The West Region EMS & Trauma System Gantt Chart

SYSTEM LEADERSHIPGOAL 1: There is a viable, active local and regional EMS and trauma care council comprised of multi-disciplinary, EMS and Trauma System representationOBJECTIVES & STRATEGIESOBJECTIVE 1: By May 2012 the Regional Council will have eachposition required in RCW 70.168.120 on the Council filled by anactive participant.Strategy 1: By June 2010 the Regional Council will reviewmembership positions in the bylaws and identify vacancies.Strategy 2: By June 30, 2011 Regional Council staff will attendcounty EMS council meetings to educate in responsibility forregional participation.Strategy 3: By June 2011 Regional Council staff will conductmembership outreach to other county entities and communityvenues.Strategy 4: By April 2012 each RCW-required Regional Councilmember position will be filledStrategy 5: By May 2012 each Regional Council member willhave identified an alternate and informed the Regional Counciland DOH.OWNERRegional CouncilRegional CouncilRegional CouncilStaffRegional CouncilStaffEach RegionalCouncil MemberEach RegionalCouncil MemberJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-122009-2012 West Region Gantt Chart Page 1

GOAL 2: Multi-disciplinary coalitions of private/public health care providers are fully engaged in regional and local EMS and Trauma Systems.OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 1: By December 2011 the Regional and LocalCouncils will collaborate to identify TACs, groups, networks,coalitions and organizations that are doing work that intersectswith Regional or Local Council work and establish communicationto ensure engagement with the regional EMS & Trauma System.Regional and LocalCouncilsStrategy 1: By December 2010 the Regional Council staff, incollaboration with Local Council representatives, will develop amatrix of memberships in TACs, groups, networks, coalitions,and organizations in the region and work-projects that intersectwith EMS & Trauma System.Strategy 2: By December 2010 the Regional Council, incollaboration with Local Council representatives, will identifywhich organizations are necessary to have formalcommunications with.Strategy 3: By July 2011, utilizing the information in Strategies 1& 2, the Regional Council, in collaboration with local councilrepresentatives, will establish communication with each keyTAC, group, network, coalition and organization.Regional Counciland Local CouncilRepresentativesRegional Counciland Local CouncilRepresentativesRegional Counciland Local CouncilRepresentativesStrategy 4: By December 2011 Regional and Local Councils willimplement and maintain an optimal level of communication witheach key TAC, group, network, coalition and organization.Regional and LocalCouncils2009-2012 West Region Gantt Chart Page 2

OBJECTIVES & STRATEGIESGOAL 3: Each of the services under the EMS and Trauma System has active, well trained and supported leadership.OWNEROBJECTIVE 1: By January 2012, the West Region EMS & TraumaCare Council will make leadership resources or training programs West Region EMS &that include processes specific to EMS and Trauma Systems Trauma Care Councilavailable across the West Region.Strategy 1: In April, annually, the West Region Council'sTraining, Education & Development (TED) Committee willdetermine the need for an annual leadership workshop at theWest Region EMS Conference.Strategy 2: By June 2010, the TED Committee will seek out,evaluate and recommend to the Regional Council and localrepresentatives existing leadership training programs.Strategy 3: By January 2011, the Regional Council willrecommend leadership training resources and/or programs tolocal representatives.West Region EMS &Trauma Care CouncilTEDTED CommitteeLocalRepresentativesJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-07Feb-12Mar-12Apr-12May-12Jun-122009-2012 West Region Gantt Chart Page 3

