FROEDTERT MEMORIAL LUTHERAN HOSPITAL

 

                                                                                                                                    COMMITTEE MEETING MINUTES                                         

 

 

FROEDTERT MEMORIAL LUTHERAN HOSPITAL

COMMITTEE MEETING MINUTES

COMMITTEE:  Southeast (Region 3) RTAC		Chair:  A. Winthrop, MD
DATE March 22, 2005	PLACE: CHW Oakwood Conference Center		TIME: 3:15-5:15 PM
ATTENDEES: Joe Baasch, Craig Schicker, Jon Rubin, Ron Pirrallo, Beth Liebhardt, Anna Cremer, Fred Hornby, Gloria Murawsky, Todd Van Langen, Mary Geoghan, Chris Thome, Betty Corneliuson, John Pandl, Larry Knuth, Linda Ptack, Marianne Peck, Dean Becker, Rosemarie Forster, Cinda Werner, Steve Andrews, Suzanne Maretens, Andrea Winthrop
EXCUSED: Michael Armstrong, Terri Kabitzke-Groth

COMMITTEE: Southeast (Region 3) RTAC                                                                                                                                                                                                             CHAIR: A. Winthrop, MD

DATE:   March 22, 2005                                                                                  PLACE:  CHW Oakwood Conference Center                                                          TIME: 3:15-5:15 PM

ATTENDEES: Joe Baasch, Craig Schicker, Jon Rubin, Ron Pirrallo, Beth Liebhardt, Anna Cremer, Fred Hornby, Gloria Murawsky, Todd Van Langen, Mary Geoghan, Chris Thome, Betty Corneliuson, John Pandl, Larry Knuth, Linda Ptack, Marianne Peck, Dean Becker, Rosemarie Forster, Cinda Werner, Steve Andrews, Suzanne Maretens, Andrea Winthrop

EXCUSED: Michael Armstrong, Terri Kabitzke-Groth

 

TOPIC		DISCUSSION	ACTION
1. Review minutes , Feb, 16, 2005		In section 5d, Registry Software, Ntrack should be NTRACS and Lancet is not compatible with Collector, requiring an interface to be written.   Announcement – RTAC Coordinator has been hired.  Her name is Amy McCray.  She is .5 FTE is a Froedtert employee and her background is in Risk Management and she is a certified EMT. She officially starts April 4th.			Minutes approved, moved by Gloria Murawsky seconded by Jon Rubin

 

TOPIC	DISCUSSION	ACTION
STAC/RTAC coordinator meeting	Marianne Peck gave update on STAC meeting: Trauma registry – have begun implementation conference with Website collector.  Beta testing will take place with Am. College of Surgeons Hospitals (Levels 1 & 2).  Discussing how level 3 & 4 hospitals will have access to their own data  If they transfer pt. to Level 1 or 2, those facilities will also be getting data on same patient; trying not to be redundant.  4-6 month window to get everything in place. PI – language provided to legislature for protection in discussing individual cases.  Should be drafted into a bill soon. Hospital designation – Only 4 hospitals from Region 3 have been designated.  Majority of hospitals in WI have submitted applications  Some are on Marianne’s desk.  March 14 deadline extended to June 17th, which is absolute latest.  We Will know soon which hospitals are “unclassified”.  Registry info is form hospitals only, not EMS units. WEEP training curriculum – will be approved soon, so training can start in April Triage-transport guidelines – On agenda for April STAC meeting.  Has not been a smooth process for other RTAC’s.  STAC meetings are open meetings, run in open forum.  If you want to be on agenda, just call Marianne prior to meeting.   Andrea gave update in TRAC Coordinators meeting: 3 training module for WEEP, “Start”, “Jump Start” and a table top exercise. Potential funding for train the trainers. Pediatric readiness packets – Most of packets are available electronically.  Call either Susan LaFlash or Tom Brazelton. EMS Needs assessment – Hard & electronic copies can share aggregate data, not individual service data.  PI & Education Committees and may want to look at it.  Amy, Andrea & Holly will go trough it.   Next Meetings: Wednesday, April 13th                 STAC - 9:00 – 11:00 AM                 RTAC Coordinators– 11:00 AM – 3:00 PM  Four hospitals in region 3 to be designated so far are:  Children’s, Froedtert, Oconomowoc, and St. Nicholas in Sheboygan.  We have only 36% compliance with EMS Medical directors signing and sending back triage/transport guidelines.  Those with number “1” next to name on handout have signed.	Information         Information   Marianne will let Amy McCray know so she can contact hospitals in region that may need help with application process.             Information

