Members present:                                        
Rick Barney                                                    
Marv Birnbaum                                               
Tim Bjelland                                                                                        
Dick Collyard                                                  
Cheryl Glomp                                      
Don Hunjadi                                                    
Gloria Murawsky
Terri Richards
Jim Savage
Steve Teale
Lorie Utech     
Gloria Wall                              
Dan Williams   

Bureau Staff:
Jon Morgan
Marianne Peck

Others in Attendance:                                   Representing:
Brian Litza                                                        Paratech
David Gee                                                        Eau Claire FD
Don Kimlicka                                                   Gunderson Lutheran
Ellie Moyer                                                       Monroe Clinic
Gary Winters                                                    Community Ambulance
Jan Victorson                                                   Bayfield Co. Emergency Management
Jim Vest                                                           West Bend FD
Joy Erb-Moser                                                 St. Joseph Hospital - Marshfield
Judy Jones                                                        Luther – Eau Claire
Keith Kesler                                                     Douglas Co. Emergency Management
Larry Knuth                                                      Paratech
Lynn Crawford                                                 St Clare Hospital
Mark Bennett                                                   Waunakee EMS
Mary Austin                                                     Monroe Clinic
Mary Powers                                                   Children’s Hospital of WI
Michael Fraley                                                  St. Joseph’s Hospital
Michael Keough                                               Bell Ambulance
Nettie Jenkins                                                   St Agnes Hospital
Pat Kilbane                                                      Professional Firefighters of WI
Patricia Padjen                                                 UW Hospital
Rick Anderson                                                 Divine Savior
Therese Bullis                                                   Lifestar/West Bend FD
Todd Van Langen                                             West Bend FD
Tracy Froiland                                                  Appleton Medical Center
Vickie Zietlow                                                  Mid-State Technical College

(Motions and action items in bold)

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 January Minutes

Motion by Tim Bjelland, second by Dick Collyard to accept the January 2003 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 reported on education issues.

1. IV Tech pediatric and refresher curriculum group has met and a draft document should be sent to the Education Committee by May.

2. The draft document for evaluation of instructors and quality of education continues.  It’s due to being completed in May.

3. The next major task is to do a review of the EMT-basic curriculum similar to the EMT-I & P reviews.  The committee is developing a template to use for all levels.  The template should be ready by May.

4. Use of CPAP by EMTs- basic: Recommendation is to put a hold on adding any skills until full EMT-Basic review is completed.

5. The committee’s survey questions for a possible provider survey were given to the Board.

Policy & Practice

Dick Collyard reported on the committee meeting.  The committee completed the First Responder rule draft.  The decision was to require defibrillation for all medical first responders, which would then also require medical control.  The goal is to complete the rule so a hearing can be held by the end of summer.  Tim Bjelland questioned the medical director requirements for first responders.  He suggested we survey all possible first responder groups for input, if they can be identified.  Marv Birnbaum also expressed concerns about how first responders will be integrated.  There was considerable discussion about what the rule language should contain and how it should proceed.

The process will be for the document to be edited & sent to the Board members prior to the May meeting. 

Interosseous (IO) infusion for IV techs.  Policy & Practice representatives will meet with PAC at April meeting to discuss IO concerns.

Systems Management

Marv Birnbaum reported on the committee meeting.

Ad-hoc Committee activities:

CQI committee –

Tim Bjelland reported that the CQI template has been distributed and volunteer pilot services will start collecting data in March.  There will be an evaluation of the pilots and a final recommendation to the Systems committee in September.

Disaster Management –

The committee completed 2 documents

1. A guideline for first-in EMTs to a potentially hazardous scene, which is consistent with WI Emergency Management brochure.  The document explains the EMS role in the initial stages of a response to an unknown agent.  The document will be distributed to providers.

2. A policy statement on the role of EMS in a disaster.

System Committee activities:

The committee is completing the EMS finance report and adding bullets on key information and potential funding sources, including WTCS needs.  Terry Richards is doing an Executive Summary.  The report should be sent to the Board in May. 

EMS-Children

A written report was presented to the EMS Board.  The report is available with the Board minutes.

Physician Advisory Committee (PAC)

Dr. Rick Barney reported on both the PAC and State Medical Director activities, which include:

1. An EMS “Report card” to analyze an EMS service and compare a service with a set of standards for operational issues.  It has been split into administrative and medical components with administrative portion being looked at by Board.

2. Due Process document being completed.

3. Finishing pain management protocol.

4. CPAP protocol is being completed. 

5. Completed the EMS MD web-based course.  Final review and working on placement on the internet.

6. IO and IV use for pediatric patients was

7. Met with legislators to discuss trauma and funding issues.  Need group identified to meet with interested parties that may have a link to funding.  The group should include Board and STAC members.  Interested persons identified were Marv Birnbaum, Steve Teale and Dan Williams.

There was a discussion on how the CPAP recommendation should proceed.  The protocols are written.  Training needs to include symptom specific observation and vital measurements used as indicators, with no need for diagnostic training.  Length of  training time was suggested as somewhere between a 90 minute – 3 hour presentation and would include:  how CPAP works, symptoms to look for  and administration via protocol.  CPAP was described as very cost effective.  A training template to use as a tool was  suggested and a pathophysiology component and assessment training should be included.     

Motion by Don Hunjadi , second by Cheryl Glomp to allow CPAP use by EMT-Basic and EMT-basic IV license level based on medical director approval.  All Present – Aye.  Questioned was raised about CQI for this intervention.  There is a CQI form that is available.  Rick Barney will obtain or complete the curriculum, CQI forms and protocols and have them ready at the May Board meeting.        

Agenda Item #4 – WEMSA Presentation

Two main objectives of the presentation were:

1. Overview of WEMSA

2. Discuss Mutual Projects between WEMSA, the EMS Board and the EMS Section

Rich Meeker, WEMSA President gave the overview of WEMSA.  The association has 12 board members and its mission includes technical support, education and promoting EMS legislation.

Joe Covelli, WEMSA Director of Public Relations, discussed some of the WEMSA membership benefits for both individuals and services.  These included WEMSA magazine and Hot Sheets, premium items, conference, technical assistance, consultation, group buying and CD resource kit.  Information was provided on member and service growth over ten years.  Joe also presented on 2002 initiatives including a successful EMT recruitment drive and lobbying for paramedic flexible staffing and length of service awards for EMTs.

The WEMSA 2003 Strategic Plan was summarized and included:

1. EMS Office efficiencies

2. Annual conference expansion

3. Membership growth

4. Accountability of WEMSA board members

5. WTCS training issues

Agenda item #5 - Legislative & State Office Update

Jon Morgan reported on state issues that included:

1. Trauma regions – Likely to have 9 Regional Trauma Advisory Councils (RTACs).  RTACS will receive some funding and will have specific subcommittees to work on issues.  Administrative rule writing is proceeding and draft will be done in April.  Trauma Registry is being developed.  There were questions about coordination across regions and sharing best practices.  That is being done through Marianne sharing information and through the STAC and the RTAC implementation subcommittee.

2. 2003-2005 budget – Budget and personnel cuts are still being discussed.  How they impact the bureau should be known soon.

3. Proposed legislation that related to EMS includes:

• Primary Seatbelt law

• 08 Drunk driving law

• Volunteer EMT work release to respond to calls

• E911 coverage using cell phone surcharges to fund the expansion 

The Physician Advisory Committee (PAC) made two recommendations on the public access defibrillation (AED) law”:

1. Extend the immunity on AED use to all public (layperson) responders, even without the required training.

2. Clarify that police responders would be specifically covered under the public access law.  Motion Tim Bjelland, second by Lori Utech, to forward PAC recommendations to legislature.  All present – Aye.  [Note: The Board recommendation is to DHFS.  Follow-up with the legislature may happen through several avenues.]

Agenda Item #6  - Old/New Business

Provider Survey – Move forward with summary questions being compiled by Jon Morgan.  The Education committee has submitted questions.  Other committees need to decide what they want   included.  Suggestion that this is considered in concert with the June strategic planning meeting.  Additional survey questions need to be in by March 11, summarized and distributed to Board members before the May meeting.   

The tentative dates for the Board’s annual strategic planning session are June 2 & 3.

Pediatric AED needs to be clarified.  What is the Board’s position?  Presentation at May meeting on AED use in pediatric patients.

Marv Birnbaum discussed meeting in Washington with the medical reserve board to encourage trained healthcare individuals to be available for large scale events.  He also mentioned that the 13^th congress of disaster management is in Australia this year.

Jim Savage reported that traffic fatalities increased in 2002.  He encouraged people to get involved with activities to back a primary seatbelt law.

Next Meeting – Committee meeting time:

Systems – 3 hours
CQI – 1 ˝ hours
Disaster- 2 hours
Policy – 1 1/2 hours
Education – 3 hours

Board appointments – Process with new administration is unknown.  Interested parties should send letter of interest and CV to Jon Morgan.  There are three positions up for appointment.

The Board needs to replace Cheryl Glomp as the Board liaison to the Trauma Advisory Committee.  There were no initial volunteers to fill this role.

Dan Williams awarded a plaque to Cheryl Glomp for her dedicated service to the EMS Board.  Cheryl served 10 years on the Board and is not requesting reappointment. so she can work on more local issues.

Motion by Dick Collyard Second by Cheryl Glomp to adjourn.  All present -Aye.  Meeting adjourned at noon.

The next regular meeting is in Wausau, May 6 & 7.

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