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“Health and Wellness for all Arizonans”
Page 1 of 2
Bureau Of Emergency Medical Services & Trauma System
150 N. 18th Avenue, Suite 540 Phoenix, Arizona 85007-3248
602-364-3150
TRAUMA AND EMS PERFORMANCE IMPROVEMENT (TEPI)
STANDING COMMITTEE Date: November 16, 2017 - Time: 09:00 hrs
Location: 150 N. 18th Avenue, Conference Rooms 215A & 215B, Phoenix, AZ 85007 Via computer with call back: azgov.webex.com, meeting code 804 590 499, password TEPI2017
Via telephone: dial 240-454-0879, meeting code 804 590 499 (#)
AGENDA I. Call to Order – Bill Ashland, Vice Chair II. Roll Call – Shelley Bissell (25 Members, 13 required for quorum)
III. Chairman’s Report – Bill Ashland, Vice Chair
a. Attendance report (Attachment III.a.) b. 2018 Meeting Schedule (Attachment III.b.) c. Regional EMS and Hospital Data Integration (ESO data hub) update
IV. Bureau Report – Taylor George, Bureau Liaison
a. ASENA – 2016 Arizona Statewide Emergency Medical Services Needs Assessment (Attachment IV.a.)
b. Premier EMS Agency Standards revision update c. AZ-PIERS & ASTR Bridge d. Fall 2017 Issue of AzHEAT e. Stop The Bleed in AZ
V. Discussion and Action Items
a. Discuss, amend, and approve TEPI meeting minutes of July 20, 2017 (Attachment V.a.)
b. Discuss, amend, and approve TEPI bylaws (Attachment V.b.)
VI. Progress Reports a. EMS Registry Users Group (EMSRUG) - Robert Corbell b. Trauma Registry Users Group (TRUG) - Melissa Moyer c. Trauma Program Manager Workshops – Heather Miller
VII. Agenda items to be considered for the next meeting VIII. Call to the Public
A public body may make an open call to the public during a public meeting, subject to reasonable time, place and manner restrictions, to allow individuals to address the public
“Health and Wellness for all Arizonans”
Page 2 of 2
body on any issue within the jurisdiction of the public body. The Board may ask staff to review a matter, or may ask that a matter be put on a future agenda. Members of the public body shall not discuss or take legal action on matters raised during an open call to the public unless the matters are properly noticed for discussion and legal action. A.R.S. § 38-431.01 (G). Persons with disabilities may request reasonable accommodations such as a sign language interpreter, by Angie McNamara, Program Project Specialist II, 602-364-3156; State TDD Number 1-800-367-8939; or Voice Relay Number 711. Request should be made as early as possible to allow time to arrange accommodations.
IX. Summary of Current Events a. November 7, 2017 – Arizona Public Safety Broadband Program/FirstNet Regional Forum in
Tucson, AZ http://info.mcp911.com/arizona-public-safety-broadband-forum-0 b. November 16 - 17, 2017 - 9th Annual Southwest Trauma & Acute Care Symposium - Talking
Stick Resort, Scottsdale, Arizona c. November 29, 2017 – Arizona Public Safety Broadband Program/FirstNet Regional Forum in
Flagstaff, AZ http://info.mcp911.com/arizona-public-safety-broadband-forum-0 d. December 13, 2017 – Arizona Public Safety Broadband Program/FirstNet Regional Forum in
Chandler, AZ http://info.mcp911.com/arizona-public-safety-broadband-forum-0 e. December 14, 2017 – Arizona Public Safety Broadband Program/FirstNet Regional Forum in
Phoenix, AZ http://info.mcp911.com/arizona-public-safety-broadband-forum-0 f. January 17, 2018 - EMS for the Future 2050 - Los Angeles, California g. March 1, 2018 - EMS for the Future 2050 - Dallas, Texas h. March 12- 13, 2018 - Arizona Pediatric Symposium - Flagstaff, Arizona
X. Next Meeting
March 15, 2018 @ 09:00 hrs, Arizona Department of Health Services, 150 N. 18th Ave, Rooms 215A & B, Phoenix, AZ 85007
XI. Adjournment
Attachment III.a.
