EMS and Trauma Regional Deliverables Report

EMS and Trauma Regional Deliverables Report 2017 2019 Regional EMS and Trauma Care System Plan Implementation East Region EMS & Trauma Care Council Contract # N22653 PURPOSE: This report provides documentation to the Washington State Department of Health, Office of Community Health Systems, Emergency Care System Section, on regional system progress toward implementing and accomplishing the Goals, Objectives, and Strategies in the approved 2017-2019 Regional EMS and Trauma Care System Plan. HOW TO USE THIS TEMPLATE: Section1. Regional work on the Goals, Objectives, and Strategies in the Approved Regional Plan Insert all goals, objectives, and strategies from the approved Regional EMS and Trauma Care System Plan into the reporting template below. Use landscape orientation. For strategies, specify in parentheses, the date work is expected to begin on the strategy. Example: Strategy 3. By June the Regional Council will (work expected to begin August 2017) For each reporting period: 1. Give a summary of regional work done, and describe progress on the Regional Plan goals, objectives, and strategies. Progress means doing work or taking action to achieve the objectives and strategies that will fulfill the goal. Report work only under strategies. Report on all strategies that have work scheduled during the reporting period. For strategies with no work during the reporting period, specify No work scheduled or done this reporting period and explain. 2. Changes to the Plan Goals, Objectives, and Strategies require DOH approval through the DOH Plan change process. Clearly identify and add any DOH-approved Plan changes for Goals, Objectives, and/or Strategies during the contract period). Use bold type, note the change, and give the date of DOH approval. (Example: New objective: Obj. 5 By xxx the. (DOH approved xxx date)). 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 1 of 22

3. Changes to Goals, Objectives, and Strategies need to be added to the report in the reporting period in which the Regional Council gets DOH approval. 4. When a strategy is done, report the completion date in the last column. Provide a brief description of work outcomes in the narrative column. Keep this language in all future reports to track work progress. Leave the strategy end date in the completion column, and the description of work outcomes in the narrative column. Report any other work or action on the strategy as an update, with the reporting date. 5. An objective is done when all strategies are complete. Suggest ongoing work is reported in dark green; and, completed work in black color with shaded background. Completed strategies do not need to be reported the following due date. However, in subsequent reports, note where to find the completed documentation in previous reports. Describe any accomplishments and outcomes achieved. 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 2 of 22

East Region EMS & Trauma Care Council Reporting for Months/Year(s) August-September Goals Objectives Strategies - Narrative on work done/outcomes Strategy Completion Date Goal 1: A sustainable regional system of emergency care services that provides appropriate capacity and distribution of resources to support high-quality trauma, cardiac, and stroke patient care. Objective 1: By June 2019, Regional Council will utilize Department of Health standardized methodology to determine minimum and maximum numbers and levels of trauma designated and rehabilitation services in the East Region and forward any recommended revisions Strategy 1: By February 2019, the Regional Quality Improvement Committee will present current Department of Health Approved Trauma, Pediatric, and Rehabilitation Service Designated facility list to the Regional Council for review. (Work begins October ) 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 3 of 22

to the Department of Health. Open designation letter and intent to apply in 9/2019. Department announced designation decisions in 4/2020. Objective 2: By June 2019, the Regional Council will utilize the Washington State Department of Health Standardized methodology to Strategy 2: By February 2019, the Regional Council will request Trauma Registry Data and Analysis report from Department of Health to review in determining minimum and maximum levels of trauma designated and rehabilitation services. (Work begins October ) Strategy 3: By April 2019, the Regional Council will review current Department of Health Approved Trauma, Pediatric, and Rehabilitation Service Designated facility list and forward any identified areas of need or gaps in service to the Department of Health. (Work begins February 2019) Strategy 1: By October, the Prehospital and Transportation Committee will provide the Department of Health Standardized methodology to local councils for determining min/max numbers, levels and types of Prehospital verified services. (Work begins April ) Completed June 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 4 of 22

determine minimum/maximum numbers and levels of verified service types in each county and provide recommendations to the Department of Health. April/May/June : During this reporting period County Councils were provided the Department of Health Standardized methodology for determining min/max numbers. Strategy 2: By December, the Prehospital and Transportation Committee will request Local Councils submit recommended changes to current min/max number, levels and types of Prehospital verified services or other planning needs. (Work begins August ) August/September : During this reporting period County Councils did not advise the Region Council of any unserved or underserved areas, or request information on the DOH min/max guidance document. Strategy 3: By February 2019, the Prehospital and Transportations Committee will review local council recommendations to changes of county minimum and maximum numbers, levels and types of verified services or to determine other planning needs. (Work begins December ) Strategy 4: By April 2019, the Prehospital and Transportation Committee will submit any proposed revisions to county min/max numbers in the approved format to the Regional Council for review. (Work begins February 2019) 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 5 of 22

