001Good morning everyone. So we will go through the roll here. I'll go ahead and call the order at 9 a.m. and hopefully we will have a Michael Bett Brian Steven >> I'm here. Good morning. >> Uh, Dr. Stewart and forget if you can just let us know either in the chat or come off mute and say you're online and we just get your attendance recorded, please. Damian Johnson. >> Davis, >> I'm here. >> Taylor, >> presley, present. >> Dark Gamer, >> present. Herman Butler, >> Iman Fiser, >> Jordan Weinberg, >> Nick El Dr. Kelly, >> Brian South >> here. Sandy Niger, Don Booker >> here. Shel, we can barely hear you guys in the room. >> And I see in the chat we have several members. Uh we uh motel brand forget we have got
002students down as attending. Thank you. >> We're going to do an audio check. I see quite a few comments and you can't hear us well. Can you hear us well now? >> Not not really. >> Okay. Uh there is someone with a 602 telephone number that sometimes affects the audio. I'm gonna mute you. It just sounds like everybody's very far away from the microphone. computer. Just give us a second while we turn off the audio and good morning. Can you hear me now? >> That fixed it. >> Yes, much better. >> Okay. Thank you. We are using my computer audio, so I'm going to try to make this loud so those in the room can hear everyone in the group as well online. Uh so, thank you everyone uh for being here this morning. Uh
003we've got uh we do have a quorum. Thank you, Shelley. Uh the attendance report is in your meeting packet. Uh just a reminder that if you miss two or more consecutive meetings, uh bureau staff will be in touch to you with you to see if you would like to continue to serve on the committee. Uh the meeting is being recorded. So everything uh said as part of this uh meeting is part of the permanent recording and posted to the video uh the YouTube site for ADHS. So uh just please keep that in mind that the uh recording is kept and posted publicly. Uh we would like to uh welcome our new member uh Dr. Colin Stewart to the state trauma advisory board as well. And also uh welcome back for reappoint Vicky Bennett who has
004been a longtime member of this committee too. >> Thank you. >> Sorry, we're just trying to get mute and echo here. Uh we have three vacancies currently. Uh we have representative from a trauma center, representative from a statewide rehab facility, and representative from an urban advanced life support-based hospital that is not a trauma center. If you are interested in serving on the committee, please email your uh letter of interest and CVRE to Shelley uh and she can uh forward that to the director for consideration. >> Yes. Uh we are going to do the presentation. Just give us one minute. We do need to do our formal tasks first. Uh and then we'll move to our special presentation. So just kind of confirming there we have all of that with the attendance report. Roll call. All
005complete. Thank you. All right. Uh we have a special presenter today regarding state traffic fatality data and strategic highway safety plan. Uh so go ahead if you'd like to speak. >> Yes. Good morning. I'm trying to uh uh share my uh presentation. Uh see if this is going to work out. So, uh, oh gosh, not able to >> see it a minute ago. >> Sorry, you s Did you see something? >> We saw it a minute ago and then it disappeared. So, whatever you had done initially did seem to work. >> Uh, so anything now? No. >> Yes, we can see that. >> Okay, perfect. Hi. Uh, thank you so much for inviting me to talk to you. Uh, I am, my name is Mazen Moravich. I'm Arizona Highway uh, Arizona Department of Transportation state
006safety engineer and um, oversee the safety traffic safety section. We deal with uh analysis and then programming and uh, funding to implement safety project. Uh, so I'm going to first of all, thank you for accommodating my time. I have to jump off at 9:30 for an executive meeting, unfortunately. But I've tried to do my best to get this done. U so, uh, the title of my presentation today is uh, 2024 Arizona strategic highway safety emphasis uh, plan emphasis area teams. Uh so uh what exactly is uh the uh strategic high safety plan? It is a policy document updated every five years under federal guidelines. Uh purpose is to develop strategies for how ADOT and its safety partners can reduce fatality and serious injuries uh on all Arizona roadways. This is de developed in coordination with
007what we reference as the active transportation safety action plan. Uh and also uh it's a safety related document which focuses exclusively on pedestrian and bicycle safety for the state of Arizona. Uh the update on the uh SHSP has has been completed on October 24 and it's now available uh to for the public uh in on this uh link. Mason. >> Yes. >> Can you put it in presentation mode? It'll just make the slide deck a little bit bigger and easier for the group to see. >> Absolutely. Absolutely. Good. Good. Good. Uh good point. Let me see here. Let's start from this side. >> Looks like the bottom the bottom mic. There we go. Excellent. >> Perfect. Perfect. Okay. Thank Thank you. I appreciate it. Uh so we talked about this uh uh the uh as
008we were developing the the safety plan there was a lot of stakeholders involved in this uh within the state of Arizona uh and uh its department different agencies you know such as a DPS ADHS uh DAS and the liquor license uh as well as the governor office of highway safety the intertribal council of Arizona. We have a lot of issue we're dealing with in the tribes uh federal highway administration, motor carrier and the Nitsa. So uh it it is it is no secret to everybody that we are really as well as any other state in the nation uh in the are having issue with crashes and and Arizona is one of them. We are trying our best to try to improve the situation and try to follow a vision and a goal uh creating shared
009responsibilities so everyone arrive home safely reduce lifealtering traffic crashes uh by 20% by 2023. Uh a goal really ve very very uh tough but we are doing our best. So looking at the right hand side of the slides with regard to the statistics and the fatality uh we can see that fatalities uh are 70% higher now than in 2010. Uh in 2022 1320 people died on crashes in Arizona highway uh highway roadways. On 2023 number of fatality went to 2308. Uh and then in 2024 uh the number of fatality was I I think there's a typo here. I think that's 1308 over here. So uh 1308 and then 2012 24. We are utilizing uh a system that's referred to as the safe approach system. Uh it is u new approach and and shift in how
010we think about safety. Initiate by the federal government aims to eliminate fatal and serious injuries for roads roadway users reducing likelihood of crashes minimi minimizing harm caused to those involved when crashes occur. Uh this is based on a six uh safe system principle and five safe system element. As you see in this uh schematic on the right hand side you can see that there are uh all these different safe system principle around the parameters things like deaths serious injuries is unacceptable human ma makes mistakes humans are vulnerable responsibility is shared safety is proactive redundancy is crucial and this is really a big item here we we'll talk about it uh in inside the wheel we're talking about a Five area that we consider to be a focus area there. Road safety user, safe vehicles, safe
