Board
members present:
Dan Williams
Cal Lintz
Gloria Murawsky
Steve Bane
Don Hunjadi
Ken Johnson
Travis Teesch
Troy Haase
Gloria Wall
Bureau
Staff present
Meg Taylor
Marianne Peck
Paul Wittkamp
LeeAnn
Cooper
Nicola Stasny
Ann Moses
Others
in Attendance: Representing:
Mike Jankowski Franklin Fire Dept.
Mary Austin
Jan Victorson
Keith Kessler
Suzanne Martens
Brian Litza Paratech
Ambulance
Tracy Froiland ThedaCare
Vickkie
Zietlow
Michael Petersen Divine
Savior Healthcare
Barbara Kuska
Sue LaFlash EMSC-DPH
Deb Crawford MATC-Madison
Tom Brazelton EMSC
Patricia Padjen UWHC
Gerry Isbell Orange
Cross Ambulance
Tom Fennell Gold
Cross Ambulance-Mayo Medical
Mark Fredrickson
Chris Anderson
Jeff Jenson Zoll
Medical
J. Tim Hillebrand
Agenda Item #1 Introductions
Dan Williams called
the meeting to order at
Board and Attendees:
Everyone in attendance on the Board and the audience introduced himself or
herself.
Agenda Item #2 Approval of past Minutes
Motion by Lintz, second by Bane to
approve the minutes as presented. Motion Carried.
Agenda Item #3 Committee updates
Executive Committee - Did not meet.
Education Committee
Needs
information on the Stakeholder survey. Was it sent out? Was the confirmation of the initial review
sent out? *EMS Section will verify and
report back at next meeting.
EMT
Basic Curricula- workgroup preparing objectives for each course. They are also developing an action plan. Committee had to modify the time line. Model curriculum will be completed by 9/05,
Roll out 2/06, Implementation 6/06.
They have a question
about the core components of the courses.
Are the * items optional? Asking
the Board what is to be included in the Initial Basic as core: gave examples of
CPAP, 12 lead. The concerns are over
the amount of material that is optional and how a person passes the NREMT. Should they first teach to the NREMT, and
then teach the optional? Or, should they
keep the flow of training and place the optional materials where they are most
relevant? It is confusing to the
student because they don’t know what will be on the NREMT; They
learn the optional material and then are not tested on it. Could we make those advanced skills a
separate course? It seems to be working however as we are currently seeing
scores high in WI. How does this relate
to the hours? PAC feels we should teach
more in-depth physical restraint. People
are worried that we can’t keep adding material, but not increase the
hours. Students are forced to do more
home activities, workbook training, interactive CDs, rather than Instructor
taught material. Board asked the committee to keep working on the curricula, include the
optional, if the hours increase, and then bring it back.
Last item from
Education was about what is the next curriculum they should review? The group felt that Intermediate was next,
but that they thought they needed to wait until the National model was
completed.
Policy and Practice
Brought
letter forward for discussion in opposition to the mandatory NIMS training.
Will discuss further with the Disaster Management report.
Wanted status of HFS
113- will ask DPH to hire Larry Hartzke if necessary to get the rules completed
in a timely fashion.
Refresher- discussion
will follow from Partners. Committee
will take up work in February.
Information Enhancement
Viewed a PowerPoint
presentation on the objectives to be considered for the future Ambulance Run
Data System in their meeting. They felt this was a worthwhile
endeavor. They will start by looking at
various products and vendors. Will
distribute any dates for product review to the Board.
Committee didn’t meet. They are continuing to define their role and have a separate meeting scheduled for December 1st.
Systems Management
Disaster Management Committee
prepared a letter that they want Systems to approve as well.
EMT-B
Refresher Training- Course Frequency and Length. Will be tabled and put back on the agenda
after Policy and Practice completes its work.
Ambulance Transport to
UCC or Free Standing ED’s.
Gloria Murawsky had provided a document
that they could be used as criteria for Inclusion and Exclusion. Members thought that it might confuse
EMT’s. Using this as an example. It was approved with extensive QA.
Resolution:
a.
EMS Section will contact the Bureau of
Quality Assurance to review the status of the
b.
EMS Section will provide the group the
information they have on the Lake Geneva/Janesville Pilot that was approved by
BQA.
c.
The group was asked how they felt about
the issue- they agreed that we should enforce the statues as they are currently
written. Ambulances should transport to
a hospital
d.
EMS Section will ask PAC to prepare a
statement on this issue.
e.
EMS Section will draft answers to the
questions raised on the handout
CQI
Finalized second pilot
project, defined the services, finalized the distribution of materials, there
will be two months of chart review data, they will then review the tool, and
revise as necessary. This pilot project
is on Chest Pain and Respiratory. Should
they then develop more modules or wait until we have an electronic system? What were the results of the original
review? Not enough data to give us
information.
Disaster Management
Letter related to
Policy and Practice and Systems discussion.
Suzanne read the letter for the group.
Recommends that the Board send the letter or allow
that NIMS become part of the Refresher.
Motion by Hunjadi,
second by Murawsky to approve letter as written. Motion carried.
Discussion: How does
the money flow related to this training?
Homeland Security says states must comply or no federal money. WEM feels
the number of people to train is enormous.
No curriculum exists. ICS
training is the first step of compliance.
Basic is 12 hours, there is a 4 hour online Introduction Management
course. A Letter was sent to every
Governor which says ICS should be done.
