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