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Strategic Planning Development; Biennial Plan; 2017-19

This document outlines the strategic planning and development process of the Northeast Colorado Regional Emergency Medical and Trauma Services Advisory Council (RETAC) from 2017-2019. It includes information on designated and non-designated facilities, trauma centers, and patient transport vehicles. The council meets monthly to discuss goals, evaluate progress, and oversee implementation of the biennial plan.

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Strategic Planning Development; Biennial Plan; 2017-19

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  1. Strategic PlanningDevelopment; Biennial Plan; 2017-19 Northeast Colorado RETAC May 16, 2017

  2. EMTS Transport

  3. Designated & Non Designated Facilities Facilities, 13 Trauma Centers

  4. Patient Transport Vehicles

  5. Ongoing Organization and Planning Process: • Northeast Colorado Regional Emergency Medical and Trauma Services Advisory Council, Inc. a nonprofit corporation 501-C 3 • The council meets monthly as scheduled on the third Tuesday at a place and time designated by the Board. • Special tasks of the board • Developing and approving the Biennial Plan submitted in the odd year to the Colorado Dept. of Public Health & Environment • In the even years the board evaluates progress made on the goals developed • In the odd year, the board evaluates budget activity and if needed updates the goals/objectives if needed providing oversight to the implementation of the goals in the Biennial Plan

  6. NORTHEAST COLORADO RETAC Coordinator • TITLE: Regional Coordinator • REPORTS TO: NCRETAC Executive Committee • The NCRETAC Coordinator: Serves as the agent of the council on all matters relating to emergency medical and trauma service programs. • FLSA STATUS: Exempt – Fulltime, temporary worker (position contingent on funding)

  7. NORTHEAST COLORADO RETAC Board Member (Volunteer position) • TITLE: Prehospital or Facility position, each county has two seats on the board. • Appointment: • Biennial by County • Represents: • Counties and their discipline • Duties: • Disseminate and report pertinent information from the board, to their counties EMTS, and visa versa • Qualifications: • Actively engaged in the EMTS system in their county, and have a working knowledge of the EMTS rules/policies pertinent to their area of expertise.

  8. Ongoing Organization and Planning Process: • Northeast Colorado Regional Emergency Medical and Trauma Services Advisory Council, Inc. a nonprofit corporation 501-C 3 • The council meets monthly as scheduled on the third Tuesday at a place and time designated by the Board. • Special tasks of the board • Developing and approving the Biennial Plan submitted in the odd year to the Colorado Dept. of Public Health & Environment • In the even years the board evaluates progress made on the goals developed • In the odd year, the board evaluates budget activity and if needed updates the goals/objectives if needed providing oversight to the implementation of the goals in the Biennial Plan

  9. Components much match goals; State of Colorado EMTS Strategic Plan • Integration of Health Services • EMTS Research • Legislation and Regulation • System Finance • Human Resources • Education Systems • Public Access • Evaluation • Communications Systems • Medical Direction • Clinical Care • Mass Casualty • Public Education • Prevention • Information Systems

  10. Lets Measure and Evaluate

  11. Section 2: Accomplishments 2015-17 Biennial Plan Goals #1, Component 4 - System Finance Goal #2 Component 10 - Medical Direction; Goal #3, Component 6 - Education Systems; Goal#4 Component 15 - Information Systems Goal #5; Component 14 – Prevention Goal #6; Component 12 - Mass Casualty Systems & Component 1 - Integration of Health Care Services,

  12. Goal #1; Component 4 - System Finance • Goals #1, Component 4 - System Finance • Funding of operations and goals development of the NCRETAC • Provide resources necessary to support Generally Accepted Governmental Auditing Standards

  13. Component 4 System Finance • Objectives • Measured Outcome • All goals had identified budgets, biennial plan 15-17 budget’s were presented to the board in June 2015 and in June 2016 and approved. • Subsequent the budget was entered into the bookkeeping software by Novosad Lye & Associates for periodic reporting as needed. • Monthly updates to the accounting software is transmitted to the NCRETAC coordinator and is based on Credit Card & Bank Reconciliation. All outflows are either part of the approved budget and fall under the cap of capital expenses or are approved by board resolution. All checks have a double signature (electronic). • Novosad Lyle & Associates file 990’s with the IRS which have sufficiently addressed the State of Colorado’s Auditors questions in regards to filing “exempt from audit” requirements.

