Emergency Medical Services Board Meeting

May 5, 2004

Members present:

Steve Bane

Marv Birnbaum

Dick Collyard

Don Hagen

Don Hunjadi                                                    

Ken Johnson                                                   

Cal Lintz

Gloria Murawsky

Steve Teale

Travis Teesch

Gloria Wall

Dan Williams   

Bureau Staff:

Meg Taylor

Nan Turner

Bruce Gordon        

Others in Attendance:                                   Representing:

Barb Kuska                                                      Beloit Memorial Hospital

Beth Natter                                                      Mercy  Hospital – Janesville

Don Kimlicka                                                   Gunderson Lutheran

Judy Jones                                                        Luther – Eau Claire

Mike Kresovic                                                 Bell Ambulance

Vickkie Zietlow                                                MidState technical College

Joy Erb-Moser                                                 EMSC

Tracey Froiland                                                ThedaCare - Appleton

Mike Jankowski                                               Franklin Fire Dept

Mark Madigan                                                 County Rescue - Green Bay

Keith Kessler                                                   Douglas County Emergency Management

Jan Victorson                                                   Bayfield County Emergency Management

Ken Sternig                                                      Milw Co EMS

Lorie Utech                                                      Project Adam

Chris Batchelder                                               EMS Educator

Cheryl Glomp                                                   St. Mary’s – Madison

Joe Covelli                                                       WEMSA

Jan Beyer                                                         UW EMS Program

Pat Padjen                                                        UW EMS Program

Dr. Luan                                                           Visiting Vietnam Physicians

Dr. Binh                                                           Visiting Vietnam Physicians

Jim Swan                                                          Divine Savior Health Care

Mike Petersen                                                  Divine Savior Health Care

Mitch Waite                                                     WI Rapids FD

Suzanne Martens                                              Sheboygan Co EMS

Rick Sherman                                                   Deputy Director Baraboo District Ambulance

Dan Buchanon                                                  Deputy Director Baraboo District Ambulance

Jeff Grimm                                                        ThedaStar Air Medical

Brian Schertz                                                    EMS Coordinator, Shawano

David Henning                                                  Gold Cross/EMSC

Brian Litza                                                        Paratech

Kathleen Crandall                                             Heart Hospital of Milw

Tim Hillebrand                                                  Dane Co EMS

Agenda item #1 Introductions

Dan Williams called the meeting to order at 9:00 at the Holiday Inn, Mosinee.  Dan Williams welcomed Meg Taylor, the new Bureau Director, for WI Bureau of Local Health Support and Emergency Medical Services.  Meg Taylor gave a brief introduction of herself and her background.  Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of  Meeting Minutes

Motion by Dick Collaryd seconded by Ken Johnson to approve the May Board minutes.  All Present – Aye.  (Note - assure that Ken Johnson is included in the mailings)

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.

Executive Committee

1.        There was no meeting today because of the EMS Advisory Board Retreat schedule for next month.

2.        Stakeholders ad hoc group:  Dan Williams reviewed what has occurred in the development of this ad hoc group.  The plan for this committee is to continue the dialogue and address any issues.  This committee will now meet every other month.

Education

             Gloria Murawsky reported on the committee meeting, which included:

1.      Competencies vs. curriculum development. The committee is preparing a

report listing the pros and cons, and recommendations on competency-based

Education vs. development of standard curricula for each level.  This will

be submitted to the Board at the next meeting.

2.      Distributive learning.   Ken Sternig will have a completed report on the

committee's recommendations on distributive learning for the May meeting.

3.      The template to review curricula has been developed and is being piloted

on the EMT-Basic level.  As part of the review process, the survey results from the educators and services were discussed.

4.      The committee reviewed the draft EMT-B scope of practice. 

5.      The EMT-Basic curriculum review subcommittee will meet June 18, 9AM - 2 PM. 

      Contact Linda Pace if interested in participating.

6.      Awaiting recommendation from Policy & Practice Committee regarding the frequency 

of refresher course at EMT-basic level.

