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January 22, 2017

Idaho Time Sensitive Emergency

In 2016 the TSE Council updated their TSE Standards Manual which included minor changes.  The draft TSE Standards Manual can be found HERE and is version 2017-1.  Due to being incorporated by reference in the TSE Rules, IDAPA 16.02.01 the proposed rule changes are listed in the October - Idaho Administrative Bulletin and once approved, will go into effect on July 1, 2017.

November 8, The TSE Council approved and designated Kootenai Health in Coeur d'Alene as a Level II Trauma center.

October11, The TSE Council approved Clearwater Valley Hospital in Orofino as a Level IV Trauma center and Teton Valley Hospital in Driggs, as a Level IV trauma center.

September 13th- The TSE Council approved and designated Eastern Idaho Regional Medical Center- Idaho Falls as a Level II Stroke Center and a Level I STEMI center.

August 9th- The TSE Council approved and designated St. Luke's Boise, and St Luke's Meridian as Level II Stroke Centers.

July 12th- The TSE Council approved and designated Lost Rivers Medical Center in Arco as a Level IV Trauma Center. The TSE Staff wants to congratulate them for becoming the first Critical Access Hospital in Idaho to become designated. 

June 14th - The TSE Council approved and designed St. Luke's Boise Medical Center and St. Luke's Meridian Medical Center as Level I STEMI Centers.   

April 12th - The TSE Council approved and designated Saint Alphonsus - Boise, as a Level I STEMI center.

March 8th - The TSE Council approved and designated two Level II trauma centers, Eastern Regional Idaho Medical Center- Idaho Falls, and Saint Alphonsus Regional Medical Center- Boise. 

February 9th - The TSE Staff would like to congratulate Saint Alphonsus - Boise in becoming the first Idaho TSE designated center.  Saint Alphonsus Boise has been designated by the TSE Council as an Idaho TSE Level II (Primary) Stroke Center.    The TSE Council approved their new logo.

January 28 - Idaho Legislature approved the final rules for Time Sensitive Emergency System.  

The Idaho TSE system is modeled on evidence-based care, that addresses public education and prevention, 911 access, response coordination, pre-hospital response, transport, hospital emergency/acute care, rehabilitation and quality improvement. The TSE program creates a seamless transition between each level of care and integrates existing community resources to improve patient outcomes and reduce costs. It will get the patient to the right place in the right time to the right care.

TSE Brochure

TSE Program Contacts

Bureau Staff Member

Contact Information

Christian Surjan

Program Manager


Tauscha Huerta

Program Specialist


Maegan Kautz

Administrative Assistant




TSE Council Members


Council Member  Council Seat 
Dr. Bill Morgan - Medical Director Trauma Services, Saint Alphonsus Health System
Representing a facility seeking trauma designation
Jami Thomas, RN – Stroke and Cardiovascular Care Coordinator, Eastern Idaho Regional Medical Center
Representing a facility seeking stroke designation
Dr. Marshall F. Priest – St. Luke’s Regional Medical Center
Representing a facility seeking STEMI designation
Harry Eccard – Deputy Director, Ada County Paramedics

Representing Urban EMS
Bill Spencer – Manager, Syringa Hospital and Clinics Ambulance
Representing Rural EMS
Mike Weimer – Regional Director, Life Flight Network

Representing Air Medical EMS
Casey Meza – Executive Director, Kootenai Health
Administrator of facility seeking designation
Brad Huerta – Administrator, Lost Rivers Hospital
Administrator of CAH seeking designation
Greg Vickers – Trauma Program Manager, Portneuf Medical Center
ED staff member from facility seeking designation
Dr. Kelly McGrath – Clearwater Valley Hospital & Clinics
ED staff member from CAH seeking designation
Drew Forney, retired

Chris Way - Chief Officer, Kootenai County EMS

TSE Region 1 Chair
Shelli Triplett, RN - Regional Program Coordinator, St. Joseph Regional Medical Center
TSE Region 2 Chair
Dr. John Mayberry - Saint Alphonsus Health System

TSE Region 3 Chair
Dr. Kevin Kraal - Saint Luke's Magic Valley Medical Center

TSE Region 4 Chair
Dennis Carlson - Service Lines Director, Portneuf Medical Center

TSE Region 5 Chair
Dr. Brian O'Byrne - Eastern Idaho Regional Medical Center

TSE Region 6 Chair


The following guiding principles are the foundation for the TSE system:
  • Provide nationally accepted evidence-based practices to time sensitive emergencies;
  • Ensure that standards are adaptable to all providers wishing to participate;
  • Ensure that designated facilities institute a practiced, systematic approach to time sensitive emergencies;
  • Reduce morbidity and mortality from time sensitive emergencies;
  • Design inclusive systems for time sensitive emergencies;
  • Participation is voluntary; and
  • Data are collected and analyzed to measure the effectiveness of the system. 

