February
23, 2007 September
28, 2007 December
7, 2007
January 9, 2008 July 9, 2008 October 9, 2008 December 5, 2008
December 5, 2008
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Friendly Version
Meeting Minutes
Members
Present: Theresa Dorsey, Michelle Bryzkiewicz, Sherrie Nugent,
Joan Palen, Phyllis Uribe, Mary Shelton, Lynanne Granado, Darcy Gentry, Martin Duffy, Candice Vigil, Tracy Lauzon, Jean Marso, Tessa Meunier, Kim Muramoto, Vikki Pope, Terry Putzstuck, Kathy Patterson, April Settell, Jody Wallace, Karin Whinery, Kevin Engen, Vicki Cooper, Diane Burkhart, Melissa Skinner, Lynn Baumeister, Lucinda Giblin, Lee Ann McNeill, Becky Haning, Linda Diamond, Pam Lerner.
Phone
Attendance: Northern Colorado MC-Toni Moses, Kathy Hoyland, Lutheran MC-Rob Little, St. Anthony Central-Pam Bourg, Kate Knight, Beth Dunn, Yuma District Hospital-Vickie Gillette.
Meeting
Minutes: A quorum was established and meeting
minutes from October 9, 2008 meetings were approved as written.
Treasurer’s
Report:
Treasurer's Report was provided to the
group.
Old
Business:
Nominations and elections for Chair and Secretary
Tracy Lauzon, The Medical Center of Aurora, is nominated and accepts the position as Chair of CTN. Theresa Dorsey, Avista Adventist Hospital, volunteered for the position as CTN Secretary. Mary Shelton and Phyllis will meet with Theresa and Tracy to share information for a smooth transition.
Board positions to be filled
There are five board positions which have opened up since our meeting in October. Rob Little is no longer at Lutheran in trauma, Donovan Ehrman has completed his FNP program and no longer will be with trauma at Northern Colorado Medical Center, Nancy Frizell has accepted a position on SEMTAC and feels she can no longer fully participate with CTN and is relinquishing her position on the board. Chris Duran is no longer on the board and Peggy Ray has resigned her position with The Children’s Hospital and is no longer on the board, Lucinda Giblin will be taking her place. Peggy Berkey, Sky Ridge Medical Center, will be taking a position on the board, Tracy Lauzon will be holding a board seat and there remains two yet to fill from our previous list. One seat appears to have remained open and as such we will have three to fill in 2009 to have a full compliment of 17 board members.
Current Board Members are:
Lynn Andersen, Memorial Hospital
Peggy Berkey, Sky Ridge Medical Center
Michelle Bryzkiewicz, The Medical Center of Aurora
Deb Carpenter, Denver Health
Theresa Dorsey, Avista Adventist Hospital
Lucinda Giblin, The Children’s Hospital
Karan Hutchins, Denver Health
Tracy Lauzon, The Medical Center of Aurora
Jean Marso, University Hospital
Sherrie Nugent, Longmont United Hospital
Terry Olson, Boulder Community Hospital
Mary Shelton, Good Samaritan Medical Center
Shirley Terry, Mile High RETAC
Phyllis Uribe, Swedish Medical Center
Update from Website Committee
There was some good information brought forward from the committee however most did require a change of our hosting service. Our annual expense for the hosting fee is $64.50 per year which is very reasonable. Mary Shelton contacted our hosting service, Internet Planners, and they recommended Joanne Pryor of Office Doctors to rebuild the CTN site. Right now Joanne is very busy but may be able to get to our project before the New Year if we choose to have her do it. Her estimate for this project is $500.00. Mary described what the group wants within the site and Joanne feels it is doable and we may be able to maintain it ourselves which will save money in the long run. Mary offered to seek out other bids for the job but the group felt that would not be necessary and the fee Joanne quoted was reasonable. Mary will e-mail links to the sites which Joanne has done in the past so the group can see her work.
New
Business
No new business was introduced.
The White Elephant gift exchange was a hit as always with a few special highlights. Karan Hutchins took home a rubber chicken, Jean Marso got a set of actual white elephant salt and pepper shakers, and lucky Darcy Gentry received the venerable nose picker guy! Needless to say a good time was had by all.
Meeting dates in 2009:
| Thursday January 29, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday April 9, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday July 9, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday October 8, 2009 |
08:30-10:00 CDPHE 2nd Floor |
October 9, 2008
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Friendly Version
Meeting Minutes
Members
Present: Theresa Dorsey, Donovan Ehrman, Jean Marso, Sherrie Nugent, Mary Shelton, Phyllis Uribe, Lori McDonald, Lynanne Granado, Tessa Meunier, Terry Putzstuck, Grace Sandeno, Jody Wallace, Denise Stong, Sandra Morris, Beth Cotter, Paula Hanson, Kim Muramoto, Cheryl Milner, Vikki Pope, Holly Hedegaard, Skip Tinnell
Phone
Attendance: Northern Colorado MC-Toni Moses, Kathy Hoyland, Lutheran MC-Rob Little, St. Anthony Central-Pam Bourg, Kate Knight, Beth Dunn, Yuma District Hospital-Vickie Gillette.
