The following legislative and state agency health care hearings have been scheduled between November 19 and December 9.
11/19/2016
Department of State Health Services
November 19, 2016 – 09:00 AM
Union Station Special Events/Conference Center, 400 South Houston Street, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Disaster Emergency Preparedness Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Discussion and possible action on the following items: Review and Approval of August 24, 2016 Meeting Minutes Chair 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems Emergency Preparedness objectives a. Develop a comprehensive disaster/mass casualty preparedness contingency plan for Texas b. Integrate the resources that will address the needs of age extreme populations in all disaster preparedness planning c. Integrate Emergency healthcare System elements which are functional and operational in the context of local, regional, and statewide preparedness plans 2. Workgroup Reports: A. Texas Disaster Medical System (TDMS) – a. TDMS Mass Fatality Management report B. Emergency Medical Task Force (EMTF) report – a. Infectious Disease Response Unit (IDRU) C. Hospital Preparedness/Acute Care Working Group 3. Progress on the Texas Hospital Association's adoption of Plain Language Emergency Codes 4. Update on the effort to develop a Texas bleeding control coalition website and training regimen by the Southwest Texas Regional Advisory Council. This effort is centered around the Hartford Consensus III and the Stop the Bleed Coalition and relates to the empowering of the public to serve as first responders in mass causality and active shooter events 5. Regional Health and Medical Operations Centers (RHMOCs) 6. Identify 2017 priorities for the Disaster Emergency Preparedness Committee General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 19, 2016 – 10:30 AM
Union Station Special Events/Conference Center, 400 South Houston Street, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Pediatrics Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of August 24, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness / injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems 2. Committee liaison reports: A. Air Medical B. EMS C. Education D. Injury Prevention E. Medical Directors F. Stroke G. Trauma Systems H. Regional Advisory Council chairs I. Disaster planning 3. Update on Child Fatality Review state activities 4. National Pediatric Readiness Project activities update 5. Update from the Texas EMS & Trauma Registries regarding submersion injury reporting 6. Update on the Pediatric Facility Recognition Program, including state process and national quality improvement collaborative activities 7. EMS for Children State Partnership update 8. Update on the planned merge of the EMS for Children State Partnership Advisory Committee with the GETAC Pediatrics Committee, scheduled as follows: February, 2017: GETAC Pediatrics Committee meets from 10:30 AM – 12:00 PM on regularly scheduled Wednesday. The EMSC Advisory Council (EAC) meets in a pop-off room from 2:30 PM – 4:00 PM on same day. Actual calendar date still to be determined by DSHS; May, 2017: EMSC Advisory Council meets from 10:30 AM – 12:00 PM instead of the GETAC Pediatrics Committee meeting. The Pediatrics Committee is not scheduled to meet. Actual calendar date still to be determined by DSHS; August, 2017: GETAC Pediatrics Committee meets from 10:30 AM – 12:00 PM on regularly scheduled day. Actual calendar date still to be determined by DSHS. The EAC will hold a five hour retreat the day before this meeting from 11:00 AM – 4:00 PM; November, 2017: The EAC meets from 10:30 AM – 12:00 PM on Saturday, in conjunction with the Texas EMS Conference in Dallas. The Pediatrics Committee is not scheduled to meet. Actual calendar date still to be determined by DSHS 9. EMSC Innovation and Improvement Center update www.EMSCimprovement.center 10. Chair comments regarding future meeting in February of 2017, new membership, and new chairperson General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 19, 2016 – 01:00 PM
Union Station Special Events/Conference Center, 400 South Houston Street, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Injury Prevention Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Approval of Minutes from August 24, 2016 and working group meetings Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Elements: Prevention objectives a. Identify opportunities to reduce the burden of injury, stroke and cardiac disease within the state of Texas b. Incorporate safety and injury prevention into the fabric of organizational culture and operations c. Enhance the knowledge and skills of the Texas injury prevention workforce d. Provide access to best practice injury prevention strategies to increase an individual's capacity for a safe and healthy lifestyle in Texas Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems