Members present:                                        
Rick Barney                                                    
Tim Bjelland                                                                                        
Dick Collyard                                                  
Cheryl Glomp                                      
Don Hunjadi                                                    
Cal Lintz
Gloria Murawsky
Jim Savage
Steve Teale
Lorie Utech                                         
Dan Williams

Bureau Staff:
Jon Morgan
Mary Jean Erschen      

Others in Attendance:                                   Representing:
Beth Natter                                                      Mercy Hospital – Janesville
Brian Litza                                                        Paratech
Chris Batchelder                                               NorthCentral Technical College
Cindy Diedrich                                                 Fitch-Rona EMS
Dave Henning                                                   Gold Cross
Don Kimlicka                                                   Gunderson Lutheran
Gary Winters                                                    Community Ambulance
Jan Victorson                                                   Bayfield Co. Emergency Management
Jeff Grimm                                                        Thedastar
Jennifer Hubbard                                              UW Children’s Hospital
Joy Erb-Moser                                                 St. Joseph Hospital - Marshfield
Judy Jones                                                        Luther – Eau Claire
Kathy Crandall                                                 Lifestar EMS
Keith Kesler                                                     Douglas Co. Emergency Management
Larry Knuth                                                      Paratech
Laura Ahola                                                     UW Hospital
Laura Schenlar                                                 UW Hospital
Mark LaChance                                               New London family Medical Center/EMS
Mark Madigan                                                 County Rescue
Mary Powers                                                   Children’s Hospital of WI
Michael Fraley                                                  St. Joseph’s Hospital
Pat Kilbane                                                      Professional Firefighters of WI
Patricia Padjen                                                 UW Hospital
Suzanne Martens                                              Orange Cross/St. Nicholas Hospital
Tom Brazelton                                                  UW Children’s Hospital
Tracy Froiland                                                  Appleton Medical Center
Vickie Zietlow                                                  Mid-State Technical College

(Motions and action items in bold)

 Agenda item #1 Introductions

Dan Williams called the meeting to order at 9:05 at the Holiday Inn, Wausau.   Everyone in attendance introduced themselves.

 Agenda item #2 Approval of November Minutes

Motion by Tim Bjelland, second by Dick Collyard to accept the November 2002 Board minutes. .  All Present – Aye.  

 Agenda item #3 Committee Updates

The Standing Committees gave their reports.  Included in each standing committee report was a report from any ad hoc committees that are assigned to the standing committee.

Education

Gloria Murawsky reported on education issues.

1. The committee finished their review of the EMS Agenda for the Future and forwarded the report to the bureau.

2. The draft document for evaluation of instructors and quality of education continues.  It’s due to be completed in May.

3. Waiting for the First Responder rule draft from Policy & Practice to look at any education issues.

4. Survey questions for a possible provider survey were brought up, but no specific questions have been developed.

5. The next major task is to do a review of the EMT-basic curriculum similar to the EMT-I & P reviews.

Policy & Practice

Dick Collyard reported on the committee meeting.  The committee discussed the First Responder rule draft, which they were reviewing for the third time.  They had hoped to forward a draft to the Board at this meeting, but the introduction of requiring defibrillation for all first responders resulted in a long discussion. The committee is going to solicit input from first responder providers on requiring defibrillation and decide at the March meeting on their recommendation so the draft can be forwarded to the Board by May.

Systems Management

Tim Bjelland reported on the committee meeting.

Ad-hoc Committee activities:

CQI committee –

Moving forward with the CQI matrix and are incorporating recommendations from the Board & PAC.  The CQI product will be piloted for 3 months and then followed by an evaluation and revision prior to widespread dissemination.  The committee is looking for services to pilot the template in the Northern and Western parts of the state.  Interested parties should contact Nan Turner at the bureau. The goal is to have a finished product ready for use by the end of the year.  There was a question about providers having a contact for technical support and that has been considered and will be available.

     Disaster Management – The committee discussed what the EMS role is in Disaster management.  There were some specific questions that need to be answered as a quick fix and then a broader set of questions to develop a formal long-term plan.  

The committee discussed its pending action items:

1. Develop a brief document explaining the EMS role in the initial stages of a response to an unknown agent.  The committee worked on a draft document, which will be finalized at the March meeting.  Jon Morgan will draft an update for review.

2. Determine the EMS roles in a disaster.  There was discussion of some articles that were distributed about the EMS role and incorporating EMS into the Incident Command System.  These documents will be reviewed prior to the next meeting along with a draft document developed by Jerry Haberl.

System Committee activities:

1.      The EMS finance report was not discussed because the primary author, Marv Birnbaum, was unable to attend.  A summary of the ad-hoc CQI meeting and the Disaster meeting was given and the meeting adjourned.

EMS-Children

A written report was presented to the EMS Board  Highlights included:

• Childhood Emergency Care Conference dates are October 16 & 17, 2003 at the Kalahari Resort in Wisconsin Dells.  It will feature 6 educational tracks.

• BELSS - Basic Emergency Lifesaving Skills in Schools.  The next workshop is January 31-February 1 in Marshfield.

• Emergency Services Committee - Preparedness for schools is done and being printed by WI Emergency Management.

