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

Bureau Staff:
Nan Turner
Marianne Peck
Mary Jean Erschen      

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
Mike Krueger                                                   Lifestar EMS
Pat Kilbane                                                      Professional Firefighters of WI
Gary Winters                                                    Gold Cross Ambulance
Joy Erb-Moser                                                 EMSC
Joe Covelli                                                       WEMSA
Robin Schultz                                                   Sacred Heart - Eau Claire
Tracey Froiland                                                ThedaCare - Appleton
Mike Jankowski                                               Franklin Fire Dept
Mark Madigan                                                 County Rescue - Green Bay

Agenda item #1 Introductions

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

Agenda item #2 Approval of September Meeting Minutes

Motion by Travis Teesch seconded by Dick Collaryd to approve the September 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 gave an update of tasks that included:

1)      EMT-Basic course review.  The review plan will include a survey to Providers.  A draft of that document will be done by January.  It is anticipated that PAC will provide the scope of practice document, which will then be incorporated into the review.  Anyone interested in participating on this ad hoc committee should contact the chair, Linda Pace.

2)   Competencies vs. curriculum: completed a draft of pros and cons and may be recommending that the refresher courses be built upon competencies while the initial

courses would utilize curriculum.

3)      A distributive learning ad-hoc committee is being formed; anyone interested in participating can contact the chair, Ken Sternig.  The action plan for this committee has been completed.

4)      Nan presented the committee with drafts of the IV Tech refresher and pediatric curriculums.  Comments are due to Nan by December 1, 2003.

5)      CPAP.  Nan presented the CPAP packet for review and comment.  Several comments were made - Nan will incorporate the changes.

Policy & Practice

Dick Collyard reported on the committee meeting, which included:

1)      Trans 309 – review of Trans 309 will be placed on hold until DOT has a plan in place

      to replace the ambulance inspector position.

2)      EMS Funding Assistance Program (FAP) – Rep. Kitty Rhodes has drafted legislation that would have the FAP training dollars sent directly to ambulance providers to cover training expenses.  There have been several meetings with the Bureau and WEMSA to work on the language for the legislation.  The mechanism for allocating the training dollars would be done by the EMS Board.  The committee will be looking at funding formulas at their next meeting.

3)      First Responder rule – Currently with the DHFS rule writer.

Systems Management

Marv Birnbaum reported on the committee meeting.  There is a great deal of concern that EMS is being excluded from all the Federal grant opportunities.  It was pointed out that this is a National problem, which is being addressed by several organizations.

Marv distributed a "Statement of Concern".

Motion by Mar Birnbaum to recommend that a modified version of the statement be completed and move it through the DHFS process.  Second by Terry Richards.  Motion passed unanimously.

Discussion:  what is the Board's role in this?  This statement will go back to Systems Committee and modification made by January 7, 2004 meeting.    It was felt that the Board should send it now with a note of resolution.  Dan and Marv should also meet with the Secretary of DHFS (Helene Nelson).

Ad-hoc Committee activities:

CQI committee –

Ken Johnson will chair this ad hoc committee.  The plan is to survey the original pilot participants and conduct a second pilot over the next 6 months.

Disaster Management –

¨      Reviewing IC structure

¨      Template for Mass Casualty Trailers

¨      At the next meeting. They will discuss training.  Suggestion was made that the training issue be referred to the Education Committee.  Action:  Marv will forward to Education Committee

EMS-Children

¨      Written report submitted

¨      Five Year EMSC Strategic Plan distributed

¨      Ipecac handout distributed

¨      EMSC Position Statement (11/03/03) on Pediatric DNR orders in the field distributed

The EMS Board will not act upon this until reviewed by PAC and the Bureau.  The recommendation was made by Marv Birnbaum that the BEMSIP seek the Attorney General's opinion for legal implications since there is a  state law in place.  Is this a medical issue versus a legislative issue?

Physician Advisory Committee (PAC)

Nan reported on PAC activities.  PAC will conduct its next meeting on Thursday, November 20^th at 1 West Wilson in Madison.  Items being worked on include:

¨      Scope of practice document for EMT-basics

¨      EMS Service Report Card

¨      Electronic medical director course - developer has reached some barriers.  Hope to implement by January 1, 2004.

¨      Finalized the CPAP packet.  Recommended that anyone who wanted to participate in the project could do so.

¨      Added selective spinal immobilization to EMT-basic scope of practice

         Medical Director Report

The Bureau has received three applications for the position of State EMS Medical Director.  The scoring team has been selected and results are being returned.  Jon and Nan will review RFPs next week and determine if interviews will be conducted.

Injury - No items

Agenda Item #4 - 2004-2005 State EMS Plan

Nan will send a draft for input by first week in December.  EMS Board members are asked to specifically review their committee areas for accuracy.  The plan is due December 31, 2003.

Agenda Item #5 – State & Legislative Update

1.      EMD - Marv reported that legislation is in draft stage.  Input is needed by January 2004.

2.      Helmet legislation may not get to the floor

3.      Trauma - Marianne reported that the Needs Assessment draft had been sent to all Board members for input.  This will be discussed at the next STAC meeting, which is to be held November 12 at the Comfort Inn in Madison beginning at 10 AM.

Agenda Item #6  - Old/New Business

Mark I Kits:  Marv commented that the EMT-basic and EMT-basic IV tech providers should be allowed to inject not only themselves, but others.  He recommends that this be added to the scope of practice.  Action:  Nan will take this to the PAC.

HIPPA:  exclusion to reopen the law - asks for list of barriers EMS is experiencing.  Action: Because of the numerous interpretations of this law, it was decided that the Board would listen for problems and address them as they occur.

Education Committee Presentation by Nan Turner

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

Meeting adjourned at 11:45am. 

The next regular meeting is January 6 & 7, 2004 in Mosinee.

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