SYSTEM DEVELOPMENTGOAL 4: There is a strong, efficient, well-coordinated region-wide EMS & Trauma System to reduce the incidence of inappropriate and inadequate trauma care and emergency medicalservices and to minimize the human suffering and costs associated with preventable mortality and morbidity.OBJECTIVES & STRATEGIESOBJECTIVE 1: By September 2011, the RegionalCouncil, in collaboration with stakeholders, willdevelop and submit to the Washington StateDepartment of health (DOH), a 2012-2017 RegionalEMS & Trauma Strategic Plan that addresses injuryprevention through rehabilitation services.Strategy 1: By January 2011, the Regional Councilwill review goals, objectives and strategies for eachcomponent of the existing regional plan.Strategy 2: By April 2011, the Regional Council willdevelop objectives and strategies for the 2012-2017regional plan with input from stakeholders.OWNERRegional Counciland StakeholdersRegional CouncilRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 3: By July 2011, the Regional Council willcomplete a draft plan.Strategy 4: By September 2011, the Regional Councilwill finalize goals, objectives and strategies for eachcomponent of the regional plan and submit to DOHfor review.OBJECTIVE 2: By August 2011, each West Regioncounty will develop a plan for distribution of servicesthat promotes optimal coverage of EMS and traumaservices for 2012-2017.Strategy 1: By March 2010, Local Councils or othercounty EMS/Trauma planning groups will inventorythe distribution of services within their county.Strategy 2: By June 2010, Local Councils or othercounty EMS/Trauma planning groups will evaluatethe needs of services within their county.Strategy 3: By September 2010, reviews willcommence at quarterly Regional Council meetings tocompare services and needs, and identify andnegotiate cross-county services available to fill gaps.Strategy 4: By March 2011, the Regional Council willproduce a report that identifies gaps in coverage atthe regional level.Strategy 5: By June 2011, the Regional Council willformulate a plan to address gaps.Strategy 6: By August 2011, the Regional Council willfinalize the draft plan after collaboration with LocalCouncils or other county EMS/ Trauma planninggroups and submit as part of the 2012-2017 RegionalEMS & Trauma Strategic Plan.Regional CouncilRegional CouncilEach West RegionCountyLocal Councils orother EMS/TraumaPlanning GroupsLocal Councils orother EMS/TraumaPlanning GroupsRegional CouncilRegional CouncilRegional CouncilRegional Council2009-2012 West Region Gantt Chart Page 4

OBJECTIVES & STRATEGIESOBJECTIVE 3: By May 2011, stakeholder groups willimplement clinical guidelines that promote optimalpatient care within the West Region.OWNERStakeholder GroupsJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1: By September 2010, the Regional Councilwill collaborate with the Medical Program Directorsand local & regional advisory committees to reviewthe guidelines developed at the state level withrecommendations to adopt or modify for region wideuse.Strategy 2: By May 2011, Local Councils or othercounty EMS/Trauma planning groups will evaluatecounty protocols to ensure evidence basedguidelines are used during their revisions/updatesand then implement them.Regional Council,Medical ProgramDirectors and Local& Regional AdvisoryCommitteesLocal Councils orother EMS/TraumaPlanning Groups2009-2012 West Region Gantt Chart Page 5

OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12GOAL 5: The regional plan is congruent with the statewide strategic plan and utilizes standardized methods for identifying resource needs.OBJECTIVES & STRATEGIESOBJECTIVE 1: By June 2010 the roles andresponsibilities for development of the EMS & TraumaStrategic Plan will be determined and assigned by theRegional Council and the planning process started forthe 2012-2017 West Region EMS and Trauma CareSystem Plan.Strategy 1: By April 2010 a plan will be developed atthe annual Regional Council planning retreatdetailing Regional Council, Local Council, keystakeholder and Regional Council staff participationand responsibilities in producing the 2012-2017System Plan.Strategy 2: By April 2010 the Regional Council willestablish the plan development process andschedule for working on the 2012-2017 System Plan.Strategy 3: By June 2010 the Regional Council willassign responsibilities to designated individuals inplanning the 2012-2017 System Plan.OWNERRegional CouncilRegional CouncilRegional CouncilRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 2: By September 2011 the RegionalCouncil will complete a comprehensive West RegionEMS and Trauma Care System Plan that uses regional Regional Councildata and information to define the system directionand work in the West Region for 2012-2017.Strategy 1: By March 2010 the Regional Council staffRegional Councilwill obtain directives from the State Dept. of HealthStafffor the system plan components.Strategy 2: By April 2010 the Regional Council willreview and/or update the 2007 analysis of theRegional Councilregional system to determine its strengths,weaknesses, opportunities and threats.Strategy 3: By May 2010 the Regional Council willmake initial requests for data from the State DOH.Regional CouncilThe intent is to have some data in hand when theplanners meet in June 2010.Strategy 4: From June 2010 until June 2011 thedesignated planners will request or generate data as Designated Plannersthe need arises.Strategy 5: From June 2010 until June 2011 thedesignated planners will develop objectivesidentifying work under each plan component toDesignated Plannersmaintain, further develop or refine the regionalsystem and will report progress to the RegionalCouncil at regular meetings.Strategy 6: From June 2010 until June 2011 thedesignated planners will get input to the planobjectives from Local Councils and key stakeholder Designated Plannersgroups and will report progress to the RegionalCouncil at regular meetings.2009-2012 West Region Gantt Chart Page 6