The Idaho Legislature passed HCR 10 in 2013 to form a workgroup to define the elements of a TSE program, including funding mechanisms and an implementation plan. The workgroup was responsible for drafting legislation for consideration by the 2014 Legislature to form an Idaho TSE program.

The 45-member workgroup, comprised of a variety of stakeholders, including emergency medical service providers, hospitals, healthcare providers, public health, health insurers, rehabilitation providers, legislators and community members, met from May through December creating the system and the legislation to present to the 2014 Legislature. On March 19, 2014, Governor Otter signed Senate Bill 1329aa into law.  

Idaho Statute Title 56 Chapter 10 Subsection 24-30 gives the TSE Council authority to write rules governing the statewide TSE system. The Council has begun meeting and hopes to have rules ready for the 2015 legislative session.  

This page contains the TSE Resource Toolkits/Facility Applications for designation.   We included specific information and guides for Performance Improvement Patient Safety, and Trauma Program Operation Process Performance Committee programs.

TSE Designation/Survey fee chart

Please note, that some of these are still in progress and are denoted by an *.

Trauma Center STEMI(Cardiac Center)  Stroke Center
Level I*
Level II
Level III
Level IV
Level V

Pediatric Level I*
Pediatric Level II*
Level I
Level II

Level I
Level II
Level III

Waiver Application
Performance Improvement
Patient Safety(PIPS)
 Trauma Program Operation
 Process Performance
Trauma Activation Fee (68X)
Developing a PIPS program
PIPS Program Handbook
Trauma Medical Review Form
Primary Review Form
Secondary Review Form
Tertiary Review Form
TPOPPC Guide Determining Trauma Activation Fee
Trauma Codes FAQ
CMS 68X (page 12)
CMS Manual System (page 90,91)

Below is the list of current TSE designated centers updated on 11/1/2016.

The Idaho Time Sensitive Emergency program is actively soliciting site surveyors.  We are interested in physicians and RN/program managers who are active within trauma, neuro, and cardiac specialties. The minimum requirements can be found below.    If you are interested in becoming a site surveyor, please contact Xenya Poole at 208-334-4634 or

Physician Surveyor Job description

RN/Program Manager Job description

Surveyor Application
Below you will find educational items that were created by the Idaho TSE Regions, and approved for distribution by the Idaho TSE Council.   

Prevent Stroke

Regional Committee Information

Upcoming Meetings

Friday, January  20

Kootenai Health -Board Room

10 am - 12 pm


*Meetings are held on third Friday of every other month.

Meeting Minutes

November 18, 2016 - Draft

September 16, 2016 

July 15, 2016 

May 20, 2016 
March 18, 2016
January 21, 2016
November 20, 2015
July 17, 2015
May 15, 2015
April 17, 2015
March 20, 2015
February 20, 2015
January 27, 2015

Upcoming Meetings

Tuesday, November 22

St. Mary's Hospital

701 Lewiston Street
Cottonwood, ID

2 pm - 4 pm
Upcoming Meetings

Thursday, January 19

Canyon County Paramedics

6116 Graye Ln, Caldwell

7:00 am - 9:00 am


*Meetings are held on the third Thursday of every month.

Meeting Minutes

November, 17, 2016 - Draft

October 20, 2016

September 15, 2016

August 19, 2016 

June 16, 2016
May 19, 2016
March 17, 2016
February 18, 2016
January 2016
December 17, 2015
November 19, 2015
September 17, 2015
August 20, 2015
July 16, 2015
June 18, 2015
March 19, 2015
February 19, 2015
January 15, 2015

Upcoming Meetings

Wednesday, January 4

St. Luke's Magic Valley Regional Medical Center

801 Pole Line Rd W, Twin Falls

2 pm - 4 pm


*Meetings are held on the first Wednesday of the month


Meeting Minutes

October 5, 2016

September 7, 2016 

July 6, 2016

April 6, 2016
January 6, 2016
November 4, 2015
October 7, 2015
September 2, 2015
June 4, 2015
May 13, 2015
April 1, 2015
February 4, 2015
January 6, 2015

Upcoming Meetings

Thursday, January 26

Portneuf Medical Center-  Pocatello

PMC Conference Room

4 pm - 5:30 pm

Agenda TBD

*Meetings are held on the second Wednesday of every month


Meeting Minutes

March 9, 2016
January 13, 2016
December 9, 2015
November 17, 2015
October 14, 2015
June 10, 2015
May 5, 2015
February 18, 2015

Upcoming Meetings


Thursday, January 19

Eastern Idaho Publich Health District
1250 Hollipark Dr., Idaho Falls

10:00 am - 12:00 pm

Agenda TBD

*Meetings are held on the third Thursday of every month

Meeting Minutes


August 18, 2016 - Draft

June 16, 2016

March 17, 2016
February 25, 2016
January 21, 2016
November 19, 2015
October 27, 2015
June 18, 2015
April 28, 2015
February 19, 2015