Governor's EMS and Trauma Advisory Council (GETAC) Stroke Committee Meeting Department of State Health Services (DSHS) Agenda

June 7, 2023 - 2:30 pm

DoubleTree by Hilton Austin, Phoenix Central Ballroom
6505 N Interstate 35, Austin, TX
78752
United States

Agenda
Governor's EMS and Trauma Advisory Council (GETAC)
Stroke Committee Meeting 
Department of State Health Services (DSHS)

Wednesday, June 7, 2023
2:30 PM – 4:00 PM
DoubleTree by Hilton Austin, Phoenix Central Ballroom
6505 N Interstate 35
Austin, TX 78752

This meeting will be conducted live and virtually through Microsoft Teams.

Virtual meeting links are posted to the GETAC webpage at 
www.dshs.texas.gov/dshs-ems-trauma-systems/governors-ems-trauma-advisory-council.

Robin Novakovic, MD, Chair
Karen Pickard, RN, LP, and Scott Lail, EMT-P, FL-C, Council Liaisons
Jorie Klein, RN, Joseph Schmider, DSHS

Call to Order – Robin Novakovic, MD, Chair

Reading of the GETAC Vision and Mission Statements – Robin Novakovic, MD, Chair

GETAC Vision:
A unified, comprehensive, and effective Emergency Healthcare System

GETAC Mission:
To promote, develop, and advance an accountable, patient-centered Trauma and Emergency Healthcare System.

Review and approval of March 7, 2023, minutes – Robin Novakovic, MD, Chair

Report from Chair – Robin Novakovic, MD, Chair

GETAC Chair comments – Alan Tyroch, MD, GETAC Chair

EMS/Trauma Systems Update – Jorie Klein, MSN, MHA, BSN, RN, EMS/Trauma Systems Director; Joseph Schmider, State EMS Director; Elizabeth Stevenson, RN, Designation Program Manager

Discussion and possible action on the following items:

 

  1. GETAC Stroke Committee Work Groups reports
    1. Stroke System of Care
      1. Update from Dr. Stuart Fraser, leading the pediatric task force on prehospital triage/management and stroke facility criteria recommendation
      2. Stroke Program Infrastructure Recommendation
      3. Recommendation to endorse Stroke Coordinator certification and educational courses
      4. Discuss opportunities for Stroke Coordinator mentorship
    2. Triage and Transport
      1. Mission Lifeline Stroke Triage Algorithm
        • Vote for Stroke Committee endorsement
      2. Update Stroke Terminology
        • Feedback from GETAC EMS Medical Directors Committee and Regional Advisory Councils (RACs)
        • Proposals to understand delays in door-in-door-out (DIDO) for a stroke patient
      3. Update 15-minute goal for hospital-to-hospital EMS pickup
    3. Performance Improvement
      1. Update on the Texas RAC Data Collaborative (RDC) – Eric Epley and Tracee Rose
      2. Update on recommendations for National EMS Information System (NEMSIS) required data fields
        • Feedback from GETAC EMS Medical Directors Committee and Regional Advisory Councils (RACs)
      3. Stroke quality performance for Texas presentation from Get With The Guidelines (GWTG)
        • GWTG - a hospital-based quality improvement initiative created by the American Heart Association and the American Stroke Association (ASA)
        • Stroke Committee make recommendation and approve the performance measures for quarterly report
      4. Texas System Performance Improvement Plan and recommended stroke outcome measures.
    4. Education
      1. Update from work group
      2. Highlight stroke education resources
      3. National EMS survey results
    5. Research
      1. Update from work group
  2. Stakeholder Report: Texas Council on Cardiovascular Disease and Stroke

General Public Comment: Comment time may be limited at Chair's discretion.

Summary of action items for GETAC meeting report – Committee Members

Announcements – Robin Novakovic, MD, Chair

Review and list agenda items for next meeting – Robin Novakovic, MD, Chair

Future meeting dates – Robin Novakovic, MD, Chair

Adjournment – Robin Novakovic, MD, Chair

Public Comment: The Texas Department of State Health Services (DSHS) welcomes public comments pertaining to topics related to Emergency Health Care. Members of the public are encouraged to participate in this process by providing written public comments to DSHS by emailing Jorie.Klein@dshs.texas.gov no later than 5:00 PM, June 2, 2023. Please include your name and either the organization you are representing or that you are speaking as a private citizen. Written comments are limited to three minutes and will be read during the meeting for consideration by the Council. The request must contain your name, the name of the organization you represent or that you are speaking as a private citizen, and your direct phone number.

Public comment is limited to three minutes. Speakers must state their name, affiliation, and on whose behalf they are speaking. Public members who are using handouts are asked to provide an electronic copy in accessible pdf format that will be distributed by DSHS staff to Council members and state staff and for public distribution. Handouts are limited to two pages of documentation (paper size: 8.5" by 11", one side only). Handouts must be emailed to DSHS no later than 5:00 PM, June 2, 2023, and include the name of the person who will be commenting.

Note: These procedures may be revised at the discretion of DSHS.

Contact: Questions regarding agenda items, content, or meeting arrangements should be directed to Jorie Klein, DSHS, at 512-535-8538 or Jorie.Klein@dshs.texas.gov.

People with disabilities who wish to attend the meeting and require auxiliary aids or services should contact Jorie Klein at 512-535-8538 or Jorie.Klein@dshs.texas.gov at least 72 hours before the meeting so appropriate arrangements can be made.