OBJECTIVES & STRATEGIESStrategy 7: By July 2011 the designated planners willpresent a completed draft of the System Plan to theRegional Council and, subsequently, to the StateDOH.Strategy 8: By September 2011, the Regional Councilwill have completed and approved the 2012-2017West Region System Plan for submission to the StateDOH.OBJECTIVE 3: Annually, each April, the recommendedWest Region Patient Care Procedures are reviewedand approved by the Regional Council to ensureongoing appropriateness for optimal trauma patientcare.OWNERDesignated PlannersRegional CouncilRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1: By April 2011, and annually thereafter,Regional Patient Care Procedures (PCPs) arereviewed and updated if needed, by the West RegionMedical Program Directors; taking into account theinformation generated in Goal 4, Objective 3.Strategy 2: The Regional Council will review andapprove the PCPs at the annual regional budget andplanning retreat in April of 2011 and 2012.West Region MedicalProgram DirectorsRegional Council2009-2012 West Region Gantt Chart Page 7

OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12GOAL 6: The Regional EMS and trauma care system has multiple distribution channels (methods, routes etc.) for timely dissemination of information on emerging issues that have beenidentified by the Steering Committee.OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 1: By June 2010 Regional and LocalCouncils will identify existing distribution channels foruse in timely distribution of Steering Committee & TACinformation to regional stakeholders on emergingissues and will develop and implement an informationdistribution process.Regional and LocalCouncilsStrategy 1: February 2010 Regional Council staff willRegional Councilquery Local Council representatives within the regionStaff & Local Councilto determine existing information distributionRepresentativeschannels.Strategy 2: By June 2010 Regional Council staff willimplement a process for timely distribution ofinformation on emerging issues.Regional CouncilStaffGOAL 7: The Regional EMS and Trauma System interfaces with emergency preparedness/disaster planning, bioterrorism and public health.OBJECTIVES & STRATEGIESObjective 1: From October 2009 to June 2012, theRegional Council will continue planning collaboration& coordination with public health and hospitals inPublic Health Emergency Regions 3 & 5 for disasterpreparedness.OWNERRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1: A Regional Council representative will bepresent at Public Health Region 3 & 5 planning andHealthcare Coalition meetings during the plan cycle.Regional Council &StaffStrategy 2: The Regional Council and staff will assisthealthcare partners in identifying trainingopportunities for disaster preparedness by Aprilannually at the regional budget and planning retreat.Regional Council &Staff2009-2012 West Region Gantt Chart Page 8

OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12GOAL 8: Region-wide interoperable communications are in place for emergency responders and hospitals.OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 2: By April 2011, the Regional Council willinventory the communications capabilities of EMS andhospitals within the West Region & Public HealthRegion 3 and develop a plan for regional system use.Strategy 1: By October 2009 the Regional Councilwill designate a regional rpresentative incommunications interoperability to lead an evaluationand inventory of communication capabilities withinthe region.Strategy 2: By December 2009 the representative &the Regional Council staff will consult with theRegion 3 Homeland Security InteroperabilityCommittee to obtain current interoperability status of911 centers in Region 3.Strategy 3: By January 2010, the rep & the RegionalCouncil staff will have developed a questionnaire ofneeded information.Strategy 4: By June 2010 representatives fromhospitals, EMS & public health will provideinformation on communication capabilities of theirconstituencies to the designated communicationsrep for the development of a system status report.Regional CouncilRegional CouncilDesignatedRepresentative &Regional CouncilStaffDesignatedRepresentative &Regional CouncilStaffRepresentativesfrom Hospitals, EMS& Public HealthStrategy 5: By September 2010 the designatedcommunications rep will present a communicationssystem status report to the Regional Council.Strategy 6: By September 2010 the Regional Councilwill determine whether action needs to be taken oninteroperability within the region based upon thecommunications system status report generated bythe designated communications rep.DesignatedCommunicationsRepresentativeRegional CouncilStrategy 7: By April 2011, the Regional Council willuse the report to develop a plan to address gapsincluding addressing funding and other barriers.Regional Council2009-2012 West Region Gantt Chart Page 9