011speed, safe roads and post crashes. I wanted to kind of uh concentrate a little bit about the uh what I refer to as the redundant safety system approach. A road safety approach that uses redundant system would combine the the in this particular situation as an example uh the following elements to address a dangerous curve. So uh you don't only do one or two things you do a lot of stuff and and you know you are hoping that some of this will really click in and and help in this particular situation. An example is a curve. You have signage. Uh you have advanced technology, you know, LED signs with flashing lights that activate when vehicle approaches, especially at night. In vehicle alert system that sends warning diffic directly to the vehicle. And then the road design,
012the curve is designated with a forgiving radius and rumble strip and all those items that helps uh increase the safety kind of measure that will help reduce crashes. uh we uh have ADAT have gone through a lot of different uh uh uh you know uh approaches and and reach out to the public regarding uh the safety uh plan. Uh we got a lot of public engagement uh several locations as we were preparing that and you know there is a lot of uh there was a lot of feedback. We try to reach to the public and tell them what we're doing and and we get we get some responses from them. Wanted to talk about what we refer to as the U emphasis areas. And when we talked about the emphasis areas, we have actually identified
013those five uh location types that account for most majority fatal that have occurred uh in the state of Arizona. So these include intersections, lane departure, uh we talk about human behavior and vulnerable road users. These are the pedestrians, bicycles and worker in the zone. So really that's very much vulnerable as the name tells and it is subject to a lot of issues and we unfortunately have in the state of Arizona is a focus state by the federal government about uh pedestrian bicycle uh uh state uh problems we have in in this state. So uh the tribal land is another big big uh area that we focuses on. We try to do our best to help the tribes with a lot of these resources and then uh application that can help them reduce the crashes in
014their in their regions. So briefly talking about some of these when you talk about human behavior uh and I want you to look at this the the the area on the right hand side um regarding the statistics 71% of fatality were attributed to human behavior. Drivers aged 25 to 34 had the most fatalities and serious injuries followed closely by ages 16 to 24. uh passengers ages 16 to 24 and 0 to 15 had the most fatality and serious crashes. These are the ones that's are actually passenger u u in the car. Pedestrians age 24 to 20 34 was the highest in that category. Bicycles 45 to 54 was the highest. And then impaired driving, speeding and lack of use of helmets or seat belts were major contributors. So all these are human fact human um
015behavior things that people do and and uh take action and and creates issues and behavior and certainly one of the biggest culprit that I feel it is it is very serious is the use of the cell phones of course uh especially for the younger generation and and high school drivers uh on the vulnerable broad user emphasis area. Uh we're seeing a lot a lot of really uh concerned statistics related to that category. 25% of fatality beds and bikes while only 4% of the of total crashes. So so this is this is really quite quite alarming. Uh 4% involve pedestrian bikes yet the fatality at 25% fatality were pedestrian bikes. So it is it's a quite a bit of uh shocking uh information. Bed and bike fatality have generally increased over the last 10 years. I
016guess people are more and more are intending to use bicycle and walk and maybe be active and be uh health conscious but at the same time there will need to be a lot of accommodation to the facilities that allow them to utilize their their uh uh I guess u recreational habits. most fatal and serious injuries, crashes that involve pedestrian kale when crossing mid block at night and that's a big thing. So it's mostly not no lighting available and that creates a lot of problem beside the fact that people tend not to cross at the designated area. uh those involve bikes commonly occur at intersection during the day. On the intersection emphasis areas, 35% of fatality occurred at intersection. A big number. Uh most intersection related fatality and serious injury occurred in a left turn angle
017crashes with most those crashes occurring at signalized intersection. Next highest intersection crash type is others primarily composed of crashes involving pedestrians and bicyclists. The lane departure this is really uh one of the big ones too and and uh it tends to happen a lot on the rural area as people tend to run uh off the road because of the speed distraction uh other factors. uh mostly in departure related to fatal and serious crashes occur when drivers run off the road to the right on the roadway that is not freeway. So rural condition tribal lands is a big one too and uh they having a lot of real problem and we are doing our best to uh help them with a lot of uh resources to try to maybe uh improve the situation and provide funding
018to them to where they can apply some uh safety counter measures. So fatal crashes compared to all crashes on tribal land is four times higher than the statewide average. So you can see the concentration happening there. Uh not all tribal crashes data is currently reported to ADAT. That's another big uh problem that we deal with is that uh we are the custodian of the crash data as relates to the state highways and local agencies can actually uh contribute and have an agreement with the state to provide the data. It's important for us that we collect all data available not only state but also others but in case in the uh situation with with the tribes we are having a little bit of problem sharing the data with them for different obvious reasons and autonomous uh
019uh you know condition what have you. But we're working on with them and we're getting a little better feedback and some of the tribes have already uh were able to uh convince their tribal leaders and and and commissions to try to uh share the data with us without having any personal information in included. Uh really briefly, you know, we are going through these different emphasis area to to uh establish some strategies. Uh we have developed a 80 strategies based on range engineering enforcement education emergency medical service effort. Uh and we're working on that as we speak. uh several high priority you know like road safety improve visibility for VRUs reduce high risk movement keep vehicles on the lane as well as other on the safe speed increase automated mobile enforcement on on this on the
020road. So uh we are really working on these. We have emphasis areas teams have started and we were assembled and and we initially get a a combined meeting starting on in November 24 uh to address and refine the recommended strategies. Uh uh please be in uh an advocate for implementation of of SHSP strategies and join the team. let us know if you would like to be part of this team and we'll be happy to help. Uh feel free to contact uh our section. My name is here my project manager that works in my group is there and then uh we will appreciate all the feedback and participation of any of of the stakeholders into these uh uh emphasis area. So pretty much it. Uh Sh I I'm open for questions if you guys have any.
