Southwest (3) Regional Education Planning Committee Great ... 3 REPC... · recommendation made for...

Gary Cox, JD

Commissioner of Health

Board of Health

www.health.ok.gov An equal opportunity

employer and provider

Timothy E Starkey, MBA (President)

Edward A Legako, MD (Vice-President)

Becky Payton (Secretary)

R Murali Krishna, MD

Ronald D Osterhout

Charles Skillings

Jenny Alexopulos, DO

Terry R Gerard II, DO

Charles W Grim, DDS, MHSA

Southwest (3) Regional Education Planning Committee

Great Plains Technology Center 4500 Southwest Lee Boulevard

Lawton, OK 73505 February 20th, 2020 – 9:00 am

AGENDA

I. Call to Order

II. Roll Call

III. Introductions and Announcements

IV. Approval of Minutes – October 3rd, 2019

V. Reports

A. Interfacility Working Group report

VI. Business B. Review of attendance email with possible vote to approve C. Review current RTAB member attendance for discussion and possible vote to approve

recommendation to RTAB Chair for State licensure action D. Review and possible vote to approve amended Region 3 Trauma Plan E. Discussion, consideration, possible action and vote to approve amended Region 3 Bylaws as

follows: F. Vacancies and request or recommendations for committee membership

i. Notice of a vacancy, new request, or recommendations for committee membership shall be distributed to Board members at least ten (10) days prior to a scheduled meeting by written or verbal communication.

ii. Volunteers/recommendations or nominations to fill the vacancy in membership or new requests for membership on this committee shall be accepted and voted on at the next scheduled meeting of the Board.

F. 2021 trauma system goals discussion G. AHA Rural EMS Stroke Triage Algorithm discussion H. Discussion on defining a process to determine Board Member rotation I. EMResource divert time discussion

VII. New Business

VIII. Next Meeting

A. Regional Trauma Advisory Board Great Plains Technology Center 4500 Southwest Lee Boulevard Lawton, OK 73505 February 20th, 2020 – 10:30 am

B. Quality Improvement Committee Comanche County Memorial Hospital 3401 West Gore Boulevard Lawton, OK 73505 March 5th, 2020 – 11:00 am

C. Regional Education Planning Committee Great Plains Technology Center 4500 Southwest Lee Boulevard Lawton, OK 73505 April 7th, 2020 – 9:00 am

IX. Adjournment

Gary Cox, JD


Board of Health







Ronald D Osterhout

Charles Skillings




Southwest (3) Regional Education Planning Committee Great Plains Technology Center 4500 Southwest Lee Boulevard

Lawton, OK 73505 October 3rd, 2019 – 9:00 am

MINUTES

I. Call to Order

The meeting was called to order by Chair Brad Lancaster at 9:27 am.

II. Roll Call Roll call was taken with the following members present: Brad Lancaster, Beth Malone, Bob Stewart, Rachel Talley, and Tyler Walters. Scott Tanner and Alicia Webster were absent. JenaLu Simpson arrived at 9:31 am.

III. Introductions and Announcements

EMS Administrator Jennifer Woodrow introduced Jamie Lee as a new Quality and Survey Analyst and James Rose as a new Statistical Research Specialist for Emergency Systems.

IV. Approval of Minutes – September 5th, 2019

A motion to approve the September 5th, 2019 minutes as written was made by Bob Stewart and seconded by Tyler Walters. There was no discussion and the motion passed 5-0.

V. Business:

A. Discussion on defining a process to determine Board Member rotation Jennifer Woodrow discussed the 2005 and 2019 approved rotations noting that the original rotation shown is of the 2005 Attachment A. Brad Lancaster discussed how attendance issues should factor into the rotation noting that members who do not participate should not be included in the rotation. Mr. Lancaster also stated that the ambulance rotation should ensure that permanent members should be spread out and that services with lesser call volumes that do not attend should also be removed from the rotation. Jennifer Woodrow will bring back bylaw language from other regions regarding attendance requirements for Board Member rotation to the next meeting. The Committee will review the regional bylaws and continue the discussion at the next meeting.

B. Review current member attendance for discussion at the upcoming RTAB and possible recommendation for licensure action Members discussed the importance of member attendance and possible ways to ensure all agencies are participating. RTAB Attendance for 2019 was reviewed with no recommendation made for licensure action at this time. The Committee will instead recommend the RTAB approve the REPC to review RTAB attendance and make recommendations to the RTAB Chair based on that review. The Committee discussed sending a letter to RTAB members upon the first absence advising the member of the absence and that, if another meeting is missed, the member will not meet attendance requirements and a letter of deficiency will be recommended to their licensing authorities. In the event of a second absence, that RTAB member will be reported to the RTAB Chair for recommendation of licensure action/notice of deficiency. Dan Whipple clarified that any licensure action the state is able to take is dependent on the current rules in place. He also clarified that agencies who hold multiple licenses and attend another regional RTAB for those licenses are still required to attend the RTAB to which they are assigned.

DRAFT

Gary Cox, JD


Board of Health







Ronald D Osterhout

Charles Skillings




C. AHA Rural EMS Stroke Triage Algorithm discussion There was no discussion due to no new information.

D. Discussion on regional planning for preparing for chemical emergencies Bob Stewart requested this item be tabled until the Regional Medical Planning Group begins to work on chemical emergencies planning as part of the Assistant Secretary for Preparedness and Response (ASPR) Grant. Dan Whipple clarified that all future presentations will be presented to the RTAB for recommendation to take to the REPC for regional planning. Mr. Stewart suggested that RTAB presentations align with RMPG regional planning, such as Pediatric and Burn. Members discussed that aligning the presentations may assist in getting the right people to attend the RTABs and possible increase attendance.

