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2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
2013 Wisconsin EMS Update
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2013 Wisconsin EMS Update

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  • Suggested hours 49 core class excluding any additional skills training
  • Sept 30 a filter into WARDS for destination codes Change to NEMSIS 3.0 upcoming if using a third party software please communicate with your vendor in anticipation of the change.
  • Ongoing discussions on destination determination policies Service renewals may include updates of these policies Will also be investigating the driving policy based on the NITSA recommendations. Trans 309 being revised to focus more on safety and functionality vs. supplies count
  • .edu e-mail addresses a concern
  • KKK is the standard it is not an abbreviation. It is the letter sequence of the document when it was issued. K standard to be retired Jan 2015.
  • Transcript

    • 1. Wisconsin Department of Health Services W sconsi n EM i S U pdat e September 20, 2013 Ray Lemke and Helen Pullen WI EMS Update 2013 DPH/EMS Program
    • 2. Wisconsin Department of Health Services Mission The 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. WI EMS Update 2013 DPH/EMS Program 2
    • 3. Wisconsin Department of Health Services Vision Through 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. WI EMS Update 2013 DPH/EMS Program 3
    • 4. 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) WI EMS Update 2013 DPH/EMS Program 4
    • 5. 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 WI EMS Update 2013 (+118,479) DPH/EMS Program 5
    • 6. 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 Association WI EMS Update 2013 DPH/EMS Program 6
    • 7. 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 WI EMS Update 2013 DPH/EMS Program 7
    • 8. 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 WI EMS Update 2013 DPH/EMS Program 8
    • 9. 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 WI EMS Update 2013 DPH/EMS Program 9
    • 10. 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 WI EMS Update 2013 DPH/EMS Program 10
    • 11. Wisconsin Department of Health Services EM Pr ogr amLocat i on S • Department of Health Services - Division of Public Health WI EMS Update 2013 DPH/EMS Program 11
    • 12. Wisconsin Department of Health Services EMS Program Website www.dhs.wisconsin.gov/EMS • Considered our “24/7 employee” • Updated frequently • Licensing page WI EMS Update 2013 DPH/EMS Program 12
    • 13. 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 WI EMS Update 2013 DPH/EMS Program 13
    • 14. 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) WI EMS Update 2013 DPH/EMS Program 14
    • 15. 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 reports WI EMS Update 2013 DPH/EMS Program 15
    • 16. Wisconsin Department of Health Services WISCOM • 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 16
    • 17. Wisconsin Department of Health Services Director Courses • Service director course o Five courses completed o Trying to schedule a regular fall and spring course o Discussing development of a “new” versus “experienced” director course • Medical director course to WI-TRAIN WI EMS Update 2013 DPH/EMS Program 17
    • 18. 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 returned WI EMS Update 2013 DPH/EMS Program 18
    • 19. Wisconsin Department of Health Services First Responder Grants • Department of Transportation • $150,000 • Training, equipment, supplies and marketing o Last year only 19 of 341 services applied o This year expanding equipment  Radios, pagers, personal protective gear, short and long spine boards, and road signage/traffic control WI EMS Update 2013 DPH/EMS Program 19
    • 20. Wisconsin Department of Health Services Critical Care Paramedic (CCP) • Compliance date was 1/1/13 • Scope implemented • Required plan update o Medication list o Self-designated medications o Just-in-time training WI EMS Update 2013 DPH/EMS Program 20
    • 21. Wisconsin Department of Health Services DHS 110.35 – Service Policies • (2) (e) Policy requirements o Response cancellation o Lights and siren use o Dispatch and response o Refusal of care o Destination determination o Emergency vehicle operation and driver safety WI EMS Update 2013 DPH/EMS Program 21
    • 22. Wisconsin Department of Health Services DHS 110.42 - TEMS • Training not specified in rule • Affiliation with recognized team • (2) Tactical EMS team recognition requirements o Protocols o Interaction with local EMS o Liability insurance o Quality Assurance and Training plan WI EMS Update 2013 DPH/EMS Program 22
    • 23. Wisconsin Department of Health Services Enf or cem ent • 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 WI EMS Update 2013 DPH/EMS Program 23
    • 24. 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) WI EMS Update 2013 DPH/EMS Program 24
    • 25. 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 WI EMS Update 2013 DPH/EMS Program 25
    • 26. Wisconsin Department of Health Services DHS 110.09 - Renewals • Late renewal – less than 6 months o Complete refresher activities o Pay $50 fee • Reinstatement – 6 months – 24 months o Complete refresher activities o Complete National Registry of EMT’s assessment written and practical exams o Pay $75 reinstatement fee • Lapsed – over 24 months o Complete original training for specified level WI EMS Update 2013 DPH/EMS Program 26
    • 27. 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 WI EMS Update 2013 DPH/EMS Program 27
    • 28. 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 WI EMS Update 2013 DPH/EMS Program 28
    • 29. Wisconsin Department of Health Services Complaints and Waivers • New form for complaints o Public o EMS services o EMS personnel • New form for waiver requests o Medical o Military o Other ? WI EMS Update 2013 DPH/EMS Program 29
    • 30. Wisconsin Department of Health Services Vehicle Standards • National standards changing o National Fire Protection Agency (NFPA) Standard 1917 o Government Service Administration (GSA) KKKA-1822F Standard o American Society for Testing and Materials (ASTM) WI EMS Update 2013 DPH/EMS Program 30
    • 31. Wisconsin Department of Health Services EMS Board • Working board meetings o February and August • Regular board meetings o April, June, October, and December • Now available via webcast • http://www.dhs.wisconsin.gov/ems/EMSUnit/ Board/Meetings.htm WI EMS Update 2013 DPH/EMS Program 31
    • 32. 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 WI EMS Update 2013 DPH/EMS Program 32
    • 33. Wisconsin Department of Health Services Questions? E-Mail: Helen.Pullen@wisconsin.gov Ray.Lemke@wisconsin.gov Website: http://dhs.wisconsin.gov/EMS WI EMS Update 2013 DPH/EMS Program 33

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