Members present:
Dick Collyard
Mark DeGuire
Steve Teale
Gloria Murawsky
Karen Richter
Terry Richards
Gloria Wall
Dan Williams

Bureau Staff:
Nan Turner
Rick Barney
Linda Watson

Others in Attendance: Representing:
Jim Brian Area Association of Rescue Squads
Judy Jones Luther - Eau Claire
David Henning Gold Cross Ambulance - Fox Valley
Robert Haight Marshfield Fire & Rescue
Scott Schneider Two Rivers Fire
David Beyer Himself
Keith Kesler Douglas Co. Emergency Mgt.
Scott Wuerch Gold Cross - Eau Claire
Jeff Nelson Medical Training Associates, Milw
Jan Victorson Bayfield Co. Emergency Mgt.
Mitch Waite WI Rapids Fire
Michael Fraley St. Joseph's Hospital - Marshfield
Tom McCarrier MSTC /WI EMS Association Board
Judy Jones Luther Hospital - Eau Claire
Mike Drury Professional Fire Fighters of WI
Carol Immermann Franciscan Skemp - La Crosse

Agenda item #1 Introductions
Dan Williams called the meeting to order at 10:15 at the Holiday Inn, Mosinee. Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of November Minutes
Motion by Karen Richter to approve the minutes, seconded by Gloria Murawsky.
Unanimous approval.

Agenda item #3 Committee Updates

· Policy & Practice
Karen Richter reported on the highlights of the committee meeting: Paramedic Critical Care module - A model program from the University of Maryland was reviewed and recommended for use by all of Wisconsin. This will be forwarded to the Education Committee for review, where additional competencies may be added as determined by the EMS office. Practice to level of care - The Physician Advisory Committee reqeusted the committee to make a recommendation on the issue of part-time care for a level of licensure at a higher level of care i.e. in rural areas when an available EMT-P has moved to that area. The committee feels that it is premature to promote this model while the other models have not been evaluated. (encloseure) Modular Education -The committee also supports the four levels proposed in the current Systems Committee document.

* Data and Research
Mark DeGuire reported on the following areas: WEMSIS - The ALS version has now been distributed to over 200 providers; an updated version 5.82 corrected the medications list and Windows 98 upgrades. A "user group" is being created from providers with proficiency in Access. (those interested should contact Mark DeGuire or Linda Watson). Future planning - The committee also reviewed its portion of the State Plan for 2000-2001 and set up a detailed workplan for completion of the objectives.

* Systems Management
The committee met twice to continue its work on the provider funding activity survey. Providers will be contacted for structured interviews by February 1; the questionnaires will be completed by Feb 21st. A white paper on dispatcher training for EMS communications is being drafted to include research, standards and resources. Their next meeting will be held in February, exact time and location to be determined.

* Education
Did not meet

Agenda item #4 Legislative Update

Nan Turner commented on the following items:
* Do Not Resuscitate has been revised to provide for two bracelets now; the new procedures are being developed into a packet that will be distributed to physicians, statewide.

* HFS110/112 is currently at the Secretary's office for review. Board members will receive copies when it become available. The next step is announcement of public hearings and review by legislative council.

* First Responder legislation has only to pass the senate. It will likely be passed. (Update: Legislation has passed the Senate. Still needs signature by the Governor).

* Public hearing on the EMS 2000 State Plan was held, four were present; 1 spoke. Testimony can be heard for one more day, then it will be published.

* There is still no response for new board appointments. This has been pending now for over a year.

* The Trauma Advisory Committee has been named and will hold its first meeting on February 9, 2000 at the Washington Square building, in room 233 at 11:00.

* The Bureau of EMS and Injury Prevention has moved to 1 West Wilson St. as of today (January 12, 2000). Interested parties may use the same mailing addresses and phone numbers.

* The DHFS/EMS website has been updated.

Agenda item #5 EMT-Intermediate Concept Proposal
Nan Turner presented a document outlining the proposed plan for the EMT-Intermediate level of licensure. The recommendation is to provide a transition course in which the current EMT-I can advance to the new level. As this is only in "conceptual" stage, none of the levels are considered final. Some of the terminology may change e.g. the levels of licensure. As proposed, there would be three modules: trauma; medical; and cardiac. (Bill Perloff had recommended the integration of pediatric content as a separate module. It was felt that the pediatric content could be integrated into each of the three modules with minimal difficulty, or a separate module be added e.g. 3A - Trauma and 3B- Pediatrics). [The Physician Advisory Committee will be assisting in the review process]. The current goal would include teaching of the new curriculum by Fall 2001. Motion by Karen Richter, second by Terry Richards to approve these four levels as written in the proposal Unanimous approval. [The Board will begin the review process and will establish the workplan for implementation].

Agenda item #6 Medical Director Report
Rick Barney noted the completion of the Paramedic curriculum and extended thanks to the exceptional good work of this committee. Much of his time has been spent lately on the review of the curriculum and in the development of the EMT-I concept proposal. He also commented on the recent loss of Dean Stueland, a former EMS Board member and "true pioneer in EMS." Memorabilia is being compiled in a scrapbook for Dean Stueland's family. Anyone with stories or photographs is encouraged to contact Mary Jean Erschen.

Agenda Item # 7 - - Status Report
Dan Williams asked that each committee review the status document, which needs to be more reflective of the 2000 - 2001 EMS State Plan. [Add to each committee's agenda for March.]

Agenda Item # 8 - - Old/New Business

* Committee Selection : Education Committee
All candidates for the Education Committee submitted their resumes, which were distributed to Board members. Dan Williams asked for other nominations. Motion by Karen Richter, second by Terry Richards to close nominations. Dan Williams invited anyone to speak on behalf of the nominees. Board members then submitted their votes. Don Kimlicka, Eau Claire Sacred Heart Hospital is selected for membership on the Education committee.

Motion by Gloria Murawsky to adjourn. Seconded by Dick Collyard. Unanimous approval. Meeting adjourned at 11:15 am

The next meeting will be held on March 8 at the Comfort Inn, Madison.