E. Review and possible vote to approve amended Region 3 Stroke Plan to move to RTAB for review and approval Jennifer Woodrow noted that no changes were made to the presented stroke plan. The plan was brought today to the REPC for any changes needed based on Alicia Webster’s stroke discussion at the last meeting regarding times. Members reviewed the current plan times and determined no changes were needed at this time. Dan Whipple suggested moving Priority III times to 24 hours so that patients with a large vessel occlusion (LVO) can be transported to the appropriate facility for clot retrieval. Members decided to wait to make any changes until after input can be received from Alicia Webster regarding changes.

F. 2020 Committee meeting dates – Vote to approve 1. February 6th, 2020 at Great Plains Technology Center – 9:00 am 2. April 2nd, 2020 at Great Plains Technology Center – 9:00 am 3. August 6th, 2020 at Great Plains Technology Center – 9:00 am 4. October 1st, 2020 at Great Plains Technology Center – 9:00 am A motion to approve the proposed 2020 Committee meeting dates, times, and venue was made by Tyler Walters and seconded by Rachel Talley. There was no discussion and the motion passed 6-0. Jennifer Woodrow noted possible membership changes to include removal of Alicia Webster and the addition of Dan McLoud.

VI. New Business

There was no new business. VII. Next Meeting

A. Regional Education Planning Committee Great Plains Technology Center 4500 Southwest Lee Boulevard Lawton, OK 73505 February 6th, 2020 – 9:00 am

B. Regional Trauma Advisory Board Great Plains Technology Center 4500 Southwest Lee Boulevard Lawton, OK 73505 February 6th, 2019 – 10:30 am

C. Quality Improvement Committee Comanche County Memorial Hospital 3401 West Gore Boulevard Lawton, OK 73505 March 5th, 2020 – 11:00 am

VIII. Adjournment A motion to adjourn the meeting was made by Beth Malone and seconded by Tyler Walter. The meeting adjourned at 9:59 am.

DRAFT

You are receiving this email because your facility has not met the attendance requirements set forth by the Southwest Regional Trauma Advisory Board Bylaws. Because the current representative authorized by your facility has not met attendance requirements as set forth by the Board, your representative has been removed from the Board and will need to appoint a new member to take their place. To appoint a new member, please complete and return the attached RTAB Authorized Representative Form to [email protected] or fax to 405-271-4240. Please note that any member organization that subsequently fails to ensure participation by their representative shall be reported to both the Oklahoma Trauma System Improvement and Development Advisory Council (OTERAC) and the member organization’s licensing authority.

https://www.ok.gov/health2/documents/Region%201%20NW%20Bylaws.pdf

mailto:[email protected]

