Northeast Regional Trauma Council Executive Committee Meeting Stormont Vail HealthCare ACC SW 10 th Topeka June 15, :00pm 4:30pm.

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1 Northeast Regional Trauma Council Executive Committee Meeting Stormont Vail HealthCare ACC SW 10 th Topeka June 15, :00pm 4:30pm Minutes Executive Committee Members present Executive Committee Members absent ACT Representative Sub-Committee Members present Guest present General Membership Members present Trauma Program Staff Dr. Don Fishman, Richelle Rumford, Carl Lee, Con Olson, Lois Towster, Dr. Dale Dalenberg Julie Miller, Jamie Miller, Natalie Hartig, Liz Carlton Dr. James Longabaugh (absent) Teresa Taylor, Darlene Whitlock Tracy McDonald Ron Marshall (KHA), Lori Haskett (KDHE), Steve Hoeger (KU), Julie Schmidt (St. Francis Medical Center), Jason White, Damian Okeefe (Newman Regional Hospital), Samantha Bell, Tammy Newberry (Ransom Memorial Hospital), Becky Bacon (Hiawatha Community Hospital) Kenna Young (Lawrence Memorial Hospital), Vicki Olberding (Holton Community Hospital), Angie Gamber (Stormont-Vail HealthCare) Jeanette Shipley Call to Order Dr. Don Fishman, chairman, called the meeting to order at 3:00pm. Approval of April 20, 2015 executive committee meeting minutes Approval of April 20, 2015 general membership meeting minutes After review of minutes, Richelle Rumford made the motion to approve the minutes as presented. Con Olson seconded the motion. The motion passed. Trauma Program & Trauma Registry Update Carman Allen, Director Trauma Registry Report Kansas Trauma Program Jeanette Shipley provided the following Trauma Program and Registry update: Trauma Registry Report: Click here to view NE registry report. Menorah Hospital and Coffey County Hospital have not reported data for the past year. Program staff has made contact with both hospitals to provide assistance in reporting. General Membership Evaluations: The April 20 th General Membership Meeting evaluations are included in meeting packet for review. Meeting evaluations were good. Level IV Trauma Center Workshop: A Level IV Trauma Workshop is scheduled for July 10, 2015 at Rolling Hills Zoo, Salina Level IV Materials: We have been working on updating level IV materials to reflect the ACS orange book requirements/criteria. An ACT Subcommittee Review Team Meeting is scheduled for June 29, 2015.

2 Level IV Site Visits: Twelve level IV site visits are scheduled between now and the end of the year (11 redesignation and 1 initial). In the NE Region, Hiawatha Community Hospital site redesignation visit will be on October 13, Level IV site visits conducted: Three level IV redesignation site visits have been conducted the first part of the year. Those hospitals include Girard Medical Center (redesignation in process), Sabetha Community Hospital and Mitchell County Hospital. Level IV resource portal: Jeanette is working on developing a resource portal for level IV trauma centers and those hospitals seeking level IV designation. The resource portal should be posted on the website soon. We are encouraging all trauma centers to submit policies/procedures etc. to post on the resource portal. Reminder: A complete list of trauma centers and educational opportunities are listed on website. BIS Assessment Priorities: A Benchmark, Indicators and Scoring (BIS) Assessment was conducted by a team from the American College of Surgeons (ACS) last fall. We are convening a workgroup to identify goals, objectives, and strategies to improve each identified priority. A dashboard will be created to monitor progress on the priorities. The dashboard will be reviewed at each ACT meeting. Invited to participate in the workgroup are members from the Regional Trauma Councils, EMS Councils, KEMSA, KEMTA, KBEMS, KHA, Emergency Preparedness Partners, KDHE-Injury, EMSC & Flex programs, and Partners and Stakeholders. Regional Trauma Councils Meetings: All were a success and all had some great evaluations. In the SW region, we tried something different this year. We call the annual meeting 2015 SWRTC Trauma Symposium and General Membership Meeting. We had a noticeable increase in membership participation. We are encouraging each of the regions to make this change for next year, titling their meetings 2016 NERTC Trauma Symposium and General Membership Meeting. Dr. James Longabaugh s Service on the NERTC and ACT: We will be recognizing Dr. James Longabaugh for his years of service on both the NERTC and ACT at the next ACT meeting scheduled for August 19, NE ACT Representative: From the last NERTC meeting, a nomination letter was sent to the Governor s Office identifying three nominations for the NERTC representative on the ACT. The nominations were Tracy McDonald (The University of Kansas Hospital), Richelle Rumford (Stormont-Vail HealthCare), and Dr. Clint Colberg (Holton Community Hospital). During discussion, Richelle Rumford declined the nomination and suggested that Dr. William Sachs, Stormont- Vail HealthCare be considered for nomination. After discussion Dr. Sachs was identified as an additional nomination. A nomination letter will be sent this week to the Governor s Office. Diversion Report: One of the new criteria for level IVs is that they have a diversion plan in place. For performance improvement monitoring, a regional diversion report will be included in meeting packets. Discussion: In the past, the regional trauma councils have monitored the diversion report for performance improvement. With the new diversion criteria for the trauma centers, the regional trauma councils will again monitor the diversion reporting. Ron Marshall and Julie Schmidt advised caution when reviewing/using the diversion report. Some hospitals in the region don t consistently keep their EMResources up to date.

