RTAC REPORT January 17, GTC RTAC Quarterly Report Template Pages: 2-3. RTAC I Quarterly Report and Contract Update Pages: 4-14

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RTAC REPORT January 17, 2018 GTC RTAC Quarterly Report Template Pages: 2-3 RTAC I Quarterly Report and Contract Update Pages: 4-14 RTAC II Quarterly Report Pages: 15-16 RTAC III Quarterly Report Pages: 17-20 RTAC IV Quarterly Report Pages: 21-22 RTAC V Quarterly Report Pages: 23-24 RTAC VI Quarterly Report Pages: 25-26 RTAC VIII Quarterly Report Pages: 27-28 RTAC IX Quarterly Report Pages: 29-30 Separate Attachments: RTAC IV Regional Plan 1

Quarter: EMS Region RTAC Chair RTAC Coordinator RTAC Quarterly Report Date: Date last BIS Assessment completed: Date last Trauma Plan completed: Projects: State Date Status (Date if Completed) Description and Report Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Trained Schools Completed Counties in Progress Counties Completed Challenges Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Remaining Description/Notes Current Needs: 2

Regional Summary: 3

Quarter: Q1 2018 Date: 1/12/18 EMS Region 1 RTAC Chair Jaina Carnes RTAC Coordinator Jaina Carnes Date last BIS Assessment completed: _4/15/17 Date last Trauma Plan completed: 11/2015 Projects: State Date Status (Date if Completed) Description and Report ongoing Data report- compilation of data from Region 1 Trauma Centers/Level 1 and 2 trauma centers serving region 1- EMS scene times and trauma patient Ongoing through 2018 Stop the Bleed Ongoing through 2018 DART team trainings to include TCCC Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 700 55 14 1 School schedules, unable to meet Board of education in some areas (get diverted to school nurses and cannot get trainings complete). Records keeping is difficult as all positions are voluntary. 4

Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Remaining Unsure of date, but prob 2012. Please check record with Dena (per David Foster). $50,000 Unsure but cannot account for more than $4500 according to David Foster. Description/Notes Before Region 1 had a 501c3, $50,000 was given to an area Trauma Center so that keep records could be kept. David has asked for a ledger but has been unsuccessful in getting it from them. We would like the grant money back to be placed in the Region 1 501c3 account for use. Current Needs: Funded RTAC Coordinator. Regional Summary: 2018 new voting members have been assigned to Subcommittees within the RTAC. BIS goals will be given to the 2018 subcommittees and chairs in January (chairs already have them for planning purposes). Objectives to meet goals and planning of initiatives to meet goals will begin on the subcommittee level. 5

REGION ONE CONTRACTOR UPDATE January 17 th & 18 th, DART Course Redmond EMS Headquarters John Davenport Drive (TC Grant) TECC Courses Limited to 16 students (TC Grant) For DART Personnel Free For Non-DART Personnel $50 Bartow County Feb. 6 th and 9 Th Registration will open in January Walker County March 8 th & 9 th - Registration will open in February Haralson County April 10 th & 13 th - Registration will open in in March GEMS Course @ Hamilton Medical Center /EMS March 23 rd & 30 (NW GA EMS Systems Inc Funded) Day 1 Basic portion Open to all providers Day 2 Advanced portion Open to AEMT, CT & Paramedics (Still need to attend Day 1 for full credit) 6

REGION ONE CONTRACTOR UPDATE 7

REGION ONE CONTRACTOR UPDATE 8

REGION ONE CONTRACTOR UPDATE 9

REGION ONE CONTRACTOR UPDATE 10

REGION ONE CONTRACTOR UPDATE 11

REGION ONE CONTRACTOR UPDATE 12

REGION ONE CONTRACTOR UPDATE 13

REGION ONE CONTRACTOR UPDATE 14

Quarter: 4th Date: January 9, 2018 EMS Region 2 RTAC Chair Chad Black RTAC Coordinator N/A Date last BIS Assessment completed: 2015 Date last Trauma Plan completed: 2017 Projects: Start Date Status (Date if Completed) Description and Report 11/2015 11/2016 First Trauma Symposium 12/2016 11/2017 2 nd Trauma Symposium (2 nd largest EMS Conference in state in 2 nd year with almost 600 in attendance. 01/2018 2018 Trauma Symposium 3 rd Annual Trauma Symposium 01/2018 Develop Trauma App for Region in consideration Trauma App for Smart Phones/IPads/Tablets/Laptops/Desk Top Computers. Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 2656 30 9 4 Improvement with 2 counties slow to start initially. Financial Report: Grant Amount: $ How received: Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining $50,000 $32,000 Original Funding $12,000 0 Funding for 2 nd Symposium. 15

