001Good morning everyone. We are going to go ahead and call to order. It is 9 a.m. Shel will go ahead and do a roll call, please. Alyssa Michael forget Stevens Clifford Jones >> Johnson David >> here. Edinette I do see a minute here. Yes. >> Forest Taylor. >> Gale Bradley >> present. >> Gamer >> present. >> Herman Butler. >> Iman Fiser. >> Hi Dr. Fiser. >> Dr. W. >> Uh Dr. Japian >> pres we got you as well. So she >> Dr. Sapp deployed. >> I'm online. >> I'm present online with you. Thank you. Sean Boker >> present and Vicky Bennett >> thank everyone. Uh just a reminder that this meeting is being recorded. So everything said as part of the meeting is part of the permanent recording that is shared to the bureau's website.
002Uh if we see a couple people you missed roll call we will capture your attendance if you put it in the chat. Uh thank you for see you. Uh the attendance report is in your meeting packet. Just a reminder, if you miss two or more consecutive meetings, uh we will reach out to you to determine if you'd like to continue to serve on the committee. Uh we'd like to welcome a new member, uh Dr. Kevin, uh Kevin Nafi. So welcome to the committee. Thank you very much. >> And then also I'd like to welcome back two appointed members uh Gar Gamer and Sandy Nygard. Welcome back both of you. Thank you both members of this committee. Uh we do currently have two vacancies. We have one representative from a statewide rehab facility. Uh this is
003one that we've had open for quite some time. So if you know anyone that would qualify or work at such facility and they're interested in serving, please let us know or let them know to apply. I think this one has been open for a couple years now. And then also representative from an urban advanced life based support hospital that is not a trauma center. That's the part that makes it sometimes a little tricky to get. But if you know anyone that would qualify for that, uh, please have them apply as well. For staff positions, if they are interested, they can reach out to Shelley. Her email address is on here, and she can help with the application process, which would go to the director for review and approval. Uh, next, we wanted to uh just
004take a minute to recognize we have uh May is always a big month in terms of celebrations. So, it is trauma awareness month. Uh, this week is EMS week and then also EMS for children day recognition. Uh so I wanted to take a few minutes to uh a share the proclamation from the governor's office uh regarding all three uh celebrations and to thank everyone for all the work that you do to help serve the community uh from the prehosp side into the hospital side and trauma center. We know that the work that is done by everyone that participates and the EMS system uh truly saves lives and we want to thank you for your participation and dedication to the citizens. So thank you and happy EMS week trauma awareness month and EMS for children day
005as well. Uh the next part we will move along to is uh something that is quite fun for us to do which is a little bit of positive recognition. Uh we have the trauma awards which uh we are going to continue once again. Uh do you want to give a little background or >> um sure I believe this is the second year in a row that we have done the um EMS and trauma awards. Um and they outlined the level one, level three, level four injury prevention, pediatric uh champion registar and in injury prevention and research. Um this year we did not get a pediatric um nomination for working in research nomination. So just to go straight into the So we will be recognizing six people today >> and just um the awareness the bureau
006does not vote in any part of these uh awards. So these are voted by an outside committee just to make sure everyone is aware of that as well. >> Yes. Yes. So we send out the nominations. nominations are sent in by um peers and then a um I won't say jury of your peers but a selection committee of your peers go through all of the nominations and then make recommendations. So it's similar to the EMCTs where the um recommendations come from the region south. Okay. So, we'll start with um the level one trauma medical director of the year. Come on up. >> So, Dr. Joby is the trauma medical director at Honor Health Scottsdale Osborne Medical Center where he has served for nine years. Beginning in 2017 as clinical faculty, he advanced through multiple leadership
007roles including assistant trauma medical director and twice serving as interim trauma medical director before his official appointment. During his tenure, he has successfully led the trauma program through two ECS level one verifications. a fellowship trained trauma surgical care physician. He is actively engaged in regional and statewide trauma leadership serving on staff and as a state trauma reviewer. He's an associate professor at ASU and he's also committed to clinical research serving as a principal or subinvestigator on numerous trauma studies. Beyond his clinical and academic contributions, Dr. Dr. Njafi plays a significant role in trauma education and system advancement. Equally respected for how he leads, Dr. Nafi is known for treating colleagues with empathy, respect, and accountability, fostering a culture where teamwork, trust, and compassion are central to patient care. His calm presence, thoughtful communication, emphasis on
008strong relationships strengthen his team's morale and patient outcomes, making him a highly effective leader and deeply valued member of the trauma community. Please accept this letter and plaque. >> Thank you so much. >> Get this figured out. >> Other duties. Thank you. Thank you. >> Oh, sure. >> I'm sorry. I don't want to take up every time. I know we got a lot. Um, I just want to say, uh, I don't know who wrote that letter, but it doesn't even really sound like it's me. So, say thank you for all your kind words and, uh, thank you to the bureau for having me. Um, and I just want to say everybody in this room knows that trauma is a contact sport. So, even though my name's on this, it belongs to my entire team at
