5901 North IH 35, Austin, Texas

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1 General Membership Minutes August 16, 2011 Embassy Suites Austin Central 5901 North IH 35, Austin, Texas Registration Registration ($40.00) for the August TTCF General Membership meeting opened at Continental breakfast was provided membership cards were provided to members that have paid their annual membership fee of $20. The CroFab booth was set up, operational, and manned by the CroFab representative outside of general membership meeting room. Vendor fee was paid in full to TTCF Treasurer. Level 3 and Level 4 Committee Meetings Both committees reviewed the Level III/IV rule revision documents and were also informed of the rule revision adoption process. Call to Order, Opening Prayer, Pledge The August TTCF General Membership meeting was called to order by President Scott Christopher at President Christopher provided the opening prayer and the membership recited the Pledge of Allegiance to the Flag. Announcement of Today s Board Mentors President Christopher introduced the TTCF Board Member Mentors for the August meeting to the general membership. Mentors are Secretary Brett Dodwell, Pediatric Co-Chair Brad Goettl, and Education Chair Courtney Edwards. New members were instructed to shadow one of these mentors during today s meeting. Silent Auction President Christopher announced today s silent auction to the general membership and thanked members that provided auction items. Approval of May 10, 2011 Minutes President Christopher announced to the general membership that the May TTCF minutes are posted on the TTCF website. The minutes were reviewed by the membership. A motion to approve the May 10, 2011 minutes as written was made by Janice Markwardt, with a second by Rudy Flores. There was no opposition and the motion passed. The May 2011 TTCF minutes were approved as written. TTCF General Membership Meeting August 16, 2011 Page 1

2 President s Message Board Meeting Recap President Christopher presented last night s Board Meeting recap to the general membership. Included points were today s elections of 3 board positions and the ability to use the write in option on the ballots; board member attendance at board meetings (further discussion is scheduled for the January 2012 Strategic Planning Conference); pediatric committee composition and goals (further discussion is scheduled for the January 2012 Strategic Planning Conference). The lengthy discussion on the Registry Committee and the progress of the DSHS s registry update was relayed to the general membership. President Christopher suggested the registry become a standing agenda item for the next months. Trauma Registry/Registrar lengthy discussion was parlayed. Mr. Christopher also asked the general membership to think about what merchandise they would like to see for sale on the TTCF website. A general survey monkey comprising questions from all committees was announced to the membership. Disaster Page (Kathy Rodgers) President Christopher reported on the plan to create a disaster page on the TTCF website and solicited member s policies and documents related to the subject for the website. FAQ Page (Janet Pointer) The president reported that there is no new movement on the development of the project. Trauma Rules Review President Christopher stressed the importance of reviewing and contributing to the revision of the level III/IV trauma rules. He informed the membership of the rule revision process and timetable including his presentation of TTCF s recommendations to the TETAF Board at tonight s meeting and the 30 day public comment piece of the process. He asked the committees to briefly discuss the rules during today s breakout sessions. TETAF Meetings and Bat Sight Seeing Fund Raiser Mr. Christopher reminded the membership of tomorrow s scheduled TETAF Bat Cruise and that there are still a few tickets available. GETAC Webcasts The scheduled videotaping of the GETAC subcommittees for archive review and the live web streaming of the GETAC Executive Meeting was announced to the membership. Financial Report The Profit & Loss spreadsheet was submitted with the Balance Sheet by Treasurer Jacky Betts. Total income $16, , total Expense $20,521.66, Current Balance $16, Mr. Betts explained that while there was a net income loss of near $3,000 the organization remains financially strong. He pointed out that the TTDEC course this year had about ½ the normal volume of attendees. There was a motion to accept the Treasurer s report as written by Cindy Jenkins with a second by Marvin Cloud. The motion passed without opposition and the Treasurer s reports was accepted as written. The CroFab vendor and booth were announced by the Treasurer. The membership was encouraged to visit this booth at some point during today s meeting. Mr. Betts also reported on the November TTCF meeting in conjunction with the annual Texas EMS Convention in Austin. He stated that the hotel hosting the meeting (Hilton) is sold out and that there is no possibility of a TTCF reserved room block. It was stressed to the general membership to book a room at the numerous hotels located close to the meeting hotel. TTCF General Membership Meeting August 16, 2011 Page 2