021>> Thank you. Mean, are there any questions in the room or online? >> Closed contacts be shared. >> Can can we can we share your slide deck, Maisen, with the committee members? >> Absolutely. Absolutely. No problem. >> Thank you. Yes. Okay. if you can please email that to Shelley and then she'll send this out to the committee members and then I think there's a follow-up question as well. >> Okay, go ahead please. >> Um >> I'll walk over to you. Pardon my exercise plan. >> That's okay. >> Um so I appreciate that that most of the fatalities at intersections are left turning involving left turns. Did you cone down on the number of fatalities that involve red light running? uh this those data is available but the numbers that we were actually showing shows the
022the majority and and the maximum the highest group category that's were actually indicated but there are those are there and then those are are are you know are to be considered but uh we're showing we're just going by the highest numbers right now on that particular category >> understood and then uh it seem how far does the definition of bicycle go for the for this uh what I'm getting at are these motorized bicycles and motorized uh uh scooters >> like ebikes and e scooters. >> Yeah. And I'm thinking that those are very contributo to or at least get their death rates higher when they do get in accidents. >> That's absolutely true and I appreciate you bringing up that point. We are having and seeing a lot of problem on the local side. uh with
023regard to uh issues happening with the operation of these scooters and and um uh it is a local uh matter and then we can have the information for it but we are basically making sure that the locals are aware of that but we have heard a lot of reports being how crucial that that particular category is and we're having a lot of young young uh population affected by that uh and I wonder if it's a a politic a policy thing with regard to the different uh jurisdiction as far as are they allowed where can they where can they allow them to use it but to basically respond to that question it is we're seeing a lot of issues for sure and and especially on that side >> to that point we are uh trying to
024collect that data a little bit more specifically both from EMS as well from the trauma centers. Uh one of the things that we recognized is that data wasn't necessarily being collected. Uh but we've seen an uptick in those incidents across the state. So there is now the ability at the national level EMS is really trying to gather that data and then the trauma centers are as well. So I think we should start to see some better data collection in that regards. We've got another question here. >> That's okay. >> Thank you. I'm Harry Wilcox. I'm the state traffic engineer. I worked at NOS and um I actually uh wanted to make a couple of comments. Uh first of all, red light running, we do check it periodically. Um the definition of what makes a red
025light a red light is more more difficult than you may think. A lot of times what we get with crashes are people pushing a left. Uh a lot of our left our red light runs actually started out as left turn crashes after this yellow cycle started. Uh but it is something we can follow up and provide more information with you. Um it is a problem just >> uh you know again I I well I should I support them as an individual as a private citizen. I know that they work and I know that they provide a uh a law enforcement uh tool that uh prevents law enforcement from having to risk their lives. That said, I am also an ADOT employee and I take no stand on it. Um but um personally I I like
026them. Uh but um anyway, the other thing uh that I wanted to actually specifically mention and reason I'm here was about the ebike question. Um, I just want to make sure, uh, we do track ebike crashes when they involve a motor vehicle. Uh, now they're either coded as a bicycle or as a pedestrian conveyance. So, the data is a little murky, but the important thing there is when they are struck by or strike a vehicle, there's a vast amount of information that is not being tracked by our data. that is people riding an ebike and crashing into a uh park car, crashing into a uh fixed object, falling off the bike. And we think that that is a um a heavy or that creates a heavy number of unreported or at least uncatategorized, uncollected, not
027sure what the the categor categorization of would be um of uh of um injury data. So, we'd like to expand that and I'm I'm here to offer our services, but um we'd like to see just exactly how the extent of the problem. Uh but it is an issue and it's a concern uh for both the cities, the state and regular citizens. >> Thank you. Yes. And I think that is something we've definitely seen um from our last state trauma advisory board meeting in September. I know Voxel and her team have started to pull some of that data to collect that because many of those incidents do not involve another vehicle. Uh but we do have quite a bit of that data. So um our EMS data, we have over a million records per year that
028comes into our data system. So we have a very high volume on the EMS side and then all of the trauma center volume comes to us as well. So between those two data sets, we really have access to a huge amount of information and I do think that gives us the opportunity uh that is our plug to our EMS partners to say we can't collect that from EMS unless you document that. So really trying to get your personnel to document that in an area where we can track that data. Uh because otherwise we don't have a way to know necessarily that was related to those kind of micro vehicles. Damian, I see your hand up as well. >> Yeah, I have a question. You set the definition of red. Where is that? That's problematic. definition
029is it state law I believe but um it's more question of I mean most police officers know it's more of a question of when the violation takes place in the light cycle um and whether or not it is it is indicated as a red light violation that's really what we're talking about trying to figure out how to better define that statute. >> We have not specifically uh we notice it's we see it in our data but we haven't really tried to clarify it uh in the sense that we don't have a great way to measure it. Most of the violations we're talking about, especially the left turn violations, um technically occur when the vehicle is queued up to make that left turn um and they hesitate or they push the wall. Uh so it is
