EMS Board Day 1

12/07/2021 09:00 AM - 12 /07/2021 04:00 PM

ZOOM Link: https://dhswi.zoomgov.com/j/1618984641?pwd=alpLRGQ1YVd6Y2Q4SnFURHg2TFBLdz09 Passcode: 501879 or phone in: 312-626-6799, meeting ID: 161 898 4641 dial in good for all meetings (except EMS-C), use passcode provided for each meeting, N/A, WI- 53703

Agency: Department of Health Services

Contact: Amanda Bates
608-261-6870
Amanda.Bates@dhs.wisconsin.gov

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

1. Roll Call of Committee Members & Introductions:
2. Approval of Previous Committee Meeting Minutes:
3. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair):
4. 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.
5. Workforce survey collection on EMS provider burnout upcoming by DHS and WTCS: (Hellen Pullen).  Office will update committee as data is available from survey.
6. Biospatial Update: Presentation.  (Laura Albert):
7. Public Information Discussion (Eberlein): Opiate, Narcan, Trauma, Stroke and STEMI data. Mental health transports.  COVID19 updates on Dashboard discussion.
8. 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.
9. 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.
10. WARDS Patient Tracking and heat maps discussion.  (Office)
11. CQI Project update (Rybczyk):  Subcommittee meeting updates and benchmarks.

50. CARES WISCONSIN update (Office/Zils)

1000. Cardiac Arrest Registry Funding update (Office):
14. State-of-the EMS Workforce: (Long)
15. New Business
16. Adjourn

 

5. Standing EMS Committee – System Management & Development (Dr. Clark/Chair)

Zoom: https://dhswi.zoomgov.com/j/1617826207?pwd=Q0FXV1FDT1A4aVhybWFrak1lVVBkdz09
Passcode: 261464, meeting ID: 161 782 6207

1. 1. Roll Call of Committee Members/Introduction of New Committee Members
   2. Approval of September 7 and October 5, 2021 Committee Meeting Minutes
   3. COVID-19 Response
      1. Discuss with possible Committee recommendation ongoing issues/gaps/best practices of COVID response
         1. EMS participation in Vaccination clinics
         2. Impact of vaccination mandates on EMS services
         3. Impacts of Hospital ED Diversions
         4. Impacts of statewide limited bed capacity on EMS, pre-hospital and interfacility
   4. Discuss with possible Committee recommendation related to EMS-Hospital Diversions (Clark/Colella)
   5. Update related to Statewide Protocols Project (Colella)
   6. 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)
   7. Discuss State EMS Office EMS Practitioner Turnover Survey (Bates/Godin)
   8. Discuss with possible Committee recommendation related to Non-Emergent EMS Transports Issues in Wisconsin (Clark)
   1. Updates from WI State Inter-Op Communications Committees (Kimlicka)
   10. Discuss with possible Committee recommendation of potential committee/workgroup projects from updated DHS 110
       1. 110.35(2)(e): Required Policies/Protocols
   11. Coverdell Stroke Presentation
   50. Discuss and develop future business items
       1. Update from Critical Care/Interfacility Transport Guidelines (Clark) -Tabled due to COVID-19 response
   1000. New Business
   14. Adjourn

12:00-1:00 Lunch (Approximately)
(A quorum of Board members may be present; However, Board businesswill not be discussed or conducted at this time.)
 

The following meet between 1:00 – 4:00pm

6. Standing EMS Committee – Physician’s Advisory Committee (PAC) (Dr. Steven Zils/Chair)
   Zoom: https://dhswi.zoomgov.com/j/1610111107?pwd=RjlvT0FIRFpEMlJoZUVnbFBCby9VUT09
   Passcode: 068552 , Meeting ID: 1610111107
    