SYSTEM PUBLIC INFORMATION & EDUCATIONGOAL 9: There is a regional public information plan consistent with the state public information plan (PIP) to educate the public about the EMS and Trauma Care System. The purpose ofthis plan is to inform the general public, decision-makers and the health care community about the role and impact of the regional EMS and Trauma Care System.OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 1: By July 2011 the Regional Council willdevelop and implement a public information plan (PIP)for distribution and education to the public.Regional CouncilStrategy 1: By July 2010, the Regional Council willidentify key participants for development of the PIP.Strategy 2: By July 2010, the Regional Council willcoordinate work sessions for PIP workgroup.Strategy 3: By November 2010, the PIP workgroup willidentify & select target audiences for the PIP.Strategy 4: By November 2010, the PIP workgroup willidentify activities to be done.Strategy 5: By April 2011, the PIP workgroup willdevelop public information messages for targetaudiences.Strategy 6: by June 2011, the PIP workgroup willdevelop a regional implementation plan.Regional CouncilRegional CouncilPIP WorkgroupPIP WorkgroupPIP WorkgroupPIP Workgroup2009-2012 West Region Gannt Chart Page 11

SYSTEM FINANCEGOAL 10: There is no Regional Plan goal #10GOAL 11: There is consistent and sustainable funding to ensure a financially viable regional EMS and Trauma Care System.OBJECTIVES & STRATEGIESOBJECTIVE 1: By April 2011 the Regional Council willdetermine the critical work of the Council and the basecost to do that work.Strategy 1. At the April 2010 annual Regional Councilplanning retreat the Regional Council will identify thecritical work of the Council for FY2011 & FY2012.OWNERRegional CouncilRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 2. By November 2010 the West RegionExecutive Board will gather data on the costs of theCouncil's critical work.Strategy 3. At the April 2011 annual Regional Councilplanning retreat the West Region Executive Boardwill present critical work and the base cost to theRegional Council.OBJECTIVE 2. By September 2010 the RegionalCouncil will serve as an educational resource for WestRegion EMS agencies who need assistance with grantwriting and research.Strategy 1. By September 2009 the West RegionConference Planning Committee will determine thefeasibility of an introductory workshop in grantwriting to be given at the 2010 West RegionConference.Strategy 2. By January 2010 the Regional Council willhave a webpage on its website dedicated to grantsand grant writing resources for regional EMSagencies.Strategy 3. By September 2010 the Regional Councilstaff will be available as a resource during businesshours to agencies with inquiries on grants and grantwriting.West RegionExecutive BoardWest RegionExecutive BoardRegional CouncilWest RegionConference PlanningCommitteeRegional CouncilStaffRegional CouncilStaff2009-2012 West Region Gannt Chart Page 12

INJURY PREVENTION & CONTROLGOAL 12: Preventable/premature death and disability due to injury is reduced through targeted injury prevention activities and programs.OBJECTIVES & STRATEGIESOBJECTIVE 1: By September, annually in 2009, 2010& 2011, the Regional Council will provide funding toregional injury prevention partners to reduce fallrelatedinjury rates among Seniors 55 and over byfunding programs that use recommended strategiesas outlined in the 2008 Washington State Injury andViolence Prevention Guide (WA IVP Guide).OWNERRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. By September 2009, 2010 & 2011, theRegional Council will allocate funding for the grantcycles of 2009-2012 to support the growth of new &existing annual community senior falls prevention &safety workshops which offer risk assessment,medication review, education about fall risk factors &resources for balance & strength training classes.Regional CouncilStrategy 2. By September 2009, 2010 & 2011, theRegional Council will allocate funding for the grantcycle of 2010-2012 to support the growth of new &existing balance and strength training classes forSeniors 55 and over. Instructors should be trainedon presenting the “Stay Active & Independent for LifeExercise and Education Program.”Strategy 3. By September 2011, the Regional Councilwill fund programs in the grant cycle of 2011-2012which teach EMTs/Paramedics to offer Senior FallsPrevention education/materials and hazardassessment on calls with non emergent patients.Encourages utilization of the on-scene “TeachableMoment” opportunity.OBJECTIVE 2: By September, annually, in 2009, 2010& 2011, the Regional Council will provide funding toregional injury prevention partners to reduce MVCinjury rates by funding programs that practicerecommended strategies as outlined in the 2008 WAIVP Guide.Strategy 1. By September 2009, 2010 & 2011, theRegional Council will allocate funding for the grantcycle of 2009-2012 to support county coalitions andorganizations that aim to educate the public andincrease the use and availability of child safety seatsto low income families.Strategy 2. By September 2010 the Regional Councilwill allocate funding for the grant cycle of 2010-2011to support impaired driving prevention programswhich target the leading group of offenders: Males21 – 25 years old.Regional CouncilRegional CouncilRegional CouncilRegional CouncilRegional Council2009-2012 West Region Gannt Chart Page 14

