Region I Emergency Medical Services Council Meeting Sheridan County EMS, Hoxie, Kansas August 17, 2011 David Stithem, Region Chair, called the August 17, 2011 meeting of the Region I EMS Council to order at 19:00. Joseph House, Kansas Board of EMS Deputy Executive Director, Bill Fortune, Norton County EMS, and Michael Gillespie and Roy Litfin, Quinter Ambulance Service were welcomed. The minutes of the June 15, 2011 meeting were presented as posted on the web site and emailed. Aden Schillig moved for approval. Jayne Holle provided motion second. Motion passed. The financial report was presented. Aden Schillig moved for approval of the financial report as written. Kirby Gillespie provided motion second. Motion passed. Old Business: The 12-800 MHz hand held radios are here. Although there are not enough radios for all counties, the goal is that every service in the Region have one from some source. Some counties already have 800 MHz radios in operation. Discussion was held regarding the responsibilities for the radios and the contractual signature. Three responses were sent to Gary Winter following the last meeting. Those were from Jayne Holle, Mickie Helberg, and Candy Bryant. Contracts will be sent to those services with appointments to the Council. If the service is interested, the contract will need to be signed by the operator of the service and returned to Gary Winter. From those sent, 12 services will be chosen to receive the radios. David Stithem will contact Jayne Holle, Mickie Helberg, and Candy Bryant for assistance in selecting the radio recipients. Grant: There is $10,000 available from KDHE in the next grant cycle. David Stithem will identify the due date for grant expenditure. Please send your proposals to the grant committee members; Gary Winter, Jayne Holle, Letitia Keenan and Kerry McCue. Some ideas discussed to date have been the need for IS-300 and IS-400 courses and the need for transition courses. The scale of the need for these courses has not been identified. Region Transition Courses: It has been asked if the Region plans to host an EMT or AEMT transition course. Several counties have completed the EMR and EMT transitions or have it scheduled. A potential course at Garden City with access by ITV and a hybrid course through FHSU were discussed. It is difficult to predict numbers. All Region/Association Meeting: Steve Sutton, Kansas Board of EMS Executive Director, invited the Region Chairs/Coordinators and representatives from the associations to a meeting in Topeka to discuss EMS in Kansas. This meeting had no agenda. Steve Sutton presented an overview of the status of EMS from staff perspective. The group plans to meet two or three times each year. ACT/Trauma Committee: Kerry McCue was absent. Deb Kaufman reported the NWKS Trauma Council minutes are available at http://www.kstrauma.org/nw_council.htm. 1
The trauma registry reports continue and it is important the hospitals receive the prehospital information from the EMS for reporting. The hospital also report through EMSystem. SB 139 passed this legislative session and became effective July 1, 2011. SB 139 allows for the ACT and regional trauma councils to conduct trauma peer reviews. Several other state processes are being looked at for processes. The indicators for review will need to be developed. This is to be an educational process and not a punitive process. The Trauma DVD will be posted on the Kansas trauma website. The Level IV regulations are under development. We have appointed a committee to prioritize the needs of our region. A Safe Teen Driving Program representative will be at the next public health regional meeting in Oakley. Goodland will be hosting a PHTLS class. Goodland also hosted a TNCC class August 17 and 18. There will be a second TNCC class October 26 and 27, 2011 in Hoxie. The date of the Cheyenne County Hospital RTTDC class has not been announced. ATLS at Hays Medical Center will be October 7 & 8, 2011. Northwest Kansas Homeland Security Meeting: Deb Kaufman reported full minutes are available on the state website. Carolyn Henry, Red Cross, and Garden City Area Chapter Manager reported the Red Cross made the difficult decision to close nine offices in our Region. The offices in Phillipsburg, Colby and Dodge City are closed. The Red Cross now has offices in Hays, Garden City and Liberal to serve western Kansas. Also reduced was the number of staff members. We will now more heavily rely on communities and volunteers. We have two-disaster specialist in our area stationed in Hays and Garden City. Training will increase. The disaster trailer will remain in Colby. It will be helpful to have an inventory of the location of cots in the area. Anyone with that information