Members present:
Bureau Staff:
Marv Birnbaum Rick Barney
Tim Bjelland Mary Jean
Erschen
Dick Collyard Jon Morgan
Cheryl Glomp Nan Turner
Gloria Wall Marianne Peck
Dan
Williams
Others in Attendance:
Representing:
Beth Natter Mercy
Hospital – Janesville
Bill Snoke
Gunderson Lutheran
Bob Stedman Waukesha County
Technical College
Cal Lintz Green
Bay FD EMS
Don Kimlicka Gunderson
Lutheran
Gary Winters Community
Ambulance
Jan Victorson Bayfield Co.
Emergency Management
Jerry Miller Waushara
County EMS
Jim Keiken Madison FD
Judy Jones Luther – Eau
Claire
Keith Kesler Douglas Co.
Emergency Management
Larry Knuth Paratech
Ambulance
Lisa Ott Paratech
Ambulance Service
Lorie Utech Prohealth Care
Inc.
Mary Powers Children’s
Hospital Poison Center
Mike Peterson Fond du Lac FD
Patricia Padjen
UW Hospital
Patrick Kilbane
PFFW
Robin Jones Gateway
Technical College
Suzanne Martens Sheboygan County
EMS/PAC
Todd Van Langen West Bend FD
Tracy Froiland Appleton
Medical Center
Agenda item #1 Introductions
Dan Williams called the meeting to order at 9:05 at the Comfort Inn, Madison. Everyone in attendance introduced himself or herself.
Agenda item #2 Approval of May Minutes
Motion by Tim Bjelland, second by Dick Collyard to accept the May 2002 Board minutes with corrections. Unanimous approval.
Dan Williams summarized the EMS Board retreat in June. The purpose of the annual retreat is to evaluate progress towards identified objectives. Specific information was given on:
· Dissolution of the Data committees and the Liaison committees. The Data committee charge was met to the degree it could be. It was felt that the actual construction & implementation of a prehospital data system is now dependent on Bureau of EMS & IP resources so the responsibility is now on the bureau. All the other committees will now look at data and evaluation and how it impacts their work and will include it as part of their agenda.
· The Liaison committee never actually met and the Board felt the original purpose of the committee, which was coordinate policy issues, was not going to be workable. The new approach will be to solicit partners when issues arise.
· New Board procedures: The Board updated their mission statement and moved the starting time for the Board meeting to 9:00am. The new mission statement reads:
The mission of the EMS Board is to provide leadership and support to the Emergency Medical Services community and to ensure quality emergency medical care for the citizens and visitors of Wisconsin. This is achieved through system development, education, injury and illness prevention, policy development, evaluation, medical direction and linkages with other stakeholders.
Agenda item #4 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
Cheryl Glomp reported on education issues.
1. The committee finished the report on transition education. The report will be sent to the Board in July. The conclusion was transition courses are possible, but base training needs to be solid. An evaluation method and assuring quality instruction is now the task for the committee
The committee will have a meeting August 16 at 9:30 at MATC - Madison
Policy & Practice
Dick Collyard reported on the committee meeting. The committee reviewed their updated priorities and discussed:
1. Reopen s146.50 to change statutory language governing EMS-FAP to allow for direct payment to providers.
There will be a July 30 phone conference to further define
In subsequent meetings the committee will review:
· Interfacility transport guidelines in September
· First Responder rule draft in September
Marv Birnbaum reported on the committee meeting.
Ad-hoc Committee activities:
CQI committee – The committee is ahead of schedule. Defined CQI and mission statement. They are creating a template for two conditions
Shortness of breath
Chest Pain
The template will have 5-6 data elements for each condition. To assist with implementation the committee is also developing tools for the providers, including:
Tools that will be available to assist with the CQI process:
Explanation of CQI
Summary form for CQI data
Explanation of what to do with CQI data
The plan is to present a draft to the Systems Committee in September, November to the Board, and beta test with some services after approval
Disaster Management – The committee had there first chance to review their charge rather than react to grant opportunities. The committee discussed what the EMS role is in Disaster management. There was a question of how EMS fits into the big picture in disaster management. The committee will be following up on their updated priority objectives, which are:
Study & Report on the EMS role and needs in disaster management.
Coordinate with other disaster planning groups.
Develop guidelines on how EMS should integrate with the Emergency Management plans already in existence.
Develop minimum standards for EMS in disaster management.
It was also reported that many of the committees recommendations for use of terrorism grant funds were addressed in the objectives of the CDC bioterrorism grant application
System Committee activities:
Summarized CQI and Disaster committee
Received a report on the State EMS Communications plan, which is in final draft form. Committee members will receive a copy to review and respond to in July so it can be forwarded for Board review in August.