Meeting
Minutes: A quorum was established and meeting
minutes from July 2008 meetings were approved as written.
Treasurer’s
Report:
Treasurer's Report was provided to the
group.
Old
Business:
New Website
A small group was formed to research web sites to replace the current one for the organization. Mary Shelton, Donovan Ehrman and Jody Wallace will look at websites and report back to the group at the December meeting. Some aspects of the website which was discussed in a previous meeting includes current agendas, the application for membership, a bulletin board, link to the list serve, FAQ page for coordinators and registrars as well as one for the ACS FAQs. The minutes, resources and contact list is to be included in the password protected (members only) section of the site. Links to be included are those to the RETAC websites as well as the CDPHE. Information including the developer and maintenance expenses will be brought back to the group. Skip Tinnell feels we may want to contact Jody from CDM and he may have helpful suggestions in this area. Some websites which work well are the NW RETAC, Plains to Peak RETAC and Safe Kids sites.
Coding Class
Holly Hedegaard will be giving a coding class similar to the ones she has previously provided to the group. This will include E-codes, AIS codes and specifically codes for head injuries, orthopedic injuries, rib fractures and pneumothorax. Holly will use examples from the data base and will send out a pre-test by November 21st. All the previous training information is on the CDPHE website on the Colorado Trauma Registry page. The appendices in the manual are handouts from previous trainings. Holly welcomed anyone who may have a pertinent presentation they wish to present to the group.
Phyllis Uribe will handle the registration aspect and CEUs will be available. Jean Marso has the CEU information from the previous training and will help with that aspect. The coding class will be held on the December CTN meeting date as most people have already set that day aside for the meeting. CTN will have the Christmas luncheon and gift exchange as planned with the class the rest of the day. The location will be announced as soon as it is decided. Jean Marso, Tessa Meunier, Lori McDonald and Pam Bourg will look at room availability at their facilities.
Colorado Data vs. National Trauma Data Bank
Skip Tinnell-There are some differences in the download data between the State of Colorado and the National Trauma Data Bank as we are aware. For example there are differences in discharge disposition between the two entities. As a result there are some (14) changes that need to be done in Trauma Base that will address the differences. Those will be coming out for users after November 1st.
December
Meeting:
The
group confirmed that December 5, 2008 is the date selected for the meeting,
location to be determined.
New
Business
Meeting Day & Time:
It was decided that 8 AM on the second SEMTAC meeting day may be a little too early for those who have to travel. Overall the beginning of the day works better than the end of a long meeting day so it was decided that the meeting will remain on the second SEMTAC meeting day at 8:30 AM. We will meet in the Facilities Training Room on the second floor of the CDPHE and phone conferencing will continue to be available for those who can’t attend in person. The next regular meeting will be on January 29th.
Round Table:
Grace Sandeno-The new Designation Application for Level III Trauma Centers is completed and will be sent out to the trauma community.
New Level I & II Trauma Center designation standards are being presented to the Board of Public Health on 10/15/08 at 10:30 AM for approval.
Grace will be out of the office during the month of December.
Lori McDonald- Some hospitals have suspended trauma team activation charges because critical care time wasn’t documented in the chart. Pam Bourg offered that the critical care time needs to be a minimum of 30 minutes. The trauma team activation and critical care time are billed separately but the critical care time supports the activation charge.
Lori has the role of Emergency Preparedness in her facility and was wondering if anyone else has this responsibility.
Vickie Gillette has the role of Emergency Preparedness in her facility and will be involved in a drill on 11/4/08 with Sterling.
Cheryl Milner is in her new role as Trauma Nurse Coordinator at Poudre Valley Hospital.
Paula Hanson is from Summit Medical Center in Frisco and one of their registrars is involved in Emergency Preparedness.
Donovan Ehrman is preparing for their Trauma Center survey on December 15th & 16th .
He has completed his graduate degree and is a FNP and will be stepping out of his role with Trauma Services at NCMC.
Kim Muramoto has one FTE open for a Trauma Nurse Coordinator and Injury Prevention. They are looking for someone with 10 years experience in the areas of ICU and ER. They also are looking for a trauma surgeon part time to help cover their staffing needs.
