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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
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
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
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
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
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
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
9/14/2008




    Runs By Role          Average Times




Average Enroute Time   Common Destinations




   Mode To Scene        Mode From Scene




                                                    8
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

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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