EMTS - A Brief History

1. NCRETACNortheast Colorado Regional Emergency Medical and Trauma Advisory Council RepresentingEmergency Medical and Trauma Services In Northeast Coloradowww.ncretac.org

2. EMS Act of 1973 – Beginning of EMS in Colorado • EMS Funding bill of 1989 • SB 034 • Trauma System Formed in 1995 • SB 95-076 • ATAC’s • Integrated EMTS System passed in 2000 • Created SEMTAC and RETACs • SB 180 CRS 25-3.5-704 EMTS - A Brief History

3. State Emergency Medical & Trauma Advisory Council • Appointed by Governor to advise Colorado Department of Public Health & Environment on statewide EMTS issues • Provides a diverse representation from across the state • SEMTAC develops Rules and Regulations advisory to Colorado Department of Public Health & Environment (CDPHE) SEMTAC

4. Are “Local Advisory Councils” • Formed by the Board of County Commissioners in each county • Bridge EMS system development with trauma systems development • RETACs coordinate and advise RETACs

6. RETAC Funding • Disbursement is governed by statute • All RETAC’s Receive $75,000 • (requirement is greater than 5 counties) • In addition all RETAC’s Receive funds based on geography, $15,000 per county in the RETAC. • All RETACs provide funding at the local, County, and Regional level for varied projects Colorado’s 11 RETACs

7. Largest RETAC in the State • 17,453 square miles • 9 County Consortium of EMTS providers • Jackson • Larimer • Logan • Morgan • Phillips • Sedgwick • Washington • Weld • Yuma Northeast Colorado RETAC

8. 2 existing organizations, High Plains Regional EMS Council, and the Northeast Colorado Area Trauma Advisory Council. • Local meetings with 9 counties Boards of County Commissioners (BOCC) • RETAC formation based on multiple community meetings with providers and BOCC in the 9 County Region. • Based on patient flow patterns and pre-existing relationships that span decades Forming The Northeast Colorado RETAC

9. All RETAC’s have their roots in pre existing relationships based on patient flow patterns

11. Statewide Patient Flow

12. Metro Denver Patient Flow

13. Biennial Plan • Statutory Requirement, Template from State. • 15 Components of an EMTS system and is based on the State of Colorado’s EMTS strategic plan. • Developed by the council • Annual budget and accounting reports RETAC – Roles/Responsibilities

14. Developed by; Needs assessments in 2002 & 2010 • Recommendations • Education and training for providers • Provide a web presence to improve communication and share information • Mass Casualty planning and response • Coordinated processes to eliminate redundancy • Grants consolidation between entities • Trauma Center collaboration Overriding Principles of the NCRETAC

15. 501c3 (Not for profit) • BOCC appointed council • Bylaws • Coordinator (Executive Secretary) NCRETAC Structure

16. Responsible for • Day-to-day operations of RETAC • Facilitate Meetings • Facilitate communication between EMS Agencies, Hospitals and the State EMTS Section • Provide Technical Assistance • Coordinate projects to provide meaningful results • Understand the local area they serve • Most have medical background • Coordinate with local EMS and Trauma System Stakeholders • Facilitate Local and Regional Planning processes that affect patient care everyday RETAC Coordinators

17. In May every year the NCRETAC • Examines best practices • Evaluates progress towards goals • Re evaluates and re examines direction • In the odd years a new Biennial Plan is developed, in the even years a Biennial Plan Progress report is developed. RETAC Biennial Plan Goals and Strategic Plan

18. Thank You