SOUTHWEST (3) REGIONAL TRAUMA ADVISORY BOARD BOARD MEMBER ATTENDANCE

October 3rd, 2019

BOARD MEMBER REPERESENTATIVE 1Q 2Q 3Q 4Q 2019

American Medical Response - Duncan Charles Grady Mark Hale

X X X X 100%

Chickasha Fire Department/EMS Brian Zalewski Tony Samanrego

X X X X 100%

Comanche County Memorial Hospital Rachel Talley Nick Eimers-Mosier

X X X X 100%

Comanche County Memorial Hospital EMS John Phillips Christie Timspon

X X X X 100%

Duncan Regional Hospital, Inc. Kim Tigert Julie Pennypacker

X X X X 100%

Elkview General Hospital Jaye Hendrix Kim Goss

X X X X 100%

Grady Memorial Hospital Authority Mary Beth Malone Ryan Chester

X X X X 100%

Grandfield Ambulance Wayne Hull Dereck Farris

X X X A 75%

Jefferson County Hospital Leah Newton J.P. Edgar

X X X X 100%

Kirk's Emergency Service Bruce Crowell Sondra Sand

X X X X 100%

Mercy Health – Love County EMS David Manning Tracy Walker

X X X X 100%

Mercy Hospital Ada Tammy Bridgeman James Lampkin

X X A X 75%

Mercy Hospital Ada EMS James Lampkin Randy Bryant

X X X X 100%

Mercy Hospital Ardmore, Inc Lori Smith Lea Brown

X X X X 100%

Southern Oklahoma Ambulance Service Andrea Earley Dan McLeod

X X X X 100%

Southwestern Medical Center Robin Garmon Scott Tanner

X A A A 25%

Survival Flight Inc. Ryan Sand Cole Register

X X X X 100%

The Physicians’ Hospital in Anadarko Brandi Lewis Edwing Laracuente

A X X X 75%

Tillman County EMS District Ralph Washburn Eddie Johnson

X X X X 100%

SOUTHWEST (3) REGIONAL TRAUMA ADVISORY BOARD GENERAL MEMBER ATTENDANCE

2

GENERAL MEMBER REPERESENTATIVE 1Q 2Q 3Q 4Q 2019

Air Evac Lifeteam - Ada Steve Bates Jared Cheek

X X X X 100%

Air Evac Lifeteam - Altus Kelly Dillon TJ Saxon

X X X X 100%

Air Evac Lifeteam - Ardmore Jared Cheek Steven Bates

X X X X 100%

Air Evac Lifeteam - Decatur, TX Jared Cheek Kelly Dillon

X X X X 100%

Air Evac Lifeteam - Duncan Kelly Dillon T J Saxon

X X X X 100%

Air Evac Lifeteam - Wichita Falls Jared Cheek Kelly Dillon

X X X X 100%

American Medical Response - Marlow Charles Grady Mark Hale

X X X X 100%

Anadarko Fire Department EMS Greg Stone E.J. Sorrels

X X A X 75%

Apache Ambulance Michael Bolin Charley Love

X X X X 100%

Apollo MedFlight Brandon Leasure Brett Hicks

A A X A 25%

Arbuckle Memorial Hospital Authority Jessica Hobson Terra Sanford

X X A X 75%

Cache EMS Christie Timpson

A X 50%

CareFlite Zack kupper Alex Eden

A A A A 0%

Carnegie EMS Kenneth Pack Tyler Walters

X X X X 100%

Carnegie Tri-County Municipal Hospital Shannon Ware Shay Payne

A X X X 75%

Chickasaw Nation EMS Roy Throne Louis Wade Snodgrass

X A X X 75%

Chickasaw Nation Medical Center Jillian Chadwick - James Roy Throne

X A X X 75%

Elmore City EMS James Les Fowler Jason Cook

X A A X 50%

Grady EMS District Klayn Hitt Chris Kondos

X X X X 100%

Greer County Special Ambulance Service District Scott Augustine

A A A A 0%

Harmon Memorial Hospital David Strawn Sheila Lewis

A A A X 25%

Jackson County EMS William Stevens Mike Canada

X X X X 100%

Jackson County Memorial Hospital Authority Keller Martinez William Stevens

X X X X 100%

Jim Taliaferro Community Mental Health Center John Martin Donna Duyne

X X X X 100%

Johnston County EMS Kenneth Power LeaAnne Bently

A X X X 75%

SOUTHWEST (3) REGIONAL TRAUMA ADVISORY BOARD GENERAL MEMBER ATTENDANCE

3

Lawton Indian Hospital PHS Edwin Laracuente Cleora Shunkamolah

A X X X 75%

Lindsay EMS Kevin Caldwell Anthony Adams

X X X X 100%

Lindsay Municipal Hospital Brianne Bray Tandy Warren

X X X X 100%

Mangum Regional Medical Center Lisa Zimms Zachary Canaday

A A A A 0%

Medic West, LLC Ray Simpson Jenalu Simpson

A X A X 50%

MERC- Lawton Bob Stewart Alana Pack

X X X X 100%

Mercy Health Love County David Manning Tad Hall

X X X X 100%

Mercy Hospital Healdton, Inc. McKotah Smith Kasye Smtih

X A X X 75%

Mercy Hospital Tishomingo Paul Thomas Lori Smith

X X X X 100%

Murray County EMS Brad Lancaster Joseph Morgan

X X X X 100%

OSDH-EPRS Sheila Lawson

X X A X 75%

Pauls Valley Ambulance Authority James Lampkin

X X 100%

Reynolds Army Community Hospital James Hill (Happy) Michael Bolin

X X X X 100%

Rolling Hills Hospital, LLC Anthony Guild Johnny Luttrell

A A A A 0%

Rush Springs Fire/EMS Kevin Trusty Chloe Berry

X X X X 100%

Sinor EMS (Hobart) Teri Lankford Lance Lankford

A A A A 0%

Southwest Oklahoma Ambulance Authority David Strawn Sheila Lewis

A A A A 0%

Stratford Response Area James Lampkin

X X 100%

Tuttle Fire/EMS Bruce Anthony Klayn Hitt

X X X X 100%

Velma Community Ambulance Patricia Snider

A A A A 0%

Waurika EMS Sarah Ray Jamie Richardson

A A A X 25%

Southwest Regional Trauma Plan

21 Approved RTAB 05/04/2006 Revised 06/10/2008, 06/26/2009, 11/03/2011, Approved OTSIDAC: 03/02/2005

Appendix A

EMS Provider Descriptions



DESCRIPTION OF EMS SERVICES Region 3 is a large area encompassing 17 counties and covering approximately 16,295 square miles that is serviced by 30 ambulance services and 14 air transport services.

CADDO COUNTY:

1. Apache Ambulance is licensed as a Basic Life Support level service with two total ambulances, of which two are routinely staffed.

2. Anadarko Fire Department EMS is licensed as an Intermediate Life Support level service with one substation and three total ambulances, of which three are routinely staffed.

3. Carnegie EMS is licensed as a Basic Life Support level service with five total ambulances, of which two are routinely staffed. 4. Medic West LLC is licensed as a Basic Life Support level service with five total ambulance, of which two are routinely staffed.

CARTER COUNTY:

5. Southern Oklahoma Ambulance Service is licensed as a Basic Life Support level service with one substation and ten total ambulances, of which five are routinely staffed.

COMANCHE COUNTY:

6. Comanche County Memorial Hospital EMS is licensed as a Paramedic Life Support level service with three total ambulances, of which three are routinely staffed.

7. Kirk’s Emergency Service is licensed as a Paramedic Life Support level service with eight total ambulances, of which four are routinely staffed.

8. Reynolds Army Community Hospital is licensed as a Paramedic Life Support level service with three total ambulances, of which one is routinely staffed.

COTTON COUNTY:

9. Comanche County Memorial Hospital EMS is licensed as a Paramedic Life Support level service substation with one total ambulance, of which one is routinely staffed.