  14. Goal #1; Component 4 - System Finance, Future • Budget

  15. Goal #2 Component 9 Medical Direction 2015-17 Biennial Plan • Measured Outcome • Disseminates EMPAC & RML information to the NCRETAC “Northeast Colorado RETAC “board of directors and the NEPAB, “Northeast Physicians advisory board.” • Is the liaison between the NEPAB and the NCRETAC • Participates in the Statewide RML quarterly newsletter, (discontinued in 2016 and not part of deliverables in 2017) • Reviews EMS protocols as needed. • Provides technical assistance as needed • Coordinates the case studies for the NEPAB. • Case studies discussed • October 2015, Clothes Line Injury • December 2015, Operational EMS Lessons Learned from a Pediatric Death • June 2016, Ambulance Transport Safety • April 2016, Operational EMS Lessons Learned from an active shooter mass casualty Incident • August 2016, Lessons Learned from a Trauma Arrest Case • December 2016, Trauma in Pregnancy • February 2017, Sepsis • May 2017, Lessons from “Gathering of Eagles” Dallas TX

  16. Dr. Erica Douglass, RML NCRETAC

  17. Systems Development Funding RML • Non-Competitive Project; • Funded in July 2014 after a 3 year competitive process.. Sunsets in FY 2017 (Starting July 2016) • Measure efficacy

  18. Component 10 Medical Direction • Deliverables: 2017-18 • Collaborate with the Northeast Physicians Advisory Board subcommittee chair, in development of agenda and leading discussion on agenda’s for the preceding meeting at the NEPAB subcommittee meetings. • RML oversight of the case reviews, reviewing for applicability and best practices and/or lessons learned. • RML oversight of the CME processes in conjunction with the local level II trauma center /'s who underwrite the CME for the Physicians and Nurses. • RML attendance at gathering of Eagles Conference annually, provide report to the board within 90 days of event. • Collaborate with the Regional Coordinator of the Northeast Colorado RETAC on technical assistance as needed for EMS practice and protocols. • Assist as needed with local EMS Medical directors, provide technical assistance, site visits as needed. • Solicit assistance with the Educational Programs i.e. Northeast Colorado RETAC sponsored ALS refresher through the relationships established at the Northeast Physicians Advisory Board.

  19. Goal #3, Component 6 - Education Systems; • The Northeast Colorado Regional EMS/Trauma Advisory Council shall assist funding EMTS provider agencies and EMTS providers in obtaining Continuing Medical Education that can both develop professional and personal growth as it relates to the EMTS System

  20. Goal #3; Component 6 - Education Systems • Continue to provide funding to CME courses identified in the funding policies to benefit EMTS agencies in the region • Continue to provide financial support to the ALS refresher • Encourage collaboration between education centers/groups to provide online CME above and beyond ALS refresher courses

  21. Report on the ALS Refresher 2015 • Measured Outcome, ALS Refreshers • 2015 Refresher; • Aims Community College Hosted the Paramedic Refresher in October 2015 and finished the project the first week of December 2015. • 176 students attended either all or part of the online offerings, • 14 students attended the full refresher that included the skills stations • 84 students logged in to the archived video recordings. In total 274 separate students attended the 2015-16 ALS refresher • Cost to the NCRETAC $8,500.00

  22. ALS Refresher 2016 • Thompson Valley EMS hosted the Paramedic Refresher in October of 2016 and finished the project in December of 2016. • Year end certificates printed 1118 • Total CE hours granted per cert @ 1.5 1677 • NCRETAC cost per CE hour granted $5.96 • Number of full 48 hour completions 2 • **There will be more non-live certificates granted as those in need of hours watch the course • Strengths: • Platform allowed wide user reach • Allows recording of classes to remain through recertification cycle • Opportunities for improvement: • Difficult to meet all the various platform needs • WizIQ is limited to PPT files only • Speaker recruitment • Limited availability to verify knowledge competency • Cost to the NCRETAC $10,000.00 (budget increased by board action)

  23. Report on CME Funding programs • Purpose; Promote and support EMS/Trauma Education; • Project; Provide funding for EMS/Trauma Courses; • Project Mission; EMTS training is a priority for the Northeast Colorado RETAC. In this effort on a funds available basis, agencies can apply for EMS/Trauma course reimbursement.

  24. EMTS Courses, Measured outcome 2016 & 2017 YTD

  25. Funding of Seminars • Measured Outcome • Banner Health, The 2015 and 216 symposiums were held at The Ranch Events Complex in Loveland, Colorado. • 2015, Over 250 registrants were in attendance to the event. Registration was maintained at $70 this year. Seven continuing education credits were offered to all attendees. Cost to the NCRETAC $3,000.00 • 2016 was host to 290 registrants in attendance to the event. Registration fees were $85, which reflected a necessary increase due to inflation costs of the venue, meals, and accommodations. 7.25 continuing education credits were offered to all attendees. Cost to the NCRETAC $5,000.00

  26. Seminars Report, PVHS EMS, PFA • Poudre Valley Hospital EMS, Poudre Fire Authority Spring Conference was held at the Lincoln Center in February 2016 and again in February 2017. • 2016, 74 attendee’s in the room and appx 62 people online cost to the NCRETAC $3,500.00 • 2017, In –Attendee’s in the room, Appx 90 throughout the day. Online Attendance 100+. Cost to the NCRETAC $3,500.00 • Attendee’s cost; Free

