RTAC Quarterly Report -...

RTAC Quarterly Report

Quarter: Q3 2018 Date: 10/30/18

EMS Region 1 RTAC Chair Jaina Carnes RTAC Coordinator Scott Lewis

Date last BIS Assessment completed: _4/15/17___________ Date last Trauma Plan completed: __11/2015____________

Projects:

State Date Status (Date if Completed) Description and Report Ongoing by Data

Committee Data report- compilation of data from Region 1 Trauma Centers/Level 1 and 2 trauma centers serving region 1- review of EMS scene times and trauma patient metrics with a total 1370 patients submitted for the region.

Ongoing by Hospital Committee

Annual update of hospital’s capabilities document is currently underway with the addition of hyperbaric facilities being added. The RTAC coordinator has started to take of the day to day operations from the Regional Chair person.

Ongoing through 2018 Stop the Bleed- Regional completion in public schools and the buses have been started. There are efforts to get the exact number of bus drivers and buses to include activity buses to the RTAC Coordinator, who has taken over as the regional contact person for the program.

Ongoing through 2018 DART team trainings to include TCCC, TECC, PHTLS, GEMS, EPC, ABLS, and TNCC

Ongoing through 2019 Survivor Cases spotlight/recognition- Beginning stages of pulling cases from county data and Trauma Center data with patient approval to highlight survivor stories (BIS 105.2).

Ongoing through 2019 RTAC resource development – identifying gaps in resources for RTAC (BIS 204.1)

Ongoing through 2019 Injury Prevention/Education campaign- a survey was completed with 20 replies covering 15 agencies. The survey asked which of 29 different programs were being offered by their

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agency and how often. The survey will be resent after a year to see if there have been any improvements in injury prevention efforts. There is plans to use the data that is collected in an effort to identify the injury prevention needs for the Region and work to provide injury efforts based on those.

Ongoing through 2019 EMS Data report- EMS data is still difficult to obtain and renewed efforts have been taken at getting service directors to submit data to the RTAC. The Regional training coordinator is working to develop a report that is capable of pulling the requested data for the region so that it can be compared to the Hospital data.

Stop The Bleed:

Please complete the below table by indicating a count of each category listed. Persons Trained

Schools Completed

Counties in Progress

Counties Completed

Challenges

7549 269 0 16 The school of the Deaf is currently working on scheduling training for their staff.

Financial Report:

Grant Amount: $ How received:

Award Date Invoice # Invoice Amount Grant Amount Remaining

Description/Notes

2012 $50,000 Approx $4,500 The RTAC Coordinator is in the process of investigating this issue and will keep the Billy and Dena advised.

Awarded $48,500 $48,500 The RTAC Coordinator Signed contract on 9/19/2018.

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Awarded $46,070 $46,070 Regional Improvement Grant- Education, equipment, and Prevention funds.

April 2018 meeting: Based on BIS goals, the following objectives have been identified by RTAC Subcommittees: Data Committee:

• Define & identify cases concerning dramatic life saves with return to a quality of life.

• Develop process to measure stratified ISS to help identify cases. • Work with public relations contacts from all stakeholders to host event

for survivors Hospital Committee:

• Perform gap analysis to identify trauma system gaps and resource needs for RTAC in region one.

• Utilized published evidence based documents as guidance to accomplish the above.

• Meet twice before next RTAC meeting to work on objectives. IP/Education Committee:

• Send Survey Monkey to EMS Services. Hospitals and other stakeholders to identify IP and Education initiatives already in use in Region 1.

o This will be done in waves. • Use results from Survey to:

o Identify gaps in services o Develop injury prevention campaign o Use public service announcements to target the community,

policymakers and trauma system stakeholders o Develop and establish a repository for publications and education

materials. EMS Committee

• Develop Excel document and request data from EMS Service Directors to work towards filling EMS Data gaps.

• Work towards getting GEMSIS reports back to the region.

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Quarter:_______3________ Date:____11/01/2018_____

EMS Region III RTAC Chair Dr. Jeffery Nicholas RTAC Coordinator Mark Peters

Date last BIS Assessment completed: _____01/2016_______ Date last Trauma Plan completed: _____08/18/2016____

Projects:

State Date Status (Date if Completed) Description and Report 07/01/2017 Ongoing STB Education 07/01/2017 Ongoing RTTDC Courses 07/01/2107 Ongoing TECC Courses 07/01/2017 Ongoing CPSST Courses

Stop The Bleed: Please complete the below table by indicating a count of each category listed.