030they're they're entering the intersection or in the intersection when the red light or when the light turns red and the question is when do you start calling that a red light violation? And then uh Mazin, I see your hand up as well. >> Yeah, I I apologize. I have to jump off. I did send out the presentation to Shelly. Please confirm that you have it. If you don't, let me know. I will try to send it again. Thank you guys. I apologize. I have to jump off to but thank you for the opportunity. Have a good day. >> Thank you as well. And we did receive the slide deck. Thank you very much. >> You're welcome. Bye-bye. >> So, I think this is really a great opportunity. We appreciate the partnership from our uh traffic
031safety partners here in the state of looking to see if how we bring the different groups together as part of the state trauma advisory board. Our our goal and really the charter of this committee is to address traumatic injuries in the state of Arizona and how we can work together to address some of this injury prevention of things. Some of that comes from having data and realizing that there's lots of different data buckets and how can we bring those data sources together. So looking forward to further partnership. Yes. Um the question for you guys are you guys talking9 um talks about you know they're trying to derestrict speed zones on interstates. >> Uh yeah great question for those of you not familiar with it. Um there was a that was that was um I'm gonna
032get a lot of steps. >> I know makes up for sitting all day. Uh there was a bill that was introduced in the legislature um about um uh uh requesting an experiment where we removed the upper speed limit of a um section of state highway. ADOT is opposed to it. We we um spoke to the legislature. I I spoke to the legislature. I know DPS has also issued a um uh an opinion on it. Um that said um and I again speaking personally I think it's a really bad idea for a host of reasons. However, um uh as a state employee, if that comes to pass, um we would um we would be responsible we ADA would be responsible for um removing the speed limits and monitoring the post u speed change uh crashing. >>
033Is there a reason behind why legislation wants to introduce Um my understanding is that uh there was and I shouldn't say this was tried before in one other state Montana we um and um it didn't I mean it's if you look at the data one way it went crash and went down um but uh we don't know and don't believe that the evaluation of the Montana data is relevant to Arizona. Uh we also don't believe that it is um one thing. Um but we do know that one factor that always makes things worse is speed. Um so I I don't know more than that other than uh it's being um it's being floated or being it's been presented. Um ADOT is opposed to it but ADOT is not able to advocate one way or the
034other providing our point that the department that's how the political game is this is that you're talking about cupper's bill representative cupper and there are a lot of reasons that this could be brought to Arizona. Um I think that with the political landscape that we have currently, there is are some stop gaps that we can work through um once it makes it through the if it makes it through the House and the Senate and gets up to the ninth floor. So there is some opportunity there, but it is still something that I think we should continue to have conversation with because there's no guarantee of what the administration is going to be like next year and what that's going to look like and and the uh political landscape. So >> thank you. >> Yeah. And
035you're doing a great job by the way differentiating between personal and professional on the top line. You guys follow I will say that the um uh in speaking to the legislator he's aware of our concerns and the language of the bill does give a monitoring authority which we have anyway and gives our director the ability to say this this isn't working. So there are some things that he did acknowledge and write into the legislation. Um that said, those kind of those um measures that were written into the legislation are all after the fact. Uh we have to wait until something bad happen. >> Thank you. >> All right. Thank you. Great discussions. >> All right. We will move back to our bureau report here. In your meeting packets that were provided, there is an update
036on our bureau report. Uh I will try to be relatively brief as we go through this. Uh first I want to welcome officially to this committee uh new bureau chief uh Chris Hail. So welcome Chris. Uh we are really excited to have him here after having the vacancy for over a year. We realize that some of our other committees have gotten to meet you but this committee hasn't. So uh welcome Chief Hail. Uh just a few reminders in the meeting package here. Uh we uh have lost a few bureau staff unfortunately. So both Adam Rodriguez and Julia Venton are no longer with the bureau. Uh if you have any share related questions uh Josephine Johnson or Leia Castro are our point of contact for that. Their information is in here. Our award cycle has opened
037up. So our uh annual EMCT of the year awards and trauma awards. Uh those nomination forms went live. We are looking for those by mid-March as close of business for those submissions. So, if you know someone who is eligible and you would like to nominate, please do so. Uh, for our state rule and regulatory updates, uh, we have had quite a bit of questions regarding our certification process. Um, as a reminder to your personnel, they will get a a reminder emails 90, 60, and 30 days out from when they are due to expire. Uh, we have had an uptick in the past year of individuals who have left their certification laps and have continued to work. Uh so just please remind your personnel to keep an eye on their email for that reminder. Uh the
038trauma center site reviewer process that has changed. The RFP process is well uh we will later on the agenda talk about the uh trauma registry. So I'm not going to gloss over that but we will have quite a bit of time in that later in the agenda to speak on that topic. uh for our strategic plan. We do have an update to that that was approved by the governor's office and also a map for our training center programs that was requested as well. Our EMS and trauma dashboards are up to date with 2024 data. Uh Vatel and her team are working uh really hard in kind of updating the next round of data. Uh we do appreciate all the trauma centers inputting their trauma data. Uh we have all of the EMS data. So really