The charge for the SBIRT program was discussed. Pam from SAC said they may charge in the ED for the screen, education and treatment. Some facilities do the screen in the ED and some do it after admission. The CAGE questionnaire is being used as the screening tool.
Beth Cotter has two new registrars in their department at Penrose. Since they are in a new facility their trauma population hasn’t experienced much change and is about 1200 patients/year.
Jody Wallace is now with St. Francis which is a Level IV Trauma Center. They can now download to the state.
Sandra Morris shared the injury prevention program instituted at Aspen Valley Hospital. It is called the Mountain Awareness Program and they are planning to going to various locations to present safety awareness with skiing and other winter activities from the first of October to mid November. This involved giving ski helmets out to those who need them.
Denise Stong is interested in downloading their data to the state.
Phyllis Uribe announced that Swedish should be redesignated as a Level I Trauma Center at today’s SEMTAC meeting, and have received their ACS verification letter. In response to questions about their reviewers she reported that during their recent trauma survey their Medical Director was involved with the surveyors during the chart review process. The charts were double coded and both electronic and paper charts were available for the reviewers. The reviewers were interested in the integration of the Trauma PI with the hospital PI system.
They have been doing a lot of work in their injury prevention program. They are one out of the four Safe Kids programs to have a NFL player as a representative at a recent pedestrian safety event. The Mile-High RETAC facilities are submitting a separate data report through CDM to the state for the RETAC.
Theresa Dorsey said that during their recent survey the physician surveyor did not like the electronic documentation. They did have staff available to assist with chart review. There was a question also of the surveyors arriving with a list of specific patient charts with patient identifiers and concerns of HIPPA violation regarding this was discussed.
The process for tracking patients at the state level using the Trauma Base tracking numbers was discussed. There is a place on one of the data entry screens to enter the
tracking number from the sending facility and if we can utilize this field it will help Holly follow the patient through the trauma system. Skip Tinnell pointed out that we need to use the facility ID code as well as the tracking number in order to provide accurate data to the state.
Sherrie Nugent is also concerned about the Trauma Activation charge questions which have been brought up at this meeting.
Vikki Pope is new in her role at Parker and asked how people were doing data validation. Some people in smaller systems discussed coding specific injuries within their office while others had detail reports they use to look at coding various specific diagnosis. CDM has built a “canned” report into Trauma Base for this purpose. It may be helpful for the group if those people can bring an example of their report to the next meeting to share with the group. Skip can provide a presentation on this subject at the coding class in December.
Pam Bourg at St. Anthony Central introduced two new registrars in their office, Kate Knight and Beth Dunn to the group. They are anticipating a site review in February.
SAC will be hosting a TOPIC Course in May, 2009, more information to come.
In terms of data validation they double check codes of 10% of the patients in their data base.
Skip Tinnell made the group aware that there is a Level IV download available that is web based which is secure and hopefully will be useful. It can be performance improvement focused and attached to an facility intranet. HL7 connects CDM and hospitals if that is what your facility uses and CDM data is SQL compatible. It may be necessary to add your facility to the Level IV list and if this is the case contact CDM to facilitate a download.
The 2009 TB updates will be on the web site this week.
If a hospital wants to track SBIRT in Trauma Base please contact CDM and they will set it up on your system. Orthopedic and burn tracking is also available in Trauma Base. Lori brought up that you may have to ask for an additional update for burn tracking on Trauma Base.
Meeting date in 2008:
Friday December 5, 2008 0800 – 1600 (location TBA)
Meeting dates in 2009:
| Thursday January 29, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday April 9, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday July 9, 2009 |
08:30-10:00 CDPHE 2nd Floor |
| Thursday October 8, 2009 |
08:30-10:00 CDPHE 2nd Floor |
July 9, 2008
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Friendly Version
Meeting Minutes
Members
Present:
Lynn
Andersen, Theresa Dorsey, Nancy Frizell,
Karan Hutchins
, Jean Marso, Sherrie Nugent, Terry Olson,
Peggy Ray
, Phyllis Uribe, Ray Coniglio, Mary Shelton,
Shirley Terry
, Lynanne Granado, Dee Crump, Martin Duffy, Toni Moses, Kim Muramoto,
April Settell
, Jody Wallace, Karin Whinery, Leslie Williams, Lynette Byerly, Connie
Concur, Karen Lindhorst, Nicola Hopkins, John Gentzel, Trish Evans, Vikki
Pope, Steve Boylls, Holly Hedegaard, Tracy Holmberg, Jason Cleckler
Phone
Attendance: Tracy Green, Melissa Skinner
Meeting
Minutes:
A quorum was established and meeting
minutes from January 2008 meetings were approved as written.
Treasurer’s
Report:
Treasurer's Report was provided to the
group.
