dr. Crowell serves as the Cape Cod Hospital Affiliate Medical Director, Medical Director of Cape & Islands EMS System and is a Cape Cod Hospital Emergency Department Physician. Dr. Crowell is also a call firefighter with the Dennis Fire Department.
Dr. Bemis serves as the Falmouth Hospital Affiliate Medical Director and is a Falmouth Hospital Emergency Department Physician. Medical School: Boston University School of Medicine, Boston, MA

Dr. Casper serves as the Affiliate Hospital Medical Director for Martha's Vineyard Hospital. Dr. Casper lives and works on Martha's Vineyard with her husband Pieter Pil MD and their 4 children.

Medical School: Univ. of Texas Medical Branch at Galveston
Residency: Yale-New Haven Hospital & Boston Medical Center
Board Certification: Emergency Medicine


Dr Jennifer Meyer serves as the Tobey Hospital Affiliate Hospital Medical Director.

Dr Meyer is originally from Pittsfield, MA. She attended UMass Medical School prior to completing an Emergency Medicine residency at Duke. After her residency she practiced in Arizona for 8 years where she worked at some small and large community hospitals as well as an academic hospital. Dr Meyer decided to move back to MA and brave the winter to be closer to her friends and family.


In Memoriam

Board of Directors

  • Chief David S. Cody

  • Vice President

  • Secretary

  • Chief Robert Moran