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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.

TSE Incident GraphicA 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. 

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.  

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. 
We all know family or friends who suffered from a heart attack, stroke or trauma. Developing a statewide Time Sensitive Emergency system of care for Idaho is a huge endeavor, but one that can reduce preventable deaths and improve the quality of life for survivors. Legislation has been enacted to develop the foundation for a comprehensive Idaho TSE program. Idaho is now in the beginning stages of a years-long process for full development of this system of care. Initial efforts have established a governor-appointed TSE Council. Regional committees, rule promulgation, and updates to the existing trauma registry to include heart attack and stroke data are under development now. For information on how to get or stay involved, email TSE@dhw.idaho.gov.

TSE Program Contacts


Name 

Organization

Contact Information

Wayne Denny

Bureau Chief

Idaho Dept. of Health and Welfare
Division of Public Health 
Bureau of EMS & Preparedness 

dennyw@dhw.idaho.gov
or
208-334-4000

Erin Shumard

Program Specialist

Idaho Dept. of Health and Welfare
Division of Public Health
Bureau of EMS & Preparedness

shumarde@dhw.idaho.gov
or 
208-334-4000

 Nicole Noltensmeyer

Administrative Assistant 

Idaho Dept. of Health and Welfare
Division of Public Health
Bureau of EMS & Preparedness

noltensn@dhw.idaho.gov
or 
208-334-4000

 

TSE Council Members

 

Council Member  Council Seat 
Dr. Bill Morgan - Medical Director Trauma Services, Saint Alphonsus Health System
One representative from a facility that either holds or is seeking designation as an Idaho trauma center. Representatives may be either the medical director, coordinator or program manager responsible for their respective facility’s trauma program.
Jami Thomas, RN – Stroke and Cardiovascular Care Coordinator, Eastern Idaho Regional Medical Center
One representative from a facility that either holds or is seeking designation as an Idaho stroke facility. Representatives may be either the medical director, coordinator or program manager responsible for their respective facility’s stroke program.
Dr. Marshall F. Priest – St. Luke’s Regional Medical Center
One representative from a facility that either holds or is seeking designation as an Idaho heart attack center. Representatives may be either the medical director, coordinator or program manager responsible for their respective facility’s heart attack program.
Harry Eccard – Deputy Director, Ada County Paramedics
One representative from an EMS agency licensed by the department that serves a primarily urban response area.
Bill Spencer – Manager, Syringa Hospital and Clinics Ambulance
One representative from an EMS agency licensed by the department that serves a primarily rural response area.
Mike McGrane – Director, Air St. Luke’s
One representative from an air medical EMS agency licensed by the department.
Jon Ness – CEO, Kootenai Health
The administrator of an Idaho hospital that either holds or is seeking Idaho trauma, stroke or heart attack designation.
Carl Hanson – Administrator, Minidoka Memorial Hospital
The chief executive officer or administrator of an Idaho critical access hospital that that either holds or is seeking Idaho trauma, stroke or heart attack designation.
Greg Vickers – Trauma Program Manager, Portneuf Medical Center
One licensed health care provider who routinely works in the emergency department of a hospital that serves a primarily urban area that either holds or is seeking trauma, stroke or heart attack designation.
Dr. Kelly McGrath – Clearwater Valley Hospital & Clinics
One licensed health care provider who routinely works in the emergency department of a hospital that serves a primarily rural area that either holds or is seeking trauma, stroke or heart attack designation.
Drew Forney, retired
One Idaho citizen with an interest in furthering the quality of trauma, stroke and heart attack care in Idaho.


 

Upcoming Meetings

Sept 4, 2014
Oxford Suites
1426 S Entertainment Ave
Boise

Agenda

Sept 23, 2014
SpringHill Suites Parkcenter
424 E Parkcenter Blvd
Boise
Agenda-TBA

Oct 14, 2014
Oxford Suites
1426 S Entertainment Ave
Boise
Agenda-TBA

Oct 28, 2014
SpringHill Suites Parkcenter
424 E Parkcenter Blvd
Boise
Agenda-TBA