should report the inventory items. The FY08 grant year is nearing completion. The planning portion of the EOC Enhancements is underway. The GIS planning is underway as well. Office of Inspector General audit will be occurring in Kansas. This audit is also being completed in the other states to show how each state is handling the Homeland Security dollars. Our audit will be September 13-16, 2011. Deb Kaufman reported work on the trailers continues. We also continue to purchase ventilators for services. There were several Bylaw changes. Tami Wood reported the hospital grant dollars have been cut 9%. The Regional amount for 2011 and 2012 will stay the same as will the work plan. The hospitals will be conducting an exercise again this year. The hospital preparedness representatives are still required to attend LEPC meetings.. Communications: The weather service at Goodland is now up and available at D-EVNT-2 located in NW 13 and NW14. The Dodge City weather service is up and available at E-EVNT-2. We are looking for a solution with Hastings. We are doing an orientation on new sites in the Region. 2
Rebanding of 800 MHz radios in this area is finished initially. The second touch will be happening soon, hopefully by Thanksgiving. Educator's conference: Scott Reese contacted Chy Miller regarding a presentation at the Educator conference. Jayne Holle moved we host an educator workshop with Chy Miller as the primary presentor on Saturday, November 19, 2011. Aden Schillig provided motion second. Motion passed. The committee will pick the location and the meal menu. Steve Sutton will be asked to present also. David Stithem will post pre-registration on the Region I website. He will also apply for educator conference approval and print post attendance certificates. Please send pre-registration to Gary Winter. Planning and Operation: Shane Pearson is a new board member on this committee. Mark Willis is the Fire Service Rep on the Planning and Operations Committee KDHE will also have a representative. They will send a representative based on activity. Today it was Mike McNulty. The Regulations have been double-stamped and the economic impact study has been delivered. They will be published August 8, 2011, followed by a 60 day comments period. There will be a public hearing at 9:00 on October 19, 2011. They should be in affect by the end of the year. The regulations will be on the Board website next week. Operational regulations being worked on include the staffing requirements for fixed wing aircraft. Dave Cromwell presented a proposal to identify first responder organizations. State renewal forms will need to be changed to capture this information. The proposal is for non-ems units only it will not re-categorize EMS services. The information will come from attendant renewals. Regional and Association representatives reported on their respective activities. Executive: 2012 legislative issues were discussed: o CPAP will be allowed at the EMT level. This was recommend to take to the full board. o Roto-wing staffing. The committee wants to review the KanAAMS recommendations. o Communicable Disease. This was previously brought to the board by Chris Alexander. It would set reporting requirements for exposures to responders. o Fines to be used in graduated sanctions. This would allow punitive action without revoking a license or shutting down a service. o Subpoena powers for investigations. o Background checks. AEMT regulations have been stopped at the AG level. Since these regulations were delayed, Steve Sutton wants to move forward with temporary regulations until these can be fixed. CPAP for the EMT would be added also. The committee recommended to move forward with the temporary regulations and adding the CPAP. Dr Hornung reported on the MAC. They reviewed the on-line medical director s course and found it was not financially viable to continue it. The committee decided to write a letter to KDHE to ask this not be funded. This will be taken to the full board. 3
Some operational protocols will need to be included with the medical protocols for first response groups (DNR s, etc). Steve Sutton discussed the results of the medical and service director s survey. Education: Shane Pearson and Dr. Deb Smith were welcomed to the Board. Chad Pore reported the EDTF met on June 16, 2011 and worked on the education proposal. The next projects include an EMT to EMT Bridge and the scenario based testing. Dave Beam reported on the process of getting the regions together to discuss the education proposal. Jon Friesen discussed the document, focusing on the areas with the most concern from the regions. Carman Allen stated 32 statutes would need to be changed. Areas that would still need to be