EMS Advisory Board
September 12th, 2023
9:00 AM to 5:00 PM
In-Person at DHS - 1 West Wilson St, Room 751 Madison, escort will meet at front desk.
- or simulcast Via Zoom Meetings – information below
ZOOM Link: https://dhswi.zoomgov.com/j/1604870803?pwd=a2twMTd2SmJjMDcwZW9QRmdZYkNudz09
Call In: 669-254-5252. Meeting ID: 160 487 0803, Passcode: 238461
Meeting start and end times are approximations. The meeting will be continuous with built-in breaks where applicable.
Agenda
1. Welcome and Board Member Check-in
a. Sign in link: https://survey.alchemer.com/s3/7277869/EMS-Advisory-Board-Sign-In
2. Call the EMS Board Meeting to Order
3. Board Member announcement(s) and review of committee meeting logistics. Committee Meetings will occur in succession, in the order listed below, with a 10-minute break between Standing Committee Workgroup Sessions. Approximate start and end times are provided for reference. Nonetheless, the meetings will continue in succession, and breaks will be taken between each meeting.
4. Standing EMS Committee - System Quality & Data (Dr. Chris Eberlein, Chair) @ Approximately 09:00
a. Roll Call and Introduction of Committee Members
b. Approval of Previous Committee Meeting Minutes
c. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair)
d. Data review: (Will Koehne) General Overview of EMS Data including Biospatial and public information.
e. Data goals/benchmarks discussion: (Koehne)
f. Pediatric specific data discussion: (Kim)
g. WARDS Update, Compliance, interoperability updates and general discussion (Rybczyk/Schultz): Review Validation rules as a needed for Office. Image trend improvement discussion. Review state medication lists, procedure lists, PMH, allergies, meds. Update for change of scope reflection in WARDS.
h. CQI Project update (Rybczyk): Pediatric weight.
i. NEMSIS version 3.5 new data elements discussion (Rybczyk)
j. Gap analysis review (Rybczyk)
k. CARES Wisconsin update: (Office)
l. Discuss and develop future new business items
m. Adjourn
5. Standing EMS Committee – System Management & Development (Chris Anderson, Chair) @10:30
a. Roll Call and Introduction of Committee Members
b. Approval of Previous Committee Meeting Minutes
c. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair)
d. Presentation on concepts for Crisis Standards of Care (Doug Hill)
e. Emerging Infectious Disease Response
i. Discuss with possible Committee recommendation ongoing issues/gaps/best practices of COVID or other pandemic response
f. Discuss with possible Committee recommendations related to EMS-Hospital Diversions, including critical access and rural hospitals (Clark/Colella)
g. Discuss with possible Committee recommendation Medical Equipment Standards to serve as replacement for list currently in Trans 309 (Anderson)
h. Update on DHS Transitions of Care Workgroup (Romenesko)
i. Office Update Items
i. Update related to Statewide Protocols Project (Colella)
ii. Next Steps in addressing EMS Surge; high-level statewide resources (Inter-Facility, Pandemic, Mass Sheltering (Allies Welcome)
i. Potential of state-level surge response task force
iii. RN/PA scope of practice while working as EMS crew member
j. Discuss and develop future business items
i. Committee’s role in addressing recruitment/retention/staffing issues
ii. Training center requirements
iii. HEMS air-to-ground communications
k. Adjourn
12:00-13:15 (Approximately) Lunch on Your Own (Immediately Following the Systems Quality & Date
Meeting). A quorum of Board members may be present; However, Board business will not be discussed or conducted at this time.
6. Standing EMS Committee – Education & Training (Greg West/Chair) @ 13:15
a. Roll Call and Introduction of Committee Members
b. Approval of Previous Committee Meeting Minutes
c. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair)
d. WTCS Updates
a. Advisory Council Disbanding
b. WTCS-DHS Memorandum of Understanding (MOU)
c. Curriculum Updates
e. DHS Updates
f. EMR Certification Process and Impacts on EMR Education
g. Discuss and develop future new business items.
h. Adjourn
7. Standing EMS Committee – Physician’s Advisory Committee (PAC) (Dr. Steven Zils/Chair) @ 14:00
a. Roll Call of Committee Members & Introductions
b. Approval of Previous Committee Meeting Minutes
c. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair)
d. EMS Office Report (Mandler)
i. Discussion, review and possible action on revision of DHS110
e. State Medical Director Report (Colella)
f. Discussion, review and possible action on EMS Office approved medical director course for medical directors (Zils)
g. Discuss, review and possible action on organ donation for field determined deaths (Zils)
h. Notification of service director and service medical director when actions are taken by EMS Office on EMS provider’s license (Zils)
i. Discuss, review and possible action on Trauma Destination document (Zils)
j. Discussion, review and possible action on EMR, EMT, AEMT, Intermediate, Paramedic scope of practice (Zils) (standing item)
i. Heads up CPR devices (Zils)
ii. Manual Defib (Zils)
iii. ECG Monitoring/Interpretation (Zils)
k. Discuss, review and possible action on State Protocols (Colella) (standing item)
l. Discuss, review and possible action on TEMS Scope of Practice (Zils)
m. Discuss, review and possible action on aligning protocols (use of medication groups rather than specific medications) and/or have a statement that allows for local interchange (Kronenfeld)
n. Discuss, review and possible action on Medical Direction during transport (Zemple)
o. Discuss, review and possible action on Specialty Care Transport (Zemple)
p. Discuss, review and possible action on DNR (Zemple)
q. Discuss, review and possible action on Free Standing Emergency Departments (Zemple/Zils)
r. Discuss and develop future new business items (Zils)
s. Adjourn
8. Recess Board Meeting until 09:00 on September 13th, 2023
(Technical Note: Should time not allow for all Committee agenda items assigned to 09/12/2023, the EMS Board may address them on 09/13/2023 during committee reports.)
The purpose of this meeting is to conduct the governmental business outlined in the agenda. The EMS Board makes recommendations to DHS on general EMS issues either assigned by legislation or raised by members of the public. Medical issues are referred to the Physician Advisory Committee. EMS Board and Physician Advisory Committee are established pursuant to s. 256.04, Wis. Stats.
DHS is an equal opportunity employer and service provider. If you need accommodations because of a disability, if you need an interpreter or translator, or if you need this material in another language or in alternate format, request assistance by contacting Mark Mandler at Mark.Mandler@dhs.wisconsin.gov
Reasonable accommodations, including the provision of informational material in an alternative format, will be provided for qualified individuals with disabilities upon request. This agency, to the maximum extent possible, holds all meetings in facilities that are physically accessible to persons with disabilities. For questions about accessibility, contact the meeting's sponsoring division.