The EMS finance report will be completed by the September Board meeting. It will be reviewed at a Systems meeting in the first week of August.
Reviewed their updated priority list and timelines, which are:
Complete Funding report already in progress (< 1 yr)
Review and comment on statutory language for certification of dispatchers and dispatch centers. (< 1 yr)
Review and accept EMS Communications plan. (< 1 yr)
Assist with grassroots regional coordination of service, Form Regional Alliances, zones of collaboration. Dependent on RTACs. (1-2 yrs)
Evaluate rule changes for scope of practice and training issues to determine impact on patient care. (3-5 yrs)
Communications – Jon Morgan reported that the committee reviewed and made recommendations to the draft of the State Communications Plan and has completed a draft document. The document will be edited this week and sent to Systems Committee members for review of readability and any feedback of glaring problems by July 26th. The final draft document will be sent to Board members prior to the September meeting
Agenda item #5 Medical Director Report
Dr. Barney reported on his activities and the activities of the Physician Advisory Committee and highlighted the following:
1. There is continuing work being done on the Medical Director web course. There is some information that needs to be updated because some sections have changed. The goal is to have it on the web by the end of the year. There is also a need for in-person MD seminars in more rural areas such as Northeast, Northwest and Southwest Wisconsin. There was a suggestion to call EMS Medical Directors directly to increase participation in targeted areas.
2. Reviewed BLS protocols for children. Some procedures were removed because they were outside the scope of current legal practice.
3. A “Service Report Card” for provider evaluation is being worked on.
4. The template for an EMS MD contract is almost done.
5. Local issues are being worked on with various MDs.
Future agenda items include:
1. Ambulance diversions and related issues.
2. Further discussion on interfacility transport document.
PAC appointments are coming due and there are two open positions. Terms are three years. Interested physicians should submit a CV and letter of interest to Nan Turner at the EMS office.
Mary Jean Erschen gave a presentation on Basic Emergency Life Support in Schools (BELSS). The goal is to train citizens to provide emergency medical care and do it through the school system. It may also promote health care careers and address post-traumatic stress disorder.
1. The BELSS curriculum covers:
Safety
Injury Prevention
First Aid
Emergency Preparedness
CPR & First Aid
2. It is age appropriate, interactive and is repeated Pre K-12.
3. Helps develop emergency preparedness plan for schools
4. Promotes students to teach parents.
WI BELSS Model
Track 1 – Risk Watch (Elementary)
Track 2 - Community First Aid (Middle School)
Track 3 – CPR & AEDs in the schools (High School)
Track 4 – EMS Provider (1 day only)
Track 5 – Instructor track
There are 6 schools that will pilot the program. A short videotape overview of the Risk Watch program was shown.
Agenda item #7 - 2002 – 2003 State EMS Plan
Draft for Board review and input by July 17. If there is no feedback by July 17, the document will be approved by exception and the public hearing will be scheduled. Feedback from the hearing and any changes will be discussed at the September Board meeting prior to final approval.
The public hearing will be in August.
Agenda item #8 - Legislative & State Office Update
Jon Morgan reported on state issues that included:
1. Trauma System – Trauma funding is in the budget package sent to the Governor. $398 K for regional expenses, a trauma registrar and an injury educator. Regional Trauma meetings have occurred throughout the State and only one region hasn’t met yet.
2. Paramedic staffing: statutory language change. Proposed statutory language in budget reform bill would require existing paramedic services to staff with 2 paramedics from start to finish of a call. Proposed rule language to respond with paramedics from different locations and release a paramedic after assessment would not be allowed.
3. The Centers for Disease Control Bioterrorism grant was summarized. There are a number of specific EMS items included, as well as many that impact EMS. Specific EMS items include: 2 staff positions for first responder certification and communications, Training of EMTs on basic hazardous materials response, dollars for EMS IT/Data development, and Medical Direction which will involve Dr. Barney.
1. Request that Don Hagen & Linda Hale talk about school bus injuries and seatbelt use at the next meeting.
2. EMS Coordinators now have a website www.WEMSC.org
3. A course on Emergency Medical Response to Weapons of Mass Destruction is WI Sept 14-16 at Fort McCoy. The course is free. Call (847) 266-3816 for more information.
Motion by Tim Bjelland, second by Dick Collyard to adjourn. All present -Aye. Meeting adjourned at 11:10 AM.
The next regular meeting is in Mosinee, September 10 & 11.