Current Needs: Continued funding and support from the Trauma Commission for annual Trauma Symposium, 2018 planning has started and we will have an interactive Pre-Con for 50 attendees on Thursday prior to the symposium. This works well with the Savannah and Macon conferences/symposiums for the northern end of the state. Regional Summary: Region 2 continues to be proactive with our R.T.A.C. education and planning with great participation for our quarterly meetings that averages 30 attendees. We hope to contiue to allow new Nursing/EMT and Paramedic Students to attend free of charge our annual Trauma Symposium to help their growth in their new chosen profession, and help with their understanding of trauma. The Stop the Bleed Training in our schools is moving rapidly with the two counties who were slow to start now on board. Our Trauma Symposium (2 nd Annual) per Keith Wages is already the 2 nd largest EMS Conference in the state and our hopes are to contuing growing the symposium and other educational opportunites for those in the northern areas of the state. 16

Quarter: 1 RTAC Quarterly Report Date: 01/12/18 EMS Region 3 RTAC Chair Dr. Jeffery Nicholas RTAC Coordinator Justin Barrett Date last BIS Assessment completed: 2015 Date last Trauma Plan completed: 12/2017 Projects: Start Date Status (Date if Completed) Description and Report 07/01/2017 Ongoing STB Education 07/01/2017 Ongoing RTTDC Courses 07/01/2107 Ongoing TNCC Courses 07/01/2017 Ongoing CPSST Courses 07/01/2017 Ongoing Child Abuse Prevention Course 07/01/2017 Ongoing Fatal Vision Courses Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 3895 Newton Gwinnett Cobb Fulton Douglas Dekalb Rockdale 1 School and EMS involvement 17

DESCRIPTION OF SERVICES Total Approved Budget RTAC Quarterly Report Financial Report: Prior Cumulative Agreement Expenditures Current Expenditures Request Balance of Remaining Funds Compensation $35,000.00 $12,013.06 $2,557.40 $20,429.54 Reimbursed Expenses $15,000.00 $5,809.89 $180.36 $9,009.75 Residual Funds $26,249.00 $2,976.42 $434.67 $22,766.90 SUB-TOTAL (GTC reimbursement) $76,249.00 $20,799.37 $2,808.77 $52,640.86 Regional Improvement Grant $14,901.44 $2,846.14 $113.70 $11,941.60 TOTAL $91,150.44 $23,645.51 $2,922.47 $64,582.46 Regional Improvement Grant 51,180.00 Car Seat Safety Technician 4,930.00 Brent Amelinger (220.00) Elizabeth Mays (113.70) Balance 4,596.30 Fatal Vision 31,250.00 Spent (32,500.00) Balance (1,250.00) RTTDC 15,000.00 Books for Southern Regional (1,217.71) Books for Northside (1,418.55) Breakfast For SRMC Course (228.38) Lunch for SRMC Course (330.26) Books for Newton (AUG) (1,418.55) Books for Gwinnett (OCT) -1427.59 Balance 8,958.96 TOTAL BALANCE 12,305.26 18

Current Needs: Distracted Driving tools from Innocorp- $1,700 per kit Fatal Vision tools focusing on holidays and celebrations throughout the year, Example: Super bowl, Saint Patrick's day, Trauma Month, 4th of July. $1,000.00/year Assistance with STB Courses. The Child Abuse Course is a key part of what we do and should remain since it continues to be the leading cause of death of CHOA-8 yrs running. It's more of a Course for EMS/Fire/LE to identify, document, and report abuse(3hr course) Gun Safety Programs Regional Summary: STB: Atlanta (Grady) Grady following up on progress. Buford (GMC) Justin Barrett following up on cooperation issues with the school. Decatur (AMC) Justin Barrett contacting to schedule classes. Clayton County (Grady) Trainings are actively continuing. Cobb County (Kennestone) Training of staff starting this week by Schools Nurses. Dekalb County (AMC) School Nurses are currently training staff. Douglas County (Kennestone) After months of no recipricol contact, Douglas County Fire Department has partnered and will be taking on the task of training the schools. Fulton County (Grady / North Fulton) Training is progress by school nurses. 1 kit per school has been delivered. Gwinnett County (GMC) Training in progress. Advised the training will be complete by the end of the school year. Marietta (Kennestone) Awaiting confirmation that the Marietta City schools have been completed. Newton County - Completed Rockdale County (GMC) Scheduling classes to teach additional staff at schools. 19

