2013 wisconsin ems update
TRANSCRIPT
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
September 20, 2013
Ray Lemke and Helen Pullen
Wisconsin EMS Update
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
MissionThe mission of the Wisconsin Emergency Medical Services Unit is to ensure that the highest quality and standards of pre-hospital emergency medical care is available to all citizens of and visitors to Wisconsin.
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
VisionThrough leadership, support, and regulation, the EMS Unit ensures the development and maintenance of a high quality Emergency Medical Services delivery system for the State of Wisconsin. Its primary focus is to reduce both human suffering and economic loss from premature death and disability resulting from sudden illness or injury.
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Number of Services• Licensed and/or certified EMS services (792 total statewide)
First Responder Groups (341 certified groups) EMT- Basic (147 licensed services) EMT - Intermediate Technician Intermediate (15 licensed services) Paramedic (136 licensed services) Critical Care Paramedic Endorsed (43
services) Air Medical Services (9 licensed services)
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Personnel• Licensed and/or certified EMS personnel
(20,410 total statewide) First Responders (4,021 certified personnel) EMT-Basics (9,275 licensed personnel) Intermediate Technicians (3,027 licensed
personnel) Intermediates (222 licensed personnel) Paramedics (3,865 licensed personnel)
• 2011 Statewide call volume = 598,416• 2012 Statewide call volume = 716,895
(+118,479)
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Presentations• Working Together Conference• University of Wisconsin Trauma
Symposium• Governor's Traffic Safety Conference• Wisconsin State Fire Chiefs
Association• Paramedic Seminars of Wisconsin• Paramedic Systems of Wisconsin• Wisconsin State Fire Fighters
Association6
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Year in Review• Renewed over 18,000 providers• Implemented the “training center
training permit” process• Revised and approved curricula• Reinstated the normal EMS Board
schedule• Partnered with the Wisconsin
Department of Transportation for first responder grant
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Year in review (cont.)
• Assisted Buffalo County• National Highway Transportation Safety
Administration (NHTSA) assessment• Revised license approval process• Implemented critical care paramedic
level• Partnered with Wisconsin Hospital
Preparedness program to jump start the Tactical EMS program
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Year in review (cont.)
• Became more integrated and involved with public health and hospital preparedness
• Provided first responder waiver• Clarified role of registered nurses on
ambulances• Continue to streamline and update
licensing process
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Looking Forward• Prepare for 2014-2016 renewal
process• Internal review of renewal process to
reduce applications that need manual review
• Addressing the NHTSA recommendations
• Strategic plan development with EMS Board utilizing NHTSA recommendations
• Deploying 2013 first responder grant
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Program Location• Department of Health Services -
Division of Public Health
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Program Websitewww.dhs.wisconsin.gov/EMS
• Considered our “24/7 employee”• Updated frequently• Licensing page
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
National Highway Transportation Safety Administration (NHTSA)
• NHTSA reviewed Wisconsin EMS in June 2012• Recommendations went for public
comment in December 2012• Comments being reviewed by the
Department• Public comments and priorities will be
considered for inclusion in the EMS system strategic plan
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Curricula• Competency Based
o First Responder (49 - 80 Hrs)o EMT - Basic (150-180 Hrs)o Intermediate -Tech (140-150 Hrs)o Intermediate (496 Hrs) o Paramedic (1200 Hrs)
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
WARDS – Wisconsin Ambulance Run Data System
• Required to submit patient care reports
• New epidemiologist• Standard reporting• Service director can manage
personnel• Ability to keep individual and service
demographic information up-to-date• Hospitals should have access for
reports15
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
WISCOM
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• Statewide communications system for all public safety users
• 95% mobile coverage statewide - many areas for portables
• Local, regional, state mutual aid talk groups
• Dedicated talk groups for hospitals, EMS
• Already over 10,000 users
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Director Courses• Service director course
o Five courses completedo Trying to schedule a regular fall and
spring courseoDiscussing development of a “new”
versus “experienced” director course
• Medical director course to WI-TRAIN
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Funding Assistance Program• Application will be sent via e-mail • All expenses will be reviewed• New formula for distribution
o PART A: Base payment of $3,588 plus .03 per capita.
o PART B: Remaining money divided equally Half equally among the services with at least one
EMT-B on the service roster Half divided by the call volume (which will be
validated by the Wisconsin Ambulance Run Data System)
Unused EMT – B training funds must be returned18
WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
First Responder Grants• Department of Transportation• $150,000• Training, equipment, supplies and
marketingo Last year only 19 of 341 services
appliedo This year expanding equipment
Radios, pagers, personal protective gear, short and long spine boards, and road signage/traffic control
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Critical Care Paramedic (CCP)• Compliance date was 1/1/13• Scope implemented• Required plan update
oMedication listo Self-designated medicationso Just-in-time training
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110.35 – Service Policies• (2) (e) Policy requirements
oResponse cancellationo Lights and siren useoDispatch and responseoRefusal of careoDestination determinationo Emergency vehicle operation and driver
safety
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110.42 - TEMS• Training not specified in rule• Affiliation with recognized team• (2) Tactical EMS team recognition
requirementso Protocolso Interaction with local EMSo Liability insuranceoQuality Assurance and Training plan
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Enforcement• 110.54: Reasons why enforcement
may take place• 110.55: Warning letter• 110.56: Reprimand• 110.57: Summary suspension• 110.58: Multiple actions – Revocation• 110.59: Appeals
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Renewals 2014-2016• Will open in November 2013• Transitions to new EMS levels • Check our website for updated
information (www.dhs.wisconsin.gov/ems/License_certification/index.htm)
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
E-Licensing• PLEASE keep contact information
current• This is the primary database for
correspondence• Working to improve system to allow
“opt in” of certain types of e-mails from our office
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110.09 - Renewals• Late renewal – less than 6 months
o Complete refresher activitieso Pay $50 fee
• Reinstatement – 6 months – 24 monthso Complete refresher activitieso Complete National Registry of EMT’s
assessment written and practical examso Pay $75 reinstatement fee
• Lapsed – over 24 monthso Complete original training for specified level
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110.16 - Fees• Late renewal fee - $50• Reinstatement fee - $75• Returned renewal fee - $30• Verification fee - $25• Reciprocity fee - $50• Manual application fee - $35
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Training Permits• Two separate processes
o Training Center Training Permit (all levels) For patient contacts and clinicals Places responsibility on student Provides better screening of applicants with
issues that may prevent them from being licensed
o EMT-Basic Training Permit To be used as part of an EMT-Basic licensed
crew – EMT-Basic level ONLY
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Complaints and Waivers• New form for complaints
o Publico EMS serviceso EMS personnel
• New form for waiver requestsoMedicaloMilitaryoOther ?
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Vehicle Standards• National standards changing
oNational Fire Protection Agency (NFPA) Standard 1917
oGovernment Service Administration (GSA) KKK-A-1822F Standard
oAmerican Society for Testing and Materials (ASTM)
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Board•Working board meetings
o February and August
• Regular board meetingsoApril, June, October, and December
• Now available via webcast• http://www.dhs.wisconsin.gov/ems/
EMSUnit/Board/Meetings.htm
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
EMS Board Committees• Data Management and System
Quality• EMS Systems Management• Education and Training• Service Development• http://www.dhs.wisconsin.gov/ems/
EMSUnit/EMSBoards.htm
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WI EMS Update 2013 DPH/EMS Program
Wisconsin Department of Health Services
Questions?
E-Mail:[email protected]@wisconsin.gov
Website:http://dhs.wisconsin.gov/EMS
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