009HS. Um, I couldn't do this nearly even close to to what we do without anybody on Zoom. So, thank you guys uh for your information. Thank you for all the hard work you do. Uh it's humbling to be on a team like this. So I wake up every day going man I'm so lucky to get so thank you. All right. Level one pharma program manager Meredith Gowski from Chamar Hill. >> Has served for several years as trauma program manager for the level one trauma center at Dignity Health's Chandler Regional Medical Center where she successfully led her trauma program through state designations and ACS reverifications. As an outstanding trauma program leader, she is consistently accessible and dedicated to strengthening not only her own level one program, but other trauma programs in her community. Her impact extends
010to our level four centers where her guidance and collaborative approach have helped improve trauma registry processes and overall program quality. Meredith maintains a consistent presence in the state trauma system, actively participating in trauma surveys and mentoring new trauma program managers. She has also hosted the quarterly trauma program managers workshop which fosters connections among trauma professionals statewide. A master's prepared nurse who holds certifications in pediatric emergency nursing and trauma nursing. Her commitment to mentorship and improvement makes her a valuable asset to Arizona's trauma community. Please accept this letter of congratulations and important Thank you so much. All right. >> All right. Order. Uh, level three trauma program manager of the year, Miss Shannon. >> Okay. Shannon has served as a trauma program manager at Chuba City Regional Healthcare Corporation since 2011, where she has been instrumental
011in growing the trauma center to an ACS level three verified facility. Beyond her trauma leadership, Shannon has also managed the sexual assault nurse examiner same program for Chuba City and much of the Navajo reservation for many years, providing critical victim survivor services to the community. Her dedication and expertise have been essential in maintaining both the level three state designation and ACS verification at Tuba City, ensuring that highquality trauma care and support services are available for the population she serves. Please accept this letter of congratulations and here's your letter level four is Debbie. All right. Debbie has dedicated her life to nursing, bringing a global perspective shaped by her South African roots and years of service in diverse and challenging environments. She holds a BSN and has spent the last 15 years at Northern Arizona Healthcare,
012beginning as an emergency and charge nurse at Verie Valley Medical Center and advancing into her current role as trauma program manager and EMS coordinator for both the Birdie Valley and Sedona campus. For the past 11 years, she has provided steady, respected leadership of the level four trauma program and is currently spearheading efforts to achieve level four designation for the Sedona campus, strengthening access to life-saving trauma care for rural communities. In addition to her trauma leadership, de Debbie has served in the past as a sexual assault nurse examiner, delivering expert traumainformed forensic care to survivors with compassion, dignity, and respect. Her commitment to patient advocacy extends beyond the hospital through her leadership in establishing stop the bleed stations and local schools and clinics. Empowering the community to respond effectively in emergencies. Deeply invested in overall wellness,
013Debbie also teaches Tai Chi and remains actively involved in community initiatives, reflecting a holistic approach to health and healing. Known for her dedication, kindness, and unwavering commitment to excellence, Davy Debbie consistently goes above and beyond for patients, colleagues, and in her community, leaving a lasting and meaningful impact on everyone. Okay, let's see who's easiest. Um, so injury prevention champion, Miss Melissa Lson. Okay. Melissa is an experienced registered nurse with a with a demonstrated history of working in both hospital and community settings. She has delivered developed and implemented numerous injury prevention programs working both independently and in partnership with community members and sister facilities. Her development and participation in initiatives span all age groups and include safety town for elementary students, distracted driving for motor vehicle safety for teens and adults, child passenger safety education, stop
014training, bicycles and ped pedestrian safety for all ages and fall prevention and home safety for older adults. Beyond program development, Melissa previously chaired the state's falls prevention committee and currently serves as chairsperson for the injury prevention alliance of Phoenix. She and several team members received the Nicholas Rose CR award at the EMS World Expo for their impact in preventing injuries. As a proven injury prevention specialist, she actively mentors new professionals entering the field and is available to assist when called upon for such activities. Please accept this as >> Okay, last but not least, registar of the year, Miss Maria Solace. was gonna try to make it down here today to present this to you herself, but it just didn't work out. So, you got the beast string here. Okay. Um, Maria has been a dedicated
