Emergency Medical Services Board Meeting
December 6, 2006
Board Members Present:
Bureau Staff:
Ken
Johnson Larry Gilbertson
Tracy Aldrich Paul
Wittkamp
Steve Bane Cathy
Etter
Brenda Fellenz Marianne
Peck
Troy Haase Helen
Pullen
Mark Fredrickson Nicky
Symons
Joe Covelli Dan
Williams
Steve Teale Keith Wesley
Board
Members Excused:
Gloria Murawsky
Tom
Brazelton
Travis Teesch
Others in Attendance: Representing:
Kyle Marohl
Chuck Cady Physicians
Advisory Committee
Gregory West
Barb Kuska
Joyce Anderson DHFS/DPH/MCH/EMSC
Fred Hornby
John Schindler Meda-Care
Ambulance
Suzanne Martens
Terry Helton LJH
Ambulance
Carrie Meier
Jeff Grimm Theda
Star/STAC
Bob Nack Fox
Valley RTAC
Ann Peggs PFFW
Nettie Jenkins Thedacare
Steve Stroman
Dan Diamon
Jim Austad
Cinda Werner Children’s
Tom Fennell Gold
Cross Mayo Medical Transport
Keith Kesler
Jan Victorson Bayfield
Laura Ahola Divine
Savior
Judy Jones Luther
Hosp Eau Claire/NWRTAC
Beth Natter
Jan Beyer UW
Terry Wise Baraboo
Ambulance
Ken Sternig
Dave Larsuel
John Duffy Fond
du lac Fire Dept.
Richard Meeker City
of
Gerry Isbell Orange
Cross Ambulance
Robin Schultz Sacred
Heart Hosp.
Tammi Hovde WC-RTAC
Mitch Waite
Tom Thrash Antigo
Fire Dept.
David Kerkman
Linda Pace MATC
– Madison
Ann Krainyk UW
Don
Welcome and Introductions: Chair Steve Bane called the meeting to order at
1.
Approval of
previous Board Meeting Minutes:
A Motion by Haase,
second by Aldrich, to approve the minutes from the October, 2006 meeting. Motion
Carried.
2.
Committee
Updates:
1.
Linda Pace discussed
the EMT Basic Refresher Pilot program. After discussion, ten services were
identified and accepted. The Pilots are intended to begin
Motion by Haase, second by Lintz to
allow several services to combine together to participate in the pilot project
and accepted into the Pilot. The start date of the pilots was delayed to
February 07 to assure proper preparation. Services who already applied will be
notified of the slight delay. Motion Carried.
1.
Stable funding. The committee will discuss how they can assist in securing permanent,
stable funding for
2.
Consolidation of rules. EMS Section staff has been meeting to compile an
initial draft of the changes needed to all of the EMS Administrative rules.
This will assist in the review by this committee. The Office will start to
distribute the rules, two at a time to be reviewed for the first several
committee meetings to keep the process moving and to overload the committee.
The ultimate goal will be to have the process completed by Board committee’s
and back to the Department by October of 2007.
3.
Data Collection. The
current ad hoc committee’s that previously were standing committee’s will
complete the work that they were engaged with until completed. They will work
on defining the mandatory components of the WARDS system. Beginning the
discussion on integrating WARDS and EMSS
The
CQI sub-committee will meet in January and complete the templates that they
have bee working to develop and bring that project to a close.
4.
Evaluate 24 Hour Refresher. Will await the final version(s) of the course from
the EMS Education committee and provide a method for overall evaluation of projects.
1.
Triage
Tuesday Triage Tuesday activities
continue to move forward. There is still some reluctance in some areas as they
try to define the value. Several other types of triaging patients have been
introduced in the past year that also needs further investigation. It appears
that the information being requested on the tags is almost never being filled
out. Therefore, the question that comes up is if it is not collected then maybe
it is not needed.
2.
Data Collection. The committee indicated that they will do whatever is
needed to assist the data collection process and work to facilitate WARDS data
collection.
3.
OJA Grant. Mark reported that the committee had met and further
inventory is being completed to determine what is needed and where to locate
any additional trailers. The next round of the Grant process is moving forward
and there will be some
4.
Disaster
Template. The Disaster template
that the committee has been working on is in the final stages and should be
presented to the Board at the February meeting.
CQI – Sub-Committee. The following report was provided by various committee
members on behalf of the committee.
1.
The committee did
not meet but plans to meet in January to finalize the project that they are
working on.
1.
The committee
will be working on the development of educational packages that can be used to
provide information on the
EMS-C: Joyce Anderson reported on the EMSC meeting.