Strategy 5: By June 2019, the Regional Council will submit any recommended changes to county min/max numbers, levels and/or types of Prehospital verified services to the Department of Health for review and/or approval. (Work begins April 2019) Objective 3: By March 2019, the Regional Council will review the categorization levels for Cardiac and Stroke facilities to ensure consistency of Patient Care Procedures and County Operating Procedures. Strategy 1: Bi-Annually in January, Cardiac and Stroke workgroup in conjunction with the Prehospital and Transportation Committee will review the Regional Council Cardiac and Stroke Patient Care Procedures and County Operating Procedures to ensure consistency with cardiac and stroke categorization. (Work begins August 2017/) October/November 2017: During this reporting period Prehospital and Transportation Committee revised and approved East Region Cardiac and Stroke PCPs to be consistent with State of Washington Prehospital Triage Destination Procedures for both Cardiac and Stroke. Completed November 2017 Goal 2: A Strong, efficient, region-wide system of emergency care services coordinated by the Regional Councils, comprised of multidisciplinary coalitions of health care providers and other partners who are fully engaged in regional and local emergency care services system activities. Objective 1: During July 2017 2019 plan cycle, Strategy 1: By August 2017, or when the Plan is approved by Department of Health, the Regional Council will distribute the Completed July 2017 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 6 of 22

the Regional Council will implement the Regional EMS and Trauma Strategic Plan updated 2017-2019 Plan to Local Councils, MPDs, and post the Plan on the eastregion-ems.org website. (Work begins July 2017) July 2017: During this reporting period the Steering committee approved 2017-2019 Strategic Plan was uploaded to the ncecc.org website and emailed to the North Central Region Council members, County Council Chairpersons, and County MPDs. EMS Trauma Regional Deliverable Report and GANTT chart for work outline was created and distributed to the Region Executive Committee for review. Strategy 2: Throughout the life of the plan, contract deliverable reports will be posted on eastregion-ems.org website. (Work begins August 2017) August/September : During this reporting period contract deliverable reports were posted on the eastregion-ems.org website. Strategy 3: Throughout the life of the plan, contract deliverable reports will be provided to Regional Council members. (Work begins August 2017) August/September : During this reporting period contract deliverable reports were provided to Regional Council members. Objective 2: During the 2017-2019 Plan cycle the Regional Council will facilitate the exchange of information throughout Strategy 1: Monthly, or as appropriate, staff will disseminate emergency care system information to council and committee members, local councils, EMS and hospital providers and community partners within the region by the most appropriate venue available. (Work begins July 2017) 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 7 of 22

the emergency care system. August/September : During this reporting period EWHPR/ R9 Healthcare Coalition updates, WA State Injury Prevention updates, and DOH System information were distributed to system partners. Strategy 2: During the life of the plan, staff will continue to attend community partner meetings representing the Regional Council, as appropriate, sharing information on the emergency care system. (Work begins August 2017) August/September : During this reporting period the Regional Council Executive Committee members attended R9 Healthcare Coalition, State Preparedness meetings, County Council meetings, and Regional QI. Strategy 3: Annually in June, the Regional Council will review a year-end report compiled by the Executive Director, and Chairs and Executive Committee for effective and efficient management of Regional Council activities and operations. (Work begins April /2019) Completed June Objective 3: During the 2017-2019 Plan cycle the Regional Council will work with the State June : During this reporting period the Executive Director provided a year-end report on Regional Council business, Injury Prevention deliverables, and Training and Education costs with numbers served. Strategy 1: Annually by November 30 th, the Regional Council will submit its year end BARS report to the State Auditor s Office for review and approval. (Work begins September 2017/) Completed November 2017 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 8 of 22

Department of Health and the State Auditor s Office to ensure the Regional Council business structure and practices remain compliant with RCW. Objective 4: During the 2017-2019 Plan cycle the Regional Council s Membership Committee evaluate the Regional Council s membership. November 2017: During this reporting period the year end BARS reporting was completed by the Executive Director. Strategy 1: Annually by April, the Membership Committee will review the council structure and report vacancies for recruitment and/or recommend changes as appropriate to the Regional Council for approval. (Work begins February /2019) April : During this reporting period Executive Director newly appointed members, recent resignations, and open council positions were reported on. Strategy 2: Annually by June, the Membership Committee will review the Department of Health Regional council handbook for updates, and distribute to council members as needed. (Work begins April /2019) April/May/June : During this reporting period no updates to the Regional Council handbook were completed. All members have the most current Regional Council handbook. Strategy 3: Annually by June, and throughout the duration of the plan, the Membership Committee in conjunction with the Regional Council will provide membership training for new and current members. (Work begins February /2019) Completed April Completed June Completed June 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 9 of 22

