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PREPARE.SUPPORT.RESPOND.600SixFlagsDriveSuite160ArlingtonTexas760118176080390-www.NCTTRAC.org20122013AnnualReport ThemissionofNCTTRACistosupportandimproveallemergencyhealthcarethroughpreventioneducationadvocacyresearchpreparednessandresponse.AttheNorthCentralTexasTraumaRegionalAdvisoryCouncilWepreparethroughresearcheducationpreventionandemergencymanagement.Wesupportthroughprotocoldevelopmentresourcescommunicationsandadvocacy.WerespondtotheneedsoftheregionalhealthcarecoalitionandtheStateofTexas.Learnmoreatwww.NCTTRAC.orgNCTTRACisaTexas501.c.3Non-ProfitCorporation MessagefromtheBoardChairDearRACMembersandFriendsAswecloseanotheryearwithourannualreportithasbeenmyprivilegetobetheRACChairthispastyear.Wehaveaccomplishedagreatdealintermsofpre-hospitalcoordinationofcareandemergencypreparednessandhavehadtheopportunitytouseourresourcesinrealtimetohelpintheWestexplosionandGranburytornadoresponsesaswellaswithourcolleaguesinotherareaswithinandoutsideofTexas.AlltheworkthathasgoneintotheinfrastructureandthedailyworkingsoftheRAChasnotgoneunnoticed.TheRACsystemhasbeenavailedbythestatefortraumacareemergencypreparednesscarestrokecarecardiaccareandpediatriccare.ThissystemdevelopmentpipelinecreatedbyRACswillcontinuetobetheinfrastructureformanyotherareasofcareforTexansinyearstocome.TheRACsysteminourareawillhavebeenaroundfortwentyyearsnextyear.InthattwentyyearstimewehavegrownfromasmalloutfittoalargegroupofindividualswhonotonlyhaveasayinwhatisdoneintheregionbutdevelopalevelofcooperationwithinalargeareaunlikeanyotherRACs.Itakegreatprideinthefactthatallthosearoundmehavebeenasourceofmyinspirationtheyhavemyadmirationforallthathasbeendonetopavethewayforallthathasbeenaccomplisheduntilnow.ThisyearwehavehadamajorchangeintheduesstructurethathasimpactedmanyintheRACsystemhoweverthiswillallowustobeabletocontinueonwiththeRACsystemandtosupporteveryTexanwithaccesstotraumacarepertheunfundedlegislativemandatewaybackinthe90s.Forexamplethisduesincreaseallowsustonowhaveafulltimeeducatorforbothpre-hospitalaswellashospitalprovidersinawidevarietyofareas.ThismajorstepwillbeaboonfortheentireRACforyearstocome.InadditionwehaveenthusiasticnewboardmembersandinvolvedpriorboardmemberswhohavecontinuedtoshowamazingsupportanddedicationtotheRACsystem.InthepastyearwehavealsoengagedmanyfinancialpeopleintotheRACsystemahugebenefitforusnotjustoverthispastyearbutforthefuture.Theywillhelpusbegoodstewardsofourresources.Aswecontinueourjourneyintothefuturewewilllookonthepasttolearnfromourtriumphsaswellasouropportunitiesforimprovement.IcontinuetobehumbledbyalltheworkthatIseeoccurringonadailybasisandthededicationofallthosearounduswhetheritbepre-hospitalhospitalorevenposthospitalproviders.IcontinuetoenjoythedirectrelationshipwitheverybodyintheRACsystemandIappreciatethephonecallsandemailsthatkeepmeinformedofissuesImaynotbeawareof.Pleasecontinuetokeepmeinformedandcontinuetocommunicate.Asweprogressintheyearstocomecommunicationwillbealargeissuethatwillneedtobetackled.Communicationhasalwaysplaguedthepre-hospitalproviderintheemergencyanddisasterpreparednessarena.During911communicationwasnonexistentbetweenthePortAuthoritytheNewYorkFireDepartmentandtheNewYorkPoliceDepartment.Wearestartingtogetaninfrastructureofcommunicationinplacebutmychargetoeveryoneistocontinuetoworktomakeitcompletesoourpre-hospitalproviderscanspeakwitheachotherandourhospitalsandbetrulyintegrated.IdounderstandthatthetaskcanbeverydauntingbutIknowthatwehavetheexpertisethemanpowerandthededicationtofindanelegantsolutionforthisissue.IcontinuetobeaweinspiredbyeverythingthatyoualldoonadailybasisandIthankyouforallowingmetobetheRACChair.MostrespectfullyRajRajeshRGandhiMDPhDFACSSCCMChairNorthCentralTexasTraumaRegionalAdvisoryCouncil