Injury Prevention: In addition to our STB efforts if the schools, multiple courses have been held throughout the region by our trauma centers and the injury prevention coordinators. These courses have focused on altered or distracted driving, hemmorhage control, falls, and child abuse. Buford High School Distracted Driving Course Georgia Gwinnett College participated in a Fatal Vision program. Fall presentations to DelMar Gardens and Antebellum James Burgess LTC and ALF facilities. Fatal Vision program at Bethlehem Baptist Church Child Passenger Safety Seat Education at Cobb County Safety Village event Fall Prevention and awareness day at Shepard Center Period of PURPLE crying: abusive head trauma prevention at the Baby Safety Shower at Arthur Blank Foundation PIVOT course to Law Enforcement Alternative to violence course to Atl communities Stop the Bleed Course for multiple Law Enforcement agencies including Marietta Police Dept, Dunwoody Police Department and Gwinnett Police Department. STB courses to Greystone Power STB courses to multiple religious groups STB Course at the GA Gun Club STB courses at Gwinnett Braves games STB course at the Mall of Georgia STB Course to Gwinnett County EMA Partnership for Healthy Communities Child Abuse Prevention Course- 3 classes and A Train the Trainer course in south GA(Leesburg area), one course in Blairsville Peds Trauma and Child Abuse presentation to Kennestone ED Trauma Nurses RTTDC: Gwinnett Medical Center - Duluth Southern Regional Medical Center Northside Hospital - Forsyth Piedmont Hospital - Newton Union General Hospital 20

Quarter: Date 1-15-2018 EMS Region 4 RTAC Chair Steve Folden RTAC Coordinator Date last BIS Assessment completed: 1-2018 Date last Trauma Plan completed: 1-2018 Projects: Start Date Status (Date if Completed) Description and Report 1-2017 Completed Trauma Plan, complete ready for commission approval TECC Courses Part of Regional Improvement Grant, one course complete, others scheduled. Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 870 56 Henry, Butts, Lamar, Carroll Coweta, Fayette, Pike Financial Report: Grant Amount: $75,000 How received: Start Up Funds Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 7-2017 $3,365.00 $71,635.00 Coordinator Pay Grant Amount: $35,000 How received: Regional Improvement Grant Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 6-2016 13196 $4,000 $31,000 TECC, Books, 21

Instructor Regional Summary There was a recent change of RTAC Chair, a coordinator was hired with the start-up funds, due to several reasons she left after a few months of employment. We have completed the Trauma Plan here for approval. We are working through the change in leadership for our RTAC and believe that now all is stable and will be moving along steadily. We have three of the twelve counties in the region complete in Stop The Bleed and moving along well in that project. 22

Date:_01/14/2018 EMS Region 5 RTAC Chair Todd Dixon RTAC Coordinator Kristal Smith RTAC Quarterly Report Date last BIS Assessment completed: 2011 Date last Trauma Plan completed: Implemented Oct 2011, Revised Oct 2016 Projects: State Date Description/ Status Description and Report Feb 2017 LE MAT Program/On-going 600+ LE Personnel trained Dec 2016 Stop the Bleed Trainings/On-going Provider and Trainer training sessions working with CGMRC and other regional partners Stop the Bleed Training for Community Organizations; Stop the Bleed Training and Bleeding Control Stations for Courthouses. More than 1,700 Individuals trained. Stop the Bleed School Response Program: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 1629 84 4 6 --- STB Training Initiated or Complete in Public Schools 23