GARVIN COUNTY:

10. Elmore City EMS is licensed as a Basic Life Support level service with two total ambulances, of which one is routinely staffed. 11. Lindsay EMS is licensed as an Intermediate Life Support level service with four total ambulances, of which two are routinely

staffed. 12. Paul's Valley Ambulance Authority is licensed as a Basic Life Support level service with four total ambulances, of which two

are routinely staffed. 13. Stratford Response Area is licensed as a Basic Life Support level service with one total ambulance, of which one is routinely

staffed.

GRADY COUNTY: 14. Chickasha Fire Department EMS is licensed as an Intermediate Life Support level service with one substation and four total

ambulances, of which four are routinely staffed. 15. Rush Springs Fire/EMS is licensed as a Basic Life Support level service with three total ambulances, of which two are routinely

staffed. 16. Tuttle Fire/EMS is licensed as an Intermediate Life Support level service with one substation and three total ambulances, of

which two are routinely staffed.

GREER COUNTY: 17. Greer County Special Ambulance Service is licensed as an Intermediate Life Support level service with one substation and

four total ambulances.

HARMON COUNTY: 18. Southwest Oklahoma Ambulance Authority is licensed as a Basic Life Support level service with three total ambulances.

JACKSON COUNTY:

19. Jackson County EMS is licensed as an Intermediate Life Support level service with five total ambulances, of which three are routinely staffed.



JEFFERSON COUNTY:

20. Waurika EMS is licensed as a Basic Life Support level service with three total ambulances, of which one is routinely staffed.

JOHNSTON COUNTY: 21. Johnston County EMS is licensed as a Basic Life Support level service with four total ambulances, of which two are routinely

staffed.

KIOWA COUNTY: 22. Sinor EMS – Hobart is licensed as a Basic Life Support level service with two total ambulances. 23. Jackson County EMS/ESD is licensed as an Intermediate Life Support level service substation with one total ambulance, of

which one is routinely staffed.

LOVE COUNTY: 24. Mercy Health Love County is licensed as a Paramedic Life Support level service with one substation and seven total

ambulances.

MURRAY COUNTY: 25. Murray County EMS is licensed as a Basic Life Support level service with one substation and four total ambulances.

PONTOTOC COUNTY:

26. Chickasaw Nation EMS is licensed as a Basic Life Support level service with four total ambulances, of which two are routinely staffed.

27. Mercy Hospital Ada EMS is licensed as a Paramedic Life Support level service with one substation and eight total ambulances, of which four are routinely staffed.

STEPHENS COUNTY:

28. American Medical Response – Duncan is licensed as a Paramedic Life Support level service with five total ambulances, of which three are routinely staffed.

29. American Medical Response – Marlow is licensed as a Paramedic Life Support level service with one total ambulance, of which one is routinely staffed.

30. Velma Community Ambulance is licensed as a Basic Life Support level service with one total ambulance, of which one is routinely staffed.

TILLMAN COUNTY:

31. Grandfield Ambulance Service is licensed as a Basic Life Support level service with three total ambulances. 32. Tillman County EMS is licensed as a Basic Life Support level service with three total ambulances, of which two are routinely

staffed.

AIR SERVICES 1. AirEvac Lifeteam – Ada, OK 2. AirEvac Lifeteam – Altus, OK 3. AirEvac Lifeteam – Ardmore, OK 4. AirEvac Lifeteam – Decatur, TX 5. AirEvac Lifeteam – Duncan, OK 6. AirEvac Lifeteam – Elk City, OK 7. AirEvac Lifeteam – Weatherford 8. AirEvac Lifeteam – Wichita Falls, Texas 9. Apollo MedFlight – Amarillo, TX 10. CareFlight - Denton 11. CareFlight – Grand Prairie, TX 12. Survival Flight – Altus, OK 13. Survival Flight – Lawton, OK 14. Survival Flight – Oklahoma City



Appendix A

EMS Provider Descriptions



DESCRIPTION OF EMS SERVICES Region 3 is a large area encompassing 17 counties and covering approximately 16,295 square miles that is serviced by 302 ambulance services and 134 air transport services.

CADDO COUNTY:

1. Apache Ambulance is licensed as a Basic Life Support level Sservice with two total ambulances, of which two are routinely staffed. staffed with 2 First Responders, 2 Basics, 3 Intermediates, and 0 Paramedics

2. Anadarko Fire Department EMS is licensed as an Intermediate Life Support level Sservice staffed with 4 First Responders, 7 Basics, 13 Intermediates and 1 Paramedics with one substation and three total ambulances, of which three are routinely staffed.They have 2 routine units and 3 total units and cover 240 square miles.

3. Carnegie EMS is licensed as a Basic Life Support level sService staffed with 2 First Responders, 6 Basics, 3 Intermediates and 4 Paramedics.

4.3. They have 3 routine and 3 total units and cover 1270 square miles. with five total ambulances, of which two are routinely staffed.

5.4. Medic West LLC has a substation located in Hinton which may be staffed with 1 Paramedic Unit. is licensed as a Basic Life Support level service with five total ambulance, of which two are routinely staffed.

CARTER COUNTY:

6.5. Southern Oklahoma Ambulance Service is licensed as a ParamedicBasic Life Support level service staffed with 19 EMTs, 1 Advanced, and 28 Paramedics. They have 6 routine and 8 total units covering 833 square miles with 1 substation located in Healdton with 1 staffed and 1 available unit with one substation and ten total ambulances, of which five are routinely staffed.

