Board Members present: Bureau Staff:
Tracy Aldrich Meg Taylor
Steve Bane Bruce Gordon
Brenda Fellenz Dan Williams
Troy Haase Cathy Etter
Don Hunjadi Brian Litza
Cal Lintz Ann Moses
Gloria Murawsky Paul Wittkamp
Steve Teale
Travis Teesch
Gloria Wall
Joe Covelli
Board Members Absent:
Ken Johnson
Others in Attendance: Representing:
Barb Kuska Beloit Memorial Hospital
Ann Peggs PFFW
Allen Hefter PFFW
Mike Peterson Divine Savior Hospital, Portage, WI
Todd Van Langen West Bend Fire Dept.
Jan Beyer UW EMS Program
Shirley Strong Fox Valley Technical College
Phil Doherty St. Joseph’s Hospital, Marshfield, WI
Jennifer Roman Madison Fire Dept.
Joseph Immermann Southwest RTAC, Coordinator
Jerry Haberl Wisconsin Emergency Management
Don Kimlicka Gunderson Lutheran
Judy Jones Luther – Eau Claire
Vickkie Zietlow MidState technical College
Keith Kessler Douglas County Emergency Management
Jan Victorson Bayfield County Emergency Management
Gary Leyer Gateway Technical College
Fred Hornby Bell Ambulance
Pat Padjen UW EMS Program
Steve Pilsner Wausau Fire Department
Mike Jankowski Franklin Fire Department
Mark Fredrickson Gold Cross
Suzanne Martens Sheboygan Co EMS
Mary Austin Monroe Clinic
Laura Ahola UW Hospital EMS Program
Kyle Marohl Plymouth Ambulance
Tracy Froiland Theda Care/Fox Valley
Larry Knuth Paratech Ambulance
Jerry Haberl Wisconsin Emergency Management
Gerry Isbell Orange Cross Ambulance, Sheboygan
Jack Hill Gold Cross Ambulance, Fox Valley
Cheryl Glomp St. Mary’s Hospital
Marvin Birnbaum, MD UW Hospital EMS
Agenda item #1 Introductions
Vice-Chair, Gloria Murawsky called the meeting to order at 10:05 AM at the Crowne Plaza, Madison. Gloria introduced and welcomed the new Board member Joe Covelli and Attendees: Everyone in attendance on the Board and the audience introduced him or herself.
Motion by Lintz, seconded by Teesch to approve the November Board minutes. Motion carried.
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.
1. The main committee did not meet.
2. EMS Partners ad hoc: Cal Lintz, committee chair stated that the committee reviewed the following issues:
a. The committee reviewed previous issues to determine if more discussion was needed on any of the topics. There was no need to discuss old issues at this time.
b. The Chair Lintz asked Dan Williams, Chief of EMS to highlight the letter that he sent out on January 26, 2005 that provided clarification on several issues that needed further definition or statement of policy. Dan outlined and highlighted the main areas that the letter was intended to deal with. The committee felt that the letter was a very effective way to set the record straight and hope to see more information of this type.
c. The next item was a discussion was TABOR (Taxpayer Bill Of Rights). The committee discussed the overall impact and how it will affect EMS and the services that EMS provides and eventually the impact on patient care. The committee will continue to discuss the impact and be prepared to bring a position statement forward to the full Board when appropriate. May need to work with the legislators to make sure the impact is noted and they have an awareness of the impact.
Gloria Murawsky reported on the committee meeting, which included:
1. Gloria reported that the committee had completed the Stakeholders survey and it was ready for review action. The office did not send out the survey and will now receive the survey and post it on the EMS website and send it out at the appropriate time.
2. Gloria advised that the process and methods for how the committee will
approach and deliver the curriculum review is as follows.
a. Developing the objectives. 4/05
b. Development of Model curriculum. 6/05
c. Curriculum rollout. 8/05
d. Mandatory implementation of new basic curriculum 1/06
3. Gloria asked Dan Williams to clarify the issues surrounding the national scope
scope of practice issues. Dan Stated that it was expect that the next version of
the document would be much different and more in line with Wisconsin’s
thinking. Most other States had the same type of comments and concerns as did
Wisconsin.
4. A discussion on what is needed for recommendation for instructor certification requirements. The issues brought forward were time commitment; cost effectiveness, as well as what other venues that could be used to meet the needs. Some suggested that regional teams with multiple training opportunities to could be used. There is a national trend toward credentialing of instructors. More review will be needed to see if that method needs to be approached for Wisconsin.
