Members present:                                        
Steve Bane                                                      
Marv Birnbaum                                               
Dick Collyard                                                                          
Don Hunjadi    
Ken Johnson
Cal Lintz
Gloria Murawsky                                             
Terri Richards
Steve Teale
Travis Teesch
Gloria Wall
Dan Williams     

Bureau Staff:
Jon Morgan
Nan Turner
Marianne Peck

Others in Attendance:                                       Representing:
Barb Kuska                                                      Beloit Memorial Hospital
Beth Natter                                                      Mercy  Hospital - Janesville
Cheryl Glomp                                                   St. Mary’s Hospital - Madison
Chuck Martschinke                                          National Ski Patrol
Cindy Diedrich                                                 Fitch-Rona EMS
Dave Henning                                                   Gold Cross
Eric Voter                                                        Gunderson Lutheran
Gary Winters                                                    Community Ambulance
Jan Beyer                                                         UW
Jan Victorson                                                   Bayfield Co. Emergency Management
Jim Keiken                                                       Madison FD
Judy Jones                                                        Luther – Eau Claire
Keith Kesler                                                     Douglas Co. Emergency Management
Larry Knuth                                                      Paratech
Laura Ahola                                                     UW
Mark Madigan                                                 County Rescue
Mark Schultz                                                    Waukesha Memorial Hospital
Mike Krueger                                                   Lifestar EMS
Mindy Allen                                                      Green Co. EMS
Neal Zinds                                                        Watertown
Richard Meeker                                                Wisconsin EMS Association
Pat Kilbane                                                      Professional Firefighters of WI
Patriica Padjen                                                 UW
Suzanne Martens                                              Sheboygan County EMS
Todd Van Langen                                             West Bend FD 

Agenda item #1 Introductions

Dan Williams called the meeting to order at 9:10 at the Comfort Inn, Madison.   Dan announced the new Board member: Dr. Kenneth Johnson and welcomed him to the Board.   Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of March & May Meeting Minutes

Motion by Dick Collyard seconded by Cal Lintz to approve the March & May Board minutes.  All Present – Aye.

Agenda item #3 Committee Updates

Dan Williams discussed the process for assigning tasks to committees and how the task will be resolved.  Committees are charged with evaluating tasks and presenting a timeline to the Board on when the task will be completed.

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

Gloria Murawsky distributed copies of documents that addressed past tasks that have been completed.  They included:

• Analysis of EMS Agenda for the future with WI status

• EMS Educator evaluation

• easibility of modular training and bridge course to new license levels

Status of current tasks is:

1. IV Tech pediatric and refresher curriculum groups met once since the last Board meeting and are completing their work.  Use of incorporating interosseous infusion is still being resolved.  Will be resolved at the Sept. meeting

2. Critical care curriculum review

3. Review HFS 113 (First responder draft rule) for educational impact

4. Completed template for curriculum review and are working on survey

5. Requested scope of practice document from bureau

6. Will form an ad-hoc committee on distance learning

The committee is asking for clarification of the task to review competencies vs. curriculum development.  Clarification is that the educational institutes would evaluate competencies for each individual and determine necessary training, instead of following a curriculum verbatim.The committee will develop a list of pros and cons for this concept.

Policy & Practice

Dick Collyard reported on the committee meeting.  Reviewed tasks and due dates for tasks:

1. First Responder review is done and forwarded to the Board.

2. FAP funding formula for training funds going to the providers – recommendation due January 2004

3. Statute review – May 2004

4. Trans 309 – January 2004

5. Interosseous (IO) infusion recommendation – Use by EMT-basic IV.  Committee voted unanimously that IO training not be required, but allowed as appropriate for the scope of practice.

Motion by Dick Collyard, seconded by Travis Teesch, that the interosseous (IO) infusion skill not become a mandated part of the EMT-basic IV level.  There was a discussion on the use of IO and the need for pediatric patients versus allowing peripheral IV access only.  All Present – Aye.  Motion by Gloria Murawsky, seconded by Don Hunjadi, that IO be added to the Scope of practice for EMT-basic IV and Provisional EMT-intermediate as a stand-alone module on a voluntary basis.  All Present – Aye.

6. Interfacility transport document review when it’s sent to committee
7. Injury Prevention – no date, talk with Linda Hale
8. Hospital capabilities – no date

First responder rule, HFS 113.  Motion by Dick Collyard, seconded by Cal Lintz, to approve HFS 113 to as written so it can proceed to public hearing.  All Present – Aye

Systems Management

Marv Birnbaum reported on the committee meeting.

Ad-hoc Committee activities:

CQI committee –

Did not meet. 

Disaster Management –

The committee discussed interactions with other agencies in disasters (recommendation due January 2004).  Issues included:

1. Hazardous materials interaction

2. Public Health interaction

System Committee activities:

Scope of practice will be discussed in future meetings.

The committee completed the finance document, including the executive summary.  Conclusions included:

• EMS is underfunded

• A large part of EMS service in WI is voluntary

• Funding from payers does not cover costs

• EMS has grown in complexity and responsibilities, without a corresponding funding

•  Increase staffing for regional and statewide activities.