3 Election of Board Officers (Treasurer, Historian, Director-at-Large #1) Voting ballots were handed out by the TTCF Parliamentarian. Mrs. Garza and President Christopher reminded the general membership of the ability to use the write in option on the ballot. All ballots were collected by the Parliamentarian for processing. Committee Breakouts TTCF committees held their 45 minute individual meeting breakout sessions. Education Forensics: Evidence Collection & Performance Improvement An educational presentation was conducted by Kim Basinger including a slideshow in reference to PI and forensics. Disclosure and educational CE requirements were completed by TTCF Education Committee Chair Edwards and Co-Chair Jenkins. Lunch (Provided) / Networking Reports Department of State Health Services (DSHS) OEMS/TS Emily Parsons reported program updates to the TTCF membership including; Rule revision 157 in process. GETAC chairs to present their rule recommendations to DSHS offices by Sept 30 th. DSHS plans to eliminate mailing letters notifying the hospitals of designation if there are no contingencies. If designation is awarded with contingencies, the facility will get a letter stating contingencies. FUNDING; the July 3588 disbursement has gone out with the second check mailing to be completed in Aug (911 and 1131 monies). Total approximated disbursement is $1.4 million. The remainder of 3588 will also be dispersed in August. If a facility is a designated trauma center it will receive 3 funding checks, if the facility is in active pursuit it will receive 1 funding check. The FY12 funds will be reduced to $57 million per State budget cuts. Mrs. Parsons informed the membership that release of uncomp funds will take place earlier next year (applications will be disseminated in October) to align with HHSC disbursement funds. The application format (for 2010 calendar year patients) will remain the same as last year. However, the application will not be as closely prereviewed as last year due to the ability of DSHS staff to allot time to that task. Trauma facility redesignations (25), pending commissioner s approval (3), and initial designation (3) were announced. There have been four Level III Stroke applications submitted and one Level III Stroke facility survey performed. Trauma Registry Tammy Sajak of the Environmental Epidemiology and Disease Registries Section of DSHS presented an overview and update on the State Trauma Registry. There are currently 6 staff members at the State level with one resignation pending. Mrs. Sajak reported that the business mapping process with an outside consultant has been completed in relation to building the new system. Currently work continues with the vendor on modeling (process of giving the vendor all questions/data elements) to make sure all elements are in new registry, this process is almost complete. Next week work will begin on converting legacy data into new system and also creating a NEMSIS extract (to compare Texas to other states) for benchmarking. The office is also working on a list of report types for users to run, including ad hoc reports. Mrs. Sajak also reported that death/hospital discharge/registry data has been provided to GETAC Injury Prevention and GETAC RAC Chairs committees for use, including more specific information related to MVC deaths, and that this reporting process will be supplied each quarter. The department has conducted 4 webinars recently with 201 EMS and hospital participants and desires to continue these webinars in the future. She reported that the RSWG (registry solutions workgroup) volunteers are moving forward with TBI/SCI/drowning inclusion. TTCF General Membership Meeting August 16, 2011 Page 3