015trauma register for the level one trauma center at Deer Valley and the honor health organization for 12 years. Her attention to detail, curiosity, and analytical strengths have caused her to flourish in this role. Through the years, she has advanced to lead trauma registar and earned the CSTR certified specialist in trauma registries credentiing through the American trauma society and demonstrating her advanced expertise in trauma registry practice, injury severity scoring, data extraction and national reporting requirements. As lead registar, she has played a vital role in improving workflows, enhancing data accuracy, and supporting system upgrades that have strengthened both local and statewide trauma reporting. She is deeply valued as a member and resource for new staff and peers, willingly sharing her knowledge. Her analytical skills have her and make her an essential asset to performance improvement and trauma
016research initiatives. Maria's reliability, professionalism, and commitment to the trauma system make her a standout asset who consistently goes above and beyond to serate demonstrating a level of dedication and impact that is truly deserving of this resolution. All right. Congratulations to everyone. Thank you to Bennett for the team that to all the nominees. >> Well, thank you uh to everyone who's participated. I know this is something that we feel is a really wonderful opportunity for the bureau to uh as we are a regulatory body get the uh chance to really recognize all the amazing work that is done out there by the community. So, a big thank you to everyone for submitting nominations and then for participating being present today. >> Uh, next we will move on to the bureau report. Uh, this is in the
017meeting packet so I won't read through all of this. Uh, but just wanted to go through a few updates here. Uh, so first uh, congratulations to Dan Mojo or Dr. Mojo who is now the interim EMCT certification based hospital and training program manager. Uh congratulations to Lithia Castro who's now officially the service sections office chief. Uh and then congratulations to Antonio Gerard who is now the interim C1 and rates manager. Uh we next want to move on with uh just spend a couple minutes discussing the uh EMS registrations for DEA applications. Uh so I know we had mentioned that we were working on this at the last round of meetings. Uh the website is live and active uh for there's a few agencies that have submitted a DEA registration. It is brought to our attention
018that we needed to make a small edit to that uh process. So we have updated that as of yesterday. Uh but essentially that is live and in place. So for EMS agencies that want to proceed with obtaining their uh own TEA registration uh the process to get state authorization is live on our end. The rules are official. You can go to the bureau's main web page. you'll see a DEA section and there's instructions on how to uh walk through that process. We have met with the DEA as well. They said that they are ready to accept applications from Arizona agencies. Uh if you have any issues or problems, please let us know and we can reconnect with them. Uh but hopefully that process is uh acting alive and ready to go. I'll open up quickly
019and see if anyone has any questions on that before we move forward. >> Yes. >> Did you guys get any clarification whether or not uh it would be required folks that we've been talking to sounds like the bill was drafted that it seems to be required and the language that it just says on the application it's more likely the hospitals won't keep doing it again so we're just looking for that clarification to understand our goal >> we can't speak to the DEA side uh at least for right now what we can say is this is an option we knew that from a state perspective we did not have any mechanism to approve Arizona agencies So we wanted to eliminate that barrier. So that was really the main step that we were trying to accomplish. We
020can't state how the DBA is going to implement and enforce their own kind of rules and processes. I think they are still trying to figure that out a little bit themselves as this took almost nine years to write and many of them were caught a little bit off guard when they were actually pushed out live. So I don't think they're exactly sure. But from our perspective, we just wanted to make sure that there was no barrier at the state level in Arizona for agencies that want to proceed with that. So that's why that language is kind of worded that way. We just can't we can't say yes or no one way or the other what the TEA plans to do. >> We can modify our language. So I think there's some confusion with our language
021which is we as the agency are not requiring it um because there are not our rules. So we can make that a little more clear. Um but yes, we haven't received um clear answers um from the DA and I think as Dr. Bradley stated um there's a lot that they are still figuring out and consulting on um that there is still a pathway at least what we have heard through base hospitals but there is that owner l like own and operated language that's in there that we would um advise folks to follow up with DEA specifically on that but we can clarify our language on our website that the intent of that was just to make sure that people understand that this isn't a requirement from us we're just creating the pathway so that should
022you choose to or are required to um you're you're enabled to do so. >> And I think at a national level, having now been to a couple conferences where there's been different DEA representatives speaking there, uh they are still nationally trying to get this figured out. Part of that is due to the fact that different states have different existing requirements. Some states have an existing requirement for uh an a state controlled substance license. And so that's a whole different pathway if that already exists. So it's not just authorization from an entity, it's a state license versus other states that are trying to do what we have uh done here, which is create kind of an authorization to apply with the DA. Any further questions that we can try to answer on this? If we do