Old
Business:
Web
based update on resource manual:
Update
on web-based resource manual-Mary
Shelton
The software used to create the current site is so old that an updated
version which may allow us to do what we want is not available. To make the site what we want will require rebuilding the entire site
from scratch. Mary feels she no
longer has the time to spend on a project that requires rebuilding and
recommends the group look for a web designer who can give us what we need. CTN has and will keep a web presence as we have an IP address, an
account with a hosting company and a domain name. These things will not change in terms of ownership or expense. It will be helpful to see who is doing websites for RETACs and other
non-profit organizations as these are less expensive than more commercial
(shopping cart) type web sites. It
is recommended that members review the January meeting minutes (on the
website) for a summary of what we think we want on the web site so we can
move forward. Meanwhile if you
come across a website you like let Phyllis or Mary know so we can see if we
can contact that person or agency for a quote.
December
Meeting:
The
group confirmed that December 5, 2008 is the date selected for the meeting,
location to be determined.
New
Business
Data Discussion:
There was a lengthy discussion with Dr. Hedegaard
regarding the change in ISS that has resulted from
the change from AIS 98 to
AIS 05 in terms of a general decrease in overall ISS. This will skew the volume criteria for Level I Trauma Centers as the
volume over the required ISS will decrease.
There was a discussion involving discrepancies in definitions between
requirements of CO data and the NTDB. Some
of those identified are:
Co-morbid factors of obesity, respiratory disease, kidney disease, liver
disease and preexisting spinal cord injury.
Another area which lends itself to
coding inconsistency between the AAAM and the State of
Colorado
is in the area of head injury with loss of consciousness.
The result of this discussion made evident the need for a training day with
Dr. Hedegaard. Phyllis and Dr.
Hedegaard will look at schedules and try to get some time set up for
training.Skip Tinnell
was briefly present and addressed tracking patients from one facility to
another by way of using a Trauma Base tracking number. This has been tried in the Central Mountain RETAC and without a
matched identifier they could only link 70% of their transfers. There is a field for this in the CO update for Trauma Base which
should make it easier. It was
pointed out that when a patient is transferred from a Level IV to a higher
level of care this is not possible as they do not download their data to the
state.
Fall Prevention Campaign Presentation
An excellent presentation was made to
the group prior to the meeting by the Tri County Health Department on their
pilot program, Fall Prevention Campaign, which targets fall prevention in
the elderly population. For more
information on this new injury prevention program please go to www.FallPreventionNetwork.com or contact Kim Horn at 303-846-6252, khorn@tchd.org or Gary Sky at 303-846-6245, gsky@tchd.org
Meeting adjourned at 1400
Future
meeting dates and locations are listed on the Home page.
January 9, 2008
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Friendly Version
Meeting Minutes
Members
Present: Phyllis
Uribe, Martin Duffy, Tracy Lauzon, Karan Hutchins, Jean Marso,
Mary Shelton,
Donovan Ehrman, Michelle
Bryzkiewicz, Tessa Meonier, Nancy Frizell, Sherrie Nugent, Terry Olson,
Peggy Ray, Shirley Terry, Dee Crump, Kathy Hoyland, Lori McDonald, Kim
Muramoto, Toni Moses,
Meeting
Minutes:
A quorum was established and meeting minutes
from September and December 2007 meetings were approved as written.
Treasurer’s
Report:
There have been no changes in our treasury
since the December meeting. The
bank statement for December has not been received to date.
Invoices for new membership and renewals will be sent out by
Karan Hutchins
and Phyllis Uribe. People who
signed up for AIS 05 course who also applied for CTN membership will
continue that membership through 2008. In
the past there was a lag time between the first of the year and the time
that renewals were received. Because
of this lag the time for membership was extended from March to March the
following year. Invoices for new
and renewal memberships can be forwarded to Grace Sandeno and she can send
them out to her e-mail group of coordinators and facilities.
Old
Business:
AAAM
Conference:
AAAM-AIS Course Certification (Phyllis Uribe)
As yet the AIS certifications or coding evaluations have been returned by
the AAAM either to the CTN mailing address or to individuals.
Phyllis will follow up on this Friday if they are not received by the
end of the week.
Coding
Classes:
The
group discussed the need and desire to reinstitute coding classes as we have
had in the past.
Dr. Holly Hedegaard led these classes and the CTN feel they are
important as they provide for consistent data entry and the relevance of the
reports.
Since there are more reports being done by Holly’s office it seems
even more important at this point.
Since the AIS 05 is now being used as of 1/1/08 the group felt like
we should wait a few months to make sure everyone’s system is updated
before we request a class.
