Presentation is loading. Please wait.

Presentation is loading. Please wait.

RACS GETAC DSHS Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services.

Similar presentations


Presentation on theme: "RACS GETAC DSHS Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services."— Presentation transcript:

1 RACS GETAC DSHS Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services

2 Objectives provide an overview of relationships between GETAC council, GETAC committees, and state agencies. define the roles & responsibilities of committee members promote understanding of the state processes All Committee members shall attend least 50% of meetings in any rolling 12-month period

3 Organizational Chart-HHSC

4 Organizational Chart - DSHS

5 Organizational Chart-Division

6 DSHS Organizational Chart
Commissioner of Health: David Lakey, MD Assistant Commissioner: Kathy Perkins, RN (Regulatory) Health Care Quality Section: Renee Clack, LNFA Office of EMS/Trauma Systems Coordination: Director: Jane G. Guerrero, RN State EMS Director: Mr.Maxie Bishop Manager, EMS/Trauma Systems Group: Emily Parsons Manager, Stakeholders Information Group: Kelly Harrell

7 Office of EMS/Trauma System Programs
Governors EMS & Trauma Advisory Council Regional Trauma Systems Development Regional Trauma Systems Designation Program Trauma Facility Designation Program Funding: EMS, Trauma Facilities, and RACs Out of Hospital/Do-Not-Resuscitate Texas EMS Conference (annual event) Texas EMS Magazine

8 RACs = TSAs (sometimes)
State Trauma System Trauma Service Areas (TSA): geography Regional Advisory Councils (RAC): people Terms are used interchangeably: RACs = TSAs (sometimes)

9 State Trauma Systems 1 State Trauma System
22 trauma service areas (TSAs) 22 regional advisory councils (RACs) DSHS Regulatory authority for RACs Funding

10 Trauma Service Areas & RACs

11 Members of the Governors EMS & Trauma Advisory Council
15 seats appointed by the governor Emergency physician EMS medical director Fire chief: municipal EMS private provider EMS volunteer EMS educator EMS air medical Fire department that provides EMS Urban trauma center Rural trauma center County EMS Pediatrician Trauma Surgeon OR Registered Nurse 2 general public

12 Governors EMS & Trauma Advisory Council
Established in Statute Health & Safety Code, Chapter 773-Emergency Medical Services Texas Administrative Code (TAC), Chapter 157

13 Vision A unified, comprehensive, and effective EMS/trauma systems for a healthy, safe Texas All Committee members shall attend least 50% of meetings in any rolling 12-month period

14 Mission To 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 population All Committee members shall attend least 50% of meetings in any rolling 12-month period

15 Governors EMS & Trauma Advisory Council
Vance L. Riley, LP, Chair Victoria Fire Department P.O. Box 1758 Victoria, Texas 77902 Work: 361/ Fax: 361/ TERM EXPIRES: 01/01/2016

16 Governors EMS & Trauma Advisory Council
Approximately ½ of the members must be residents of rural areas Meetings conducted in accordance with “Open Meetings” law Meets at least quarterly May appoint committees necessary to perform its duties Review comments on EMS/trauma system rules Strategic plan for developing EMS and trauma care systems

17 GETAC Committees GETAC Committee members: Currently 10 Committees
Apply at designated time Applications reviewed and voted on by chair Committees consist of 11 members (unless exceptions are requested by chair to council) Currently 10 Committees Air Medical Cardiac Care Disaster/Emergency Preparedness

18 GETAC Committees (cont.)
Education EMS Injury Prevention Medical Directors Pediatrics Stroke (mandated by statute) Trauma Systems

19 GETAC meetings (historical)
Scheduled quarterly meetings February May August November meetings held in conjunction with Texas EMS Conference Committee chair can request for additional meetings when needed.

20 alphabet soup of acronyms
ACEP – American College of Emergency Physicians (www.acep.org) AHA – American Heart Association (www.americanheart.org) CCMP – Comprehensive Clinical Management Program DADS – 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

21 Committee Meeting Process
Submit agenda items to committee chair Draft agenda from committee chair 30-45 days before scheduled meeting No additions to agenda once submitted DSHS-Legal Dept for review need to comply with Open Meetings Act Submit supporting documents (if applicable)

22 Committee Member Responsibilities
attend at least 50% of meetings download meeting documents before scheduled meeting(s) maintain contact information updated Complete the Open Meetings/Public Information Act video training within 90 days of their appointments Submit copies to DSHS (OEMS/TS) All Committee members shall attend least 50% of meetings in any rolling 12-month period

23 Rules – Rules - Rules Where do they come from? Best Practice
Minimum Standards All Committee members shall attend least 50% of meetings in any rolling 12-month period

24 Overview All rules to be reviewed – every 4 years
At least 1 change to every rule Timeline – 30 rules Department rulemaking process Batches Concept / Draft / Proposal at each meeting Writing sessions between meetings Published template on web Buffer periods Rules coordinator Everything 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.

25 4-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. 

26 Constant motion 30 rules 4 GETAC meetings / year
Legal: There’s always some necessary change

27 Timeline 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. 

28 Dept. Process The Good, Bad & Ugly Good: Plenty of input
Bad: Long & deliberate Ugly: See flow chart Don’t read just to show you the many steps involved.

29 All Committee members shall attend least 50% of meetings in any rolling 12-month period

30 Batches 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.

31 Concept / Draft / Proposal
1st Reading – concept 2nd Reading – draft 3rd Reading – proposal Concept – just a bullet list of revision needs Draft – a rough first draft Proposal – final language; may need to propose prior to GETAC meeting due to agency submission timelines (see flow)

32 Writing Sessions Stakeholder appointed by GETAC chair
Between GETAC meetings The appointed person doesn’t have to be a GETAC or committee member – just needs to be a subject matter expert.

33 Published Template Specific rules scheduled
Concept / Draft / Proposal versions Stakeholders can anticipate & plan discussion . . . again, do the math. It’s very important that stakeholders remain aware of when the various rules will be discussed.

34

35 Buffer 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. 

36 Coordinator Phil Lockwood, Stakeholder Information Group
Not content expert Process 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.

37 Summary 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.

38 Needs Don’t kill the messenger Process input Batching advice
Work session appointee Understanding the deliberate agency rule process Do homework – anticipate Be patient What 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>

39 Governors EMS & Trauma Advisory Council
Next GETAC Meetings: May 19-21, 2010 Omni Austin Hotel at Southpark Austin, Texas

40 Governor’s EMS and Trauma Advisory Council
QUESTIONS? Governor’s EMS and Trauma Advisory Council (GETAC) Contact: Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Phone: (512)


Download ppt "RACS GETAC DSHS Jane Guerrero, Director Office of EMS/Trauma Systems Coordination Texas Department of State Health Services."

Similar presentations


Ads by Google