1. Wisconsin Department of Health Services
W sconsi n EM
i
S
U
pdat e
September 20, 2013
Ray Lemke and Helen Pullen
WI EMS Update 2013
DPH/EMS Program

2. 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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3. 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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4. Wisconsin Department of Health Services
Number of Services
• Licensed and/or certified EMS services
(792 total statewide)
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First Responder Groups (341 certified groups)
EMT- Basic (147 licensed services)
EMT - Intermediate Technician
Intermediate (15 licensed services)
Paramedic (136 licensed services)
Critical Care Paramedic Endorsed (43 services)
Air Medical Services (9 licensed services)
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5. Wisconsin Department of Health Services
EMS Personnel
• Licensed and/or certified EMS personnel (20,410
total statewide)
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First Responders (4,021 certified personnel)
EMT-Basics (9,275 licensed personnel)
Intermediate Technicians (3,027 licensed personnel)
Intermediates (222 licensed personnel)
Paramedics (3,865 licensed personnel)
• 2011 Statewide call volume = 598,416
• 2012 Statewide call volume = 716,895
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(+118,479)
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6. Wisconsin Department of Health Services
EMS Presentations
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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 Fire Fighters Association
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7. Wisconsin Department of Health Services
Year in Review
• Renewed over 18,000 providers
• Implemented the “training center training
permit” process
• Revised and approved curricula
• Reinstated the normal EMS Board schedule
• Partnered with the Wisconsin Department of
Transportation for first responder grant
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8. Wisconsin Department of Health Services
Year in review (cont.)
• Assisted Buffalo County
• National Highway Transportation Safety
Administration (NHTSA) assessment
• Revised license approval process
• Implemented critical care paramedic level
• Partnered with Wisconsin Hospital
Preparedness program to jump start the
Tactical EMS program
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9. Wisconsin Department of Health Services
Year in review (cont.)
• Became more integrated and involved with
public health and hospital preparedness
• Provided first responder waiver
• Clarified role of registered nurses on
ambulances
• Continue to streamline and update licensing
process
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10. Wisconsin Department of Health Services
Looking Forward
• Prepare for 2014-2016 renewal process
• Internal review of renewal process to reduce
applications that need manual review
• Addressing the NHTSA recommendations
• Strategic plan development with EMS Board
utilizing NHTSA recommendations
• Deploying 2013 first responder grant
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11. Wisconsin Department of Health Services
EM Pr ogr amLocat i on
S
• Department of Health Services - Division of
Public Health
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12. 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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13. Wisconsin Department of Health Services
National Highway Transportation
Safety Administration (NHTSA)
• NHTSA reviewed Wisconsin EMS in
June 2012
• Recommendations went for public comment in
December 2012
• Comments being reviewed by the Department
• Public comments and priorities will be
considered for inclusion in the EMS system
strategic plan
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14. Wisconsin Department of Health Services
Curricula
• Competency Based
o First Responder (49 - 80 Hrs)
o EMT - Basic (150-180 Hrs)
o Intermediate -Tech (140-150 Hrs)
o Intermediate (496 Hrs)
o Paramedic (1200 Hrs)
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15. Wisconsin Department of Health Services
WARDS – Wisconsin Ambulance
Run Data System
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Required to submit patient care reports
New epidemiologist
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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16. 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
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17. Wisconsin Department of Health Services
Director Courses
• Service director course
o Five courses completed
o Trying to schedule a regular fall and spring course
o Discussing development of a “new” versus
“experienced” director course
• Medical director course to WI-TRAIN
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18. Wisconsin Department of Health Services
Funding Assistance Program
• Application will be sent via e-mail
• All expenses will be reviewed
• New formula for distribution
o PART A: Base payment of $3,588 plus .03 per capita.
o PART B: Remaining money divided equally
 Half equally among the services with at least one EMT-B on
the service roster
 Half divided by the call volume (which will be validated by
the Wisconsin Ambulance Run Data System)
 Unused EMT – B training funds must be returned
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19. Wisconsin Department of Health Services
First Responder Grants
• Department of Transportation
• $150,000
• Training, equipment, supplies and marketing
o Last year only 19 of 341 services applied
o This year expanding equipment
 Radios, pagers, personal protective gear, short and long
spine boards, and road signage/traffic control
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20. 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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21. 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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22. Wisconsin Department of Health Services
DHS 110.42 - TEMS
• Training not specified in rule
• Affiliation with recognized team
• (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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23. Wisconsin Department of Health Services
Enf or cem
ent
• 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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24. Wisconsin Department of Health Services
Renewals 2014-2016
• Will open in November 2013
• Transitions to new EMS levels
• Check our website for updated information
(www.dhs.wisconsin.gov/ems/License_certification/index.htm)
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25. Wisconsin Department of Health Services
E-Licensing
• PLEASE keep contact information current
• This is the primary database for
correspondence
• Working to improve system to allow “opt in”
of certain types of e-mails from our office
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26. 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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27. Wisconsin Department of Health Services
DHS 110.16 - Fees
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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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28. 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
o EMT-Basic Training Permit
 To be used as part of an EMT-Basic licensed crew –
EMT-Basic level ONLY
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29. 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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30. Wisconsin Department of Health Services
Vehicle Standards
• National standards changing
o National Fire Protection Agency (NFPA) Standard
1917
o Government Service Administration (GSA) KKKA-1822F Standard
o American Society for Testing and Materials
(ASTM)
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31. 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
• http://www.dhs.wisconsin.gov/ems/EMSUnit/
Board/Meetings.htm
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32. Wisconsin Department of Health Services
EMS Board Committees
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Data Management and System Quality
EMS Systems Management
Education and Training
Service Development
http://www.dhs.wisconsin.gov/ems/EMSUnit/
EMSBoards.htm
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33. Wisconsin Department of Health Services
Questions?
E-Mail:
Helen.Pullen@wisconsin.gov
Ray.Lemke@wisconsin.gov
Website:
http://dhs.wisconsin.gov/EMS
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