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
September 13, 2022
9:00 AM to 5:00 PM
In-Person at WTCS, 4622 University Ave, Madison, WI, 53705,
Parking permit is required if attending in person
ZOOM Link: https://dhswi.zoomgov.com/j/1602966417?pwd=WDlQSkd5SFZmWndmSzhYTTJTQ3hpZz09
Or phone: (669) 254-5252, Meeting ID: 160 296 6417, Passcode: 089478
Zoom link and passcodes are applicable for all committee meetings except for EMS-C which is located with the EMSC Agenda.
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. Committee Meetings will occur in succession, in the order listed below, with a 10-minute break between Standing Committee Workgroup Sessions.
4. Standing EMS Committee - System Quality & Data (Chris Eberlein, Chair) 2.0 Hours
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. Determine Committee Member as Recording Secretary (Eberlein)
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. Biospatial Update
g. OD Alerts Surveillance System Updates: (Koehne)
h. Public Information Discussion (Eberlein): Opiate, Narcan, Trauma, Stroke and STEMI data. Mental health transports. COVID19 updates on Dashboard discussion.
i. 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.
j. WARDS Update, Compliance, and 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.
k. EMS Subcommitte for EMS system stress (Schultz)
l. WARDS Patient Tracking and heat maps discussion. QA with AI discussion (Office/Eberlein)
m. CQI Project update (Rybczyk): Dr. Kim discussion on Pediatric weight.
n. NEMSIS version 3.5 new data elements discussion (Rybczyk)
o. Gap analysis review (Rybczyk)
p. CARES WISCONSIN update: (Office)
q. New Business
r. Adjourn
5. EMS for Children Meeting with the EMS Board (Dr. Kim/Dr. Browne/Chair) – Via Zoom @ 09:00AM
Zoom: https://chwi.zoom.us/j/5751225490?pwd=dFhCWWwvdjRoNktmaDRBSHJrWCtzdz09
Dial-in Number: 1 312 626 6799, Meeting ID: 575 122 5490, 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. Discuss Airway Card Project (Farrell)
e. Updates from State Trauma Advisory Council, EMS Board and Subcommittees (Browne, Kim)
f. Discuss EMS Section data projects – Pediatric EMS Data Report Discussion and Pediatric EMS Data Report Discussion and Statewide Pediatric EMS Continuous Quality Improvement Project (Browne, Kim)
g. Discuss Advancing Healthier Wisconsin Pediatric Readiness Grant (Browne, Kim)
h. Discuss WI EMSC Rural Expansion Program/Facility Recognition (Browne, Kim)
i. Discuss education and outreach (Browne, Kim)
j. Discuss Pediatric Emergency Care Coordinator updates (Selwitschka, Browne, Kim)
k. Discuss emergency planning for children with special healthcare needs (Farrell)
l. Discuss and develop future new business (Browne, Kim)
m. Adjourn committee
6. Standing EMS Committee – Education & Training (Brian Litza/Chair) 1.0 Hours
a. Welcome and introductions of members.
b. Approve the minutes from previous committee 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 (Amanda bates/Don Kimlicka).
g. Instructor Training
h. Curricula Update/Discussion
i. Education Equity and Inclusion
j. COVID Considerations
k. Future Agenda Items
l. Adjourn
12:00-1:00 (Approximately) Lunch on Your Own (Immediately Following Education & Training Meeting)
(A quorum of Board members may be present; However, Board business
will not be discussed or conducted at this time.)
7. Standing EMS Committee – System Management & Development (Chris Anderson, Chair) 1.5 Hours
a. Roll Call of Committee Members/Introduction of New Committee Members
b. Approval of June 15 and August 24, 2022 Committee Meeting Minutes
c. COVID-19 Response
a. Discuss with possible Committee recommendation ongoing issues/gaps/best practices of COVID response
d. Discuss with possible Committee recommendations related to EMS-Hospital Diversions (Clark/Colella)
e. Discuss with possible Committee recommendation Medical Equipment Standards to serve as replacement for list currently in Trans 309 (Anderson)
f. Discuss with possible Committee recommendation in regard to updates to State EMS MCI Plan and development of sample policy [110.35(2)(e)] (Clark)
g. Office Update Items
1. Update on dissemination, promotion and education of National Guideline for the Field Triage of Injured Patients (Colella)
2. Update related to Statewide Protocols Project (Colella)
3. Discuss State EMS Office EMS Practitioner Turnover Survey (Bates/Godin)
4. Updates from WI State Inter-Op Communications Committees (Kimlicka)
h. Discuss and develop future business items
1. Committee’s role in addressing recruitment/retention/staffing issues
2. Update from Critical Care/Interfacility Transport Guidelines (Clark) -Tabled due to COVID-19 response
i. Adjourn
8. Standing EMS Committee – Physician’s Advisory Committee (PAC) (Dr. Steven Zils/Chair) 2.0 Hours
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 (Bates)
e. State Medical Director Report (Colella)
i. Discussion, review and possible action on State Medical Director questions
1. 911 EMS Encounters with patient’s on LVAD
2. Racemic epi/epi/”other short acting beta agonists for asthma: need for clarification for EMS responder/practitioner and disease conditions
3. Leave behind Narcan
4. Intradermal Vaccination – Scope of Practice Addition
f. Discussion, review and possible action on EMS Office approved medical director course for medical directors (Zils)
g. 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)
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 Management of Agitated Patient (Eberlein, Kronenfeld)
k. Discussion, review and possible action EMS Continuing Education and method to submit training (Bates)
l. Discussion, review and possible action on revision of DHS110 (Bates)
i. Emergency rule of ACLS at AEMT
m. Discussion, review and possible action on proposed 2023 Scope of Practice Document with NESEMSO updates
n. Discussion, review and possible action on EMR, EMT, AEMT, Intermediate, Paramedic scope of practice (Zils) (standing item)
i. Benzodiazepine use at AEMT level (Zemple/Bates)
ii. Expanded POCUS use at Paramedic level (Colella/Bates)
iii. The addition of benzodiazepines (all classes or limited to midazolam) to the EMT-I scope for the treatment of hyperactive delirium with agitation and procedural sedation.
iv. The addition of calcium (all classes) and sodium bicarbonate to the EMT-I scope for severe hyperkalemia (with and without cardiac arrest) and poisoning (beta blocker, calcium channel blocker, and TCA).
o. Discuss, review and possible action on State Protocols (Colella) (standing item)
p. 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)
q. Discuss and develop future new business (Zils)
r. Adjourn committee
9. Recess Board Meeting until 09:00 on September 14, 2022
(Technical Note: Should time not allow for all Committee agenda items assigned to 09/13/2022, the EMS Board may address them on 09/14/2025 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.