Emergency Medical Services Board Meeting
January 10, 2001

Members present:         
Marv Birnbaum                         
Cheryl Glomp                                                                         
Dan Williams                             
Don Hunjadi                                                  
Gloria Murawsky                                          
Dick Collyard                                                
Mark DeGuire                    
Gloria Wall
Tim Bjelland
Karen Wesley
Terri Richards
Steve Teale

Bureau Staff:
Nan Turner
Rick Barney
Nicola Anders

                                                                                                                       

Others in Attendance:                         Representing:
Judy Jones                                                     Luther – Eau Claire
Keith Kesler                                                   Douglas Co. Emergency Mgt.
Jan Victorson                                                Bayfield Co. Emergency Mgt.
Kathy Crandall                                              EMS Coordinators
Dave Henning                                              Gold Cross Ambulance
Don Kimlicka                                                 Gunderson Lutheran – LaCrosse
Mark Madigan                                             County Rescue
Joy Erb-Moser                                     St. Joseph’s Hospital - Marshfield
John Connor                                                  NorthCentral Tech
Robin Schultz                                     Sacred Heart Hospital – Eau Claire
Michael Fraley                                     Saint Joseph’s Hospital – Marshfield
Jim Brion                                                        Marinette County Rescue Squad
Scott Wuerch                                     Gold Cross – Eau Claire
Tom Twait                                                      Gold Cross – Eau Claire
Brian Pauley                                                  Luther Hospital – Eau Claire
Carol Immermann                                        Franciscan- Skemp – La Crosse
Robert Haight                                                Marshfield Fire and Rescue
Chris Batchelder                                         Memorial Hospital – Burlington
Cal Lintz                                                         Green Bay Fire Department
Len Orlando                                                   Green Bay Fire Dept / PFFW
Michael Kunesh                                               PFFW

Agenda item #1 Introductions

Dan Williams called the meeting to order at 10:10 at the Holiday Inn, Mosinee.  Everyone in attendance introduced himself or herself.  Dr. Tim Bjelland was introduced and welcomed as the newest member of the EMS Board.  Dr. Bjelland provided a brief summary of his background.  Chair Dan Williams commented that this was the first time in 2 years that there has been a full complement of EMS Board members.

  Agenda item #2 Approval of November Minutes

Motion by Dick Collyard, Second by Cheryl Glomp to accept the November, 2000 Board minutes.  Unanimous approval.

  Agenda item #3 Committee Updates

·        Policy & Practice

Karen Wesley reported on the committee meeting.  Most of the committee work is being done with HFS 111.   The document has been reviewed and forwarded to the EMS Section with recommendations for changes.
HFS 110 will become official on March 1, 2001.
HFS 112 is due to be out of the Department by February.

  Mary Jean (EMS-C) asked that the Interfacility Guidelines include pediatric aspects into all levels of the document.  Mary Jean will forward the EMS-C request to Terry Gondersik, ALS Coordinator, for his consideration and inclusion.

  ·        Data and Research

Mark DeGuire reported on the committee meeting.  The committee has begun work to create a CQI algorithm.  They are currently developing a list of CQI tasks based upon the rules and 146.50 WI stats. (what elements are required for an operational plan; what is best practice, etc).  The goal is to provide a good reference tool for EMS services in Wisconsin.

The committee also posed the question as to who is watching over the data in Linda Watson's absence.  Nan reported that Linda continues to work a few hours a week on downloading the data and answering questions related to WEMSIS.  She also continues to answer any requests for training and distribution.  Any technical items needing immediate attention are forwarded to the programmer.

The committee requested that the EMS Section present a statewide plan and timeline for EMS data collection in Wisconsin at the March meeting.

·        Systems Management

Marv Birnbaum reported on the continued work of the Systems Committee. Major projects:

1)                 White Paper is in draft form and was distributed to the Board.  Meetings with stakeholders have occurred except for Municipalities and Towns and the Sheriff’s Association.  The Surveys and structured interviews conducted found that the Sheriff Departments provided the greatest amount of primary dispatch in the state.  The surveys are being revised to determine who is doing the dispatch and funding.  These revised surveys will be distributed to County Emergency Management offices.  The committee should be ready with a report at the March meeting.

2)                 Finance piece – the result of 27 structured interviews

3)                 The Systems Management Committee will meet February 8 at 3PM in Marshfield.

4)         Funding Assistance Program - Don Hunjadi reported the recommendations of the subcommittee that was asked to review two areas of concern:

  ·        If students attending an EMT-basic or EMT-basic refresher course do not complete the course, the service is required to pay back to the state the monies for that student.  Many services have not been paying the invoices to the state.  The recommendation is that services who are not paying their bill – no longer receive FAP funds until they are paid up.