• Over 75% of the State is now covered by Child Alert program.

• Pediatric patient care guidelines have been completed and will be distributed to providers.

• Curricula Committee has been updating the Infant & Children module of the EMT-Basic Curriculum. 

EMSC Actions Requested of the EMS Advisory Board (follow-up plan listed in parentheses):

• Request DOT open Trans 309 to include child passenger safety seat and any other equipment needs identified.  (Jon Morgan)

• Review S & P manual for inclusion of pediatric skills and procedures. (Bureau review of S& P Manual as a whole)

• Future revisions of EMS education to include mention of insulin pumps for diabetics – to look for them and disconnect if diabetic emergency occurs.  (to IV tech ad hoc group)

• Future revisions of EMS education to include giving glucagon to the diabetic patient prior to starting an IV as the standard of care. (to IV tech ad-hoc group)

Executive Committee

Met with WEMSA Board members to discuss EMS issues identified as priorities by WEMSA.  The first meeting was used to present issues and possible solutions.  Ongoing meetings will occur in an attempt to find common initiatives to further EMS in WI.

Dan Williams reported he went to the bioterrorism meeting about CDC and HRSA grant activities and he’s trying to represent EMS in discussions with hospital and local public health representatives.

STAC – Funding Report is being proposed and that proposal has 2 options: 1 with EMS funding included and 1 with trauma specific funding only.  There is a Traffic Safety/Trauma press conference scheduled at four locations on January 15, 2003 in Green Bay (St. Vincent’s Hospital), Milwaukee (Froedtert Hospital), Madison (Holiday Inn-East) and LaCrosse (Gunderson Lutheran).  Motion by Tim Bjelland, second by Cheryl Glomp that the EMS Board send a letter to STAC encouraging any trauma funding initiatives include EMS funding as part of the proposal.  All present - Aye.  Dan Williams will send the letter.

Physician Advisory Committee (PAC)

Dr. Rick Barney reported that the PAC is working on

• Smallpox vaccination – committee did not recommend widespread vaccination for emergency responders since there is no apparent immediate threat.

• Completed the EMS MD web-based course.  Working on placement on the internet.

• First Responder – recommended Medical Direction and Defibrillation for all FR providers

• An EMS “Report card” to analyze an EMS service and compare a service with a set of standards for operational issues.  It has been split into administrative and medical components.

• Recommended CPAP use for EMT-basic services.  This still needs further discussion, including a recommendation by the EMS Board to include this in the EMT-basic scope of practice.  This would be an optional skill.  Dave Henning will send a training module and protocol template to the bureau for dissemination.  Motion by Cheryl Glomp, second by Tim Bjelland to forward Dave Henning’s CPAP material to the Education Committee to review the module and make a recommendation in March.  All Present – Aye.

• Issue of IV techs starting IVs is being addressed retroactively.  There is a need for an IV curriculum for pediatric patients, including interosseous infusion.  This would be an optional skill and there is a protocol template available.  There should be a training module developed as part of the IV Tech.  Motion by Cheryl Glomp, second by Cal Lintz, to assign to Policy and Practice for recommendation on any admininstrative or practice issues involved with adding this to the IV tech scope of practice.  All Present - Aye

• Need to train EMTs about insulin pumps for diabetics – to look for them and disconnect if diabetic emergency occurs. (IV tech ad-hoc committee)

• Giving glucagon to the diabetic patient prior to starting an IV as the standard of care. (IV tech ad-hoc committee)

 The Board discussed formalizing the process for any scope of practice cahnges.  Motion by Gloria Murawsky, second by Tim Bjelland, that any scope of practice recommendations must come to the Board, the Board shall accept or reject the recommendation, and if accepted, assign it out, as appropriate, to the proper committee.  Scope of practice issues need to consider logistical and training issues as well as medical efficacy.  All present – Aye.

 Injury – Jon Morgan stated that Linda Hale is negotiating to contract out for a statewide injury prevention assessment.  That information will be used as a base for future injury prevention initiatives.

 Agenda Item #5 – Discussion of what is “core” and what is optional training. 

An agenda item carried over fron the November meeting was to look at the EMT-basic curriculum and make a determination of what is “core” material and what could be taught as optional modules.  Motion by Tim Bjelland, second by Dick Collyard to assign to the Education Commmittee the task of making a recommendation on what should be core and what should be optional training modules.  All Present – Aye

 Agenda item #6 - Legislative & State Office Update

Jon Morgan reported on state issues that included:

1.      Change in administration in the Department of Health and Family Services.  Helene Nelson is the new Secretary of the Department. 

 Agenda Item #7  - Old/New Business

1.      The revised pediatric curriculum module needs to be distributed and will be formally sent out to training centers.  The Board agreed the material can be sent without further review.

2.      If committees have any questions for a survey, they must be turned in at the March meeting.

Next Meeting – meeting time:
Systems – 3 hours
CQI – 1 ˝ hours
Disaster- 2 hours
Policy – 3 hours
Education – 3 hours

 Motion by Tim BJelland Second by Dick Collyard to adjourn.  All present -Aye.  Meeting adjourned at 11:45 AM.

The next regular meeting is in Madison, March 4 & 5.

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