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Emergency Medical Services Board Committee Meetings September 3, 2019 9:00 AM to 5:00 PM Sheraton Madison Hotel – 706 John Nolen Drive Madison, WI 53713 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 (Carrie Meier/Chair) a. Roll Call of Committee Members & Introductions as Needed b. Approval of June Committee Meeting Minutes c. Public comment opportunity to Committee d. BioSpatial Presentation – Wisconsin Dashboard (Joe Ferrell and Dave Zaiman) e. Review of current and development of System Quality & Date topics for State EMS Plan 2020-2022: Prioritize the list starting with the highest priority f. Review and discuss Coverdell stroke data updates (Link) g. Discussion and update regarding CARES in Wisconsin (Lockhart/Zils) h. Discussion on public information related to outcomes of committee work (Meier) i. Update from Office on website ii. Stakeholders (ie. municipalities) i. Review, and possible action regarding data – Stroke with last known well, Falls, ROSC and Naloxone use (Bergeron/Tatar/Anderson) j. Review of WARDS compliance in Wisconsin EMS (Happel) k. Discuss and Develop Future New Business l. Adjourn Committee 5. Standing EMS Committee – System Management & Development (Dr. Clark/Chair) a. Roll Call of Committee Members b. Approval of June Committee Meeting Minutes c. Public comment opportunity to Committee i. Ted Ryan, Spirit Medical Transportation: Expectations and Standardization in regards to ground EMS requests for Helicopter EMS: provider preferences vs dispatch center preferences vs closest available unit, use of apps to request HEMS d. Discuss with possible Committee recommendation related to Non-Emergent EMS Transports Issues in Wisconsin (Romenesko) e. Discuss with possible Committee recommendation related to Critical Care Workgroup updates to Interfacility Transportation Guidelines i. Last feedback on Proposed Updated Interfacility Transportation Guidelines (Clark) ii. Proposal to define critical care as concept rather than skill (Sechler) f. Discuss with possible Committee recommendation related to updates to Statue Required Policy Samples: (https://www.dhs.wisconsin.gov/ems/treatment.htm) i. Response cancellation, describing how the emergency medical service provider will handle a cancellation of a response while in route to the scene. (Sechler) ii. Use of lights and sirens in responding to a call. (Finke) iii. Dispatch and response, describing how EMS personnel are dispatched and how the emergency medical service provider acknowledges to the dispatcher that it is responding. (Fennell) iv. Refusal of care, describing the procedure for accepting a refusal of care from a patient. (Romenesko) v. Destination determination, describing how the transport destination of the patient is determined if the provider is an ambulance service provider. (Pojar) vi. Emergency vehicle operation and driver safety training. (Eastman) vii. NEW-Continuous Quality Improvement: (Clark) g. Review of current and development of System Management and Development Topics for State EMS Plan 2020-2022: Prioritize the list starting with the highest priority h. Discuss with possible Committee recommendation related to implications of Statewide Protocols (Lockhart/ Colella) i. Discuss with possible Committee recommendation related to implications of Stroke System Legislation (Finke) j. Update/Discussion Pre-Arrival Instructions and PSAPs (Finke) k. Discuss with possible Committee recommendation related to Scope of Practice Review Processes in conjunction the PAC (Zils) l. Discuss Recruitment and Retention concepts i. Discuss with possible Committee recommendation related to Provider Recruitment/Retention Workgroup in regard to state sponsored PR/marketing/social media (Bantes) m. Discuss and develop future new business n. Adjourn Committee 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) a. Roll Call of Committee Members (Zils) b. Approval of July Committee Meeting Minutes c. Public Comment opportunity to committee d. State Medical Director Report to Committee (Colella) e. State EMS Office comment/report (Lockhart) f. Review of current and development of System Management and Development Topics for State EMS Plan 2020-2022: Prioritize the list starting with the highest priority g. Discussion and possible action on 2019 scope document (Zils) h. Discussion and possible action regarding Act 97 (Zils) i. Review Scope of Practice Change Request documents (Kronenfeld, Marquis, Grawey) j. Discussion, review and possible action on EMR scope of practice (Zils) k. Discussion, review and possible action on prehospital ultrasound (Schultz/Zils) l. Discussion and possible action on DNR (Zemple) m. Discussion and possible action on federal and state-controlled substance legislation (Zils) n. Discussion, review and possible action on EMT, AEMT, Paramedic scope of practice (Zils) o. Discuss and develop future new business p. Adjourn Committee 7. EMS for Children Meeting with the EMS Board (Dr. Kim/Dr. Browne/Chair) a. Roll Call of Committee Members (Kim / Browne) b. Approval of Prior Committee Meeting Minutes (Browne / Kim) c. Public comment opportunity to committee (Browne / Kim) d. Discuss EMS-C All-Grantee Meeting Updates (Browne/Kim) e. Review of current and development of System Management and Development Topics for State EMS Plan 2020-2022: Prioritize the list starting with the highest priority f. Discuss EMS-C Data Report (Browne/Kim) g. Discuss Pediatric Emergency Care Coordinator updates. (Browne/Kim) h. Review Standard Operating Procedures. (Browne/Kim) i. Discuss Wisconsin Pediatric Surge Plan and pediatric disaster planning. (Browne/Kim) j. Discuss partnerships with regional health care coalitions and interfacility transfer agreements and guidelines. (Browne/Kim) k. Discuss education and outreach. (Browne/Kim) l. Discuss selecting a yearly priority topic for EMSC. (Browne/Kim) m. Discuss PRQC updates. (Browne/Kim) n. Discuss Wisconsin Partnership grant application. (Browne/Kim) o. Discuss pediatric ambulance safe transport. (Browne/Kim) p. New business. (Browne/Kim) q. Adjourn Committee 8. Standing EMS Committee – Education & Training (Greg West/Chair) a. Roll Call of Committee Members b. Approval of June Committee Meeting Minutes c. Public Comment opportunity to committee d. Review data from DHS regarding NREMT pass rates and hours of education from other states. e. Update from the EMS Training Centers Council and the WTCS (Litza/Weir). f. Review of current and development of System Management and Development Topics for State EMS Plan 2020-2022: Prioritize the list starting with the highest priority g. Discuss and develop future new business h. Adjourn Committee 9. Recess Board Meeting until 09:00 on September 05, 2019 (Technical Note: Should time not allow for all Committee agenda items assigned to 09/03/2019, the EMS Board may address them on 09/04/2019 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 Mark Lockhart at 608-266-1568 or Jonathan.Lockhart@dhs.wisconsin.gov. Conference Call Information: [INCLUDE DESCRIPTION OF GOVERNMENTAL BODY] System Quality and Data - 877-336-1829 Passcode 6413961# System Management and Development – 866-244-1129 Passcode 6279075# Physicians Advisory – 877-336-1829 Passcode 6413961# EMS for Children - 646-876-9923 Meeting ID: 575-122-5490# Education and Training - 866-244-1129 Passcode 6279075#
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.