System Support: Public Education objectives a. Promote public awareness of the Emergency Healthcare System, including the appropriate use of these resources b. Explore new techniques and technologies for providing interactive, collaborative, targeted public education 2. Evidence-Based Distracted Driving Prevention Fact sheet 3. Evidence-Based Childhood Drowning Prevention Fact Sheet 4. Position statement regarding childhood drowning prevention 5. How to Use Guide' for Hospital-Based Injury Prevention Components document 6. Evaluation of Hospital-Based Injury Prevention Components document 7. Emergency Medical Services for Children Update 8. Scheduling of 2017 meetings General Public Comment (Comment time may be limited at Chair's Discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjourn. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 19, 2016 – 02:30 PM
Union Station Special Events/Conference Center, 400 South Houston Street, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Stroke Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of August 24, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Elements: Prevention objective a. Provide evidence-based, culturally appropriate strategies for the identification and mitigation of risk factors for heart disease and stroke Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness / injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems 2. Report on the Stroke Education Program Workgroup activities 3. Report from the Transport Bypass Protocol Workgroup 4. Update from the Data Committee Workgroup regarding National EMS Information System data points and/or elements recommended for possible state assessment 5. Update form the Texas heart Attacks and Stroke Data Collective Initiative 6. Report and update from the Texas Council on Cardiovascular Disease and Stroke 7. Report regarding tissue plasminogen activator (commonly abbreviated as tPA) administration data project from the Southeast Texas Trauma Regional Advisory Council 8. Proposed inclusion of freestanding emergency room departments into stroke transport plans General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 19, 2016 – 04:00 PM
Union Station Special Events/Conference Center, 400 South Houston Street, Dallas
Air Medical Committee Governor's EMS and Trauma Advisory Council (GETAC) Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Introduction of new members and expressions of gratitude for outgoing members Review and Approval of May 11, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems 2. Inclusion of air medical quality and performance measures and potential process for inclusion in Regional Advisory Councils (RACs) across the state: a. Ideas for what might be included for future improvement in performance and patient care b. How to determine which RACs air medical programs should be included c. Review of information submitted from RACs d. How to encourage RAC participation 3. Possible creation of committee orientation for new committee members: a. History of committee b. Past committee projects/accomplishments c. Current committee affairs 3. Drone issues: a. Sightings b. General public education regarding drone safety 4. Reports from Air Medical Committee members assigned to other committee meetings, assign members to attend other committee meetings, as needed 5. Disaster planning General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
11/20/2016
Department of State Health Services
November 20, 2016 – 09:00 AM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Education Committee Governor's EMS and Trauma Advisory Council (GETAC) Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Discussion and possible action on the following items: Review and approval of August 25, 2016 Meeting Minutes 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems 2. Review progress on the Texas effort, as based on the Hartford Consensus III and the Stop the Bleed projects, to develop a coalition relating to the empowering of the public to serve as first responders in mass causality and active shooter events. Identify education stakeholders and Education Committee goals towards coalition implementation 3. Continued Development of the Community Health Paramedic curriculum 4. Discussion of continuing education requirements for all levels of EMS certification 5. Possibility of forming a workgroup with the GETAC Medical Directors Committee and the GETAC EMS Committee to examine the availability of paramedics and initial paramedic education in rural and frontier parts of Texas General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 20, 2016 – 10:30 AM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Emergency Medical Services (EMS) Committee Governor's EMS and Trauma Advisory Council (GETAC) Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of August 25, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems Infrastructure: Communication Systems objectives a. Promote implementation of universal enhanced 9-1-1 services statewide to ensure that all emergency calls and requests are routed to the appropriate public safety answering point in order to minimize time access care b. Designate standard EMS dispatching protocols c. Develop and implement real-time patient data transfer d. Promote the establishment of robust fault-tolerant communication systems statewide that provides seamless communications between public safety and health care agencies in all situations 2. Update on status of revisions to the EMS and Trauma System rules in 25 Texas Administrative Code, Chapter 157 3. Update on Federal EMS issues relating to the National EMS Advisory Council, the Federal Interagency Committee on EMS, and the National Association of State EMS Officials 4. EMS for Children Update 5. Update from the DSHS Texas EMS and Trauma Registries 6. Possibility of forming a workgroup with the GETAC Medical Directors Committee and the GETAC Education Committee to examine the availability of paramedics and initial paramedic education in rural and frontier parts of Texas 7. Update on the development/and or progress of a workgroup, in collaboration with the Medical Director's Committee, purposed with formulating template language for EMS Medical Director agreement 8. Update on EMS Committee and Medical Directors Committee joint work group to develop a state-approved process designed to rehabilitate EMS personnel with substance abuse problems and reintegrate them into the EMS Workforce 9. Update from workgroup regarding best practices and issues regarding patients carrying firearms on Ambulances 10. Update from the Community Paramedic Task Force on recommendations for baseline education criteria 11. Update from workgroup investigating transfer patients being moved by private vehicle General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 20, 2016 – 01:00 PM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Medical Directors Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Discussion and possible action on the following items: Review and Approval of May 12, 2016 Meeting Minutes 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems Medical Direction objectives a. Provide a robust, responsive, and flexible Emergency Healthcare System with medical oversight integrating all system elements b. Support and develop medical oversight of nontraditional roles for EMS personnel c. Increase meaningful participation of medical directors in all aspects of EMS practice d. Provide guidance regarding non-traditional destinations for EMS patients Infrastructure: Communication Systems objective a. Encourage the development and implementation of telemedicine capabilities to optimize patient care in rural and medically underserved areas in Texas 2. Update on Community Paramedicine Taskforce progress and discussions 3. Update on the Cardiac Arrest Registry to Enhance Survival (CAREs) 4. Update from Emergency Medical Services for Children 5. Update on Freestanding Emergency Department Task Force progress and discussions 6. Update on Medical Directors Committee and EMS Committee joint work group to develop a state-approved process designed to rehabilitate EMS personnel with substance abuse problems and reintegrate them into the EMS Workforce 7. Update on workgroup investigating transfer patients being moved by private vehicle 8. Update from the Texas EMS and Trauma Acute Care Foundation (TETAF) 9. Update from the DSHS Texas EMS & Trauma Registries 10. Update on the development/and or progress of a workgroup, in collaboration with the Emergency Medical Services (EMS) Committee, purposed with formulating template language for EMS Medical Director agreement 11. Update on Drug Enforcement Agency and Department of Public Safety regulations and legislation pertinent to Texas EMS stakeholders 12. Possibility of forming a workgroup with the GETAC EMS Committee and the GETAC Education Committee to examine the availability of paramedics and initial paramedic education in rural and frontier parts of Texas General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 20, 2016 – 02:30 PM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Trauma Systems Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Recognition of members Review and Approval of August 25, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems Infrastructure: Information Systems objectives a. Develop and maintain information systems to generate and transmit data that are valid, reliable, accurate, and secure b. Develop unified systems which are able to track an entire patient encounter, from incident through rehabilitation; identify costs of patient care; and provide linkage between various public safety services and other health care providers c. Improve the ability of the EMS/Trauma System to document and report injury and illness and potential associated