Wisconsin EMS Update

WI EMS Update 2014 DPH/EMS Program

Wisconsin Department of Health Services

June 25 2014

Jennifer Ullsvik - Section Chief Emergency Health Care and Preparedness Ray Lemke - EMS Coordinator

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 WI Services• Licensed and/or certified EMS services (809 total statewide [11 out of state])

First Responder Groups (343 certified groups) EMT- Basic (137 licensed services) EMT - Intermediate Technician (148 licensed

services) Intermediate (13 licensed services) Paramedic (147 licensed services) Critical Care Paramedic Endorsed (49 services) Air Medical Services (9 licensed services) Tactical EMS Teams (21 recognized teams)

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EMS Personnel• Licensed and/or certified EMS personnel

(19,953 total statewide) First Responders (3,640 certified personnel) EMT-Basics (9,001 licensed personnel) Intermediate Technicians (2,781 licensed personnel) Intermediates (217 licensed personnel) Paramedics (4,285 licensed personnel)

• 2011 Statewide call volume = 631,230• 2012 Statewide call volume = 654,528• 2013 Statewide call volume = 645,182

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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 Firefighter’s

Association 6



Year in Review• As of June 25, 2014 - Renewed

15,796 providers for the 2014-2016 licensing period

• As of June 25, 2014 – Renewed 697 Services

• Licensing renewal webinars• Implemented the “training center

training permit” extension process• Revised and approved first responder

curricula 7



Year in review (cont.)• Assisted local services• Continued partnering with Wisconsin

Hospital Preparedness program to support the Tactical EMS program

• Continued to streamline and update licensing process

• EMS Lean Project

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Year in review (cont.)• Worked with paramedic training

centers to achieve program accreditation

• Updated the State EMS Plan for 2014-2016

• Worked on plan for National EMS Information System dataset upgrade to version 3.0

• New patch vendor• Trauma tourniquet project



Year in review (cont.)• Updated scopes of practice

o EMR Albuterol – Aspirin o EMR Hemostatic agentso Paramedic chest tube monitoringoChanged D50 to dextrose

• Updated course on weapons of mass destruction



Looking Forward• 2014-2016 renewal process• Focus group meetings for renewal

process• Continuing to work on the NHTSA

recommendations• Strategic plan development with EMS

Board utilizing NHTSA recommendations

• RN equivalency application in E-Licensing

• Review of driver safety policies11



Looking Forward (cont.)• Review of revised renewal process• Regionalization discussion• Service director courses

o February 19 – WI RapidsoMarch 13 – Rice LakeoApril 9 – RhinelanderoMay 15 - Fennimore

• Narcan pilot study

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EMS Program Location• Department of Health Services -

Division of Public Health• Room 1150

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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• Public comment requested on

recommendations in December 2012• Department worked with partners to

identify 13 of the 59 priorities as needing immediate attention

• These priorities were included in the 2014-2016 State EMS Plan

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Curricula• Competency Based

o First Responder (49 hours – not including CPR or advanced skills)

o EMT - Basic (150-180 hours)o Intermediate -Tech (140-150 hours)o Intermediate (496 hours) o Paramedic (1200 hours)

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National Scope Transitions• Transition to the new levels and

scopes of practice• Information will be posted on our

website• Investigating best method to

facilitate name changes for EMS levels – in progress

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WARDS – Wisconsin Ambulance Run Data System

• Required to submit patient care reports

• Standard reporting• Service director can manage

personnel• Ability to keep individual and service

demographic information up to date• Hospitals should have access for

reports18



WARDS – Wisconsin Ambulance Run Data System (cont.)

• National EMS Information System compliant submission of data

• Upgrade to Version 3 data set coming by the end of 2014

• Streamlining report process with dynamic run report

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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• Hospital radio installations



Director Courses• Service director course

o Six courses completed since 2011o Four completed so far in 2014

• February 19 – WI Rapids• March 13 – Rice Lake• April 9 – Rhinelander • May 15 - Fennimore

oDiscussing development of a “new” versus “experienced” director course

• Medical director course to WI-TRAIN21



Funding Assistance Program• Application will be sent via e-mail • New electronic application located in

E-Licensing• Change to application to elevate

return of education money• All expenses will be reviewed

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First Responder Grants• Department of Transportation• $150,000 Potential funding• Change in recipient match from 25%

to 75%• Survey regarding viability of grant• Training, equipment, supplies and

marketingo Last year 42 of 341 services applied

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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• DHS 110.42(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• Opened in November 2013• Training focus is on transition to the

new national EMS scope of practice levels

• Renewal information was widely distributed in January/February 2014

• Will be sent via e-mail and U.S. Postal Service

• Check our website for updated information (www.dhs.wisconsin.gov/ems/License_certification/index.htm)

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E-Licensing• New interface!• Please use recovery options on log-in

screen if you lose your username or password

• EMS website link updated• PLEASE keep contact information

current• This is the primary database for

correspondence29



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

Extension of permitso 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)

• Administrative rule TRANS 309 open for revision

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EMS Board•Working board meetings

o February and August• Regular board meetings

oApril, June, October, and December• Now available via webcast

o Static link for meetingso Information on our website

• 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]

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

Main phone:(608) 266-1568

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mailto:[email protected]

mailto:[email protected]

http://dhs.wisconsin.gov/EMS

Documents

Wisconsin EMS Update