CENTRAL REGION EMS AND TRAUMA COUNCIL
MINUTES for July 9, 20142:00pm
Bellevue City Hall
Room 1E-108
2:00
2:05
Call to Order and Introductions
2:04 Chris Martin. Tribute to Dr. Jack Ciliberti who died on 7/8/14.
Review & Approval of Minutes
2:08
Report of the Chair
Introduction: Ken Callahan, King County Fire Commissioner.
2:10 Financial Report
FY 13/14:-37986.38. Balance is $201583 as of end of FY14.
2:15 Local and State Committee Updates
Psychiatric Patient Care Task Force Update – Brant Butte.Tri-folds being redone. Seattle line moving down to Seattle border rather than Henderson. Tri-folds will
go to police, EMS. Idea came from need for police education about where to bring
patients, especially downtown rotation.
King County EMS –Byron Byrne: not present
EMAC – Byron Byrne: not present
DOH –Eva Rooks. Holding interviews for EMS team manager position. Kathy
Schmidt (trauma designation, registry) is leaving/has left. Unsure whether position is
open.Trauma nurse consultant hired: Tim Orcutt. Undergrad from PLU, leader in
emergency medicine. Starts on 7/16. Working on strategic plan. 15% cut because of
education funding issue. Unsure whether it will affect regional councils.
Rehabilitation TAC-Laura Crooks: Outcomes in terms of continuum of care for
trauma patients, end of hospital care. Data collected at end of year. Most of hospitals
use UDS uniform data system, functional independence measure. Includes outcomes
about self care, cognition, social interaction, burden of care for families, efficiency,
length of stay and resource utilization. Can be broken down by diagnosis. Snag in Mayhospitals pay for participation with UDS, but state of WA does not. UDS doesn’t want
them to use it for their outcomes data. DOH helping to work through that. Zeyno
starting to look through data to pull it together for Sam.
2:30
Open Public Meetings Act Training: Eva Rooks
Completed. Action: Eva will provide resources about executive sessions.
3:00 Fall Prevention Workgroup Proposal
Update: interviewed two people for Seattle and outlying King County.
Background on fall prevention program: started 2003 in Bellevue. PTs go into houses of
fall patients to work with patients and outfit their homes to prevent subsequent falls.
Resulted in 27% drop in repeat falls. With funding, program can move into Seattle.
Anticipate 180-200 new participants. Chris: council feels as though we can’t take on
liability or role of employer of project staff, but we can provide funds in grant form
directly to King County EMS, who will then employ the PT. Council and board agreed to
pay the indirect fee to Seattle/King County Public Health. Alan Abe and/or Jim Fogarty
will follow up with new budget and grant proposal., and we’ll discuss at the next
Regional Council meeting.
3:10 Hospital Diversion Update
Rachel Cory reported from WATrac report: 18.42 hours of diversion during MayJune 2014. Highline: had internal disaster with power and equipment failure resulting in
six hours of BLS/ALS divert. Swedish Issaquah had 12.42 hours, but there were no
representatives from the hospital to discuss. Casey Stewart brough question about
whether we can obtain diversion data from other counties, as hospitals in south King
County see patient overflow from Tacoma hospitals. Anne Newcombe sits on the
WATrac steering committee, stated she’ll take the issue there and report back at the
next meeting. Action: Rachel will reach out to Swedish-Issaquah to see if they wish to
have a presence on the Regional Council, Anne will discuss inter-county divert data at
WATrac.
3:20 Goal 3, Objective 4 : Develop plan to address identified issues
Objective 4: By July 2014, the Regional Council will review responses from the EMSC prehospital survey and
HRSA Program Performance Measures 71, 72, 73, and 78 to identify prehospital pediatric emergency care
issues and develop plans to address the identified issues.
Strategy 1: By March 2014, the Regional Council will review responses to the September 2013 prehospital
pediatric needs survey and data from HRSA Program Performance Measures 71, 72, 73, and 78 to identify
prehospital pediatric patient care needs in the Region.
Completed 3-14: The workgroup reviewed HRSA Program Performance Measures 71, 72, 73, and 78 from
the prehospital survey. There were too few responses to determine needs. Online and offline
medical control for pediatric trauma is available to ALS. BLS online control is being trialed in NE
King County. The focus is on whether or not to transfer or not and is is adult focused. There is
access to robust online trainng and hand on training for BLS. ALS providers need more diverse
training.
3:35
Peds Workgroup
Our plan is to work with Sam Arbabi to incorporate pediatric trauma data review into the QA
committee activities at least annually. Work with the Northwest Healthcare Response Network to
promote an annual hospital pediatric care conference. The pediatric care workgroup continues to
meet at the Regional Council meetings to develop strategies to improve both hospital and prehospital pediatric care.
. The Workgroup recommended that the Council consider financing high quality content and train
the trainer classes. The Workgroup will discuss the training issue at the next meeting. Pediatric
equipment on EMS units need to be verified by the Council before proceeding with plan
development to address any equipment deficiencies (Lila O’Mahoney, John Herbert)
Lila O’Mahoney and John Herbert reported that the peds workgroup found a need for
equipment and preparedness, especially for neonates, infants and toddlers.
Departments need to be prepared to handle these patients. These goals could be
accomplished bya conference, train-the-trainer program. Approximate costs TBD.
Council discussed ability to cover funding for a training this year, which could be done in
part by spending down some of our reserves. Action: the peds workgroup will come up
with a proposal with a dollar amount for a train-the-trainer
workshop/conference/training.
4:00
Good of the Order& Adjourn
Good of the order: John Herbert: the largest airport MCI drill in the US is
scheduled for 7/10/14. It will take place on one of the runways at Seatac, and 350
patients will be involved, including some amputee patients. Hospital emergency
departments will be involved as well, taking calls about anticipated patients (though no
patients will actually be brought in).
Adjournment: 3:20pm
Central Region EMS Council Newsletter
WSHA Report (www.wsha.org):
Newsletter page of the WSHA website wsha.org/newsletters/cfm.
State DOH Meeting Dates
CSC
 7-16-14; 9:30-2:00pm Centerpoint Conference Room, Kent
Cost TAC
None scheduled
Hospital TAC/Trauma Medical Directors
 7-16; 8 am - 9:30 am DOHKent Room 307
Injury Prevention and Violence Prevention Teleconference
 7-28-14 10am
Pediatric TAC
Cancelled for July
Prehospital& Wemsis
 Wemsis 8-20-14 8:00am-10:00am DOH-Tumwater Rm 158
 Prehospital 8-29-14 10:00am-2:oopm DOH Tumwater Rm 158
Regional Advisory Committee –
 7-15-14; 11:00am-3:00pm DOH Kent Room 307
Trauma Nurse/Registrar Network
Trauma Medical Directors: See Hospital TAC
WASHINGTON STATE COMMUNITY PARAMEDIC CONFERENCE
November 4&5 SeaTac. www.washingtonfirechiefs.org
NORTHWEST HEALTHCARE RESPONSE NETWORK (NWHRN.ORG)
PLANNING & TRAININGS:
 2014 Pediatric Disaster Readiness Workshop-September 19 Renton