Recommendations included:

• All levels of government must support EMS similar to other public safety agencies

• Fee-for-service revenues must be maximized

• Increase local aids to providers to $4.5 million per year

• Increase funding for EMS coordination by $4.1 million per year

• Funding of EMS should come from multiple sources

Motion by Marv Birnbaum, seconded by Don Hunjadi, to accept report on financial aspects of EMS and forward to DHFS, with clarification on percent of services that are billing.  All Present – Aye.  There was a discussion on where does the report go next.  Follow-up is to meet with Ken Baldwin and Helene Nelson, Secretary of DHFS and post on website.  An additional option is to discuss with professional organizations with lobbying entities to solicit support with legislators.  A report on progress from the executive committee will be done by January 2004. 

EMS-Children

As part of the June Board strategic planning meeting, the Board named official liaisons to ensure coordination of committee activities.   The EMS-Children liaison is Gloria Wall who summarized EMSC activities.  Highlights included:

• Safe transport article published in EMS Professionals magazine

• The EMSC strategic plan was completed

• An EMSC resource center is being discussed

• Planning for childhood emergencies conference in October

• Do Not Resuscitate orders and minors.  EMSC is looking for statement from EMS Board & Physician Advisory Committee (PAC) about this being a local issue on how DNR orders are honored.

Dan Williams asked that EMSC frame the DNR issues and send a copy to the Board and PAC.  Dan also requested that a copy of the final EMSC strategic plan is sent to Board members.

Physician Advisory Committee (PAC)

Dr. Rick Barney reported on the State Medical Director and PAC activities, which include:

1. PAC meeting is at noon today

2. Finishing EMS MD Course

3. Finishing an EMS report card

4. Finishing a pain management protocol.

5. CPAP protocol is being completed

6. Next meeting is Sept 17 in conjunction with Paramedic Systems of WI meeting

7. Setting up meeting with WI Hospital Assn to talk about interfacility transports

8. Dr. Barney is resigning as of this fall.

Committee assignments (Sept expiration dates)

Expiration dates for non-Board members on committees are coming due in September.  Interested parties should send brief CV and letter of interest to Jon Morgan by August 15.

Related discussions on committee interaction led to two motions:

Motion by Don Hunjadi, seconded by Ken Johnson, that 3 Board members be required on 5 person committees.  All Present – Aye.

Motion by Don Hunjadi, seconded by Dick Collyard, to amend EMS Board operating procedures to require a Board liaison be assigned to EMSC and STAC and that the State EMS Medical Director be the official liaison for PAC.  Related motion that all official Board liaisons also be included on the Board executive committee. All Present – Aye

Agenda Item #4 - Presentations on Education reports:

• EMS Agenda for the future evaluation,

• transition course and modular training report Postponed to September meeting

Agenda Item #5 - Scope of Practice issues

• Use of Mark I kits for EMTs-Basic

Motion by Gloria Murawsky, seconded by Travis Teesch, to allow EMTs to administer contents of Mark I kit to other EMTs or themselves upon completion of a course on proper use and approval by the medical director and DHFS.  All Present – Aye.

Follow-up: Bureau to pursue legal issues or waivers necessary for scope of practice issues in disasters.

Follow-up: Bureau to send to EMS Board members, a summary of grant funding initiatives on items in grant applications that pertain to EMS.

Agenda Item #6 – State & Legislative Update

1.      Legislative & State Office Update

• Surgeon General will be coming to Madison on August 15^th to talk about trauma systems.  The forum is from 12:30 to 3:30 at the Masonic Center on 301 Wisconsin Avenue in Madison (one block from the State Capitol). 

• Legislation (Board position on legislation for bike helmets, seatbelt use, and .08 BAC)

Motion by Marv Birnbaum, seconded by Gloria Wall, that the EMS Board support legislation for primary seatbelt enforcement and mandatory bike helmet law.  Yea 10 – Nay 1.

• EMS/Trauma Talking Points paper presentation.  Jon Morgan gave a brief presentation on the value of EMS that could be used for future presentations to stakeholders.

• Trauma System update, including RTACs.  There’s a July 15 meeting at the UW paramedic training building to look at trauma needs assessments and make a recommendation on a statewide trauma database.

Agenda Item #7  - Old/New Business

Question on HIPAA update and future presentation to Board.  Dan Williams will check on a speaker. 

Question on anti-terrorism training requirement.  The requirement to receive 4 hours of training is still in place.  A memo will be sent to providers about clarifying options on how the requirement can be met.

Mention was made about a new survey: EPIQ (Emergency Preparedness Information Questionnaire) – Questionnaire on preparedness knowledge is at publichealthplanet.org

Motion by Dick Collyard, seconded by Steve Bane to adjourn.  All Present - Aye

Meeting adjourned at 11:45am. 

The next regular meeting is September 2 & 3 in Mosinee.

FOLLOW-UP: