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May 25, 2017

Idaho Time Sensitive Emergency

In 2016 the TSE Council updated their TSE Standards Manual which included minor changes. The 2017-1 TSE Standards Manual can be found HERE. 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.


March 14, 2017: The TSE Council approved and designated the following facilities:
St. Luke's Nampa Medical Center as a Level II STEMI Center
St. Luke's Fruitland Medical Center as a Level II STEMI Center 

February 14, 2017: The TSE Council approved and designated the following facilities: 
Teton Valley Hospital as a Level II STEMI Center & Level III Stroke Center
Bonner General Health and Hospital in Sandpoint as a Level IV Trauma Center
Boundary Community Hospital in Bonners Ferry as a Level IV Trauma Center

November 8, 2016: The TSE Council approved and designated Kootenai Health in Coeur d'Alene as a Level II Trauma Center.

October 11, 2016: 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 13, 2016: The TSE Council approved and designated Eastern Idaho Regional Medical Center in Idaho Falls as a Level II Stroke Center and a Level I STEMI Center.

August 9, 2016: The TSE Council approved and designated St. Luke's Boise and St Luke's Meridian as Level II Stroke Centers.

July 12, 2016: The TSE Council approved and designated Lost Rivers Medical Center in Arco as a Level IV Trauma Center. The TSE Staff would like to congratulate them for becoming the first Critical Access Hospital in Idaho to become TSE designated. 

June 14, 2016: The TSE Council approved and designated St. Luke's Boise Medical Center and St. Luke's Meridian Medical Center as Level I STEMI Centers.   

April 12, 2016: The TSE Council approved and designated Saint Alphonsus Regional Medical Center - Boise as a Level I STEMI Center.

March 8, 2016: The TSE Council approved and designated two Level II Trauma centers, Eastern Regional Idaho Medical Center in Idaho Falls and Saint Alphonsus Regional Medical Center - Boise. 

February 9, 2016: The TSE Staff would like to congratulate Saint Alphonsus Regional Medical Center - 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, 2016: 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
christian.surjan@dhw.idaho.gov
208-334-6564
Tauscha Huerta
Program Specialist
tauscha.huerta@dhw.idaho.gov
208-334-2124
 Maegan Kautz
Administrative Assistant
maegan.kautz@dhw.idaho.gov
208-334-4904

 

TSE Council Members

Council Member

Council Seat

Dr. Bill Morgan - Medical Director Trauma Services, Saint Alphonsus Regional Medical Center (Chairman)
Representing a facility seeking trauma designation
Dr. Ondrej Choutka - Saint Alphonsus Regional Medical Center
Representing a facility seeking stroke designation
Dr. Marshall F. Priest – St. Luke’s Regional Medical Center (Vice-Chair)
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
Todd Putren – Executive Director Critical Care and Emergency Services, 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
Citizen
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
Jana Perry, RN - Saint Alphonsus Regional Medical Center
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
  • 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
Committee(TPOPPC)    
           
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 3/17/2017.

 

Name Trauma Stroke STEMI
Saint Alphonsus Regional Medical Center - Boise Level II Level II Level I
Eastern Idaho Regional Medical Center - Idaho Falls Level II Level II Level I
St. Luke's Boise Medical Center - Boise   Level II Level I
St. Luke's Meridian Medical Center - Meridian   Level II Level I
Lost Rivers Medical Center - Arco Level IV    
Clearwater Valley Hospital - Orofino Level IV
Teton Valley Hospital - Driggs Level IV Level III Level II 
Kootenai Health - Coeur d'Alene Level II    
St. Luke's Magic Valley Medical Center - Twin Falls   Level II  
Boundary Community Hospital - Bonners Ferry  Level IV     
Bonner General Health & Hospital - Sandpoint Level IV     
St. Luke's Nampa Medical Plaza - Nampa     Level II
St. Luke's Fruitland Medical Plaza - Fruitland     Level II

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
Tauscha Huerta at (208) 334-2124 or tauscha.huerta@dhw.idaho.gov


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

Equestrian Trauma Prevention 2016

Teens and Driving Prevention 2016

Tranexamic Acid (TXA) Use

Transfers at the End of Life

Regional Committee Information

Upcoming Meetings

Friday, May 19th
10 am - 12 pm
Agenda

Kootenai Health
Board Room
Kootenai Health Way
Coeur d'Alene, ID 83814

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

Meeting Minutes

March 17, 2017
January 20, 2017
November 18, 2016
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, May 23rd
2 pm - 4 pm
Agenda

Gritman Medical Center
3rd Floor Boardroom
700 S. Main Street
Moscow, ID 83843

*Meetings are held on fourth Tuesday of every other month.

Meeting Minutes

January 24, 2017

November 22, 2016
July 26, 2016
May 24, 2016
March 22, 2016
July 18, 2015
June 16, 2015
March 17, 2015
January 27, 2015
November 24, 2014
November 4, 2014

Upcoming Meetings

Thursday, June 15th
7:00 am - 9:00 am
Agenda TBD

St. Luke's Hospital - Meridian
Paiute Room
520 S Eagle Rd
Meridian, ID 83642

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

Meeting Minutes

April 20, 2017
March 16, 2017
January 19, 2017
November, 17, 2016
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, June 7th
1 pm - 4 pm
Agenda TBD

St. Luke's Wood River Medical Center
100 Hospital Dr.
Ketchum, ID 83340 

*Meetings are held on the first Wednesday of every other month

Meeting Minutes

January 4, 2017 
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

Wednesday, June 14th
4 pm - 5:00 pm
Agenda

Portneuf Medical Center
Building C
957 Hospital Way
Pocatello, ID 83201

*Meetings are held on the second Wednesday of every month

Upcoming Meetings

Thursday, June 15th
10:00 am - 12:00 pm
Agenda TBD

Eastern Idaho Public Health District
1250 Hollipark Dr.
Idaho Falls, ID 83401

*Meetings are held on the third Thursday of every month

Meeting Minutes
 

March 18, 2017
January 19, 2017
August 18, 2016
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