023get any further uh definitive uh information, we will definitely uh let let the group know. Uh next I just want to mention a requirement about certification. We have continued uptick in EMCTs working with expired state certifications. Uh just a reminder that they will everyone gets their uh renewal certifications 90 60 and 30 days prior to being expired. That goes to whatever email address they are registered with at the state. So, uh, please make sure that you remind your personnel that they do need to, uh, kind of either update their email address if it's not something they use regularly or ensure that they do reapply in a timely fashion. Uh, I do want to make sure I think we've left time later on. Actually, we don't. So, I will turn over for uh, I think Carissa,
024are you going to give the update on the registry? >> It's not. Okay. We'll we'll hold them for later. We have a little bit more time on that piece. regard. >> Thank you. Uh update on the long leave behind. A big thank you. Many of you are part of this program here. We currently have 72 agencies across the state participating with a 50/50 spread between both urban and rural agencies. Uh we have over 5,000 EMCs trained uh 3,300 plus uh lockown kits that are actually scanned in the community. So this is pretty amazing. We've really were kind of hoping to hit the 1,00 kit mark. Uh and we are already at the 3,300 plus range. So, a big thank you to everyone and all of your agencies, medical directors, uh personnel who are supporting this
025program. Uh we have about a thousand kids that have been shipped out to agencies. Our goal for the grant program was 12,200. So, we are almost at that goal. Uh and in the agenda packet, there is a map of uh participating agencies across the state. Uh and they we have a really nice statewide distribution of this. So if you know anyone that's interested, please have them reach out to Dave Hansen. Uh he can help get them on boarded. The process is quite simple and there's free education associated with that with CE personnel. >> It's slowly opening. There you go. >> I'm going to turn over quickly to Nicole for an update. Yeah, it's not on our um bureau updates, but um thought since we are together, we can just give a quick update on the
026real health transformation fund. Um so I think you probably reported before, hopefully you're all aware of the real health transformation fund. So that is approximately $162 million that will come to our state through the governor's office. They are the um and through from CES through access which is the main recipient of the entirety of those funds. um ADHS specifically will receive um some funds directed through access for rural health transformation um as well as OEO for workforce development for professionals in rural communities. So um those could be things like CE development upskilling um or um sponsorship for individuals to receive um you know for a career in nursing or paramedics or whatever it might be. There's a lot more detail that will come out around this. We are working with the governor's office and our
027colleagues at Access to um continue to provide updates and information. Um there's several buckets that are part of the rural health transformation program. So what is coming to ADHS is specific to chronic disease funding. Um majority of that funding will be sent out from ADHS to um county health departments. However, there is a small component which we are very grateful and lucky to have that will focus on out of hospital cardiac arrest. And so the bureau of EMS traumor system um will be working on that. We'll provide you more details for sure um in the future around that. Um as well as we're really uh happy that uh we are also going to receive some additional funding. So um OEO will be responsible for most of the workforce development funding that will happen across the
028state, but there is a small amount of funding that will be coming to ADHS every year. About $4 million, please don't quote me on that. Um and that will be specifically for community health workers and um EMCTs and paramedics. So both will um and we've been talking to the regions um to let them know um and we're just working on those um you know uh plans and what that will look like. So we'll provide more more information in the future. But um that can include um again additional funding which I know we have had in the past for small grants. Um additional funding for EMCTs and paramedics um specifically focused on rural areas within Arizona. And so um and there is some um commitment to serving a rural area for a length of time for
029those who receive those funds whether it's um nursing funds, doctors, etc. Um and we'll provide more details um as that rolls out. Um but also um you know we'll have additional funding within the bureau to support CES um additional education training and learning management. So we're really excited um to receive that. I know um uh Chief Hail's not here this week and he was at NMO and I think at least shared with me that many other states uh were uh surprised that we um that that there is money coming specifically to Ouro. So I think we're one of few um across the United States that actually were lucky enough to um advocate for um EMS and have funding coming directly um so that we can reallocate out to the community. So I just wanted to