Bureau of Emergency Medical Services and Trauma System
2018 Statutory/Standing Committee Meetings
Date Time Meeting Conference Room
January 18, 2018 9:00 a.m. State Trauma Advisory Board 215A & 215B – 2nd Floor
150 Bldg
January 18, 2018 10:30 a.m. Emergency Medical Services Council 215A & 215B – 2nd Floor
150 Bldg
January 18, 2018 12:00 p.m. Medical Direction Commission 215A & 215B – 2nd Floor
150 Bldg
March 15, 2018 9:00 a.m.
Trauma and EMS Performance
Improvement (TEPI) 215A & 215B – 2nd Floor
150 Bldg
March 15, 2018 10:30 a.m. Education Committee 215A & 215B – 2nd Floor
150 Bldg
March 15, 2018 12:00 p.m.
Protocols, Medications and Devices
Committee 215A & 215B – 2nd Floor
150 Bldg
May 24, 2018 9:00 a.m. State Trauma Advisory Board 215A & 215B – 2nd Floor
150 Bldg
May 24, 2018 10:30 a.m. Emergency Medical Services Council 215A & 215B – 2nd Floor
150 Bldg
May 24, 2018 12:00 p.m. Medical Direction Commission 215A & 215B – 2nd Floor
150 Bldg
July 19, 2018 9:00 a.m.
Trauma and EMS Performance
Improvement (TEPI) 215A & 215B – 2nd Floor
150 Bldg
July 19, 2018 10:30 a.m. Education Committee 215A & 215B – 2nd Floor
150 Bldg
July 19, 2018 12:00 p.m.
Protocols, Medications and Devices
Committee 215A & 215B – 2nd Floor
150 Bldg
September 27, 2018 9:00 a.m. State Trauma Advisory Board 215A & 215B – 2nd Floor
150 Bldg
September 27, 2018 10:30 a.m. Emergency Medical Services Council 215A & 215B – 2nd Floor
150 Bldg
September 27, 2018 12:00 p.m. Medical Direction Commission 215A & 215B – 2nd Floor
150 Bldg
November 15, 2018 9:00 a.m.
Trauma and EMS Performance
Improvement (TEPI) 215A & 215B – 2nd Floor
150 Bldg
November 15, 2018 10:30 a.m. Education Committee 215A & 215B – 2nd Floor
150 Bldg
November 15, 2018 12:00 p.m.
Protocols, Medications and Devices
Committee 215A & 215B – 2nd Floor
150 Bldg
DISCLAIMER: “Meeting schedule subject to change upon the request of the Governor’s Office or the
Office of the Director. Should this occur, the Bureau will make all reasonable efforts to contact the affected
members as soon as feasible.”
9/28/2017
Attachment III.b.
ABSTRACT
Emergency Medical Services (EMS) is an institution and product of public health, health care,
and public safety that is chopped and scattered across multiple jurisdictional deployment methodologies
throughout Arizona. To fully-asses the EMS needs of the state, those jurisdictions are considered as a
whole; for it is the whole that makes a system, and a system is what truly impacts patient outcomes.
Evaluating the "whole" is the genesis and driver of the 2016 Arizona Statewide EMS Needs Assessment
(ASENA).
The primary objective of ASENA is to establish a current "snap-shot" of EMS in the state while
simultaneously identifying needs and/or areas that can be targeted for further analysis and/or
improvement as part of Population Health Management and Emergency Medical Services Integration
under the AZ Flex Grant funded by the U.S. Health Resources and Services Administration (HRSA). In
addition, the secondary objective of ASENA is to compare and contrast this current "snap-shot" with
data obtained in a more narrow needs assessment conducted in 2001, allowing comparison of changes
in Arizona's critical access EMS system over 15 years.
