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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

Nicole Noltensmeyer
Program Specialist

 Beth Sturdevant
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
Angie Jackson, 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.

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

Performance Improvement
Patient Safety(PIPS)
 Trauma Program Operation
 Process Performance
PIPS Presentation/Overview*
PIPS Program Handbook
Trauma Medical Review Form
Primary Review Form
Secondary Review Form
Tertiary Review Form

Regional Committee Information

Upcoming Meetings

Meeting TBD
Agenda TBD

Meeting Minutes

January 27, 2015
February 20, 2015
March 20, 2015
April 17, 2015
May 15, 2015
July 17, 2015
Upcoming Meetings

Meeting TBD

Agenda TBD

Meeting Minutes

November 4, 2014
November 24, 2014
January 27, 2015
March 17, 2015
June 16, 2015
July 18, 2015

Upcoming Meetings

Thursday, February 18

Canyon County Paramedics
60016 Graye Ln. Caldwell Training Rooms A&B

Agenda TBD


Meeting Minutes

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

Wednesday, February 10

Portneuf Medical Center - Pebble Creek Conference Room

4 pm - 5:30 pm



Meeting Minutes

February 18, 2015
May 5, 2015
June 10, 2015
October 14, 2015
November 17, 2015
December 9, 2015
Upcoming Meetings

Meeting TBD

Agenda TBD

Meeting Minutes

February 19, 2015
April 28,2015
June 18, 2015
October 27, 2015
November 19, 2015

Statewide Meetings and Minutes