Members present:
Marv Birnbaum
Cheryl Glomp
Gloria Murawsky
Dick Collyard
Tim Bjelland
Don Hunjadi
Mark DeGuire
Bureau Staff:
Nan Turner
Jon Morgan
Rick Barney
Mary Jean Erschen
Marianne Peck
Others in Attendance: Representing:
Judy Jones Luther Eau Claire
Don Kimlicka Gunderson Lutheran LaCrosse
Jim Keiken Madison FD
Robert Haight Marshfield Fire
Bill Snoke Gunderson Lutheran
Kathy Worden Rib Mountain Fire
Jan Victorson Bayfield Co. Emergency Management
Keith Kesler Douglas Co. Emergency Management
Mark Madigan County Rescue
Robin Schultz Eau Claire Sacred Heart
David Bloom Town of Madison FD
Laura Ahola UW Hospital
Patricia Padgen UW Hospital
Judith Johnson Dane County EMS
Tim Hillenbrand Dane County EMS
Mike Kunesh Professional Firefighters of WI
Pat Kilbane Professional Firefighters of WI
Mindy Allen WI EMS Association
Agenda item #1 Introductions
Marv Birnbaum called the meeting to order at 10:00 at the Comfort Inn, Madison. Everyone in attendance introduced himself or herself.
Agenda item #2 Approval of March Minutes
Motion by Tim Bjelland, second by Cheryl Glomp to accept the May 2001 Board minutes. Unanimous approval.
Marv Birnbaum then reviewed minutes and summarized highlights from the June Board retreat, which included:
A) The retreat discussion was based on a review
of existing documents with EMS recommendations or objectives. The documents
included the 2001 NHTSA reassessment, the 2000-2001State EMS Plan, pending Board
assignments and priority issues from the 1998 Board retreat. All objectives were
discussed, prioritized and assigned to committees. In some cases, new committees
were created.
B) The resulting committee format is:
Standing Committees:
Ad Hoc Committees (all new: no membership restrictions)
Charge: Make WEMSIS fixes, evaluate WEMSIS and other software options, make recommendations to the Board. Data member + Section + as needed
Charge: Develop, implement, evaluate and upgrade CQI abilities in the State.
Charge: Evaluate, establish standards and make recommendations on the medical aspects of disaster management and integrate with the EMS system.
Charge: Develop a State EMS communications informational manual for EMS providers. Address any other communication issues that might arise while committee is completing the manual.
Board operating procedures were also updated and included revoking a previous decision to limit terms of standing committee members.
Reporting Committees:
Motion by Dick Collyard, second by Cheryl Glomp to accept the June 2001 Board retreat minutes. All Present - Aye.
Agenda item #3 Committee Updates
Note: All committees were assigned past legislative reports to review and make a recommendation on for further Board action. The recommendations are in italics at the end of each committee report.
Dick Collyard reported on the committee meeting. Policy & Practice met with Education to discuss questions about the proposed requirements for EMT-Intermediate Instructor-Coordinators. Paramedic training centers will discuss the criteria this week & a conference call of Policy & Practice and Education will be held in August to discuss this further.
The committee also discussed a previous recommendation to abolish EMT training permit at all levels because it was felt they weren't. It was noted that this requires a statutory change and that there are many circumstances where training permits are needed.
Committee vacancies - there are 3 at-large vacancies.
The interfacility transfer document is being revised with input from various interest groups and should be ready for committee review in the near future. Stakeholders have been identified and the first meeting is scheduled for August 23.
Past reports:
EMS vehicle operator training. A report on whether EMS vehicle operators should be certified and, if so, what the certification requirements should be.
Input on the revision of the Interfacility report when it's completed
Report recommendations: Dont pursue either report further.
Mark DeGuire reported on the data meeting activities that included:
a) Demo of a software product for collecting
Ambulance run info.
b) Discussion of creation of an Ad Hoc committee for EMS data issues &
implementation. The three areas for further review and recommendation are:
1) Evaluate WEMSIS problems & potential solution
2) Identify alternatives & assess potential use (resource needs for provider & State)
3) Committee composition: Bureau data position, Trauma consultant, large EMS provider, small EMS provider, Medical Director, software Vendors, WEMSIS user
The other issue was to produce some reports from WEMSIS to highlight aspects of EMS care and response and send it to providers for consideration as an educational, data and quality improvement tool. Mark DeGuire and bureau staff will identify reports to be produced.
Data report:
Data collection. A report that sets forth recommendations for a uniform data collection system, including collection of post transport data from hospitals, and staff that would be needed to analyze data and disseminate information gathered.
Report recommendations: Dont pursue the report further.
Tim Bjelland reported on the work of the Systems Committee, which included a look at the following past reports:
EMS dispatcher training. A report on whether EMS dispatchers should be certified and, if so, what the certification requirements should be. Recommendation: Submit new report, which was recently competed.
Financial assistance. A report on the needs of providers, EMTs, and first responders and state in its role in assisting those entities and any funding sources that can be used to help meet those financial needs. Recommendation: Needs significant update. Goal for completion 1/2002.
Use of hospital categorization reports. A report on how to use the list of EMS capabilities of hospitals prepared by DHSS in initial training and continuing training of EMTS. Recommendation: Not pertinent, no additional update.
