This document summarizes Wisconsin's EMS program and provides updates from 2016. It outlines the number and types of EMS services and personnel in the state. It also reviews statewide call volumes from 2013 to 2016. The EMS section is described as having 7 staff members who license approximately 783 services and over 18,000 providers. Information is provided on the EMS website, WARDS data system, funding assistance program, licensing renewals, and E-Licensing. Healthcare coalitions and the EMS board are also summarized.

1. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
James Newlun
Director
Emergency Medical Services
September 22, 2017
Wisconsin Emergency Medical Services

2. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
330
133
10
130
90
65
9
0
50
100
150
200
250
300
350
Number of WI Services
Emergency Medical Responder
EMT-Basic
Intermediate
Advanced Emergency Technician
Paramedic
Critical Care Paramedic
Air Medical
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3. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
3,139
7,908
2,226
124
3,571
1,116
EMS Personnel in Wisconsin
Emergency Medical
Responder
Emergency Medical
Technician
Advanced Emergency
Medical Technician (AEMT)
EMT-Intermediate
Paramedic
Paramedic with Critical Care
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4. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
677,471
704,759
646,289
693,754
610,000
620,000
630,000
640,000
650,000
660,000
670,000
680,000
690,000
700,000
710,000
Statewide Call Volume
2013
2014
2015
2016
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5. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
• Located in the Office of Preparedness
and Emergency Health Care, Division
of Public Health
• Seven staff members, including one
licensing coordinator
• Approximately 783 EMT Services and
18,178 EMS providers licensed bi-
annually
EMS SECTION

6. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
EMS Program Website
www.dhs.wisconsin.gov/EMS
• Available 24/7
• Updated frequently
• Licensing page
• Instructor page
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7. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
NREMT STATES
Blue states represent
those that require
NREMT registration
for licensure.
Red states do not.
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8. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
WARDS Elite: Wisconsin
Ambulance Run Data System
• Standard reporting
• Required to submit patient care reports
• Personnel managed in system by service director
through E-Licensing
• Up-to-date individual and service demographic
information
• Hospital can access the reports
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9. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
• National EMS Information System-compliant
submission of data
• Streamlined report process with dynamic run report
WARDS Elite: Wisconsin
Ambulance Run Data System
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10. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Funding Assistance Program
• Application sent via e-mail
• Electronic application located in E-Licensing
• No need for municipal certification
• All expenses reviewed
• Current budget = 1.96 million
• Funding used for EMT-Basic training and
improvements
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11. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Renewals 2018-2020
• Opens November 1, 2017
• Training focus is on transition to the new national
EMS scope of practice levels
• Website offers updated information
• Operational plan update
(www.dhs.wisconsin.gov/ems/License_certification/index.htm)
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12. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
E-Licensing
• New interface
• EMS website link updated
• Contact information current
• Primary database for correspondence
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13. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110.16 - Fees
• No cost for initial license
• No cost for renewals completed on time
Late renewal: $50 Reinstatement: $75
Returned renewal: $30 Verification:$25
Reciprocity: $50 Manual application: $35

14. WI EMS Update 2016 DPH/EMS Program
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 initial training for specified level
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15. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Training Permits
Two processes:
• Training Center Training Permit (all levels)
o For patient contacts and clinicals
o Places responsibility on student
o Provides better screening of applicants with issues
that may prevent them from being licensed
o Extension of permits
• EMT-Basic Training Permit
(used as part of an EMT-Basic licensed crew – EMT-Basic
level only)
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16. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Waivers
• New form for waiver requests
o Medical
o Military
o other
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17. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Vehicle Standards
• National standards changing: National Fire
Protection Agency 1917 (standard for automotive
ambulances)
• State changes: Trans 309 (administrative code) will
be open for revision
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18. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Wisconsin Healthcare Coalitions (HCC)
• Federal initiative
• Seven regions determined at state level by DHS
• Based on previous hospital preparedness regions,
developed based on patient referral patterns
• Hospitals, public health, emergency management
will participate
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19. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Wisconsin
Healthcare
Coalition
Regions
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20. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Key Components of an HCC
• Regional board of directors – representing involved
disciplines
• Regional HCC coordinator
• Regional trauma coordinator
• HCC medical advisor
• Medical coordination centers (under development)
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21. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
EMS Board
• Regular board meetings: February, April, June,
August, October, and December
• Current meeting locations = Madison and
Wisconsin Dells
• Now available via webcast
o Static link for meetings
o Information on our website
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22. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
EMS Board Committees
• EMS System Quality and Data
• EMS Education and Training
• EMS System Management and Development
• Physician Advisory Committee
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23. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
DHS 110 and WI Statue 256 Updates
Licensure names have been updated in WI Statue
256
• First Responder-> Emergency Medical Responder
• EMT Basic-> Emergency Medical Technician
• Intermediate Technician-> Advanced EMT
• EMT Intermediate->Intermediate
• EMT Paramedic-> Paramedic
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24. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
• No operational plan on file
• Contact information not updated
• No articles of incorporation
• Operating without a medical director
• Work outside of the services scope of
practice
Operational Plans

25. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
• Drug diversions
• Taking transfers while leaving
911 uncovered
• Patient care
• Intoxication or under the
influence of a controlled
substance while on duty
• Deviation of medical protocols
Types of Investigations

26. WI EMS Update 2016 DPH/EMS Program
Wisconsin Department of Health Services
Questions?
E-Mail:
dhsemssmail@dhs.wisconsin.gov
Website:
http://dhs.wisconsin.gov/EMS
Main phone:
(608) 266-1568
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