2013 Wisconsin EMS Update

WI EMS Update 2013 DPH/EMS Program

Wisconsin Department of Health Services

September 20, 2013

Ray Lemke and Helen Pullen

Wisconsin EMS Update



MissionThe 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.

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VisionThrough 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.

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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)

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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

(+118,479)

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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

Association6



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

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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

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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

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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

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EMS Program Location• Department of Health Services -

Division of Public Health

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EMS Program Websitewww.dhs.wisconsin.gov/EMS

• Considered our “24/7 employee”• Updated frequently• Licensing page

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http://www.dhs.wisconsin.gov/EMS



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

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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)

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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

reports15



WISCOM

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• 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



Director Courses• Service director course

o Five courses completedo Trying to schedule a regular fall and

spring courseoDiscussing development of a “new”

versus “experienced” director course

• Medical director course to WI-TRAIN

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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 returned18



First Responder Grants• Department of Transportation• $150,000• Training, equipment, supplies and

marketingo Last year only 19 of 341 services

appliedo This year expanding equipment

Radios, pagers, personal protective gear, short and long spine boards, and road signage/traffic control

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Critical Care Paramedic (CCP)• Compliance date was 1/1/13• Scope implemented• Required plan update

oMedication listo Self-designated medicationso Just-in-time training

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DHS 110.35 – Service Policies• (2) (e) Policy requirements

oResponse cancellationo Lights and siren useoDispatch and responseoRefusal of careoDestination determinationo Emergency vehicle operation and driver

safety

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DHS 110.42 - TEMS• Training not specified in rule• Affiliation with recognized team• (2) Tactical EMS team recognition

requirementso Protocolso Interaction with local EMSo Liability insuranceoQuality Assurance and Training plan

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Enforcement• 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

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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)

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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

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DHS 110.09 - Renewals• Late renewal – less than 6 months

o Complete refresher activitieso Pay $50 fee

• Reinstatement – 6 months – 24 monthso Complete refresher activitieso Complete National Registry of EMT’s

assessment written and practical examso Pay $75 reinstatement fee

• Lapsed – over 24 monthso Complete original training for specified level

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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

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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

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Complaints and Waivers• New form for complaints

o Publico EMS serviceso EMS personnel

• New form for waiver requestsoMedicaloMilitaryoOther ?

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Vehicle Standards• National standards changing

oNational Fire Protection Agency (NFPA) Standard 1917

oGovernment Service Administration (GSA) KKK-A-1822F Standard

oAmerican Society for Testing and Materials (ASTM)

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EMS Board•Working board meetings

o February and August

• Regular board meetingsoApril, June, October, and December

• Now available via webcast• http://www.dhs.wisconsin.gov/ems/

EMSUnit/Board/Meetings.htm

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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

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Questions?

E-Mail:[email protected]@wisconsin.gov

Website:http://dhs.wisconsin.gov/EMS

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mailto:[email protected]

mailto:[email protected]

http://dhs.wisconsin.gov/EMS

Health & Medicine

2013 Wisconsin EMS Update