Regionalization. A report that describes how EMS services can be organized on a regional basis, including any recommendations the board considers appropriate regarding regional EMS committees, regional EMS plans and regional DHSS staff. The report shall identify potential regions and discuss the desirability of awarding funds on a competitive basis within regions. Recommendation: Will compare with trauma recommendations and determine need for further action. Jon Morgan and Tim Bjelland to do comparison and draft recommendation for committee to react to..
Recommendations for a trauma system. A report that sets forth recommendations, including any necessary proposed legislation, for development of a statewide trauma system. Recommendation: No further action.
The committee also made recommendations for the ad hoc committees, which were:
CQI Systems Committee will take lead with input from Data. 7-person committee comprised of 1 system member, 1 data member, an ambulance director, hospital EMS coordinator, practicing EMT, & a CQI coordinator. Goal for completion: July 2003.
Disaster management charge: EMS Access & system package of resources for ambulance providers. 7-person committee comprised of 2 system members, local health department, hospital disaster management person, Tom Anderson from the bureau, Emergency management director. Goal for completion: July 2003.
Medical Communicators report (Dispatchers): A legislative sponsor has been identified, but how to fund associated costs is a question.
Gloria Murawsky reported on several education issues.
There were 3 old items
1) EMT-I curriculum, which is now complete
2) IV Tech curriculum revision, which is almost done
3) Advanced skill modules: albuterol & glucagon module for refresher course
The modules were distributed to Board members with a request to approve by exception as of July 25, 2001. Motion by Marv Birnbaum, second by Cheryl Glomp to approve the modules by exception if there is no negative response by July 25, 2001. All Present - Aye
Past Reports:
Training requirements. A report on initial training and continuing education requirements.
Recommendation: No further action.
The committee then looked at their priority list:
a) FR curriculum (Ad hoc committee for quick insertion of advanced skills into FR course). Led by Steve Teale, with members Don Kimlicka, Steve Mackiewicz and others as interested. Completion goal - by 9/01.
b) Evaluate WI curriculum with national EMS Agenda for the future
c) Request National Registry to accept IV Tech refresher training to count toward required 48 hours of additional training beyond a refresher course.
Mary Jean Erschen summarized the highlights of the report, which was distributed:
a) Injury Conference agenda for Oct 14 & 15
b) BELS training July 30 & 31 in Madison. BELS is a course for school staff to encourage safety training in the first aid and CPR is school curriculums.
c) Child Alert is expanding & was highlighted at a recent national EMSC meeting
The Board recommended that a letter of commendation be sent to the EMSC committee.
Agenda item #4 Medical Director Report
Dr. Barney reported on the highlights, which included:
a) Medical Director Course content is being completed and staff and PAC are looking at options for interactive content on the web.
b) A due process piece is being developed for medical directors to understand how actions on EMT practice impact them and the need to include a remediation process.
c) A sample MD contract is also being developed to assist services and physicians.
Other issues are:
The next step is to look at feasibility of modular training.
Agenda item #5 - Legislative & State Office Update
Trauma System - The trauma proposal was passed through the legislative conference committee and will go to the Governor when the full budget package is submitted. The proposal includes $185 K this fiscal year for 2 project positions (a trauma registrar & an injury educator) a $40K contract for a consultant to determine a trauma data system and $25 K for RTAC expenses. Year 2 has $500K for the 2 positions, $50K for RTAC expenses and $290K for grants to RTACs. The funding source is the Department of Transportation's federal highway safety funds. The funding is one-time for this biennium.
It also extends the STAC sunset date to 2004, provides that performance review of trauma data is confidential, and eliminates the need for the trauma plan to be approved by Joint Finance prior to rule writing.
HFS 112 - The paramedic rule is approved except for one small portion. The approved rule will be filed soon for a likely effective date of October 1, 2001. The objected to portion of the rule regarding flexible staffing options for existing paramedic services is now at the Joint Committee on Administrative Rules. They are holding a hearing on this portion of the rule on July 18.
HFS 111 - The EMT-Intermediate rule is now at the Department rule writer for editing.
MD Contract - Dr. Barney's contract expires in August. He is reapplying and he encourages other physicians to apply as well.
There was also a discussion of how the proposed trauma funding impacts a broader EMS funding package. The Board assigned the liaison committee to figure out the best timing and avenue to make request for broad EMS funding.
The EMS Coordinators were asked to make a presentation at the September meeting to explain their role in EMS.
Agenda Item #7 - PAC member appointments
The PAC had 3 members with terms that expire in July. Current members are Drs. Robinson, Westfall and Wesley, all of which are interested in serving another term. New applicants are Dr. Suzanne Martens and Dr. Ronald Meyer.
The vote resulted in reappointment for Keith Wesley & Mark Westfall and added Suzanne Martens as a new member.
Agenda Item #8 - - Old/New Business
Operational plan templates meetings are being scheduled and held throughout the State.
Motion by Dick Collyard, second by Tim Bjelland to adjourn. All present -Aye. Meeting adjourned at 12:10 PM.
The next regular meeting is September 4 & 5 in Wausau.