Members present:                            
Steve Bane                                                      
Marv Birnbaum                                                 
Dick Collyard                                                              
Ken Johnson
Cal Lintz
Theresa Richards
Steve Teale
Travis Teesch
Gloria Wall
Dan Williams   

Bureau Staff:
Terry Gonderzik

Others in Attendance:                                   Representing:
Barb Kuska                                                      Beloit Memorial Hospital
Beth Natter                                                      Mercy  Hospital – Janesville
Don Kimlicka                                                   Gunderson Lutheran
Gary Leyer                                                       Gateway Tech
Judy Jones                                                        Luther – Eau Claire
Lynn Crawford                                                 St Clare Hospital
Mike Kresovic                                                 Bell Ambulance
Vickkie Zietlow                                                MidState technical College
Joy Erb-Moser                                                 EMSC
Robin Schultz                                                   Sacred Heart - Eau Claire
Tracey Froiland                                                ThedaCare - Appleton
Mike Jankowski                                               Franklin Fire Dept
Mark Madigan                                                 County Rescue - Green Bay
Larry Knuth                                                      Paratech Ambulance
Nettie Jenkins                                                   St. Anges Hospital
Michael Fraley                                                  St. Joseph Hospital
Robert Stedman                                               Waukesha County Technical College
Keith Kessler                                                   Douglas County Emergency Management
Jan Victorson                                                   Bayfield County Emergency Management
 

Agenda item #1 Introductions

Dan Williams called the meeting to order at 9:10 at the Holiday Inn Mosinee, Wisconsin.  Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of September Meeting Minutes

Motion by Ken Johnson seconded by Dick Collaryd to approve the November Board minutes with the addition of Terry Richards in attendance.  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

1.      Few comments received by Deborah Crawford regarding EMT-Basic IV Pediatric module. Comments have been folded into the curriculum. Anticipated completion by the end of January.

2.      EMT-Basic IV Refresher received no comments and training centers can begin use of that curriculum as of now. Copies can be obtained from Deborah Crawford

3.      PAC has not met on the Scope of Practice for EMT-Basic. Anticipated this will be on the February PAC agenda and this issue should be addressed at the March Board meeting.

4.      Don Kimlicka reported on the stakeholder survey which was/will distributed to members for further discussion in March.

5.      Ken Sternig distributed materials and discussion followed regarding Distributive Learning.

6.      Further discussion regarding flexible delivery of EMT-Basic refresher courses.

Policy & Practice

Dick Collyard reported on the committee meeting, which included:

1)      EMS Funding Assistance Program (FAP) – No additional information from Rep. Rhodes’ office.  Policy will be looking at funding formulas at their next meeting.

2)      Review of possible formula options given by Jon Morgan. After lengthy discussion and review, motion by M. Waite and second by B. Kuska and unanimous passage PPC recommends to the EMS Board:

1.      Adopt the EMT-Basic staff only formula ($798,020) as outlined by Jon Morgan in order to keep services as whole as possible;

2.      Any overage in these training cost in succeeding years (increase in EMT-Basics on service or in technical college costs) will be paid for by the affected service with their allocated FAP equipment funds;

3.      Recommend that the state EMS Board (Education Committee) research the possibility of moving to a 4-year refresher cycle (as opposed to the current practice of 2-years), current EMT-Basic list on file with the state be filtered for duplicate affiliations, these unique individuals identified and the EMS provider listed as conducting their last refresher will become their primary service affiliation, and the efficiency of the management of the FAP training funds continue to be reviewed and researched;

4.      The status of FAP funding evaluated on an annual basis, and

5.      Additional funding for the FAP continues to be sought.

6.      Motion by Dick Collyard and second by Ken Johnson to accept and recommend the FAP changes discussed. All Present – Aye.

7.      Motion by Dick Collyard, second by Cal Lintz to modify the FAP formula for this year to ensure enough money is available to pay for required training.  The base amount would be changed from $3,588 to $3,088 per provider for the initial check.  All Present - Aye

Systems Management

Marv Birnbaum reported on the committee meeting. 

1.      Discussion regarding incident command systems, structure, training needs, credentialing

2.      National Incident Management System draft report was discussed.

3.      CQI survey tool is complete. Next pilot project for chest pain will consist of 20-30 randomly selected agencies

4.      Review and discussion of the Dispatcher draft. Suggestions to change language were made, details can be found in the committee minutes.

5.      Motion by Travis Teesch and second by Dick Collyard to approve the changes to the EMD Rule as presented by Marvin Birnbaum. All Present – Aye.

It was noted that EMS seems to be left out of many bioterrorism and preparedness discussions and plans.  The Board made the following statement of concern:
Given that there are multiple agencies/organizations involved in planning for bioterrorism/disaster preparedness programs in the State, the EMS Board expresses its concern over the coordination and funding of these activities including the Regional Trauma Advisory Committees, the State Trauma Advisory Council, the Public Health Consortia, the Hospital Consortia, the Hazardous Material Response Regions, the Division of Emergency Management, the State Patrol, the Office of Homeland Security and other agencies that are placing uncoordinated mandates on the Emergency Medical Services (EMS) systems in Wisconsin.  Despite the overall availability of resources, such mandates have been unfunded.  Furthermore, the EMS community does not have sufficient input into the decision-making processes involved in generating these mandates.  Currently, EMS agencies do not have sufficient resources or the ability to meet these often disparate expectations.  The EMS Board requests that the Governor and the Department of Health and Family Services mandate that EMS be included in the coordination, planning, funding, and evaluation processes of each of the agencies involved with Terrorism/Disaster activities with which EMS must interact.

EMS Office Update

Terry Gonderzik reported

1.      Status of the medical director position is at the reference stage. Interviews have been completed.

2.      Renewal via EMSS is progressing well. Plan to test in late January both internally and externally.

3.      BEMSIP has a booth at the WEMSA Conference and advisory committee members are encouraged to contact Dan Williams for scheduling

4.      2004-2005 State EMS Plan is currently under revision after comments by Nan Turner.

5.      Mark I Kits – Deborah Crawford is responsible for this task, it is thought that the trainers and kits have been ordered. Contact Ms. Crawford for more information

EMS-Children

EMSC presented a written report and Gloria Wall gave a brief oral summary.

Physician Advisory Committee (PAC)

¨      PAC has not met since last EMS Board meeting – no report

         Medical Director Report

RFP’s reviewed, interviews of three candidates has taken place, currently checking references. Expect announcement no later than Feb. 1

Injury - No report

Agenda Item #4 - State & Legislative Update
1. No changes reported

Agenda Item #5 – Old/New Business
1.      None

Motion by Dick Collyard, seconded by Ken Johnson to adjourn.  All Present - Aye

The next regular meeting is March 2 & 3, 2004 in Madison.