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CT TRAUMA COMMITTEE MEETINGConnecticut Hospital Association110 Barnes Rd, Wallingford, CT 06492Thursday, January 18, 2018 2:00 p.m.AGENDA1.Call to order–Shea C. Gregg, MD, Chairman2.Approval of Minutes- Sept 2017 Meeting3.Introductions4.OEMS Report5.Subcommittee Reports6.Old Business-EMS advisory board update-State Trauma Registry update-State registry status-Collector v5-NTDB as state Data Dictionary-Legislative bill update-B-Con for EMS-State wide trauma center injury prevention committee7.New Business-State EMS Data Report 2016-Liaison to the ACS COT position8.Open Forum9.Adjourn

Connecticut Trauma CommitteeConnecticut Hospital AssociationJanuary 18, 2018Present:Shea Gregg, Chairman; Kim Barre; Brian Cournoyer; Doug Dole; Tara Elliott; Peter Ingraldi; JeanJacobson; Richard Kamin; Jacqueline McQuay; Laurie O’Brien; Paul Possenti; Jennifer TabakMeeting was called to order at 14:04TOPICApproval of minutesISSUEDISCUSSIONMinutes for September 2017 wereapproved.OEMS ReportThe committee did not meet due toweather conditions.State TraumaRegistry updateThere was a question regardingintoxication EMS calls and thedocumentation of Narcan use prehospitaland whether checkboxes could be added.Ann Kloter reported that the EMS registrydoes not collect toxicology data. Dr.Gregg suggested that specific relatedissues be sent to Ann Kloter to beaddressed.Legislative UpdateInjury PreventioncollaborationHB-6482ACTIONThe bill was not heard in the longDr. Gregg will keep thesession. This year, the field guidelinescommittee informed ofand NTDB Data Dictionary aspects will be progress.inserted into the DPH technical bill for theshort session in February. The votingcomponents will be attached to anotherbill at a later time.At the last meeting, Dr. Gregg suggestedforming an injury preventionsubcommittee that would partner with thestate to build an injury preventioncalendar detailing courses and projects todeal with issues within the state.Pina Violano and Gary Lapidus haveformed a collaborative that presents astatewide injury prevention conferencethat addresses various topics of interestsuch as motorcycle helmet use. Theyhave also testified for car seat bills.

It was suggested that those interested inInjury Prevention meet after the TraumaMeeting Group and a representative fromthat subcommittee can then report at thiscommittee.Liaison to the ACSCOTThe meeting was adjourned at 15:05.Respectfully submitted,Shea C. Gregg, M.D.The liaison position to the ACS COT isopen. This is a legislative position thatwas held by Dr. Jacobs.

CT TRAUMA COMMITTEE MEETINGThursday, March 15, 20182:00 p.m.Connecticut Hospital Association110 Barnes Rd, Wallingford, CT 06492Dial In Number: 866-421-2934, Passcode: 32437828AGENDA1.Call to order–Shea C. Gregg, MD, Chairman2.Approval of Minutes- January 2018 Mtg3.Introductions4.OEMS Report5.Subcommittee Reports6.Old Business-EMS advisory board update-State Trauma Registry update-State registry status-Collector v5-NTDB as state Data Dictionary-Legislative bill update-B-Con for EMS-Statewide trauma center injury prevention committee7.New Business-Hemorrhage control training for EMS-Liaison to the ACS COT position-Duties and Goals for 20188.Open Forum9.Adjourn

