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HomeMy WebLinkAboutC03-175 Authorization for Central Mountains RETAC Acknowledgements: Funding for this Plan is wholly provided by financial support from the Colorado Department of Public Health and Environment (CDPHE). The CDPHE is not responsible for the content of this document. Approved: March, 2003 Central Mountains RETAC P.O. Box 5055 Frisco, CO 80443 (970) 668-4240 John Woodiand. MD, RETAC Chairman Central Mountains RETAC Chairperson - 2003 Authorizations: X Print Name: of Cou~y Commissioners Cty~irperson -Chaffee County 2003 X / ////V~ /Y 1/ l/~~ / ( Print Name: rd of County Commissioyf~rs Chairperson -Eagle County 2003 X Print Name: Board of County Commissioners Chairperson -Lake County 2003 X Print Name: Board of County Commissioners Chairperson -Park County 2003 X Print Name: Board of County Commissioners Chairperson - Pitkin County 2003 X Print Name: Board of County Commissioners Chairperson -Summit County 2003 Acceptance: x Print Name: Colorado Department of Public Health and Environment - 2003 OFFICE OF THE COUNTY ATTORNEY (970)328-8685 FAX (970) 328-8699 Ms. Lorraine Caposole c/o CM ]ZETAC 5554 CR 30 Silverthorne, CO 80498 June 25, 2003 Subject: Authorizations for Central Mountains 1ZETAC Dear Ms. Caposole: Eagle County Building P.O. Box 850 500 Broadway Eagle, Colorado 81631-0850 Per your request, enclosed are the originals signed by the Chairman of the Eagle County Board of Commissioners. Please return a fully executed document to our office at the above address. Please call our office at the above number if you have any questions. Thank you. Sincerely, Lucy Grewe Administrative Assistant Enc. e~: D. Mauriello, County Attorney • ~-~ r. 2.Trauma designations - on track. 3.Transfer protocols - in progress. 4.Continuing education plan - in progress. S.Injury prevention and prevention education plan - come a long ways with increasing number of seminars and programs. A concern is that there is no formal link between committees and It>/TAC so knowledge of what committees are doing isn't fully shared. Goals for next year: 1. Develop a progress report form. 2. Setup minutes so that the goals are addressed after each meeting by check-off system. 3. Prepare awell-defined Data Managemerrt Plan. At this point in the discussion there was a suggestion that it might be, better if we broke into committee groups first and determine goals -come back to. the group with goals. Then it was suggested that we talk first about process of how we want our committees to work. A discussion of that process ensued. Committee process expectations: i. Monthly meetings focus on projects 2: Structure committee meeting to address stated goals per state statutes and regulations:: 3. Focus on fewer things. 4. Prioritize within the group. . 5. Limit unfounded mandates. 6. Success depends on °champions" for each project.-personal responsibility for the task at hand -who is going to do it and when wilt it be done. 7. Language from RETAC about expectations for partiapants and their commitment level -especially chairs of committees and "champions." Suggestion that thank you letters to administrators for whom committee members work be written to further the educational process reganiing the need for participation. 8. Subcommittees with particular focus -less is more. 9. RETAC staffing/funding issues - RETAC responsibility. 10. MCI and prehospital committees shouldn't meet at the sarrsr time. 11. Ten to fifteen minute announcement time at end of meeting to promote: networking, education opportunities, prevention activities and to disseminate general information. 12. Standing agenda items: New programs, updates, acknowledging participates. (Page 3 of 6 - CM RETAC 09-02) • Calendar for the year to assure meeting mandated goals. Ideas for individual committees: 1. Prehospital and facilities only work on data collection -critical now to drive everything else. 2. MCI plan should be a priority for all committees. 3. Do we agree that the three subcommittees of the Council are the essentials for this year. The consensus was yes. The goals for working on our MCI plan in the next year were discussed. A list of matters which needed to be addressed was made: 1. Mutual Aid Agreements 2. MCI-Field Guide Completion 3. Regiona1911 Dispatch Coordination 4. EMS Agency Bioterrorism Plans 5. Training Standards & Calendar 6. ICS and Decontamination 7. Planning the Full Functional Exercise i __ . There is frustration in connection with reaching the above goals. Our MCI plan is akeady outdated. Our RETAC is in different regions for Preparedness and Bioterrorism Planning. Unfunded mandates keep appearing. We need to give tl~e State feedback about the problems we face regazding regionalization - a letter to the State from CM-RETAC was suggested.. It was decided that we should break into committees and discuss goals before continuing the discussion with the entire group. REPORTS OF CONIlVIITTEE MEETINGS -GOALS Prehospital Committee Report: Goals for the Eaters: Refocus and simplify Concentrate on data collection KeepChris Create manual Decide what we want to get from the data Adjust data based on findings Accomplishments: - everyone online inputting data (Page 4 of 6 - CM RETAC 09-02) • • ~~~ ~ ~ - finished EMS assessment - half of the services are using Healthware Solutions as their main- Quality improvement tool. Facilities Committee Report: Goals for the futar~e: MCI -improve how we work together Data Managemenx Two proposals for handling data management in the future. Independent Contractor or CDM Decision to go with Independent Contractor Day long retreat -first week in December Education Shared educational opportunities with the group. BREAK FOR EXECUTIVE SESSION' ~: Motion: Allow Summit County Government to take the State contract allowable charges ,`_. for overhead/expenses from RETAC beginning July 2003. Vote -unanimous in approval. Swerdlinger, Caffrey abstained. 