factors d. Define and disseminate the statutory requirement for information exchange e. Enhance and integrate a unified EMS and emergency healthcare registry f. Encourage real time, two-way health data exchange among EMS, hospitals, and other healthcare providers g. Regional Advisory Councils should evaluate region specific data in order to improve patient outcomes h. Develop specific user defined standard reports and compare with national benchmarks for quality improvement 2. Review of current DSHS EMS and Trauma System Rules in Title 25 of the Texas Administrative Code (TAC), Chapter 157, including the process for applying for trauma facility designation 3. DSHS Texas EMS & Trauma Registries update 4. Trauma System Strategic Plan update 5. Interim study of the Texas Trauma System, as recommended by the Texas House Committee on Appropriations during the 84th Texas Legislative Session 6. Trauma Systems Committee Registry Solutions Workgroup report 7. Trauma Systems Committee Trauma Medical Director Workgroup report 8. Trauma Systems Committee Advanced Practice Provider Workgroup report 9. Trauma Systems Committee Trauma Registrars Workgroup report 10. Texas Trauma Quality Improvement Program (TQIP) Collaborative Initiative update 11. Texas TQIP Level III pilot report 12. Texas TQIP Pediatric Trauma Facilities report 13. Stand-Alone Emergency Departments in the Texas Trauma System 14. Burn Centers integration into system planning 15. Hartford Consensus III, as it relates to empowering the public to serve as first responders in intentional mass-casualty and active shooter events, update on stopthebleedtexas.org 16. Trauma Centers per Trauma Service Area review update 17. National Academy of Science report 18. Reports from committee member participation in the following groups/associations/facilities: A. GETAC Council B. Region VI American College of Surgeons/Council on Trauma C. Texas Trauma Coordinators Forum D. Emergency Nurses Association E. Texas College of Emergency Physicians F. Level IV Trauma Facilities G. Level III Trauma Facilities H. Level II Trauma Facilities I. Level I Trauma Facilities J. Pediatric Trauma Centers K. Texas Hospital Association General Public Comment (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
Department of State Health Services
November 20, 2016 – 04:00 PM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Cardiac Care Committee Call to Order/Roll Call Reading of the GETAC Vision and Mission Statements GETAC Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. GETAC Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of August 25, 2016 Meeting Minutes Discussion and possible action on the following items: 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation to GETAC for immediate review by the Council on November 21st, 2016: Clinical Elements: Prevention objective a. Provide evidence-based, culturally appropriate strategies for the identification and mitigation of risk factors for heart disease and stroke Clinical Care objectives a. Identify high priority clinical areas for dissemination of current information, standards, and opportunities for education b. Advocate for the designation of Emergency Medical Services (EMS) as an essential public service c. Reduce time from onset of illness/injury to definitive care d. Deliver the highest quality care across the continuum of the Emergency Healthcare System e. Utilize evidence-based / best practice metrics to assess all elements of the Emergency Healthcare System Performance Improvement objectives a. Reduce the disability and mortality from time sensitive medical conditions in the state of Texas b. Develop comprehensive processes to enhance performance improvement of Emergency Healthcare Systems 2. Recognition of committee member service 3. Review of Southeast Texas Trauma Regional Advisory Council's first quarter ST Segment Elevation Myocardial Infarction (STEMI) data 4. Progress in forming a working group, possibly in collaboration with the GETAC Medical Directors Committee, with the goal of surveying RACs to determine: a. Number of ambulances and level of providers in each service region b. Number of EMS providers with electrocardiogram (ECG) machines capable of transmitting 12-Lead ECG data c. Gaps present for the optimal pre-hospital care of STEMI patients – Jamie McCarthy, MD, David Wampler, PhD, and Committee Members 5. Progress on providing RACs language encouraging hospital systems, practitioners, and other stakeholders to advocate nationally for the exclusion of emergent cardiac-arrest patient catheter lab outcomes from the CathPCI Registry's reporting structure 6. Update on the STEMI-Accelerator project and American Heart Association Mission: Lifeline – Resuscitation Subcommittee recommendations for Pre-Hospital cardiac arrest reporting 7. Update on Rider 67/Texas Heart Attack and Stroke Data Collection Initiative, as suggested by the Texas House Committee on Appropriations during the 84th Texas Legislative Session 8. Review progress in achieving Goals for the GETAC Cardiac Care Committee in 2016 9. Initiatives, programs and potential research that might improve acute cardiac care in Texas General Public Comment: (Comment time may be limited at Chair's discretion) Summary for GETAC meeting report Announcements Review and list agenda items for next meeting Next meeting date Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
