Presentation on theme: "RACS GETAC DSHS Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services."— Presentation transcript:
1RACSGETACDSHSJane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services
2Objectivesprovide an overview of relationships between GETAC council, GETAC committees, and state agencies.define the roles & responsibilities of committee memberspromote understanding of the state processesAll Committee members shall attend least 50% of meetings in any rolling 12-month period
6DSHS Organizational Chart Commissioner of Health: David Lakey, MDAssistant Commissioner: Kathy Perkins, RN (Regulatory)Health Care Quality Section: Renee Clack, LNFAOffice of EMS/Trauma Systems Coordination:Director: Jane G. Guerrero, RNState EMS Director: Mr.Maxie BishopManager, EMS/Trauma Systems Group: Emily ParsonsManager, Stakeholders Information Group: Kelly Harrell
7Office of EMS/Trauma System Programs Governors EMS & Trauma Advisory CouncilRegional Trauma Systems DevelopmentRegional Trauma Systems Designation ProgramTrauma Facility Designation ProgramFunding: EMS, Trauma Facilities, and RACsOut of Hospital/Do-Not-ResuscitateTexas EMS Conference (annual event)Texas EMS Magazine
8RACs = TSAs (sometimes) State Trauma SystemTrauma Service Areas (TSA): geographyRegional Advisory Councils (RAC): peopleTerms are used interchangeably:RACs = TSAs (sometimes)
9State Trauma Systems 1 State Trauma System 22 trauma service areas (TSAs)22 regional advisory councils (RACs)DSHSRegulatory authority for RACsFunding
11Members of the Governors EMS & Trauma Advisory Council 15 seats appointed by the governorEmergency physicianEMS medical directorFire chief: municipalEMS private providerEMS volunteerEMS educatorEMS air medicalFire department that provides EMSUrban trauma centerRural trauma centerCounty EMSPediatricianTrauma Surgeon OR Registered Nurse2 general public
12Governors EMS & Trauma Advisory Council Established in StatuteHealth & Safety Code, Chapter 773-Emergency Medical ServicesTexas Administrative Code (TAC), Chapter 157
13VisionA unified, comprehensive, and effective EMS/trauma systems for a healthy, safe TexasAll Committee members shall attend least 50% of meetings in any rolling 12-month period
14MissionTo 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 populationAll Committee members shall attend least 50% of meetings in any rolling 12-month period
15Governors EMS & Trauma Advisory Council Vance L. Riley, LP, ChairVictoria Fire DepartmentP.O. Box 1758Victoria, Texas 77902Work: 361/Fax: 361/TERM EXPIRES: 01/01/2016
16Governors EMS & Trauma Advisory Council Approximately ½ of the members must be residents of rural areasMeetings conducted in accordance with “Open Meetings” lawMeets at least quarterlyMay appoint committees necessary to perform its dutiesReview comments onEMS/trauma system rulesStrategic plan for developingEMS and trauma care systems
17GETAC Committees GETAC Committee members: Currently 10 Committees Apply at designated timeApplications reviewed and voted on by chairCommittees consist of 11 members (unless exceptions are requested by chair to council)Currently 10 CommitteesAir MedicalCardiac CareDisaster/Emergency Preparedness
18GETAC Committees (cont.) EducationEMSInjury PreventionMedical DirectorsPediatricsStroke (mandated by statute)Trauma Systems
19GETAC meetings (historical) Scheduled quarterly meetingsFebruaryMayAugustNovember meetings held in conjunction with Texas EMS ConferenceCommittee chair can request for additional meetings when needed.