  27. Seminar Report Morgan County EMTS 2016-2017 • Hosted by Colorado Plains Medical Center, Morgan County Ambulance Service, Morgan Community College & East Morgan County Hospital • 2016, There were over 75 registrants, turnout was slightly lower due to the inclement weather. The event remained well attended with many participants coming from outlying rural areas of Northeast Colorado. • 2017, There were over 75 registrants, and attendance the day of the event was 72. The event remained well attended with many participants coming from outlying rural areas of Northeast Colorado and the Front Range. • Educational presentations included throughout the day. The lectures offered were targeted toward EMS providers, nurses, physicians and any other emergency/first responder roles, providing continuing education credits. • Dr. Allison Lindman – 2016-17, • Dr. Bradley Oldemeyer – Care of an MI patient. 2017 • Dr. Shannon Sandoval 2016 • Joy Bryant, RN, BSN 2016 • Dr. Charles Mains – 2017 • Teresa Zuber – Apneic 02 • Dr. KeashaKuhnen – 2017 • Nate Hinze – RN, NRP, 2016-17 • Cameron Duran, NRP – 2017

  28. Funding Levels for EMTS Education 2015-16 • 2015-ALS Refresher $8,500 • 2016-ALS Refresher $10,000 • 2015-2017 EMTS Courses $21,000 • 2015-16 EMTS Seminars $10,000 • 2016-17 EMTS Seminars $12,000 • 2016-17 Injury prevention encumbered, $6,000 (Wray Ambulance Andy) • 2017 Injury Prevention EMCH, $1,200

  29. Report on New proposal B-Con project • Measured outcome; • BCON, New project July 2016, not in Biennial Plan 2015-17 • In the spring of 2016 the Northeast Physicians Advisory Board requested that the NCRETAC develop a methodology to distribute the “Bleeding Control Courses” developed by the American College of Surgeons & the National Association of EMT’s. • Bleeding Control for the Injured (B-Con) course, that teaches basic life-saving medical interventions, including bleeding control with a tourniquet, bleeding control with gauze packs or topical hemostatic agents, and opening an airway to allow a casualty to breathe. The course is designed for EMS Providers, RN's, Physicians providing emergency care in the NCRETAC region NON-tactical law enforcement officers, firefighters, & Security personnel. 

  30. Bleeding Control Cont.

  31. Goal#4 Component 14 - Information Systems 2015-17 Biennial Plan • Provided simple, universal access to information and services for board members, contractors, and end users. • Web ex platform for online meetings, handouts posted in the meeting space and online through the web platform for the NCRETAC • Maintained VoIP technology for voice communications in the board meetings • Web Ex platform, purchased noise cancelling speakers for outreach meetings as needed. Previously supplied by TVEMS for meetings held at TVEMS • Provided storage of media for continuity of operations and funding programs • Cloud Storage of File • Posted Timely meeting notices • 1 week in advance 85% of the time • Posted special announcements as needed • Improved the online communications ability for individuals and groups associated with the NCRETAC.

  32. Goal #5 Component 13 – Prevention • Projects for prevention in 2015-17; funds in the amount of 700.00 per county were made available in the special project funds • One agency applied for two counties targeting elder falls in Weld & Larimer Counties.

  33. Injury Prevention Cont. • Ambulance Andy project • Wray Ambulance • Description of Project (Please describe your project in detail) • We would like to obtain an “Andy the Ambulance” in partnership with the Northeast Colorado RETAC either through matching funds or utilization of the 501 C 3 non-profit status. The Coors foundation requires a 501 C 3 not for profit to receive foundation funds. • Staff turnover in Wray delayed project but project is still on track with new applications and deadlines. Lonnie will let us know more as the timelines for the matching funds grants are either funded or not.

  34. Injury Prevention Cont. • East Morgan County Hospital approached the board with a funding request. The project specifics were to inform high school students about the hazards of distracted driving..

  35. Goal #6; Component 1, Integration of Health Services & Component 11 - Mass Casualty Systems • Measured Outcome • Multi-Agency Coordination Planning and Response • Attends the Health Care Coalitions (HCC’s) in Yuma/Washington, Phillips, Logan, Morgan Counties, • Planning for At-Risk Individuals and those with Special medical Needs • Special needs workshop in Logan County 2015 • Training and Exercises • Tornado exercises in Wray, Yuma, Phillips County 2015 • Active shooter exercises in Holyoke & Sterling, 2016 • NIMS • Regional HCC workshop 2015 • Healthcare System Recovery • Emergency Operations Coordination • EOC Workshop in Phillips County • Information Sharing • Continually sharing information between HCC’s. • Medical Surge • Planning team for Washington County Burlington/Northern derailment exercise, exercise was cancelled however • Responder Safety and Health • Observed and assisted with Ebola plans in NE Colo. • Volunteer Management • Input technical assistance credentialing program from State.

  36. Discussions re; HCC’s 2017----- • In the spring 2017 the CDPHE changed the structure of the HCC’s from individual county based Health Care Coalitions to a region wide Healthcare Coalition that falls along the boundaries of the all hazards regions for the State of Colorado. We will continue to monitor the progress and provide technical assistance as needed or requested. • April 24th group met to develop a governing structure, board, representation, fiscal agent (based on deliverables mandate from CDPHE) • Next meeting June 21 to continue governing structure, board representation, bylaws and have a presentation by Colorado Rural Health, (proposed fiscal agent) deadline is July 1…

  37. Budget Operations

  38. Budget Personnel

  39. Budget Projects

  40. Savings Reserve InvestmentsNo Changes proposed from FY 2015-2016

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