Persons Trained

Schools Completed


Counties Completed

Challenges

6066 325 Gwinnett Fulton Cobb Douglas Dekalb Rockdale Clayton

Newton

School and EMS involvement

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Financial Report: FY 2017 Regional Improvement Grant Purpose Received Spent Balance Car Seat $4,930.00 ($334.00) $4,596.00 Fatal Vision $31,250.00 ($32,500.00) ($1,250.00) RTTDC $15,000.00 ($6,404.70) $8,595.30

FY 2018 Continuation Funding Purpose Received Spent Balance Operations $60,000.00 ($17,233.65) $42,766.35

FY 2018 Regional Improvement Grant Purpose Received Spent Balance TECC Courses $46,070.00 $0.00 $46,070.00

FY 2019 Continuation Funding Operations $60,000.00 $0.00 $60,000.00

Current Needs:

Regional Summary:

STB: Atlanta – Two classes coming up in December. Buford – Complete; Schools and Buses Decatur – Working with Decatur FD to complete training Clayton County – Trainings are actively continuing Cobb County – Wellstar, Cobb FD & Metro training in progress Dekalb County – Wellstar and AMR training in progress Douglas County – Douglas FD training in progress Fulton County – Complete Gwinnett County – Training in progress. Advised the training will be complete by the

Continued assistance with STB Courses. Utilize Regional Grant Funds for TECC $41K

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end of the school year. Marietta – Complete Newton County - Complete Rockdale County – GMC Training in progress

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Quarter:_3rd 2018_______ Date:11-10-2018__________

EMS Region 4 RTAC Chair Steve Folden RTAC Coordinator Stephanie Jordan

Date last BIS Assessment completed: ____________ Date last Trauma Plan completed: _1/2018________

Projects:

State Date Status (Date if Completed) Description and Report 6/2017 In progress TECC Courses 10/2018 In Progress Community Stop the Bleed

Stop The Bleed:


Schools Completed


Counties Completed

Challenges

2820 153 Carroll Henry Heard Upson Troup

Butts Coweta Fayette Spalding Lamar

Financial Report:



Description/Notes

7/2017 $70,000 $67,885.00 Startup 6/2017 $8,750 RIG-TECC Courses 6/2018 46,070 0 RIG-STB

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Current Needs:

Regional Summary: We have hired Stephanie Jordan as a coordinator for the region. This has already paid significant dividends in the realms of project coordination and organization. With the Regional Improvement Grant for FY2018, we have purchased bleeding control kits that will be distributed to each county for community programs. Report to be submitted next quarter.

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Date: 11/12/2018

EMS Region 5

RTAC Chair Todd Dixon

RTAC Coordinator Kristal Smith

Date last BIS Assessment completed: 2011 Date last Trauma Plan completed: Implemented Oct 2011, Revised Oct 2016

Projects:

Start Date Description/Status Report Mar 2015 PI Subcommittee Meetings/On-going 32 cases reviewed, two cases remain

open. Planning underway for Pediatric Trauma Symposium. The symposium is a project of RTAC PI Subcommittee. Conference will be the combined effort of Regional EMS for Children Council, EMS Education Committee, EMS Directors Association, and hospital partners.

Dec 2016 Stop the Bleed Trainings/On-going Coordinating with regional instructor cohorts to provide training for community organizations. Train-the-trainer offerings provided every other month at the Georgia Public Safety Training Center. Working with Central GA MRC to provide training and Bleeding Control Stations for courthouses.

Feb 2017 LE MAT Program/On-going To date, 968 law enforcement personnel trained; LE MAT kit utilizations are reviewed by RTAC PI Subcommittee.

Mar 2018 Regional TECC Courses/On-going

Two courses have been delivered, four are planned. Regional EMS educators were targeted for the Initial course offering to aid in the development of regional infrastructure for subsequent offerings. Next class slated for January.

Oct 2018 Mobile Equipment Caches/On-going RTSIG Project – Goal to purchase and equip mobile trauma equipment caches by Jan 2018 RTAC and EMS Council Meetings.

Oct 2018 Regional Plan and BIS Assessment Update/Ongoing

RTAC Membership has been tasked with reviewing and updating the Regional Trauma Plan and BIS Assessment. Goal to complete review and updates by Oct 2019.

