Emergency Medical Services Board Meeting
 August 8, 2007

Board Members Present Bureau Staff Present
Tom Brazelton, MD – UW Children’s Hospital Larry Gilbertson
Joe Covelli – Life Link III Brian Litza
Brenda Fellenz – Saint Joseph’s Hospital - Marshfield Helen Pullen
Mark Fredrickson – Gold Cross Ambulance Nicky Symons
Kenneth Johnson, MD – St. Vincent Hospital – Green Bay Keith Wesley, MD
Cal Lintz – (Chair) - RTAC Coordinator- NETC
Gloria Murawsky – Milwaukee Fire Dept
Troy Haase – Fond du Lac Fire Dept-PFFW
Travis Teesch- Kaukauna Fire Dept

Board Members Excused Tracy Aldrich – Stevens Point Fire Dept - PFFW Steve Bane – (Vice Chair) - West Allis Fire Dept

Others in Attendance Organization Representing
Todd Bluhm EMS Consultant
Fred Hornby Bell Ambulance-Milwaukee
Greg West West Central Technical College
Judy Jones RTAC
Dan Diamon Lake Superior RTAC
Nattie Jenkins Theda Care
Don Kimlicka Saint Claries-Weston
Sandy Johnson Saint Joseph’s Hospital-Marshfield
Tom Fennell Mayo Medical Transport
Kevin Kaminski Fort Health Care
Terry Timmerman Gold Cross Ambulance-Fox Valley
John Schindler Meda-Care Ambulance
Keith Kessler Douglas County Emergency 911
Jan Victorson Bayfield County EMS
Donna Lotzer UW Poison Control / EMSC
Cinda Werner Children’s Hospital of Wisconsin
Joyce Andersen EMSC
Ryan Hommel City of Antigo Fire
Suzanne Martins MD Sheboygan County EMS / PAC
Tom Tharash City of Antigo
Dave Larsuel Lake Mills
Robert Ramerez SERTAC
Carrie Meier Dane County EMS
Jan Beyer UW EMS Program
Barb Kuska Beloit Memorial Hospital
Ann Krzinyk UW EMS Program

1. Welcome & Introductions

• Meeting called to order by The Emergency Medical Services Chair, Cal Lintz at 8:00 with introductions around the room.

2. Approval of previous Board Meeting Minutes

• Motion was made by Travis Teesch with a second from Joe Covelli. All in favor, motion approved.

3. Committee Update: (Ad hoc reports as part of “parent” committee update)

EMS Education and Training, given by Gloria Murawsky

1. No information available on the pilot project.

• The majority of the pilots will finish in December. All are to be completed by the end of January 2008.

2. Critical care curriculum review

• PAC has been requested to review a survey of current practice to assist in determining the scope of practice.

3. Standards and procedures document review

  • Ad hoc committee in process of review,

  • Estimated completion date of December 2007.

4. Rule changes The EMS Education and Training committee recommends the following:

  • Accept the Training Center committee draft of rules.

  • Accept the EMS Administration and Management Committee proposed

changes to the rules regarding EMS training presented on 8/7/07 The EMS Education and Training Committee proposed the following changes to the draft of rule changes:

  • Review of the Training Center application template for consistency with rules.

  • Clarification of Section B. j. regarding approval by department and WTCS.

  • Section D. iii. b. – Remove maximum hours and increase minimum to 152 hours to include 144 hours of didactic and 8 hours of clinical/supervised field experience. Include the same language for Basic as the other levels, “The clinical and supervised field training must meet the minimum skill and patient assessment required by the department.”

  • Recommend that the minimum skills required include 5 patient contact

  • Recommend that a preceptor guideline be developed

  • Add transition course information and hours – Intermediate to Paramedic, RN to EMT- B, RN to Paramedic

5. EMT-I Tech Course Review

• Have requested scope of practice review by PAC.

EMS Administration and Management, given by Travis Teesch

  1. Reviewing medical direction documents.

  2. Training center documentation review.

  3. Special meeting at the PSOW Conference for the rules.

Information Management

1. Will meet after the Board meeting.

CQI

1. Worked on Wards identification criteria.

EMS Disaster Management, given by Mark Fredrickson

  1. Disaster Plan handed to board members for approval.

  2. Disaster Plan approval motion made by Troy Hasse, seconded by Joe Covelli, motion carried, Disaster plan approved.

  3. Mark Fredrickson, Disaster Chair, thanked his committee for all of their dedication and hard work.

EMS System Development given by Joe Covelli

  1. There was a partnership stakeholders meeting to address the current issues of funding in the Emergency Medical Services Systems stable funding.

