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Agenda Topic

Discussion

Action Steps

Follow-Up from February 8, 2005
Ambulances and First Responders It was agreed that services will be referred to as Transport and Non-Transport services. Ambulances are licensed and thus there is an accurate listing of these services. First Responders are neither licensed nor certified, thus it is not possible to determine accurately how many there are.

Emergency rules have been passed requiring First Responders to be certified. There is now a 150 days waiting period. In late December First Responders must become certified over time.

  
Status of WEEPP It was also discussed that further research needs to be done on the need to provide treatment in a disaster without the permission/direction of medical control. Marianne will research on treatment in a disaster without direction from medical control

Follow-Up from April 13, 2005
Burn Module This module is in development.  
Follow-Up from June 1, 2005
HAN RTAC and STAC documents are archived on the HAN By July 31, 2005 Dennis will place all RTAC documents on the HAN.

By July 31, 2005 RTAC Coordinators are to have HAN access.
Minutes of July 13, 2005
Minutes The minutes of June 13, 2005 were approved as written.  
WEEPP Training Coordinators reviewed status of training. It was recommended that any service interested in further START training is to contact their coordinator for options. FAP funds are being distributed to EMS ($840,000). It was recommended that coordinators encourage their services to clean up their rosters as they list all service membership for WEEPP training reimbursement purposes. Dennis will include information about EMS services joining an RTAC (HFS 118.07) in the reimbursement letter.

Dennis will develop an ERRATA list for some errors that have been discovered in the WEEPP training module.
WEEPP Training for First Responders It was agreed that WEEPP training is important for First Responders. Depending upon the extent of expected FY 2006 HRSA budget cuts, limited funds to assist First Responders preparedness needs will be considered. It was agreed to proceed with the purchase of a pocket START and JumpSTART summary. By July 31, 2005 RTAC Coordinators will notify Dennis of the number of DVDs needed for First Responders in their RTAC.

By July 31, 2005 Joe Immerman will develop a draft of a “preparedness kit’ that will be given to First Responders for completion of WEEPP training. (This “kit” will be reviewed by the Coordinators)

By July 31, 2005 Dan Diamon will send a sample of the START pocket summary to Dennis. (This “summary” will be reviewed by the Coordinators)

By July 31, 2005 Dennis will develop “Instructions” to be followed for EMS Transport and First Responders to receive reimbursement for WEEPP training. (Coordinators are to keep copies of reimbursement forms)
Reimbursement Letter The letter that will contain the reimbursement check will speak of “restricted use” of funds (funds cannot be used for city/county purposes) and suggested uses. Funds are to be used for preparedness such as fanny packs, triage tape, triage tags, treatment area set-up kits, vest, portable lighting, continuing preparedness training, etc. By July 31, Dennis will develop a Cover Letter to accompany the reimbursement check, dealing with restricted and suggested uses of funds.
Lists of Services   By July 31, 2005 Anne-Marie Gates will send lists of services to RTAC Coordinators.

RTAC Coordinators will maintain these lists hereafter.
Proposed Trauma System Budget Budget submitted to the Governor includes $50K per RTAC for the Coordinator position and $90K for site visits. If this is passed, HRSA funds for this purpose will be replaced by these state funds. Marianne also up-dated group on hospital designation status.  
Draw Down of Funds The process and status of drawing down HRSA funds was discussed. It was also agreed that “residual “ funds can be reassigned from one RTAC to others or to state-wide projects similar to the way hospital regions manage residual funds. By July 31, 2005 RTAC Coordinators are to share this status report with their fiscal agents.

Use of residual funds will be discussed by RTAC Coordinators at the August RTAC meeting.
Compliance Report The purpose of the Compliance Report as an accountability document to show that requirements of the Performance-Based Contract have been accomplished was discussed. By July 31, 2005 Dennis will send revised Compliance Report to RTAC Coordinators. Report is due September 30, 2005.

