RAPPAHANNOCK EMS COUNCIL BOARD OF DIRECTORS MEETING Board of Directors August 15, 2018

Transcription

1 RAPPAHANNOCK EMS COUNCIL BOARD OF DIRECTORS MEETING Board of Directors August 15, 2018 Board Members Present: Board Members Excused: John Brandrup, Treasurer, At-Large Jack Atkins, Rappahannock County Mark Crnarich, Secretary, At-Large R.J. Arft, At-Large Scott Davis, City of Fredericksburg Donald Gore, VP, Rappahannock County Susan Dietrich, Caroline County Mike Grubb, Spotsylvania County Kevin Dillard, President, At-Large Maurice Bud Moody, Orange County Patricia Fitzgerald, Westmoreland County Bill Ooten, Culpeper County Mark Garnett, Caroline County Louise Rollins, At-Large David Garvin, King George County Joe Williams, Fauquier County William Harrington, Spotsylvania County Mary Hart, Fauquier County Guests: Phyllis Hurlock, Culpeper County Lori Knowles, Stafford County Patricia Copeland, REMS CISM Team Fred Messing, At-Large Joey King, LifeCare Medical Transports David Moody, King George County Nathan Mort, Orange County Dr. Tania White, Regional Medical Director Staff Present: Brent Lafayette, REMS Council Intern Margot Moser, Office Manager Wayne Perry, Executive Director Vendor Presentation: There was a fifteen minute webcast presentation from Handtevy, an app that is meant to eliminate med math for pediatric patients by calculating dosage using ideal weights. This app is integrated with ImageTrend Elite A demo of the mobile app is available to Board members for the month of September; this information was distributed to directors via e- mail along with a link to the recorded presentation. More information about the system is available at Agency Presentation: Chief and President of Fredericksburg Volunteer Rescue Squad, Katrina Ramos, spoke to the board about the history and current activities of the squad. The squad was organized in 1939 with twenty-two volunteers. The first truck was a converted laundry truck and uniforms were donated. The squad originally responded in a five mile radius; this has since expanded greatly, with the squad offering mutual aid to agencies throughout the commonwealth.

2 The building that currently houses the squad was constructed in 1953 and originally had five bays. The building has since been renovated to add additional bays, training areas, and an elevator. The squad was staffed 24 hours a day with all volunteers until 1991; at that time, Fredericksburg Fire Department added a daytime medic crew. Station 2 now has a 24 hour medic crew due to the increased population in the Fredericksburg area. Many members of Fredericksburg Volunteer Rescue Squad have gone on to work as flight paramedics, doctors, and various other types of health professionals. The squad has been a well-established organization since the 1940s and plans to continue for many years to come. Kevin thanked Chief Ramos and the squad for hosting the meeting and for the thorough presentation. Call to Order: The meeting was called to order by President Kevin Dillard at Fredericksburg Volunteer Rescue Squad at 7:00 PM. Approval of minutes: The June 20, 2018 meeting minutes were approved as presented. Public Comments/Presentations from Guests: Brent Lafayette, intern on the Rappahannock EMS Council staff, gave a presentation to the board regarding the profitability of Consolidated Test Sites. He noted that the most profitable sites were held in May, and the least profitable in October. He also found that the minimum number of students required for a test site to be profitable is fourteen; five retests and nine initial candidates. President s Report Kevin Dillard Grant Committee The RSAF deadline for the spring cycle was March 15. A total of $9,045,968 was requested, with $3,969,417 available for award. 80 agency requests were approved, representing 44% of funding requests statewide. REMS Council agencies were awarded a total of $220,248. This included: $20,637 for Flint Hill for a power load and power cot and $182,605 for Lake of the Woods for a type 1 four-wheel-drive ambulance. FARC is now travelling throughout the commonwealth for their meetings, starting in June with REMS Council agencies. In December, they will hold their meeting in the Southwest EMS Council s service area. The current funding cycle opened on August 1 2