Connecticut Trauma CommitteeConnecticut Hospital AssociationMarch 15, 2018Present:Shea Gregg, Chairman; Deborah Bandanza, Recorder; Kim Barre; Brian Cournoyer; Brendan Campbell;Kevin Dwyer; Ann Dyke; Tara Elliott; Jean Jacobson; Richard Kamin; Jacqueline McQuay; Monika Nelson;Laurie O’Brien; Paul Possenti; Kevin Schuster; Jennifer TabakMeeting was called to order at 14:05TOPICApproval of minutesISSUEDISCUSSIONMinutes for January 2018 were approved.OEMS ReportThere were no updates.State TraumaRegistry updateAs of March 5, data from 2012 forwardcan be submitted to the state traumaregistry. Ann Kloter sent an email to thecenters detailing the submission process,however the trauma centers have notsubmitted data. The upload option isfunctioning but there is no way to specifywhich date range to submit so eachcenter would be submitting their entireregistry.ACTIONDr. Gregg will contact AnnKloter to have DI fix theupload issue.Two questions were raised by committeemembers: are there any threats to thelongevity of the registry, and how woulddata from non-designated hospitals becollected. Dr. Gregg assured thecommittee that there is a strong interfaceand infrastructure to the registry andthere should be no longevity issues. Asfor the non-designated hospitals, thetrauma centers need to have a seamlessprocess first. A needs assessment willhave to be done to determine what datathese hospitals are able to collect.Legislative UpdateHB-5163This year, the field guidelines and NTDBData Dictionary aspects will be insertedinto the DPH technical bill HB-5163 andhas been referred for a public hearing.After the hearing, it will go the DPH for avote, then onto the House and Senate,and finally the governor. Once passed,work on Collector updates and dataDr. Gregg will keep thecommittee informed ofprogress.

migration as well as the driller packagecan commence.B-Con for EMS &Stop the BleedProclamation forStop the Bleed DayStop the Bleed was the focus ofdiscussion(B-Con for EMS was discussedin the Hemorrhage control training forEMS time period). The DPH supports theStop the Bleed campaign. Committeemembers reported the courses that havebeen held in the various trauma centersand in the community. There is someresistance from Boards of Education dueto liability issues.Although military data is extraordinary,there is some concern about how totranslate the military experience to thecivilian population. Very little data existsand there is concern about how thelayperson will respond in a stressfulsituation.Dr. Campbell read a message from Dr.Jacobs about other states issuing aproclamation for Stop the Bleed Day onMarch 31 and the suggestion thatGovernor Malloy be contacted aboutissuing a proclamation for the State ofConnecticut.Dr. Gregg will contact DPHand will keep the committeeinformed of progress.Injury PreventionSubcommitteeThe committee decided that data from thetrauma centers need to be submitted tothe state registry first. The data can thenbe analyzed to determine potential injuryprevention initiatives.Hemorrhage controltraining for EMSCEMSAB felt that Stop the Bleed wasgeared more toward the layperson andthe EMS providers would benefit fromformal hemorrhage control training. Thecourse was developed by the educationtraining subcommittee and brought toCEMSMAC and referred to the StateTrauma Committee for comment.Dr. Gregg asked committeemembers to send commentsabout the course to Dr.Kamin.Liaison to the ACSCOTThe liaison position to the ACS COT isopen. This is a legislative position thatwas held by Dr. Jacobs. Committeemembers felt that Dr. Gregg should holdthe position. Dr. Gregg relayed that theDr. Gregg encouragedcommittee members to applyfor the position ACS-COTliaison position.

Chair of the State Trauma Committee isnot a legislative position and is appointedby DPH, whereas the ACS-COT liaison isappointed by the Governor. The focus ofthe two positions are also different; theACS-COT has their charter for trainingand trauma systems, and ACS matters,whereas State Trauma Committee is aregulatory board with a focus on stateregulations.Duties and Goals for2018The Duties and Goals for 2018 weresubmitted to the committee forsuggestions or changes.EducationalOpportunitiesHartford Hospital is sponsoring anASSET Course in June. Cost isapproximately 2500.The meeting was adjourned at 15:00.Respectfully submitted,Shea C. Gregg, M.D.The committee approved theDuties and Goals.