 

TOPIC	DISCUSSION	ACTION
Action items and Tasks  for subcommittees	Andrea led committee through RTAC Objective handout: Satisfied WEEP training – 33% of transporting units must have 80% of staff trained by Aug. 31st.  Then another 33% trained by 12/31. If some services have done part of training, they must do rest of curriculum.  Can’t substitute previous training programs.  There is 2 hr. multimedia as part of training.  Burn treatment  Exercise after WEEP training to test training            Education & Training Data Collection & Analysis – Ned for draft introductory             Registry Committee letter to potential level 3 & 4 hospital describing the advantage to becoming certified & overview of registry.  Also info to send CEO’s.  Dan Burns has already sent bullet points to Bill Bazan of WI Hospital Association. Injury Prevention- Back burner for now. Performance Improvement – Can look process measures & system improvement for now. Hospital Classification Communications – to reach RTAC, all other RTACs  in state have their own Websites for communication, posting of minutes, guidelines, etc.	Education Committee     Medical Oversight Committee Education Committee - 2006 Education Committee Registry Committee – 2006?       PI Committee Registry Committee Medical Oversight Committee.
Subcommittee repots Milwaukee	Medical Oversight – 3 areas of focus Get EMS services compliant with signing of  transport guidelines.  Discussed difference between 2 documents List of hospitals – Three Dodge County hospitals In Region 3, but Dodge County hospital  (Beaver Dam & Watertown) are aligned with Madison.  Two hospitals in region 3 received level 3 certificates.   If level; 3 hospitals want guidelines, they have been written and are available form Children’s for peds Froedtert for adult patients Burn beds- will likely be addressed at state level Education Need list of transporting agencies.  When they have list, will start training first 33% among those with career & full-time staff.  Will be difficult to work with volunteers. Need to know if there will be minimal training requirements.  Some units may have met requirements already.  Some services. Like all of Sheboygan County have completed training very similar to WEEP.  May develop a survey using EMS survey questions to found out what training has been done buy units. Funds – will they be able to use funds for postage.  What is process for obtaining funding. Performance Improvement -- Reviewed PI survey, 19 agencies responded.  Discussed need to increase membership of committee by job category and county to do adequate review of PI issues.  RTAC Coordinator will be central contact person.  Need dispatcher, EMS providers, ED MD, form rural areas and Sheboygan, Waukesha &  Washington Counties.  All members currently form Milwaukee County.  Discussed how to review event in anticipation of PI language coming form state. Registry & Operations -- Concern express re: limited number of hospital and EMS providers at the table.  Need process to make contact with hospitals.  They have to participate.  Says on application, they’ve made commitment, will then contact person listed on application.  Added one more item to list of bullet points for Bill Bazan to communicate to CEOs.  Need to communicate to CEOs, the potential for increased financial reimbursement under UB 92-68x, “trauma alert” charge which is above ED charge. Need to get a demo of website.	Ron Pirrallo will address County EMS units.  Will resend letter with guidelines to EMS services coordinators   Contact Holly Hepp for Andrea for, trauma pathways/guidelines for .specific injuries or conditions Check wit Dennis Tomczak.   Those that say “First Responders’ are not transporting Holly Hepp has list   Clarification will come from state.     J. Pandl reported meeting has been scheduled to set  up funds requests. Will need to recruit more members.       Dan Burns will send to Bill Bazan, WI Hospital Assn Contact Holly Hepp for Andrea for ,               trauma pathways/guidelines for .               specific injuries or conditions
TOPIC	DISCUSSION	ACTION
Summary Issues	Summer meeting – consensus decision to meet in July (26th) and not meet in August (23rd).  Will meet again in September.   Next meeting – April 26th, 3:15 – 5:15 PM, Columbia-St. Mary’s.     Exact location and direction will be sent with agendas for that meeting.	Information     Information

 

1. Review minutes , Feb, 16, 2005                                In section 5d, Registry Software, Ntrack should be       Minutes approved, moved by Gloria Murawsky

                                                                                    NTRACS and Lancet is not compatible with             seconded by Jon Rubin.

