Hot Topics In Wisconsin EMS - PSOW 2008
- 1. 9/14/2008 EMS NEWS YOU CAN USE YOU CAN USE Brian Litza EMS Section Chief State of Wisconsin Hot Topics Mission • EMS Status • Basic Refresher The mission of the Wisconsin Emergency • Exam Changes Medical Services Section is to ensure that the • Emergency Driving highest quality and standards of pre‐hospital • National Scope • RN to EMT & emergency medical care is available to all emergency medical care is available to all • Education Paramedic citizens and visitors of Wisconsin. Standards • CCEMT‐P Revised 2007 • Rule Revision • WARDS • Licensing • Renewals VISION Through leadership, support, and Department of Health Services regulation, we ensure the development and (DHS) maintenance of a high quality Emergency Medical Services delivery system. Our Medical Services delivery system Our primary focus is to reduce both the human Bureau of Local Public Health Practice and suffering and economic loss from Emergency Medical Services premature death and disability resulting from sudden illness or injury. (BLPHP&EMS) Revised 2007 1
- 2. 9/14/2008 Bureau Director EMS Section Medical Director Larry Gilbertson State Office Chief Brian Litza Charles Cady, MD Strategic Plan Office Manager Helen Pullen • What is it? Program Assistants Mark Flood • What’s all the buzz? Norah Stofflet Trauma Coordinator • What do I need to know? Vacant / $ First Responder Basic Intermediate Paramedic Coordinator Coordinator Coordinator Coordinator Vacant/ Frozen Nicola Symons Chuck Happel Dana Sechler Data & QI Licensing Communications EMS-C Coordinator Coordinator Coordinator Joyce Andersen Vacant / Frozen LeeAnn Cooper Paul Wittkamp Emergency Driving • Suggestions – Stop at red lights – Require driver training – Use technology Use technology – Drive safe priority – Improve protocols – Legislation 2
- 3. 9/14/2008 National Scope of Practice • Need to adopt • NREMT & Federal Government • Floor – Emergency Medical Responder – EMT – EMT‐Advanced – Paramedic Educational Standards Rule Revision • NHTSA no longer developing curricula • HFS 110, 111, 112, 113 • Estimate 2010 • Outdated and inconsistent • Tied to National Scope • Being drafted • Accreditation • Late fall 2008 – Town Hall Meetings • Early Winter Hearings • Effective July 1, 2009 Rule Highlights Flight Services • Single license • Authority • Special operations • Guidelines • Training permits • Paramedic level • Fees (Volunteer exemption) • Continuity • ? NREMT 3
- 4. 9/14/2008 Licensing • Individual responsibility • Changes on the horizon • New system! Increasing efficiency, accountability, and service EMSS useful not fully developed Web based system Expensive to support Single license issued Unable to be flexible with proposed changes Individual responsibility Life cycle is usually 5 years Service directors responsibilities decreased Automation will reduce work load and increase Connected to WARDS efficiency Paperless ? ? Decrease processing time Licensee uses current WARDS access credentials New users & unaffiliated – on line registration Home page choices based on record Forms based What we do now – b “ l ” “ l h d but “on‐line” & “electronic” ” Service directors maintain roster in WARDS Licensing & WARDS interact and validate 4
- 5. 9/14/2008 Beta by December Pilot start January 2009 Full live deployment June 2009 Subject to change Renewal • Still working on first round • Everyone working LeeAnn Cooper • If a license application has been submitted license is current li i LeeAnn.Cooper@wisconsin.gov 5
- 6. 9/14/2008 Basic Refresher Training Centers • New plan approved • TC Advisory Council • Details coming • Accreditation • June 2009 • Clinical issues • “Sim‐Man” Study • Curriculums Basic EMT Exam EMT IT Exam • Changed to match NREMT • Moving to Electronic Exam • Pilots Continue • Question Bank Completed • OPTIONAL… • EMS TC Advisory Group – Continue to assist pilot – Continue the same way • Fall 2008 Implementation RN to EMT & Paramedic CCEMT‐P • RN‐EMT • UW Madison – UW Madison / LTC – Second pilot complete – 56 Hours Course – PAC reviewing curriculum – 1+ Week Including National Registry 1+ Week Including National Registry – PAC developing scope of PAC developing scope of • RN‐Paramedic practice – LTC – NOT in rule… yet – 140 Hours – Curriculum being finalized and reviewed 6
- 7. 9/14/2008 What’s Going On ? • Compliance • Quality • Reporting • Utilization Chuck Happel Charles.Happel@wisconsin.gov Current Stats 09/2008 The following data is shown for demonstration purposes only. The validity of the information has not been determined. Period is from January 1, 2008 to January 18, 2008 System Information Time of Day 7
- 8. 9/14/2008 Runs By Role Average Times Average Enroute Time Common Destinations Mode To Scene Mode From Scene 8
- 9. 9/14/2008 How to Get Access Questions? • Send E‐mail to Norah Stofflet Norah.Stofflet@wisconsin.gov • Log In – www.emswards.org Brian Litza Brian.Litza@wisconsin.gov @ g (608) 261‐6870 9