EMSAAC Conference 2002 "Filling in the GAPS"
EMS COMPONENT: Facilities & Critical Care
FACILITATOR: Diane Akers
|
No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Identify values provided by Base Hospitals, past and present, and determine how to transition/provide them in the future. | 1) Form statewide committee with representation from Base
Hospital liaisons, hospital administrators, MICN, LEMSA
(EMSAAC) EMS providers' medical directors (EMDAC).
2) Survey 3) Collect data 4) Make recommendations |
EMSAAC/ EMDAC | 7/04 |
| 2 | High | Improve the efficiency of interactions between EMS and facilities and critical care. | 1) State level - Approach DHS to revisit hospital licensure
requirements, including EMS interests.
1a) Develop a forum to share best practices for improving interactions with receiving hospitals. 1b) Take those practices back to LEMSA and implement. |
EMSA/DHS
EMSAAC with hospital councils/assn. & others |
Immedi-ately & ongoing |
| 3 | High | Approach diversion from a statewide perspective. | Set up multi disciplinary Blue Ribbon Task Forces (including lawmaker) to conduct problem solving process and make recommendations. | EMSA | Immediate |
| 4. | Medium | Trauma System sharing | Future EMSAAC conference/forum that includes hospitals/EMSAAC, trauma representation. | EMSAAC | Next year |
|
MECHANISM TO MEASURE IF WE ARE SUCCESSFUL 1) Reduction/elimination of diversion hours. 2) Ensuring values identified for base hospitals are provided in some manner in each LEMSA. 3) More EMS relevant licensure standards. | |||||
SESSION "C" REPORT
EMS COMPONENT: System Organization & Management
FACILITATOR: MikeWilliams
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Access to documents, reports, policies | 1) Web site as central repository, with link and search capability; security and format. 2) Special projects; task force | A. State EMSA
B. EMSAAC defined |
Up to a year |
| 2 | High | EMSA/LEMSA long range planning | 1) Set parameters to include "Vision" process. 2) Multi disciplinary involvement/task force | Joint EMSA/EMSAAC | Ongoing |
| 3 | High | Geographical allocation of EMSA staff | 1) Task force with state involvement to determine/consider different
models.
2) Proposal to the state EMSA |
EMSAAC | 3 years start now |
| 4 | Medium | Mentoring/Orientation | Create a mentoring process which includes topic experts and assignment process and a primer/lexicon. | EMSAAC | Mentoring within 60 days. The rest within one year. |
| 5 | High | Standardization: PRN (i.e., Policies/procedures; titles/job descriptions; terminologies; programs; legal; destinations; data; EMT-1 certification) | Multi disciplinary task force - inventory and prioritize | Joint EMSA/EMSAAC | 2 years ongoing |
| 6 | Medium | Local project sharing | 1) Inventory current and potential shared opportunities. 2) Implement 1 to 3 of the project sharing opportunities. | EMSAAC | Initiate projects within 6 months |
SESSION "C" REPORT
EMS COMPONENT: Communications
FACILITATOR: Jack Becker
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Seamless telecommunications at local, regional, and state levels. a) interfacing systems b)ReddiNet-type system | 1) Create multi disciplinary task force to complete a needs
assessment & develop a plan on that foundation.
2) Creating & identifying funding for telecommunications systems. |
EMSAAC/EMSA | 24-36 mos. |
| 2 | High | Lack of clear statutory authority to establish & enforce EMD standards | Refer to Staffing & Training | ||
| 3 | High | Guidelines for telecommunications need to be updated and maintained to reflect current and progressive technology | EMSAAC maintain a subcommittee to keep guidelines current of technology, policy, & other issues as needed, & provide recommendations to EMSA. | EMSAAC | 1 year |
| 4 | High | Promoting appropriate use of 911 system. | Refer to Public Information & Education | PI&E | |
| 5 | High | Managing additional volume of 911 calls | Collaborate with other local EMS agencies on list serve for existing or potential solutions | LEMSA | Immediate |
SESSION "C" REPORT
EMS COMPONENT: Response & Transport
FACILITATOR: Jack Becker
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Coordinate the development of funded ambulance mutual aid agreements, including mobilizing transport vehicles for disaster response. | Annual conference of EMS specialized working groups in conjunction with EMSAAC Conference. | EMSAAC | 12 months |
| 2 | High | Response time standards shall be revised, using a statewide common definition and methodology that is based on the responsible use of resources, e.g., tiered response. | Annual conference of EMS speciality working groups in conjunction with EMSAAC Conference. | EMSAAC | 12 months |
| 3 | High | LEMSA's should pursue
the development of using
bench marking to arrive
at best practices.
