Presentation on theme: "Time Sensitive Emergency"— Presentation transcript:
1 Time Sensitive Emergency System of Care for Idah0Getting the right patient to the right place in the right time.
2 Background Rural/Frontier State Only a Few States With Systems Trauma, Stroke or Heart AttackAttempts to Develop Trauma SystemOnly result was a trauma registryLocal Collaboratives ExistHowever, no statewide systemGetting the right patient to the right place in the right time.
3 BAckground 2012 Health Quality Planning Commission (HQPC) trauma system discussionmodeled after Montana’s trauma systemstroke and heart attack addedHouse Concurrent Resolution 010 (HCR010)Time Sensitive Emergencies System of CareGetting the right patient to the right place in the right time.
4 HCR010 Legislature Directed DHW to: Convene Workgroup Develop: Elements of System StructureFunding MechanismsImplementation PlanCreate Enabling LegislationTrauma then Stroke & Heart AttackGetting the right patient to the right place in the right time.
5 Work Group Members Inclusive Stakeholder List 40+ “Regulars” HospitalsProviders & EMSPayersRehabilitation & Community Public HealthAdvocacy & LegislativeInclusive Stakeholder List40+ “Regulars”Monthly MeetingsMay - November, 2013Getting the right patient to the right place in the right time.
6 Schedule of WorkMeeting Topic/MilestoneScheduleLocationsKickoff MeetingMay 14, 20138:00 -5:00Oxford SuitesOverland Road, BoiseSystem Design: Part IJune 11, 201310:00 – 3:00Saint Alphonsus Regional Medical Center,BoiseSystem Design: Part IIJuly 9, 2013St. Luke’s Regional Medical Center,Statewide Registry and Performance MeasuresAugust 6, 2013Qualis Health,System Funding and Other SupportsSeptember 4, 2013Recommendations, Legislation and Implementation PlanSeptember 30, 2013Recommendations Finalization & Presentation DevelopmentOctober 30, 2014Report FinalizationNovember 19, 2013Ada County ParamedicsPresentation of RecommendationsVariousThe TSE workgroup first met in May of this year. This slide gives you an idea of the work plan that we have followed. As you can see in the table, we are down to the last two meetings which are planned for this month. We have covered all of the items identified in HCR 10 and now have a near final draft of legislative language.Getting the right patient to the right place in the right time.
7 Work To Date FAQs Website www.tse.idaho.gov Mailbox email@example.com PresentationsFinal ReportMonthly Meetings and Ad Hoc SubcommitteesEngaged & Active WorkgroupOther State ConsultationMT, UT, WA, Other State System ReviewDraft LegislationRule RecommendationsSome of the specifics of our work to date include:This slide gives you an idea of the work that the TSE group has completed to date.As I mentioned on the last slide, we have a very active and engaged workgroup that has met monthly since May.We have consulted with a number of other states to learn from their experiences. We have relied heavily on the experiences and advice our counterparts in Montana and Utah as we have developed the recommended system structure, enabling legislative language and rule recommendations.We have developed several tools that focus on communicating the current status of the workgroup’s efforts.A comprehensive “Frequently Asked Question” document that we have worked hard to maintain so that it reflects the most contemporary information regarding the TSE system.The TSE workgroup now has a web-site that contains the most current information concerning the TSE workgroup. The website also provides a viewer with addresses and phone numbers for contacts if a reader has questions or wants more information.We have also set up a dedicated TSE account that people can use to easily communicate with us about the TSE system.Workgroup members have also presented information about the proposed TSE system to interested groups throughout Idaho.The final element that are working to complete is the final report that details the efforts of the workgroup.Getting the right patient to the right place in the right time.
8 Continuum of Evidence-Based Care This diagram depicts the continuum of care that we envision for a patient of any of the time sensitive emergencies. As you can see the circle includes all of the major elements that we would expect a comprehensive system of care to include. We have used this diagram as a foundation for our work on the system to make sure that we have the right people at the table and that all of the critical system elements are addressed.Getting the right patient to the right place in the right time.
10 State Board 18 Member Board Appointed by Governor Getting the right patient to the right place in the right time.State BoardTime Sensitive Emergency System of Care18 Member Board Appointed by GovernorHospital, EMS & PublicRehabilitationTrauma, Stroke, Heart AttackEstablish StandardsDesignation & Certification
12 Regional Committees Regional Representation Education Getting the right patient to the right place in the right time.Regional CommitteesTime Sensitive Emergency System of CareRegional RepresentationEducationQuality ImprovementCoordination in the RegionTechnical Assistance
13 Designation and Certification TraumaNational Standards and Best-PracticesFive Levels of DesignationState DesignationUtilization of Billing CodeStroke/Heart AttackNational Standards and Best-PracticesTypes of Certification; i.e., receiving and or treatmentState CertificationGetting the right patient to the right place in the right time.
14 Legislation and Rules Legislation Rules Developed in year 1 & year 2 Establish TSE system at all levels including state board, regional advisory committees, authority to designate/certifyInclude stroke and heart attack data collection in existing trauma registry to and create a registry for time sensitive emergenciesRulesDeveloped in year 1 & year 2Define the components or guidelines for trauma, stroke and heart attack; detail level of the systemTrauma rules to legislatureStroke & heart attack rules to 2016 legislatureGetting the right patient to the right place in the right time.