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PSOW 2016 - Wisconsin EMS Update

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PSOW 2016 - Wisconsin EMS Update

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PSOW 2016 - Wisconsin EMS Update

  1. 1. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services WISCONSIN EMERGENCY MEDICAL SERVICES UPDATE James Newlun, Director, Emergency Medical Services September 16, 2016
  2. 2. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services 2,777 7,0922,165 135 3,411 967 EMS Personel in Wisconsin First Responder (EMR) EMT-Basic EMT-Intermediate Technician (AEMT) EMT-Intermediate EMT-Paramedic EMT-Paramedic with Critical Care 2
  3. 3. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services 677,471 704,759 746,338 640,000 660,000 680,000 700,000 720,000 740,000 760,000 Statewide Call Volume 2013 2014 2015 4
  4. 4. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services • Located in the Office of Preparedness and Emergency Health Care in Division of Public Health • Five staff members, including one licensing coordinator • Approximately 772 EMT Services and 16,924 individual EMS professionals EMS SECTION
  5. 5. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services EMS Program Website www.dhs.wisconsin.gov/EMS • Available 24/7 • Updated frequently • Hot Topics • Service Director Resources • Licensing page • Instructor page 6
  6. 6. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Competency-based Curricula • First Responder (EMR) (49 hours – not including CPR or advanced skills) • EMT - Basic (150-180 hours) • Intermediate –Tech (AEMT) (140-150 hours) • Intermediate (496 hours) • Paramedic (1200 hours) 7
  7. 7. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services NREMT STATES Blue states represent those that require NREMT registration for licensure. Red states do not. 8
  8. 8. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services NCCP States
  9. 9. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services National Scope Transitions • Transition to the new levels and scopes of practice (completed 6/30/2016) • Intermediate 12 transitions will be completed on 6/30/2018 • DHS is facilitating provider level name changes thru statutory and rule updates 10
  10. 10. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services WARDS: Wisconsin Ambulance Run Data System • Standard reporting • Required to submit patient care reports within seven days • Third Party Vendors • Elite • Trauma system purchased Trauma system 11
  11. 11. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services • National EMS Information System-compliant submission of data • Upgrade to Version 3 data set expected by the end of 2016 • Streamlined report process with dynamic run report • Handoff report with patient, 24 hours for complete report to the hospital and complete report in WARDS in 7 days WARDS: Wisconsin Ambulance Run Data System 12
  12. 12. WI EMS Update 2016 DPH/EMS Program 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 22,000 users • Hospital radio installations 13
  13. 13. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Funding Assistance Program • Application sent via e-mail • Electronic application located in E-Licensing • No need for municipal certification • All expenses reviewed • Current budget = 1.96 million • Funding used for EMT-B training and improvements. 14
  14. 14. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Renewals 2016-2018 • Opened November 1, 2015 • Training focus is on transition to the new national EMS scope of practice levels • Website offers updated information • Operational plan update • Next renewal to start fall 2017 (318) (www.dhs.wisconsin.gov/ems/License_certification/index.htm) 15
  15. 15. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services E-Licensing • New interface • Contact information current • Primary database for correspondence • Gateway for Elite 16
  16. 16. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services DHS 110.16 - Fees • No cost for initial license • No cost for renewals completed on time Late renewal: $50 Reinstatement: $75 Returned renewal: $30 Verification:$25 Reciprocity: $50 Manual application: $35
  17. 17. WI EMS Update 2016 DPH/EMS Program 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 18
  18. 18. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Training Permits Two processes: • Training Center Training Permit (all levels) o For patient contacts and clinicals o Places responsibility on student o Provides better screening of applicants with issues that may prevent them from being licensed o Extension of permits • EMT-Basic Training Permit (used as part of an EMT-Basic licensed crew – EMT-Basic level only) 19
  19. 19. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Waivers • Waiver of Administrative Rule for Licensure form o Medical o Military o other 20
  20. 20. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Vehicle Standards • National standards changing: National Fire Protection Agency 1917 (standard for automotive ambulances) • State changes: DOT Trans 309 (administrative code) 21
  21. 21. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Wisconsin Healthcare Coalitions (HCC) • Federal initiative • Seven regions determined at state level by DHS • Based on previous hospital preparedness regions, developed based on patient referral patterns • Hospitals, public health, emergency management and EMS agencies will participate • Resources available for EMS agencies 22
  22. 22. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Wisconsin Healthcare Coalition Regions 23 23
  23. 23. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Key Components of an HCC • Regional board of directors – representing involved disciplines • Regional HCC coordinator • Regional trauma coordinator • HCC medical advisor • Medical coordination centers (under development) 24
  24. 24. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services EMS Board • Working board meetings: February and August • Regular board meetings: April, June, October, and December • Current meeting location = Madison • Now available via webcast o Static link for meetings o Information on our website 25
  25. 25. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services EMS Board Committees • EMS Data Management and Systems Quality • EMS Education and Training • EMS System Management and Development • Physicians Advisory Committee 26
  26. 26. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services DHS 110 and WI Statue 256 Updates Licensure names need to be updated in rule and statue • First Responder: Emergency Medical Responder • EMT Basic: Emergency Medical Technician • Intermediate Technician: Advance EMT • EMT Intermediate: Intermediate • EMT Paramedic: Paramedic • Addition of First Responders as member of legal crew 27
  27. 27. WI EMS Update 2016 DPH/EMS Program Wisconsin Department of Health Services Questions? E-Mail: dhsemssmail@dhs.wisconsin.gov Website: http://dhs.wisconsin.gov/EMS Main phone: (608) 266-1568 28

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