Emergency Medical Services Board Meeting
April 5, 2006
Board Members Present: Bureau Staff:
Gloria Murawsky Larry Gilbertson
Steve Bane Brian
Litza
Brenda Fellenz Cathy Etter
Troy Haase Helen
Pullen
Cal Lintz Ann
Moses
Ken Johnson LeeAnn
Cooper
Joe Covelli Marianne
Peck
Mark Fredrickson Dan Williams
Travis Teesch
Board Members Excused:
Tracy Aldrich
Others in Attendance: Representing:
Joe Jensen Regions Hospital EMS
Tom Brazelton EMSC/UW Children’s
Charles Cady PAC/Milwaukee County
Gregory West Waukesha County Technical College
Carrie Meffert Dane County EMS
Tim Hillebrand Dane County EMS
Jan Beyer UW EMS Program
Mary Pilling Southwest Technical College
Tina Jordan Blackhawk Technical College
John Huot Life Link III
Chris Schultz Life Link III
Bryan Northrop Beloit Fire Dept.
Linda Pace MATC – Madison
Dave Larsuel Lake Mills
Ken Sternig Milwaukee County EMS
Fred Hornby Bell Ambulance
Suzanne Martens Sheboygan County EMS
Jeff Grimm Theda Star/STAC
Barbara Larson Moundview Memorial Hospital/STAC
Bob Nack Fox Valley RTAC
Nettie Jenkins Thedacare
Steve Stroman Aurora Bay Care/STAC
Robert Ramerez Southeast RTAC
Dan Diamon Lake Superior RTAC
John Schindler Meda-Care Ambulance
Brian Reynolds Milwaukee County EMS Council
Laura Ahola Divine Savior Health
Tom Fennell Gold Cross-Mayo Medical Transport
Judy Jones Luther Hosp Eau Claire/NWRTAC
Don Kimlicka St Clare’s Hosp-Weston
Barb Kuska Beloit Memorial Hosp
Steve Krantz Gold Cross, Fox Valley
Robin Schultz Sacred
Heart Hospital, Eau Claire
Merilee Carlson Memorial Med Center – Ashland
Nan Peterson UW Children’s Hospital/EMSC
Welcome and Introductions: Chair Steve Bane called the meeting to order at 1:00
PM at the Sheraton - Madison, WI. Steve welcomed everyone and asked the
audience to introduce themselves. Dan Williams introduced the new Director for
the Bureau of Local Health Support and EMS, Larry Gilbertson. Larry addressed
the group and provided his background information and thoughts about what he
plans for the Bureau. Larry also thanked everyone for their involvement in the
various committees and boards. Steve Bane also welcomed Larry.
1.
Approval of
previous Board Meeting Minutes:
A Motion by, Johnson, second by Covelli
to approve the minutes from the February 2006 meeting. Motion Carried.
2.
Committee
Updates:
EMS Education: Gloria Murawsky, committee chair reported the
following meeting topics:
1.
The committee discussed future format, layout and
other logistical issues surrounding the proposed changes for EMT-Refresher
training. The committee felt that further discussion needs to be held and is
planning on having a special meeting in May.
2.
Most of the rest of the meeting was spent working on
defining the core educational items that need to be identified for the
EMT-Basic Refresher. Several different methods were discussed for how this will
be accomplished. It is hoped that the special meeting will also be able to
define these issues as well.
3.
Gloria advised the Board that the final EMT-Basic
curriculum had been completed and rolled out at the February Instructor
Conference. July 1, 2007 will be the mandatory implementation date.
EMS Policy and Practice Committee: Travis Teesch, committee chair reported the following
meeting topics:
1.
The committee discussed the status of the HFS-110 and
HFS-111 emergency rule process. Dan advised that a technical timing issue had
come up that was outside of our control and that it was related to the
Legislative schedules.
2.
The committee will be inviting the new Ambulance
Inspector to its next meeting to discuss issues that have come up since he has
started to inspect again and to discuss a time table for the possibility of
opening Trans 309 for review and revision.
3.
Dan asked the committee to review and develop a
process for determining what scope of practice items should be established as
mandatory and by what future date. It was noticed that over the past couple of
years the scope has been expanded and the question has come up at what point
should certain skills be identified as those that all Basic EMT’s should be
doing as every day practice. This needs further discussion and PAC input as
well to assure that a proper plan is
put into place with a sufficient compliance period.
EMS Information Management: Ken Johnson, committee chair reported on the
following:
1.
Dr. Johnson reported that over 20 services were
working as pilot services and had submitted over 2,000 calls. The information
is now being looked at to determine level of difficulty and completeness with
any problems being encountered and dealt with in a timely fashion.
2.
The EMS office is continuing to work on interface
issues and bridges between services and the State and is working to define when
vendor programs will be able to interface.
3.
Dr. Johnson indicated that the next work for the
committee will be develop a series of categories that reports can be developed
from to support providers in assisting in local decisions. The committee plans
to review the various reports that are available and pick several that they can
use to evaluate the information and to then show the providers how it can be of
benefit to them in their everyday service activities. The committee will look
at identifying reports that could assist them in service operations, service
budget justification, community effectiveness, etc. The committee will proceed
with working on this project and bring forward reports as they develop them.