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Central Georgia Bleeding Control Education At-A-Glance:

Period Description Individuals

Trained

2015-2016 Region F/Region 5 School Response Program Pilot 1,200

2015-2016 NAEMT Bleeding Control for the Injured 267

2016-Present Law Enforcement Mutual Aid Trauma Program 968

2017-Present Stop the Bleed Georgia – R5 Public School Offerings (Phase 1) 3,365

2018-Present Stop the Bleed Georgia – R5 School Bus Offerings (Phase 2) 257

2017-Present Other “Stop the Bleed” ACS B-Con Basics Courses 4,040

Total Individuals Trained: 10,097

Stop the Bleed – School Response Program:


Schools Completed


Counties Completed

Challenges

3,365 166 6 17 ---

Financial Report:

Grant Amount: $53,771.00

Law Enforcement Mutual Aid Trauma Program How received: Processed through MCNH Regional Trauma System Improvement Grant

Total Expenditures: $53,771.00 Amount Remaining: $0

Grant Amount: $46,710.00

School Response Program How received: Processed through MCNH

Total Expenditures: $43,689.20 Amount Remaining: $3,020.80

Grant Amount: $48,224

Phase II LE MAT and TECC Courses How received: Processed through MCNH

Total Expenditures: $39,434.35 Amount Remaining: $8,789.65

Regional Update:

The last R5 RTAC meeting held 10/24/17. Despite needing to reschedule due to Hurricane Michael, the meeting was well attended. Regional Pediatric Trauma Symposium January 25th. No expenditures to date for FY 19 RTAC Support Funds ($35,080) or FY 18 Regional Trauma System Improvement Grant Funds ($46,070). See project descriptions previously provided for additional initiative updates.

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Quarter:_______3________ Date:______11/02/2018_____________

EMS Region VI RTAC Chair Dr. Colville Ferdiand RTAC Coordinator Scott Waldhour

Date last BIS Assessment completed: ???? Date last Trauma Plan completed: over 5 years. New draft in progress

Projects:

Start Date Status (Date if Completed) Description and Report 7/2017 In progress GA STB- 49% of schools completed w kits in

place 5/2018 In progress Currently working on training school bus drivers

as well as STB kit placement 5/2018 In Progress Public Education- STB; In progress. Trained

around 1500 people

Stop The Bleed: Public Schools


Schools Completed


Counties Completed

Challenges

~1580 60 / 129 3 10 Getting Schools to schedule training.

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Financial Report: FY 2018 Continuation Funding Purpose Received Spent Balance Operations $45,000.00 ($19,322.67) $25,677.33

FY 2018 Regional Improvement Grant Purpose Received Spent Balance TECC Courses $36,070.00 $0.00 $36,070.00 STB Program $10,000.00 $0.00 $10,000.00

FY 2019 Continuation Funding Operations $46,750.00 ($6,202.00) $40,548.00

Current Needs:

Regional Summary:

We need to iron out how the RTAC is going to sit with the EMS Council- There is a lot of confusion on both ends on how this are going to work moving forward. Region VI is currently working on revamping their committee board members to be more in line with other RTAC committee’s in the State, as well as sub-committees. Gathering PI information from Region VI EMS agencies and Area Trauma Centers in regards the time of pateints incident until they receive definitive care at a Trauma Center

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Quarter:3rd-2018_________ Date:11-10-2018________

EMS Region 7 RTAC Chair RTAC Coordinator

Date last BIS Assessment completed: Pending Date last Trauma Plan completed: Pending

Projects:

State Date Status (Date if Completed) Description and Report

Stop The Bleed:


Schools Completed


Counties Completed

Challenges

555 25 Taylor Randolph Muscogee Clay Harris Chattahoochee

Webster Stuart Schley Quitman Marion

Financial Report:



Description/Notes

7/2016 $60,000 $41,823.38 Start up funds

Current Needs:

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Regional Summary:

Region 7 has a new Regional EMS Director in Riss McGee. Billy met with Russ and Mike Zimmerman from Piedmont Columbus. It is the intent to hire a Coordinator with start up funds to re-invigorate this regions activities.

Hire a coordinator to assist with activities.