OBJECTIVES & STRATEGIESOBJECTIVE 3 : By September, annually, in 2010 &2011, the Regional Council will provide funding toregional injury prevention partners to reduce the rateof unintentional poisoning related injuries by fundinga program that uses recommended strategies asoutlined by the Washington State Poison Center.Strategy 1. By September 2010 & 2011 the RegionalCouncil will allocate funding for the grant years of2010-2012 to support unintentional poisoningprevention programs that practice research andtested strategies presented by the Washington StatePoison Center.OBJECTIVE 4: Annually, in September 2010 and 2011the Regional Council will provide funding to regionalinjury prevention partners to reduce suicide relatedinjuries and deaths by funding at least one programthat uses recommended strategies as outlined in the2008 WA IVP Guide.Strategy 1. By September 2010, the Regional Councilwill allocate funding to support the growth of teensuicide prevention programs in middle and highschools classrooms and expand program into allcounties of the region.Strategy 2. By September 2011, the Regional Councilwill require a senior depression & emotional supportresource component at all West Region Councilfunded Senior Safety Fairs with approvedcomponents being a suicide prevention speakerand/or staffed vendor table offering resources.OWNERRegional CouncilRegional CouncilRegional CouncilRegional CouncilRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 5: By March, annually, in 2010, 2011, &2012, the Regional Council will sponsor andcoordinate at least one educational event thatincludes information on prevention principles andpractices for EMS and trauma care providers.Regional CouncilStrategy 1. By December, annually, in 2010, 2011 &2012 the West Region Council's Injury PreventionCoordinator and Prevention Committee of the Councilwill determine the content of Injury Preventioneducation for prehospital EMS providers that will bepresented at the following year's West Region EMSConference.West Region InjuryPreventionCoordinator &PreventionCommittee of theCouncil2009-2012 West Region Gannt Chart Page 15

OBJECTIVES & STRATEGIESObjective 6: By May 2012, the Regional Council willincrementally implement the statewide injuryprevention project, Injury & Violence Prevention MediaOutreach Project (IVP) with coordinated effort from thestate office, all EMS and trauma regions and otherstate and local partners.OWNERRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. By September annually between 2010 &2011, the West Region Injury Prevention Coordinatorwill report at the IPPE TAC meetings, theimplementation progress (formative evaluation) of theWest Region's componenet of the statewide project.West Region Council& Injury PreventionCoordinatorStrategy 2. By September 2010, the Regional Councilwill develop a West Region implementation plan forthe statewide injury prevention program.Strategy 3. By May 2012, the Regional Council willincrementally implement the IVP Media OutreachProject in the West Region and begin trackingresults.West Region InjuryPreventionCoordinatorRegional Council2009-2012 West Region Gannt Chart Page 16

