Wisconsin Department of Health Services
Wisconsin EMS
Update
June 25 2014
Jennifer Ullsvik - Section Chief Emergency Health
Care and Preparedness
Ray Lemke - EMS Coordinator
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Wisconsin Department of Health Services
Mission
The mission of the Wisconsin Emergency Medical
Services Unit is to ensure that the highest quality
and standards of pre-hospital emergency medical
care is available to all citizens of and visitors to
Wisconsin.
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Wisconsin Department of Health Services
Vision
Through leadership, support, and regulation, the
EMS Unit ensures the development and
maintenance of a high quality Emergency Medical
Services delivery system for the State of Wisconsin.
Its primary focus is to reduce both human suffering
and economic loss from premature death and
disability resulting from sudden illness or injury.
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Wisconsin Department of Health Services
Number of WI Services
• Licensed and/or certified EMS services
(809 total statewide [11 out of state])
 First Responder Groups (343 certified groups)
 EMT- Basic (137 licensed services)
 EMT - Intermediate Technician (148 licensed
services)
 Intermediate (13 licensed services)
 Paramedic (147 licensed services)
 Critical Care Paramedic Endorsed (49 services)
 Air Medical Services (9 licensed services)
 Tactical EMS Teams (21 recognized teams)
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Wisconsin Department of Health Services
EMS Personnel
• Licensed and/or certified EMS personnel
(19,953 total statewide)





First Responders (3,640 certified personnel)
EMT-Basics (9,001 licensed personnel)
Intermediate Technicians (2,781 licensed personnel)
Intermediates (217 licensed personnel)
Paramedics (4,285 licensed personnel)
• 2011 Statewide call volume = 631,230
• 2012 Statewide call volume = 654,528
• 2013 Statewide call volume = 645,182
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Wisconsin Department of Health Services
EMS Presentations
• Working Together Conference
• University of Wisconsin Trauma
Symposium
• Governor's Traffic Safety Conference
• Wisconsin State Fire Chiefs Association
• Paramedic Seminars of Wisconsin
• Paramedic Systems of Wisconsin
• Wisconsin State Firefighter’s Association
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Wisconsin Department of Health Services
Year in Review
• As of June 25, 2014 - Renewed 15,796
providers for the 2014-2016 licensing period
• As of June 25, 2014 – Renewed 697 Services
• Licensing renewal webinars
• Implemented the “training center training
permit” extension process
• Revised and approved first responder
curricula
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Wisconsin Department of Health Services
Year in review (cont.)
• Assisted local services
• Continued partnering with Wisconsin
Hospital Preparedness program to support
the Tactical EMS program
• Continued to streamline and update
licensing process
• EMS Lean Project
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Wisconsin Department of Health Services
Year in review (cont.)
• Worked with paramedic training centers to
achieve program accreditation
• Updated the State EMS Plan for 2014-2016
• Worked on plan for National EMS
Information System dataset upgrade to
version 3.0
• New patch vendor
• Trauma tourniquet project
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Wisconsin Department of Health Services
Year in review (cont.)
• Updated scopes of practice
o EMR Albuterol – Aspirin
o EMR Hemostatic agents
o Paramedic chest tube monitoring
o Changed D50 to dextrose
• Updated course on weapons of mass destruction
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Wisconsin Department of Health Services
Looking Forward
• 2014-2016 renewal process
• Focus group meetings for renewal process
• Continuing to work on the NHTSA
recommendations
• Strategic plan development with EMS Board
utilizing NHTSA recommendations
• RN equivalency application in E-Licensing
• Review of driver safety policies
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Wisconsin Department of Health Services
Looking Forward (cont.)
• Review of revised renewal process
• Regionalization discussion
• Service director courses
o February 19 – WI Rapids
o March 13 – Rice Lake
o April 9 – Rhinelander
o May 15 - Fennimore
• Narcan pilot study
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Wisconsin Department of Health Services
EMS Program Location
• Department of Health Services - Division of
Public Health
• Room 1150
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Wisconsin Department of Health Services
EMS Program Website
www.dhs.wisconsin.gov/EMS
• Considered our “24/7 employee”
• Updated frequently
• Licensing page
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Wisconsin Department of Health Services
National Highway Transportation
Safety Administration (NHTSA)
• NHTSA reviewed Wisconsin EMS in
June 2012
• Public comment requested on
recommendations in December 2012
• Department worked with partners to
identify 13 of the 59 priorities as needing
immediate attention
• These priorities were included in the 20142016 State EMS Plan
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Wisconsin Department of Health Services
Curricula
• Competency Based
o First Responder (49 hours – not including CPR
or advanced skills)
o EMT - Basic (150-180 hours)
o Intermediate -Tech (140-150 hours)
o Intermediate (496 hours)
o Paramedic (1200 hours)
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Wisconsin Department of Health Services
National Scope Transitions
• Transition to the new levels and scopes of
practice
• Information will be posted on our website
• Investigating best method to facilitate name
changes for EMS levels – in progress
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Wisconsin Department of Health Services
WARDS – Wisconsin Ambulance
Run Data System
Required to submit patient care reports
Standard reporting
Service director can manage personnel
Ability to keep individual and service
demographic information up to date
• Hospitals should have access for reports
•
•
•
•
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Wisconsin Department of Health Services
WARDS – Wisconsin Ambulance
Run Data System (cont.)