Training will be paid for; there is “complete cost recovery”. So it shouldn’t be a burden to pay for the
class. There is money available for
career people to attend as well and money for backfill. But, this does not include volunteers at this
time. We should cc Congressmen from WI,
WEM, OJA, Governor, Sec. Nelson, This does seem time sensitive. It would have more weight if other groups
were to sign on. We should move forward
and ask others to take a stand.
Suzanne Martens asked
about the second part of their recommendation related to using NIMS as the
Refresher Course. It was decided to send that question to Policy and Practice.
They did feel that we needed to be careful because there is money tied to this. Need to keep it on the agenda.
Final question was
related to First In document- wanted to know if it had been distributed by EMS
Section, answer was no. That is good
because it is not completed as of yet.
EMSC
EMSC would like to
integrate more with the EMS Advisory Board. They would like more of EMSC
members on Board committees. Motion by Gloria Wall, second by Teesch, that as they are able EMSC
members should attend and submit their names to join our committees. Motion Carried. Dan added that all meetings are open, and
they should feel free to participate.
Susan LaFlash will take this back to EMSC. TRANS 309- at the last
revision accidentally removed infant car seats out of the requirement for an
ambulance. Need to communicate desires
to the Board.
PAC
Would
like to see a protocol for Physical Restraints included in the Scope of Practice
at all levels. There is a concern about the general
creep of the I-99 Intermediate level. Education has raised several questions
about hours of training. There was a
discussion about Ativan and use. PAC wants input on all Scope of Practice
issues. PAC also sent a letter to the Governor voicing their concern with the
recent appointments to the Board in the fact that there have not been the
recommended physician appointments.
Medical Director
National
Initiative on Dispatchers and Wireless 911- need money and definition. EMD legislation- where is it? Senator Lazich worked on it, but it was never
introduced. Move this to the Systems Committee.
Discussion around the Instructor Annual Course was as follows:
31/2 days is too long,
Takes too much time away from job- must take vacation, only offered once a
year, many of the topics could be taught at the training centers, course is not
cost effective- salary, travel, meals, lodging.
This message was clarified to not include the cost of the actual
training. The course does not address all of the issues for a new instructor,
training Centers are not able to hire out of state people because EMS Section requires
that an Instructor must complete this course prior to any classroom work,
Technical Colleges are asking why EMS Instructors are treated differently from
their other Instructors
History - There has
been a MOA in existence since 1978 between the
Resolution:
a.
DPH will review the Statutory Language
and prepare potential modifications
b.
DPH will review the Administrative Rules
and prepare potential modifications
c.
DPH and Steve Teale will review the MOA
and prepare new draft language for approval.
It will include modifying the responsibility for Instructor
certification move to VTAE with a culpability clause. Waiver will remain at DPH.
d.
DPH will review all outstanding
Instructor Certification issues and bring them back to group for discussion.
e.
VTAE should develop a modular course
f.
There should be a Regional Instructor
Training pool
g.
The course should be similar to the 2002
National Guidelines
Discussion:
Can’t base the decision on what an EMT
learns in their Refresher in 30 hours.
What about quality? So they learn
more in the In-service, at conferences, hospitals, etc.? What about geographic limitations?
Shouldn’t we support continuous training?
Could the training be completed in a 3
year cycle to get 30 hours?
What impact will NIMS have?
Bioterrorism is now on-going, how will
that affect the hours?
It might be better to keep licensure at 2
years, but offer alternate methods of training
NREMT certification is an issue- that is
a 2 year cycle
Record keeping for continuous training
could be an issue
Define the EMT competencies we are
striving for and then allow different ways of getting it done
We should be looking at Web-based
training or Video conferencing
One size does not fit all
There was no
resolution to the issue.
Agenda Item #4 Pediatric IO and IV Tech Courses
Dan gave a background of the issue. The PAC wanted IO to be approved as part of
the IV Tech course. Medical Director thought is should
also be taught. Board did not agree. Final resolution cloudy from EMS Section perspective. Some feel IO is mandatory. Policy and Practice looked at it again- voted
no change. Need an official
Discussion
of the objectives that the Board must complete. EMS Board is charged by the HRSA grant to
develop a Disaster Plan that for the potential of large groups of the
population that may be injured in Bioterrorism event. Need committee
membership. Gloria Murawsky offered to
Chair the committee.
Agenda Item #6 State Communication Issues
Paul Wittkamp the EMS
Section Communications Coordinator addressed the Board with the concerns that
he has seen throughout the State. The Board appreciated the information and
will continue to monitor the progress.
Agenda Item #7 Legislative Issues
None.
Agenda Item #8 State office update
It was announced that Dan
Williams had accepted the position as the new EMS Section Chief of Emergency
Medical Services for the State. The other two openings will hopefully be filled
sometime in January.
Because Dan is the
Chair of the Board and he will have to resign when he takes the State position,
how does the Board want to handle chair role. Travis Teesch suggested that this
was not on the agenda, so we should take nominations at the next meeting and
then vote on a Chair. Dan suggested that
the Board should do this annually and everyone agreed.
Discussion also
mentioned that Dan’s leaving would mean another vacancy on the Board that would
need to be filled. It was also noted that Dan was the Board representative on
the STAC. Motion by Lintz, second by
Johnson that the
Agenda Item #9 Adjournment
Motion by Johnson, second by Hunjadi to adjourn. Motion carried.