COMANCHE COUNTY:

7. Comanche County Memorial Hospital EMS is licensed as a Paramedic Life Support level Sservice staffed with 0 First Responders, 13 Basics, 3 Intermediates

8.6. and 18 Paramedics. They have 3 routine units and 6 total units and cover 500 square miles with three total ambulances, of which three are routinely staffed.

9. 7. Cache EMS is a Basic level service, which may be staffed with one unit, 10. Kirk’s Emergency Service is licensed as a Paramedic Life Support level s Service with eight total ambulances, of which four are

routinely staffed. staffed with 0 First Responders, 6 Basics, 3 Intermediates and 11 Paramedics. 11.7. They have 3 routine units and 6 total units that cover 500 square miles. 12.8. Reynolds Army Community Hospital is licensed as a Paramedic Life Support level sService with three total

ambulances, of which one is routinely staffed.

COTTON COUNTY: 13.9. Cotton County currently has no licensed ambulance service within the county limits. It is currently covered as needed

by the next closest available ambulance service. There is approximately 350 square miles uncovered area in this Comanche County Memorial Hospital EMS is licensed as a Paramedic Life Support level service substation with one total ambulance, of which one is routinely staffed.

GARVIN COUNTY:

14. Elmore City EMS is licensed as a bBasic Life Support level Sservice with two total ambulances, of which one is routinely staffed.staffed with 2 Paramedics, 3 Intermediates, and 2 basics with 2 First Responders.

15.10. They have on routine unit and 1 non staffed backup unit and cover 250 square miles 16.11. Lindsay EMS is licensed as an Intermediate Life Support level Sservice staffed with 0 First Responders, 8 Basics, 3

Intermediates and 12 Paramedics. They have 2 routine units and 3 total units that cover 420 square miles with four total ambulances, of which two are routinely staffed.

17.12. Paul's Valley Ambulance Authority is licensed as aa Basic Life Support level Sservice with four total ambulances, of which two are routinely staffed. covering 450 square miles.

18.13. Stratford Response Area is licensed as a Basic Life Support level sService with one total ambulance, of which one is routinely staffed. .

GRADY COUNTY: 19. Chickasha Fire Department EMS is licensed as an Intermediate Life Support level Sservice staffed with 3 First Responders, 9

Basics, 18 Intermediates and 12



20.14. Paramedics. They have 2 routine units and 3 total units and cover 26 square miles. They a re a 522 district. with one substation and four total ambulances, of which four are routinely staffed.

21. Rush Springs Fire/EMS is licensed as a Basic Life Support level Sservice staffed with 9 First Responders, 9 Basics, 2 Intermediates and 0 Paramedics. They have

22.15. 2 routine units and 2 total units and cover 345 square miles.with three total ambulances, of which two are routinely staffed.

23.16. Tuttle Fire/EMS is licensed as an Intermediate Life Support level s service with one substation and three total ambulances, of which two are routinely staffed.

GREER COUNTY:

24. Greer County Special Ambulance Service is licensed as an Intermediate Life Support level Sservice staffed with 8 First Responders, 4 Basics, 4 Intermediates and

25.17. 1 Paramedics. They have 3 routine units and 4 total units and cover 960 square miles. They are a 522 district with one substation and four total ambulances.

HARMON COUNTY: 26. Southwest Oklahoma Ambulance Authority is licensed as a Basic Life Support level Sservice staffed with 2 First Responders,

4 Basics, 1 Intermediates and 27.18. 1 Paramedics. They have 2 routine units and 3 total units and cover 538 square miles. They are a 522 district with

three total ambulances. JACKSON COUNTY:

28. Jackson County EMS is licensed as an Intermediate Life Support level Sservice staffed with 1 First Responders, 8 Basics, 2 Intermediates and 9 Paramedics.

29.19. They have 2 routine units and 3 total units and cover 780 square miles. They are a 522 district. with five total ambulances, of which three are routinely staffed.

JEFFERSON COUNTY:

30. Waurika EMS is licensed as a Basic Life Support level service staffed with 5 First Responders, 3 Basics, 1 Intermediates and 0 31.20. Paramedics. They have 2 units and cover 2000 square miles.with three total ambulances, of which one is routinely

staffed.

JOHNSTON COUNTY: 32. Johnston County EMS is licensed as a Basic Life Support level service staffed with 1 First Responders, 1 Basics, 6

Intermediates and 0 Paramedics. They 33.21. have 3 units and cover 636 square miles with four total ambulances, of which two are routinely staffed.

KIOWA COUNTY:

34. Sinor EMS – Hobart is licensed as a Basic Life Support level service staffed with 1 First Responder, 4 Basics, 4 Intermediates, and 3 Paramedics.

35.22. They have 2 units that cover 305 square miles with two total ambulances. 36.23. Jackson County EMS/ESD is licensed as an Intermediate Life Support level service substation with one total

ambulance, of which one is routinely staffed.

LOVE COUNTY: 37. Mercy Health Love County is licensed as a Paramedic Life Support level Sservice staffed with 0 First Responders, 4 Basics, 0

Intermediates and 8 38.24. Paramedics. They have 2 routine units and 4 total units and cover 480 square miles. They are a 522 district with one

substation and seven total ambulances.

MURRAY COUNTY: 39. Murray County EMS is licensed as a Basic Life Support level Sservice staffed with 0 First Responders, 8 Basics, 2 Intermediates

and 9 Paramedics. 40.25. They have 2 routine and 3 total units and cover 400 square miles. They are a 522 district with one substation and four

total ambulances.