CDM will update TraumaBase® upon a request to Doug Whitley.
He has been very prompt and helpful in getting systems updated and
the time it usually takes is 20-30 minutes, some rare exceptions were cited.
He can be reached at 303-670-3331 x 115.
Steve
Boylls was present at the meeting and will take the following concerns
of the group back to Dr. Hedegaard. Some of the concerns include:
The state vs. individual facilities downloading
to the National Trauma Data Bank and
the overlap of the patients submitted.
If the state is producing reports the focus
needs to be on the trauma system not the
individual facilities. The
reports available now each facility can compare itself against others of
the same level and system as a whole.
Data points have been changed effective the first of the year and it
is requested that those will be e-mailed out to all facilities.
Another question raised was the order of the diagnoses with the most
severe being entered first and less severe following that one, and
similarly the order of the procedures, does it make a difference?
Another concern is that some facilities that are downloading patients
are finding that some are going that shouldn’t and vice versa.
This is a question that can be addressed by CDM.
It is the interest of the group that when possible Skip Tinnell can
attend the April CTN meeting to address some of the questions of the
members. Please be prepared with specific issues for CDM in the April
meeting.
Secure
Web Link:
The website was originally built using FrontPage
2000. A questionnaire was
distributed at the December meeting to poll what members want the website to
provide for users. That same
questionnaire is available for download from the CTN website for feedback to
Mary.
Suggestions already submitted are to link to the document sent out by Grace
Sandeno’s office at CDPHE. This
will facilitate the updating process and provide the most current
information. Other contact
information may be just a general office phone number and e-mail address,
not individual e-mail addresses. Archived meeting minutes go back to 2001
and most of those can be put on a disc and stored in the safe deposit box at
the bank which we have. Current
agendas and meeting minutes should be kept on the site as well as the
application for membership. Current
minutes and resources should be password protected.
Other thoughts are to post a Bulletin Board for discussion among
members, a link to the list serve and a FAQ page.
Please add your input to this project so we can come up with a good,
helpful website.
CTN
Website Questionnaire
New
Business
New officers for
January elections:
Vice chair and treasurer positions are up for
re-election. Both Karan Hutchins
and Terry Olsen are willing to continue their positions for the next two
years but new nominations for these positions are being accepted.
Please e-mail Phyllis Uribe with nominations for vice chair and
treasurer if you are interested or know another member may be interested in
assuming these positions.
Meeting
dates in 2008:
Future
meeting dates and locations are listed on the Home
page.
December
7, 2007
Members
Present: Phyllis
Uribe, Martin Duffy, Tracy Lauzon, Karan Hutchins, Jean Marso,
Mary Shelton,
Donovan Ehrman, Michelle
Bryzkiewicz, Tessa Meonier, April Settell, Karin
Whinery
Meeting
Minutes:
Unable
to approve as there was not a quorum present
Treasurer’s
Report:
We have the registration money in our account
from the AIS 05 course however not all bills are in from AAAM as yet.
We paid for 10 additional participants and got the last outstanding
check from Montrose so with that all payments have been received. At
this point it looks like we are on budget for the AIS 05 training
conference.
In the past we have not had enough money in our account to be required to
file an IRS return as it did not exceed the amount necessary for a
non-profit to report. With the
AIS 05 training conference we went over $25,000 so we will have to file an
IRS return which we need to have completed by May.
Old
Business:
AAAM
Conference:
Update on AAAM course Nov 2007 (Phyllis Uribe
The course went very well at both locations.
Swedish had a night of networking between the 2 day course.
A few people were not able to come to the DH site who were signed up
which left 2 open seats that we were not able to fill.
The AAAM course was very good but has opened a lot of questions for
discussion. A topic for the
January meeting may be to have Holly come and talk about any new issues with
the AIS 05. Swedish has done an
experiment with coding in the AIS 98 and AIS 05 and preliminarily has found
there is a drop in ISS using the newer AIS.
It is particularly evident in patients with the diagnosis of head
injuries. This will be an issue
in the future with looking at the level I and II trauma centers and it will
be discussed in the new rules for level I and II trauma centers.
We may anticipate problems for those facilities who have surveys that
straddle the change over period of 2007 & 2008.
This affects children’s ISS levels more so than the adult ISS
scores. Jan Price would like to
be copied on coding questions that go out over the list serve so that group
can look at them. AIS changes
are based on more detailed injuries correlations.
The orthopedic section is more detailed so the documentation to
support the particular section of coding must be present in the chart to
code it accurately. We may work
around it by documenting what the physician says about the fracture in the
chart. A new
American
College
of Surgeons (ACS) requirement for level I and II for the ED will be to have
a ED boarded physician, and for pediatric ED’s would include a double
boarded physician, both ED and Pediatric.