3. Discussion re forming 50143. Coordinator report: - There are three in the state. They were forced to do so because they had no fiscal agent similar to Summit County.. Mile High RETAC is a Govemrr~nt Instrumentality Group instead of anon-profit. - Problem with using Summit County -submitting entire budget to apply for grants. . - Lindstrom believes that BOCCs would not have to approve the. formation - Proposes incorporation effective October 15, 2002. Get tax exempt status by March, 2003. - Two options: Summit County Gov't to fund the 50143 -shift money from RETAC budget. Seek other funds. Discussion points re advantages and disadvantages: What have we missed in the past because we aren't 50143. Hard to assess. Advantage of showing regional significance. We will always be at the same funding level if we don't become a non profit. The value of management services (cost of adminish~ation) from the county will need to be paid by the non profit. (Page 5 of 6 - C1V1 RETAC 09-02) • • Should analyze the costs before we approve it. Can we purchase fiscal management services from Summit County Do we need governmenal partners. Can we get governmental in kind conlnbution. Great advantage that we are no longer grant funded - we are now entitlement funded. Need to consider before final decision: ProForma financials. Examples of Grants we can get. Other RETAC experience getting grants. Other RETAC work/motivation applying for grairts. "Getting private foundation funding is about relationship building." Availability of utilizing other non profits to let us use them as a grant recipient initially. Dr. Woodland proposed the possibility of using the Vail Valley Association -used before. Size of ItETAC and nature of organization may not lend itself to use another non profit. Choice between non profit and Government Instrumentality Corp. (simpler Are there restrictions placed upon non-profits for ty~s of activity that can be funded. Are there lobbying rules for 50143 We should answer the above at October meeting. Advisable to bring Attorney to October ~ _~~ 1 meeting. The Summit County position: It's a mandatory program but, Summit County wants to get rid of administration 4. Template for upcoming Meetings - the. process. We will follow this for the October meeting and meetings in the firture. For October: October l0a' at Summit County 9:30-3 Intro Approval of Agenda Approval of Minutes Establish Quorum General Issues Coordinatorreport -include non profit Treasurer's report MCI Two Breakouts for Committees AnnouncemeirtsJSummary Injury Prevention Educational Opportunities Set Agenda for next meeting No networking if we are behind schedule AdjournmeHt ATTACl3~NT: 9/12 Sammary Notes by Jack Taylor (Page 6 of 6 - CM RETAC 09-02 ~. • ~``~ ` Central Mountain RETAC Meeting Buena Vista September 12, 2002 Summar~r Notes The group agreed to identify expectations they have for inter-committee interaction as well as interaction among committee members. The following suggestions were made during the discussions: - A project champion -someone who accepts responsibility for expediting goal/objective completion - needs to be identified for any project the group takes on. - Monthly meetings need to focus on project work. There is not enough time devoted to committee work during the monthly meetings. - Structure the committee meetings to address specific goals. - Focus on "fewer things" - narrow the focus of the work to be done. - Prioritize goals and objectives within each group. - Pre-hospital and Facilities should focus only on datacollection at-this time. - Thank you letters should be written to administrators to express appreciation for allowing staffparticipation in the work of the group. - Consider forming sub-committees of the larger committees. These sub-committees would have a particular project focus. - The RETAC should identify participants and who is responsible for funding their involvement. - MCI and'Hospital committees should not meet at the same time. - There should be 10-15 minutes set aside at the end of each meeting to promote networking and shared information. - There should be standing agenda items that may include: - New programs - Updates on existing programs - Acknowledging participatrts The Pre-Hospital, Facilities, and Executive committees met separately to discuss their goals and objectives for the coming year. After those individual discussions, the fiill group re-convened to report back to the group. Pre-Hospital Concentrate on data collection. Part of this task wdl include manual development, including defining what it is that is wanted from the data. Data. collection goals will be adjusted based on findings from the original efi`orts. Keep Chris! Facilities MCI focus -the work here depends on tasks identif ed by the MCI Conunittee • • Engage an independent contractor for data collection Attend a daylong planning retreat in December 2002. xecutive Discussed primarily the 501(c)(3) proposal that was presented later in the meeting MCI The agenda for the upcoming meeting on September 13, 2002 was presented to the group. The following items were on that draft agenda: - Mutual aid agreements - MCI Field Guide completion - Regiona1911 dispatch coordination - EMS agency bioterrorism plans - Training standards and calendaz =ICS and Decoirtamination - Planning the full, functional exercise It was suggested evacuation plan details be included in the mutual aid discussion. It was also suggested that federal funding be discussed. Another suggested addition was discussion about finalizing the MCI Plan Revisions. ~ There was discussion about draftitlg a letter to the State regazding the regionalization challenges the group has identified with the new Bioterrorism and the Prepazedness Regions. There was discussion about giving the State direction about the expectations of the RETAC. A proposal for consideration about organizing the Central Mountain RETAC as a 501(c)(3) nonprofit organization was discussed. Advantages and disadvantages of changing to a nonprofit organization were presented and discussed. After a spirited discussion, the group identified additional information needed to make a decision about forming a nonprofit as follows: - Cost of Administration - an estimated annual expense budget - Examples aze needed of grants the RETAC could get - Experience of RETAC's that organized as nonprofit organizations including fundraising - Abetter understanding of lobbying rules for 501(c)(3) organizations - Determine if there are rules about funding pass-thmughs from current funding sources • • (`~ ~'°~ Answers to questions and. additional information will be a topic in the October meeting. There was a request that an attorney familiar with nonprofit organizations be asked to attend the October meeting. A template for firture meeting agendas was discussed. Those present agreed upon the following: v One hour-for general issues to include, but not limited to: / Introductory remarks / Approval of past meeting minutes / Approval of the agenda for the current meeting / Coordinator reports / Treasurer report o One hour for MCI o One hour for committee breakout sessions o One half horn for announcements . / Summaries of committee efforts / Educational opportunities / program updates . It was decided that the meetings would be monthly from 9:30 am unti13:00 pm with a half hour for lunch. Participants will bring their own lunches. The next meeting is scheduled for October 10, 2002 in Summit County