SE REGIONAL TRAUMA ADVISORY COUNCIL

COMMITTEE MEETING MINUTES

DATE: 10/24/2006 CHAIR: Andrea Winthrop M.D.

TIME: 3:15-5:15 Recorder: Suzanne Martens M.D.

PLACE: St. Josephs Outpatient Center

ATTENDEES: Steve Andrews, Dean Becker, Mike Berger, Todd Blaser, Brad Bowen, Stacey Carlen, Katrina Ceci, Mollie Collar, Al Davies, Tom Dietrich, Debbie Dries, Chris Fox, Leanne Fredrich, Jean Green, Jenifer Hollenstein, Frederick Hornby, Diane Huck, Larry Knuth, Karen Keys, Todd Van Langen, Kathy Lord, Suzanne Martens, Elaine Mason, Karen McCuaig, Laura Montgomery, Jamie Moore, Gloria Murawsky, Mary Muth, Jo-Ann Natianna, Sue Pautz, Marianne Peck, Ronald Pirrallo, Linda Ptack, Jill Raffay, Betsy Rambo, Robert Ramerez, Claire Rayford, Lisa Robinson, Tammy Seefeld, John Schindler,Tony Scholten, Cindy Smyers, Adam Stiles, Chris Thome, Cinda Werner, Andrea Winthrop, Shannon Ziglinski