Secure
Web Link:
The website was originally built using FrontPage
2000. That version of the
software did not allow for password protection of the site.
FrontPage is user friendly for web construction but has a lot of
additional html which require extensions to make it appear as it does on the
web. This can be a problem for
hosting servers and not all servers will host a site built with FrontPage.
Mary Shelton recommends rebuilding the site using another less
cumbersome software, Dreamweaver, and making changes as the group would
desire. It is a site for the
organization and consideration needs to be made by the organization as to
who it is intended to reach and what is included on the site.
The question as to what information should be viewed by members only
verses everyone in the world with a computer.
With these questions in mind please click the document link below to
view the questionnaire and e-mail Mary your thoughts about what you want on
the site. We will discuss the
results in the next meeting. Mary
is in a class to learn how to use the software and will need to purchase the
program to use for this purpose. The
members present at this meeting agree to support Mary in this endeavor.
CTN
Website Questionnaire
New
Business
New officers for
January elections:
Vice
chair and Treasurer positions terms are up for re-election in 2008.
Back
to Top
September
28, 2007
Printer Friendly Version
Members
Present: Phyllis
Uribe, Martin Duffy, Tracy Lauzon, Karan Hutchins, Peggy
Ray, Jean Marso
Phone
Attendance:
Lynn Andersen, Grace Sandeno, Sherri
Nugent, Darcy Cortez, Judy Edson, Dee Crump, Amy
Allen.
Excused:
Nancy
Frizell and Mary Shelton
Meeting
Minutes:
Approved
with no changes
Treasurer’s
Report:
The most recent
spreadsheet distributed.
Old
Business:
AAAM
Conference:
Both courses are completely full with thirty
registrants at each site. Initial fee has been submitted; AAAM will
invoice us later for the additional ten people.
The group agreed to have the CTN pay for the refreshments for afternoon
break if the cost cannot be managed within the original amount budgeted for
food. (The grant budget allowed $19/per person/per day to include
breakfast, morning break and lunch. An afternoon break was not
included as it was not listed on the schedule but the group agreed there
should be afternoon refreshments/drinks provided.)
Secure
Web Link:
At this time Mary is unable
to set up a password protected area of the web site. Pros and cons of
a members only area were reviewed
and the group feels it is still worth pursuing. The
group agreed that CTN funds will be allocated if necessary to have this done
or provide Mary with a resource to teach her to set it up. Karan will
check with the IT people at DHMC and Phyllis will check with the EMS web
site expert at HealthONE EMS to see if they can help as in-kind
donation. If not we will ask Mary to get it done and bill CTN for the
fee.
Resource
Manual/CD:
The web-based
resource manual has been on hold until a secure website area is
developed. For now Phyllis will make copies of the old CE and send it
to the new members who have requested information.
Many elements of a resource manual are available electronically from
other documents or items that have been sent in to Grace to share with the
list serve. Grace offered her office to collate the currently
available materials for us to review and update for inclusion.
Mentoring
Program:
The
group suggested several items that would be helpful when orienting new TNCs
or registrars.
Sherrie Nugent recently developed a checklist which she will share as a
starting point. A "frequently asked questions"
format will be attempted for information regarding site surveys and other
common elements. Grace offered her office to look
at the FAQ's currently
in place within the department and collate applicable questions
and answers for consideration. A small group will work on this.
If you wish to be in this group contact Phyllis
or call her at 303-788-5082.
New
Business
Physical
Address:
Information of Secretary
of State website regarding our physical address is listed as the CDPHE
address. There was a question regarding whether we change our address
or the listing on the website. It was decided that this address should
be changed to match our mailing address. Phyllis could not do this
online so the form to request the change was printed and sent to Karan to
mail in with a $10.00 fee.
Meeting
Change for 2008:
Meetings in
200/ will take place on the SEMTAC subcommittee day from 1230-1400.
Grace will work on obtaining a room. Lunch will be served to maximize
the time available for the meeting.
The group agreed to continue to hold a December meeting for our traditional
"white elephant" gift exchange.
Data Conference:
Members are interested in having Holly Hedegaard
present at least one (preferably two) classes in 2008 similar to previous
classes. We feel it will be particularly important that we discuss our
consistency and errors in coding because everyone will be changing to AIS05
in January 2008. Phyllis will discuss with Holly potential schedule
and her availability. Peggy Ray and Jean Marso offered to jointly host
the class at their new sites.
Round
Table:
The Children's Hospital move went well this
weekend.
Peggy Ray's husband, John, has a new business in Broomfield (Fast Signs)
making signs and customizing items for giving away at conferences etc.