PREHOSPITALGOAL 13: There is a sustainable region-wide prehospital EMS system utilizing standardized, evidence-based proceduresand performance measures that address both trauma and medical emergencies.OBJECTIVES & STRATEGIESOBJECTIVE 1: Annually, by November 2009-2011, theRegional Council will allocate funding for county EMStraining programs supporting state approved OngoingTraining & Education Program (OTEP) & ContinuingMedical Education (CME) or initial Basic Life Support(BLS) training within the West Region.OWNERRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. Annually, at the West Region Council'sRetreat in April, Council members will review needsand approve educational funding levels for each localcounty EMS council or designated representative.Council MembersStrategy 2. Annually, by November 2009-2011, theRegional Council staff will initiate contracts with localcounty EMS councils or designated representativesto distribute funds for coordination and delivery ofOTEP and CME EMS training.OBJECTIVE 2: Annually, by March 2010-2012, theRegional Council will provide EMS education andtraining opportunities within the West Region througha regional EMS conference.Strategy 1. By December 2009-2011, the RegionalCouncil's Training, Education & Development (TED)Committee will select topics and secure speakers forthe regional EMS conference.Strategy 2. By March 2010-2012, the Regional Councilwill conduct an EMS conference which provides EMSeducation and training opportunities within the WestRegion.OBJECTIVE 3: By March 2010-12, annually, theRegional Council will educationally assist SEIs andEMS Evaluators & Instructors with currency andcompetency in WA State requirements by offering anSEI workshop.Strategy 1. Annually, by March 2010-2012, theRegional Council will offer an SEI Workshop at theWest Region EMS Conference to assist SEIs and EMSEvaluators & Instructors with currency andcompetency in WA State requirements.OBJECTIVE 4: By June 2011, the TED Committee willfacilitate training and quality improvement for SEIsand EMS Evaluators & Instructors throughout theregion through development and implementation of aregional process.Strategy 1. By September 2010, the TED Committeewill distribute a list of all SEIs in the region to eachcounty EMS office.Regional CouncilStaffRegional Council &TED CommitteeTED CommitteeRegional Council &TED CommitteeRegional CouncilRegional CouncilTED CommitteeTED Committee2009-2012 West Region Gannt Chart Page 17

OBJECTIVES & STRATEGIESStrategy 2. By April 2011, the TED Committee willdevelop a tool to document and report results ofcross-county evaluation, to track and enhancestandardization and performance improvement.OWNERTED CommitteeJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 3. By June 2011, the TED Committee willprovide opportunities for extended peer evaluation byinviting cross-county evaluation to enhancestandardization and performance improvement.TED Committee2009-2012 West Region Gannt Chart Page 18

ACUTE HOSPITALGOAL 14: There is a sustainable region-wide system of designated trauma services that provides appropriatecapacity and distribution of resources to support high-quality trauma patient care.OBJECTIVES & STRATEGIESOWNERJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12OBJECTIVE 1: By January 2011, the regional traumasystem stakeholders will review gaps in coverage andunnecessary duplication of resources.Regional TraumaSystem StakeholdersStrategy 1. By January 2010 the Regional Council willappoint a systems representative to develop aquestionnaire identifying gaps in coverage (e.g.staffing) and unnecessary duplication of resourcesfor distribution to all designated trauma servicemanagers in the West Region.Regional CouncilStrategy 2. By April 2010, the systems rep will workwith the Regional Council staff to distribute thequestionnaire to all designated trauma servicemanagers in the West Region.Systems Rep &Regional CouncilStaffStrategy 3. By September 2010, the systems rep willcompile information from the questionnaire andproduce a report for the West Region Council.Systems RepOBJECTIVE 2: By September 2010, the RegionalCouncil will review the regional educational report andmake a recommendation for action, if appropriate.Strategy 1. By January 2010, the Regional Councilwill solicit hospital representation on the WestRegion EMS Council.Strategy 2. By April 2010, the systems rep will includeregional hospital education gaps in the questionnairedeveloped in Goal 14, Objective 1, Strategy 1.Regional CouncilRegional CouncilSystems ExpertStrategy 3. By September 2010 regional educationalinformation compiled by the systems rep will bereviewed by the Regional Council which will make arecommendation for action, if appropriate.TED Committee2009-2012 West Region Gannt Chart Page 19