7. 1. Roll Call of Committee Members (Zils)
   2. Approval of previous Committee Meeting Minutes
   3. Public comment opportunity to Committee (2 minutes per attendee unless pre-authorized by Chair)
   4. EMS Office Report (Bates)
   5. State Medical Director Report (Colella)
   6. Discussion, review and possible action EMS facilitated Medication-Assisted Therapy: Buprenorphine (Colella)
      1. Presentation by WAFD and MCW Buprenorphine Project
   7. Discussion, review and possible action on Advanced Practice Provider role in medical direction (Marquis)
   8. Discussion, review and possible action on Community EMS and Community Paramedic Scope of Practice and Curriculum (Colella)
   1. Discussion, review and possible action on Critical Care Interfacility workgroup (Clark)
   10. Discussion, review and possible action Ketamine utilization (Eberlein, Kronenfeld)
   11. Discussion, review and possible action SME for EMS Continuing Education (Colella, Bates)
   50. Discussion, review and possible action on physicians as credentialed member of an EMS agency (Kronenfeld)
   1000. Discussion, review and possible action on DNR use by EMS (Zemple, Kim)
   14. Discussion, review and possible action on controlled substance use by AEMT (Zils, Colella)
   15. Discussion, review and possible action on EMR, EMT, AEMT, Paramedic scope of practice (Zils) (standing item)
       1. Benzodiazepine use at AEMT level (Zemple)
8. 15. 2. Expanded POCUS use at Paramedic level (Colella)
       3. Evaluate the current 2 Paramedic need for RSI (Colella)
       4. Ondansetron for AEMT level (Colella)
       5. Additional Medications, Blood and Blood Products Approved for Inter-facility use for PARA and CCP (Colella)
       6. Encountering patients with durable medical equipment for home use and generally managed by the patient or a nonprofessional caregiver (e.g. Foley catheter, NG tubes, ostomy bags)
       7. Change wording from “Optional” to “Optional Advanced Skill”
   16. Discuss and develop future new business
   17. 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
8. Roll call of Committee members (Browne, Kim)
9. Approval of Committee meeting minutes (Browne, Kim)
10. Public comment opportunity to committee (Browne, Kim)
11. Discuss Statewide Pediatric EMS Continuous Quality Improvement Project (Rybczyk)
12. Discuss Pediatric EMS Data Report Discussion (Browne, Kim)
13. Discuss Advancing Healthier Wisconsin Pediatric Readiness Grant (Browne, Kim)
14. EMSC State Partnership Rural Expansion Program (Browne, Kim)
15. Discuss Wisconsin Pediatric Surge Plan (Browne, Kim)
1. Discuss education and outreach (Browne, Kim)
10. Discuss Pediatric Emergency Care Coordinator updates (Selwitschka, Browne, Kim)
11. Discuss emergency planning for children with special healthcare needs (Farrell)
50. Discuss EIIC Telehealth Collaborative (Farrell)
1000. Discuss and develop future new business (Browne, Kim)
14. Adjourn committee

 

8. Standing EMS Committee – Education & Training (Brian Litza/Chair)

Zoom: https://dhswi.zoomgov.com/j/1613961007?pwd=Mk5hQXdIYVZZS2pXbnJleTNPdlZGQT09
Passcode: 707487, Meeting ID: 1613961007

1. 1. Roll Call, welcome, and introductions of new members.
   2. Approve the minutes from previous meeting(s).
   3. Public comments or suggestions from the audience on items related to the Committee.
   4. Updates and Discussion from/with the WTCS (Tim Weir).
   5. Updates and Discussion from/with the EMS Training Center Advisory Council (Rick Anderson).
   6. Updates and Discussion from/with the WI EMS Office on EMS Education and Training (Helen Pullen).
   7. Curricula Update/Discussion
   8. COVID Considerations for Education
   1. Scope History Project Update
   10. Community EMS Operational Plan Project Update
   11. Education Equity and Inclusion
   50. Future Agenda Items
   1000. Adjourn

 

9. Recess Board Meeting until 09:00 on December 08^th, 2021

(Technical Note: Should time not allow for all Committee agenda items assigned to 12/07/2021, the EMS Board may address them on 12/08/2021 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.

Americans with Disabilities Act Statement

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.