TOPIC

DISCUSSION

ACTION

1.      Minutes, March 22, 2005

Corrections:                                                                 

Section 3b, WEEPP Training:

 - Omit “Can’t”.  Should be: It is not known if other training programs satisfy WEEPP training.

Minutes approved with corrections.

2.   RTAC Coordinator -

A.                      Amy’s Contact Info

      Office Phone:     414-805-9342

      Cell Phone:       

      Pager:    414-590-7306

      Email:     amccray@fmlh.edu

      Office hours:  Tues. and Wed.’s

      May vary due to travel and meetings.

B. Service Provider List

   List is being updated combining several lists and adding information from the Needs Assessment.  Each service is being contacted by telephone to verify accuracy of information and to obtain missing information.

C. Website

   Inquiries have been made to develop a site.  Anyone who knows of a source for web site development and maintenance is encouraged to contact Amy with the information so quotes can be obtained.

D. Minutes distribution

   Asked whether members preferred receiving the minutes soon after the current meeting or right before the next meeting.  The reply was that it would be useful to send at both times.

Cell No. to be determined.

Amy will continue to compile the list and will distribute when completed.

Amy will continue to pursue.

Amy will distribute at both times.

3.   STAC Meeting -

Report by Marianne Peck

A.   Trauma Registry - Tentative start dates:

     Level I & II - Oct. 05

     Level III & IV - late Dec. 05

   Final Elements:  per Cinda W., FE have been approved to be the same for Levels I-IV.

B.                                                                                 PI - Per Senator Brown

   Legislative language is being worked on; will possibly be done by this summer.

C.   Hospital Designation

   1. Reminder that active participation in RTAC meetings is expected of members.

   2. FAQ Sheet:  Available to answer common questions regarding hospital designations.

D.   Hospital Site Reviews

    Subcommittee will be set up to develop process for site reviews.  No specific timeline; watching budget

E. Budget - “Looking good” behind the scenes.

F.   Level III  ED  Physicians

     1. ED physicians need to be ATLS certified, per Footnote 5 of Level III and IV Hospital Assessment and Classification Criteria document..  They have 3 years to obtain.  Requirements will follow ACS guidelines regarding how often have to take. 

   2. On-call general surgeons must come in to evaluate trauma patients regardless of whether transfer is expected.

G.   Triage / Transport Guidelines

   1. Clarification: in rural areas, transporting agencies should go to the closest facility for situations such as lack of airway and/or excessive blood loss.  For other cases, if it is possible to get to a Level I facility w/in 30 min., then go there.

   2. For services which are not permitted to leave their district, ALS intercept should be utilized.

   3. PI is not meant to be a punishment; rather, a means to identify areas for improvement.

   4. Reminder: all services must join by July, 2005.

Hospitals need to identify a representative(s) to participate.

Contact Amy if you would like a copy.

H. WEEPP Training

     1. The final product is expected to be out by 6/1.  It will include table top triage exercise at the end.  Services will receive $1400 upon completion of the training.  A letter will go to the services advising them that the funds are to be used for triage training-related items and not to go into a municipal general fund.

     2. August 31, 2005 deadline extended.  Instead of requiring segments of 33%, the requirement has been replaced with deadline of Aug. 2006 for 100% of services to complete the training.

     3. NIMS is not a substitute for WEEPP training.

I.  Next STAC and RTAC meetings

                  No May meetings.

         Wed. June 1 - Holiday Inn East - Madison

         STAC - 9:00 - 11:00a

         RTAC Coordinators - 11:00a - 3:00 p

Update:  Per Dennis Tomczyk, the master tape has been received is being copied.  It will be reviewed at the June 1 STAC meeting.  Training can be scheduled any time after June 1.

4.   Hospital Designation Update -

Andrea reviewed the list of hospitals to identify which had designated and which ones are actively participating in RTAC meetings.