Excused: Mary Geoghan, Kyle Marohl, Lisa Hass-Peters,

TOPIC	DISCUSSION	ACTION
1. Call to order by	Andrea Winthrop M.D.
2. Minutes Approval	Minutes sent out last week. Motion and unanimous approval to accept the September 2006 minutes.
3. Introductions	A. New Members Welcome new members and Thank you for attending!
4. SERTAC Chair report 5. Executive Council updates 6. RTAC Coordinator updates 7. STAC Updates 7. Trauma Coordinator Updates 8) Open Discussion 9) Report from the Education subcommittee 10) Report from the PI / Registry subcommittee 11)Report from the Medical Oversight Sub-Committee Next SERTAC Meeting	1 Announcements from the Chair (Andrea Winthrop) a) Administration and Physician Leadership workshop The workshop will take place at Children’s Corporate Center in the Video Conference room on November 20, 2006. Robert will send out invites and please send RSVP’s to Robert. Dr. Weigelt with be a co-facilitator and Dr. Weigelt is VP of QA at Froedtert Hospital. Interested organizations can inquire if video conference rooms are available at your facility. Questions you would like to see addressed at the workshop should be sent to Robert or Cinda. Additional information can be found on the DHFS website : http://dhfs.wisconsin.gov/ems b) Milwaukee Medical Society Meeting Dr. Winthrop will be attending the Milwaukee Medical Society EMS Directors meeting Nov 14. Dr. Winthrop will be discussing the Wisconsin Trauma System and requirements for Level III and IV hospitals. c) Vice Chair Election Process The election for the SERTAC Vice Chair will be held electronically. Robert will send out a blog on each candidate and a ballot. Vice Chair ballots will be distributed by email to active members. The deadline for voting will be on October 31, 2006 at midnight. Robert will send out an e-mail on November 1, 2006 announcing the new Vice Chair. The candidates: Suzanne Martens, Todd Van Langen, Chris Fox d) ATLS Course The first ATLS course scheduled for December 7/8 filled immediately. The Medical Oversight subcommittee will evaluate the prioritization of the next 16 sponsored positions. Since each facilities designation was in 2005, each facility has 3 years to comply with requirements, including current ATLS certification. Changes in requirements based on the new Green book will be evaluated by the State e) ATCN Course ACTN for nurses (different from TNCC) has hands-on sections similar to the ATLS lab. The course has a $350 fee, not a budget item for SERTAC. Interested members can still register for the course with the understanding that they will have to self pay. f) CALS & RDTT Courses Level 4 facilities may take CALS or RTTDC in place of the ATLS requirement. A waiver letter must be addressed to Dan Williams and sent to Marianne Peck to be considered for the ATLS waiver. Executive Council Meeting Report – by Andrea Winthrop M.D. a) Bylaws The revisions to bylaws will be: 1-corrected organizational chart 2-Trauma Coordinator Subcommittee description and participation will be added. 3-“active member” requirements added as section F only active members have voting privileges must attend 50% of RTAC meetings per calendar year and must also be a member of a subcommittee. Executive officers must meet requirements of active membership as well. b) Green Book – The SERTAC will purchase a new edition of the Green book for every active facility and EMS agency. The Green Book will be given to the Trauma Coordinators for the facilities that meet active membership requirements. c) SERTAC Mission Statement The SERTAC mission statement has been revised and approved. Announcements from RTAC Coordinator- Robert Ramerez Regional EMS meeting proposal a) Robert has proposed starting a regional EMS meeting for the Southeast Region. The purpose of the meeting would be to have more EMS members, update contact info and education. There will be more discussion on this topic in the future. b) PEPP Correction The PEPP application has a date error; the application is to be signed by Nov 30 by the EMS service director. There will be information on new courses added every month. PEPP – Pediatric Education for Pre-hospital Professionals. BLS or first responders attend the first course. BLS 1 day $160, ALS $320 covers course, food, mileage. c) Topic Course Each RTAC will pay $500 in order to have a Topic course for the entire state. There are currently 113 hospitals in the state of Wisconsin. The course would allow for one representative from each hospital and the organizations that already attended a course will be at the end of the list of attendees. d)Triage Tuesdays Triage Tags and Triage Tuesday – Milwaukee County will be conducting a PI process on the tags. Waukesha will be receiving their tags, once a new shipment is received. Once all of the counties have received tags, we will begin training on a regional level. STAC Updates from Marianne Peck a) Marianne has announced that the Registry is now live. The registry has received over 2000 records, preliminary reports may be ready by November, examples will be included in the STAC minutes b) Trauma website has links to site review documents; the pre-review questionnaire will ask for 1 year of registry data, sites in 2007 will not have a complete year c) The PI template has been drafted, STAC approval due in December helps define some PI filters and PI development before performing case reviews examples: EMS run sheet completeness, EMS scene time, EMS airway management, Triage & Transport guidelines, ED time to transfer OR team & Surgeon response requirements: Marianne sent results to trauma coordinators via email to be reviewed. Trauma Coordinator Meeting Updates – by Cinda Werner Trauma coordinators workshop a) The Trauma Coordinators will continue to work through questions and plan to review the PRQ. The Trauma Coordinators will also review the PI indicators as examples. b) St. Josephs Regional Medical Center in Milwaukee will be hosting the mock site review. c) Cinda will also send any questions for the Administration Workshop to Robert. Open discussion on updates: a)EMS questions Green book has revised triage & transport guidelines, STAC will review, do not expect changes for at least 1 year. There is discussion on ability to request a helicopter. The purpose of Triage Tuesday is for EMS services to become familiar with disaster tags and practice with the tags. There is updated information on the trauma website including a statement for patients involved. EMS review define bypass vs. diversion: bypass is to transport appropriately to a higher level facility. Diversion is to close the facility to EMS and divert to another facility b) PI process The site reviews will focus on the PI process in place at a hospital, not individual points. Minimum PI reviews will include trauma deaths, M and M, medical nursing chart audit. The site review process will be used to identify areas for improvement, similar to ACS consultation visit with recommendations. Organizations should use existing PI processes and audit filters eg wound care, pain score. Education Subcommittee Report – Todd Van Langen A letter will be sent to EMS agencies regarding required trauma information on the run sheets. Times are the most common item missing. EMS services will be reminded that release of this information is not a HIPAA violation. Some information may be able to be extracted from WARDS PI Subcommittee – Dr. Steve Andrews The Fox Valley RTAC met regarding registry requirements and training. Further information will be obtained from the Fox Valley RTAC re possible joint training. The registry is down at times. With respect to PI case reviews, the PI committee may need their own meeting time, similar to the trauma coordinators to do PI system and case reviews Medical Oversight Subcommittee – Dr. Andrea Winthrop a) ATLS The first sponsored class filled immediately, 1 facility took 6 positions. The next class will have a tiered application process. The 3 facilities being reviewed first will be given 1 space each, then facilities not in the first class will be given 1 space each and then open applications, which will require a check as deposit. b)Question on helicopter/ALS requests to EMS scenes The committee supports EMS field requests for helicopter response. Helicopter and ALS services make themselves very available for training. STAC will address the revised triage & transport guidelines. d)EMS Needs Assessment The results of survey are to be reviewed and prioritized topics: injury prevention, equipment, PI, communications, MCI Members were assigned portions of the report to review.