at a location to be announced. Attachment D -Central Mountains RETAC Biemual Plan S»m~r~ed below are the RETACs comments to the CDPHE's 15 components for a regional EMS and Trauma. System Component 1-Integration of Health Services As part of its' mission, the RETAC provides technical assistance to counties, to help every county in the region have a local EMS/Trauma/Emergency Services-type Council. This objective accomplishes the above two goals, which calls for the integration of health services. The Short Term Objective is to annually give RETAC fiords to all of the counties to help support development of the Councils' tasks, as they work together to better the local EMTS system. RETAC members from a county also typically come from the Local Councils and act as two-way communicators between ffie groups. This work includes setting parameters within ffie RETAC policies regarding the spending of county funds and monitoring the spending by the counties on behalf of the above mentioned Councils. The Long Term Objective is to share Policies and Procedures and Standard Operating Procedures among the Healffic~re Facilities and Prehospital Agencies. Component 2 - EMTS Research The RETAC gathers EMS and Trauma data in order to determine which injuries should be addressed with prevention efforts. The Short Term Objective is to continue to collect EMS and Trauma Data. and utilize Independent Contractors for collecting regional data. The Long Term Objective is to write data collection policies that are in compliance with the Federal HIPPA regulations. Anoffier Long Term Objective is to write policies for the public dissemination of data that are in compliance wiffi the Federal HIPPA regulations. Component 3 -Legislation and Regulation In order to identify needs around the regulation of the EMTS system, the RETAC will study the regional EMS and trauma data to determine if there are any serious trends necessitating the need for new legislation. The RETAC would make such recommendations to the CDPHE. The Short Term Objective is to compile the regional data into a useable format and generate regional reports and bring them to the RETAC for analysis. The Long term Objective is to perform Quality Monitoring of the system via data. That effort may point to the need to suggest new state regulations. Comomponent 4 -System Finance Annually, the CM RETAC receives $165,000.00 in dedicated funding from the State. Seventy five thousand dollars covers administration. Twenty eight ffiousand currently covers the costs of two data specialists, one for EMS and one for Trauma regional data collection. The balance of the fiords is disbursed to the counties on behalf of local Councils doing systems development. Approximately $200,000.00 is spent annually, by the healthcare system in the region to conduct the business of these local and regional Councils. This money is an in-kind match made by the providers of emergency and trauma care. Recently, the RETAC has determined that changing the organization structure to a 501 c3, non-profit status would be advantageous in order to raise additional funds for prevention efforts, education, training and equipment needs. The RETACs Short Term Objective is to forma 501 c3 prior to the next fiscal year, which begins July 1, 2003. • ~J Component S -Human Resources The RETAC's Short Term Goal is to hire a Coordinator for the 501 c3. Due to personnel issues, a Coordinator is not currently in place. The Short Term Objective will be to write a new job description and standards of performance for the coordinator and conduct the hiring. The Long Term Objective is to strive for appropriate staiFing throughout the 12ETAC/EMTS System. Component 6 -Education Systems The IZETAC objective is to increase the availability of educational opportunities for providers. The Short Term Objective is to define the educational needs of the providers and determine regional availability by analyzing the education-related reports from the CM RETAC 02 Assessment. The Long Term Objective is to coordinate regional educational offerings and distribute educational information via a web site. Component 7 -Public Access The RETAC intends that all dispatch centers in the region have Emergency Medical Dispatch (EMD). The Short Term Objective is to offer assistance to the counties that do not have this capability. The Long Term Objective is to rectify the problems of "dead spats" in accessing the 911 system. Component 8 -Communications Systems The RETAC will strive for excellence in communications. The Short Term Objective is to finalize the regional Mutual Aid Field Guide, which includes county radio frequencies. The Long Term Objective is to identify communication problems through the Full Scale MCI exercises and prioritize the issuesJproblems. Component 9 -Medical Direction The ]tETAC would like to improve medical control. The Short Term Objective is to create a regional medical control resource document. The Long Term Objective is to coordmate CME opportunities for Medical Control and provide a networking forum for the physicians. Component 10 -Clinical Care The RETAC is committed to improving clinical care through encourage the appropriate facilities to participate in the trauma system. The Short Term objective it to continue the work of the Facilities Committee as they address facility issues. The Long Term Objective is to encourage culture appropriate resources such as encouraging the use of Spanish speaking interpreters for assistance with clinical care. Component 11-Mass Casualty Systems The ItETAC strives to coordinate emergency medical response to MCI's and Terrorism Incidents. The ItETAC plans to meet State requirements in this area. One Short Term Objective is to publish the MCI Plan and integrate the Plan into each county's emergency Plans. Another Short Term goal • a includes publishing the MCI Plan and resource lists ~ a RETAC Web site. The Long Term Objective is to create a Regional "Type II" Medical Response Team to respond to large medical incidents and acquire frequencies for regional medical use. Component 12 -Public Education The RETAC is not addressing this component at this time. Component 13 -Prevention The RETAC intends to support regional prevention programs. The Short Term Objective is to assist the ThinkFirst and SafeKids non-pmfit Programs, which were started in the regim- in the past few years by RETAC members. The RETAC intends to provide monetary support for the programs via RETAC fiends The Long Term Objective is to expand the ThinkFirst and SafeKids Programs to all of the counties. Component 14 -Information Systems The RETAC endeavors to use the EMS and tra~a data collection systems as a means to preventing injury and improving the effectiveness and integration of the healthcare delivery system. The Short Term and Long Term Objectives are to.gaffier and study the data. Component 1 S -Evaluation The RETAC is interested in fulfilling the state goals established for RETACs. The Short Term Objective is to seek county approval of the 2003-2005 Biennial Plan. The Long Term Objective is to evaluate the progress made on the Biennial Plan by creating as Evaluation tool to assess the progress on the Plan. March 2003 • The Central Mountains Regional EMS and Trauma Advisory Council (CM RETAC~ Serving Chaffee, Eagle, Lake, Park, Pitkin and Summit Counties to optimize the care of sick and injured patients through the integration and coordination of Emergency Resources, utilizing communications, data, protocols, training and system development. 1St Biennial Regional EMS and Trauma ;=services Plan 7/1/2003 - 7/1/2005 ~ • Acknowledgements: Funding for this Plan is wholly provided by financial support from the Colorado Department of Public Health and Environment (CDPHE). The CDPHE is not responsible for the content of this document. Approved: March, 2003 Central Mountains RETAC P.O. Box 5055 Frisco, CO 80443 (970) 668-4240 John Woodland, MD, RETAC Chairman Central Mountains RETAC Chairperson - 2003 Authorizations: X Print Name: Board of County Commissioners Chairperson -Chaffee County 2003 X Print Name: Board of County Commissioners Chairperson -Eagle County 2003 X Print Name: Board of County Commissioners Chairperson -Lake County 2003 X Print Name: Board of County Commissioners Chairperson -Park County 2003 X Print Name: Board of County Commissioners Chairperson - Pitkin County 2003 X Print Name: Board of County Commissioners Chairperson -Summit County 2003 Acceptance: X Print Name: Colorado Department of Public Health and Environment - 2003 2 • • Table of Contents Acknowledgements Approval Authorizations Acceptance Section 1: Mission Statement Pg.4. Section 2: Purpose and Background Pg.4. Section 3: RETAC description Pg.8. Section 4: Needs Assessment Process Pg.9. Section 5: Prioritization Process Pg.10. Section 6: Summary RETAC Goals and Objectives Pg.10. Section 7: Stakeholder List Pg.12. Attachment A: Master roster of regional EMS agencies and Trauma Facilities Section 8: Supporting Documentation Pg.12. Attachment B: March 2003 RETAC members' list Attachment C: September 200~RETAC meeting minutes Attachment D: RETAC comments on the State's 15 components of an EMS and Trauma System 3 Section 1: Central Mountains RETAC Mission Statement- 2003 The Central Mountain's Regional Emergency Medical and Trauma Services Advisory Council (CM RETAC) was created to develop a comprehensive and regional, emergency medical and trauma. care system Its Mission is: "To optimize the care of sick and injured patients thra-agh the integration and coordination of Emergency Resources, utilizing Comm®nications, data, protocols, training and system development." Section 2: Purpose and Backarround The Central Mountains RETAC was formed July 1, 2000, via an Intergovernmental Agreement (IGA) by and among the l3oazd of County Commissioners of the Counties of Chaffee, Eagle, Lake, Pazk, Pitkin, and Summit, Colorado. Per Provisions of Section 18 of Article XIV of the Colorado Constitution and Section 29-1-203, C.RS., as amended, Chaffee, Eagle, Lake, Park, Pitkin, and Summit may cooperate or contract with one another to provide any function, service or facility lawfully authorized to each County. The RETAC was formed after the General Assembly of the State of Colorado revised the Colorado Trauma Care System Act, Section 25-3.5-701, et seq., C.RS. (hereinafter "Act"). The Act revisions mandate,"... that the boazd of county commissioners of each county, replace existing ATACs with multicounty Regional Emergency Medical and Trawna Advisory Councils (hereinafter "RETAC"s) which aze to be comprised of no fewer than four counties, or with the goven3ing body of a city and county..." The purpose of the RETAC is "... to provide recommendations concerning regional azea emergency medical and trauma service plans in compliance with the requirements of the Act; and ... that Counties recognize that appropriate care for those persons experiencing a medical emergency or traumatic injury is immediately necessary. And, that much of the infrastructure and cooperative spirit needed to create such a multicounty organization including shared re~urces, equipment, and facilities that provide trauma service already exists. And, support the legislative directive and ...extend their best efforts to implement the legislative directive consistent with the funding appropriated by the State of Colorado, or other sources designated for this P~~•„ The Counties agreed, "... to jointly establish a RETAC to recommend a regional emergency medical and trauma system plan for the Counties and satisfy any other regulatory of stahrtory requirements and obligations of the Counties pursuant to the 4 ~ ~ Emergency Medical Services Act, § 25-3.5-101 et seq., C.RS. and the Statewide Trauma Care System Act, 25-3.5-701 et seq., C.RS., or as expressly delegated by the Counties." In accordance with 25-3.5-701, et seq., C.RS. and the desires of the pazticipating Counties, the CM RETAC membership is comprised of eighteen (18) voting members: three (3) per County, approximately configured according to the choices, as follows: • 6 Emergency Medical Technicians - (paid or volunteer) -one from each Coutby's emergency medical services boazd or council • 1 Trauma Surgeon • 1 Emergency Department Physician • 1 Healthcaze Facility Administrator • 3 Trauma Nurse Coordinators • 1 Local Government Representative • 1 Emergency Medical Service Physician Advisor • 1 Ski Patroller • 1 Open Seat • 1 First Responder • 1 Primary Caze Provider The CM RETAC also invites professionals from key resource healthcaze facilities to participate as non voting members. Key resources facilities offer the highest level of ~- trauma care, called Level I. Such trauma facilities aze designated by the CDPHE as levels I through V. Again, the highest levels of resources are in Level I facilities, and the least in Level V. Level V was largely created for ski clinics to obtain a designation. Yearly, local countywide EMS and Emergency Councils have obtained input from health care facilities and EMS providers in order to provide nominations for the RETAC to the BOCC. The BOCC in turn has appointed the members. This slate of approved candidates was sent to the RETAC office, completing the process. Recently, however,. the RETAC voted to recommend amending the IGA whereby appointments will be made for t3Ko-yeaz terms. The founding RETAC members established their Bylaws in October 2000, following several months of reseazch and debate. Issues of attendance, frequency of meetings and the establishment of an executive boazd were among the items studied for inclusion. The Bylaws are reviewed every yeaz during the RETAC annual meetings, traditionally held the second Thursday in September. Yearly, the RETAC elects a Chairperson, Vice Can, and Secretary- Treasurer from its members. These officers serve one-yeaz terms. The RETAC attempts to employ a fiill-time coordinator. The coordinator is medically trained as either a nurse or EMT. In addition, a master's degree is preferred. Several master's level discipline: are acceptable. This distinction is made due to the high level of education held by RETAC members. The coordinator focuses on organizational and administrative duties for the RETAC. Planning and follow through are important aspects of the job. Problem solving through analyzing relevant issues and making appropriate recommendations allows the coordinator to operate effectively. The coordinator is the RETAC liaison to the CDPHE and provider of technical assistance to the counties. Currently, the CM RETAC is functioning with an interim coordinator. A new coordinator will ~ hired in the summer of 2003. In the case ofthe CM RETAC, the coordinator is but one of a team of hired professionals. In addition, two consultants aze working for the RETAC, one with EMS data collection and the second with healthcare facility trauma data. This strategy of utilizing several professionals helps maxim;~e the number of skill sets available to the region All meetings of the CM RETAC and any subcommittee meetings where business is discussed. or at which formal action may be taken is a public meeting and subject to the Colorado Open Meetings Law § 24-6-401, et seq., C.RS. Therefore, Notices and agendas of all regular and special meetings aze faxed as "postings" for county administrative bulletin boards at leasttwenty-four (24) hours in advance of the commencemeirt of the meeting. The RETAC meets no less than every two months. Educational opporhmity sharing is a regular part of the RETAC monthly meeting agenda. Meetings are held at central locations during most of the year but rotate among the counties during the summer. Minutes and records of the CM RETAC shall be open to the public and .subject to the Colorado Open Records Act, § 2472-101 et seq., C.RS. The CM RETAC receives $165,000.00 per yeaz, as part of the distribution of the State EMS and Trauma Fund. This money is intended to help develop and maintain the regional EMS and Trawna system The State fiord is capitalized via a $1.00 surcharge on Colorado vehicle registrations. The amount the CM RETAC receives includes a fixed amount of $75,000 per RETAC and $15,000.00 per county. The administrative portion has been used to cover operating costs, employ the regional coordinator and contract with the data specialists. In 2003, the counties were each given $8,800.00 for local EMS and trauma system projects. The balance between the $15,000.00 consideration for the counties and the $8,800.00 disbursement to them was used to help purchase the work of the two RETAC data specialists. The CM RETAC is limited in its spending authority to the annual total budget approved by the RETAC. Annual expenditures shall not exceed revenues, including any reserve fiends, as approved by the RETAC. The RETAC adheres to generally accepted accounting principles and Colorado law. Summit County Government has been the fiscal administrator for the State fiords on behalf of the RETAC for the past two, initial yeazs of the RETAC. Recently, the RETAC voted to seek 501(c) 3, non profit organizational status for fiscal administration The new structure allows the RETAC to operate with it's own IRS designation The 501(c) 3 also allows the RETAC to be separate from the politics of the counties and state. ~ ~ The RETAC has a history of writing grants for resource and educational needs. The new IRS designation broadens fund-raising possibilities. The RETAC has four committees: the Prehospital(EMS), the Healthcaze Facility, the Executive and the Mass Casualty Incident (MCI) for all hazards. Each committee has a chairperson and secretary who aze Council members. The Committees make recommendations to the full Council for approval No votes take place in committee meetings. Each committee has a major focus. The Prehospital committee's top project is standazdizing and collecting regional EMS data. L~lcewise, the Facility committee concentrates on Trauma Data collection. The Executive Committee focuses on administrative issues. The Mass Casualty Incident Committee ha$ a written regional plan and tests regional responses through Tabletop exercises and Evaluations. The CM RETAC conducts regional planning by conducting meetings and activities that bring the six counties together. These forums provide for information sharing, innovating, networking and making regional choices, thereby optimizing care of the sick and injured patient. Regional projects include the standardizing EMS data collection by 11 out of the 12 licensed EMS agencies in the region. Trauma data is collected by nine out of nine healthcaze facilities and is used to plan prevention activities. The RETAC has a Regional MCUAll Hazazds Plan and Field Guide, which was created over the past two years. Plans continue for a Weapons of Mass Destruction Tabletop exercise in October 2003 and afull-scale exercise in May 2004. A Department of Justice (DOJ) Grant will fund nth of these exercises. Following inception, the RETAC was awarded a State Provider Grant for EMS regional data collection soflwaze and hardware. A Rural AED (Automatic External Defibrillator) Grant, obtained by the RETAC, via federal funds in 2002, facilitated 12 Automatic External Defibrillator (AED's) units being distributed regionally in January 2003. Expectations for the firture include resolving issues on the discoverability of collected data and the writing of state and regional policies for statistical dissemination of this information and conducting quality of care assessments. The RETAC acknowledges the need to raise additional money for further infrastructure development and allocation of better resources. For the past year and a half, the RETAC has been attempting to secure funds for portable decontaminationunits, but to date, remain without these Items vital for terrorism response. Region wide disaster planning now involves two new types of regions in Colorado 1) Bioterrorism, which is anchored by Public Health and 2) Prepazedness regions, which address law enforcement. Continuing integration between the RETAC, the counties, local Councils, the CDPHE, the facilities and the prehospital agencies is the essence of the regional systemization. Identifying common needs drives the RETAC to seek further fimding for solutions. ~ ~ The Central Mountains RETAC has been instrumental in helping to form and support new local EMS and Trauma. Councils in Lake, Pazk and Chaffee counties, using organizational models from Eagle, Summit and Pitkin counties. The later three counties have recognized these local advisory boazds via county resolutions. The former three counties aze on track to accomplish this same type of formal relating to the BOCC. The CM RETAC works using a local, regional and state, three-way communications model Secti®n 3: Central Mountains RETAC Description The Central Mountain's Regional Emergency Medical and Trauma Services Advisory Council (CM RETAC). was created to develop a comprehensive and regional, emergency medical and trauma care system for hospital and prehospital response in the 6,898 squaze mile region. The squaze miles per county aze as follows: Chaffee - 1,015; Eagle - 1,701;Lake - 383; Park - 2,210; Pitkin - 970; and Summit - 619. Populations in the counties are as follows: Chaffee -16,300; Eagle - 31,721, Lake - 8,220; Pazk -12,451; Pitkin -14,500; Summit -18,557. All Counties aze experiencing a 10% to 25% annual growth in their base populations in both populated and rural azeas. Some azeas aze forecasted to double their populations in the next 10 years. Seasonal and Tourist populations are also increasing. Populations can swell by over 400% in some azeas, from 15,000 to 93,000 and this now occurs neazly yeaz-round. The region is mountainous and interwoven with,high narrow roads winding over peaks 11,000 feet and higher. Locations aze separated by these mountain passes and can become landlocked during inclement weather. One major Interstate highway, I-70 intersects the region. Several highly traveled primary and designated scenic highways include major hazazdous material routes: highways 285, 6, 9, 24, 91, 82, 50 and 131. Major ski and winter sport azeas draw hundreds of thousands of tourists to the region during cold months and provide summer venues for concerts and other events. Lazge azeas of all the counties aze public lands, some 40-80%. Severe and unusual weather conditions may occur year-round throughout the region to include: windstorms, heavy snows, sleet, freezing and/or heavy rains. Avalanches and landslides occur. Flooding can also occur in the rivers, upstream tributazies basins and downstream from major dams in the region. Two regional airports and a number of landing strips serve small personal craft to high speed, multi passenger aircraft. Several industrial plants exist, ranging from fixed facilities and petroleum fuels storage to light industry. The region has seven State-Designated Trauma Centers for patient care. These • include: The Aspen Valley Hospital, Level III (Pitkin); Breckenridge Medical Center, Level IV (Summit); Century Summit Medical Center, Level IV (Summit), Heart of the Rockies Regional Medical Center, Level IV (Chaffee); Keystone Medical Center, Level IV (Summit); St. Vincent's General Hospital, Level IV (Lake) and Vail Valley Medical Center, Level III (Eagle). Non designated facilities include Copper Mountain Medical Center (Summit) and Beaver Creek Medical Center (Eagle). See Appendix A - Healthcaze Facility Report for facility statistics. Several regional similarities exist among the healthcare facilities. Inter-facility transfers aze needed for moderate and high risk patients. These include high incidence motor vehicle and skier accidents. High altitude problems, hypotherrmia, a significant incidence of head traumas, without available neurosurgery in the region, and a high incidence of orthopedic trauma aze seen. There are ~'9~prehospital agencies in the region. Fully-license Ambulance agencies include: the Aspen Ambulance District (Pitkin), Basalt Fire Rescue (Pitkin), Chaffee County EMS, Eagle County Ambulance District, Platte Canyon Rescue (Pazk), Snowmass Wildcat Fire Protection District (Pitkin), South Pazk Ambulance District, St. Vincent's Hospital Ambulance (Lake), Summit County Ambulance, High Country EMS (Pazk) and the Westera Eagle County Ambulance District.. A seasonal Basic Life Support license is cazried during the ski season by Aspen Emergency Services. Several regional prehospital challenges include: • - High response times • High mountain passes including two of the highest Interstate passes in the country • High transport times due to large distances between healthcare providers • High mileage on ambulance vehicles from long distance transports • Drastically changing weather and road conditions with long winters • Areas inaccessible to ambulances and accessible only by bicycle, foot or ATV • Steep mountain seazch and rescue initial response • Ski azea initial response • Lazge wilderness areas with hunting activities • High recreational use and tourist azeas • Swift water rescue initial response • Additional Ambulance wear from responding on non-mai~ta;ned dirt roads • Lazge numbers of volunteers being asked to participate in precarious situations • A wide range of communications problems among varied technologies • Multi-language and multi-cultural issues with both residents, visitors sand Interstate travelers • High number of aeromedical rescues • Urban, residential and wildland fires. See Appendix B Prehospital Report for statistics Section 4: • Needs Assessment Process In September 2001, the entire RETAC membership worked for the better part of a day to create three templates for the region's Needs and Resource Assessment project. Over six different assessment samples were considered. Then, the group drafted three specific assessment tools, titled the Prehospital, Healthcare Facility and County assessments. Twelve assessments were distributed to the prehospital agencies and all were completed with the exception of High Country EMS in Pazk County. All nine healthcare facility assessments were completed. And, five out of six county assessments were completed with the exception of Pazk Cou~y: Each assessment consisted of at least 50 questions. The purpose of the Assessment project was to identify system needs and resources available for the regional improvement planning. Beginning in July 2002, completed surveys were entered in an Access database by staff from the Denver. Health Medical Center, one of the CM RETAC's key resource facilities. A verification process took place and reports were generated. Identified problems, trends and issues have helped generate sohrtions, goals and objectives for the region. Section 5: Prioritization Process At-the September 2002 Annual RETAC meeting, the Council approved its' priorities