  2. The systems committee has discussed development of a professional mission statement for the funding issues concerning the Emergency Medical Services System.

  3. Discussion of the stakeholders groups that did not attend is not an issue. The issue is to find stable funding for the Emergency Medical Services System.

  4. Systems committee is going to meet on September 12, 2007 at the Paper Valley hotel in Appleton, in conjunction with the PSOW Conference.

EMS-Children (EMSC), given by Dr. Tom Brazelton

  1. EMSC did not meet in July.

  2. EMSC is now an advisory committee under the lead of the Emergency Medical Services Board.

  3. EMSC is providing education for the EMS services. 93 people from 119 services have applied to be reimbursed for the PEPP program.

  4. Robert Ramerez has a SERTAC that highlights EMSC issues, also will be having a Pediatric Education day planned in October.

  5. EMSC has received its funding for the new fiscal year.

Physician Advisory Committee (PAC), given by Dr, Keith Wesley

  1. The primary activity for PAC has been to finalize the patient care protocols. They should be completed and submitted to the Emergency Medical Services Board in October.

  2. Dr. Wesley thanked PAC for their hard work on this vital project.

  3. PAC will be tasked with examining the Intermediate Technician scope of practice to assist the EMS Education and Training Committee with curriculum development.

  4. PAC will be tasked with developing a scope of practice document for the Critical Care Paramedic.

Medical Director Report, given by Dr. Keith Wesley

  1. The WI EMS Medical Directors Learning Resource Center website is going to go live by the end of August.

  2. There are still many Medical Directors that have not been identified, and Dr. Wesley will work with the EMS Section to determine how best to contact them.

  3. The content will need to be updated as the rules are changing. Dr. Wesley expects that the module will be reviewed annually for accuracy.

  4. Dr. Wesley publicly thanked Greg Freese for all of his dedication and hard work in assisting him in this major project.

    1. The Learning Resource Center is a conduit for information for all of the medical directors in Wisconsin and will contain a wealth of information from suggested

    2. policies and procedures to patient care protocols and information on National and Federal Emergency Medical Services development.
  5. The site will provide medical directors a forum to discuss on various topics and be a mean of allowing the EMS Section to rapidly disseminate information to the medical director.

  6. Anyone may submit material to the section for posting on the Learning Resource Center.

State Trauma Advisory Council (STAC)

1. There will no STAC Report given, meeting was cancelled.

4. Legislative Issues

There are no Legislative issues at the present time.

    1. State Office Update, given by Brian Litza

      1. There will be a posting for the Intermediate Coordinator position will be posted in the next two weeks.

      2. The Trauma Coordinator has resigned from the position and will be set to be filled in the next few months. Brian Litza recognized Marianne Peck for her hard work and dedication to the Wisconsin Trauma System.

      3. Todd Bluhm was introduced as the new EMS Consultant for the EMS Section.

      4. Brian Litza thanked the EMS Board members that have not been re-appointed, but have continued their dedication the Emergency Medical Services System in Wisconsin.

      5. Prevention Block grant monies have not been secured for this fiscal year, but Larry Gilbertson is attending a meeting and will update the group in October.

    1. Old/New Business

      1. Resumes for Emergency Medical Services Board Sub-Committee membership submitted by September 15, 2007 to Helen Pullen.

      2. Resumes for Physicians Advisory Council submitted by September 15, 2007 to Helen Pullen

      3. Form a Sub-Committee for Emergency Response Driving, given to Emergency Medical Services Administration and Management, also PAC is working on a statement for this issue. Joe Covelli asked to have Paul Schilling, the State Ambulance Inspector.

      4. Meeting guidelines will be posted outside of each of the meeting rooms for easier compliance. These guidelines were introduced to assist the board in keeping the tone of the meetings, not to limit questions or free speech.

    1. Other Board related issues

      1. The Board would like to invite Paul Schilling to the EMS Board meetings. Brian Litza will speak to Paul Schilling about the meetings.

      2. Nan Turner has done a Rural EMS Needs assessments, the board has decided to invite Nan Turner to a meeting for further information.

  1. Adjournment

1. The Emergency Medical Services Board meeting was adjourned at 9:16 with a motion by Dr. Ken Johnson with a second by Travis Teesch. All in favor, meeting adjourned.