Dane County

Minutes - Final Unless Amended by

Committee

Emergency Medical Services - Medical Advisory Subcommittee

Consider:

Who benefits? Who is burdened?

Who does not have a voice at the table?

How can policymakers mitigate unintended consequences?

Monday, January 14, 2019

12:00 PM

Madison Water Utility - 119 E Olin Avenue Madison, WI

A. Call To Order

Guests: Bavery, Lang, Goff

Staff: Meier

12 -

Present

Excused

Absent

RYAN TOMBURRINI, MIKE MANCERA, TINA STRANDLIE, CHRIS CARBON, MIKE

LOHMEIER, MEL PEARLMAN, STEPHANIE LEHMANN, MIKE EJERCITO, LINDA

FORD, KACEY KRONENFELD, SCOTT ALLAIN, and WILLIAM BALLO

9 -

6 -

TERESA FIEDT, ERIN RYAN , SHERRY CASALI, WARREN TRIPP, LISA

SCHIMELPFENIG, KELLY PEDERSON, JEFF POTHOF, KRISTEN DRAGER, and

ERIN POLKINGHORN

PAUL HICK, DAN WILLIAMS, GRAHAM ADSIT , DREW DEAN, JEFF MACHA,

and CHRISTINE RANDALL

B. Consideration of Minutes

This was approved

October MAS Minutes

2018

MIN-327

Attachments: October MAS minutes

November 12th Notes

C. Discussion Items

Infection Control Resource Book

Lohmeier reported to the committee that he has been working to bring the infection

control manual back into discussion. He plans to email the book out to the committee

to take back to their leads to weigh in. Hospital input is vital to improving standardized

operations when public safety experience an exposure.

10 Delta Auto ALS Discussion

Meier reported that there was a request to evaluate the 10 delta auto ALS codes to

determine if ALS is consistently needed. When these codes were initially established

many agencies that are now Advanced were basic and the paramedic skills may not be

needed consistently. Meier will pull more data on these codes and will ask agencies to

also come back to the committee next month prepared to discuss their agency

observations.

Coverdell Stroke Certification

Meier reported the opportunity for Dane County EMS agencies to submit and apply for the

coverdell stroke program within Wisconsin Division of Public Health. The agreement

assures that stroke protocols are in place and stroke centers identified. In return the

state utilizes data and returns that data to EMS agencies for quality assurance. The

committee was in agreement that we should encourage EMS agencies to apply.

Meier will draft a letter

OD Map update

Meier reports that Public Health was able to secure a grant to install OD map with

Imagetrend Elite to monitor overdose situations in real time. This will allow Public

Health and Public Safety to monitor trends in real time. Unfortunately the grant was

requested based on a quote from Imagetrend and Imagetrend now reports that this

interface is not ready. Public health is planning to reach out to the State to discuss

further options. The committee felt asking our providers to use the app directly thru

smart technology might be difficult and it would be best to have this be automatic

through our patient care reporting.

Primary Impression Data Elements

Meier discussed the suggestion by the ALS consortium Medical Directors to decrease

the list of primary impressions for end users to improve quality assurance and accurate

documentation. Discussion included looking at which haven't been used and whether

they could be better grouped by protocols. Meier will work with the Elite workgroup

composed of all levels of EMS providers and bring their recommendation back to the

committee for input.

D. Presentations

E. Reports to Committee

Cardiac Arrest Survivor Breakfast - Saturday February 23rd

The group was reminded of the breakfast scheduled for February 23rd.

F. Future Meeting Items and Dates

G. Public Comment on Items not on the Agenda

Meier thanked Hillebrand for his 20+ years of service as EMS Coordinator for Dane

County EMS. The committte wished him well in retirement.

Kronenfeld updated the group of discussion happening at a national level to change the

scope of the Advanced EMT. Unclear how this would change the Wisconsin scope.

Lohmeier reported out on some of the hot topics at the annual emergency physician

conference.

H. Such Other Business as Allowed by Law

I. Adjourn

This was adjourned

NOTE: If you need an interpreter, translator, materials in alternate formats or other accommodations

to access this service, activity or program, please call the phone number below at least three business

days prior to the meeting.

NOTA: Si necesita un intérprete, un traductor, materiales en formatos alternativos u otros arreglos

para acceder a este servicio, actividad o programa, comuníquese al número de teléfono que figura a

continuación tres días hábiles como mínimo antes de la reunión.

LUS CIM: Yog hais tias koj xav tau ib tug neeg txhais lus, ib tug neeg txhais ntawv, cov ntawv ua lwm

hom ntawv los sis lwm cov kev pab kom siv tau cov kev pab, cov kev ua ub no (activity) los sis qhov

kev pab cuam, thov hu rau tus xov tooj hauv qab yam tsawg peb hnub ua hauj lwm ua ntej yuav tuaj sib

tham.

Contact DCEMS 608.266.4387