April/May/June : During this reporting period Executive Committee provided new members with Regional Council binder that includes WAC, RCW, Regional Strategic Plan, Regional Council Handbook, DOH maps, Meeting Minutes and Agendas. Objective 5: During the 2017-2019 Plan cycle, East Region EMS Council will work with the Regional Cardiac and Stroke Quality Improvement Committee to assist in information sharing of cardiac and stroke public education and partner updates to the cardiac and stroke system. Strategy 1: During the plan timeframe, East Region Cardiac and Stroke Liaison will work with Regional Cardiac and Stroke Quality Improvement Committee to provide updates on the Cardiac and Stroke system to regional partners. (Work begins August 2017) July : During this reporting period East Region Cardiac and Stroke QI Committee did not meet. Strategy 2: During the plan timeframe, the East Region Cardiac and Stroke Liaison will work with the East Region Injury Prevention Committee to provide cardiac and stroke education to regional partners. (Work begins August 2017) July : During this reporting period the Injury Prevention Committee did not meet. Strategy 3: During the plan timeframe, the East Region Cardiac and Stroke Liaison will provide cardiac and stroke education to be 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 10 of 22

Objective 6: During the 2017-2019 Plan cycle the East Region s Rehabilitation Committee will provide public education to the Regional Council, and its partners in the community. added to the eastregion-ems.org website. (Work begins August 2017) July : During this reporting period education on the eastregion-ems.org website was updated with current links to resources and public service announcements. Strategy 1: Annually in October, as resources are available, the Regional Rehabilitation Committee will present a trauma case review to the Regional Council and/or other community partners upon request. (Work begins August 2017) October 2017: During this reporting period the Rehab Committee Chair presented a multisystem trauma case review of a 74 y/o male involved in a two car MVA with one fatality. Strategy 2: During the Plan timeframe, the Rehabilitation Committee will post educational opportunities related to trauma topics on the eastregion-ems.org website. (Work begins August 2017) April/May/June : During this reporting period telehealth educational presentations on topics involving trauma patients were forwarded to East Region agencies and rural hospitals via email. Presentations were not available to post on the eastregionems.org website. Strategy 3: During the Plan timeframe, the Rehabilitation Committee will develop curriculum and educational materials related to Interactive Concepts of Rehabilitation to provide Completed October 2017 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 11 of 22

Objective 7: During the 2017-2019 Plan cycle the East Region s Rehabilitation Committee will continue to expand its membership. multidisciplinary rehabilitation specific education to local college professional programs, rural hospitals, and other healthcare system partners. (Work begins August 2017) February/March : During this reporting period the Rehab Committee continued providing multidisciplinary education to the EWU Occupational Therapy and Physical Therapy programs and the SFCC PTA and COTA programs on the topics of rehabilitation with trauma patients such as Spinal Cord Injury, Traumatic Brain Injury, and Stroke; as well as education at the WSU school of Medicine on rehab case studies that involve rehab/trauma diagnosis. July : During this reporting period no new work to be reported. Strategy 1: Annually by May, the Rehabilitation Committee will identify and recruit rehabilitation stakeholders within the nine counties in the region to serve on the Rehabilitation Committee. (Work begins February /2019) April/May : During this reporting period the Rehab Committee reached out via email, and face to face communication to those stakeholders who were not participating in an effort to increase committee membership. Completed May Goal 3: A sustainable regional pre-hospital EMS system utilizing standardized, evidencebased procedures and 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 12 of 22

performance measures that address out-ofhospital emergency health care. Objective 1: By June, annually, the Regional Council will utilize a process to identify needs and allocate available funding to support Training Programs. Strategy 1: By September 2017, the Regional Council will develop an East Region System Needs Assessment survey. (Work begins August 2017) August/September 2017: During this reporting period the East Region EMS Council did not meet. A draft survey was sent to the Training and Education/Prehospital and Transportation Committee for review and input. Strategy 2: Annually, by October, the Regional Council will distribute the Needs Assessment Survey to Local Councils, Medical Program Directors, Agencies, and EMS Providers. (Work begins August 2017/) October 2017: During this reporting period the Needs Assessment Survey was distributed to Local Councils, MPDs, Agencies, and EMS Providers. August/September : During this reporting period the Council and Committees who determine the needs assessment did not meet. Strategy 3: Annually, by December, the Regional Council will distribute the Needs Assessment data obtained to each Regional Council Committee. (Work begins October 2017/) Completed September 2017 Completed October 2017 Completed November 2017 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 13 of 22

