February
23, 2007 September
28, 2007 December
7, 2007
January 9, 2008
Printer
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.
Back to
Top