Peggy brought examples of a nice water bottle he imprinted. Please
contact her if you have an ordering needs they can help with and she will
get you in touch with John.
The Children's Hospital will be having their annual pediatric trauma
conference on December 6 & 7 in their new conference center.
Memorial Hospital has recently opened
Memorial North. Lynn has written several policies to cover patient
transfers, how they monitor trauma etc; she offered to share them with
anyone in a similar situation.
Dee Crump reported that Parkview will
be opening a similar facility in Pueblo West; they are breaking ground soon.
Denver Health is beginning the
process of soliciting topics and speakers for the 2008 Emergency Medicine
and Trauma Conference to be held June 24-27, 2008 at Beaver Run. If
you have a topic or speaker in mind from your institution please contact a
committee member (Craig Gravitz, Deb Carpenter, Chris Colwell, Phyllis
Uribe, Ray Coniglio or Peggy Ray)
Phyllis introduced Martin Duffy, a
new TNC at Swedish. Martin has both ED and critical care background
and we are delighted to have him join our team.
Cris Geist is no longer at TMCA due
to some restructuring. She plans to look for a position closer to home
and may change specialties. The group wishes her well.
Tracey reported that Tessa Munoz will
join her at TMCA as a part time TNC beginning Monday., We look forward
to meeting her.
Amy reported that Dr. Deaver has
stepped down as Trauma Medical Director in Durango. Dr. Stern will be
taking his place.
February
23, 2007
Printer
Friendly Version
Members
Present: Jean
Marso, Mary Shelton, Shirley Terry, Theresa Dorsey, Don Ehrman, Terry Olson, Cris
Geist, Phyllis Uribe, Kathy Hoyland, Chris Duran, Sherri
Nugent, Craig Gravitz, Margie McElroy, Kim Muramoto,
April Settell, Lynanne Granado, Karin Whinery.
Guests:
Dr. Holly Hedegaard, CDPHE, Nancy Canty and Skip
Tinnell, CDM.
Phone
Attendance:
Nancy Frizell, Nicola Hopkins, Peggy Ray, Dee Crump
Excused:
Karan
Hutchins
Quorum:
Yes
Meeting
Minutes:
December
1, 2006 meeting minutes were approved.
Membership cards were distributed at the meeting for all those who have paid
dues.
Treasurer’s
Report:
The most recent
spreadsheet distributed.
Old
Business:
Secure
Web Link:
Mary Shelton has not worked
on this yet.
Resource
Manual/CD:
The
documents are in the process of being classified as to the Trauma Center
levels. These will be completed and put on the web site in the secure
area.
Mentoring
Program:
Don Ehrman sent letters out to review
information as to who is willing to help other coordinators by phone verses
those who wish to obtain a membership packet with a CD. The packets
are not together at this time. We need to meet and formalize the
program. This may best be accomplished by adding subcommittee groups
to the meeting as we have done in the past.
New
Business
Meeting
Structure:
There has been some
confusion about the meeting times in the past. There was a general
discussion regarding the length of the meeting. We need to decide what
we want to accomplish in the meetings.
It was offered by Kim that the meeting be kept to 2 hours including
education unless there is a specific education presentation that would take
longer. Nancy suggested
that the afternoon following the SEMTAC may be good for those who have to
travel. At present the length of the SEMTAC is somewhat
varied. It was also suggested that the meeting be held on the
subcommittee meeting day, the day before the SEMTAC, may be
a better choice. It may be possible to survey the group to see if
there is an open time that the group
would like to meet at the time of one of the scheduled subcommittee
meetings. Public policy doesn't always meet and that is block of time
that could be a consideration. Space at the CDPHE
may be another issue. When an educational presentation is offered that
could present another problem. Holly offered that there may be another
place close to the CDPHE that we can use. Phyllis will survey the
group for member feedback.
New
Projects:
We
want to focus more on professional education that will help us with our
daily job. Pam Bourg has requested that CTN sponsor another TOPIC
seminar. In the past the CTN has not contributed much in the way of a
financial commitment other than the travel for speakers. In the last
course CTN sponsored Denver Health managed the registration aspect and that
was difficult but they will help in obtaining a space if we were to go
forward with the project. We could consider attaching it to another conference
the AIS course for example, as the Rocky Mountain conference has a CDM course
and an AIS course already offered consecutively with it. Craig bought
attention to the first draft of the agenda for the Rocky Mountain
Emergency and Trauma Conference was out today.
Pre-hospital
Trip Report CQI Project:
Holly Hedegaard explained the trip report project
history which was done as a pilot study and in its present state is not
publishable. The way is was done may not have been a good
representation of the trip report compliance in the entire state.
