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]