11/21/2016
Department of State Health Services
November 21, 2016 – 04:00 PM
Hyatt Regency Dallas, 300 Reunion Boulevard, Dallas
Governor's EMS and Trauma Advisory Council (GETAC) Call to Order Vision: A unified, comprehensive, and effective Emergency Healthcare System for a healthy and safe Texas. Mission: To promote, develop, and maintain a comprehensive data driven Emergency Healthcare System that will meet the needs of all patients and will raise the standards for high quality community health care by implementing innovative techniques and accountable systems for the delivery of emergency care for the entire population. Review and Approval of August 26, 2016 Meeting Minutes Members Chair Report and Discussion Assistant Commissioner Report, Division for Regulatory Services State EMS Trauma System Report, Office of EMS/Trauma Systems Assistant Commissioner Report, Environmental Epidemiology and Disease Registries Section Assistant Commissioner Report, Division for Regional and Local Health Services GETAC Committee Summary Reports: Air Medical Committee Cardiac Care Committee Disaster/Emergency Preparedness Committee Education Committee EMS Committee Injury Prevention Committee Medical Directors Committee Pediatric Committee Stroke Committee Trauma Systems Committee GETAC Liaison Summary Reports: Texas EMS, Trauma, and Acute Care Foundation (TETAF) EMS for Children (EMSC) State Partnership update Preparedness Coordination Council Discussion, public comment, and possible action on the following items: (Public comment time may be limited at Chair's discretion) 1. Review the following objectives from the Strategic Plan for the Texas Emergency Healthcare System and report suggested revisions, updates and strategies for implementation: System Integration objectives a. Develop a formal process of sharing best practices b. Integrate all emergency health services within the emergency health care system to deliver quality care c. Assure stakeholders are involved in strategic discussions d. Identify and incorporate all patient populations into system design System Legislation & Regulation objectives a. Raise public awareness for the need to establish emergency healthcare services as Essential Services b. Provide evidence-based regulations to guide regulatory and legislative decision making relevant to the Emergency Healthcare System System Funding objectives a. Achieve adequate and enduring funding for all components of the Emergency Healthcare System 2. Review suggested committee revisions, updates and strategies regarding implementation of objectives from the Strategic Plan for the Texas Emergency Healthcare System 3. Progress update from the EMS Committee and the Medical Directors Committee regarding the development of a position statement addressing privately operated vehicle transports for patients being transferred between medical facilities 4. Information sharing for high-consequence infectious disease 5. Formation of a committee and/or task force to address time-dependent mental health issues 6. Stroke and Cardiac Care Committee suggestions regarding which National EMS Information Systems data points and/or elements should be examined for the purposes of a state assessment 7. Update on the Texas Heart Attack and Stroke Data Collection Initiative 8. Update from the Cardiac Arrest Registry to Enhance Survival (CAREs) and the RAC Data Collaborative from Dr. Jeff Beeson 9. Review and possibly endorse the GETAC Injury Prevention Committee's final edited version of the document Evidence-Based Strategies to Prevent Distracted Driving 10. Review and possibly endorse the GETAC Injury Prevention Committee's Position Statement on Childhood Drowning and Water Safety 11. Review and discuss objectives and scope of the task force on Freestanding Emergency Departments and Other Facilities Providing Emergency Care 12. Review and possibly endorsement the freestanding emergency department categorization guidelines as developed by the task force on freestanding emergency departments and other facilities providing emergency care 13. Review and discuss objectives and scope of the Advanced Practice Paramedic Task Force 14. Update on progress to develop a sample medical director's agreement designed to address the gaps and/or differences between the Texas Medical Practice Act in the Texas Occupations Code and the Texas Medical Board rules in Title 22 of the Texas Administrative Code (TAC), Chapter 197, entitled: Emergency Medical Service', and the Texas Department of State Health Services Emergency Medical Services rules in Title 25, TAC 157 15. Update on Texas effort to educate and train the public to serve as first responders in intentional mass-casualty and active shooter events. This is also referred to as BCON (bleeding control) by several GETAC committees 16. Update from the October 25th meeting in which the GETAC Strategic Plan for the Texas Emergency healthcare System Plan was reviewed 17. GETAC committee application process update General Public Comment (Comment time may be limited at Chair's discretion) Review and list agenda Items for next meeting Adjournment. Additional Information Contact: Colin Crocker, 512/776-7111