Policy & Practice

Dick Collyard reported on the committee meeting, which included:

1.        Reminded that Policy and Practice (and Systems Management) has been given the task of looking at the frequency and amount of refresher training and making a summary of impact and recommendations for the EMS Advisory Board.

2.        Emergency waiver of administrative rules in a disaster - committee will poll other states.

3.        Statute changes - committee will review for next meeting.

4.        Medicare reimbursement for EMT-basic IV tech: currently under discussions.  Committee is reviewing alternatives.

5.        HFS 113 (First Responder Rule) - there are some areas to complete.  Mitch Waite has volunteered to assist.

6.        HFS 110 - will review for changes at next meeting.

Systems Management

Marv Birnbaum reported on the committee and sub-committee meetings. 

CQI – working on summary report.  Will conduct phone follow-up by 5/31/2004.  In addition to chest pain, respiratory pathways - will be working on development of Trauma and documentation pathways

Disaster – Incident command systems (ICS) and the National Incident Management System (NIMS) draft report.  Discussed interstate issues for disaster management.  Issues included credentialing and cross-bordering.  The need for reciprocity is also being discussed.  Suggestion of universal picture ID cards -plan is to speak to Wisconsin Hospital Association (credentialing of hospital & staff).

Systems –

1.      Spent entire meeting reviewing Finance Report.  Meg Taylor needs to add the Public Health information.  Plan is to clean up the document and prepare final draft for EMS Board approval by next meeting.

2.      ICS Course - awaiting curriculum

EMS-Children

1.      No written report available.  Gloria Wall provided a verbal report which included:  EMSC will undergo a transition period with the departure of both Mary Jean and Joy.  She announced that the EMSC Conference will be held October 18 at the Kalahari. 

Physician Advisory Committee (PAC) – Nan Turner and Bruce Gordon reported on the PAC meeting in April that included:

1.      Continue to work on EMS Report Card - still awaiting Systems Committee completion of their assignment.

2.      Scope of Practice for EMTs-basic reviewed with recommendations

3.      Policies for physical restraints - sent to all service medical directors

4.      Due Process guidelines - nearing completion

5.      CPAP project - materials sent to service Medical Directors and service directors.

6.      There are 3 positions open on PAC - letters of intent and CVs will be mailed to EMS Advisory Board members prior to the next meeting.

            Medical Director Report – Given with PAC report.

Agenda item #4 Position Opportunities

1.                  There are three (3) openings on the Physician Advisory Committee (PAC).  Nan will forward any letters of intent and CVs to committee members prior to the next meeting.

2.                  All membership(s) to EMS Advisory Board Committees are up for reappointment.  The plan is to reannounce this opportunity at the July meeting and vote on membership at the September meeting.

Agenda Item #5 - State & Legislative Update

EMS Office Update

Nan Turner reported

1.      Presented EMS Week Proclamation signed by Governor Doyle

2.      License renewal via EMSS is progressing well. The Department is hearing a lot a positive feedback on the system.

3.      Mark Flood is now coordinating the FAP program.

4.      Dispatcher bill did not make it to the floor.

5.      Tabor Legislation (Steve Teale) - would abolish the requirement to provide education for unfunded mandate(s).

Agenda Item #6 – Public Health Restructuring Update: Meg Taylor presented an overview of the current status of the PH restructuring.

Agenda Item #7 – Old/New Business

1.        Vasopressin:  a request was received by the EMS Section to consider the use of

Vasopressin at the EMT-Intermediate (99) level.  PAC has recommended the inclusion of Vasopressin at the EMT-Intermediate (99) level.  Motion by Cal Lintz that the scope of practice for the EMT-Intermediate (99) include the medication addition of Vasopressin.  Second by Ken Johnson.  All present - Aye.

Motion by Dick Collyard, seconded by Ken Johnson to adjourn.  All Present - Aye

The next regular meeting is July 13 & 14, 2004 in Madison.

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