COVID-19 Updates
For the most up-to-date information on COVID-19, please visit the Department of Health Services website.
See the guidelines for public meetings during this public health emergency period here.
For the most up-to-date information on COVID-19, please visit the Department of Health Services website.
See the guidelines for public meetings during this public health emergency period here.
EMS Board
March 1, 2022
9:00 AM to 4:00 PM
Via Zoom Meetings
ZOOM: https://dhswi.zoomgov.com/j/1619763858?pwd=NmVpYmoxVEVqYXA0L3BNTHRabHNFZz09
Passcode: 986637 or phone in:
669-254-5252, dial in good for all meetings (except EMS-C), use passcode provided for each meeting
AGENDA
1. Welcome and Board Member Check-in
2. Call the EMS Board Meeting to Order
3. Board Member announcement(s) and review of committee meeting logistics with Standing Committee Workgroup Sessions meeting immediately after in the respective assigned rooms.
4. Standing EMS Committee - System Quality & Data (Chris Eberlein, Chair, Laura Albert, Co-Chair, Dustin Ridings, Secretary )
Zoom: Same as above
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. Review the State EMS Plan and DHS 110, communicated to Committee Chairs by DHS on 2/15/22, with the Committee Members where applicable, and be prepared to provide feedback from the current documents by the Committee at the EMS Board Meeting on 3/2/22.
e. Data review: (Will Koehne) General Overview of EMS call volumes, additionally: Opiate, Mental Health, COVID, Trauma, STEMI, and Stroke. Run time comparison and unit utilization over time. Impact of COVID19 on call volume. Narcan and Ventilatory pre-arrival data. PTA fields in Wards for Narcan. Equity Social determinants of health data discussion.
f. Workforce survey collection on EMS provider burnout upcoming by DHS and WTCS: (Hellen Pullen). Office will update committee as data is available from survey.
g. Biospatial Update: Presentation/Training. (Laura Albert):
h. Wards Training: (Office)
i. DOC Data: (Megan Jones, PHD)
j. OD Map: (Koehne)
k. Public Information Discussion (Eberlein): Opiate, Narcan, Trauma, Stroke and STEMI data. Mental health transports. COVID19 updates on Dashboard discussion.
l. Data Collection and Sharing, interoperability Solutions: ET3 data elements alternative destination data. Nemsis fields for ET3 integrated into WARDS update next meeting. Pediatric Weight in WARDS.
m. WARDS Update, Compliance, and discussion (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.
n. EMS Subcommittee for EMS system stress (Schultz)
o. WARDS Patient Tracking and heat maps discussion. QA with AI discussion (Office/Eberlein)
p. CQI Project update (Rybczyk): Subcommittee meeting updates and benchmarks.
q. CARES WISCONSIN update (Office/Zils)
r. Cardiac Arrest Registry Funding update (Office):
s. State-of-the EMS Workforce: (Long)
t. New Business
u. Adjourn
5. Standing EMS Committee – System Management & Development (Dr. Clark/Chair)
Zoom: https://dhswi.zoomgov.com/j/1607810539?pwd=dG9PU3VzeUhBeFhGK0ZxZXZKZHlJUT09
Passcode: 522294
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. COVID-19 Response
i. Discuss with possible Committee recommendation ongoing issues/gaps/best practices of COVID response
e. Discuss with possible Committee recommendations State EMS Plan (Bates)
f. Discuss with possible Committee recommendations related to EMS-Hospital Diversions (Clark/Colella)
g. Discuss with possible Committee recommendation Trans 309 updates and future directions in relation to Trans 309 Subchapter III—Medical Equipment Standards and Trans 309.25 Repeal of Subchapter III (Clark/Bates)
h. Discuss with possible Committee recommendation related to Non-Emergent Transports to/from skilled care facilities (Clark)
i. Discuss with possible Committee recommendation of potential committee/workgroup projects from updated DHS 110
j. Discuss with possible Committee recommendation in regard to updates to State EMS MCI Plan and development of sample policy [110.35(2)(e)] (Clark)
k. Office Update Items
i. Update related to Statewide Protocols Project (Colella)
ii. Discuss State EMS Office EMS Practitioner Turnover Survey (Bates/Godin)
iii. Updates from WI State Inter-Op Communications Committees (Kimlicka)
l. Discuss and develop future business items
m. Update from Critical Care/Interfacility Transport Guidelines (Clark) -Tabled due to COVID-19 response New Business
n. Adjourn
12:00-1:00 Lunch (Approximately)
(A quorum of Board members may be present; However, Board business
will not be discussed or conducted at this time.)