for the next two yeazs. In addition, at the December 2002 RETAC meeting, they decided on short and long term goals according to regions needs and the state's newly developed 15 components of an EMS and Trauma System Further data analysis and SWOT (Strengths, Weakness, Opportunity, Threats) analysis work in February and March 2003, provided the basis for the prioritization of the goals for the region. Section 6: Summary of Goals and Objectives The Goals for the RETAC during 2003 through 2005 aze prioritized as follows: O®e: Better finance the system via the development of the 501(c) 3 organization T®vo: Hire a Coordinator for the RETAC 1® • • Three: Further identify regional communications systems problems and solutions and hire a Communications consultant for corrective action during the 2003/2004 fiscal year, which begins July 1, 2003 Four. Correlate data collection and the new federal (HIPPA) regulations governing patient information Five: Conduct MCI/WNID regional exercises and secure decontamination equipment for the counties S.W.O.T. Analysis The RETAC analysis ofthe regions S.W.O.T. (Strengths, Weaknesses, Opportunities and Threat) yielded the following information: STRENGTHS: • Clearly defined objectives • Coordination of trauma data • Information sharing • Networking • MCI planning • Reasonable goals likely to be achieved • RETAC fosters greater understanding of regional issues • Competent consultant for EMS data collection • Strong group of committed individuals WEAI~TESSES: • Trauma data not used • Meetings are too long • More CDPHE categories for goal achievement than is reasonable to accomplish • Not enough contact or involvement with the BOCCs • BOCCs do not discuss the RETAC efforts • Analysis of State requirements takes too much time • Too maay RETAC administrative issues vs. coordination of services • Lack of adequate funding • Lack of RETAC coordinator at present '` OPPORTUNITIES: x` • 501(C)3 for fiscal administration and better funding • Can accomplish more purchasing of equipment and resources with the 501(c)3 • Better understanding ofinter-regional and state needs and mandates • To be a model for other regions as was the case initially 11 THREATS: • • Increasing demands on RETAC members without adequate work time to accomplish goals and without reimbursement to the members' employers • Too many regional jurisdictions in Colorado • Not enough state grant money • Paralysis of obtaining grant money • Uncertainty of the hurdles to progress to the 501(c)3 • Uncertainty of the coordinator component Section 7: Stakehold®rs List Attachment A :Master roster of regional EMS agencies and Trauma Facilities Section 8: Supporting Documentation Attachment B: March 2003 RETAC members' list Attachment C: September 2003 RETAC meeting minutes Attachment D: RETAC comments on the State's 15 components of an EMS and Trauma System 12 • $ o ~ ~ ~ o 0 c 8 v E $ c ~ ~ .. ~ ~f ~ U ~? ~ f~ ~ ao °• ~ ffi c o ~ ~ ~ ~ c o G ~+ ~ .. ~ ~ m > E E ao ~ ~ V $ € s ~ ~ tY ~ ~ ~ _ o o c c~ ~ L Y CC W ~ {tp~ ~ c 0 ~ ~ ~ C1 ~ ~ ° ~ ~ ~ ~ 3 o ~ ~ p 3 c ~ E ~ ~ u 1 'v ~ ~ ~ a i t00 d ~ NQ ~Q t'7 aNQ ~ ~ ~ aM- aND ~ n a`O- O ~ ~p ~ EQ Y~f tlN,f 8 ~ ~ M C~D ~ ~ ~ NJ , $ ~ at ~ ch N ~ ~ ~ e~~f e aD ~O l0 I~ ~ N ~ ~ ~ 1 1t~ ~ ~ ~ j ~ ~ p ~ p Il OD ~' t0 et N ~ O 1` ~ 0 ~ iA OD tO C9 ~O P I ff aQOD O O_ Op C9 l~ NO N ~Pp ~O ~_ O N ~ cOp W_ ~~pp O to ~ ~ ~ 6f O N ~ d0 ~ O) aOD ~ N N N Of ate- O ~ f it O ~ m O ~ N ~ o W ~ ~ ~ ~ ~ ~ M ~ ~ ~ ~ h ~ 1 ~ a ~ N a CCC a ~ @7 ~ N a ~ ~ a M ~ 1~1 N a dl to ~ ~ N ~ o m Z a a 1~ 1~ 1~ 1~ t~ O f~ P P 1~ 1~ P ~ a (~. w (~ w ti w A a~ ~ rn P ~ t~ a~ P ~ ao w a w P ~. m P n co rn ~ n w w w rn a W {_ P ~/~ O ~ to O U N N ~ ~ ~ m ~ P P ~ ~ M n ~ r ~ ~ ` ~ ti ~ o V W a~o O U ~ o NP V O ~ V c 0 ~ P P N m N ~ O V ~ V ~ m V S U U F ~ v m aD V ~ a o v ( j ~ V ° P° V ® v O V O o ~ _ N ~ ~ m v ~ ~ ~ > ~ ~ v - ~ ~ ~ V ~ j ~ ~ ~ p {~ ~ Q ~ m ~ tL ~ (A Y „j U ~ N c ~ ~ ~ m N LL ~ W ~ O "3 C ~ U ~ ~ P P ~ ~ M {~ °~ ~ N ~ '~ ~ LO aD ~ ~ 'o ~ m ~ c°~i M ~ () ai ~ OW O P W 407 ~' P ~ N ~ ~ ~ ~ ~ ~ ~ P ~ ~ rn V C ~ ~ O ~ m m x m m ~ ~ ~ ~ l0 ~ ~ ~ xx O m m m m m ~ m m 3 X ~ m E ~ O a .- °c h m 0 a 0 0 0 0 0 ~ ~ ~ a O ~ O O O O O a c~ O O m ~- 0 v ¢ y V ~ On a w ia. n. d m P a a a a a a O aD a a a ~ ~' ~ N ~ W ~ c ~ ~ ~ ~Q ~ ~ ~ ~ ~ ~ ~ ~ ccg3 ~ is ° ~6 't' W d ~ W -a ~ ~ m U ~ IL ~S O ~ (n a o ~ ~ 2 x g `° ~ ~ $ Y c ? • Y Z v g ~ m Y n ~ ~ o c° ~ m d` t a c ~ .. ~ ~ ~ ~ g c ~ a , ~ ~~ v~i i°- y t ~ U ~ a N m ~ ~ ~ ~ ~ U ~ Y ~ F= Z Z Z Z ~ Z ~ = ~ W d o ~ ~ ~ ~ ~ ~ m m ~ ~ ~ ~ o ~ ~ ~ ~ ~ ~ ~ ~> ~ p~ ~ C U C. W al m m U tq ~ W a a a t~ , W a a a a ~ V) W > ~ W ~ ~ m m t1 a •' ~ b ~ ~ o m ~ ~ 8 ~ ~ U M C c m U ~ ~ ~ ` t'i ~ ~ ~ ~ ~ O ~ Q ~ ~.. ~ ` C ~ ~ ~ ~ ~ ~ ~ ~ U ~ m ~ ~ e 8 ~ m a U ~ m ~ tL ~ ~ ~ m ~ ~ c c ~ ~ ~ O W ~ ~ g ~ ~ ~ ~ ~ Q ~ ~ G w ~ ~ ~ Ch c gs ~ ~ A p ~ > ~ U m ~ ® ~ ~ c ao. ~ g ~ ~ ~ W ~ ~ o U ~ c ° c V . ~ a ~ o W o V t ~ d ~ ~ c ~ ~ @ ~ °Q o ~ m ~ ~ c c ~ C3 ~ U = ~ { Y3 ,~ ~ ~ ~ ~ ffi ~ c ~ ~ r c`~ t, ~ ~ ~ m m m v 3 c~ x x .a cn > ~ a a, ¢ m .c c~ w = a v~ O m u~ v~ 3 c~ ~ ~ ca ~ m ~ Attachment B: i Central Mountains RETAC Regional Emergency Medical and Trauma Services Advisory Council P.0 Box 5055, Frisco, CO 80443 Serving Chaffee, Eagle, Lake, Parr Pitkin and Summit Counties Appointed Members and Alternates 3 votes per county per meeting/18 total votes Judy 1, 2002 -June 30, 2003 Chaffee Countw. Diane Brooks, RN Phone: 719-539-6661 Trauma Nurse Coordinator a-mail: dianeb@hrrmc.net Heart of the Rockies Regional Medical Center PO Box 429 Salida, CO 81201 Pat Barnett, RN Phone: 719-395-8493 Chaffee County Public Health Nurse a-mail: salidagat(c~hotmail.com PO Box 37 Buena Vista, CO 81211 Jackie Berndt', EMT-P Phone: 719-539-2212 Chaffee County EMS a-mail: ccems@amigonet PO Box 699 Salida, CO 81201 Pete DeChant, Director Phone: 719-539-2212 Salida Fire a-mail: salidafd@chaffee.net Carl Hasselbrink Phone: 719-539-7442 Emergency Manager Chaffee County a-mail: Cazlh@amigo.net PO Box 669 Salida, CO 81201 Adam Petro, EMT-P Phone: 719-539-2212 Chaffee County EMS a-mail: salidafd@chaffee.net PO Box 699 Salida, CO 81201 Randy Rodak, DO Phone: 719-530-8221 Heart of the Rockies Regional Medical Center a-mail: drriner@hotma~7.com PO Box 429 Salida, CO 81201 J.W.W~7der Phone: 719-5531654 Colorado State Pazk a-mail: jw@ahra.salida.co.us 307 West Sackett Ave Salida, CO 81201-1654 • Eagle County: Chris Dick, EMT Phone: 970- 318-1130 Western Eagle County Ambulance a-mail: chrisdick@hotmaiLcom PO Box 1809 Edwards, CO 81631 Anne Fassel, RN Phone: 970- 479-7185 Trauma Nurse Coordinator a-mail: traumaservices@VVMC.com Vail Valley Medical Center 181 West Meadow Dr. Vail, CO 81657 Reg Franciose, MD Phone: 970- 479-5039 Vail Valley