030share that. Um I don't have all the details but um certainly more will come and we'll make sure that we um go forward. We'll have some sections on our website to keep you updated on what's happening in rural health transformation. Also um we'll make sure we send a link out through Shelley. I think it's been shared before but um the governor's office also has a web page um that there are two other buckets. Um I know one pressure also is equipment and and um EHRs and transformation and that's another um funding um component that will be funded through the rural health transformation at least every year over the next five years and th that those will be competitive grants. So um we'll we'll make sure we do our best to share what we know um
031with all of you as that rolls out through through our state. Um there's still a lot of questions that we have. So it's not completely everything's not completely finalized, but I'm excited to just share that we will have some dollars and some work that we will be able to to um support this community and and stakeholders in the MS. And if you have questions, I can do my we do our best to try to answer them. Um although I don't have all the answers. Mostly it'll be your questions that we'll bring back in get some answers. >> So I have one question. Um I know that a lot of this is um a lot of the funds are going to be utilized for recruitment and training and building up of the workforce but uh in
032the extensive amount of time that I've worked with a lot of our EMS agencies. It seems that retention seems to be a big problem. Is that going to be also a focus from ADHS's angle with with these funds or a plan for that? >> So we have to fit within the very strict guidelines of CMS. Um just um and also um it's not guaranteed funding for five years. So what we are guaranteed is funding for one year and then depending on how we perform um we will get additional dollars year-over-year. Um there are some retention is a component of that. So I think um I you know thanks to David Harden um and Julia who's no longer with us but I know they did a survey prior um a few months ago prior to him.
033got a lot of great feedback from all of you on the things that are burdensome that would be helpful. So there are things also as well that can be funded such as um I know more on the OEO side like even housing support housing but they are complicated and there is a lot of um restrictions around that. So, we're just working out exactly what that would look like as far as the retention and supplemental um supplemental support like housing and and food etc. >> The one thing I would say we are looking at a learning management system and and developing utilizing what our education committee has developed in the training curriculum and inputting that into the learning management system which would I think give especially rural entities or smaller agencies an opportunity to log in
034and get seized as part of an ongoing education. So I think that component is I do think we can fund hopefully through this program and that is something we've heard is the education committee does an amazing job putting together very well thoughtout curriculum that that would be a way that EMS providers can independently log in get continuing education hours as part of that >> and for free Nicole uh this is great news and applaud your efforts the bureau's efforts get get the middle of this round this point and Um and uh yesterday uh it was uh discussed a little bit because you know the rumors are out there saying this is there's going to be some money fun through regions and and u I would just and I'll bring this up as well and I'm
035sure you're probably going to get this if you're at council you'll get this question you don't have to you can think about the answer to this but one of the things that we struggle with as regional council is when the definition of what is rural. For instance, if a agency has a a rural footprint but it's kind of located in a suburban area or what would be thought of as an urban area. Does that count as eligibility for funding or is a agency itself have to be in in in a rural area? what what is we just want some definitions and a road map for important funds. >> Yeah, thanks for that question. So, um we are using a federal definition for rural um we will be publishing. So, we'll share that with all of
036the regions and and um share a map of what uh percentage of our state is considered rural. Population density is a big part of that. Um, but I will say I I just trying to picture the map in my mind. There are areas of Maricopa that are considered rural. So there's there's not if that gives you a better sense of um based on the definition um and that federal definition of rural there are um and we look at percentages of the county and the map um as far as what is rural. Um some of the restrictions are obviously um if you're making a commitment to rural it doesn't mean in one entity or one community. It can be um any rural area within our state. So um you know if you're working in Phoenix, you're
037clearly not going to be defined as rural, but um it is it does cover the definition does cover a pretty vast majority of our state. >> Thank you. That's very >> And then we'll make sure you have access to those maps and everything. And then some of the other funding which does tie into our share update is we are going to be uh working on some uh rural funding for out of hospital cardiac arrest. So that is an exciting kind of next step as well. We have funding that is going to work towards law enforcement uh CPR training, law enforcement AED utilization. Uh so we are uh looking forward to really helping out rural communities some hopefully improving survival from hospital cardiac arrest. That will be a part of the that grant funding as well.