PEDIATRICGOAL 15: There is a sustainable region-wide EMS and Trauma System that integrates pediatric careinto the system continuum (prevention, prehospital, hospital, rehabilitation and system evaluation).OBJECTIVES & STRATEGIESOBJECTIVE 1: By December 2011, state pediatric careguidelines that ensure ongoing appropriateness foroptimal pediatric patient care will be reviewed by WestRegion stakeholder groups and adopted or modified,as appropriate.Strategy 1. By June 2010, the Regional Council willcollaborate with the MPDs, local & regional advisorycommittees, to review the pediatric guidelinesdeveloped at the state level with recommendations toadopt or modify for region-wide use.Strategy 2. By December 2010, County MPDs andLocal Councils will evaluate county protocols toensure evidence-based pediatric guidelines fromStrategy 1 are considered during theirrevisions/updatesStrategy 3. By December 2011, a Pediatric TACrepresentative will present state pediatric careguidelines to the West Region Quality ImprovementForum (QIF) for review.OBJECTIVE 2: By December 2011, the RegionalCouncil will recommend/develop alternative methodsto facilitate pediatric emergency medical & traumaeducation within the West Region.OWNERRegionalStakeholdersRegional Council &StakeholdersCounty MPDs &Local CouncilsPediatric TACRepresentative &West Region QIFRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. By July 2010, the Regional Council willevaluate pediatric educational methods/tools andidentify gaps within the region. (Included in thequestionnaire Goal 14, Objective 1, Strategy 1).Strategy 2. By July 2011, the Regional Council willmake recommendations of alternative methods ofpediatric education to Local Councils and other WestRegion stakeholders.Strategy 3. By December 2011, the Regional Councilwill evaluate the need for and, if needed, includetopics on pediatric trauma and medical emergenciesin the annual West Region EMS Conference.Regional CouncilRegional CouncilRegional Council2009-2012 West Region Gannt Chart Page 20

TRAUMA REHABILITATIONGOAL 16: There is a sustainable region-wide system of designated trauma rehabilitation services that providesadequate capacity and distribution of resources to support high-quality trauma rehabilitation care.OBJECTIVES & STRATEGIESOBJECTIVE 1: By January 2010 the Regional Councilwill integrate trauma rehabilitation information/issuesinto Regional Council meetings.OWNERRegional CouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. By September 2009, the West RegionTrauma Rehabilitation Representative will beginregular reports & updates to the Regional CouncilmeetingsOBJECTIVE 2. By January 2010 the West RegionTrauma Rehab Rep will identify a systematic approachto "fast tracking" Medicaid-pending patients throughthe systemRegional Council &Trauma Rehab RepRegional TraumaRehab RepStrategy 1. By January 2010 the Trauma Rehab Repwill contact appropriate personnel at the State Deptof Social & Health Services to gather information onhow Medicaid applications are processed and assessthe possibility of changes in order to expedite theprocess of getting active fundingRegional TraumaRehab RepOBJECTIVE 3. By June 2010 the Regional Council willreview the minimum and maximum number (min/maxnumbers) of trauma rehabilitation services in the WestRegion and identify any gaps for regional planningRegional CouncilStrategy 1. By January 2010 the Regional Council willreview the assessment of trauma rehabilitationservices conducted by the State and identify gapsspecific to the West Region.Strategy 2. At the April 2010 West Region CouncilRetreat, the Trauma Rehabilitation Rep will organizestakeholders to review the minimum and maximumnumber of trauma rehab services in the West RegionRegional CouncilRegional TraumaRehab RepStrategy 3: By June 2010 stakeholders will presentthe review of the min/max numbers and make arecommendation to the West Region CouncilWest RegionStakeholdersOBJECTIVE 4. By April 2012 the West Region TraumaRehab Rep will identify community resources fortraumatic brain injury (TBI) patients in the WestRegion.Regional TraumaRehab Rep2009-2012 West Region Gannt Chart Page 21

