Members present:                                        
Tracy Aldrich                                                  
Steve Bane                                                      
Brenda Fellenz                                     
Troy Hasse                                                      
Don Hunjadi                                                    
Ken Johnson                                                   
Cal Lintz
Gloria Murawsky
Steve Teale
Travis Teesch
Gloria Wall
Dan Williams

Bureau Staff:
Meg Taylor
Nan Turner
Bruce Gordon
Terry Gonderzik
Deb Crawford 

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
Alan Hefter                                                       PFFW
Mike Jankowski                                               Franklin Fire Dept
Robin Schultz                                                   Sacred Heart Hospital - Eau Claire
Keith Kessler                                                   Douglas County Emergency Management
Jan Victorson                                                   Bayfield County Emergency Management
Gary Leyer                                                       Gateway Technical College
Lorie Utech                                                      Project Adam
Chris Batchelder                                               EMS Alliance
Michael Schmidt                                               Eagle River Ambulance                        
Jeff Rapichy                                                      Curtis Ambulance
Fred Hosnby                                                    Bell Ambulance
Pat Padjen                                                        UW EMS Program
Steve Pilsner                                                     Wausau Fire Department
Ted Tautges                                                     Wausau Fire Department
Mark Fredrickson                                            Gold Cross
Mark Schultz                                                    Waukesha Memorial Hospital
Charles Cady                                                   Milwaukee County EMS
Suzanne Martens                                              Sheboygan Co EMS
Jeff Jensen                                                        Zoll Medical
Mary Austin                                                     Monroe Clinic\
Bob Baird                                                        PFFW
Rick Gale                                                         PFFW
Laura Ahola                                                     UW Hospital EMS Program
Larry Knuth                                                      Paratech
Lynne Sears                                                     UW Hospital Trauma Program
Paul Steigler                                                     Dane Co EMS
Brian Wood                                                     UW Hospital & Clinics Emergency Services
Franz Keilhauer                                                Mercy Health System, Janesville
 

Agenda item #1 Introductions

Dan Williams called the meeting to order at 9:10 at the Comfort Inn Madison.  Dan Williams welcomed the following new members to the EMS Advisory Board:  Tracy Aldrich, Brenda Fellenz, and Troy Haase. Each new member gave a brief introduction of them self and their background.  Everyone in attendance introduced himself or herself.

Agenda item #2 Approval of January 2004 Meeting Minutes

Motion by Ken Johnson, seconded by Cal Lintz to approve the May Board minutes with the following amendment: remove Travis Teesch from the list of members present. All Present – Aye.

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.

2.        Stakeholders ad hoc :  Dan Williams reported that this committee met yesterday and discussed perceived issues.  The goal of this committee will be to prioritize "the list" of perceived issues, determine a plan for addressing the issues, and develop any necessary reports for the EMS Advisory Board.  They will meet again in September.

Education

                 Gloria Murawsky reported on the committee meeting, which included:

1.      Curriculum writing:  Motion by Gloria Murawsky, second by Ken Johnson:  The education committee be charged with the development of objectives and competencies for EMT curricula and the curricula writing be completed by the Wisconsin Technical College System and membership from all certified training centers (upon approval by WTCSB EMS Advisory Board).  The completed curricula will be reviewed and approved by the Education Committee and sent to the EMS Advisory Board for final approval to be forwarded to the Bureau.  The curricula will be non-proprietary to the Technical College System. All Present – Aye.

2.      Competencies vs. curriculum development. The report has been forwarded to the Bureau.  The Bureau will need to review the report and make decisions regarding implementation and process development.

3.      Distributive learning.  Motion by Cal Lintz, second by Travis Teesch:  To approve the Distributive Learning Report with the following changes:  change 144 hours to 140 hours and word change and to forward the report to the Bureau for further action. All Present – Aye.

4.      Education committee reviewed scope of practice for EMT-basic and made final recommendations.

5.      Jan Beyer gave a summary report of the stakeholders survey.  This information will be utilized as the revision of the EMT-basic curriculum and refresher move forward.

Policy & Practice

Don Hunjadi reported on the committee meeting, which included:

1.        Reviewed and made recommendation for EMT-basic scope of practice.

2.        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.

3.        Task of  reviewing rules:  Motion by Don Hunjadi , second by Gloria Murawsky, to investigate the possibility of combining all EMS administrative rules (HFS 110, 111, 112 & 113) into one. All Present – Aye

4.        HFS 113 (First Responder Rule) - Nan, Barb, Joanne and Don will meet to with DHFS rule writer to address outstanding issues.

Systems Management

Cal Lintz reported on the committee and sub-committee meetings. 

Systems –the committee prioritized their goals for the year as

1.Complete Finance Report – needs some revisions.  Missy Gilbert (from Sen. Ron Brown’s office) is assisting with the preparation of a 2 page report.