6. Standing EMS Committee – Physician’s Advisory Committee (PAC) (Dr. Steven Zils/Chair)
Zoom: https://dhswi.zoomgov.com/j/1600944085?pwd=V2FndnRkNHcxZDh6cS81OU4rSWF4UT09
Passcode: 944482
a. Roll Call of Committee Members (Zils)
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 (Bates)
e. State Medical Director Report (Colella)
f. Discussion, review and possible action EMS facilitated Medication-Assisted Therapy: Buprenorphine
i. Status of EMS task force (Bates)
ii. Status of buprenorphine pilot programs (Bates)
g. Discussion, review and possible action on Advanced Practice Provider role in medical direction (Marquis)
i. Status on OLC opinion on 110.04 (Bates)
h. Review and possible action on Community EMS and Community Paramedic Curriculum (Bates) (standing)
i. Discussion, review and possible action on Critical Care Interfacility workgroup (Clark) (standing)
j. Discussion, review and possible action Ketamine utilization (Eberlein, Kronenfeld)
k. Discussion, review and possible action EMS Continuing Education and method to submit training (Bates)
l. Discussion, review and possible action on physicians as credentialed member of an EMS agency (Kimlicka)
m. Discussion, review and possible action on revision of DHS110 (Zils)
n. Discussion, review and possible action on State EMS plan and give suggestions for 2022-2023 plan (Zils)
o. Discussion, review and possible action on EMR curriculum (Colella)
p. Discussion, review and possible action on controlled substance use by AEMT (Zils, Colella)
q. Discussion, review and possible action on EMR, EMT, AEMT, Paramedic scope of practice (Zils) (standing item)
i. Benzodiazepine use at AEMT level (Zemple)
ii. Expanded POCUS use at Paramedic level (Colella)
r. Discussion, review and possible action on State Protocols (Colella) (standing item)
s. Discussion, 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
t. Discussion, review and possible action on EMR curriculum (Colella)
u. Discuss and develop future new business
v. Adjourn Committee
7. EMS for Children Meeting with the EMS Board (Dr. Kim/Dr. Browne/Chair)
Zoom: https://zoom.us/j/5751225490 - Dial in: 646-876-9923
Passcode: 6654
a. Roll call of Committee members (Browne, Kim)
b. Approval of Committee meeting minutes (Browne, Kim)
c. Public comment opportunity to committee (Browne, Kim)
d. Co-Chair voting (All members)
e. Discuss State EMS Plan (Browne, Kim)
f. Discuss Statewide Pediatric EMS Continuous Quality Improvement Project (Rybczyk)
g. Discuss Pediatric EMS Data Report Discussion (Browne, Kim)
h. Discuss Advancing Healthier Wisconsin Pediatric Readiness Grant (Browne, Kim)
i. EMSC State Partnership Rural Expansion Program (Browne, Kim)
j. Discuss education and outreach (Browne, Kim)
k. Discuss Pediatric Emergency Care Coordinator updates (Selwitschka, Browne, Kim)
l. Discuss emergency planning for children with special healthcare needs (Farrell)
m. Discuss EIIC Telehealth Collaborative (Farrell)
n. Discuss opportunities to collaborate with State Trauma Advisory Council, Physicians Advisory Committee and other statewide partners. (Browne, Kim)
o. Discuss and develop future new business (Browne, Kim)
p. Adjourn committee
8. Standing EMS Committee – Education & Training (Brian Litza/Chair)
Zoom: https://dhswi.zoomgov.com/j/1619620877?pwd=TmRQNjBUdGZQUlh5bWh2cUtGR3RaZz09
Passcode: 970575
a. Roll Call, welcome, and introductions of new members.
b. Approve the minutes from previous meeting(s).
c. Public comments or suggestions from the audience on items related to the Committee.
d. Updates and Discussion from/with the WTCS (Tim Weir).
e. Updates and Discussion from/with the EMS Training Center Advisory Council (Rick Anderson).
f. Updates and Discussion from/with the WI EMS Office on EMS Education and Training (Helen Pullen).
g. DHS 110 Discussion
h. State EMS Plan Ideas
i. 2022 Scope of Practice Discussion
j. Curricula Update/Discussion
k. Education Equity and Inclusion
l. COVID Considerations
m. Future Agenda Items
n. Adjourn
9. Recess Board Meeting until 09:00 on March 2nd, 2022
(Technical Note: Should time not allow for all Committee agenda items assigned to 03/01/2022, the EMS Board may address them on 03/02/2022 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, you may request assistance to participate by contacting Amanda Bates at 608-261-6870 or Amanda.Bates@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.