Don Hunjadi and Cal Lintz co-chaired the meeting reported on the committee
meeting, which included:
1. The main discussion centered on the topic of the Basic EMT Refresher. The committees have previously been discussing and planning with regards to the length and quality or training that is needed as well as the length of time for re-licensure. Several committee members suggested that a four (4) year re-licensure period should be looked. Dan Williams was concerned that the EMS office would have difficulty endorsing this format without proper checks and balances on an annual basis that would assure that consistent education programs are maintained throughout the entire four year period. The committee stated that many formats for education need to be examined, such as, virtual classrooms, web based programs, conferences, etc. It was the consensus that the education can and should be exciting and renewed with a variety of educational formats.
It was further discussed that the Education Committee needs to complete their review and revision of the Basic EMT curriculum which will then allow them to make a determination regarding the required and desired elements that should make up the refresher. At the point that those two tasks have been completed the work can then begin as to the types of alternative, non-traditional educational options that can be utilized. This will be conducted by the development of a sub-committee.
2. The proposed National Scope of Practice issue was updated. National EMS Scope of Practice Model would appear to be of concern for many people nationally. The scope committee has received many, many letters of concern and protest to the product. It would appear that the scope committee is moving to minimal criteria as opposed to maximum criteria. More information will be made available as it is released.
3. The Systems committee is also continuing its work on inclusion and exclusion transport criteria for stand alone emergency departments.
CQI The committee did not meet.
Disaster The committee is reviewing and working on the following:
1. Investigating and informing all EMS related agencies that the NIMS training is coming and it is an unknown amount of hours and there is federal funding available to pay for the courses. A specific discussion was held on the issues surrounding NIMS. Jerry Haberl from WEM was on hand fresh from a National meeting the helped to clarify the requirements. The best news was that the requirements appear to be less than anticipated. Approximately 80% of the EMS responders will be required to take the I-100 course of incident command which is approximately 4-5 hours. Most everyone will need to take the IS-700 course which can be taken online and takes about an hour. There will be other requirement that will continue to be defined in the future.
2. Dan also advised the committee that his office was working with Waukesha County Technical College on a restructured WMD course that would most likely reduce the number of hours from four (4) to two (2). More details will be forthcoming. It is a high priority item so that students don’t need to keep taking the longer course.
Gloria Wall reported on the following committee meeting actions.
1. The committee plans to further identify its membership to assure the proper mix for the committees planned activities.
2. The committee also needs to identify & strengthen the relationship between Public Health and EMS.
3. LEPC’s (Local Emergency Planning Committee’s) may be the link to getting all of the players to the table for a common platform.
Dan Williams was asked to chair the committee in the absence of Chairperson Ken Johnson. The committee worked to outline the item that they felt would be the backbone needs of whatever Data Management system/program that would be eventually decided upon. The committee discussed the following.
1. Discussion on the key components from the three RFP’s from other States that the committee reviewed. Again, it was decided that the committee did not have the time or the expertise to actually write the RFP and decided that they would only be involved in recommending key elements.
2. The committee identified the types of reports, collection elements, service needs, compatibility to other existing programs, etc.
3. It was decided to keep working on this process and meet again before the next Board meeting on March 1st.
No written report was presented. Dr. Gordon reported that the EMS-C Board was reviewing their structure and reviewing their strategic plan to help determine the future workload.
Dan advised the Board about the Committee that had been charged with the development of the WEEPP had met twice and completed the charged task of developing the specified plan. Dan Presented the Plan to the Board and requested that they consider approval by exception with a 10 day period, post Board meeting to respond to Dan with issues. The reason for the request was because of the HRSA deadline of March 31, 2005 and the fact that the Board would not meet again prior to the deadline. Motion by Lintz, second by Teesch, to approve the WEEPP by exception with comments due to Dan by February 16, 2005. Motion Carried. Dan also asked for help with the development of the training tool for the WEEPP. The EMS Alliance has offered to assist in the process and will meet with Dan and office staff after the Board meeting to discuss the format.
Agenda item #9 Nominations/Election EMS Board Vice-Chairperson. Nominations for the position of Board Vice-Chair were opened. Gloria Murawsky nominated Cal Lintz. Motion by, Aldrich, second by, Teesch to cast a unanimous ballot for Cal Lintz for EMS Advisory Board Vice-Chairperson.
Agenda item #10 Other Board Related Issues.
No other issues were brought before the Board at this time.
Agenda item #11 Adjournment.
Motion by Haase, Second by, Aldrich to adjourn. Meeting adjourned at 11:30 AM.