039as soon as we get that trauma data uh Boxel and her team could really start working on combining that and building the state trauma advisory ward report leave behind. A big thank you to everyone is participating. We now have 68 uh agencies participating across the state uh 36 urban and 32 rural. Uh we have 4,862 EMCTs trained on this program. So, we are really at a good quarter of our personnel uh trained uh and excited that we broke the 200 mark of kits that have actually been scanned. So, uh you can see just under 8,400 kits have uh been given out to uh jurisdictions doing this program, but 2500 plus cases where the uh crew has actually scanned that they gave it out to someone in the community. Uh so, we are really excited about
040this. We did have a little uh kind of pause lasting I think 20 hours uh with some federal funding changes that happened last week, but we're very glad that was uh reinstated and we're still able to continue that program. Uh we are looking for different opportunities to continue this long term because we do recognize the benefit for the citizens of Arizona. So, thank you to everyone who has participated in that. Uh the shared dashboard is live. Uh agencies who would like a initial agency specific report, those were sent out November 14th. Uh if your agency has not gotten their share report, uh please reach out to us and we can tell you how to request that. As a reminder, we will only send that to an organization. So, a jurisdictional email. Uh we cannot send
041that to uh someone's personal Gmail address. We just want to make sure that if you're getting this data for your uh organization that you're supposed to be getting that information. And if you have any certification or enforcement questions, we have several links on the bureau report for that as well. So that is a very quick uh and rapid bureau report. Does anyone have any questions before we move on the agenda? All right. Next we will move to our standing committee reports. Uh first up Sean, do we have a TEP report? >> We do. Thank you, Dr. Bradley. So TBY met on November 20th. Uh um minutes were approved as as presented. Um Dr. Bradley displayed the offload dashboard and then Adam gave a share updates, annual report info, viewing the dashboard and agency report info
042and shared slides explaining data quality reports that she shares out to agencies and how to analyze for improvement. She also shared that um updated codes for e- scooters and ebikes are now available within the pick lists. Thank goodness. Um and then Bottle went through the dashboard for trauma injuries. And that's it for the TEP report. Thank you. >> Thank you. Uh next for education, I will do that report for Sandy as she has a conflict today. Uh so just a few updates. A big thank you to the education committee uh for approving two training curriculum. One for uh was for multiple different STR for EMT IV related topics. So blood draws and different IV topics. Uh big thank you to the education committee. That was quite a bit of work uh helping to uh complete
043that training curriculum and then also for the training for children and youth with special healthcare needs. This was done in conjunction with our PACES committee. So our pediatric committee uh big thank you to both of those committee members as we're coming up in national registry time frame. Those curriculum are posted to our website if you're looking for any training opportunities. Uh and we have some more training meetings coming up as well. Uh next I will move to Dr. Castin for PMD update. Uh thanks Dr. Bradley. Uh for PMD uh we approved minutes as they were presented and then we had two important approvals uh for table one EMCT drug box. Um those go to the medical direction commission today later today. uh as well as uh the second approval for that table was adding infusion
044pump designations to uh crotalid immune fab nitr uh nicartene nitroglycerin IV infusion 3% saline thrombolytic medication and vasopressin uh that will also be looked at by uh MDC later today and then we had a call to the public at which point uh Mr. Rick Beetle um uh provided a demonstration for his riser uh specialized uh patient uh uh gurnie. Thank you. >> Thank you. Uh next, Heather, are you on the line for a trauma program manager workshop update? >> Yes, Dr. Bradley, I am. >> Um so, our next trauma program managers meeting is actually tomorrow in Chandler Regional Medical Center. We're looking forward to that meeting. We've got a lot of good uh information for that and I will give you a more more of an update at our next meeting once we have this
045meeting. >> Excellent. Thank you. >> Uh next, Savannah, are you online for a paces update? I don't I do not to put you on the spot, but I thought I saw Dr. Woolrich on here. I do see you. Excellent. >> Um yes. Hello. Thank you. Um uh if Savannah's not here, I'm happy to step in on this. Um we have uh pardon me let me get my notes here. Um so the ping says meetings um did meet we did have a quorum we approved our minutes and we approved the updates of the department of education red book um and that has been moved forward and it was a great working with department of education in regards to that. Um, we have a series of presentations. Morgan Anderson presented on the uh annually released 2024 child
046fatality report. Uh, we had a presentation on the crisis system structure in Arizona for emergency responders. That was done by Amy Deans. Um, uh, and Dr. Bradley, thank you for acknowledging PACE's work with the education committee on the prior work groups. Education committee does now have another work group that we're going to put together. we're going to assist them with and that's going to focus on training materials for child maltreatment. We are looking for volunteers. So, I would ask anybody who's interested in joining to contact um either Shelley or Savannah uh to be able to participate in those work groups. Um uh Julia did share uh access to the peds data and trauma dashboard or how to access the peds data on the trauma trauma dashboard. Uh we talked about the ped pediatric readiness results
047um and that um we are going to be having a 2026 survey for nationwide peds readiness for the emergency departments. Uh Savannah will be reaching out um to members in the future on that and I think that summarizes our last meeting. Thank you. >> Thank you very much. And uh big thank you actually for mentioning the uh child malreatment uh that actually for our trauma centers. I know many of our trauma centers do outreach and work in that regards. if there's anyone uh from a trauma center that would like to participate in that education uh committee uh please reach out to Shellyley or Savannah and we can add you to that group. So it would really be nice uh as we see a lot of the trainings that occur these really do cross multiple of
