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

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Jul 30, 2023 367 likes •605 views

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

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North Central Emergency Care Council

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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

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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

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Trauma System Development

Patient survival and recovery linked to:

A systematic,

rganized 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

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Trauma System Development

WA EMS and Trauma Act

f 1990:
Clear lines of authority

and responsibility

Designation of Trauma

Care services

Verification of Pre-

hospital Trauma services

Field triage criteria

development

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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

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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

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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

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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

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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

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Regional System Growth

Regional Council Office Staff:

Executive Director Administrative Assistant

Volunteer Board Member participation and DONATED time!

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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

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Founding Regional Council Members

Mary Baechler – Tonasket Don Chumley – Mattawa Richard Gormley – Waterville

Dr. Wm. Henry – Twisp

Ken Leighton/Boster – Moses Lake Todd McFarland – Omak

Dr. Michael Parnell –

Wenatchee Skip Simmons – Quincy Patricia Swanson – Leavenworth Mary Apodaca – Okanogan Richard Peterson – Entiat Gerard Fischer - Ephrata Jeff Ballard – Wenatchee

Dr. Harvey Fritz – Moses Lake
W. Dale Gormley – Waterville

Paul Kuch – Wenatchee Rita Mayrant – Ephrata Rick Paris – Grand Coulee Jerry Poole – Mansfield Tammy Stokes – Twisp Donna Timpe – East Wenatchee Sharon Adams – Wenatchee Maura Moore – Omak

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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

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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.

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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

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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

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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.”

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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

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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

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Regional System Solutions

Media Outreach

EMS Reel Stories

http://www.youtube.com/emsstories

www.ncecc.org

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