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Quarter:3rd-2018_________ Date:_11-10-2018________

EMS Region 8 RTAC Chair David Edwards RTAC Coordinator

Date last BIS Assessment completed: Pending Date last Trauma Plan completed: Pending

Projects:


Stop The Bleed:


Schools Completed


Counties Completed

Challenges

3458 140 Early Seminole Decatur Lee Irwin Dooly

Financial Report:



Description/Notes

7/2016 $60,000 $60,000 Start up funds 8/2016 $46,070 $46,070 RIG, Farm medic

and DART Program

Current Needs:

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Regional Summary:

BIS Assessment is complete, just received start up funds. Have published for a coordinator. Will get the plan completed with this resource in place. Will also be working on farm medic courses and beginning a DART Program.

Hire a coordinator to assist with activities.

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Quarter:_______2_________ Date:______11/8/18_____________

EMS Region IX RTAC Chair Dr. Gage RTAC Coordinator Stephanie Gendron

Date last BIS Assessment completed: January 2018 Date last Trauma Plan completed: over 5 years. New draft in progress. Per the Region IX Coordinator, I reached out to the EMS agencies in our region to collect feedback for short and long term goals.

Projects:

Start Date Status (Date if Completed) Description and Report 7/2017 Complete- 8/13/2018 GA STB- All schools complete with kits 5/2018 In progress Buses STB- In progress; one county opted to not

participate at this time due to staffing (Camden County)

5/2018 In Progress Public Education- STB; In progress. Trained around 2000

9/2018 Chatham County Mass Casualty Committee

Newly formed committee preparing and managing mass casualties in Chatham County. Multi-agency collaboration

10/18 Pedestrian vs. MVC Injury Prevention Research

Looking at injury prevention for pedestrian’s in the greater savannah area. Project in Memorial IRB for review

Stop The Bleed: Public Schools


Schools Completed


Counties Completed

Challenges

~3900 264 0 25 Schools asking for re-training; Training materials are tired

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Financial Report:

FY 2019 Continuation Funding Operations $70,000.00 ($26,243.00) $43,757.00

FY 2018 Regional Improvement Grant Purpose Received Spent Balance DART Program $46,070.00 $0.00 $46,070.00

Current Needs:

Regional Summary:

As of October 2018, Dr. Dunne stepped down as the chair for the RTAC. Dr. Alexis Gage, a trauma surgeon at Memorial Health, has stepped up as the chair for the RTAC- she was voted in at the region IX meeting. Dr. Gage has a strong background in public health and is excited to work with the region as we move forward. The region’s trauma plan will be published and voted upon at the next regional EMS meeting in January. The plan has not been updated since 2015, and we are currently waiting on feedback from the regional EMS directors before publishing. Stop the Bleed has been extremely successful in our region, schools were completed on 8/1/2018. We have begun to train school bus drivers, however equipment and volunteers continue to be a challenge. Out of the 25 school districts, thirteen have be completed, six are scheduled, three are looking for makeup dates due to Hurricane Michael, two we have not heard back from, and one will not participate. We are still waiting for the invoice to be paid

The region is in dire need of new Stop the Bleed training equipment. The current materials are being used 3-4 times a week. There is need for office space at Memorial- but the trauma services office is currently overflowing. Support from EMS council with Stop the Bleed Training

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from our Region J council for private schools. Hospitals will begin to be trained following the region J meeting on December 12, 2018. Our region is working with Memorial health to conduct injury prevention research into pedestrian vs MVC collisions—we have been heat-mapping the last three years of data and are currently waiting for IRB approval. Due to a void in mass casualty training, our RTAC partnered with Savannah Police, GEMA/HS, Savannah Fire, Chatham EMS, the FBI and Fort Stewart EMS to create an Active Threat/ Mass casualty committee. The committee has over thirty ‘members at large’ and is focusing on major events in Chatham County in 2019 with the attempt to expand regionally in 2020.

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Quarter:3rd-2018____ Date:_11-2018__________

EMS Region 10 RTAC Chair Dr. Horst RTAC Coordinator

Date last BIS Assessment completed: _Pending___________ Date last Trauma Plan completed: ___Pending___________

Projects:


Stop The Bleed:


Schools Completed


Counties Completed

Challenges

3182 95 Elbert Madison Oglethorpe

Financial Report:



Description/Notes

6-2015 $20,000 20,000 Continuation 6/2018 46,070 46,070 RIG, TECC

Current Needs:

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Regional Summary:

Have now gotten a contract with UGA School of Public Health and have a new Grad Assistant beginning. Tasks will be to complete the Trauma Plan, finish STB for the region, and then begin the TECC Courses.

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