4 It was also reported that the epidemiology injury surveillance group is looking at rule revisions to parallel DSHS Trauma/EMS rule changes and will start having webinars related to the rule changes with a projected timeline of arriving at DSHS Commissioner s office in April/May. TTCF Registry Co-Chair Rudy Flores also informed the membership that the RSWG is meeting on a weekly basis and encouraged membership participation for future webinars. Mr. Flores stated that he would be happy to field any questions or concerns. Texas EMS, Trauma & Acute Care Foundation (TETAF) Past TTCF President and current TETAF Manager, Brenda Putz, reported the TETAF Trauma survey process continues to be strong, and now includes Stroke Centers surveys. The current focus of the TETAF Trauma Committee remains on Trauma Rule Revision. Mrs. Putz encouraged participation of the TTCF membership and stated the importance of having the opportunity to affect DSHS Trauma Rules. TETAF has begun work on developing a set of minimal trauma activation criteria. She reminded all in attendance that the deadline to submit TETAF Surveyor applications is 2 weeks away. TETAF is in the discussion phase of building a Data Management course. TETAF s Education Committee continues work on developing pool of expert speakers. Mrs. Putz informed all in attendance that a limited number of tickets remain available for the TETAF Bat Boat cruise and that the boarding time as been revised to 19:00 and the departure time is now 19:30 to better meet the bat s departure schedule. Emergency Nurses Association (ENA) TTCF Education Co-Chair Jenkins provided an ENA update to the membership. She reported the TNCC Instructor Course conducted yesterday at St. David s in Austin was a success and 11 students attended. She described the process of becoming a TNCC Instructor and Faculty member. Ms. Jenkins also announced that the integrity of the TNCC Test-A has been compromised. Mrs. Jenkins also reported to the membership that the ENPC course revision will be rolled out in Committee Reports Membership / Mentorship Co-Chair Cotner-Pouncy reported 12 new members at the meeting. There was a welcome photograph taken of the new members and all obtained new member welcome packets. There was an extensive Q&A session and the new members were introduced to the Board Member Mentors for future contact. Fund Raising / Finance Chair Dykes reported 4 members attended the meeting. Several topics were discussed; Questions from the committee for the general survey scheduled for 2012 were formulated focused on fund raising and annual participation and the ability of the committee to increasingly meet the general membership needs, extensive discussion on creative revenue projects such as party boat excursions, airline tickets, cruises, and sporting events were interchanged. The decision to continue the raffles at each TTCF General Membership Meeting was finalized as well as the continuation of the silent auction at the August general membership meetings. Plans to order new TTCF merchandise in February were formulated. Chair Dykes requested that members contact her at if they have a donation for the November 2011 auction. Requests were also made by the Chair for members to solicit raffle donations from large public companies such as airlines, large retailers, and corporate entities. The request was made for any members that have beach/river/vacation houses to consider offering time at these assets for a membership raffle. TTCF General Membership Meeting August 16, 2011 Page 4

5 Level 3 Co-Chair Wiktorik reported 20 plus members attended. The red line rule revision document was discussed in depth with highlights of revisions including a 6 month decrease in time of new trauma center employees obtaining required courses; title change to Trauma Program Manager ; ICS 100 and 200 disaster education; AAAM requirement for TPMs. The trauma registrar title change to Trauma Data Manager was discussed and a unanimous vote to change the TPM FTE from 0.8 to 1.0 was recorded. ICU nursing certifications for those nurses floating to the ED and those involved in trauma resuscitation were discussed. Lastly, the TOPIC and ACS Disaster Course in November at GETAC was conversed. Level 4 Chair Markwardt reported 34 members in attendance. Topics discussed included; the red line rule revision document and the trauma facility criteria checklist, electronic vs. paper trauma flowsheets, and a trauma flowsheet questionnaire was circulated that contained the questions... Does your facility have an electronic or paper trauma flow sheet Do you feel there may be an interest or benefit in developing a standardized Level IV trauma flow sheet. The Chair reminded all attendees of the importance to reviewing the rule revision document and participation in the revision process. Trauma Registry Chair Lopez and Co-Chair Flores reported 23 members attended. Tammy Sajak was unable to attend the meeting. Topics discussed included; Recommendations for Trauma Rule changes to include enhanced education of registrars to 4 CEs annually, Encourage hospital administrations to allow increased activity with trauma system activities. Conversation stating the responsibility for the 3588 application piece in the