CQI – Sub-Committee. Dr. Johnson reported that the committee began meeting
again after a hiatus.
1.
EMS Toolkit was
reviewed. This looks at ways to take data out of the data bank and generates a
report for the EMS Service. It gives direction to the service of ways to
compare their information with information for the rest of the state and
identifies ways to implement changes for improvement.
2. Looking at CQI project using info from WARDS.
EMS Public Health: Brenda Fellenz, committee chair reported on the following
meeting topics:
1.
The committee is discussing how to use the various
Public Health plans that deal with Pandemic Flu issues so that one constant
message can be delivered to EMS providers. The committee would like to develop
a template for what can be done to prepare.
2.
Brenda also announced that HRSA has worked on the
development of Hospital plans and is developing an EMS plan that will be shared
with the committee upon completion of the first draft.
3.
Dan advised the Committee and the Board that he had
received an EMS specific checklist for service
self-evaluation for preparation for Pandemic Flu
or other contagious diseases. Dan will be sending that document as well as a
general question and answer document out to all EMS services in the next couple
of weeks.
4.
The committee then discussed injury prevention
regarding pediatric falls in ages 0-4.
Nan Peterson presented a template that could be used by EMS Providers. A
letter from EMSC was presented to the Board for their review. This will be
discussed at the June meeting to look at possibly endorsing this along with
EMSC.
Disaster – Sub-Committee Mark Fredrickson, committee chair, reported on the
following meeting topics.
1.
Triage Tuesday: Several
EMS providers are participating in Triage Tuesday. This project is being
provided to help educate EMS providers as well as Hospital personnel in the use
of Triage as well as a tracking tool for multiple patients.
2.
Triage Tags: The committee is being asked to recommend
one tag to be used state wide by all services. The committee will be looking at
the California FF tag and will bring forth their recommendation at the next
meeting. Any incident with 5 patients or more will trigger the use of triage
tags for use by EMS providers.
3.
The committee did a survey and inventory of the
location of disaster trailer in Wisconsin and the content of the items in the
trailers. 30-35 trailers that we know of.
The committee is compiling a list that will be made available to the
public. The committee is working on a
grant that would place trailers in various locations across the state for use
in mass casualty disasters. More information to follow.
EMS Systems: Cal Lintz, committee chair reported on the following
meeting topics:
1.
Cal reported that the committee meeting was cancelled
due to conflicts in meetings as well as the committee is still working on
format of the project on working with the Provider Handbook.
EMS-C: Dr. Brazelton discussed the work in progress that
will result in a stronger interface between EMSC and the working groups of the
EMS Advisory Board. More activity will take place in the future meetings.
PAC: Dr. Charles Cady, PAC chairperson reported on the
following.
Dr.
Cady reported that the last meeting was cancelled due to weather related
issues. Dr. Cady gave a brief report from the previous meeting, which included the following.
1.
CPAP project data.
2.
Development of a non-visualized airway QI/QA tool to
be used by services
3.
Development of a standardized protocol template.
4.
Develop and evaluation tool for the State Medical
Director position.
State Medical Directors’ Report: State EMS Medical Director, Dr. Keith Wesley gave the
following report.
1.
Will be working on guidelines and protocols for
physical and chemical restraint to be used by services.
2.
Will work to contact either by phone or in person
every service Medical Director once per year.
3.
Develop guidelines for the 2005 AHA standards and how
it will effect EMS services and what they need to know and do with their AED
protocols.
4.
Will work to be available to all EMS stakeholders to
help assure broader distribution of EMS information.
State Trauma Report: Several people provided information
on behalf of Marianne Peck, State Trauma Coordinator.
1.
The Trauma Registry will be operational in July of
this year.
2.
The level IV site review process will begin late 2006
or early 2007 with approved evaluators that were selected after application to
the formal process.
3.
Request to open HFS-118 to make an adjustment or seek
the feasibility of offering waivers to level IV hospitals that request it with
regards to the required education program for trauma surgeons.
Legislative Issues: Dan Williams advised the Board on several bills that
were working through the process that have direct or indirect effect on EMS.
None of the proposed bills appeared to have a negative impact on EMS.
State Office Issues: Dan announced that Dr. Ken Johnson and Steve Bane had
been re-appointed by the Governor to another 3-year term to the EMS Advisory
Board. Since the Board meeting it was learned that Travis Teesch has also been
re-appointed for another 3-year term.
Old Business: Steve Bane advised that an application had been
submitted for him to attend a round table discussion on teen driving injury
prevention to be held June 21 – 22, 2006.
New Business: No new business was brought forward.
Other Board Related issues: Cal Lintz announced that NWTC was hosting a
Wilderness EMS course to be held August 3 – 7, 2006. For more information
contact NWTC.
There
also was a reminder to all standing committee chairs that standing and
sub-committee meeting minutes are due to Dan 15 days after the Board meeting.
Agendas for the next meetings should also be submitted with the minutes so that
they can be posted on the State website. These should be separate from the
minutes.
Adjournment: Motion by Teesch, second by Haase to adjourn. Motion carried. Meeting adjourned at 2:30 PM.