The following hospitals have Not yet designated:

         All Saints Healthcare - Racine

         Aurora Lakeland - Elkhorn

         Aurora Medical Center - Kenosha

         Aurora Sinai Medical Center - Milwaukee

         Burlington Memorial - Burlington

         Columbia - St. Mary’s - Milwaukee (Newport)

         Columbia - St. Mary’s - Milwaukee (Lake)

         Columbia - St. Mary’s - Ozaukee

         St. Agnes - Fond du Lac

         St. Francis - Milwaukee

         St. Luke’s Southshore - Cudahy

         St. Luke’s Medical Center - Milwaukee

         Sheboygan Memorial - Sheboygan

         United Hospital System - Memorial - Kenosha

         United Hospital System - St. Catherine’s -                             Kenosha

         VA Medical Center - Milwaukee

         Waukesha Memorial - Waukesha

         West Allis Memorial - West Allis

         Wisconsin Heart Hospital - Wauwatosa

Amy will contact.

5.   Committee Reports

A.     Medical Oversight

Reported by: Andrea Winthrop.

   1. Per Ron Pirrallo, all Milw. Co. services have ratified the Triage and Transport Guidelines, with the amendment of crash speeds, replacing the 20mph, with 40mhp for both adults and peds.

   2. Walworth Co. hospitals not showing much interest in participating, possibly explaining limited response.

   3. Some services are required to stay within their districts, preventing them from transporting to a Level I outside their district. 

   4. Clinical Guidelines are available for Froedtrert and Children’s Hospital from Holly Hepp or Andrea Winthrop.

   5. Surgeons reporting at Level III’s:  Need to address their concerns and questions.

B. Education

Reported by Todd VanLangen.

   1, Questions arose regarding the WEEPP training “assuming” services had already completed NIMS training.  The cmte. feels that if NIMS is a prerequisite, it will cause problems with getting compliance from the services for WEEPP training.

   2. a. Some First Responder services have expressed the desire to participate in the WEEPP training.  The cmte. agrees with including them as long as they understand they are not eligible for the $1400.

        b. The cmte. thinks it’s beneficial to encourage participation from first responders since they are often first on the scene and likely to be conducting triage prior to the arrival of the transporting service.

        c. Per Marianne Peck, the reason First Responders are not now included is because they are not licensed and therefore, the state does not have records identifying which services are First Responders.  This is changing as licensing is being addressed.

   3. WEEPP training rollout:  plans are to initiate training with full time services.

C. Performance Improvement

Reported by Linda Ptack.

   1. The cmte is looking to the State to provide guidelines to cover EMS.  Hospitals have guidelines but most EMS do not.

   2. The cmte. developed pre-hospital guidelines which are proposed as criteria for EMS’ to determine which post-incident cases should be forwarded to the PI Committee for review.

        a. Procedure – A post-incident review by the PI Committee will occur for all incidents involving any of the following conditions:

             1. Trauma arrest of 3 or more patients on scene or during transport.

             2. EMS personal injury resulting in hospitalization or death.

             3. Any emergency vehicle crash.

             4. Mass casualty, multi-agency response and/or multi patient incidents that overload system resources as identified by any EMS provider or Trauma Center receiving patients.

             5. Any other unusual incidents / circumstances.

       b. Post-incident Data Elements

             1. Incident summary

             2. Overall operations summary

             3. Summary of local level review (if performed)

             4. Review of what went well.

             5. Review of lessons learned.

             6. Review of challenges / obstacles.

             7. Recommendations (if any) for changes in SOG, policy, equipment, etc.

D. Trauma Registry

   No report at this time.

Signed document not yet received.

Dr.’s Andrea Winthrop, Ram Nirula and Karen Brasel will be available to talk to surgeons.

Amy will clarify with Dennis Tomczyk.

Update:  Per Dennis, the WEEPP slide “Assumed” referring to IS700, meant to address general IC training.  IS700 is NOT a prerequisite.  Dennis will be putting together a NIMS FAQ.

Amy will discuss with Dennis.

Update:  Per Dennis, participation of First Responder services is welcomed.

Update:  Per Dennis, reimbursing First Responder services is being looked into, however it is not expected to be available until at least late 2006, if at all.

Review state regulations identifying EMS reporting requirements for PI purposes.

Review template for “EMS’ Request for Post-incident Review”.

Review process for reviewing submitted requests.

Amy will query other RTAC’s to identify if they are actively doing anything at this point since there is not yet any data collection taking place.

6.   Executive Committee Meeting

Not held.

Rescheduled:  Tues. May 24, 2005

2:30 - 3:15 pm.  Room to be assigned.

7.   Next Meeting

Tues. May 24, 2005, 3:15 - 5:15 pm

Location:  All Saints Hospital - Racine

Agenda, minutes and directions will be included with meeting reminder.