To accomplish this, a 105-question needs assessment survey tool was developed and distributed
to EMS agencies throughout the state. The fully-vetted survey tool collected information pertaining to
sixteen core functional sections. Eighty-six agencies fully-completed the needs assessment survey tool,
with respondents evenly distributed across the state's four EMS coordinating regions and representative
of the various service-delivery methodologies. The combined service areas of the respondents cover
over 85% of the state's population.
Arizona's statewide EMS system is well organized and positioned to deliver advanced levels of
prehospital care for the vast majority of its citizens and visitors, with some variation between urban and
rural regions. Key needs identified relate to: patient care reporting between EMS providers, emergency
departments and receiving hospitals; quality assurance activities; education and skills training programs;
dispatch system capabilities; mass casualty and public health preparedness; equipment and supplies;
and more robust use of data and analyses to inform continuous EMS system improvement.
George TA. 2016 Arizona Statewide EMS Needs Assessment. Page 9 of 286
Attachment IV.a.
TRAUMA AND EMS PERFORMANCE IMPROVEMENT (TEPI)
July 20, 2017
150 N. 18th
Ave., Conference Room 215A & 215B
DRAFT MINUTES
I. Call to Order - The meeting was called to order at 9:05 a.m. A quorum was present.
II. Roll Call – ( 25 Members, 13 required for quorum)
Present Absent
Bill Ashland
Brian Bowling
Chris Salvino, MD*
Darlene Herlinger*
Eric Merrill
Gail Bradley, MD
Garth Gemar, MD*
Jill McAdoo
Josh Gaither, MD*
Mary McDonald*
Melissa Moyer
Michelle Guadnola
Pamela Goslar*
Rebecca Haro
Robert Corbell*
Tiffiny Strever
Dale Woolridge, MD
Danielle Stello
Heather Miller
Jeffrey Schaff
Pam Noland
Paul Dabrowski, MD
Ralph Zane Kelly,MD
Summer Magoteaux
*indicates member participated electronically
III. Chairman’s Report – Bill Ashland, chaired the meeting, Chris Salvino, MD, chair
attended by conference call
a. Attendance report - included in the packet for members
IV. Bureau Report – Terry Mullins, Chief, reported that the Bureau has been reorganized
into the Services Section and the Regulatory Section. We will be launching this change
on August 1, 2017.
a. Introduction Taylor George, Services Section Chief
Terry Mullins gave background and credentials of Taylor, and described his
role in the reorganization of the Bureau.
o Taylor reported on his role as oversight of Epidemiological Data and
Quality Assurance, Strategic Planning and Recognition Programs,
Fellowship and Internship Programs, Statutory and Standing
Committees, and Time Sensitive Illness and Injury, and other duties.
b. Premier EMS Agency Standards Revision
We will be starting a taskforce to see if the standards need to be revised
and/or added and will be formerly asking Rebecca to head up this taskforce
for us.
c. V3 Transition
July 1, 2017 was the official transition date to the version 3.4 of the EMS
dataset.
d. Bylaw Review
All the statutory committee bylaws need to be revised so we will be forming
a workgroup for that purpose. The goal is try to keep them all similar.
V. Discussion and Action Items
a. Discuss, amend, approve, TEPI meeting minutes of March 16, 2017
Attachment V.a.
Rebecca Haro made a motion to approve the minutes. Dr. Gail Bradley approved
the minutes as presented and Michelle Guadnola seconded the motion.
Motion carried.
VI. Progress Reports
a. EMS Data Cube and Trauma Triage Logic Filter Workgroup
Taylor George reported that the bureau will be building this out at the state level.
