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Idaho Time Sensitive Emergency

The 2014 Idaho Legislature approved and funded a plan to develop a statewide Time Sensitive Emergency system of care that will include three of the top five causes of deaths in Idaho: trauma, stroke and heart attack. Studies show that organized systems of care improve patient outcomes, reduce the frequency of preventable death and improve the quality of life of the patient.
Link to TSE Brochure

A TSE system of evidence-based care addresses public education and prevention, 911 access, response coordination, pre-hospital response, transport, hospital emergency/acute care, rehabilitation and quality improvement. A 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 with the right care.

The TSE Council has begun meeting and is already hard at work developing the rules for the statewide system. 

TSE Brochure

TSE Program Contacts

Bureau Staff Member

Contact Information

Wayne Denny
Bureau Chief

Christian Surjan
Program Manager

Erin Shumard
Program Specialist

 Nicole Noltensmeyer
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 McGrane – Director, Air St. Luke’s

Representing Air Medical EMS
Jon Ness – CEO, Kootenai Health
Administrator of facility seeking designation
Carl Hanson – Administrator, Minidoka Memorial 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



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.  

Regional Committee Information

Upcoming Meetings

Friday, April 17
Kootenai Health Boardroom(Kootenai Services Building)
10 am - 12 pm PST
Agenda TBD

Meeting Minutes

January 27, 2015
February 20, 2015
March 20, 2015-Draft
Upcoming Meetings

Tuesday, April 28
Gritman Medical Center
2-4 pm

Agenda TBD

Meeting Minutes

November 4, 2014
November 24, 2014
January 27, 2015
March 17, 2015-Draft
Upcoming Meetings

Thursday, April 16
St. Luke's Meridian-Bannock/Cheyenne Rooms
520 S. Eagle Road

Agenda TBD


Meeting Minutes

January 15, 2015
February 19, 2015
March 19, 2015-Draft
Upcoming Meetings

Wednesday, April 1
St Luke's Wood River -Baldy Rooms
2 pm - 4 pm



Meeting Minutes

January 6, 2015
February 4, 2015-Draft
Upcoming Meetings

Thursday, April 7
Portneuf Medical Center
Time TBD

Agenda TBD


Meeting Minutes

February 18, 2015-Draft
Upcoming Meetings



Meeting Minutes

February 19, 2015-Draft

Proposed Stroke and STEMI Standards (New!)

Below are the TSE Councils proposed standards for Stroke and STEMI centers. Please read them and send us your comments. The Council requests feedback (especially regarding those sections highlighted in yellow) on or before April 7. Comments may be submitted by emailing

Comprehensive Stroke (Level I)
Primary Stroke (Level II) - 3/10/15
Acute Stroke Ready (Level III) - 3/10/15
STEMI Receiving (Level I)
STEMI Referring (Level II)

Statewide Meetings and Minutes

April 14, 2015

Oxford Suites
1426 S Entertainment Ave Boise
9 am - 5 pm

Agenda TBD

TSE Council meetings-Second Tuesday of every month


July 9, 2014
July 29, 2014
September 4, 2014
October 14, 2014
October 28, 2014
November 12, 2014
December 16, 2014
January 13, 2015
February 10, 2015
March 10, 2015 - Draft