Care Council Objectives Gain understanding of history of Trauma - PowerPoint PPT Presentation

North Central Emergency Care Council

Objectives Gain understanding of history of Trauma System development in WA state Review role / function of Regional Council within state system Discuss challenges faced for regional system sustainability Identify regional approaches to maintain integrity and sustainability of system

Trauma System Development 1960’s - 1970’s Trauma identified as national epidemic Leading cause of death for all people under age 44 Leading cause of disability for all people under age 65 1970’s – 1980’s Lessons in trauma care learned from wartime being brought to civilian realm

Trauma System Development Patient survival and recovery linked to: A systematic, organized approach Right patient to the right hospital in the right amount of time Continuum of care: Injury prevention Prehospital / Hospital care Rehabilitation / reintegration Data collection

Trauma System Development WA EMS and Trauma Act of 1990 : • Clear lines of authority and responsibility • Designation of Trauma Care services • Verification of Pre - hospital Trauma services • Field triage criteria development

Trauma System Development • Regional planning and implementation • Establishment of regional quality assurance / improvement programs • Integration of trauma/injury prevention • Trauma registry development • Integration of trauma rehabilitation services • Evaluation of system effectiveness • Cost containment considerations http://www.doh.wa.gov/ForPublicHealthandHealthcareProviders/Emergenc yMedicalServicesEMSSystems/EMSandTrauma/HistoryandBackground

Trauma System Development Trauma Center Designation by WA State DOH 1993; HMC first hospital designated in system Application process done every 3 years Funded by Participation Grants from DOH

Trauma System Development WA State EMS regions 8 regions established under RCW 70.168.060(3) Regional EMS / Trauma Care Councils Provide oversight and direction of regional system Volunteer members appointed by Secretary of Health Non-profit entity Funded by contract with WA State DOH

Trauma System Development Development of Regional Patient Care Protocols Supporting concept of getting right patient to the right hospital in the right amount of time Regional quality improvement monitoring through data collection and establishment of QI filters Establish communication link between DOH and: Local EMS providers Local hospital providers Local governments Community members

Trauma System Development North Central Region EMS / Trauma Care Council Incorporated March 1991 Responsible for development / integration of “Regional Plan” to support state system goals Incorporating all aspects of continuum of care Injury prevention Prehospital / Hospital care Rehabilitation / reintegration Data collection

Regional System Growth Regional Council Office Staff: Executive Director Administrative Assistant Volunteer Board Member participation and DONATED time!

Trauma System Development 24 Council members a balance of: Pre-hospital EMS providers Hospital providers Local elected officials Consumers Local law enforcement Local government agencies involved in EMS Tribal

Founding Regional Council Members Mary Baechler – Tonasket Jeff Ballard – Wenatchee Don Chumley – Mattawa Dr. Harvey Fritz – Moses Lake Richard Gormley – Waterville W. Dale Gormley – Waterville Dr. Wm. Henry – Twisp Paul Kuch – Wenatchee Ken Leighton/Boster – Moses Rita Mayrant – Ephrata Lake Rick Paris – Grand Coulee Todd McFarland – Omak Jerry Poole – Mansfield Dr. Michael Parnell – Tammy Stokes – Twisp Wenatchee Donna Timpe – East Skip Simmons – Quincy Wenatchee Patricia Swanson – Sharon Adams – Wenatchee Leavenworth Maura Moore – Omak Mary Apodaca – Okanogan Richard Peterson – Entiat Gerard Fischer - Ephrata

Regional System Growth EMS Training Focus Development of EMS training program for regional providers Includes on-line didactic training Includes practical hands – on skills evaluation Fulfills County &State requirements

Regional System Growth EMS Response in North Central Region Total EMS agencies: 47 Greater Wenatchee EMS Council (Chelan/So. Douglas Counties) : 19 EMS agencies Okanogan/No. Douglas EMS Council: 11 EMS agencies Grant County EMS Council: 17 EMS agencies Total EMS providers: 654 First Responders, EMT’s & Paramedics Over 62% of EMS responders in NCR are VOLUNTEERS.

Regional System Growth Cardiac / Stroke System established Legislation passed November 2010 Development to duplicate success of Trauma System Prehospital triage tools / care guidelines Rapid transport to closest appropriate care facility Facility designation Cardiac Stroke Voluntary participation Unfunded

Regional System Challenges Regional system evaluation completed November 2010 Challenges identified: Funding streams through DOH contracts decreasing Work required for existing EMS / Community training needs increasing Work required by DOH for existing system maintenance increasing Additional responsibilities added Participation in regional “Public Health Emergency Preparedness and Response” program New Cardiac / Stroke system development Long term survival depends upon financial stability and sustainability

Regional System Solutions Proactive solutions adopted DBA name and logo North Central Emergency Care Council 501c(3) Corporation Mission Statement “To Promote and Support a Comprehensive Emergency Care System.” Vision Statement “Getting the Right Patient, to the Right Place in the Right Amount of Time.”

Regional System Solutions Executive Committee Established within the Regional Council structure Operates the business side of Regional Council Establish / implement plans for financial survivability and sustainability of quality regional EMS system Comprehensive review of current business practices

Regional System Solutions Long-term goals: Maintain ability to continue mission and vision in climate of decreasing funding Maintain highest level of quality ongoing training in the North Central Region

Regional System Solutions Media Outreach EMS Reel Stories http://www.youtube.com/emsstories www.ncecc.org

Regional System Solutions Increase Community Outreach and Education through presenting to Community Partners Thank you! Rinita Cook, Executive Director North Central Emergency Care Council 123 Ohme Garden Rd., Suite 4 – Wenatchee 509-664-4032 rcook@ncecc.org