3 Statewide Leadership Meeting: The 2015 Statewide Leadership Meeting is scheduled for October 21, 2015 at Salina Regional Health Center, Salina. ACT Meeting: The next ACT meeting is scheduled for August 19, Regional Trauma Plan Priorities Priorities System Leadership-Increase membership involvement Discussion included appreciation of the increased participation at both the general membership meeting and the bi-monthly executive committee meetings. System Evaluation-Develop a regional performance improvement structure Discussion included the acknowledgement of the Regional PI plan being approved by the ACT, the need for data for the process, and an approximate timeframe for regional PI meetings to begin. Discussion also included the need for the July 1, 2016 trauma peer review statute to be extended. Prehospital-Field triage guidelines education and implementation Jeanette reminded the committee that the FLEX program will be partnering with us to assist in the education for the need to use field triage guidelines when determining the destination of a trauma patient. Rehabilitation Availability-Develop a rehabilitation resource guide Jeanette advised that Nancy Akin (Trauma Program) will begin work soon to develop an on-line Rehabilitation Resource Guide. Identify Priorities Consider SWOT (strengths, weaknesses, opportunities and threats) Analysis The NERTC held a SWOT Analysis approximately five years ago. It has been suggested to hold a SWOT Analysis to identify the region s priorities for the next two years. It was the general consensus of the committee to conduct a SWOT Analysis on August 10 th prior to the Executive Committee Meeting. Once logistics are changed-scheduled; Jeanette will send an with the information. Regional Trauma Plan updates recommendation Review/Update-currently every 2 years Should every 3 years be considered (start 3 year cycle after 2017 update) Jeanette advised that it has been suggested to change the review cycle of the regional trauma plan from every two years to every three years. Con advised that feels as though we just finish the review and it s time to review and update again. The general consensus of the committee is that every three years would be adequate to update the regional trauma plan. Con Olson made the motion to move the review cycle of the regional trauma plan from every two years to every three years following the update. Richelle Rumford seconded the motion. The motion passed. System Finance Richelle Rumford, Treasurer Treasurer Report Richelle Rumford, Treasurer, presented the Treasurer Report. No changes were made. Injury Prevention & Control Tracy McDonald & Darlene Whitlock Injury Prevention Grant Award Report Committee Co-Chairs Jeanette referred to the Injury Prevention Grant Award listing included in the meeting materials. Darlene Whitlock advised that there has been an interpretation clarification by the ACS regarding screening for alcohol use; patients admitted for less than 24 hours do not need to be screened for alcohol use.