2. Monitor EMD legislation

3. Regionalization

4. Reviewed and made recommendations on the scope of practice for EMT-basic.  Task throughout the year will be to make recommendations on all levels of EMT scope of practice.

5. Task of looking at the frequency and amount of refresher training and making a summary of impact and recommendations for the EMS Advisory Board.

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). Awaiting ICS course. 

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 Erb-Moser.  She announced that the EMSC Conference will be held October 18 at the Kalahari and that an EMSC strategic planning session will be held.  She also brought the following recommendation to the EMS Advisory Board – EMSC recommends that an EMSC member be a member of the Education Committee of the EMS Board. Gloria informed the Board that HS 399 was tabled, nationally.

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.

Medical Director Report – Dr. Gordon had no report to give.

Agenda item #4 Advisory Board Retreat

1. EMS Advisory Board Operating Procedures:  the entire document was reviewed by the membership.  The changes to the document will be completed by Nan and forwarded with the Board minutes.  Motion by Steve Bane, second by Cal Lintz to accept the revised document.  All present – Aye.

2. EMS Advisory Board Committees and structure:  In addition to the standing committees of the Executive Committee (Chair Dan Williams), Education (chair Gloria Murawsky), Systems (Chair Cal Lintz), and Policy & Practice(Chair Don Hunjadi)  the following will be added:  (1)  EMS Partners – Chair Dan Williams  (2)  EMS Illness and Injury Prevention – Chair Gloria Wall  (3)  Information Enhancement Chair Ken Johnson.

In addition, the ad hoc CQI committee will now become a sub-committee.

Motion by Gloria Murawsky, second by Cal Lintz to accept the committee structure.  All present – Aye.

Agenda item #5 Election for membership to the Physician Advisory Committee (PAC):  there are currently three openings on the Physician Advisory Board.  The letters of intent and CV’s of four interested physicians were reviewed by the Board membership.  The results of the election were:  Suzanne Martens and Mark Westfall were both reapointment.  Haines Hennes was newly appointed.

Agenda item #6 Committee Assignments & Openings

Committeee memberships and openings were discussed.  Nan will follow up to clarify which committees have openings.  Each newly created standing committee will have 3 openings; there is one opening on the Systems Committee and one on the Policy & Practice Committee.  Action:  Nan will clarify openings and forward to Dan Williams.  Applications for these positions should be forwarded to Meg Taylor at the Bureau Local Health Relations and EMS.

Agenda item #7 Legislative & State Office Update

Meg Taylor, Bureau Director for Local Health Support & EMS, reported that the Section Chief position has been exempted – which means that it can be filled.  The positions of EMT-I and ALS Coordinator are being reviewed.  She has been meeting with several individuals and organizations to get input.  The goal is to replace the Section Chief position as rapidly as possible.  The membership expressed that they would like to see a rapid replacement and that the candidate must be capable and highly qualified. Meg also reported the possibility of $250,000 for a run reporting database through the CDC grant.

Agenda item #8 Old/New Business

1.         Report on federal funding for EMS meeting held on July 7, 2004: This meeting was held with STAC members to discuss the possiblity of proposed funding which was submitted as part of the Bioterrorism grant.  The state has requested $1 million.  EMS Board membership discussed the Finance Report and shared the document with STAC members. 

2.        First Responder (HFS 113) and Trauma Rules (HFS 118) First Responder Rule: Nan will meet with Don, Barb, Joanne & the rule writer to finalize the document so public hearings can be scheduled. Trauma Rules: Public Hearings have been scheduled.

3.         Wisconsin Scope of Practice for the EMT-basic:  following input from PAC and all standing committees of the EMS Advisory Board, the final document was presented and discussed by Nan.  Motion by Travis Teesch, second by Cal Lintz to accept the Wisconsin Scope of Practice for EMT-basic.  All present – Aye.  Everyone was reminded that this is the proposed scope of practice, which will be utilized in the development of curriculum, competencies, examinations, and rule changes.  This change is scope of practice does not become effective until the administrative rule changes are promulgated.           

Agenda item #9 Proposed National Scope of Practice Presentation:  Nan Turner presented the Proposed National Scope of Practice and encouraged all present to read the document and make comments.  The web site to download the document is www.scopeofpractice.org Comments are due by January 30, 2005.

Nan recognized the valuable contributions of Deb Crawford and Terry Gonderzik who will be leaving their positions with the EMS Section.  She also thanked all present for all of their support, commitment, and dedication over her past five years as Section Chief.  On behalf of the EMS Advisory Board, Nan was presented a plaque, which recognizes her contributions to Wisconsin EMS & the Advisory Board. None of the work or progress being made to further EMS in Wisconsin could have or would have been done without you.  Thank You…Nan

Motion by Don Hunjadi, seconded by Cal Lintz to adjourn.  All Present - Aye

The next regular meeting is September 14 & 15, 2004 in Mosinee.