MessagefromtheExecutiveDirectorInthiseditionourthirdillustratedAnnualReporttheNCTTRACstaffhasagainputforwardahighlyprofessionaleffortandproduct.SquarelyaimedatupdatingandaddressingorganizationalvaluetoourcommunitywevepublishedaninformativedocumentthatprovidestransparencyandbringsforwardahistoricalperspectiveofongoingprogramsmanagedbytheRAC.Includediscontentofferingaspecificallydetailedfocusonthepastprogramyearshighlightsandregionalaccomplishmentsaswellasbridginginsighttotheprojectsofthenewprogrammaticyearthatarebynowwellunderway.FormypartIwanttoreflectonthepastyearasaperiodofincrediblyimportantsignificancetoourmembershipandtoourpartnersintheemergencyhealthcarecoalitionofTraumaServiceAreaE.DuringthattimeweasanindependentTexasnon-profitcorporationfacedtwomajordecisionpointsandcrossroadsinourorganizationaldevelopmentthatintheirrespectiveoutcomesholdthekeystobothourshortandlongtermfutures.ThefirstwasourcommitteddecisiontopursueretentionandcontinuationofourcontractedrolewiththeTexasDepartmentofStateHealthServicesDSHSinthefederallyfundedHospitalPreparednessProgramHPP.ItisthroughtheHPPthatNCTTRAChasbeenaffordedthedepthofstaffingtoadministermillionsofdollarsofresourcesthathavebeenmadeindividuallyavailabletoourhospitalandEmergencyMedicalServicesEMSmembersandnon-membercoalitionpartnersalike.AndofequalifnotgreaterimportanceisthefactthattheHPPhasbeenthesolefundingsourceinestablishingtrueregionalcommunicationsweb-basedsituationawarenessanddisasterresponsecapabilities.ForourregionthesecriticalcapabilitiesdontcometogetherinajurisdictionalplatformastheydowithTexastwootherlargestmetropolitanareasbutincontrasttheyarehostedindependentlywithinNCTTRACsTSA-EMedicalOperationsCenterEMOCanditsLeadRACresponsibilityintheEmergencyMedicalTaskForcecomponentoftheTexasDisasterMedicalSystemTDMS.InspiteofunprecedentedcostsbeingshiftedtotheRACasaprerequisitetofutureHPPcontractsourleadershipsdeliberatedecisiontocontinuehasprovenandwillcontinuetoprovetobecriticalinthecoordinationofemergencymedicalsupportinthefourthlargestmetropolitanareainthecountry.Thesecondkeydecisionwasendorsedbyourleadershipteamandvoteduponbyourmembershipthispastsummer.ThatwasthedecisiontoexpandtheNCTTRACHospitalMembershipduesstructureinamannerthatwould1enablethecontinuationoftheHPPcontractontheassumptionitwouldagainbeawardedand2providesufficientfundingtosustaindesiredservicestomembersshouldthefederalandorstatefundsbesignificantlyreducedorunavailableinthefuture.ThisactionwasthelinchpintocommittedsustainmentandpotentialforNCTTRACscontinuedgrowthasaserviceorganizationinsupportofitsmembersandthecommunitiesthattheyinturnsupport.Itisviewedasademonstrationoftrustevidencedbytheacceptanceofimmediateandfuturecapitalinvestmentbythemembership.ThiswasthesinglemostsignificantdecisionrenderedinthatitbecametheRACMemberscommitmenttothemselvesinfindingapathtoindependentandsustainableoperationsasanorganization.NCTTRACisnolongeradependentofStateresourcingalone.ButmakenomistakeinresponsewehaveelevatedouraccountabilityandtransparencytoourmembershipandconstituentsinequalmannerbyexpandingNCTTRACfinancialdecision-makingprocessestoincludehospitalsystemsChiefFinancialOfficerappointeesandEMSChieforDirector-levelrepresentation.AswitheacheditionofourillustratedAnnualReportIaskyoutocontactmedirectlyat817.607.7001orrantonissencttrac.orgwithanyquestionscommentscriticismsorcomplementsregardinganyandallactivitiessupportedbyNCTTRAC...yourRAC.Againitisyourawarenessyoursupportyourleadershipandyourdynamicfollowership...witnessedinyouractiveparticipation...thatareessentialtosystemdevelopmentandimprovedpatientoutcomes.ThankYOUforyourcontinuedandfuturecommitmenttotheemergencyhealthcaresystemsofyourcommunityTraumaServiceArea-EandtheStateofTexasHendrikJ.RickAntonisseExecutiveDirectorNorthCentralTexasTraumaRegionalAdvisoryCouncil BoardofDirectorsFY13BoardPositionNameOrganizationFY14BoardPositionNameOrganizationChairDr.RajeshGandhiJPSHealthNetworkChairDr.RajeshGandhiJPSHealthNetworkViceChairRickyReevesLewisvilleFireDepartmentViceChairRickyReevesLewisvilleFireDepartmentSecretaryAmyAtnipMedicalCenterofPlanoSecretaryAmyAtnipMedicalCenterofPlanoTreasurerWesDunhamMethodistHealthSystemTreasurerDavidOrcuttWeatherfordRegMedCenterAirMedicalCommitteeMikeEastleeAirEvacLifeTeamAE67AirMedicalCommitteeMikeEastleeAirEvacLifeteamAE67CardiacCommitteeKarenYatesMethodistMansfieldMedCenterCardiacCommitteeKarenYatesMethodistMansfieldMedCenterEMSCommitteeKevinCunninghamCedarHillFireDepartmentEMSCommitteeKevinCunninghamCedarHillFireDepartmentFinanceCommitteeDavidOrcuttLakeGranburyMedicalCenterFinanceCommitteeDerrickCuencaLakeGranburyMedicalCenterPediatricCommitteeLoriVinsonChildrensMedCenterDallasPediatricCommitteeMelindaWeaverCookChildrensMedCenterPhysiciansAdvisoryGroupLiaisonDr.BobSimonsonPhysicianEmergencyCareAssociationPhysiciansAdvisoryGroupLiaisonDr.BobSimonsonPhysicianEmergencyCareAssociationProfessionalDevelopmentCommitteeCourtneyEdwardsParklandHealthHospitalSystProfessionalDevelopmentCommitteeShawnWhiteMethodistMansfieldMedCenterPubEdInjuryPreventionCommitteeMaryAnnContrerasJPSHealthNetworkPubEdInjuryPreventionCommitteeMaryAnnContrerasJPSHealthNetworkRegionalEmergencyPreparednessCommitteeNickSloanBaylorUniversityMedicalCenterRegionalEmergencyPreparednessCommitteeNickSloanBaylorUniversityMedicalCenterStrokeCommitteeSharonEberleinPlazaMedCenterofFortWorthStrokeCommitteeSharonEberleinPlazaMedCenterofFortWorthSPICommitteeDwayneHowertonCareFliteSPICommitteeDwayneHowertonEmergencyPhysiciansAdvisoryBoardTraumaCommitteeJorieKleinParklandHealthHospitalSystTraumaCommitteeLawanSmithTXHealthHarrisMethodistHospitalFWZonesRepresentativeScottVetterickFriscoFDZonesRepresentativeMarthaHeadrickAirEvacLifeteamNorthTX