3 and the deadline for applications is September 15. Wayne announced that there will be a technical assistance meeting on August 27 at the Council offices starting at 3 PM. Please contact Vivian Delts to schedule a session; agencies will be able to present their grants and receive feedback to make their applications stronger. Vice President s Report Donald Gore (Excused) No report at this time. By-Laws Committee: No report at this time. Secretary s Report Mark Crnarich Performance Improvement Committee: The last Performance Improvement Committee meeting was on July 12; there was not a quorum for business, so the committee discussed future projects and reviewed reports for the quarter. Reports with regional data were included in the DropBox. The next meeting will be held on October 11 at 5 PM. The committee will be reviewing committee objectives and projects. The committee is currently working to align its regional data projects with national measures set by EMS Compass. The Board is required to approve the Performance Improvement Plan annually. The committee does not recommend any revisions at this time. The committee recommends approving the plan as presented. Motion seconded by John Brandrup. With no further discussion from the board, motion carried. ACTION ITEM Performance Improvement Plan APPROVED Treasurer s Report John Brandrup Finance Committee: John stated that the final draft version of the FY 18 audit was distributed to the board for their review. This audit took significantly less time than audits in years past, due in part to the transition to QuickBooks Online. The new auditor did make some changes: he used a different method of calculating depreciation that is meets GAP standards, and recalculated the in-kind value of our rent donation. He also used a new method for projecting future revenue that fits GAP standards. This required a revision of the projection for FY18 created in FY17. Wayne added there are several suggestions about revisions to the audit from Fred Messing, including a note regarding the state s Triple-A Bond rating as they are our primary source of income and a note regarding the board being comprised of volunteers in order to demonstrate its independence. The committee 3

4 recommends allowing the Executive Committee to approve the final audit after these revisions are made. ACTION ITEM Final Audit Approval by Executive Committee APPROVED Kevin announced that the Council staff has received more information regarding funding for FY 2019 and he plans to meet with those localities who are not funding the Council at 100% of their request. Guidelines and Training Committee: The committee last met on June 26 and discussed ALS preceptor training updates. There will be an ALS Release Subcommittee meeting next week to discuss rolling out the new training to the preceptors now that the train the trainer classes have been completed. All current preceptors will be required to take the course. Committee Reports CISM Report: Patricia Copeland The team has been on eight callouts since the last board meeting. A CISM presence has been requested for the MCI drill to be held in October, and Trisha has been working on the business plan for the team. There are two new team members and several upcoming trainings including Group Crisis Intervention at VAVRS from 9/26 9/28 and Advanced Group Crisis Intervention at Symposium. The team has made several updates to its Standard Operating Procedures that require board approval. Many of these changes consist of grammatical corrections. The EverBridge alert system was also added, and several team vote requirements have been removed. Mentions of the Rapidan team have also been removed as they are now a part of the REMS CISM team. There was a motion to approve the changes as presented from Pat Fitzgerald, seconded by Lori Knowles. Motion carried. ACTION ITEM CISM SOP Update APPROVED Incident and Threat Mitigation: Billy Harrington The last meeting was on July 19 and the committee will meet again on October 18. The committee discussed the Triage Tag program and Billy noted that it is not currently being used and reminded directors that it is meant to be on the third Saturday of each month from if any agencies want to become involved. 4

5 The committee is also currently updating the Surge Plan; if your agency needs to update its contact information, please let Billy know. Billy has taken over drafting the Active Shooter Response Guide. Committee participation has been low lately. Kevin noted that they are removing inactive members from the roster, and that if anyone is interested in serving on the committee, to let him know. Committee members do not have to be on the board. Medical Direction Committee: Dr. Tania White The most recent State Medical Direction committee meeting did not have a quorum; the next meeting will be held in September. There are no changes to the current medication shortages: ketamine and IV Zofran are the major items. There are no infectious disease updates. Strategic Planning: Fred Messing The next committee meeting will be in September to continue work on the plan update and evaluation cycle as discussed at the last committee meeting. Heart and Stroke: Lori Knowles The committee has updated the HeartSafe Community application and is working towards piloting a HeartSafe Campus application for businesses and schools. EMS Governor s Advisory Board: Lori Knowles Lori was unable to attend the last meeting; information regarding GAB in the Staff Report. Staff Report Wayne Perry Board members were presented with Conflict of Interest Statements to sign this evening; this is the annual renewal with no changes. Board members were instructed to review the document, sign, and return it to Wayne. Training Updates REMS has provided 25 National Registry test sites the next site is October 20 and registration is available on the website. The staff is participating in the Virginia Opioid Addiction ECHO Tele-clinic sponsored by VCU, UVA, and Carillion. The goal of the bi-weekly sessions is to present evidence-based methods to support recovery from opioid use disorders and relate how to integrate these methods with medication therapy. Some of the presentations and materials were included in the DropBox. 5

