Members present:
Marv Birnbaum
Cheryl Glomp
Karen Richter
Gloria Wall
Dan Williams
Dick Collyard
Mark DeGuire
Steve Teale

Bureau Staff:
Jon Morgan
Rick Barney
Linda Watson
Nan Turner
David Beyer
MaryJean Erschen

Others in Attendance: Representing:
Judy Jones Luther - Eau Claire
Keith Kesler Douglas Co. Emergency Mgt.
Jan Victorson Bayfield Co. Emergency Mgt.
Michael Fraley St. Joseph's Hospital - Marshfield
Michael Kunesh PFFW
Don Hunjadi WEMSA
Mindy Allen Green Co EMS
Greg Carlson WI Indianhead Technical College
Barb Kuska Beloit Memorial Hospital
Jim Keiken Madison Fire Dept.
Debra Sweeney The Monroe Clinic
Mary Austin The Monroe Clinic
Dave Henning Gold Cross Ambulance
Connie Henry Sauk Prairie Hospital
Beth Natter Mercy Hospital - Janesville
Franz Keilhauer Mercy Hospital - Janesville
Jeff Nelson Medical Training Associates
Sharon Thorpe Wausau Hospital
Don Kimlicka Gunderson Lutheran - LaCrosse
Carol Immerman Franciscan Skemp LaCrosse

Agenda item #1 Introductions
Dan Williams called the meeting to order at 10:0 at the Comfort Inn, Madison. Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of January Minutes
Motion by Karen Richter to approve the minutes, seconded by Mark DeGuire.
Unanimous approval.

Agenda item #3 Committee Updates
* Policy & Practice
Karen Richter reported on the highlights of the committee meeting: Interfacility Guidelines: Terry Gonderzik presented a survey of approximately 60 providers of interfacility transfers. A subcommittee is working to complete a new draft, which incorporates PAC input. The STAC committee will provide the trauma revisions. This report will be developed over the next year. Trans 309: Ted Waite will be invited to the next meeting. Neonatal requirements are being addressed. There is a vacancy on the committee that will be filled at the November meeting.

· Data and Research
Mark DeGuire gave a summary of the committee meeting. To assess the rate of WEMSIS usage, Linda Watson has distributed a survey to all program recipients. The final analysis will be presented at the September meeting. Also, preliminary summaries of key areas such as "cause of injury" and response time reports will be presented to the Board in September and sent to primary stakeholders for input. This is hoped to encourage greater use of the tool, as the role of data collection as a quality improvement method (and for critical pathways) will be evaluated.

* Systems Management
Marv Birnbaum reported on the continued work of the Systems Committee. Funding Survey: Work is being continued on the survey that analyzes funding needs/capabilities. Dispatcher Training: The committee met with Michael Schurr, chaiperson for the STAC, Out-of-Hospital Issues committee.

· Education
Cheryl Glomp notes that there will be a presentation to the Board for the proposed new levels: First Responder, EMT-Basic, EMT-Basic IV Tech, Intermediate, Paramedic and Critical Care. A subcommittee has been formed to review the curricula. The committee also discussed options for the critical care trauma course; Terry Gonderzik presented the Maryland model. The committee also discussed the benefits of the PEPP course for continuing education at all levels.

Agenda item #4 Legislative Update
Jon Morgan reported on the following items:

· Do Not Resuscitate: bracelets are now available through MedicAlert. The rule will be re-written in August to match the intent of current practice. There is currently a discussion taking place on DNR options for children in the protocol guidelines.

· HFS 110/112: Feedback from the hearings was numerous. Responses to these held around the state and summaries are being forwarded to the department. There is still possible debate over future revisions.

Agenda item #5 Presentation: Future WI EMS Licensure Levels
EMS Section Chief, Nan Turner presented the proposed new levels and scope of practice for the EMS licensure to evolve beginning in November, 2000. (Timeframe to be determined by rule development and resource availability).

Agenda item #6 Presentation: EMS System

Mary Ellen Havel-Lang, Bureau of EMS and Injury Prevention Licensing Manager gave a presentation on the new database for EMS providers. This system will save time through its multi-functionality with reports, search, report and labels production. Mary Ellen announced that she is leaving the EMS & IP bureau to take another position with DHFS.

Agenda Item # 7 - - Medical Director Report
Rick Barney summarized the June PAC meeting: They are looking at use of ET tube for proposed EMT-basic/IV technician level and the use of valium, and adenosin for the enhanced EMT-Intermediate protocols. Recommendations for training are still pending. They will also work on developing a curriculum for an upcoming medical directors' training workshop. They are having preliminary discussion on medical Directors' requirements, with the possibility of web-based training. Sample protocols are being reviewed for minimum guidelines development.

Agenda Item #8 - - FAP Formula

A summary of the mini-grant awards were distributed to Board members, where specialty areas were targeted. Jon Morgan reviewed the history of the program, through the EMS Board revision of the formula in January, 2000. The EMS Board is now request to consider the impact of the additional hours to be added to the EMT-Basic curriculum, including training costs. The questions needing addressed are the following:

1. If training centers should be reimbursed at a higher rate for the EMT-B coursework, given the increase in credit requirements (from 3 to 4 credits)

Motion by Cheryl Glomp, seconded by Karen Richter to support funding for the training hours created by the additional EMT-Basic requirements. All present - Aye.

2. If the Mini-Grant process should be continued a second year and if so, what amount should be alloted/set aside.

Tabled to the September meeting

3. How to modify the base formula to ensure that there is enough funding to cover the increased training costs and the mini-grants.

Added to September Agenda for consideration

Agenda Item #9 - - Other Business
· Election of EMS Physician Advisory Committee
From the list of nominees, the Board voted for the newest members of:
· The EMS Physician Advisory Committee (EMSPAC):
Franz Keilhauer, (Mercy Health System); Michael Curtis, (St. Michael's Hospital, Stevens Point).
· Education Committee: Jim Keiken, (Madison Fire Dept) was selected.

The next meeting will be held on September 6 at the Holiday Inn, Wausau.