048our state committees and it's nice to get that participation from across the spectrum from prehosp to hospital and trauma centers. So thank you for bringing that up Dr. Witch. Uh next we will move to our discussion and action items. First one is, can I get a motion to discuss, amend, and approve the meeting minutes from September 18th, 2025? >> Thank you, Dr. Gamer. Can I get a second? >> Second. >> Thank you, Dr. Southworth. Uh, the meeting minutes are currently being projected here. Are there any recommended amendments? Hearing none. Any opposed? Any abstensions? All those in favor say I. >> All right, meeting minutes are approved. Thank you. >> Uh, next discussion item, uh, the trauma registry interim redcap data entry. So, I will, uh, turn that over to Cararissa. I believe that you are
049online to cover that, Carissa. >> Good morning. Yes. So, we went live on Tuesday for those of you who are using the REDCap database. Um, so there is a 2025 Q4 template for full and reduced as well as a 2026 Q1. So your registry team should have access to those depending on if they're full or reduced data set. Um, so you if you are using the ESO or had been using the ESO registry, you can continue finishing your records through the end of this month, but then you will need to use REDCap. Um, we are we sent out a users guide, just kind of a quick get you into the system thing, and we'll we're planning on continuing to do um some more education as we kind of get in the swing of things. Um,
050I'm also working with um a few people to get more reports built into there for RFPs and such. So, or not RFPs, sorry. Um, PRQ. There we go. Um anyway, so if anyone has any questions or is having any access issues with REDCap, feel free to reach out to me. >> Thank you, Chris. So I will open it up to any questions online or in the room. I know that the bureau has held multiple meetings with the trauma community trying to address some of the questions, but we definitely have quite a bit of time planned on the agenda today if there are questions that people have. Yeah, >> I'm gonna bring the computer over to you just so they can hear you online. >> Um, and so we definitely have some concerns over the past
051couple days. The question is, are we still going to be looking into an interum? This is just interum as you guys look to see where you guys are formally be going with. >> Could you hear the question, Corissa? >> I did not. I heard probably every other word. Sorry. >> Hey Chris, it's Wendy. Um, from like an honor health perspective, some of our questions are, are you this is interim, so what does the time frame look like as you guys explore other registries? >> I I I'm not quite sure. Um, I know like I just got back a week ago. Um, but I think that we are going to kind of take it month by month and see how REDCap's functioning, how we're able to build the reports. Yeah, I'll let Nicole speak to it.
052Go ahead, Nicole. Yeah, I think you were doing fine, Cararissa. Um, we don't have a timetable as of yet. I think right now we're just focused on getting this interim up and running. Um, I think as we've mentioned, we are working with our procurement office and legal counsel on this transition. So, we'll we'll have uh as soon as we have uh more information and timeline um on any additional transition, we'll we'll be sure to share uh with stakeholders right away. >> There's another question here in the room. >> Nicole and Carissa, is there a way um understanding that this is interim and we're not sure what the future will hold. Is there a way if we do switch to a different trauma registry program that we can export the data that is currently being inputed
053into REDCap into another program or will that require the registars and our teams to reenter this data um kind of duplicating their work? I can start and Kirsty can certainly add. I I can tell you um whatever uh decisions we make, our focus is always going to be on what is um less burdensome for our stakeholders. So uh I think if we do transition to another system, our focus would be on um the ability to be able to transition that data without requiring um duplication of work. Well, I think if REDCap's not meeting the needs, which right now it's not, um, just in these two days, there's a lot of concern with REDCap and its functionality, lack of being able to run reports, getting ready for our site visits. Um, if an organization, a hospital
054organization decides to step away from REDCap and go to another registry, are is the functionality going to be able to have be able to export from REDCap? So, I would add REDCap can export. I think it depends on what registry you'd be going to. Um, but I feel like most registry um platforms have the ability with um just mapping to get data in there. We also have Snowflake as a as a tool on our end. I can't say exactly yes or no, but I think with the tools we have and where other trauma platforms are at that that shouldn't be an issue. Um, I think we could probably work it out. Any other questions? >> I don't see any other questions in the room. Any other questions online for anyone? I do see a hand
055up. >> Hey, Dr. Bradley, this is Sean Baler. Um, I just want to um thank Carissa and and your teams for trying to work through this. Um, I know it's a surprise for you guys and it's a surprise certainly for all of the trauma centers that are involved in this. Um, I do want to just say though that this has been um shocking and nothing short of disastrous for most of the trauma registry um staff and for the trauma centers in in general. And I want to ask what is the state and the procurement team uh looking at for the future to make sure that something like this doesn't happen again because this is a huge huge cost and a huge burden for the trauma centers to bear right now. >> So I I uh
056appre thank you. I uh I appreciate the sentiment of shock and I I think again as mentioned before this is certainly not the place that we intended to be nor planned to be and and appreciate um and know uh the burden and the challenges is is on all of us. The only thing I can say as far as internally for ADHS and with our leadership and procurement um you know we're we're uh looking at this entire situation and certainly um will incorporate any lessons learned into our future processes. >> Vicki, I see your hand up next. >> Um yes. I just quick question maybe for Nicole or Cararissa. What does the grace period look like for data submission? So, our next quarterly submission, April 1st, um looking at compliance and with all of these changes