4 Lori Haskett, Injury Program Director, KDHE, advised that her program is fortunate this summer to have a Fellow from CDC joining her team to develop data and monitor prescription drug overdosing. He starts on June 29 th. Lori also reminded everyone of the Midwest Regional Suicide Prevention Conference being held on July 21 23, 2015 at the Kansas City Airport Marriott Hotel in Kansas City, Missouri. This is an offering by the Kansas Youth Suicide Prevention and Kanas Suicide Prevention Resource Center in partnership with state suicide prevention programs in Iowa, Missouri, Nebraska, and the Missouri Mental Health Foundation. Darlene Whitlock advised that a workgroup will continue working on the Primary Seat Belt Law legislation which increases the fine for those not wearing a seatbelt. Prehospital Natalie Hartig & Con Olson Committee Co-Chairs Con Olson advised that the annual KEMSA Conference is quickly approaching in August. This would be a great time for EMS colleagues to get CE hours and network. Acute Hospital Darlene Whitlock & Tracy Taylor Education Report Committee Co-Chairs Jeanette referred to the Education Report included in the meeting materials. Darlene Whitlock and Tracy McDonald spoke to a TNCC conference call that was held earlier in the day. The TNCC call was held with a small number of TNCC instructors from across the state. It was brought to the attention of the ACT that there has been some difficulty of nurses passing TNCC, especially new graduates. The conference call was held to brainstorm for suggestions to assist in develop a plan to help TNCC candidates be successful in passing the course. Suggestions from the conference call included: Make a formalized list of expectations of both the instructors and participants. Developing a letter template (letter of agreement) that would accompany the book that is sent to the TNCC candidates expressing the need to study for the course prior to the class. Monitor the time frame in which books are sent to participants (books should be sent at least two weeks in advance of the class). Host/hold a TNCC Instructor Networking Conference Call quarterly to address issue/problem trends being identified. Education Funding Policy Jeanette referred to the Education Funding Policy included in the meeting materials. Jeanette advised that she recently had a TNCC roster (from another region) submitted that included a LPN and EMS provider. Jeanette asked for clarification on the reimbursement structure for TNCC. It has been the understanding that the TNCC is for ER/Trauma Nurses. With the submission of an LPN and EMS provider on a roster, do these participants fall within the reimbursement structure? After extensive discussion, it was the recommendation and general consensus of the executive committee to only provide grant reimbursement of only those that can be certified in TNCC and hold a credential card. It was suggested that the regional trauma council and state program work together to coordinate the classes that are partially funded through the regional trauma councils including TNCC, PHTLS, and RTTDC. This would help with several factors: o Identifying instructors o Providing textbooks within a consistent timeframe o Assist with equalizing the registration fee charged to each participant o Timely submission of paperwork Regional PI Discuss implementation plan See notes under Regional Priorities.

5 Old Business No old business for discussion. New Business Identify NERTC executive committee vice-chairman Dr. Fishman asked Dr. Dalenberg, Ransom Memorial Hospital, the newest physician representative to the NERTC if he would be interested in serving as vice-chairman of the committee. Dr. Dalenberg advised that he would consider it. Dr. Fishman appointed Dr. Dalenberg as vice-chair of the committee. Agenda suggestions for Statewide Leadership meeting o Region Planning Representatives: Richelle Rumford, Tracy McDonald, Darlene Whitlock, Lois Towster No suggestions were made at this time Meeting Dates & Times o Bimonthly-2 nd Monday February 8, 2016-Executive Committee April 11, 2016-General Membership & Executive Committee June 13, 2016-Executive Committee August 8, 2016-Executive Committee October 10, 2016-Execuitve Committee December 12, 2016-Executive Committee Jeanette advised that she has been asked to set dates for 2016 on more of a consistent rotating basis. The dates proposed are the 2 nd Monday of every other month. After review of proposed dates, no changes were requested. Announcements Jeanette advised she would like try something new. She asked that we go around the room and ask everyone to share regarding their program. Several attendees shared some highlights of their program. The sharing will become part of the agenda and items shared will be part of the minutes from this point forward. The sharing request was received well by all. Adjournment Meeting adjourned at 4:25pm Meeting Dates June 15, :00pm 4:30pm Stormont-Vail HealthCare (ACC-1) August 10, :00pm 4:30pm Lawrence Memorial Hospital October 12, :00pm- 2:30pm Conference Call December 7, :00pm 4:30pm Stormont-Vail HealthCare (ACC-8) 2015 Statewide Leadership Meeting October 21, 2015 Times TBA Salina Regional Health Center, Salina 2015 ACT Meetings August 19, :00am 3:00pm Kansas Medical Society November 4, :00am 3:00pm Kansas Medical Society 2016 ACT Meetings February 3, :00am 3:00pm Location: TBA May 4, :00am 3:00pm Location: TBA August 17, :00am 3:00pm Location: TBA November 2, :00am 3:00pm Location: TBA