Timeliness may have been a factor as to whether it was followed as closely
on the weekend was a question and the fact that it only involved trauma
patients and not all ED patients who arrive by EMS may skew the
results. If this study were to be repeated it would be a good idea to
add the ISS of the patients included in the study. It is possible to
wait until discharged for the patients to get included in the study.
It is possible to wait until discharge for the patients to get the ISS out
of the data base. The tracking number can be used so Holly can link
the data after she receives it. It will not be announced in advance of
the data collection date for the study and the group felt it was feasible to
repeat the study and prospective dates were discussed. The excel file
format used before can be used again. It may be useful to provide the
number of agencies and we may want to add degree of completion of the trip
reports. In the previous study the full trip report was all that was
recorded. There are a fail number of people from this group who are
willing to participate in the study. Linda Underbrink or Shirley Terry
will communicate further information by e-mail to the group.
Compliance rates are high after 48 hours but not as much in the first 24
hours following patient arrival in the ED. Patient care reports for
transfers and direct admits often are not left with the patient just those
patient reports that are transports from the scene. Shirley requested
a commitment as to how many facilities will participate from the Mile High
RETAC.
In Memory:
Jill Allen, the first trauma registrar in the State of
Colorado, died recently. There is a w2eb site that people who knew her
can access to add stories about her life that will provide memories for her
family. She has worked at many facilities in the beginning stages of
the Colorado Trauma program who needed her help. She was ill for quite
some time and has been living in Texas and has children in middle and high
school A web site has been set up to share memories of Jill with her
family. This is accessed at www.legacy.com
enter Jill Allen and look for the name Jill Jeannine Allen. Click on
Guest Book and follow directions from there.
Announcements:
Shirley Terry: Decontamination training may
be offered in June and there is $29,000 from the Homeland Security grant for
this project. A grant for all-in-one fax/printers for all the ED s in
the North Central region has been submitted. There is a grant for EMS
caches which will be kept in a warehouse and is climate controlled that is
close to completion. There is $120,000 available for hospital medical
personnel training as well as the backfill for training. There will be
a cap per hour for each position, i.e. RN, MD, etc. There has also
been grant money allocated for Radiation detectors and they are all
in. Safety officers will be writing the policies for their use and
there will be a half day training in the use of the detectors. Each
hospital will receive a detector and a DVD concerning their use. There
is also a grant for the purchase of an inventory system which can be a
computer program for hospital and EMS. There is also a patient
tracking system for use by EMS and that will go into the CH standard.
Two systems are being tested which are mobile and along wit this there is a
satellite phone and all users can get these. It is predicted that the system
will by 99% effective. The Trauma Care Coalition Preservation was
passed at the local government level and will be moved to the Senate
Appropriations Committee next week. Approval of this legislation may
bring trauma funding back.
Chris Duran announced the Health ONE
day and a half conference which features national keynote speakers. Brochures
were distributed and more information is available on the HealthONE website
as a link. It will be held on the 13th and 14th of April.
Chris Geist announced that Medical
Center of Aurora has the Trauma Program Director position
available.
Skip Tinnell announced that CDM has
added changes in the next update for the AIS 05.
AAAM Conference:
Nancy Frizell announced that Robert Walker has sent
information to the AAAM personnel. To guarantee the promised
conference dates with the organization we need to pay $15,000 shortly before
the class dates. The results of the CDC grant may be known by the end
of March. Grace Sandeno has indicated that there may be other funds
that can be accessed to help support the project. We don't want to be
in a situation to commit to the dates with the AAAM until we have an answer
on funding. There will be an AIS class at the Rocky Mountain
conference that overlaps the dates of the conference and following the CDM
conference. It is hoped that this may attract people at the conference
from out of state. CDM will encourage Colorado people to attend the
local conference we anticipate sponsoring. The question was raised concerning
the registration process. Phyllis has offered the Swedish Medical
Center trauma office to assist with registration. The CTN mail
presently goes there and they have the support staff who can assist with the
process. The subcommittee will do a phone conference call after we
hear about the CDC grant. Skip has checked with AAAM and currently
there are not many registrants and there is one Colorado person who has
registered. Jan Price will be teaching the June class and she is
scheduled to teach the one in November also.
Version
7 Trauma Base:
Skip Tinnell provided an overview of the new Version 7
for the group as the educational presentation.
2007
Meeting Information:
June 20, 2007 (during the Rocky Mountain Trauma Conference, time to be
determined)
September 28, 2007, 10 AM
December 7, 2007, 10 AM
All meetings will be held at the Medical
Center of Aurora EMS Office with the above exception.
The meeting will be a general meeting and will start at 10:00 AM.
If there are subcommittees or the board needs to meet this will be
done immediately following the general meeting.
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