Performance based monitoring. |
EMSAAC Working Groups | 12 months | |
| 4 | High | In conjunction with LEMSA's the State EMSA shall develop a concise summary of HSC1797.201,224,226 with accompanying judicial decisions. | EMSAAC/EMSA | Immediate |
SESSION "C" REPORT
EMS COMPONENT: Data and System Evaluation
FACILITATOR: Diane Akers
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date: (yr) |
| 1 | High | Standardization of data set. | 1) Reverse engineer to identify elements you want. 2) Develop plan to identify what you need. 3) Who is and who isn't collecting data? 4) Rank relevance of data item. 5) Determine what work has been done. 6) Marry QI and technical expertise. 7) Define what the mandatory elements are in data collection. 8) Where are each of the LEMSA's now, so nobody gets left behind. 9) Is the State willing to take the lead? This comes after the other two priorities. Have EMSAAC do an assessment to determine where LEMSA's are today. | Ongoing | |
| 2 | High | Statewide Data Plan | Funds to build ground swell. 1) Analysis of where we are 2) funding 3) Identify what elements we want to study: trauma, training, disaster, continuing education 4) Indicators for those areas you want to study 5) State/Leadership 6) Demographic 7) Protocol 8) Outcome info | EMSAAC | Ongoing |
| 3 | High | Quality Indicators | 1) Task Force include MD and RN 2) Look for clinical process and surveillance indicators deemed most valuable 3) What are the indicators and how decided upon? 1997 Quality Improvement Study. 4) For use on the internet | Ongoing | |
| 4 | High | Continuation of EMSA's data product | Don't let the ball drop after beta testing of Mountain-Valley, Marin, San Mateo, and two others as Vision Group ends 12-02. Prevent the gap between end of vision group and pick up by EMSAAC (i.e., continuation of CEMSIS.) | ||
|
MECHANISM TO MEASURE IF WE ARE SUCCESSFUL 1) Have a multi-disciplinary committee formed with no gap between the Vision group. 2) June 03 - 3 LEMSA putting in data and getting reports back. 3) June 04 - a plan to incorporate all LEMSA into process. 4) June 05 - LEMSA can go to data base and get data. | |||||
SESSION "C" REPORT
EMS COMPONENT: Public Information and Education
FACILITATOR: Ardith Hamilton
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Injury Prevention | 1) Develop registry of established programs on web site including
type, focus, cost issues, narrative info
2) Rate listed programs 3) Library of programs in a single location consistent format 4) Availability of grant sources list5) Permanent Injury Preve3ntion person at EMSA |
EMSA
EMSA LEMSA Grant Project EMSA Employee EMSA |
1-03
1-03 FY03/04 FY03/04 F03/04 |
| 2 | High | Public Education | 1) ID needed programs - need assessment
2) Locate existing programs 3) Develop needed material Increase LEMSA/EMSA emphasis on PI&E (increase funding & staff) Library of programs in single location, consistent format |
LEMSA grant/
EMSA est. PI&E section LEMSA effort LEMSA grant as above |
FY 03/04 |
| 3 | High | PSA/messages | Develop approved PSAs for distribution to LEMSA for use as
appropriate.
1) compile messages, 2)medical buy-off by EMDAC 3) libraries on web site |
LEMSA grant (s/a IP) |
FY 03/04 FY 04 |
| 4 | High | Data | Increase use of data to drive PI&E efforts and to evaluate their impact on the system. | LEMSA (collect)
EMSA (share) |
Immediate |
| 5 | Medium | Non-Injury Prevention | S/A | S/A | S/A |
SESSION "C" REPORT
EMS COMPONENT Disaster
FACILITATOR: Ardith Hamilton
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
|
1 |
High | Medical mutual aid | 1) RDHMSs (1-6) evaluate, review, compile assets list within the
region, and distribute to LEMSA.