The workgroup has taken a pause but will be starting back up.
b. Services Section Update
Taylor George reported that Vatsal Chikani is now the manager of the
epidemiology data and quality assurance program. Paula Brazil is now the
manager of the Time-Sensitive Illness program. Ithan Yanofsky is running the
Regulatory Section. The first issue of the new reporting structure will be going
out at the end of July. Each issue will have a main focus area.
c. EMS Registry Users Group (EMSRUG)
Robert Corbell reporting that we are no longer excepting version two data. We
are completely up to date in regards to the international standards.
d. Trauma Registry Users Group (TRUG)
Melissa Moyer reported that TRUG met yesterday, July 19th
, she stressed the
need to make sure that state submissions are done on a timely manner. There will
no longer be a grace period. HonorHealth is hosting a report writing class on
August 1 - 3, 2017. The new pathway to submit data for the NTDB and TQUIP is
going to be changing to the trauma cloud. If you have not registered please talk to
your vendor. You can no longer submit data or run reports through the NTDB.
e. Trauma Program Manager Workshops
Kimberly Boehm reported that the last workshop was in March and the next one
is tomorrow July 21, 2017 at Wickenburg Community Hospital.
VII. Agenda Items to be considered for the Next Meeting – No items were presented.
VIII. Call to the Public:
David Harden asked if updates on Naxolone administration and the opioid epidemic
data can be included as a standing agenda item. Taylor reported the data is public
record, but any further data is not available to be discussed at an open forum.
IX. Summary of Current Events
a. August 3 - 4, 2017 - 28th
Southwest Regional Trauma Conference, Tucson, AZ
b. August 17 - 18, 2017 - Trauma Conference International, Live-Simulcast, In-
Person (Toronto, Canada) - https://traumacon.org/
X. Next Meetings: November 16, 2017 @ 9:00 AM, 150 N. 18th
Ave. Rooms 215 A & B
XI. Adjourn: 9:20 am
Approved by:
Date:
BYLAWS
Standing Committee Title: Trauma and EMS Performance Improvement Standing Committee
Standing Committee Acronym: TEPI
Article I: Purpose
The Trauma and EMS Performance Improvement (TEPI) Standing Committee is formed to assist the
Statutory Councils (State Trauma Advisory Board, Emergency Medical Services Council and
Medical Direction Commission) and the Bureau in carrying out the duties described in statute and
rule relating to quality improvement of the State’s EMS and trauma system. This is accomplished by
aiding the Bureau’s Data and Quality Assurance Program in the development of guidelines, reports,
and recommendations to the Statutory Councils. Importantly, TEPI’s review of provider level data is
limited to routine system performance indicator analysis and cannot be used for regulatory purposes.
Specifically, TEPI shall:
1. Provide recommendations to the Bureau for the development of system performance
indicators relating to the emergency care system inclusive of dispatch, first response,
transport, emergency department, in-patient and rehabilitative care.
2. Review and suggest changes to Bureau developed reports based upon system performance
indicators
3. Recommend to the Statutory Councils specific system performance enhancements to the
State’s emergency care system.
4. Review and consider evidence-based research dealing with emergency care system and make
recommendations to the Statutory Councils for possible changes in system practice.
5. Periodic review and recommendations for changes in the data-sets pertaining to emergency
care system registries.
Article II: Committee Liaison
The intent of this article is to provide for the timely and appropriate exchange of information
between the Standing Committee and the three Statutory Councils. All Standing Committees shall,
therefore, have a minimum of one member from each of the three Statutory Councils in their
membership to serve as liaisons.
The Chief of the Bureau of Emergency Medical Services and Trauma System, or designee, shall also
attend and support the timely and appropriate exchange of information between the Standing
Committee and the three Statutory Councils and to provide staff support and technical support to the
Standing Committee including notification of pending actions or issues which may be within the
scope of the Standing Committees’ purpose.
Article III: Members
Section 1: Committee Membership
Membership of the TEPI shall consist of no more than 25 members from a diverse representation of
individuals from throughout the state. There will be Standing Committee members selected from
each of the four EMS Regions. The Medical Director, Standing Committee Chair and Bureau Chief,
under the advice of the Bureau Liaison, shall solicit and appoint members. The following members
are required:
Attachment V.b.
