Northeast Regional Trauma Council

Northeast Regional Trauma Council Executive Committee Meeting Stormont-Vail HealthCare Pozez Education Center-ACC1 1500 SW 10 th Topeka June 16, 2014 3:00pm 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 Richelle Rumford, Dr. James Longabaugh, Natalie Hartig, Con Olson, Amanda Dreasher, Lois Towster, Dr. Don Fishman. Liz Carlton, Julie Miller Jamie Miller Dr. James Longabaugh (present) Tracy McDonald, Darlene Whitlock Laura Moore, Jason White, Mick McCallum Angie Gamber, Robert Robbins, Tanya Ewert, Dr. William Sachs, Vicki Olberding, April Zeller Jeanette Shipley Call to Order Dr. Don Fishman, chairman, called the meeting to order at 3:00pm. Approval of April 21, 2014 executive committee meeting minutes Approval of April 21, 2014 general membership meeting minutes After review of minutes, Richelle Rumford made the motion to approve the minutes as presented. Con Olson seconded the motion. Motion passed. Trauma Program & Trauma Registry Update Trauma Registry Report: Click here to view report. Jeanette Shipley, Regional Trauma Coordinator Level IV Designations: Holton Community Hospital and Anderson County Hospital received their level IV designation. Anderson County Hospital was designated on April 12, 2014 and Holton Community Hospital was designated May 13, 2014. Members from both hospitals were in attendance of the meeting and were congratulated for their success. Pawnee Valley Community Hospital (SC region) was designated as a level IV trauma center last week. There are 27 level IV trauma centers across the state to date. Level IV Applications: Applications from Community HealthCare System (Onaga), St. Luke Hospital & Living Center (Marion), and Susan B. Allen Memorial Hospital (El Dorado) are currently under review. Level IV Site Reviewer Applications: A request for level IV site reviewer applications was distributed statewide. A number of applications were received. Sabetha Community Hospital will be the first hospital to be reviewed in the NE region. Work is still underway to develop the site review process and review tool. Upcoming educational webinars: o Mounting Evidence Against the Long Spine Board in EMS July 9, 12:00pm o Current Strategies in Management of Traumatic Hemorrhage July 15, 12:00pm o Trauma Centers: Differences Between Level I, II, III, and IV Centers August 12, 12:00pm

It was also suggested by Tracy McDonald to coordinate/provide a webinar on warfarin (similar agents) reversal when a patient that is injured is using one of anticoagulant agents. Dr. Fishman mentioned a presentation that Dr. Ryan Cotton presented at a recent conference that he attended. He suggested contacting him regarding his presentation materials. Tracy volunteered to provide the presentation. Workshops being planned: o Level IV workshop-august 29, 2014 o Trauma Coordinator/Manager Workshop-October 30, 2014 Statewide Leadership Meeting: The Statewide Leadership Meeting is scheduled for October 22, 2014. System Finance Treasurer s Report Richelle Rumford provided the treasurer s report. Richelle Rumford, Treasurer Injury Prevention & Control Tracy McDonald & Darlene Whitlock Stepping On Program (Richelle Rumford) Committee Co-chairs Richelle Rumford advised that she recently completed the Stepping On Program along with the University of Kansas Hospital s new injury prevention coordinator. Richelle is working with Stormont- Vail HealthCare s Healthwise 55 program to provide a six week fall prevention program. SAFE Program Update (Laura Moore, KTSRO) Laura Moore provided the following SAFE Program update: 118 schools in 54 counties participated in the SAFE program in the 2013-2014 school year 47,198 students attend participating schools and heard traffic safety messaging through SAFE Results The average baseline survey for all the schools was 79.7% and the average final survey was 85.5%, making the average increase across all of the participating schools 5.7%^ Standout schools Highest final survey results 100%-West Franklin High School, Franklin County 99%-Jackson Heights Middle/High School, Jackson County 98%-Derby High School, Sedgwick County 98%-DeSoto High School, Johnson County 98%-Ell-Saline High School, Saline County 98%-FL Schagle High School, Wyandotte County 98%-Southeast of Saline High School, Saline County Largest increases: 44%-Osborne Middle/High School, Osborne County 36%-South Barber High School, Barber County 36%-Wheatland High School, Gove County Laura noted that she presented at this year s Lifesaver s Conference in Nashville along with two students from Ottawa. Two other states presented at the conference on their teen driver campaigns. Kansas is a leader across the nation with the SAFE program. Darlene Whitlock advised that Richelle Rumford and she are working with stakeholders to introduce legislation during the next legislation session to tighten-up the seatbelt laws. Discussion followed including how the GDL law has antidotally decreased teen deaths. The committee members were in consensus that the momentum needs to continue in saving lives. Tracy McDonald suggested researching opportunities to work with the Kansas Chapter of SADD on teen driving initiatives.