1.
The committee is
working to finalize the speaker’s bureau that they have put together for
professional as well as community based programs.
2.
Working on
pediatric protocols. It was discussed that several groups are working on
protocols and that it would be important to bring those efforts together so we
do not have duplication of efforts.
3.
Continuing to
work with the Waukesha County Woman’s Club efforts that has
provided color coded pediatric bags to
PAC: Dr. Charles Cady, PAC chairperson reported on the
following.
1.
Position Statement. The committee will be developing a position statement
that outlines the importance of strong medical direction in the State. This is
particularly important if everyone wants to maintain the current aggressive
scopes of practice.
2.
State Protocols. Dr. Cady indicated that we will most likely never get to a point of
have one protocol statewide. However, the PAC will continue to develop a
standardized protocol for use by any service and the medical director if they
choose. They will continue the development and present them to the EMS Section
for disbursement in the future.
State Medical Directors’ Report: State EMS Medical Director, Dr. Keith Wesley gave the
following report.
1.
Dr. Wesley
thanked Board for their support as it relates to the current potential loss or
cut back of funding for the Medical Director position.
2.
Dr. Wesley is
working on a complete re-edit of the Medical Directors course and will have it
completed by years end and on the new Medical Director Web site. The funding
for this project was received and project is very close to implementation.
3.
Dr. Wesley advised
that he has been very discouraged in what he is finding with regards to
services medical direction. He has not been able to verify that the listed
medical director for a service has knowledge that they in fact are providing
that service. He will continue to work on this issue.
4.
Dr. Wesley has
worked with other physicians nationally regarding the problem with securing
medical director malpractice insurance. Dr. Wesley was happy to report that a
company has been found and is offering coverage. More details will be available
on the new medical director website soon.
5.
Dr. Wesley in
working on several National committees as they work on issues like, physician
requirements for NIMS standards for national disaster incidents and working to
develop electronic medical records that can more easily be used in a mass
casualty situation like hurricane Katrina that displaced people all over the country
with very little access to their previous medical records.
State Trauma Report: Dr. Steve Stroman provided a
report from the STAC meeting.
1.
Dr. Stroman
reported STAC is now moving from the implementation of the system into the
validation phase. This is being done with the anticipated initial verification
process of trauma centers that will begin in 2007.
2.
Dr. Stroman also
reported that there is still
Legislative Issues: Dan Williams advised the Board.
No
legislative issues were identified due to the fact that the Legislature is in
recess.
State Office Issues: Dan Williams, EMS Chief reported:
Dan
Williams discussed the funding issue for the department. Dan also discussed his decision to resign
from the EMS office and hopes that he will able to continue to offer whatever
he can to work for the improvement of EMS in Wisconsin.
Dan
reported that about 17% of the
Larry Gilbertson thanked Dan for his years
of work with the Department. Larry assured the audience that the office
is not sinking and will continue to meet the challenges
ahead of us. The Department will be interviewing potential candidates in the near future. Larry also mentioned he is attempting to hire
a 50% program assistant person to
assist the department with daily operations.
Steve
Bane also thanks Dan for all of his work and support of the EMS Advisory Board
and his contribution to
Steve
reported on his meeting with DHFS, Deputy Secretary. The following areas were
identified:
1.
DHFS/EMS needs a
stable funding source.
2.
3.
The WARDS project
is so close to being completed and the Board feels that whatever the cost this
project must continue to be funded.
Old Business:
No
old business.
New Business:
1.
Disaster
Committee openings. As a result of the reorganization of the Board activities
three openings needed to be filled at this meeting.
a.
Nominations from
the Floor. There were no nominations from the floor.
Dan
received letters of interest and CV’s for the vacancies from approximately 12
individuals. Steve Bane thanked everyone that submitted information for the
Board to consider and thought that this type of interest was excellent.
b.
Disaster
Committee “At Large” position voting. Secret Ballots were distributed and the following
people were elected to serve as members of the EMS Disaster Management
committee until October 2007. Jan Victorson, James Austad and Tracy Froiland.
Other Board Related issues:
1.
Mark Fredrickson had received several questions about what
the purpose of the current meeting format was. Dan advised that initially it
was set up this way so that if issues came up during the other meetings that
they can be discussed and dealt with at the EMS Advisory Board
meeting which is the Governor appointed Board. Mark also asked about the
meeting location, if it was cast in concrete to always meet in
Adjournment:
Motion by Haase, second by Lintz, to
adjourn. Motion carried. Meeting adjourned at