Missouri Department of Health and Senior Services

1
Regional EMS Committees

• Missouri Department of Health and Senior Services
• Paula Adkison
• Deborah Markenson
• 10/29/08

2
State Advisory Council on Emergency Medical
Services (SAC) (RSMo 190.101)

• The purpose of the council is to make
  recommendations to the governor, the general
  assembly, and the department DHSS
• on policies, plans, procedures and proposed
  regulations
• on how to improve the statewide emergency medical
  services system.
• The council shall advise the governor, the
  general assembly and the department on all
  aspects of the emergency medical services system.

3
SAC-EMS

• 16 membersappointed by Governor
• Lynthia B. Andrews, DO., ChairChair of Emergency
  MedicineHeartland Regional Medical CenterSt
  Joseph, MO
• Chair may appoint subcommittees that include
  noncouncil members
• DHSS-Bureau of EMS supports SAC
• Meet monthly with minutes posted on DHSS website

• (RSMo 190.101)
• http//www.dhss.mo.gov/EMS/Council.html

4
Regional EMS Advisory Committees RSMo 190.102

• Purpose To make recommendations to the region
  and DHSS on
• Coordination of emergency resources in the
  region
• Improvement of public and professional education
• Cooperative research endeavors
• Development of standards, protocols and policies
  and
• Voluntary multiagency quality improvement
  committee and process.

5
Regional EMS Advisory Committees

• DHSS designates through regulation EMS regions
  and committees.
• DHSS Director appoints based on recommendations
  from recognized professional organizations.
• Appointments for 4 years with individuals serving
  until reappointed or replaced.

• (RSMo 190.102)
• http//www.dhss.mo.gov/EMS/Committees.html

6

• Missouris Regional Committee Territories
• 19 CSR 30-40.302State regulations define
  counties in each region.
• http//www.dhss.mo.gov/EMS/Committees.html

7
Regional CommitteeDiscussion 9/18/08

• Review by Function
• Barriers
• Recommendations
• Supports
• Functions

8
Review by Function (9/18/08 discussion)

• Coordination of emergency resources in the region
• Working
• Sharing mutual aid agreements
• Integration of EMS out-of-hospital services
• Additional functions
• Work on triage and transport for region
• Work on role of small hospitals
• Enhance network development

9
Review by Function (9/18/08 discussion)

• (2) Improvement of public and professional
  education
• Working
• Sharing information and
• educational opportunities
• Sharing protocols
• Additional functions
• Conduct additional education with focus on
  regulatory requirements
• Share best practices
• Coordinate prevention education on a regional
  basis

10
Review by Function (9/18/08 discussion)

• (3) Cooperative research endeavors
• No issues identified on 9/18/08

11
Review by Function (9/18/08 discussion)

• (4) Development of standards, protocols and
  policies
• Additional Functions
• Share best practices
• Review regional practices based
• on ACS trauma criteria
• Review and approve protocols
• for care

12
Review by Function (9/18/08 discussion)

• (5) Voluntary multiagency quality improvement
  committee and process
• Additional Functions
• Improve quality improvement functions
• with benchmarks for facilty/region/state
• Address lack of EMS peer protection so
• can share data for QI

13
Barriers

• State
• Committee appointment delays
• Limited data, limited or no feedback or data
  reports from registry data
• Lack of timely communication and updates

• Region
• Lack of understanding of committee functions
• Lack of participation by medical directors

• Both
• Resource and manpower shortage
• Inadequate funding, limited funding opportunities
  or notices
• Lack of EMS peer protection for QI functions

14
General Support Recommendations Regional
Committees-State

• Track regional committee appointments and make
  timely replacements.
• Increase diversity of membership
• Provide orientation for new committee members.
• Describe purpose and benefits of regional
  committees and compile strategies to promote
  committee value to increase involvement.
• Improve data support for QI functions.
• Provide regular updates establish accessible
  website.
• Increase support for regional committees and
  functions.
• Post Regional Committee Member listing.

15
General Support Recommendations-Region Both

• Region
• Increase involvement of medical directors.
• Host regional committee meetings with other
  stakeholder groups.
• Establish standard meeting time.
• Both
• Increase involvement of medical directors.
• Explore and use technology for meetings and
  communication to decrease travel time and improve
  information availability.

16
Recommendations for Regional Committee Functions

• Identify ways to enhance network development.
• Define and maintain role for small hospitals.
• Conduct additional education, focus on regulatory
  requirements.
• Share best practices.

• OK
• Modify
• Delete

17
RecommendationsCont. for Regional Committee
Functions

• Review regional practices based on ACS trauma
  criteria.
• Review and approve protocols for care within
  region.
• Formalize quality improvement (QI) functions with
  benchmarks for facility/region/state.

• OK
• Modify
• Delete

18
Recommendations Cont. for Regional Committee
Functions

• Address lack of EMS peer protection so can share
  data for QI.
• Coordinate prevention education on a regional
  basis.

• OK
• Modify
• Delete
• Additions