addressed include forms, defining successful outcomes, developing and interview panel, deciding how long the mentoring process continues and establishing evaluation tools. Carman Allen will continue to work on this. Rashelle Fowler was hired to replace Marcus Herrera. There have been 600 transition courses so far. Although no AEMT courses could be approved yet, Carman Allen has 4 initial and 4 transition course applications on her desk. There have been significant improvements on the education audits since the first began. There have been 100 First Responders and EMTs transitioned so far. Carman Allen feels go to the national registry exam check sheets at this point would be a significant change and expense. She recommends waiting until 6 months after the new check sheets are released by the national registry to implement them here. There were no variances processed by board staff. The following regulations received final board vote. There were no public comments at the public hearing. The committee voted to move them to the full board for vote. o 109-5-5 o 109-9-1 o 109-9-4 o 109-10-3 o 109-10-5 o 109-15-1 o 109-15-2 The following regulations are currently at the AG s office: o 109-5-1c o 109-5-1e o 109-5-1f o 109-5-3 o 109-7-1 o 109-8-2 o 109-10-1c o 109-10-2 o 109-11-4a o 109-13-1 The national registry sent a letter to the board about the paramedic transition. They will require the certificates from the refresher course to say Refresher/Transition on the certificate and those certificates must be presented at the time of renewal to be accepted. 4
There were 2 requests for I/C without going through an I/C course, but both lacked information and were tabled. Investigatons: The consent agreement criteria was met. The case was closed. This was a self-report by a service director. An EMT who had just completed the EMT-I exams made 2 attempts to start an IV in a hospital setting 2 days after being told she was not an EMT-I until she received her card. Locally, she was suspended, then terminated. She is not currently working for an EMS service. BEMS processed her EMT-I card 5 days after this episode. The committee voted to accept local action and close the case. The committee was not sure they had jurisdiction over this education program. The committee moved to close the case. This case was a patient care self-report from the service. A patient was dropped at the ER entrance. The patient and one tech were injured. The cot and bracket were inspected, with no problems found. It was determined to be a failure to communicate between the attendants. No complaints have been filed by the patient or family. The committee voted to accept local action and close the case. An I/C did not cooperate with KSBEMS and did not follow his syllabus. He was mentoring an I/C candidate at the time. Documents that were submitted to investigations were not what were requested. The committee voted for a summary proceeding order to revoke. There was an education hearing on Wednesday. The attendant did not show. The attendant s certification will be revoked. Dr Hornung would like to see case summaries again. Recommendations from board staff was also discussed. Full Board August 5, 2011 The new KSBEMS members were welcomed. Committee reports from the previous day were given. The education regulations were adopted by roll call vote. All passed unanimously. The recommendation from the Executive Committee to include CPAP for EMTs and above passed. Deputy Attorney General Athena Andaya was introduced. She will be working with the Board on a temporary basis until additional attorneys are hired. The recommendation from the Executive Committee to move the temporary regulations forward passed. The Executive Committee also recommended not requesting funding to continue the on-line medical director s course. Steve Sutton reported $19,460 has been cut from their current budget. Steve Sutton introduced Joe House as the new deputy director, and announced Rashelle Fowler in education. During public comment, Chad Pore reported on the National EMS bike ride that took place in Colorado in June. 5
ICD-10 /PC-ACE Workshop opportunity October 19, 2011. Brandon Payne moved we have a workshop October 19, 2011 from 16:30 to 19:00 with working meal. Jayne Holle provided motion second. Motion passed. Deb Kaufman will facilitate the details. Jayne Holle moved for adjournment. Aden Schillig provided motion second. Motion passed. Respectfully submitted, Deb Kaufman, Secretary (These minutes are pending Council approval.) Members present: Scott Reese, Kirby Gillispie, Chad Churchwell, Michelle Helberg, Daniel Reese, Aden Schillig, Jane Wyatt, Jayne Holle, David Stithem, Deb Kaufman, Candy Bryant, Brandon Payne, and Gary Winter. 6