FROEDTERT MEMORIAL LUTHERAN HOSPITAL

COMMITTEE MEETING MINUTES

COMMITTEE: SE Region Trauma Advisory Council CHAIR: Andrea Winthrop, MD

DATE: February 16, 2005 PLACE: CHW Educational Services Classroom TIME: 9:00-11:00 AM

ATTENDEES: S. Andrews, D. Becker, L. Ptack, J. Brasch, D. Grignon, C. Werner, J. Rubin, O. Alvarez, T. Van Langen, C. Ring, R. Forester, M. Peck, M. Melzer, R. Pirallo, L. Knuth, B. Bazan, S. Martens, M. Armstrong, R. Lang, M Achurya, D. Tomczyk, J. Pandl

EXCUSED:

TOPIC

DISCUSSION

ACTION

1. Minutes, November 23, 2004 meeting. Dr. Winthrop reviewed highlights of November Information

meeting: New regulations to comply with. We

have met 1^st of 2 requests, EMS needs assessment.

Education & Medical Oversight Committees may

use data form report. Received extension on 2^nd

deliverable: Approvals on trauma definitions.

2. Status of SERTAC – a)meeting times/locations Dr. Winthrop proposed 2 alternatives: Council decided to meet 4^th Tuesday

1. 2nd Wednesday of month 9 – 11 AM on MRMC following Region 7 meetings. Dr. Rubin

campus reported meetings through July are all

2. 4^th Tuesday of month immediately following in RTAC area. March meeting is at CHW

Region 7 Bioterrorism meetings, 3 – 5 PM, the Oakwood Building in MRMC Research

Locations rotate; a few may be out of RTAC Park on March 28^th. Will send map & Meetings quarterly required. Will meet monthly schedule with agenda for March meeting.

through spring, once during summer.

b) Executive Committee Members: Drs. Winthrop, Pirallo, Holly Hepp and Information

RTAC Coordinator. Committees: Registry,

Education, Medical Oversight/PI. New a chair Will request volunteer for Education

for Education Committee. Committee chair.

3. RTAC Coordinator Position Update Dr. Winthrop reported position posted by Froedtert HR. Information. Coordinator should be hired

Froedtert is fiscal agent and will be hiring. Have 8 by mid March, to run April RTAC meeting

applicants, will probably interview 6, then narrow to

102 finalists. Interview scheduled for 2/28 & 3/3. All

have EMS background, a couple have business also.

Responsibilities will be compliance with RTAC

deliverables, disbursement of funds, manage RTAC

meetings. Finalists will interview with other Executive

Committee members.

4. SERTAC Funding SERTAC received $30,000 by 12/31/04. Spent little. Information

Have requested small amount for expenditures. In ‘05

there will be additional funding to pay for Coordinator.

fiscal year has been changed to comply with Federal

fiscal year. Will be 1/1-8/31/05, then 9/1/05 – 8/31/06.

Fifst payment will be prorated for 8/12 for 2005, next

payment will be for full year. Deliverable now due

by 8/31/05 to coincide with end of federal fiscal year.

5. EMS Needs Assessment Results Dr. Winthrop has hard copy, Holly Hepp will receive Information

electronic copy. They will review results and send to

committee chairs, others as needed/requested.

EMS Response to Triage, Transport & Letter and second request sent to EMS Medical Dr. Winthrop will draft one more

Trauma Definition Surveys Directors, giving minimum standards for 3 “Ts”. All request letter with further clarification

other RTACs in stat have completed this deliverable. And ask Noreen Hocking in Froedtert

Medical Director must sign and attach their current Administration to send out.

guidelines. Many, but not all have signed and sent

back. Much discussion about changes that were made,

ehen they were made. Dr . Winthrop clarified, only 2

additions, not deletions were made. Added pediatric vital

signs & cleared definition of shock. These were approved

At January, 2004 RTAC meeting. Were supposed to be

distributed, but only EMS assessment went out. If a

EMS has implemented STAC guidelines as of 2004 without

revisions, they are compliant and can sign form and return

With copy of guidelines.