11/22/2016
Texas Medical Board
November 22, 2016 – 02:00 PM
333 Guadalupe, Tower 2, Suite 225, Austin
Executive Search Committee 1. Call to order and roll call. 2. Consideration and possible action related to personnel issues and the Executive Director position. 3. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
11/23/2016
Texas Health and Human Services Commission
November 23, 2016 – 09:00 AM
Brown-Heatly Building Public Hearing Room 4900 North Lamar Blvd., Austin
Proposed Medicaid Payment Rates for Prescribed Pediatric Extended Care Center Program. Hearing. Health and Human Services Commission (HHSC) will conduct a public hearing on Nov. 23, 2016, at 9 a.m. to receive public comment on proposed payment rates for the PPECC program operated by HHSC. The hearing will be held in compliance with Texas Human Resources Code §32.0282 (relating to public hearing on rates) and Texas Administrative Code (TAC) Title 1, §355.105 (relating to general reporting and documentation, methods, and procedures), which require public notice of and hearings on proposed Medicaid reimbursements. Proposal. HHSC proposes to administer and implement rates and establish a reimbursement methodology for Prescribed Pediatric Extended Care Centers (PPECCs). A PPECC provides non-residential, facility-based care as an alternative to private-duty nursing (PDN) for individuals under the age of 21 with complex medical needs. In accordance with Texas Human Resources Code section 32.024(jj), HHSC is establishing PPECCs as a separate Medicaid provider type. The proposed rates will be effective retroactive to Nov. 1, 2016.Methodology and Justification. HHSC calculated the proposed payment rates in accordance with the rate-setting methodologies codified in the TAC Title 1, §355.9080 (relating to reimbursement methodology for the PPECC program).Briefing Package. On Nov. 11, 2016, a briefing package (link is external) describing the proposed payment rates will be available. Those interested may also obtain a free copy of the briefing package by contacting the HHSC Rate Analysis Department by U.S. mail addressed to HHSC, Rate Analysis Department, Mail Code H-400, P.O. Box 149030, Austin, TX 78714-9030; by telephone at 512-730-7401; by fax at 512-730-7475; or by email at RAD-LTSS@hhsc.state.tx.us. In addition, free copies of the briefing package will be available at the public hearing. Written Comments. Written comments regarding the proposed payment rates may be submitted instead of, or in addition to, oral testimony until 5 p.m. the day of the hearing. Written comments may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email. U.S. Mail: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, P.O. Box 149030, Austin, TX 78714-9030. Overnight mail, special delivery mail or hand delivery: Health and Human Services Commission, Rate Analysis Department, Mail Code H-400, 4900 North Lamar Blvd., Austin, TX 78751. Phone number for package delivery: 512-730-7401. Fax: Attention: Kyle Baxter at 512-730-7475. Email: RAD-LTSS@hhsc.state.tx.us
11/28/2016
Texas Health and Human Services Commission
November 28, 2016 – 10:30 AM
4900 North Lamar Blvd.(Health and Human Services Commission, Brown -Heatly Building, Public Hearing, Room), Austin
Perinatal Advisory Council 1. Call to order 2. Roll call 3. Approval of the minutes (Meeting on October 25, 2016) 4. Updates from Department of State Health Services* 5. Updates from Perinatal Advisory Council Chair* 6. Discussion on Maternal Levels of Care* 7. Lunch 8. Continue discussion on Maternal Levels of Care* 9. Public comment 10. Announce dates, times, and locations of 2017 meetings 11. Adjourn. Additional Information Contact: David Williams, 512/380-4374
11/29/2016
Texas Health and Human Services Commission
November 29, 2016 – 01:30 PM
4900 North Lamar Blvd., Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room, Austin