                                                                                    Collector, requiring an interface to be written.

                                                                                    Announcement – RTAC Coordinator has been

                                                                                    hired.  Her name is Amy McCray.  She is .5 FTE,

                                                                                    is a Froedtert employee and her background is in

                                                                                    Risk Management and she is a certified EMT. She

                                                                                    officially starts April 4^th.

 

2. STAC/RTAC coordinator meeting                            Marianne Peck gave update on STAC meeting:             Information

                                                                                    a. Trauma registry – have begun implementation

                                                                                    conference with Website collector.  Beta testing

                                                                                    will take place with Am. College of Surgeons

                                                                                    Hospitals (Levels 1 & 2).  Discussing how level

                                                                                    3 & 4 hospitals will have access to their own data.

                                                                                    If they transfer pt. to Level 1 or 2, those facilities

                                                                                    will also be getting data on same patient; trying

                                                                                    not to be redundant.  4-6 month window to get

                                                                                    everything in place.

                                                                                    b. PI – language provided to legislature for protection    Information

                                                                                    in discussing individual cases.  Should be drafted

                                                                                    into a bill soon.

                                                                                    c. Hospital designation – Only 4 hospitals from              Marianne will let Amy McCray

                                                                                    Region 3 have been designated.  Majority of                             know so she can contact hospitals

                                                                                    hospitals in WI have submitted applications.                  in region that may need help with

                                                                                    Some are on Marianne’s desk.  March 14 deadline                   application process.

                                                                                    extended to June 17^th, which is absolute latest.  We

                                                                                    Will know soon which hospitals are “unclassified”.

                                                                                    Registry info is form hospitals only, not EMS units.

                                                                                    d. WEEP training curriculum – will be approved

                                                                                    soon, so training can start in April.

                                                                                    e. Triage-transport guidelines – On agenda for April

                                                                                    STAC meeting.  Has not been a smooth process for

                                                                                    other RTAC’s. 

                                                                                    STAC meetings are open meetings, run in open forum.

                                                                                    If you want to be on agenda, just call Marianne prior

                                                                                    to meeting.

                                                                                    Andrea gave update in RTAC Coordinators meeting:     Information

a.       3 training module for WEEP, “Start”, “Jump Start”

and a table top exercise.

b.      Potential funding for train the trainers.

c.       Pediatric readiness packets – Most of packets are

available electronically.  Call either Susan LaFlash

or Tom Brazelton.

d.      EMS Needs assessment – Hard & electronic copies

can share aggregate data, not individual service data.

PI & Education Committees and may want to look at

it.  Amy, Andrea & Holly will go trough it.

                                                                                    Next Meetings: Wednesday, April 13^th

                                                                                                STAC - 9:00 – 11:00 AM

                                                                                                RTAC Coordinators– 11:00 AM – 3:00 PM 

                                                                                    Four hospitals in region 3 to be designated so far are:

                                                                                    Children’s, Froedtert, Oconomowoc, and St. Nicholas

                                                                                    in Sheboygan.  We have only 36% compliance with

                                                                                    EMS Medical directors signing and sending back triage/

                                                                                    transport guidelines.  Those with number “1” next to

                                                                                    name on handout have signed.

 

3. Action items and Tasks                                             Andrea led committee through RTAC Objective handout:

            for subcommittees                                             a.   Satisfied.

b.      WEEP training – 33% of transporting units must have                Education Committee

80% of staff trained by Aug. 31^st.  Then another 33%

trained by 12/31. If some services have done part of

training, they must do rest of curriculum.  It is not

known if other training programs satisfy WEEPP training.

 There is 2 hr. multimedia as part of training.

Burn treatment                                                                          Medical Oversight Committee

                                                                                    c.   Exercise after WEEP training to test training                         Education Committee - 2006

                                                                                    d.   Education & Training                                                                      Education Committee

                                                                                    e.   Data Collection & Analysis – Ned for draft introductory                  Registry Committee