Financial Report: Grant Amount: $53,771.00 Law Enforcement Mutual Aid Trauma Program How received: Processed through MCNH Regional Trauma System Improvement Grant Date Amount Description Notes 6/16/16 5,104.80 Rescue Essentials Training Materials/Supplies 9/21/16 $44,172.00 Rescue Essentials 600 LE MAT Kits 10/17/16 $441.15 Apparel Authority USB Drives for Instructors 3/25/16 $58.61 Walmart (Faux Blood) Faux Blood 10/17/16 $183.57 Kids Travel Zone Rolling Luggage Bags 2/2/17 $338.70 Medical Supplies Training Materials/Supplies 2/2/17 $129.00 Medical Supplies Training Materials/Supplies 2/14/17 $71.49 Law Enforcement Mutual Aid Training Materials/Supplies 4/17/17 $117.24 Law Enforcement Mutual Aid Training Materials/Supplies 7/13/17 $1,650.00 North American Rescue Training Materials/Supplies 7/13/17 $400.00 USB Memory Direct USB Drives for Instructors 8/30/17 $688.00 Holiday Self-Storage Storage 9/26/17 $129.56 Rescue Essentials Training Materials/Supplies Total Expenditures: $53,484.12 Amount Remaining: $286.88 Grant Amount: $46,710.00 How received: Processed through MCNH School Response Program Date Amount Description Notes 7/13/17 $43,689.20 North American Rescue 160 C-A-T for School Response Bags 1,165 Bleeding Control Kits Total Expenditures: $43,689.20 Amount Remaining: $3,020.8 Grant Amount: $48,224 How received: Processed through MCNH Phase II LE MAT and TECC Courses Date Amount Description Notes - - - - Total Expenditures: --- Amount Remaining: $48,224 Currents Needs: Regional Update: Last RTAC Meeting held 10/11/17. PI Subcommittee continues to meet regularly. 32 Cases reviewed to date. All tourniquet and/or bleeding control kit utilizations reviewed by PI Subcommittee. 24

Quarter: 4 Date:_01/10/2018 EMS Region 6 RTAC Chair Dr. C Ferdinand RTAC Coordinator Patricia Newsome Date last BIS Assessment completed: 2011 Date last Trauma Plan completed: 2011? Projects: Start Date Status (Date if Completed) Description and Report 11/2/17 Completed 12/5/17 Fall prevention-stocking stuffers for elderly Organized, filled over 200 bags to distribute to elderly at Christmas in Region 6. Safety and fall prevention items included in bags 01/8/18 Obtained 1/12/18 Augusta Storage donated 2 10 x 10 units for storage kits x 8 months Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 582- this includes recent training HOSA students from Harlem High 1-Heph Charter School GSICawaiting kits Richmond, Columbia, Scheduled- Emanuel and McDuffie No counties completed; however, EMS trained in McDuffie, Jenkins, Richmond, Columbia, Glascock, Washington/Wilkes, Emanuel, Burke, Warren and waiting on open days in school calendars Entered campaign mid-summerschool calendars full not many opportunities to enter schools. Financial Report: Grant Amount: $ $29,885.31 How received: Processed through AU Award Date Invoice # Invoice Grant Amount Description/Notes Amount Remaining 2017 $545.72 $29,339.59 14 training kits $23,963.60 $5,375.99 695 distribution # Q18-0000002 kits $2800.00 $2,575.99 14 GSW in box 25

#40738 $750.76 $1,825.23(balance) $1,302.00 was reserved for the purchase of 14 leg mannequins for $93 each, but leg not available for this price. Referred back to committee for poss purchase of more training tourniquets or other supplies Ending balance $1,825.23 Current Needs Supplies to build our own GSW boxes Regional update Process of working out a deal with Augusta Storage on the storage of the kits while we finish training. Obtained 1/12/18 Working on building infrastructure in region. School calendars are full so currently training EMS/Fire services in Stop the Bleed so they will be ready to enter schools when permitted. Currently have McDuffie, Richmond/Columbia County/Jefferson(Supervisors trained 1/11/18 (GC), Emanuel, Washington/Wilkes, Warren, Jenkins, Hephzibah police and fire, Burke county(previous trained), Fort Gordon and Harlem Fire trained Waiting on training dates from Lincoln, Screven and Taliaferro Emanuel county has school training scheduled. Initial training canceled due to weather GCIS charter school complete, awaiting kits Meetings with Screven and Jenkins county superintendents for participation letters Training scheduled for several community facilities Training scheduled for Warren County EMS and deputies 1/12/18 Richmond county schools training day scheduled for Feb 20, trying to hold mass training sessions to complete the school- working with superintendent and lead physician or possibility of doing 2-3 large sessions on that date 26