Medical Center a-mail: Franciose@vvmc.com 181 West Meadow Dr. Vail, CO 81657 Tom Kelley, EMT-P Phone: 970-328-1130 Western Eagle County Ambulance Director a-mail: wecad@fgn.net PO Box 1809 Eagle, CO 81631 Sarah Moody, RN Phone: 970- 479-7230 Vail Valley Medical Center a-mail: m~dy@VVMC.com 181 West Meadow Dr., Suite 100 Vail, CO 81657 ~ --~~ Lyn Morgan, EMT-P Phone: 970-926-5270 Eagle County Ambulance Director a-mail: lmorgan@ecad-ems.com PO Box 990 Edwards, CO 81632 John (Chip) Woodland, MD, Chairman Phone: 97076-8065 Medical Director a-mail: woodland@vaiLnet Vail Valley Medical Center 181 West Meadow Dr. Vail, CO 81657 Lake County: Joan Fretz, RN Phone: 719- 486- 0230 St. Vincent's General Hospital a-mail: jfretz@SVGHD.org 822 W. 4s` St. Leadville, CO 80461 Mike Osborn, Fire Chief Phone: 719-486-2900 Leadville/Lake County Fire a-mail: mosborn@leadvillefQe.org 816 Harrison Ave. Leadville, CO 80461 Lfsa Zwerdlinger, MD Phone: 719- 486- 0230 St. Vincent's General Hospital e-mail: DrLisa@amigo.net 822 W. 4s' St. Leadville, CO 80461 Park County: Jndi Andreson, Fire Chief Jefferson Como Fire Department PO Box 380 Como, CO 80432 Pahl Mattson, EMT-P South Park Ambulance District PO Box 417 Fairplay, CO 80440 Marti Wooton, RN Pazk County Public Health PO Box 846 Fairplay, CO 80440 Fitkin County: Flint Smith, EMT-P Basalt Fire Rescue 1089 J.W. Drive Carbondale, CO 81623 William Rodman, MD Aspen Valley Medical Center 0401 Castle Creek Rd. Aspen, CO 81611 Mary Shelton, RN Trauma Nurse Coordinator Aspen Valley Medical Center 0401 Castle Creek Rd. Aspen, CO 81611 Rich Walker, EMT-P Aspen Ambulance District Director 0401 Castle Creek Road Aspen, CO 81611 Summit County: Shelly Almroth, RN Trauma Nurse Coordinator Summit Medical Center PO Box 738 Frisco, CO 80443 Kevin Ahern Breckenridge Ski Patrol Director PO Box 1058 Phone: 719-836-3244 e-mail: jcfpd@direcway.com Phone: 719-836-4149 e-mail: pmattson@theparknet.com Phone: 719-836-4147 e-mail: pcphns@thepazknet.com Phone: 970- 704- 0675 e-mail: fsmith@basaltfire.org Phone: 970- 920- 7024 e-mail: wjrod@ro~net Phone: 970- 544-1571 e-mail: mes@avhaspen.org Phone: 970- 544-1580 e-mail: rwalker137@aol.com Phone: 970- 668-3300 e-mail: ShellyAlmroth@centura.org Phone: 970- 496- 7229 e-mail: KevinA@Vailresorts.com C Breckenridge, CO 80424 Sean Caffrey, EMT-P, Secretary/Treasurer Summit County Ambulance Director PO Box 4910 Frisco, CO 80443 Kelley Laa, RN Trauma Nurse Coordinator Breckenridge Medical Center PO Box 930 Breckenridge, CO 80424 Ed Noordewier, MD Emergency Room Physician Summit Medical Center PO Box 738 Frisco, CO 80443 Mike Stern, EMT-P Summit County Ambulance PO Box 4099 Frisco, CO 80443 i Phone: 970- 668- 5777 e-mail: SeanC@co.summit.co.us Phone: 970- 453- 1010 e-mail: Lau@WMC.com Phone: 970-668-3300 e-mail: enoordewier@compuserve.com Phone: 970-668-4121 e-mail: Mikes@co.summit.co.us ~ ~ fFT°(AC ISM 6~`I-C ; ~_1 ~` Central Mountains Regional Emergency Medical and Trauma Services Advisory Council (CM - RETAC) Serving Chaffee, Eagle, Lake, Parr P#kin acid Summit cournies Mission: `To optianize the care of sick and injured patients through the intimation and coordination of emergency-resources and injtuy prevc~ztion." 9/2001 DRAFT Minutes from the September 12, 2002 meeting, Held at the Buena Vista Community Center 0930-1500 VOTING Members Present Chaffee Comty (Votes 3): Diane Brooks, RN Jackie Benndt, EMT-P Pat Barnett, RN, Chtaffee PH Esgle Cotmty (Votes 3): Chip Woodland, MD. VVMC, Chairman. Reg Franciose, MD, VVMC Lake County (Votes 3): Roger Colt, EMT P, SVGH Lisa Zwerdlinger, MD, SVGH Anne Wardrop, RN Joan Fretz, RN, SVGH Park County (Votes 2): Chris Montera, EMT P, S. Park AmbJRETAC Pre-Hospital Data Ed Noordewier, MD, Summit Med Ctr. Pltkin County (Votes 3): Mich Walker, EMT-P, Aspen Ambulance Rhonda J. Cole, EMTP Mary Shelton, RN, AVH Flint Smith, EMT P, Basalt Fire William Rodman, MD Summit County (Votes 3): Shelly Ahnroth, RN, Summit Med. Ctr Sean Caffrey, EMT-P, SCAS, Treas/Sec. Kevin Ahern, Breck Ski Patrol Others Present Lorraine Caposole, CM RETAC Coordinates Kathleen Patterson, RN, Denver Health Chris Dick, Western Eagle County Amb. District Perri Walborn, Chaffee Fire Claudia York,EMT Ed Parry, EMT-P Diane Knecht, RN, Copper Mt. Clinic Marti Wooton, RN, Fark PH Phyllis Uribe, RN, H~lthOne Swedish Kelley Lau, RN, Brackenridge Carl Smith, Carbondale Fire (Page 1 of 6 - CM RETAC 09-02) ~ ~ 9:30 General Meeting Dr. Woodland, CM-RETAC Chair called the meeting to order. A roll call of voting members of the Council was called. A Quorum was present. All attendees introduced themselves. Dr. Woodland proposed a revised agenda The revised agenda was approved Sean Caffrey, TreaslSec. Requested an executive session per the open meetings law regarding budget issues. An executive session to be held over the lunch hour was approved. Motion by Sean; second. Vote -approved Lorraine Caposole introduced Jack Taylor who was employed to facilitate the meeting. 1. Regional EMS and Trauma Plan Timeline Discussion. The Coordinator provided the group with a worksheet for formailating a contract with the state. This contract will take the place of the 6 individual county subsidy plans. A major difference will be the use of a Quarterly Payment Disbursement Plan, Our Biennial Plan draft is due March 1, 2003. The final plan is due by July, 2003. After the final plan is sent there is an approval process through. SEMTAC. Plans will be evaluated by Semtac. Submission of a revised plan is allowed if the original plan is found to be inadequate. Our Coordinator is looking for direction in creating a plan. The Coordinator provided a rough draft of a Biennial Plan Template which listed the components the plan should contain. The information obtained from our self-assessment and from an evaluation of our current needs can ~ used to formulate the' plan Data collected from data collection sources -facilities and EMS agencies -can also be used We will, not use facilitators or consultants to formulate our plan Rather, we will rely on our existing committees. The regional plan will be what we use in the next 2 - 5 years. We cad't effectively do strategic planning for long and short term due to our need to come up with a regional plan within the same time period. Lorraine wants committees to come up with data for the regional plan. 2. Review of previous year Committee goals -set new goals and priorities. Our facilitator asked the question -How well did we reach goals set last year and what are our goals for this year? a. Facilities Committee -goals and objectives and progress reaching same. 1.Trauma data .plan - in process- with improvement in collection by non hospital faacilities• (Page 2 of 6 - CM RETAC 09-02)