038I did want to mention as well that we have the national pediatric readiness project where we're doing pediatric readiness assessment. This is specific to emergency departments. Uh we have had several emergency departments that have completed that survey. Uh if your facility has not yet completed the survey uh please reach out to Savannah. Her email is in the um agenda if you need that. Again this this survey is specific to emergency departments and ED readiness for pediatric emergencies that would come in. So, if your facility uh sees these, which I think everyone does, please uh take some time to review and fill out that survey. And I think that is it. >> Thank you, Charlie. Next, we'll move on to our standing committee reports. Uh Sean, do you have a TE report for us? I do.
039Thank you. >> Thank you. Um the TE meeting minutes were approved as presented. The work group approved um a sort of a bylaws committee to review bylaws and has a couple volunteers for that. The first meeting has not yet been scheduled. At the meeting, Dr. Bradley displayed some data dashboards and the committee discussed micromobility devices in the data. We are all seeing a lot of scooters and ebike injuries now and we're trying to really work through how to collect that data accurately. Um we also uh discussed one one big takeaway was the agency level share reports are not being delivered to some agencies and the state's been looking into the gap. I think there's the current data goes through 2024. Uh I'm not sure 2025 data is available yet. So, um, if you have questions,
040please reach out. They'll see what they can do to get you your data. And that's it for the TE report. >> Thank you. Uh, next, Sandy for educational committee. >> Yes. Thank you. The minister approved as presented. Uh, the work group approved the uh for the bylaws. Uh, the volunteers for uh Michelle, Heather, it's not yet scheduled, but it will be. Dr. Bradley displayed uh displayed data dashboards for us. Um, tons of information on there. Have the uh one look at them. There's a lot of information. The committee this uh Oh, sorry. I've I goofed. Uh, second work. The child melt update occurred February uh, April the 14th and the draft to be voted on in the July education meeting are what approve uh, the bylaws. Um the volunteers uh for that uh are Matt,
041Jason, Brian, myself, and Chris G. We haven't scheduled that yet. Uh the brewery update approved this amendment. The map of uh educational sites were reviewed and we reviewed a list of trainings. The work group approved for urinary catheter. The volunteers out were Matt, Glenn, Jason, Amber, and Chris G. uh occurred April the 28th and a draft will be voted on at the July uh educational meeting and that was all that we have to report. Thank you. >> Thanks Wendy. Next for PMD update Dr. Moren. >> Uh yes. So on our our March 19th meeting we approved our minutes as presented and we also approved our work group for bylaw review. Uh that uh review has not yet been scheduled. We also approved as amended table 3A uh with updates for infusion uh pump uh topic
042one adjustment for glyoprotein inhibitors will go to MDC uh today and then we have tabled a further propranol discussion to our July meeting. >> Thank you. Uh next sure heather is on the line for a trauma program manager workshop. >> Yes Dr. Bradley I am here. >> Excellent. Thank you me. Um yeah, our last Trump program manager meeting was January 23rd um down at Chandler. It was a great meeting. Had lots of good discussion discussions, state updates. Um and our next meeting is June 5th at uh Banner University down in the valley. >> Thank you. >> Uh and then Savannah for paces update. >> Good morning. Um, at the last PACES meeting on March 19th, the committee approved the promotion and dis distribution of the Epic car seat stickers as well as reviewed updated pediatric
043guidelines for emergency departments. We uh the committee also approved the creation of a work group for bylaws review and approved the minutes from the previous meeting as presented. PACES will have a new representative from names in the near future. Um, and then just wanted to echo Dr. Bradley's comment about the National Pediatric Readiness Project. Arizona currently has a 45% response rate, which is higher than um the state has had in in previous times, which is great. Um, but please encourage your ED contacts to take the assessment at pedestre.org. and the MARK program which is our um pediatric recognition program for prehosp agencies is accepting applications. So if you are interested in applying for pediatric recognition uh please reach out to me. Thank you. >> Thank you Savannah. Next we'll move to our discussion and action
044items. If I can get a motion to discuss, amend and approve the meeting minutes from January 22nd. >> So moved. >> Thank you Dr. Jamer. Is there a second? Second. Thank you, Sandy. We'll take a minute to scroll through those. Are there any recommended amendments? Hearing none. Any opposed? Any abstensions? All those in favor say I. I. >> Thank you. Uh, next, Dr. Wyberg, you have an ACS update for us? >> Uh, I do. Yes. Um, so, uh, the Arizona COOT last met, April 8th. Um, pertinent highlights from that meeting. We uh set our date for the Arizona resident paper competition to be October 23rd and Valley Wise be hosting it. uh with her abstracts that will go out around or before July 1st with a deadline of September 4th >> regarding stop the bleed.