Strategy 1. By September 2011 the Trauma RehabRep will identify stakeholders in the continuum ofcare and research services they can provide, toinclude but not limited to, Brain Injury Assoc of WA,Home & Community Services, Skilled NursingFacilities, Adult Day Health programs, Dept ofVocational Rehab & TACID.Regional TraumaRehab RepStrategy 2. By November 2011 the Trauma RehabRep will form a group of stakeholders to discuss thechallenges faced and to assist in problem solving.Strategy 3. By January 2012 the Trauma Rehab Repwill identify Regional/National resources for TBIpatients.Strategy 4. By April 2012 the Trauma Rehab Rep willprovide a report to the West Region Councilidentifying community resources.OBJECTIVE 5. By November 2011 the West RegionTrauma Rehab Rep will establish a task force toreview funding for services needed for TBI patients.Research the possibility of carve outs, exceptionalrates, grant funding that could be set aside for traumapatients to extend the continuum of care post-rehab toassist in discharging to the communityStrategy 1. By November 2011 the Trauma RehabRep will identify members for the task force to assistin gathering of current funding available and assessthe possibility of increased funding as described inthe objective.Regional TraumaRehab RepRegional TraumaRehab RepRegional TraumaRehab RepRegional TraumaRehab RepRegional TraumaRehab Rep2009-2012 West Region Gannt Chart Page 22

SYSTEM EVALUATIONGOAL 17: The Regional EMS and Trauma System has data management capabilities to support system evaluation and improvement.OBJECTIVES & STRATEGIESOBJECTIVE 1: By December 2010 the RegionalCouncil will implement and begin monitoring systemperformance measures developed by the WA StateDept of HealthOWNERRegionalCouncilJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 1. By June 2010 the Regional Council willreview the initial set of system performance measuresdeveloped by the WA State Dept of Health.RegionalCouncil &State DOHStrategy 2. By December 2010 the WREMS Councilwill implement the performance measures developedby the WA State Dept of HealthStrategy 3. Begin development of a systemperformance measure monitoring process byDecember 2010.RegionalCouncilRegionalCouncilGOAL 18: The EMS and Trauma Care System has comprehensive, data-driven quality improvement (QI) processes at the local and regional levels.OBJECTIVE 1: Annually in November 2009-11, theWest Region Quality Improvement Forum (QIF) willreview regional EMS and trauma data.West RegionQIFStrategy 1. Annually, in November of 2009, 2010 and2011, the voting members of the West Region QIF willestablish a yearly schedule of meetings to reviewregional EMS and trauma data and to allow forcomprehensive system evaluation.OBJECTIVE 2: By June 2011, the West Region QIF willinitiate a QI process for emergency cardiac and strokecare.West RegionQIF votingmembersWest RegionQIF2009-2012 West Region Gannt Chart Page 22

OBJECTIVES & STRATEGIESStrategy 1. By November 2010 the QIF votingmembers will have established a date, location,agenda and list of potential participants for the firstQIF Cardiac/Stroke meeting.Strategy 2. By June 2011 the QIF voting members willhave a cardiac/stroke care component to the WestRegion QIF established to review regional data, asavailable.OBJECTIVE 3: By May 2012, prehospital and hospitalquality assurance/improvement training and educationwill be offered by the Regional Council.Strategy 1. By September 2009, 2010 & 2011, theWest Region Training, Education & Development(TED) Committee will determine the need for anannual QI/QA educational workshop at the WestRegion EMS Conference.OWNERWest RegionQIF votingmembersWest RegionQIF votingmembersRegionalCouncilWest RegionTEDCommitteeJul-09Aug-09Sep-09Oct-09Nov-09Dec-09Jan-10Feb-10Mar-10Apr-10May-10Jun-10Jul-10Aug-10Sep-10Oct-10Nov-10Dec-10Jan-11Feb-11Mar-11Apr-11May-11Jun-11Jul-11Aug-11Sep-11Oct-11Nov-11Dec-11Jan-12Feb-12Mar-12Apr-12May-12Jun-12Strategy 2. By May 2012, the Regional Council willidentify other mechanisms for providing prehospitaland hospital QI/QA training and education.RegionalCouncilOBJECTIVE 4: By May 2012, each West Region countywill begin the process to establish a qualityimprovement (QI) program for EMS.Each WestRegion CountyStrategy 1. By June 2010 the West Region TEDCommittee will review the status of county EMS QIprograms within the West Region.Strategy 2. By January 2011 the West Region TEDCommittee will offer support and suggestions forestablishing QI programs to those counties who wishto begin the process of establishing a QI program forEMS.Strategy 3. By May 2012, counties will begin theprocess to establish a QI program for EMS.West RegionTEDCommitteeWest RegionTEDCommitteeEach WestRegion County2009-2012 West Region Gannt Chart Page 23