2) Finalize statewide medical mutual aid disaster plan |
RDHMS
EMSA & LEMSA administrators |
FY 02/03
TBD |
| 2 | High | Communication | 1) Convene local communication managers to design statewide
medical comm. system using existing resources, i.e., MEDNET
2) Maintain LEMSA awareness of EMSA efforts to create seamless communication (REDDINET/REACT process) and DHS development of surveillance criteria. 3) Form joint oversight EMS/PH committee. 4) Identify medical alternative communication infrastructures in place. Exercise amateur radio communications group. |
EMSAAC
EMSAAC/CCLHO & DHS EMSA/CCLHO
|
12/02
Within 6 mos.
|
| 3 | High | Written material | 1) ID, collect, create material (or modify existing) under committee
supervision (templates).
2) ID tracking officer repository for material. |
EMSA or
EMSAAC
Existing LEMSA grant Future LEMSA grant |
FY 02
FY 02 FY 03 |
| 4 | High | Integration | 1) Present DMS project to appropriate OA committees/personnel.
2) LEMSA to support OA multi disciplinary disaster planning groups to include health facilities. |
RDMHS
M/H OAC |
FY 02/03 |
| 5 | High | Funding | 1) LEMSA to build collaborative relationships with OES. DHS.
2) Obtain info regarding grant availability and share with all LEMSA. 3) Obtain ongoing servicdes to monitor federal legislation and agencies for grant opportunities. |
LEMSA do, and
EMSAAC
support
Petrucci EMSAAC |
ASAP
2 months 6 months |
| 6 | High | Training | 1) RDMHS to facilitate DM & health manager, mutual aid , and
training opportunities.
2) Distribute SEMS, START, HEICS, MCI curriculum to LEMSA. 3) Distribute recommendations for minimum training for medical response personnel. |
EMSA/EMSAAC
Grant project Grant project |
6 months
3 months 3 months |
|
MECHANISM TO MEASURE IF WE ARE SUCCESSFUL Include appropriate participation across disciplines in a M/H disaster exercise and other OA exercises. | |||||
SESSION "C" REPORT
EMS COMPONENT: Staffing & Training
FACILITATOR: Mike Williams
| No. |
Priority
(High, Med) |
Activity / Responsibility | Strategies for Standardization |
Responsible Party |
Goal Date (yr) |
| 1 | High | Standardized EMT processes:
|
Research applications and restrictions of background checks, define a standard re: uniforrmity of certification, background checks and due process, establish secure repository (e.g. web site) on histories. | EMSAAC, possbile throught he EMT-I Task Force | 2 years |
| 5 | Medium | Improve career ladder/resources to achieve | Project resource investigation (e.g. grant/foundation), needs assessment individual and agency, inventory existing model programs, develop model career ladders, network with training programs and other resources appropriate for models, implement model program(s), review outcomes | EMSAAC partnering with educational institution (e.g. career specialists), piloted at the LEMSAs | 5 years |
| 4 | Medium | Develop professionalism foundation for EMS groups | Obtain a special project, defining and establish vision of the "profession," identifying models, target groups, define elements of professionlism, identity develop mentorship program and tools for implementing profession foundation. | EMSAAC to define a LEMSA to lead | < 3 years |
| 2 | High | Standardize EMT program approval | Inventory current approval processes, evaluate best practices (e.g. reviewers, qualifications, etc), prepare standardized approval process, obtain approval | EMSAAC | < 2 year |
| 3 | Medium | School training coordinators and LEMSA to meet for networking (e.g. cross jurisiditional issues, preceptors/FTOs/mentors, accountabilities, etc) | Establish a collaborative operations group (e.g.training + representative LEMSAs), assign identify target issues, develop standardized approaches, and report results. | EMSAAC | 6 months |