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Jane Guerrero, DirectorOffice of EMS/Trauma Systems CoordinationTexas Department of State Health Services
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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
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Organizational Chart-HHSC
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Organizational Chart - DSHS
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Organizational Chart-Division
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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
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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
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State Trauma System
Trauma Service Areas (TSA): geography
Regional Advisory Councils (RAC): people
Terms are used interchangeably:
RACs = TSAs (sometimes)
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State Trauma Systems
1 State Trauma System22 trauma service areas (TSAs)22 regional advisory councils (RACs)DSHS
• Regulatory authority for RACs• Funding
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Trauma Service Areas & RACs
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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
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Governors EMS & Trauma Advisory Council
Established in StatuteHealth & Safety Code, Chapter
773-Emergency Medical ServicesTexas Administrative Code
(TAC), Chapter 157
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Vision
A unified, comprehensive, and effective EMS/trauma systems for a healthy, safe Texas
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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
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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: [email protected]
TERM EXPIRES: 01/01/2016
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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
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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
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GETAC Committees (cont.)
• Education
• EMS
• Injury Prevention
• Medical Directors
• Pediatrics
• Stroke (mandated by statute)
• Trauma Systems
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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.
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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
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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)
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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)
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Rules – Rules - Rules
Where do they come from?
Best Practice
Minimum Standards
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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
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4-yr. review
Government Code 2001.039
Dept. policy
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Constant motion
• 30 rules
• 4 GETAC meetings / year
• Legal: There’s always some necessary change
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Timeline
• Constant forward motion
• Legislative mandated changes
• Set calendar
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Dept. Process
• The Good, Bad & Ugly– Good: Plenty of input– Bad: Long & deliberate– Ugly: See flow chart
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Batches
Compile according to content & effective dates
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Concept / Draft / Proposal
1st Reading – concept2nd Reading – draft3rd Reading – proposal
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Writing Sessions
Stakeholder appointed by GETAC chair Between GETAC meetings
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Published Template
Specific rules scheduledConcept / Draft / Proposal versions Stakeholders can anticipate & plan
discussion
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Buffer Periods
Plan B, when disasters, etc. happen
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Coordinator
Phil Lockwood, Stakeholder Information Group
Not content expertProcess expert
(eventually)Traffic cop
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Summary
Every meeting: 3 batches (concept, draft, proposal)
4 proposal batches per year (appx. 8 rules)
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Needs
Don’t kill the messengerProcess inputBatching adviceWork session appointeeUnderstanding the deliberate agency rule
processDo homework – anticipateBe patient
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Governors EMS & Trauma Advisory Council
Next GETAC Meetings:
May 19-21, 2010
Omni Austin Hotel at Southpark Austin, Texas
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QUESTIONS?
Governor’s EMS and Trauma Advisory Council
(GETAC) Contact: Jane Guerrero, Director
Office of EMS/Trauma Systems Coordination
Phone: (512) 834-6700
Email: [email protected]