A member of the State Trauma Advisory Board
A member of the Medical Direction Commission
A member of the Emergency Medical Services Council
Section 2: Terms of Membership
There is no specific term of membership, however, the Medical Director, Standing Committee Chair
and Bureau Chief, under the advice of the Bureau Liaison, shall periodically review member
attendance (Article V, Section 4) and if necessary, remove a member due to failure to meet the
attendance requirement.
Section 3: Compensation
Standing Committee members shall not be eligible to receive compensation.
Section 4: Voting
Each member of the Standing Committee shall be entitled to one vote when present in person or via
electronic media at a meeting of the Standing Committee. No individual member shall cast more than
one vote on the Standing Committee. Voting by proxy and/or alternate voter shall not be permitted.
Section 5: Vacancies
Standing Committee vacancies shall be filled through appointment by the Medical Director, under
the advice of the Standing Committee Chair,Bureau Chief and the Bureau Liaison, with
consideration given to individuals with expertise consistent with the Standing Committee purpose.
The Bureau Liaison shall be responsible for informing the Medical Director, Standing Committee
Chair and Bureau Chief of vacancies.
Article IV: Officers
Chair: The Standing Committee Chairs shall be chosen as follows:
Education Standing Committee – EMS Council
Protocols Medications and Devices Standing Committee – MDC
Trauma and EMS Performance Improvement Standing Committee – STAB
Vice Chair: The Vice Chair of the Standing Committee shall be filled through appointment by the
Medical Director, Standing Committee Chair and Bureau Chief, under the advice of the Bureau
Liaison, and shall serve as the Standing Committee Chair in his/her absence. On resignation a new
Vice Chair shall be selected by the next regular meeting.
Article V: Meetings
Section 1: Regular Meetings:
The regular meetings of the Standing Committee shall be held, at a minimum, three times per year at
a time and place designated by the Chair and Bureau.
Section 2: Special Meetings
Special meetings and/or telephone meetings may be called by the Chair in agreement with the Bureau
Liaison, or by written request of five (5) members of the Standing Committee and must comply with
the Open Meeting laws.
Section 3: Notice of Meetings
Standing Committee members shall be notified ten (10) days in advance of all Standing Committee
meetings. A yearly schedule of regular Standing Committee meetings shall be made available to
Standing Committee members in January. Minutes of the previous meeting and an agenda for the
upcoming meeting should be available to members ten (10) days in advance of the Standing
Committee meeting.
Section 4: Attendance
Regular attendance is expected of all Committee members. If a member fails to attend two (2)
consecutive meetings, an inquiry shall be made by the Bureau Liaison of that member concerning
their continued participation on the Board, and the results of the inquiry shall be forwarded to the
Medical Director, Committee Chair, and Bureau Chief for a decision on the member's status.
Section 5: Quorum
A quorum consists of a simple majority (50% plus one) of the entire membership, whether the
position is filled or vacant, present in person or via electronic media.
Article VI: Parliamentary Authority
The rules contained in the current edition of Robert’s Rules of Order Newly Revised shall govern the
Standing Committee in all cases to which they are applicable and in which they are not inconsistent
with these bylaws.
Article VII: Open Meeting Law
The Arizona Open Meeting Law (A.R.S. 38-431-A.R.S. 38-431.09) shall apply to meetings of the
Standing Committee.
Article VIII: Minutes
Minutes of each Standing Committee Meeting will be recorded and the Standing Committee shall
have the rights of review and correction of minutes of all meetings before publication and
distribution.
Article IX: Motions
All motions passed by this Standing Committee will be forwarded to the Statutory Councils for
review and/or action at their next regularly scheduled meeting.
Article X: Amendments
These bylaws can be amended at any regular meeting of the Standing Committee by a majority vote
of the entire membership, provided that the amendment has been submitted to the members in written
form ten (10) days in advance of the meeting. Bylaws will be reviewed, at a minimum, every three
(3) years.
Approved: 02/02/11
Revised & Approved: 11/21/2013