Quarter: Date 1-15-2018 EMS Region 8 RTAC Chair David Edwards, Daphne Stitely RTAC Coordinator Date last BIS Assessment completed: In Progress Date last Trauma Plan completed: In Progress Projects: Start Date Status (Date if Completed) Description and Report 1-2018 In progress BIS Assessment 1-2018 Trauma Plan Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed 89 11 Worth, Thomas, Tift, Lee Dooly EMS Involvement, School System Buy In Financial Report: Grant Amount: $75,000 How received: Start Up Funds Award Date Invoice # Invoice Amount Grant Amount Description/Notes Remaining 7-2016 Regional Summary 27

We had a recent change in RTAC Chair and EMS-Subcommittee appointments. With these changes we believe there to be forward progress on making the RTAC sustainable. Currently working on a timeline for completion of the Regional Trauma Plan. After this is complete we will work on getting the start-up funds currently budgeted from FY 2016. With these the intent is to hire someone to assist with organization. We have began working on the BIS Assessment. And will have a meeting to go over this document in the Region on November 21 st. 28

Quarter: Date: 1/13/18 EMS Region IX RTAC Chair Dr. James Dunne RTAC Coordinator Stephanie Gendron Date last BIS Assessment completed: 2011 Scheduled for 1/22/18 Date last Trauma Plan completed: 2011 Projects: Start Date Status (Date if Completed) Description and Report 8/17 Stop the Bleed- School GTC Stop the Bleed Program Response 11/2017 Stop the Bleed- Regional Private Schools Funding for rural private schools by Region J to train and provide kits to private schools in region IX 9/2017 Trip Reports Establish a standardized trip report form for all EMS units 9/2017 ATV/Golf Cart Safety Create ATV/Golf Cart Safety Program 12/2017 Training public responders- STB Training airport, Savannah Police, Chatham county police and Savannah Fire on STB Stop The Bleed: Please complete the below table by indicating a count of each category listed. Persons Schools Counties in Counties Challenges Trained Completed Progress Completed ~2210 41 12 6 Weather. Maternity leave. Financial Report: Grant Amount: $ How received: Unknown Award Date Invoice # Invoice Amount Grant Amount Remaining Description/Notes 29

Current Needs: I have not been able to receive any info from our EMS council about the status of the regional improvement grant. - Status of Regional Improvement Grant - Involvement from EMS council - Involvement from ALL outside hospitals - Clarification on contract Regional Summary: After missing the first three months of the school-year due to maternity leave- our region has made great progress with STB. We are generally training our region county-bycounty where it is possible. We have great participation throughout the region and it has truly created an atmosphere of collaborationa and idea-sharing. In addition to the School Reponse Program- our Region J council received a grant to provide STB kits to the private schools in the region as well. Our region s RTAC has historically been quiet and ineffective- having a full-time coordinator has rejuvinized the committee however participation from some EMS agencies and outside hospitals could be better. Our position within the region EMS council is close to non-existant and needs to be clarified especially in regards to support from EMS agencies. Without the EMS council supporting the committee there is no motivation for EMS agencies to participate in the council. I have been unable to find information regarding the status of last year s regional improvement grant. Our PI/QA committee has made great progress with regional trip reports the template is being piloted by Bryan County Emergency Services and will soon be utilized by the Level I center s largest EMS agency. Our goal is that this form will be used by all agencies for transport to any hospital in the region. We are partnering with our representatives from the Department of Homeland Security to add an item on their school safety assessment to observe where the Stop the Bleed kits are placed in schools within our region during their annual check. We will be conducting our first BIS asssement in over five years on 1/22/18. We will not be having a stand-alone RTAC conference this year, and will partner with The M. Gage Ochsner Institute for Injury Research and Prevention for a confernce on May 18 th, 2018. 30