STAR+PLUS Quarterly Stakeholder Update Call-in: 877-820-7813 Access Code: 590037 This meeting will be webcast. To access the webcast, go to http://www.hhsc.state.tx.us/news/meetings.asp the day and time of the meeting. 1. Office of Ombudsman Overview 2. STAR+PLUS Waiver Interest List Update 3. Electronic Visit Verification Update 4. Long-term Services and Supports Update 5. Health Plan Management Update 6. Home and Community Based Services Update 7. Questions Regarding STAR+PLUS Program 8. Adjourn Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Charles Bredwell, Program Specialist, Health and Human Services Commission, 512-462-6337, or charles.bredwell@hhsc.state.tx.us. This meeting is open to the public. No reservations are required, and there is no cost to attend this meeting. Additional Information Contact: 512/462-6337
11/30/2016
Texas Medical Board
November 30, 2016 – 09:00 AM
333 Guadalupe, Tower 3, Suite 780, Austin
Disciplinary Panel 1. Call to order. 2. Roll call. 3. Consideration of the Application for Temporary Suspension With Notice pursuant to Texas Occupations Code, s164.059, of the license of Jeffrey K. Gilbertson, M.D. License No. L1327. 4. Adjourn. Additional Information Contact: Laura Fleharty, 512/305-7174
Texas Health and Human Services Commission
November 30, 2016 – 10:00 AM
701 West 51st St. (John H. Winters Building, Room 125), Austin
Early Childhood Intervention Advisory 1. Call to order 2. Introduction of members 3. Approval of minutes from August 10, 2016, meeting 4. Health and Human Services leadership update 5. Early Childhood Intervention state office report 6. Data update 7. Annual Performance Report review 8. Overview of the new Health and Human Services Commission website 9. Financial update 10. Program Directors' update 11. Lunch 12. Officer nominations/voting 13. STAR Kids update 14. Birth Defects Registry overview 15. State Systemic Improvement Plan update 16. Training update 17. Public comment (limited to five minutes per person) 18. Member reports 19. Adjourn. Additional Information Contact: Tammy Miller, 512/4242-6795
Texas Health and Human Services Commission
November 30, 2016 – 10:00 AM
4900 North Lamar Blvd., Health and Human Services Commission, Brown-Heatly Building, Public Hearing, Room 1410, Austin
Behavioral Health Integration Advisory Committee 1. Welcome and introductions 2. Review and approval of the August 24, 2016, meeting minutes* 3. General updates by Health and Human Services Commission (HHSC) staff 4. General updates on Behavioral Health Integration Advisory Committee (BHIAC) activities 5. Review and adoption of BHIAC Executive Commissioner Memo by BHIAC members* 6. Lunch Break 7. Presentation by Dell Children's Medical Center of Central Texas: Children's Comprehensive Care Clinic/Anchoring Programs 8. Presentation by Austin Travis County Integral Care and Blue Cross and Blue Shield: Medicaid Health Home 9. Break 10. Presentation by Dr. Marlon Quinones: Model for Integrating Telemental Health and Primary Care Services 11. Presentation by Dr. Annette Gary and Dr. Linda McMurray: Integrated Health Care Home Model – Lubbock, TX 12. Public comment 13. Discussion of the final steps for the BHIAC 14. Adjourn *Public comment will be taken on this agenda item. Additional Information Contact: Laela Estus, 512/707-6102
12/2/2016
Texas Health and Human Services Commission
December 2, 2016 – 10:00 AM
4900 North Lamar Blvd., Health and Human Services Commission, Brown-Heatly Building, Public Hearing Room, Austin
Advisory Committee on Qualifications for Health Care Translators and Interpreters 1. Call to order 2. Approval of minutes from the September 16, 2016, meeting (Vote required) 3. Discuss dissemination of information on the committee report about qualifications for health care translators and interpreters 4. Develop criteria and procedure for obtaining the Gold Standard award 5. Discuss registry of interpreters 6. Transition of duties to Texas Association of Healthcare Interpreters and Translators 7. Presentation of certificates 8. Public comment 9. Adjourn. Additional Information Contact: Paula Traffas, 512/348-2944
12/5/2016
Texas Health and Human Services Commission
December 5, 2016 – 10:00 AM
Brown-Heatly Building, Public Hearing Room, 4900 N. Lamar Blvd., Austin
Palliative Care Interdisciplinary Advisory Council. 1. Welcome and introductions 2. Review and approval of meeting minutes from July 25, 2016 (vote will be taken)* 3. Staff presentation (vote may be taken)* – Palliative Care Interdisciplinary Advisory Council Information and Education Program update – Review of briefing slides from the report – Legislative session overview – Council discussion on staff presentation 4. Facilitated strategic planning exercise (vote may be taken)* – Determine mission and vision – Discussion on next steps for identifying values, goals, strategies, and timelines 5. Action items for staff or member follow-up 6. Public comment 7. Adjourn * Public comment will be taken on this agenda item. Contact: Questions regarding agenda items, content or meeting arrangements should be directed to Jimmy Blanton, Director, Health and Human Services Commission, 512-380-4372, jimmy.blanton@hhsc.state.tx.us.
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