5. Updates from STAC – Dennis Tomczyk a) Trauma Plan Rules & Regs – went into effect 1/1/05.

HFS 118, handout provided, can be accessed at

http://adminrules.wisconsin.gov request HHS 118.

b) PI Language – Senator Brown will introduce language

for PI protection to discuss individual cases. Some RTACs

are doing process review but not specific cases.

c) Registry Software – State program is “Collector”. Web-

based program, NTDB compatible, NTDB in Chicago.

Will be available, Spring, ’05. Hospitals must submit

only required elements to state (see handout), with no

dollar expense. If a hospital wants to collect more data

for their own PI, they may have to purchase program. Most

other programs (Entrack, Caels, and Lancet) are compatible

with Collector. Submission of data to state will be discussed

at March 2, STAC meeting. State wants to get info from all March STAC meeting at Holiday

hospitals, levels 1, 2, 3, & 4. Discussion about small hospitals’ Inn on East Washington Ave. form

concerns about the amount of time involved. Use of data by 9-11 AM.

state and how it will benefit hospitals needs to be more clearly

communicated. may be used for PI & prevention activities.

d) Trauma Center designation letters – Letters sent to CEO’s Bill Bazan will work on a one page

1^st week of January, 2005 with form to fill out for level paper to place in the WHA news-

designation. Levels 1 & 2 must be reviewed by Am. College of letter that goes to hospital CEOs.

Surgeons. Level 3 & 4, complete checklist for state. Letters Operations/registry committee to

gave deadline of 3/14/05 for response. This was done so state provide him with information

could spread out certification of over 100 hospital over period

cf months. Actual final deadline is 7/30/05. Discussion of

“unclassified” hospitals. It is the position of the state that all

hospitals should apply and become part of the system and that

the RTAC members should talk up the benefits to their hospitals. J. Pandl to forward a list of Region

In this region, 19 hospitals have applied. Most of Covenant & 7 hospitals to Dr. Winthrop to

Aurora system hospitals have not responded. Dr. Winthrop Review.

indicated she, Holly Hepp and Marianne Peck would field Any RTC member or hospital with

questions e-mailed to them. Bill Bazan has received calls & questions can e-mail Holly Hepp questions falling into 4 categories: Dr. Winthrop, Marianne Peck.

1. Competition – will certification provide advantage? Dr. Winthrop & Holly will extend

2. Bureaucracy – directed toward stated audits invitation to hospitals to send any

3. Data – directed toward Registry requirements questions their way. March

4. Level 4 certification with ATLS on 1^st shift deadline can be extended if they have questions.

e) HRSA deliverables – WEEP Training. 33% of EMS‘s must Is EMS assessment shows any

have at least 80% of their staff trained by 8/31/05. In FY 2006, pressing needs let Dennis know

another 33% must be trained. There may be funding to support and he will investigate any

this. Will us “train the trainer” model. Grant is collaboration potential funding.

agreement. It is up to grantee how they use it. Discussed how

training does not assure compliance. Dennis mentioned “Triage

Tuesdays’ implemented in LaCrosse to help EMS keep skills up.

f) Pediatric resource packets for RTACS – Will be available. Any RTAC member who would

Peds specific transport guidelines. Dr. Winthrop, who is Peds like a packet should contact Dr.

Liaison will receive. Winthrop.

7. Subcommittee Tasks 1. Medical Oversight Committee EMS services, hospitals, designation 2. PI Committee EMS survey, process for PI review

3. Operations/Registry Draft letter for Bill Bazan for WHA

4, Education Committee, chair needed Todd Van Langen, West Bend &

Dean Becker, Sheboygan. Task:

Implement WEEP training

8. Next meeting Tuesday, March 22^nd, Children’s Hospital Oakwood Center Directions & map will be sent with

located in Milwaukee County Research Park, 3-5 PM. agenda for March meeting.