• National EMS Information System
compliant submission of data
• Upgrade to Version 3 data set coming by the
end of 2014
• Streamlining report process with dynamic
run report
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Wisconsin Department of Health Services
WISCOM
• Statewide communications system for all
public safety users
• 95% mobile coverage statewide - many areas
for portables
• Local, regional, state mutual aid talk groups
• Dedicated talk groups for hospitals, EMS
• Already over 10,000 users
• Hospital radio installations
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Wisconsin Department of Health Services
Director Courses
• Service director course
o Six courses completed since 2011
o Four completed so far in 2014
•
•
•
•
February 19 – WI Rapids
March 13 – Rice Lake
April 9 – Rhinelander
May 15 - Fennimore
o Discussing development of a “new” versus
“experienced” director course
• Medical director course to WI-TRAIN
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Wisconsin Department of Health Services
Funding Assistance Program
• Application will be sent via e-mail
• New electronic application located in ELicensing
• Change to application to elevate return of
education money
• All expenses will be reviewed
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Wisconsin Department of Health Services
First Responder Grants
•
•
•
•
•
Department of Transportation
$150,000 Potential funding
Change in recipient match from 25% to 75%
Survey regarding viability of grant
Training, equipment, supplies and marketing
o Last year 42 of 341 services applied
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Wisconsin Department of Health Services
Critical Care Paramedic (CCP)
• Compliance date was 1/1/13
• Scope implemented
• Required plan update
o Medication list
o Self-designated medications
o Just-in-time training
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Wisconsin Department of Health Services
DHS 110.35 – Service Policies
• (2) (e) Policy requirements
o Response cancellation
o Lights and siren use
o Dispatch and response
o Refusal of care
o Destination determination
o Emergency vehicle operation and driver safety
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Wisconsin Department of Health Services
DHS 110.42 - TEMS
• Training not specified in rule
• Affiliation with recognized team
• DHS 110.42(2) Tactical EMS team
recognition requirements
o Protocols
o Interaction with local EMS
o Liability insurance
o Quality Assurance and Training plan
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Wisconsin Department of Health Services
Enforcement
• 110.54: Reasons why enforcement may take
place
• 110.55: Warning letter
• 110.56: Reprimand
• 110.57: Summary suspension
• 110.58: Multiple actions – Revocation
• 110.59: Appeals
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Wisconsin Department of Health Services
Renewals 2014-2016
• Opened in November 2013
• Training focus is on transition to the new
national EMS scope of practice levels
• Renewal information was widely distributed
in January/February 2014
• Will be sent via e-mail and U.S. Postal
Service
• Check our website for updated information
(www.dhs.wisconsin.gov/ems/License_certification/index.htm)
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Wisconsin Department of Health Services
E-Licensing
• New interface!
• Please use recovery options on log-in screen
if you lose your username or password
• EMS website link updated
• PLEASE keep contact information current
• This is the primary database for
correspondence
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Wisconsin Department of Health Services
DHS 110.09 - Renewals
• Late renewal – less than 6 months
o Complete refresher activities
o Pay $50 fee
• Reinstatement – 6 months – 24 months
o Complete refresher activities
o Complete National Registry of EMT’s assessment
written and practical exams
o Pay $75 reinstatement fee
• Lapsed – over 24 months
o Complete original training for specified level
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Wisconsin Department of Health Services
DHS 110.16 - Fees
•
•
•
•
•
•
Late renewal fee - $50
Reinstatement fee - $75
Returned renewal fee - $30
Verification fee - $25
Reciprocity fee - $50
Manual application fee - $35
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Wisconsin Department of Health Services
Training Permits
• Two separate processes
o Training Center Training Permit (all levels)
 For patient contacts and clinicals
 Places responsibility on student
 Provides better screening of applicants with issues
that may prevent them from being licensed
 Extension of permits
o EMT-Basic Training Permit
 To be used as part of an EMT-Basic licensed crew –
EMT-Basic level ONLY
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Wisconsin Department of Health Services
Complaints and Waivers
• New form for complaints
o Public
o EMS services
o EMS personnel
• New form for waiver requests
o Medical
o Military
o Other ?
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Wisconsin Department of Health Services
Vehicle Standards
• National standards changing
o National Fire Protection Agency (NFPA)
Standard 1917
o Government Service Administration (GSA)
KKK-A-1822F Standard
o American Society for Testing and Materials
(ASTM)
• Administrative rule TRANS 309 open for
revision
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Wisconsin Department of Health Services
EMS Board
• Working board meetings
o February and August
• Regular board meetings
o April, June, October, and December
• Now available via webcast
o Static link for meetings
o Information on our website
• http://www.dhs.wisconsin.gov/ems/EMSU
nit/Board/Meetings.htm
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Wisconsin Department of Health Services
EMS Board Committees
•
•
•
•
•
Data Management and System Quality
EMS Systems Management
Education and Training
Service Development
http://www.dhs.wisconsin.gov/ems/EMSU
nit/EMSBoards.htm
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Wisconsin Department of Health Services
Questions?
E-Mail:
dhsemssmail@dhs.wisconsin.gov
Website:
http://dhs.wisconsin.gov/EMS
Main phone:
(608) 266-1568
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