PONTOTOC COUNTY:



41.26. Chickasaw Nation EMS is licensed as a Basic Life Support level Sservice staffed with 0 First Responders, 3 Basics, 4 Intermediates and 6 Paramedics. They have 2 routine units and 3 total units and cover _ square miles with four total ambulances, of which two are routinely staffed.

42.27. Mercy Hospital Ada EMS is licensed as a Paramedic Life Support level Sservice with one substation and eight total ambulances, of which four are routinely staffed.

STEPHENS COUNTY:

43. American Medical Response – Duncan is licensed as a Paramedic Life Support level Sservice staffed with 0 First Responders, 3 Basics, 2 Intermediates and

44.28. 14 Paramedics. They have 2 routine units and 6 total units and cover 400 square miles with five total ambulances, of which three are routinely staffed.

45.29. American Medical Response – Marlow is licensed as a Paramedic Life Support level Sservice staffed with 0 First Responders, 3 Basics, 2 Intermediates and 14 Paramedics. They have 1 unit and cover 1500 square miles with one total ambulance, of which one is routinely staffed.

46. Velma Community Ambulance is licensed ass a Basic Life Support level Sservice staffed with 10 First Responders, 5 Basics, 0 Intermediates and 0

47.30. Paramedics. They have 1 unit and cover 238 square miles with one total ambulance, of which one is routinely staffed.

TILLMAN COUNTY: 48. Grandfield Ambulance Service is licensed as a Basic Life Support level Sservice staffed with 0 First Responders, 2 Basics, 2

Intermediates and 0 49.31. Paramedics. They have 2 units and cover 350 square mileswith three total ambulances. 50. Tillman County EMS is licensed as a Basic Life Support level Sservice staffed with 3 First Responders, 5 Basics, 1

Intermediates and 2 Paramedics. They have 2 51.32. routine units and 3 total units and cover 900 square miles.with three total ambulances, of which two are routinely

staffed.

AIR SERVICES 1. AirEvac Lifeteam – Ada, OK 2. AirEvac Lifeteam – Altus, OK 3. AirEvac Lifeteam – Ardmore, OK 4. AirEvac Lifeteam – Decatur, TX 5. AirEvac Lifeteam – Duncan, OK 6. AirEvac Lifeteam – Elk City, OK 7. AirEvac Lifeteam – Weatherford 8. Air Evac Lifeteam – Wichita Falls, Texas 9. Apollo MedFlight – Amarillo, TX 10. CareFlight - Denton 11. CareFlight – Grand Prairie, TX 12. Survival Flight – Altus, OK 13. Survival Flight – Lawton, OK 14. Survival Flight – Oklahoma City

SOUTHWEST REGIONAL TRAUMA ADVISORY BOARD BYLAWS

Approved by OTSIDAC March 2, 2005 Revised RTAB 08/16/2009 Page 8 of 12

COMMITTEES

Section I. Quality Improvement Committee

1. Each RTAB is required by statute to conduct quality improvement activities.

2. The function of this committee is to decrease death and disability by reducing inappropriate variation in care through progressive cycles of performance review.

3. A multidisciplinary standing committee for Quality Improvement shall be created in each region.

A. Minimum membership requirement:

i. Emergency Department Physician

ii. Surgeon

iii. Emergency Department Nurse

iv. OR Nurse

v. EMS Medical Director

vi. EMT

vii. Air Ambulance Provider

B. Other members for this committee may be identified based upon the need of the region. It is suggested that the membership be kept to 10 members or fewer.

C. Other specific disciplines that are not regular members of the committee may be called on to meet specific quality improvement needs.

D. A simple majority shall constitute a quorum to conduct business.

E. Upon approval by the chair of the committee, a committee member may be removed from the committee if he/she misses 50% of the regularly scheduled meetings in any year.

F. Vacancies

i. Notice of a vacancy shall be distributed to Board members at least ten (10) days prior to a scheduled meeting.

SOUTHWEST REGIONAL TRAUMA ADVISORY BOARD BYLAWS

Approved by OTSIDAC March 2, 2005 Revised RTAB 08/16/2009 Page 9 of 12

ii. Volunteers/recommendations to fill the vacancy in membership on this committee shall be accepted and voted on at the next scheduled meeting of the Board.

4. Volunteers/recommendations for membership on this committee shall be accepted at the annual meeting, and membership appointments decided by a vote of the board members at the following meeting.

5. Each region shall adopt confidentiality policies for this committee.

6. Minimum Quality Improvement activities shall be defined by the Quality Improvement Committee and approved by the Board.

7. The regional committee may identify other activities to monitor based upon regional need.

8. Committee Tenure Membership on this committee is for a term of two (2) years. Half of the initial appointments to this committee shall be for a term of one year to ensure staggered terms.

Section II. Regional Education and Planning Committee

1. The purpose of this committee is meet regional needs through strategic planning; creating, reviewing, and amending regional plans; and creating educational components to further regional goals.

2. Suggested membership should be nine members with a make-up of four members from hospitals, four members from EMS agencies, and a member from the Regional Medical Response System (RMRS).

3. The committee shall elect a Chair.

4. The Chair of the Board, the Chair of the committee, or a majority of the

committee may call meetings of a committee. The committee will meet at least annually.

5. Each member shall continue to serve on this committee until the next annual

meeting of the Board and until his/her successor is appointed unless sooner removed, the member resigns, or until the Committee is dissolved.