·        The second question was regarding FAP primary (base) checks and how it is determined as to how many the provider should get if the services has branches/multiple contracts? 

Recommendation:  The following "test" be completed: Look at the owner - if the owner is different, then they get 2 base amounts.  If the owner is the same, then look at the Primary Service Areas (PSA).  If PSA's meet without any division, then treat as 1 entity for FAP purposes (1 base check).  If the PSA is seperated by 1 or more other PSA's, then it is treated as 2 separate entities and 2 base checks are distributed for FAP purposes.

Motion by Marv, second by Dick: The EMS board should forward the above recommendations of the Systems Management Committee to the DHFS.  Unanimous approval.

  ·        Education

Cheryl Glomp reported that the draft curriculum for the EMT-B IV level is complete, after a few changes from yesterday’s meeting.  The curriculum will be forwarded to the EMS Board and PAC next week.  The process will be that Nan will forward the document and approval will occur by exception.  Cheryl also presented a summary of the components of the curriculum.  There will be a rollout of the curriculum at the I/C conference being held February 21-23.  A train-the-trainer is also being planned for March.

  A discussion followed on establishing an evaluation process for the EMT-basic IV level.

Motion by Marv, second by Cheryl: Concurrent work between the Data and Research and Education Committees be done to look at the best evaluative approach for the EMT-basic IV level and a report be given at the March EMS Board meeting.  Unanimous approval.

  The committee also finished review of the HFS 111 Instructor Coordinator certification requirements and made their recommendations.

  Motion by Karen Wesley.  Second by Dan Williams:  To accept the EMT-Basic IV curriculum for review and approval by exception to Nan .  Unanimous approval.

  ·        EMS-Children

A written report on the most current EMS-C meeting was distributed.  Gloria Wall also presented a map of areas still in need of Child Alert Program Coordinators.  Judy Jones offered to take to EMS Coordinator meeting this afternoon.

Agenda item #4 Medical Director Report

Dr. Rick Barney presented his annual review of issues for the State EMS Medical Director.  The written report was distributed.  He highlighted the work being done on the curriculums at all levels; the progress of the trauma Committee; the Medical Director Course being created by PAC; and the funding problems for the EMS Section.  There was a great deal of discussion regarding sources of funding for the Bureau of EMS & IP.

  Agenda item #5 Legislative & State Office Update

Nan Turner reported on the following items:

·        NHTSA reassessment site visit is tentatively scheduled for the last week in April.

·        HFS 110/112 - The EMT-basic rule (HFS 110) becomes effective March 1, 2001.  The EMT-paramedic rule (HFS 112) is still in the Department, but should be forwarded this month or February.

        Follow-up to Board request on question of formal DHFS support for primary seat belt law. DHFS supports the concept. Actual support will occur once the actual bill language is known.

·        The bureau has been asked to look at sources of revenue that are allowed under current statutory language and any other potential funding sources.  The EMS Board has been asked to assist with this process.

·        EMS Section personnel activities.  Bev Jensen (EMS Section program support) has transferred to a new position.  Jay Deppe will start as EMS License Manager on Jan 15.  Joanne Herfel has been reassigned within the Division for 6 months.  All EMS Section staff responsibilities are being reviewed, with reassignment of responsibilities a likely outcome.

  Agenda Item # 6 - STAC and Trauma Plan update

STAC Update – The Statewide Trauma Care System Plan has been completed and will be forwarded.  Nan will supply the EMS Board with both an electronic and hard copy of the plan.  The next meeting of the STAC is February 7 at which time they will begin work on the components for implementation.

Agenda Item #7 - Board Member Reassignment to Committees

Dan Williams discussed committee assignments and made the following changes: 

Policy and Practice:            
Dick Collyard – Chair
                                                           
Don Hunjadi
Mark DeGuire

Data & Research               
Mark DeGuire – Chair
Gloria Murawsky
Karen Wesley

System Management           
Marv Birnbaum – Chair
Gloria Wall
Terri Richards
Tim Bjelland
*also need 1 member at large

Education                             
Gloria Murawsky – Chair
Cheryl Glomp
Steve Teale

Agenda Item #8 - - Old/New Business

·        Presentation to Dr. Barney by Jan Victorson

·        Marv expressed concerns regarding the number of EMS diversions in the State.  He requests this issue be placed in the March agenda.  Terri Richards offered to work with the Wisconsin Hospital Association (WHA) to develop an approach.

·        Dick recommended a planning meeting for NHTSA.  Dan suggests that the Board meet during an “off Board meeting month”.

  Motion by  Dick Collaryd, seconded by Terri Richards to adjourn. All in favor- Aye. Meeting adjourned at 12:25 PM.

  The next meeting will be held on March 6 & 7 at the Crowne Plaza, Madison.