20alphabet soup of acronyms ACEP – American College of Emergency Physicians (www.acep.org)AHA – American Heart Association (www.americanheart.org)CCMP – Comprehensive Clinical Management ProgramDADS – Department of Aging and Disability Services (www.dads.state.tx.us)DARS – Department of Assistive and Rehabilitative Services (www.dars.state.tx.us)DIRT – Data, Informatics and Research Task Force (GETAC)DTF – Designated Trauma Facility
21Committee Meeting Process Submit agenda items to committee chairDraft agendafrom committee chair30-45 days before scheduled meetingNo additions to agenda once submittedDSHS-Legal Dept for reviewneed to comply with Open Meetings ActSubmit supporting documents (if applicable)
22Committee Member Responsibilities attend at least 50% of meetingsdownload meeting documents before scheduled meeting(s)maintain contact information updatedComplete the Open Meetings/Public Information Act video trainingwithin 90 days of their appointmentsSubmit copies to DSHS (OEMS/TS)All Committee members shall attend least 50% of meetings in any rolling 12-month period
23Rules – Rules - Rules Where do they come from? Best Practice Minimum StandardsAll Committee members shall attend least 50% of meetings in any rolling 12-month period
24Overview All rules to be reviewed – every 4 years At least 1 change to every ruleTimeline – 30 rulesDepartment rulemaking processBatchesConcept / Draft / Proposal at each meetingWriting sessions between meetingsPublished template on webBuffer periodsRules coordinatorEverything you ever wanted to know about rulemaking and less.Just a quick overview & fair warning that we’re going to be reviewing our rules in-total & therefore at a faster pace.
254-yr. review Government Code 2001.039 Dept. policy . . . a mandate since 1999, but the department is now mandating the mandate if you know what I mean.
26Constant motion 30 rules 4 GETAC meetings / year Legal: There’s always some necessary change
27Timeline Constant forward motion Legislative mandated changes Set calendar. . . about the only time we’ll deviate from a set schedule will be due to legislative mandates and other unanticipated disasters.
28Dept. Process The Good, Bad & Ugly Good: Plenty of input Bad: Long & deliberateUgly: See flow chartDon’t read just to show you the many steps involved.
29All Committee members shall attend least 50% of meetings in any rolling 12-month period
30Batches Compile according to content & effective dates i.e. CE & Education; coordinator & instructor; disciplinary & crime history; etc. We’ve done a preliminary version, but we want your input & suggestions for change.
31Concept / Draft / Proposal 1st Reading – concept2nd Reading – draft3rd Reading – proposalConcept – just a bullet list of revision needsDraft – a rough first draftProposal – final language; may need to propose prior to GETAC meeting due to agency submission timelines (see flow)
32Writing Sessions Stakeholder appointed by GETAC chair Between GETAC meetingsThe appointed person doesn’t have to be a GETAC or committee member – just needs to be a subject matter expert.
33Published Template Specific rules scheduled Concept / Draft / Proposal versionsStakeholders can anticipate & plan discussion. . . again, do the math. It’s very important that stakeholders remain aware of when the various rules will be discussed.
35Buffer Periods Plan B, when disasters, etc. happen I’d like to believe this will be unnecessary, but this ain’t my first rodeo, folks. I’m afraid we’ll need all the buffering (not Bufferin) we can get.
36Coordinator Phil Lockwood, Stakeholder Information Group Not content expertProcess expert (eventually)Traffic cop. . . you got problems with this? Don’t call me, call this guy Seriously, work with us; this will be a large undertaking.
37Summary Every meeting: 3 batches (concept, draft, proposal) 4 proposal batches per year (appx. 8 rules). . . one more time, do the math. This plan will require that we stay the course. Yes, it’s an aggressive goal, but we’ll get it done if we work together.
38Needs Don’t kill the messenger Process input Batching advice Work session appointeeUnderstanding the deliberate agency rule processDo homework – anticipateBe patientWhat do we need from you? Plenty!Don’t kill us <graphic part of slide>Give input . . .Study dept. rule process . . .Anticipate . . .Patience <graphic part of slide>
39Governors EMS & Trauma Advisory Council Next GETAC Meetings:May 19-21, 2010Omni Austin Hotel at Southpark Austin, Texas
40Governor’s EMS and Trauma Advisory Council QUESTIONS?Governor’s EMS and Trauma Advisory Council(GETAC)Contact: Jane Guerrero, DirectorOffice of EMS/Trauma Systems CoordinationPhone: (512)