RTAC Coordinators will review draft of the Compliance Report for the 9/05 – 8/06 contract period at the August meeting.
September Conference The agenda of the September Preparedness Conference was reviewed. Also, the agenda of the September Radiation Management Conference was reviewed. Dennis will send conference materials to RTAC Coordinators as soon as they become available.
Review of FY 2005 HRSA Grant  The group identified those Action Steps in the Grant that needs the input of the RTACs. The following is the list with those in BOLD being the first that we will deal with:

2.1.8: State Expert Panel on Pediatric Preparedness

2.1.9: Resource and bed capacity reporting

2.4.1: Promotion of WEAVR to EMS

2.5.2: ChemPack protocols for EMS

2.5.3: IPS protocols for EMS

2.10.7: Communications Interoperability

2.10.9: Applicability of Interoperability to EMS

3.1: 9/05 – 8/06 Workplan for RTAC Coordinators

3.2: EMS transport of infectious/contaminated patients

3.3: Integration of military and EMS triage

3.4: Tagging and tracking protocols

3.5: Peds patients with special needs

4.2.2: Relation of surveillance to injury trends

5.2: EMS input into curricula development

5.4: WEEPP training

5.6: Management of patients by EMS exposed to radiation

6.5: EMS and the EOC Hospital Liaison

6.7: Triage Tuesday

6.8: Regional RTAC Exercises

6.9: ChemPack Table-top exercise

6.10: EMSC Annual Conference

The RTAC Coordinators are responsible for assisting in developing the implementation detail behind these Action Steps.
2.1.8: State Expert Panel on Pediatric Preparedness Membership: It was recommended that the EMSC Committee be used as a base for this Expert Panel. Panel needs to have a good geo mix and a rural/metro/size mix. It was recommended that a school nurse serve on the Panel.

Mission: to identify challenges in pediatric care in a mass casualty incident and recommendations for resolution; address objectives of HRSA action Step 3.5.

Desired Result: more than “buy more equipment”; incorporate any recommendations into the WEEPP; checklists to identify that the service is “ready” for pediatric patient care.

  
3.1: 9/05 – 8/06 Workplan for RTAC Coordinators The workplan will have 3 sections:

Part A: complete WEEPP training by 2/2/8/06 and complete regional exercises by 8/31/06.

Part B: Identify other HRSA Action Steps from list above

Part C: identify other key RTAC responsibilities

 Dennis will draft of the 9/05 – 8/06 Compliance Report for review by the RTAC Coordinators at their August meeting.
3.4: Tagging and tracking protocols The goal is to have consistent tagging and tracking protocols across the state. We all have the responsibility to answer the question: “Where is my loved one?” Initial discussion of critical information needed to accomplish this includes:
  • there needs to be a connection between the triage tag # and any # issued by the hospital(s)
  • tag/tracking must be based on START triage protocols
  • tag to include chemical symptomology and treatment, if applicable
  • tag to incorporate whether personal belongings/valuables are being transported with patient or, if not, how to identify location of these belongings/valuables
  • cross reference to other patients on scene triaged/treated/transferred, who may be related to the patient tagged
  • identify if the patient is a special needs group

It was agreed that no tag can contain everything needed, but we need to think “outside the box” and then identify those items that are critical high priorities. No decision will be made on tagging/tracking protocols until there is involvement of all key constituents.

 RTAC Coordinators are to share this project with their RTAC and seek input and comments.
OJA Funding for EMS Funding is available for EMS through OJA RTAC Coordinators are to make their services aware of these funds. They will need to contact their county Emergency Management Director.
Next Meetings August 10 (Plover)

September 7 ( Madison after STAC)

October 12 ( Madison after STAC)

November 2 ( Madison after STAC)

No meeting in December

 
Those in Attendance in BOLD:

Dan Diamon, Lake Superior RTAC Coordinator

Greg Friese, North Central RTAC Coordinator

Tracey Froiland, HRSA Leadership

Jennifer Gerdmann, Northeast RTAC Co-Coordinator

Tammi Hovde, West Central RTAC Coordinator

Joseph Immermann, Southwest RTAC Coordinator

 Amy McCray, Southeast RTAC Coordinator

Judy Jones, North Northwest RTAC Coordinator

Robert Nack, Fox Valley RTAC Coordinator

Marianne Peck, State Trauma Coordinator

Eric Peterson, Northeast RTAC Co-Coordinator

Lynne Sears, South Central RTAC Coordinator

Dennis Tomczyk, HRSA Hospital Preparedness Director