CT TRAUMA COMMITTEE MEETINGConnecticut Hospital Association110 Barnes Rd, Wallingford, CT 06492Thursday, May 17, 2018 2:00 p.m.AGENDA1.Call to order–Shea C. Gregg, MD, Chairman2.Approval of Minutes- January & March 2018 Mtg3.Introductions4.OEMS Report5.Subcommittee Reports6.Old Business-EMS advisory board update-State Trauma Registry update-State registry status-Collector v5 (migration)-NTDB as state Data Dictionary-Legislative bill update-HB 5163-Hemorrhage control training for EMS7.New Business-Liaison to the ACS COT position-Stop the Bleed (Governor’s Proclamation and State Support)8.Open Forum9.Adjourn

Connecticut Trauma CommitteeConnecticut Hospital AssociationMay 17, 2018Present:Shea Gregg, Chairman; Deborah Bandanza, Recorder; Brendan Campbell; Matthew Carlson; RaffaellaColer; Brian Cournoyer;; Doug Dole; Tara Elliott; Peter Ingraldi; Jean Jacobson; Ann Kloter;; JacquelineMcQuay; Patricia Morrell; Monika Nelson; Kevin Schuster; Jennifer Tabak; Pina ViolanoMeeting was called to order at 14:05TOPICApproval of minutesOEMS ReportISSUEEducationCoordinatorEMS / Trauma DataCT Opioid ResponseInitiativeOD MAP toolMIH CommitteeEMS Advisory BoardState TraumaRegistry UpdateDISCUSSIONACTIONMinutes for March 2018 were approved.Joel Demers is the new Education andTraining Coordinator for OEMS.The legislative bill passed which allowsthe National Trauma Data Bank to be thedata dictionary for OEMS and the StateTrauma Registry. Instructions for thetransition to the NTDB dictionary weresent out to the EMS agencies.A symposium, “Opioid OverdoseEpidemic: the EMS Role: will be held May30 at Foxwoods.Overdose is a reportable occurrence byEMS. DPH is working with HIDTA todevelop a reporting tool. In August, a pilotprogram between the Connecticut PoisonControl Center and AMR will begin wherethe EMS crew will call into the PoisonControl Center while on scene with anoverdose.The committee is working to determinehow paramedicine will be delivered in thestate. Based on community needs, theagency would file an application to meetthe perceived gap.There were no updates.HB-6153 passed the House and SenateGo Live date is October 1,and is now with the Governor. This bill2018.supersedes the regulations and allows forthe National Trauma Data Bank datadictionary to be the data dictionary for thestate trauma registry. This also permitsannual NTDB dictionary updates and willallow for transition to Collector V5 for thestate trauma registry.

Central Site locationCollector V5migrationData submissionData MigrationHemorrhage controltraining for EMSLiaison to the ACSCOT positionStop the BleedGovernor’sProclamationState supportThe meeting was adjourned at 15:05.Respectfully submitted,Shea C. Gregg, M.D.Field Trauma Triage guidelines will alsobe updated to reflect national standards.Currently, the central site is at BEST butEMS data is unable to be accessed.There is a proposal to have DigitalInnovations host the central site in asecure part of their server farm. The cost,timeline, and data collection impact willbe vetted by a third party not associatedwith either DPH or DI.An information session will be held withDigital Innovations and the traumacenters to discuss how to submit datafrom the current version (CT CollectorV4). It was noted that although data from2012 forward is to be submitted, there isno way to delineate the time frame for thesubmission file.Hospitals in the state will transition toCollector V5. Funds have beendesignated for data migration from CV4.Digital Innovations will work with eachtrauma center to ensure that hospitalspecific data points are also migrated tothe new version.Training has been updated to include thefeedback from the committee.A potential candidate for the position hasbeen identified.The Governor’s Proclamation for NationalStop the Bleed Day 2018 was distributedto the committee.Once the level of support from the stateagencies is identified, Stop the Bleed willbe brought to CEMSAB to determine thedrive for a public health effort. Thecommittee’s concerns are fundingsources and the lack of evidence-basedresearch in the efficacy of tourniquets inthe civilian population.Ann Kloter will keep thecommittee informed ofprogress.Digital Innovations willprovide an update that willallow for date rangedetermination.Dr. Gregg will keep thecommittee informed ofprogress.