Darlene advised that she also hopes that the legislation regarding assault to healthcare providers is considered again for the next legislative session, not to mention that a majority of assaults to healthcare providers are from trauma patients. Dr. Fishman suggested collaborating with KHA and/or KDOT regarding a PSA on side-of-the-road pullover motor vehicle crashes. They have seen a number of trauma patients in their facility that have gotten out of their car along a highway after pulling off the roadway and have been struck. Richelle Rumford shared that she recently was involved in a minor accident along the highway in which she pulled off. She called for help but in the meantime, the gal that hit her from behind got out of her vehicle. Richelle encouraged her to get back in her car. Richelle shared that it was a scary incident because people do not slow down or move over when such an incident occurs. The move-over campaign was referred to during discussion. Regional Trauma Plan Priorities System Leadership-Increase membership involvement No activities to report. System Evaluation-Develop a regional performance improvement structure Dr. Fishman inquired the status of the regional PI policy. Jeanette advised that at the last ACT meeting, Dr. Harrison made the recommendation to convene an ACT subcommittee workgroup to review the policy and make changes that reflect the PI language update in the new ACS orange book. Many of the executive committee members voiced frustration of the length of time that it is taking to implement regional PI that we have been working on this for almost two years. Liz strongly noted that We are ready to implement regional PI, we have intelligent people who have great expertise, what needs to be done to move forward with implementation? Jason White was in attendance representing MARCER. MARCER is discussing the peer review protected environment too. Liz advised that she includes EMS in her hospital s peer review under the state of Kansas PSO. Discussion was held regarding the Kansas statute regarding PI and the sunset date of July 1, 2014. Liz voiced that we need to show that regional PI is functional and allowing the law to sunset on July 1, 2016 is shameful. Liz suggested that the state s trauma system be reviewed again to gage progress since the last review which was August 2008. Darlene suggested an ACS external review but knows that it might be cost prohibitive. Liz suggested that if the state can t justify the cost of the external review to look at the possibility of doing another BIS assessment. Liz Carlton made the motion to advocate for a state trauma system review. Richelle Rumford seconded the motion. The motion passed. Prehospital-Field triage guidelines education and implementation Jeanette referred to the EMS survey (included in the meeting packet) that includes data collection questions regarding use of field triage guidelines across the region and state. She shared that when she sent the survey out for review to the six regional trauma council EMS representatives and chairs, one of the regional trauma council EMS representatives voiced concern that if the field triage guidelines are not as main streamed as the color coded triage system (green, yellow, red, blue, black), he doesn t feel that the field triage guidelines will be implemented easily. Discussion included that there is a lot of assumption with EMS that if those patients that are injured and their injuries falls within class I trauma category, the patient absolutely needs to go to a level I trauma center. This is not the case in some instances. Some patients, depending on injuries, location, time to level I trauma center play into the equation as to where the injured patient needs to be transported to. Some severely injured patients need to go to the local level IV trauma center for stabilization and then transferred to definitive care. In some instances, the EMS agency transport patients to their community hospital/trauma center, not because for the good of the patient, but because that is what protocol/medical direction has advised or policy sometimes based on financial/economic reasons for the hospital. There are times that EMS should bypass the local hospital/level IV trauma center and transport to the most appropriate trauma center based on the field triage criteria. There needs to be collaboration between EMS and hospitals

for the best interest and outcomes of the patient. Some weakness of the field triage guidelines were noted including: time and distance to the most appropriate trauma center. It was voiced that this is a good example of why regional PI is imperative, to monitor transports and monitor double and triple jumps before the injured patient arrives to definitive care. After some monitoring is done of the system by regional PI, we may find that the CDC field triage guidelines may need to be altered to meet the needs of our system. It was an overall consensus of the committee that both medical and service directors need to be involved in the field triage guidelines planning and regional PI. The discussion also included bringing in medical insurance providers during field triage guidelines planning so they are aware of system planning of getting the injured patient to the right center. Many times when local hospitals are bypassed, insurance companies won t pay for mileage etc. past the local hospital. Rehabilitation Availability-Develop a rehabilitation resource guide Education Prehospital Natalie Hartig & Con Olson EMS survey template Committee Co-Chairs The committee reviewed the EMS survey template. No additional edits were made to the draft. Acute Hospital Liz Carlton & Darlene Whitlock, Education Report included in meeting packet Committee Co-Chairs Old Business New Business Agenda suggestions for October 22 nd Statewide Meeting BIS assessment-see notes under regional trauma plan priorities Regional Trauma Plan (review/update) for 2015 Identify review committee Jeanette reminded the committee that the regional trauma plan is updated every two years. It is time to review and update the plan. The revised plan will be presented at the 2015 NERTC general membership meeting. Dr. Fishman asked for volunteers to review the plan. Lois Towster, Tracy McDonald, Liz Carlton, Natalie Hartig and Dr. Fishman volunteered to work with Jeanette on updating the plan. Announcements No announcements were made. Adjournment Meeting adjourned at 4:30pm. 2014 Meeting Dates June 16, 2014 executive committee meeting 3:00pm- 4:30pm Stormont-Vail-ACC1 August 11, 2014 executive committee meeting 3:00pm 4:30pm Stormont Vail-ACC1 October 13, 2014 executive committee meeting 1:00pm 2:30pm Conference Call December 8, 2014 executive committee meeting 3:00pm 4:30pm Stormont-Vail-ACC1 2014 Statewide Meeting of the Executive Committees October 22, 2014 Wesley Medical Center, Wichita 2014 ACT Meeting Dates August 20, 2014 10:00am 3:00pm Kansas Medical Society November 5, 2014 10:00am 3:00pm Kansas Medical Society

2014 Policy Group Meeting Dates 2014 User Group Meetings Dates July 23, 2014 September 10, 2014 October 21, 2014 December 10, 2014