ExecutiveSummaryWearepleasedtoprovideathirdconsecutiveNCTTRACAnnualReporttoourmembersandpartnersaswellasindividualsandorganizationsinourcommunityforawarenessanddecisionmaking.TheNorthCentralTexasTraumaRegionalAdvisoryCouncilNCTTRACwillcelebrateitstwentiethanniversaryduring2014asanorganizationdesignedtofacilitatethedevelopmentimplementationandoperationofacomprehensivetraumacaresystembasedonacceptedstandardsofcaretodecreasemorbidityandmortality.TheTraumaServiceAreaTSA-EforNCTTRACiscomprisedof19countiesofNorthCentralTexasthatincludeCollinCookeDallasDentonEllisErathFanninGraysonHoodHuntJohnsonKaufmanNavarroPaloPintoParkerRockwallSomervellTarrantandWise.NCTTRACisthelargestTraumaServiceAreainthestateservingapopulationequalto27ofthepopulationoftheStateofTexasandapproximately2.5ofthepopulationoftheUnitedStates.TheGeneralMembershipprovidedsupporttotheregionalsystembyasubstantialduesincreaseforhospitalsprovidingadditionalsupportforprogramsandtobuildreservesforthisregionalsystem.Thisincreasetakesplaceduringthenextreportingyearbutthedecisionprocesswasanintegralpartoftheplanningeffortsof2012-2013.AgainNCTTRACwasnotifiedofthelargestLocalProjectsGrantoftheyeartosupporttheregionalRACbackboardprogramforourEMSagenciesandprovideditemssuchasbicyclehelmetsandlifejacketstohelpsupportourmemberspubliceducationefforts.Additionallytheregionalemergencyhealthcaresystemshowedgrowthinstatedesignatedtraumaandstrokefacilitiesaswellasmorefacilitiespursuingexcellenceincardiaccare.NCTTRACcontinuestoserveastheHospitalPreparednessProgramHPPregionalcontractorin2013forthesixthconsecutiveyear.TheTSA-EHealthcareCoalitionhas481supportingmembersincluding127ofTSA-Es163hospitalsand281EMSmembers.NCTTRACanditssubrecipienthospitalsagainrepresentthelargestTexasregionalhealthcarecoalition.TheNCTTRACwarehousewaslicensedthisyearbyTexasDepartmentofStateHealthServicesasanon-pharmaceuticalandMedicalDeviceDistributorwithmedicalgaslicensetosupportthemillionsofdollarsworthofassetsmanagedinthisresourceagreatmilestoneintheeffortsofourstaff.NCTTRACsemergencyresponseandoperationscapabilityhasgrownbothintermsofitsTraumaServiceArea-EMedicalOperationsCenterandtheEmergencyMedicalTaskForce-2.EMTF2reachedamilestoneof100mobilemedicalunitandRNstriketeammemberstrainingincluding24physiciansandadvancedpracticeprofessionals.JoiningtherobustAMBUSandambulancestriketeamprogramscomponentsofEMTF2hasrespondedandexercisedinallareasoftheregionandthestatewithpartnersfromallcomponentsofresponse.TheDataandInformationSystemsDivisionofNCTTRAChasalsogrownsubstantiallywithamigrationofregionallyusedcrisisapplicationsallbeingmovedtonewserverhardwaretoimproveinfrastructuretothe2500plususersofthesesystems.whoaresupportedwithourregionalpatientdatacollectionregistryREGE.ThefirstyearofdataregionaldatasubmissionrequirementsforallEMSanddesignatedhospitalactiveparticipantshasresultedinmorerobustdatathateverbefore.Thisdatawillbeusedinbyseveralcommitteesinsupportofperformanceimprovementandpubliceducationalinitiatives.ThroughcontinuedcoalitiondevelopmentNCTTRACleadershipcontinuestoworktowardthefulfillmentofourmissiontosupportandimproveallemergencyhealthcarethroughpreventioneducationadvocacyresearchpreparednessandresponse.TheNCTTRACBoardofDirectorsandstaffareproudoftheworkaccomplishedin2012-2013anddedicatedtocontinuetheprogressionforwardasanorganizationsupportivetoeachofourmembersindividualmissionsforthecommunityinwhichwelive. FinancialOverviewTheStatementofActivitiesfortheFiscalYearEndedAugust312013reflectsNCTTRACsunauditedfinancialactivityforthelastfiscalyear.NCTTRACreceivesfundingthroughcontractsandgrantsfromDSHSaswellasrevenuefromunrestrictedorganizationalactivitiessuchasmemberduesandsponsorships.ContractandgrantfundingsourcesfortheFiscalYearendedAugust