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Agenda Topic

Discussion

Action Steps

Follow-Up from February 8, 2005
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 and provide information to Dennis

Follow-Up from April 13, 2005
Burn Module This module is in development.  
Minutes from November 2, 2005
RTAC Contract Transition The group discussed the transition from HRSA funding for the RTAC Coordinator positions to state funding. (See Attachment for a summary of key points discussed) RTAC Coordinators are to share suggestions about this transition with the RTAC Coordinators, who are members of the STAC Workgroup (Eric Peterson, Dan Diamon, Amy McCray, Lynn Sears).

By November 30, 2005 Amy McCray will distribute to the RTAC Coordinators the spreadsheet outlining the differences in each RTAC.
Certificate of Compliance There are three outstanding Compliance documents that need to be turned in as soon as possible.  
WEEPP Training Training continues to go well. It was discussed that some services do not see this as a high priority. It was agreed to extend the training deadline to April 15, 2006. By November 30, 2005 Dennis will provide a new training request form with the new deadline.
RTAC Contact Information Information needs to be updated By November 30, 2005 Dennis will send out the Contact Information List for up-dating.
Attachment A to WEEPP This document is to be made available for information only to all EMS and First Responder groups. It is the attachment that is referenced in the WEEPP. By November 30, 2005 Dennis will send Attachment A electronically to the RTAC Coordinators.
Triage Tuesday This will be discussed at STAC and then at the December EMS Board meeting. It was also suggested to inform Emergency Management Directors of Triage Tuesday. By January 4, 2006, the RTAC Coordinator Group will develop a promotion plan for Triage Tuesday.
Draw Down of Funds RTACs were informed of their balance to be drawn down.  
Hospitals by RTAC Region A document has been developed that identifies hospitals by RTAC region. By November 30, 2005 Dennis will provide this document to the RTAC Coordinators.

RTAC Coordinators are responsible for adjusting this list and moving hospitals to the appropriate RTAC region; if this is done, the corresponding RTAC Coordinator is to be informed.
2.5.2 ChemPack Protocols It was recommended that a “cheater card” be created to address the following:

1)      how to recognize the symptoms caused by nerve agents

2)      whom to call to access the ChemPack (911 dispatch)

3)      how the ChemPack will be transported to the field

4)      what to do to treat patients exposed to nerve agents; how to administer antidotes, to whom and how much

5)      how to do continued assessment of exposed patients

It was recommended that there is no one way to educate EMS about this and that Medical Directors should receive this information for distribution to their service; in addition, the EMS Board, the LEPC, WEMSA, HRSA PCs and RTAC Coordinators may be able to help with education.

  
6.10 ChemPack Table-Top It was suggested to develop a scenario with instructions on how to address the various steps in the scenario.  
2.5.3 IPS Protocols It was suggested that each LHD provide a memo to its EMS services about the local plan for dispensing of the IPS (where to report, how EMS gets alerted); the LEPC may be a vehicle for planning dispensing with LHDs. This can also be included in the EMS newsletters.  
2.10.7 and 2.10.9 Interoperability Paul Wittkamp provided a summary of some of the key communications issues from the EMS Assessment. RTACs have already identified communications as a serious weakness. By January 4, 2005 the RTAC Coordinator Group will develop short-term and long-term strategies to address communications interoperability.
Trauma System Up-Date Marianne up-dated the group on their role in the implementation of the “Marketing Plan”. Website is found at www.wisconsintraumacare.org. The next phase of the marketing plan is focused on enhancing the public awareness of the trauma system. Staples Marketing will be making appointments with each RTAC to review the marketing plan.
Exercise The Regional RTAC Exercise will focus on activation only. Key participants are EMS and Dispatch. By November 9, 2005 Dan Diamon will develop a draft of the scope of the exercise.

By November 9, 2005 Joe Immerman will develop the objectives for the exercise.

By December 7, 2005 Greg Friese will develop the scenario for the exercise.

By December 7, 2005 Dennis will set up a teleconference for the exercise design team to review all these documents prior to the January 4th meeting.
Next meeting   The next meeting is scheduled for Wednesday, January 4, 2005 from Noon until 3:00 PM at the Crowne Plaza Hotel in Madison.
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

Transition to State Funding: Summary of Key Points Discussed:

  • Marianne is meeting with state fiscal staff to determine various funding options
  • Marianne intends to meet with each RTAC Coordinator personally to discuss this transition
  • Amy McCray has a spreadsheet that she will send to all Coordinators outlining the differences in each RTAC
  • Even though some RTACs have large numbers of services, some RTACs require a great deal of travel and mileage; for those who are salaried these expenses (taxes, mileage, etc.) come out of the salary dollars; oftentimes, there are multiple visits to the same service
  • It is difficult to fund this position as a FT position with benefits included
  • It must be remembered that it was not intended that Coordinators do everything; tasks for Coordinators must be prioritized; there is a tendency for the RTAC to pass on almost all tasks to the Coordinator; this is not realistic
  • It is important to have tasks “institutionalized”; the tasks of the RTAC must become part of hospital and EMS normal daily tasks
  • It must be noted that each RTAC region is very different in its composition and needs
  • It was suggested that to help prioritize tasks, all regions should agree on the top 3  priorities and focus on these priorities versus adding further tasks to the Coordinator to-do list
  • There will be networking opportunities available to the Coordinators under the new meeting structure