Jane Guerrero, DirectorOffice of EMS/Trauma Systems CoordinationTexas Department of State Health Services

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

Organizational Chart-HHSC

Organizational Chart - DSHS

Organizational Chart-Division

DSHS Organizational ChartCommissioner 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

Office 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-Resuscitate Texas EMS Conference (annual event)Texas EMS Magazine

State Trauma System

Trauma Service Areas (TSA): geography

Regional Advisory Councils (RAC): people

Terms are used interchangeably:

RACs = TSAs (sometimes)

State Trauma Systems

1 State Trauma System22 trauma service areas (TSAs)22 regional advisory councils (RACs)DSHS

• Regulatory authority for RACs• Funding

Trauma Service Areas & RACs

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

Governors EMS & Trauma Advisory Council

Established in StatuteHealth & Safety Code, Chapter

773-Emergency Medical ServicesTexas Administrative Code

(TAC), Chapter 157

Vision

A unified, comprehensive, and effective EMS/trauma systems for a healthy, safe Texas

MissionTo 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

Governors EMS & Trauma Advisory Council

Vance L. Riley, LP, Chair

Victoria Fire Department

P.O. Box 1758

Victoria, Texas 77902

Work: 361/485-3450

Fax: 361/485-3459

Email: vriley@victoriatx.org

TERM EXPIRES: 01/01/2016

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

GETAC Committees

• GETAC Committee members:– 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

GETAC Committees (cont.)

• Education

• EMS

• Injury Prevention

• Medical Directors

• Pediatrics

• Stroke (mandated by statute)

• Trauma Systems

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.

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

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 submittedDSHS-Legal Dept for review need to comply with Open Meetings Act

Submit supporting documents (if applicable)

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)

Rules – Rules - Rules

Where do they come from?

Best Practice

Minimum Standards

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

4-yr. review

Government Code 2001.039

Dept. policy

Constant motion

• 30 rules

• 4 GETAC meetings / year

• Legal: There’s always some necessary change

Timeline

• Constant forward motion

• Legislative mandated changes

• Set calendar

Dept. Process

• The Good, Bad & Ugly– Good: Plenty of input– Bad: Long & deliberate– Ugly: See flow chart

Batches

Compile according to content & effective dates

Concept / Draft / Proposal

1st Reading – concept2nd Reading – draft3rd Reading – proposal

Writing Sessions

Stakeholder appointed by GETAC chair Between GETAC meetings

Published Template

Specific rules scheduledConcept / Draft / Proposal versions Stakeholders can anticipate & plan

discussion

Buffer Periods

Plan B, when disasters, etc. happen

Coordinator

Phil Lockwood, Stakeholder Information Group

Not content expertProcess expert

(eventually)Traffic cop

Summary

Every meeting: 3 batches (concept, draft, proposal)

4 proposal batches per year (appx. 8 rules)

Needs

Don’t kill the messengerProcess inputBatching adviceWork session appointeeUnderstanding the deliberate agency rule

processDo homework – anticipateBe patient

Governors EMS & Trauma Advisory Council

Next GETAC Meetings:

May 19-21, 2010

Omni Austin Hotel at Southpark Austin, Texas

QUESTIONS?

Governor’s EMS and Trauma Advisory Council

(GETAC) Contact: Jane Guerrero, Director

Office of EMS/Trauma Systems Coordination

Phone: (512) 834-6700

Email: jane.guerrero@dshs.state.tx.us