057and our ability or inability, what does that look like on your side in terms of compliance and any grace period and and where we'll go with that? I I can let Nicole speak from a more of a rules standpoint, but I I've tried my best to work with you all just because we can't see a lot of your data. We're not getting it. It's not accurate. Um, but you sending me screenshots of your volume and sending in your data submission form. So, that has been, I think, adequate for me because I think we can recognize that this is a a hard position that everyone's in. Um, but I I can't I can't change the rules. So, but as far as my perspective of of getting the data submitted, that's what I've been working with and
058that's what I'll continue to kind of ask for as we go forward and try to work out all these weird moving pieces right now. But I'll let Nicole add. >> Yeah, I think we've um at this point in time, uh, Vicki, to answer your question, uh, I mean, it's only been two days. Um, so we're not looking at anything as it relates to a specific grace period or waiver, but um we'll continue to work with stakeholders and and see um what that looks like as far as the information that you need to provide and and ensure that we can um we can move forward. >> Thank you. Any further? >> Yeah, sorry. I guess just in short, our hope is that we won't need them, but um certainly know that that is something we may
059need to discuss. >> Thank you. Any further questions or comments? >> All right, I'm moving down the agenda. Uh I will move on to Dr. Weinberg. You will appreciate those of you who are not in the room. Uh Matt Shaw is doing an excellent job of injury prevention and lowering his cord every time I walk with his computer so I don't trip. So, All right, Dr. Wenberg. Thank you. >> Morning everybody. Um, just a very brief report from the committee on trauma. So we are um still trying to expand our membership in the particularly in the number of vice chairs we have um as a current group is decided that you know every state designated trauma center from levels one through three. It's eligible for a single vice chair position. So far we have representation
060from six of our level one states. Um since the last stab meeting in September, the state held the um the state COT held the annual resident paper competition on October 10th. And um the first and second place winners, which were respectively Hannah Shin from University of Arizona Tucson and Riley Magguire from Phoenix, uh represented the state at the region 9 competition at San Diego in December. Fortunately, uh Arizona did not uh place to advance to the uh national conference in March. So hopefully next year. Speaking of that, the upcoming national meeting is in March. Um one of our vice chairs, Natasha Harris, will be taking on the role as chair of the national performance improvement patient safety committee. So we look forward to her her leadership there. And um at our spring meeting, our spring
061staff meeting, I'll be able to report back from the national meeting of uh with the highlighted quarter and the implications if any for for the state. >> That's all I got. Thank you. >> Thank you. >> All right. Next, uh we uh realize that for our bylaws, we do actually need to have a vice chair uh for the committee. uh just in case that I am not able to be here for a meeting, we need to have someone that is able to step in for me. Uh Dr. Southwest very kindly uh was willing to step into that role. So he has accepted a nomination. Uh but we do need uh to get a nomination to uh approve a vice chair for our staff committee. So you may formally nominate yourself or someone may nominate you
062with your agreement to serve in such a role. >> Sure. >> So close now. All right. Thank you, Dr. Gamer. All right. We will take a formal vote. All those uh in favor of approving Dr. Southwoods as vice chair for stab. Anyone opposed? Any abstensions? All those in favor say I. >> I. >> Thank you. Uh next, I need a motion to discuss met and approve forming a work group to review the bylaws. This is a every three-year process. Uh we do like to review the bylaws to ensure that it is accurate and up to date for our needs. Uh if I can get a motion please. >> Thank you. Can I get a second? That was a first from Dr. Gamer. >> A second. >> Uh second with that. Uh Dr. Thank you, Dr.
063All right. Anyone who would like to participate in the riveting meeting to review bylaws would be what has retoled >> you could explore that I don't know. So typically we don't make significant changes. Occasionally we do sometimes it's things like we've clarified in terms of participation to ensure that there is active participation from the membership and how we gather attendance roles things like that. Uh we will make it as painless as possible. Oh I will promise it would be like a one meeting one and done. Uh that is always my goal for a bylaws review. >> No outrageous things. So, all right. If you're interested in helping, uh, please let us know. But I think we do, uh, need a vote. We had a first and a second. So, anyone opposed to forming a workg
064group, please say nay. Any abstensions? All those in favor say I. >> I. >> All right. Please reach out to either myself or Shelley if you would like to uh participate. Uh, we do have a couple follow agenda items uh from our last staff meeting in September. The first one was specific to e- scooters and ebikes and then also some age brackets for alcohol and drug use. Uh these were two great requests that we had had from the staff committee. Uh and I know Vonsil and her team has been working on that. Uh Vonsil, did you want to share the screen uh to go over this data? >> Sure. >> All right. Thank you. Okay. So this dashboard is now um available on our website. It has been updated to include this is our trauma
065um um annual report dashboard and this dashboard has been updated to include a page a separate page for drug and alcohol as requested by you guys. Um so I'm not going to present the entire dashboard. I have presented this dashboard of trauma annual report you know in the last step meeting. So we'll just look at this the new page we added for the drug and alcohol. uh we have the flexibility to go till 2017 over here for the 2024 as you know we have total 74,000 cases to 74,297 trauma incidents and what it tells us over here is age and gender distribution for drug if there is a suspected or confirmed use of either drug or alcohol. So age and um age distribution for drug and alcohol and similarly gender distribution for drug and alcohol.