6 JEMS provided a webinar titled Mental Health: Breaking Down Barriers to Resiliency, which is now available for on-demand viewing and linked in the staff report sent with the agenda. The pre-hospital care research forum has produced several podcasts which are linked in the staff report as well as on the REMS Council website. Events and Funding Staff is now in the planning stages for the next golf tournament and will be picking a date for 2019 shortly. If you have fundraising thoughts/ideas let Margot know. Preliminary notification from the Office of EMS has been received that the CEU/Auxiliary funding will continue for FY2019, but the Council hasn t yet received a new contract. More details are coming. An RFP was sent out to area agencies by blast fax and on social media. The regional awards program is seeking nominations throughout the year and currently accepting applications for If you have someone who would be a worthy candidate, please Vivian at vdelts@vaems.org. Virginia Department of Health Office of Minority Health and Health Equity grant update. The Council is hosting a student from the VCU Care Coordination Certificate program who is working on their capstone project. The staff will likely participate in the program as a student in FY19. The 2018 National EMS Memorial Service video is available on YouTube. It has also been added to the REMS Council website. Regional Systems and Programs OEMS provided Council staff with OMD expiration information. Dr. Crovatin, Dr. Johnson, Dr. Reese, and Dr. Rickabaugh are all expiring in Please contact Council staff for information regarding recertification. The Council continues to offer Stress First Aid training. Please contact Wayne to begin the process of scheduling this opportunity. FirstNet has continued to meet with state and territory single points of contact (SPOC) and State Plan review teams in the states and territories, having now engaged with all states and territories on their respective State Plans. Stay tuned for updates and watch the State Plans Dashboard map develop. During the 2018 Boston Marathon this technology was used through the distribution of 80 devices issued to the incident response teams. The American Heart Association has released a 2018 update and it is available here, along with the latest statistics on sudden cardiac arrest. Executive Director Update Quarterly report from 4Q FY18 was submitted to OEMS and accepted. The Council is currently in the 1Q FY19, the report for which is due by the end of October. 6

7 o PLEASE don t forget the quarterly meeting requirements so that we don t have to pay a penalty. o PLEASE submit meeting minutes and related documents in a timely manner. We are not able to submit them and have them posted unless we receive them. The national database for sentinel and near-sentinel EMS events is up and ready to receive information. The 1st quarter 2018 Patient Safety Report and Violence Against Paramedics Report is published on their site, and the link to the Second Quarter EMS Patient Safety Event Report is in the staff report. Now that REPLICA has met the triggering quantity of states participating, the commission is working on several documents and processes to codify the arrangement. Details on the work can be found on the REPLICA website. South Carolina joined in May 2018 and became the 14 th state to participate. The House of Representatives unanimously approved HR1037 supporting the National EMS Memorial. It is on the President s desk for signature now. The strategic and regional approach to critical medication shortages webinar video, put out by HHS ASPR and ASTHO is available online and a link to the slides for the presentation are available here. Updates from HHS ASPR are available in their TRACIE communication, and several ASPR newsletters have been posted in the staff report and Drop Box. The provider health and safety committee meeting was held August 2 and the meeting minutes along with all of the other state committees are available in the dropbox. There was new business related to potential provider exposure from fatality events. The committee will be working with legislation and planning to come up with standardized recommendations and guidelines for this type of event. Weekly updates have been received from the Public Safety Advisory Committee (PSAC) and are available as a PDF in Drop Box. If you have any feedback or updates on the customer service initiative please let me know. I have not heard of any problems, so I feel confident that the changes that we made are making a positive impact. This continues to be a priority and a standing agenda item for our staff meetings. In addition, the Office of EMS has included a link for customers to provide feedback. This is sent out in the staff s e- mail footers and available on the website. We have very small amounts of data back so far for FY17 or FY18 but it is all positive. Here is a link to the August through November 2017 report for agency compliance with VPHIB data reporting. Regional Director s Group met at the beginning of May. A copy of the last Office of EMS Quarterly report is included in DropBox and previous reports are available in Drop Box. OEMS Updates The Training and Certification Committee met July 11. Documents and information from that meeting are posted in Drop Box. 7

8 40 year anniversary for RSAF Awards looking to have a display at EMS Symposium. If you have any old equipment that was purchased on a grant and would be willing to loan it to OEMS, please let Amanda Davis know. The EMS GAB approved the Trauma Plan that was proposed. The full document is available in Drop Box. The legislative update provided by our lobbyist is included in the Drop Box. He also provided additional information about a bill that was re-introduced for the 2019 session which is related to EMS providers carrying weapons. Please review the bills and provide feedback as you see appropriate: Unfinished Business: No unfinished business. New Business: No new business. Adjournment: Next Meeting: The meeting adjourned at 7:49 PM. The next meeting will be held at 7 PM on August 15 at Fredericksburg Rescue Squad. 8