Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services.

Download Report

Transcript Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services.

Jane Guerrero, Director
Office of EMS/Trauma Systems Coordination
Texas Department of State Health Services
Objectives
 provide an overview of relationships between GETAC council,
GETAC committees, and state agencies.
 define the roles & responsibilities of committee members
 promote understanding of the state processes
Organizational Chart-HHSC
Organizational Chart - DSHS
Organizational Chart-Division
DSHS Organizational Chart
Commissioner of Health: David Lakey, MD
Assistant Commissioner: Kathy Perkins, RN (Regulatory)
Health Care Quality Section: Renee Clack, LNFA
Office of EMS/Trauma Systems Coordination:
Director: Jane G. Guerrero, RN
State EMS Director: Mr.Maxie Bishop
Manager, EMS/Trauma Systems Group: Emily Parsons
Manager, Stakeholders Information Group: Kelly Harrell
Office of EMS/Trauma System
Programs
Governors EMS & Trauma Advisory Council
Regional Trauma Systems Development
Regional Trauma Systems Designation Program
Trauma Facility Designation Program
Funding: EMS, Trauma Facilities, and RACs
Out of Hospital/Do-Not-Resuscitate
Texas EMS Conference (annual event)
Texas EMS Magazine
State Trauma System
Trauma Service Areas (TSA): geography
Regional Advisory Councils (RAC): people
Terms are used interchangeably:
RACs = TSAs (sometimes)
State Trauma Systems
1 State Trauma System
22 trauma service areas (TSAs)
22 regional advisory councils (RACs)
DSHS
• Regulatory authority for RACs
• Funding
Trauma Service Areas & RACs
Members of the Governors EMS &
Trauma Advisory Council
15 seats appointed by the governor
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Emergency physician
EMS medical director
Fire chief: municipal
EMS private provider
EMS volunteer
EMS educator
EMS air medical
Fire department that provides EMS
Urban trauma center
Rural trauma center
County EMS
Pediatrician
Trauma Surgeon OR Registered Nurse
2 general public
Governors EMS & Trauma Advisory
Council
Established in Statute
Health & Safety Code, Chapter
773-Emergency Medical Services
Texas Administrative Code (TAC),
Chapter 157
Vision
A unified, comprehensive, and
effective EMS/trauma systems
for a healthy, safe Texas
Mission
To promote, develop, and maintain a
comprehensive EMS/trauma system
that will meet the needs of all patients
and that will raise the standards for
community health care by implementing
innovative techniques and systems for
the delivery of emergency care for the
entire population
Governors EMS & Trauma Advisory
Council
Vance L. Riley, LP, Chair
Victoria Fire Department
P.O. Box 1758
Victoria, Texas 77902
Work: 361/485-3450
Fax: 361/485-3459
Email: [email protected]
TERM EXPIRES: 01/01/2016
Governors EMS & Trauma Advisory
Council
 Approximately ½ of the members must be residents of
rural areas
 Meetings conducted in accordance with “Open Meetings”
law
 Meets at least quarterly
 May appoint committees necessary to perform its duties
 Review comments on
• EMS/trauma system rules
• Strategic plan for developing
• EMS and trauma care systems
GETAC Committees
• GETAC Committee members:
– Apply at designated time
– Applications reviewed and voted on by chair
– Committees consist of 11 members (unless
exceptions are requested by chair to council)
• Currently 10 Committees
– Air Medical
– Cardiac Care
– Disaster/Emergency Preparedness
GETAC Committees (cont.)
•
•
•
•
•
•
•
Education
EMS
Injury Prevention
Medical Directors
Pediatrics
Stroke (mandated by statute)
Trauma Systems
GETAC meetings (historical)
• Scheduled quarterly meetings
– February
– May
– August
• November meetings held in conjunction
with Texas EMS Conference
• Committee chair can request for additional
meetings when needed.
alphabet soup of acronyms
•
ACEP – American College of
Emergency Physicians
(www.acep.org)
•
DADS – Department of Aging and
Disability Services
(www.dads.state.tx.us)
•
AHA – American Heart Association
(www.americanheart.org)
•
DARS – Department of Assistive
and Rehabilitative Services
(www.dars.state.tx.us)
•
CCMP – Comprehensive Clinical
Management Program
•
DIRT – Data, Informatics and
Research Task Force (GETAC)
•
DTF – Designated Trauma Facility
Committee Meeting Process
 Submit agenda items to committee chair
 Draft agenda
 from committee chair
 30-45 days before scheduled meeting
 No additions to agenda once submitted
DSHS-Legal Dept for review
 need to comply with Open Meetings Act
 Submit supporting documents (if applicable)
Committee Member
Responsibilities
 attend at least 50% of meetings
 download meeting documents before
scheduled meeting(s)
 maintain contact information updated
 Complete the Open Meetings/Public
Information Act video training
• within 90 days of their appointments
• Submit copies to DSHS (OEMS/TS)
Rules – Rules - Rules
 Where do they come from?
 Best Practice
 Minimum Standards
Overview
•
•
•
•
•
•
•
•
•
•
All rules to be reviewed – every 4 years
At least 1 change to every rule
Timeline – 30 rules
Department rulemaking process
Batches
Concept / Draft / Proposal at each meeting
Writing sessions between meetings
Published template on web
Buffer periods
Rules coordinator
4-yr. review
Government Code 2001.039
 Dept. policy
Constant motion
• 30 rules
• 4 GETAC meetings /
year
• Legal: There’s always
some necessary
change
Timeline
• Constant forward motion
• Legislative mandated changes
• Set calendar
Dept. Process
• The Good, Bad & Ugly
– Good: Plenty of input
– Bad: Long & deliberate
– Ugly: See flow chart
Batches
Compile according to content & effective
dates
Concept / Draft / Proposal
1st Reading – concept
2nd Reading – draft
3rd Reading – proposal
Writing Sessions
 Stakeholder appointed by GETAC chair
 Between GETAC meetings
Published Template
Specific rules scheduled
Concept / Draft / Proposal versions
Stakeholders can anticipate & plan
discussion
Buffer Periods
Plan B, when
disasters, etc. happen
Coordinator
Phil Lockwood,
Stakeholder
Information Group
Not content expert
Process expert
(eventually)
Traffic cop
Summary
Every meeting: 3 batches (concept, draft,
proposal)
4 proposal batches per year (appx. 8
rules)
Needs
Don’t kill the messenger
Process input
Batching advice
Work session appointee
Understanding the deliberate agency rule
process
Do homework – anticipate
Be patient
Governors EMS & Trauma Advisory
Council
Next GETAC Meetings:
May 19-21, 2010
Omni Austin Hotel at Southpark
Austin, Texas
QUESTIONS?
Governor’s EMS and Trauma Advisory Council
(GETAC)
Contact: Jane Guerrero, Director
Office of EMS/Trauma Systems Coordination
Phone: (512) 834-6700
Email: [email protected]