October/November 2017: During this reporting period the Needs Assessment data was distributed to the Regional Council and Committees. Strategy 4: Annually by February, the Training and Education Committee will determine the proposed training plan for prehospital providers with the Chairs and Executive Committee. (Work begins December 2017/) Completed February February/March : During this reporting period the Training and Education Committee reviewed current contract holders funding and FY19 training proposals. Strategy 5: Annually by April, the Training and Education Committee will present the proposed training plan and fiscal year budget for prehospital providers to the Regional Council for review. (Work begins February 2017/) Completed June April/May/June : During this reporting period the Training and Education Committee reviewed FY19 training proposals and presented to the Regional Council for approval. Strategy 6: Annually by June, the Regional Council will secure deliverable contracts for prehospital provider training. (Work begins April 2017/) Completed June June : During this reporting period the Regional Council approved the Training and Education budget for FY19 that includes continued education for OTEP and Initial and Renewal ESE Courses with current contract holders. 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 14 of 22

Objective 2: By April 2019, the Training and Education Committee will ensure quality education is delivered to prehospital providers. Strategy 1: Throughout the Plan timeframe, the Training and Education Committee will review the prehospital provider feedback from contracted trainings. (Work begins October 2017) April/May/June : During this reporting period, contract holders reported the current program is going well. Attendance is increasing. Strategy 2: Throughout the Plan timeframe, the Training and Education Committee will distribute feedback results from provider training to the Regional Council, Local Councils, Medical Program Directors, and Agencies. (Work begins October 2017) April/May/June : During this reporting period prehospital provider feedback report from contracted training agencies were reported on to Regional and Local Council members. Strategy 3: Annually, By April, the Training and Education Committee will utilize feedback results from provider training to determine the next fiscal year training contracts. (Work begins December 2017/) Completed April February/March : During this reporting period the Training and Education Committee reviewed the feedback and agency survey results and discussed if there are ways to assist rural agencies with scholarships for EMS Courses to help with recruitment of volunteers. It was noted there may be barriers we cannot address with funding: o o Potential workforce unwilling to become EMS provider Lack of budget in agency 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 15 of 22

o Lack of focus on recruiting efforts Those present discussed whether any surveys had been sent out via the State to evaluate potential workforce and if so where those could be sent to. It would be helpful to know what the real reason is that people are unwilling to do volunteer work. Objective 3: By June, the Regional Council s Prehospital and Transportation Committee will develop, review, revise, and implement Regional Patient Care Procedures as appropriate. Strategy 1: By February, or as needed during the planning period, the Prehospital and Transportation committee will review Patient Care Procedures for accuracy. (Work begins October 2017) April/May/June : During this reporting period the Regional PCP for All Hazards MCI DMCC with the Region 9 Healthcare Coalition is still under review. Note: Regional PCP review and revisions will continue past April to give time for a more thorough review and make revisions that are consistent with DOH and legislative updates. Strategy 2: By April, or as needed during the planning period, the Prehospital and Transportation Committee will review, develop and submit recommended revisions to the Regional Patient Care Procedures to the Regional Council for approval. (Work begins December 2017) April/May/June : During this reporting period the Regional PCP for All Hazards MCI DMCC with the Region 9 Healthcare Coalition is still under review. 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 16 of 22

Objective 4: During the 2017-2019 Plan cycle the Prehospital and Transportation Committee will ensure that East Region EMS agency information is accurate. Department of Health representatives provided feedback on HB1721, Cardiac, and Stroke PCPs submitted for approval at May Steering Committee. Note: Regional PCP review and revisions will continue past April to give time for a more thorough review and make revisions that are consistent with DOH and legislative updates. Strategy 3: By June, or as needed during the planning period, the Regional Council will submit any PCP approved recommendations to the Department Of Health and Steering Committee for approval. (Work begins April ) April/May/June : Department of Health representatives provided feedback on HB1721, Cardiac, and Stroke PCPs submitted for approval at May Steering Committee. Note: Regional PCP review and revisions will continue past April to give time for a more thorough review and make revisions that are consistent with DOH and legislative updates. Strategy 1: Annually, by April, the Prehospital and Transportation Committee will begin reviewing the Department of Health Credential Report to ensure that EMS agency information is accurate, if the report is available by that time. (Work begins January /2019) January : During this reporting period the End of Year 2017 EMS Resource Listing provided by Department of Health was distributed to Regional Council, County Council, and MPDs for review. Completed January 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 17 of 22