6. Upon approval by the chair of the committee, a committee member may be

removed from the committee if he/she misses 50% of the regularly scheduled meetings.

SEVERITY-BASED STROKE TRIAGE GUIDELINE ALGORITHM FOR RURAL EMS

OSSCAR Created: 10/2020; OSSSAC Approved: ____________ References: Powers, W. J., et al. (2019). Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals

From the American Heart Association/American Stroke Association. Retrieved from https://www.ahajournals.org/doi/10.1161/STR.0000000000000211 Teleb, M. (2016). Learn VAN. Retrieved from https://www.strokevan.com/learn-van/

Negative

No

Perform & document LVO** screen:

EMS VAN

(See screening tool on back)

Call Stroke Alert & Emergently Transport to closest appropriate stroke center (ASRH, PSC, TSC, CSC) per regional stroke systems of care policy

Call Stroke Alert & Emergently Transport** to closest EVT READY center **Consider Air EMS rendezvous, if emergent ground transport time is greater than total air transport time to closest facility

Call Stroke Alert & Emergently Transport to closest IV thrombolytic administering facility

Yes

Positive

EMS unit dispatched for possible stroke

-- OR --

EMS crew / public safety has on-scene suspicion of acute stroke

Upon arrival EMS crew will: • Stabilize patient per protocol • Interview patient, family, &

witnesses for: o LKW – Date & Time o Family Contact – Name &

Number o Medication List – including

when taken

Perform & document pre-hospital stroke identification screen (CPSS, LAPSS, etc.) -- AND -- POC blood glucose

No Treat &

Transport

Positive Stroke

Screen?

No Treat &

Transport

Yes

LKW < 24

hours?

Yes LKW < 4.5

hours?*

*Consider overall scene, transport, plus facility Door-to-IV-thrombolytic times to meet 4.5 hours from LKW

**LVO = Large Vessel Occlusion

SEVERITY-BASED STROKE TRIAGE GUIDELINE ALGORITHM FOR RURAL EMS

OSSCAR Created: 10/2020; OSSSAC Approved: ____________ References: Powers, W. J., et al. (2019). Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals

From the American Heart Association/American Stroke Association. Retrieved from https://www.ahajournals.org/doi/10.1161/STR.0000000000000211 Teleb, M. (2016). Learn VAN. Retrieved from https://www.strokevan.com/learn-van/

Yes No

EMS VAN: Acute Stroke Screening Tool (for Large Vessel Occlusions)

Is ARM weakness present?

Yes Continue the VAN exam.

No Patient is VAN negative. Stop VAN exam.

Visual Disturbance? Aphasia? Neglect?

If patient has any degree of weakness PLUS any 1 of the below:

Visual Disturbance - (Assess field cut by testing both sides, 2 fingers right, 1 left)

Aphasia - (Inability to speak or understand. Repeat and name 2 objects, close eyes, make fist)

Neglect - (Forced gaze to one side or ignoring one side, touching both sides)

This is likely a large artery clot (cortical symptoms) = VAN Positive

Oklahoma State Department of Health

Provider Listing: Region 3 Southwest

Southwest Regional Rotation

Members per rotation

Reg 3 Hospitals 10 7 permanent members 7

15 on 5 yr rotation 3

EMS 10 6 permanent members 6

27 on 9 yr rotation 3

Air 2 on 2 yr rotation 1

50/50 Total 20

Ro

tati

on

on

Bo

ard

Name

Reg

ion

Ty

pe

County

Southwest Region (3)

Hospital

Classification Level

Hospitals:

1 P Comanche County Memorial Hospital 3 GMS Comanche III

2 P Duncan Regional Hospital, Inc. 3 GMS Stephens III

3 P Grady Memorial Hospital 3 GMS Grady III

4 P Jackson County Memorial Hospital 3 GMS Jackson III

5 P Mercy Memorial Health Center, Inc. 3 GMS Carter III

6 P Southwestern Medical Center 3 GMS Comanche III

7 P Valley View Regional Hospital 3 GMS Pontotoc III

1 1 Arbuckle Memorial Hospital 3 GMS Murray IV

2 2 Carnegie Tri-County Municipal Hospital 3 GMS Caddo IV

3 3 Elkview General Hospital 3 GMS Kiowa IV

4 4 Harmon Memorial Hospital 3 CAH Harmon IV

5 5 Healdton Municipal Hospital 3 CAH Carter IV

6 1 Jefferson County Hospital 3 CAH Jefferson IV

7 2 Johnston Memorial Hospital 3 CAH Johnston IV

8 3 Mangum City Hospital 3 GMS Greer IV

9 4 Memorial Hospital & Physician Group 3 GMS Tillman IV

10 5 Mercy Health - Love County 3 CAH Love IV

11 1 Pauls Valley General Hospital 3 GMS Garvin IV

12 2 The Physicians Hospital in Anadarko 3 CAH Caddo IV

13 3 Jim Taliaferro Community Mental Health Center 3 PSYCH Comanche NC

14 4 Lindsay Municipal Hospital 3 GMS Garvin NC

15 5 Rolling Hills Hospital 3 PSYCH Pontotoc NC

EMS AgenciesEMS Total Run

Volume

1 P Southern Okla. Ambulance Service 3 EMT-P Carter 5535

2 P Kirks Ambulance 3 EMT-P Comanche 4897

3 P Comanche County Memorial Ambulance 3 EMT-P Comanche 4627

4 P Valley View Regional EMS 3 EMT-P Pontotoc 4228

5 P American Medical Response (Duncan, Marlow) 3 EMT-P Stephens 3602

6 P Jackson County EMS 3 EMT-I Jackson 2630

1 1 Chickasha Fire Departmemt EMS 3 EMT-I Grady 2585

2 2 Murray County EMS 3 EMT-P Murray 1759

3 3 Pauls Valley Ambulance 3 EMT-B Garvin 1669

4 4 Mercy Health - Love County EMS 3 EMT-P Love 1160

5 5 Johnston County EMS 3 EMT-B Johnston 1025

6 6 Cyril Ambulance (Cyril, Elgin) 3 EMT-BCaddo & Comanche978

Page 1 of 2 Approved by OTSIDAC 1-13-2005

Oklahoma State Department of Health

Provider Listing: Region 3 Southwest

7 7 Anadarko Fire Department EMS 3 EMT-I Caddo 938

8 8 Lindsay EMS 3 EMT-B Garvin 799

9 9 Sinor EMS (Hobart) 3 EMT-I Kiowa 750

10 1 Tuttle EMS 3 EMT-I Grady 750

11 2 Greer Co. Spec. Ambulance 3 EMT-I Greer 653

12 3 Chickasaw Nation EMS 3 EMT-B Pontotoc 593

13 4 Tillman County EMS 3 EMT-I Tillman 535

14 5 Carnegie Tri Co. Mun. Hosp EMS 3 EMT-B Caddo 522

15 6 Walters Volunteer Ambulance 3 EMT-B Cotton 430

16 7 Kiowa County District 3 EMS 3 EMT-B Kiowa 417

17 8 Waurika Ambulance 3 EMT-B Jefferson 377

18 9 Stratford Ambulance 3 EMT-B Garvin 354

19 1 Rush Springs EMS 3 EMT-B Grady 325

20 2 Southwest Okla. Ambulance Auth 3 EMT-B Harmon 290

21 3 Apache Ambulance 3 EMT-B Caddo 258

22 4 Elmore City EMS 3 EMT-B Garvin 193

23 5 VELMA - 142

24 6 Grandfield Ambulance 3 EMT-B Tillman 137

25 7 Mountain View Gotebo Ambulance 3 EMT-B Kiowa 86

26 8 Eldorado EMS 3 EMT-B Jackson 31

27 9 Lone Wolf Community Ambulance 3 EMT-B Kiowa 18

1 1 Air Evac Lifeteam (Lawton, Pauls Valley, Wichita Falls)3 EMT-P Comanche 865

2 2 Southwest Helicopters OOS

Page 2 of 2 Approved by OTSIDAC 1-13-2005

Southwest Regional Trauma Board Rotation 2019

Hospitals

ProviderBoard Rotation

Classification Level Rotation Year

Group #1

Comanche County Hospital P III

Duncan Regional Hospital P III

Grady Memorial Hospital P III

Mercy Hospital - Ardmore P III

Southwestern Medical Center P III

Mercy Hospital - Ada P III

Group #2

Arbuckle Memorial Hospital 4 IV 2017

Carnegie Tri-County Munincipal Hospital 5 IV 2018

Elkview General Hospital 1 IV 2019

Harmon Memorial Hospital 2 IV 2020

Mercy Hospital Healdton 3 IV 2021

Group #3

Jackson County Mem. Hospital 5 IV 2021

Jefferson County Hospital 3 IV 2019

Mercy Hospital Tishomingo 1 IV 2017

Quartz Mountain Medical Center 2 IV 2018

Memorial Hospital & Physicians Group 4 IV 2020

Group #4

Lindsay Munincipal Hospital 1 IV 2020

Mercy Health - Love County 2 IV 2017

Pauls Valley General Hospital 3 IV 2018

The Physicians Hospital of Anadarko 4 IV 2019

Ambulance Services

Board Rotation 2006 Run Volume Rotation Year

Group #1

Comanche County Memorial Ambulance P 5953

Southern Oklahoma Ambulance Service P 5678

Kirks Ambulance P 4830

Mercy Hospital - Ada - EMS P 4187

Am. Medical Response (Duncan, Marlow) P 2991

Chickasha Fire Department EMS P 2661

Group #2

Anadarko Fire Department EMS 5 938 2021

Jackson County EMS 9 2301 2016

Johnston County EMS 4 1132 2020

Lindsay EMS 6 880 2013

Mercy Health - Love County EMS 3 722 2019

Murray County EMS 1 1798 2017

Pauls valley Ambulance 2 1759 2018

Sinor EMS (Hobart) 8 713 2015

Tuttle EMS 7 750 2014

Group #3

Apache Ambulance 6 308 2021

Carnegie Tri-County Mun. Hosp. EMS 4 574 2020

Chickasaw Nation EMS 2 610 2022

Reynolds Army Base 5 2017

Greer County Special Ambulance 1 636 2018

Rush Springs EMS 8 307 2015

Stratford Ambulance 7 294 2014

Tillman County EMS 3 649 2019

Medic West 9 2016

Group #4

Eldorado EMS 7 30 2015

Elmore City EMS 2 141 2018

Grandfield Ambulance 4 222 2020

Southwest Oklahoma Ambulance Auth. 1 267 2017

Velma 3 168 2019

Waurika Ambulance 6 288 2021

Group #5

Air Evac Lifeteam 1 688 2020

MediFlight 2 2018

Survival Flight 3 2019

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