rule changes as confusing and needs to either be edited or removed. A proposal was entertained for a title change from trauma registrar to data program manager. There was encouragement of registrars to obtain CSTR and/or CISS certification. The general 2012 survey questions from the committee were not analyzed so the results will be sent out once this is completed. Chair Lopez stated the trauma registry database is an important factor to the Trauma Systems, the database and what is in it is only as good as what is placed in it. The more support and education that is given to those people in our roles, will do nothing more than have a positive impact to the quality of the data and personal job satisfaction. This is a change from what has been expected in the past but without change, we are accepting the status quo. Public Relations / Legislative Chair Baker reported 6 members attended. Topics discussed included; production of the Summer 2011 TTCF Newsletter, items for consideration in the 2012 Strategic Planning Conference, increasing membership attendance at this sub-committee meeting, setting a deadline of September 30 for newsletter submissions with a production projection date of October 15, and developing two questions for the general survey. Pediatrics Co-Chair Goettl reported 6 members attended. Topics discussed; development of two survey questions for the general survey, ENPC revision scheduled for late 2012, obtaining vendors for TTCF meetings that may be pedi focused, restructuring of the pediatric committee was discussed and further discussion is slated for the November TTCF general meeting and 2012 Strategic Planning meeting, and consideration was given to educational offerings that are presented at the pedi committee being disseminated to entire general membership. Education Chair Edwards reported 12 members attended. Topics discussed were; review of 3 rd quarter education offerings (TNCC on Aug 15 th, Forensics in Healthcare on Aug 16 th ), the committee reviewed topics for the 2012 educational calendar, questions for the general 2012 survey monkey were explored, a discussion on CE solutions for 2012 was also conducted, and the November education offering of pediatric trauma/audit filters was reviewed. TTCF General Membership Meeting August 16, 2011 Page 5

6 Injury Prevention Co-Chair Hanson reported 19 members attended. Topics discussed were; recapped of last meeting, discussed 3 pronged coalition (TTCF, TETAF, and GETAC) planning phase of Texas Injury & Violence Prevention Conference 6/20-6/22, 2012 which will be hosted by St. David s in Austin. There will be two tracks offered, intentional and unintentional with CEs. The fall prevention programs at committee members hospitals were also discussed. Lastly, a discussion ensued regarding local upcoming injury prevention events. Open Forum Trauma Fellowship Program - Suzanne Pickens of Texas Higher Education Coordinating Board announced that she will give a presentation on a Trauma Fellowship Grant at today s TETAF meeting. The grant was passed in Senate Bill 7 and contains $4 million of funding to post graduate nursing and physician students. She asked for input from stakeholders in development of the program. She reported plans for a stakeholder meeting in early September, with projections for applications in early 2012 but admitted these projections might be too optimistic. The Texas Emergency and Trauma Care Education Program has been allocated $2.25 million for years 2012 and 2013 and is intended to be a partnership between hospital(s) and graduate nursing or medical programs. Suzanne Pickens offered her contact info Suzanne.pickens@thecb.state.tx.us or Trauma Care After Resuscitation - There was a request of Treasure Betts to report back to TTCF upon the completion of his hospital s hosted TCAR Course regarding the quality of the course. Officer Election Results - Election results were announced by President Christopher. Lisa Price was re-elected as Director At Large Position 1, Jacky Betts was re-elected as Treasurer, and Kathy Rodgers was re-elected as Historian. There was a motion by Courtney Edwards to destroy the ballots with a second by Cindy Jenkins. The motion passed without opposition and the election ballots were destroyed by the Parliamentarian. Silent auction winners were announced. Adjournment There was a motion to adjourn the meeting by Kara Tapley with second by Lisa Price. Motion passed without opposition and the meeting was adjourned by President Christopher at 15:06. The next scheduled TTCF General Membership Meeting is November 18, 2011 in Austin Texas at the Downtown Hilton. Respectfully submitted, Brett Dodwell TTCF Secretary TTCF General Membership Meeting August 16, 2011 Page 6