Strategy 2: Annually, by June, the Executive Director or the appropriate Regional Council representative will submit a report to the Department of Health providing any updated information on EMS agencies within the region. (Work begins April /2019) Completed June April/May/June : During this reporting period no updated information was provided by Agencies to submit to Department of Health. Goal 4: Reduce preventable/premature death and disability through targeted intervention and injury prevention activities and public education programs. Objective 1: During the 2017-2019 Plan cycle the Regional Council will utilize a regional process to identify prevention needs and support evidence based and/or best practice activities. Strategy 1: Annually, by April the IPPE Committee will utilize Department of Health Trauma Registry data and to identify mechanisms of injury that are prevalent in the East Region. (Work begins December 2017/) February/March : During this reporting period IPPE Committee discussed Injury data for East Region and identified falls as the most prevalent mechanism of injury for the region. Strategy 2: Annually, by April the IPPE Committee will forward a recommendation to the Executive Committee that identifies an Completed March Completed April 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 18 of 22

injury prevention delivery plan to include needs and costs for the following year. (Work begins December 2017/) February/March : During this reporting period IPPE Committee determined to continue overall focus on falls prevention. The Committee will recruit members that represent additional injury areas. Strategy 3: Annually, by April the Regional Council will review and approve the IPPE Committee proposal for injury prevention needs and costs. (Work begins February /2019) Completed June April/May/June : During this reporting period the IPPE injury prevention proposal was received and distributed to the Regional Council. Strategy 4: Annually, by June the Regional Council will approve and secure deliverable contracts for IPPE Programs to be funded. (Work begins April /2019) Completed June Objective 2: During the 2017-2019 Plan cycle the Regional Council s Injury Prevention and Public Education Committee will support falls prevention and other appropriate prevention April/May/June : During this reporting period the Regional Council reviewed the injury prevention proposal and approved a budget for FY19. Strategy 1: Bi-monthly, during the Plan cycle, contracted Falls Prevention Partners will provide Regional Council with program activity reports and accomplishments as outlined in contract agreements. (Work begins October 2017) August/September : During this reporting period EAIPPE-1 deliverable report was submitted to East Region. Report EREMS IPPE bimonthly report 201 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 19 of 22

programs within the region. includes SAIL program Activities and meeting minutes. (See document imbedded) Strategy 2: Bi-monthly, during the Plan cycle, contracted Injury Prevention Partners will provide Regional Council with program activity reports and accomplishments as outlined in contract agreements. (Work begins October 2017) April/May/June : During this reporting period, no additional injury prevention partners have been identified and no additional contract agreements have been initiated. Strategy 3: Bi-monthly, during the Plan cycle, contracted Injury and Falls Prevention Partners reports and accomplishments will be posted on the eastregion-ems.org website. (Work begins October 2017) April/May/June : During this reporting period contracted injury prevention partner reports and accomplishments are posted on the eastregion-ems website. Goal 5: A sustainable consolidation of regional administrative functions between the East and North Central Regions is based on the needs of each regional emergency care system. 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 20 of 22

Objective 1: During the 2017-2019 Plan cycle the East and North Central Region Councils will continue sharing of coordinated resources and determine areas of possible consolidation. Strategy 1: Annually, East Region EMS and TC Council will review and approve a contract for Administrative Services with the North Central Region. (Work begins February ) April/May/June : During this reporting period the Administrative Services contract for FY19 was approved by the Regional Council. Strategy 2: During the planning cycle the ED will communicate with the Executive Committees of each region regarding opportunities for further collaboration. (Work begins April ) April/May/June : During this reporting period the Executive Committees determined a date for the North Central and East Region Councils to meet and begin preparations for the 2019-2021 Strategic Planning process. Strategy 3: Throughout the plan timeframe, Executive Committee members, members from Regional Training and Education and Injury Prevention Committees and the Executive Director will review current training and education processes, injury and violence prevention program implementations and regional office administrative components to determine areas of viable consolidation and/or sharing of resources. (Work begins October 2017) April/May/June : During this reporting period no additional areas of consolidation were identified. The North Central and East Region Executive Committee and council members attended a Completed June 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 21 of 22

Board Development Retreat coordinated for both Regional Councils. 2017 2019 EMS and Trauma Regional Deliverables Report East Region Page 22 of 22