045Um, as you all know, requests for stop the bleed courses come through all sorts of channels, but one of them is through directly um the uh National Committee on Trauma offices and then they disperse them those requests to to us for for Arizona. Uh Colin Stewart is the established lead uh champion for uh southern part of well for the whole state but he really coordinates the southern part of the state and I coordinate the rest of the state. Um so that is ongoing. um regarding advocacy efforts uh for stop and bleed. We did we were pushing a bill uh where stop and bleed kits will be provided to all public schools. Um unfortunately this this bill did not make it committee. So that will require some rebroofing. Um so any ideas anybody has there? We're
046open to hearing them. Um, another area that the uh, national committee on trauma really is focusing on is the development of a national trauma system which would require uh, regional nodes to filter up to the national system and these regional nodes are nodes are called ARM regional medical operations coordinating centers. Um although we do have the coalition as chair, we don't really have a real Arma. Um Natasha Carrick from Banner University Phoenix is is the state champion for for developing this concept. Um, exceptionally it would be a instead of if we were to have a mass specialist setting up an instant command on the hospital level to manage that. This would be a basically a functioning incident command that functions every day of the year. Um, and coordinates the um the flow of trauma patients
047through the state, transfers etc. Uh some states have very robust systems like this, many don't. Um in Arizona, I think there are a lot of challenges to setting up something like this, but it is something that we're tasked with exploring from the national direction from COT. So that's what we're doing. Um I think our next plan is to get some uh consultation from Southern Texas where they have a pretty robust system and give us idea how they developed that and u what the challenges were starting getting. >> Thank you. A quick question in regards to the ARMAK and uh many other states who have done this. It's kind of moved forward without a lot of involvement at the national level and state level without EMS uh involvement and certainly there's no loop in the trauma
048patients. I know the whole the entire ARM responses about the number of casualties that would potentially need to come in which absolutely requires. So I think it's potentially we can loop in the bureau stakeholders. I think there needs to be probably some communication within other states that have had quite a bit of meetings on this topic. Uh that was something that was brought in a little late into that step process. But there are some uh existing systems for patient blueprints uh within the state already. Uh and we do have some with our a program as well as the board. So certainly we can meet with with you on that. But yes, there's been a lot of national talk with the EMS side about trying to bring EMS into some of those conversations with the >>
049Okay, >> thank you. Yes, Dr. Gable. >> Um, Dr. Wiper, just thank you for your participation on a very important committee. It's significant group. Do they address any or do they perceive that there's any uh delays on the verification verification promise centers? Is there a backlog? I I know during co the backlog for verification reverification processes uh was in existence but has that all been resolved? Are there any facilities that are uh trying to verify or reverify that have been in the hopper per say six months? >> Um I don't really know. I haven't heard that. Okay. >> Okay. I haven't heard. >> Thank you. >> All right. Uh thank you very much for the update. Next, Chris, are you available for trauma registry updates? >> Yes. All right. So, first and foremost, um, thank
050you all of you for your patience and participation as we've navigated the recent registry changes. Um, for those of you who are using REDCap for your registry, the full data set validations are now live. Um, there are a few bugs that we're still working on. Um, so if your registars reach out and ask about those, um, we are aware we're working on those. Um we're hoping to have the reduced data set validations completed by the end of the month. So those will be going live and I'll communicate that with the centers. Um as far as NTDB submissions through REDCap are concerned, um our team has been working to build the necessary validations and mapping requirements for submission. Um but we will not meet the June 1st deadline. We have reached out to ACS um to
051clarify NTDB and TQIP reporting requirements um and they have said that you can submit your first quarter data at the call for data in December. Um this would mean that your first quarter data won't be included in the fall benchmark report. Um if you have any additional questions on reporting requirements, you can reach out to ACS or refer to the gradebook for details. Um, for those of you who are using thirdparty vendors, NQS, ESO, or Image Trend, um, I have been in contact with them and I'm working on providing them with an XSD, um, that our team has been building. Um, this will outline the technical requirements for submitting data to the state. Um, and those of you who don't already have an SFTP account, I'll reach out and have those set up. Um, this
