The ED Director – Nurse Manager Committee is a standing committee of the board representing the emergency medical leadership of Hospital Emergency Departments throughout the region. The committee promotes communication and cooperation among the members of the Emergency Departments of each hospital and with system partners such as emergency physicians, critical care personnel, hospital pharmacists, hospital administrators, public health, emergency medical services, and with the Virginia Office of EMS. This committee provides general regional coordination and collaboration using compromise and consensus which neither oppress the minority nor sacrifice delivery of quality patient care. The committee also oversees the provisions of the TEMS Regional Ambulance Restocking Agreement which provides a system for hospitals to provide medical consumables, pharmaceutical supplies and linens on a one-for-one basis with EMS Agencies which provide direct patient care.