066Over here um what we saw is that are 12% of the cases had either suspected or confirmed use of alcohol and 16% drug. So the drug is more than alcohol which the trend we have been observing since last few years that if the drug is increasing than alcohol age group wise the drug is kind of prevalent throughout you know from 18 to 24 to we can see 175 75 to 84 it's stays at 13% to 7% between that range 7 to 13% and similarly alcohol is also like kind of in the same age group. uh gender more male compared to females both either drug or alcohol 70% in uh males in alcohol and then almost similar uh 70% in uh drugs too we saw the same distribution I also did um I know we requested
067only age and gender but you know it was interesting to see the by trauma mechanisms like which mechanism has more drug and alcohol uh confirmed patients compared to other mechanisms. So what we see what we are seeing over here is like um MVT other and MVT pedestrians they have like really high like 51% of um MVT related pedestrian injuries where the pedestrians had either the drug or alcohol suspected or confirmed use. Uh similarly the firearm injuries we see like 56% firearm injuries like you know more than half cases were were either had a suspected or confirmed use of alcohol or drug. Um so we can just look at it like you know if you put your pointer at any of the mechanism of injury and then figure it out there are how many cases were
068present or what what percent is there if there is anything below six then we we won't be able to see it. they are all um just you know for confidentiality purpose we have like you know you will see the aesthetics over there like over there if the sample size is less than six so that um yes >> can you maybe specify some of the changes we've seen in trends of alcohol use versus drug use in the last several years >> I think you had shown kind of boo based on years that we've seen alcohol incidences go down and drug use go up Yep. Uh let me see which page we will be able to see that. So as a trend let me pull up over here 20. Okay let's just do 2017. So in 17
069like we had 14% around alcohol, 13% drug and I we don't have like a graph which showing over the years but I can add that graph also easily over here if that is something we want to do it and then you know we just have to just see individual year over here and slowly slowly we see that it's kind of you know see the percent is is increasing then the drug is now increasing now in 2023 15% and in 2024 16%. It's on this side box but you know I can create a graph like Dr. Bradley what you're suggesting some similar to something like this so we can see the trend. >> Okay thank you. I did I did think it was interesting. We have had questions over the years regarding how trends uh in
070regards to laws uh with uh first medical marijuana and then marijuana becoming legal. Also the opioid epidemic uh part of the barrier is also detecting some of that data. Uh with fentanyl use sometimes a lot of the old drug screens weren't testing for fentanyl. So you had to test separately for that. Uh but also that's one of the most common pain medications used prehosp. So if a patient gets treated with fentanyl then the question becomes is this a positive drug stream from uh opioid use disorder versus appropriate medical treatment. But I do think when you look at the trend it's interesting to see that uptick I think does match what we've seen with some of the drug use across the state. So I think trying to gather more of that information and we really appreciate
071the trauma centers uh inputting that information. I think that helps paint a picture when we look at some of the prevention strategies that can be used. So uh thank you for adding this in Russell. >> Sure. And like so our alcohol is like this 12.9 or 13% and it has been in 13% range since 2017 where the drug is has increased from 12 to now 16% and steadily increased over the years. Um for the ebikes and scooter injuries I we I didn't still have a time to include that one more page but you know what we decided is that including just ebike and scooter injuries in a overall trauma annual report it won't be an appropriate space because we do not talk about specific injuries like that. This is an overall picture of trauma. So
072I will be producing a separate report either maybe a PDF or maybe a onepage dashboard. I'm not sure but we will present that next time then. >> Yeah. >> So sometimes as we look at gathering new data it's difficult to kind of add it to an old report. This data as you can see goes back to 2017. Uh these devices are relatively new and data collection on that is still uh I would say much newer than that but certainly some of the ad hoc reports uh that Vodel's being able to produce allows us to still gather that data and produce that data. So uh that is kind of the plan is to have a separate tab on our dashboard likely that we can present that data. So a big initiative similar to our fall dashboard
073that we had produced a few years ago uh looking at kind of our trauma falls as well as hospital to search database falls and producing that fall dashboard. Uh we do have the ability to create other dashboards and collect some of this data that can be used. So uh we do want to focus on that as an initiative uh moving forward in 2026. >> Right. So if you see over here you can see the fall incidents we see MBT related traumas. So specific injury related dashboards we have created uh separate dashboards for them. Um in rather than making the part of the trauma injuries like our annual report. So similarly we can think about off-road vehicle injuries are also there over here. So similarly we can either think about adding another page for ebikes or
074producing an ad hoc report. >> Thank you. And I'm going to embarrass uh Vatzel uh and just acknowledge the fact that she was given a an award this past weekend for her work on off-road vehicle uh data collection and injury prevention across the state. So I really wanted to acknowledge you know a lot of the work that is done when we think of like what do you do with data uh that was something that really the data that was produced uh from uh EMS data the state trauma advisory data and was used for legislation to actually help injury prevention. So uh really wanted to say thank you to everyone who puts that data in. It's a lot of work uh but recognize Vatel and it was nice to see that she was recognized for her
075uh work in injury prevention across the state. So thank you Vatel. >> Thank you Dr. Bradley. >> All right. Any further questions or comments on either of those dashboards for Vatel? Right. Moving on. Are there any agenda items that people would like for consideration for the next meeting? If you think of anything after this, please email Shelley and we can add that to the agenda. Uh, next is call to the public. Hearing none, our update upcoming events are listed on the agenda here. Uh, there's also links to some further upcoming events and CE opportunities. Our next meeting will be May 21st at 9:00 a.m. Uh, we will have both the inperson and virtual option. Uh and we will be giving our our trauma awards at this uh staff meeting in May. So we look forward
076to that. That's always a nice opportunity to recognize uh those in the trauma community that are helping to better outcomes in Arizona. And if I can get a motion to adjourn, please. >> All right. Thank you. All right. Have a good day everyone.