052will allow you to send your data submission securely once we have um your vendors have all of the mapping figured out. So, um, if you have any questions, always feel free to reach out. Um, happy to help. >> Carissa, if I can just add to Carissa's comments. So, I know we've reported we are using Rickap. It was an interim solution. We have continued to work with our procurement legal teams. Um it's a much longer interim solution than we ever anticipated. Um hopefully I don't have a more significant update today, but we will have an update very soon. We are um working on a solution. And just to reiterate that REDCap is not our long-term solution. Um and so um I know there's a meeting next week for trauma uh managers. So hopefully I'll have actually
053more um significant update by that meeting next week. But we are actively working on a solution. So just want to keep that in mind and again thanks everyone for their patience with us. This was not where we wanted to be. I can assure you um and we are continuing to work through this and and huge thanks to Cararissa as well for um all of her work on this. Um also wanted to just address some rumors that we have heard um uh since we're together around our other registries. So we don't anticipate making any changes to our EMS registry either. we would continue to offer those products the way we um currently do. So, um if you have questions about the status of any of our registries, appreciate you continue directing those to the bureau. We're
054happy to address them and and maybe because of the number of rumors and questions we're hearing, we may get to the point where we need to have an FAQ that goes on our website soon. But just want to address that rumors are just rumors and anything that is a change in our practice or a change in um our registries or a change in our platforms, we will be communicating that directly um through a gov delivery and certainly through a meeting and maybe an ad hoc special meeting if there was a large change. So just want to reiterate that for everyone um that if you didn't hear it directly from us, it's probably not true. and um we'll continue to provide those updates um as timely as we can to you, but we don't have any
055anticipation anticipated changes to our EMS registries um as well, but appreciate why people might start to think so given everything that's happened. Any further questions or conversation on that? And I do see your comment in the chat thinking about there being a backlog for ACS. Thank you, Val. Next, if I can get a motion to discuss amend and approve the draft updates to the bylaws. >> So move. >> Thank you, Dr. C. Marin. Is there a second? >> Second. >> Thank you, Sean. All right. The bylaws committee met. Uh it was a combination of the three statutory committees to stab us council MDC uh with some very minor recommended edits that are highlighted on page two. Uh you will see here uh that we do have voting electron electronically will be allowed. Uh this would
056be if we need to have a a mid meeting vote. This would allow for electronic voting for those that are participating electronically. We eliminated the email vote. So if we have someone who is live at a meeting, we need to have a vote uh that we don't want a vocal uh roll call on, we would do electronic voting with that. So we wanted to make sure we added that to the bylaws. Uh and then for vice chair, we just added in uh highlighted there as well. Nominee suggestions may be submitted prior to the committee's uh meeting. So, those are really the only two recommended bylaws amendments. Give people a chance to just look through this and see we do update these every three years. So, this is our three-year cycle and the membership of the
057board. I know we sometimes get questions as we have had the vacancy uh those are out uh outlined by ARS. So, we cannot change the membership uh maker of this committee. If you know anyone who would be a good option, please let them know. Any further discussion or recommended updates to the bylaws? Hearing none. Is there anyone opposed? Any abstensions? All those in favor say I. >> I. >> Thank you. The laws are approved. Uh if you have any agenda items to be considered for the next meeting, please u let know. your email address is on the agenda. I'll open up to a call to the public. Nothing in the room or online. Uh the upcoming events I will not read through, but we have a number of upcoming events over the next several months.
058Those are all listed on the agenda which is attached. Our next meeting will be September 17th at 9:00 a.m. at ADHS. Uh we have the meeting schedule in uh the agenda as well. And if I can get a motion to adjourn, please. Salute. >> Thank you very much.