312013includethefollowingEMSRegionalAdvisoryCouncilsEMSRACThepurposeofthesefundsistoassistintheenhancementanddeliveryofpatientcareintheEMSandTraumaServiceCareSystem.AdministrativesupportfunctionsaretheprincipalactivitiessupportedbythiscontractwiththeintenttoenhanceandimprovedeliveryofEMSandtraumapatientcareinthenineteencountyregionservedbyNCTTRAC.TobaccoRACThepurposeofthesefundsistoassistinmaintainingandimprovingtheTexasEMSTraumaSystemtoreducemorbidityandmortalityduetoinjuries.ThesefundssupportprogrammaticfunctionsrelatedtotheNCTTRACRegionalPatientRegistryREGEaswellasprovideeducationalprogramsandpubliceducationmaterialsformembers.LocalProjectsGrantLPGThepurposeofthesefundsistoconductpre-hospitalprogramactivitiestodevelopupgradeorexpandemergencymedicalservicessystems.Thefundsreceivedduring2013wereusedtopurchasealmost1000backboardsforEMS.TheEMSCommitteecreatedadistributionpolicythataddressesthechallengesofhowbackboardsareusedandreturnedintheDFWarea.Thisprogramwillshowsignificantimprovementinthatprocess.EMSCountyAssistanceThepurposeofthesefundsissimilartotheEMSRACfundstoassistintheenhancementanddeliveryofpatientcareintheEMSandTraumacaresystem.ThemostsignificantdifferenceisthatthesefundsarepaiddirectlytoqualifyingEMSProviderstosupportsupplieseducationandtrainingcommunicationsequipmentandvehicles.ASPRHPPThepurposeofthesefundsistoenhancetheabilityofparticipatinghospitalsandhealthcarefacilitiestoimprovesurgecapacityandenhancecommunityandhospitalpreparednessforpublichealthemergencies.ThisisachievedatthelocalandregionallevelthroughdesignatedcapabilitiesandbenchmarksdesignatedbytheOfficeoftheAssistantSecretaryofPreparednessandResponse.Unrestrictedfundsareorganizationalandarenotrelatedtothecontractsdescribedabove.Sourcesofthesefundsincludemembershipduesdonationsandsponsorshipsandinterestoninvestments.TheBoardofDirectorsisresponsibleforoversightanddirectionofallNCTTRACsfundingcontractandunrestrictedfundsinclusive.AccordingtoBoarddirectedpolicyallcontractualprogramscontainedintheannualoperatingbudgetarerequiredtobalance.Assuchtotalanticipatedcontractrevenuemustequalbudgetedexpendituresforeachcontract.UnrestrictedfundsarenotusedtooffsetexpendituresrelatedtoDSHScontracts.AllcontractsrequirethatanyfundsremainingunobligatedorunspentattheendofthecontractperiodbereturnedtoDSHS.ForthefourthconsecutiveyearNCTTRAChasutilized100ofthefundingavailablefromDSHScontractsresultingin0beingreturnedtoDSHSattheendofthefiscalyear.WhileitisexpectedthatfuturefundingthroughDSHScontractsandgrantswillbeaffectedbycurrenteconomicconditionstheBoardofDirectorsandstaffcontinuemanagingallNCTTRACfinancialresourcestomeetourmissionforthesupportandimprovementoftheemergencyhealthcaresystemwithinTSA-Ethroughpreventioneducationadvocacyresearchpreparednessandresponse. EmergencyHealthcareSystemFundsTheEmergencyHealthcareSystemofTraumaServiceArea-EreceivesfinancialsupportfromtheTexasDepartmentofStateHealthServicesDSHSthroughseveralfundingstreams.TheseincludeRedLightcameraenforcementthestatestobaccosettlementendowment911surchargesandvariousdangerousdrivingfines.ProgramsSupportedwiththeTobaccoEndowmentMaintainingsupportfortrainingandoperationsfortheREGEprojectourregionalpatientregistry.Consultingservicesfeesforlegalservicesaswellasrequiredindependentaudits.MaintainingtheRegionalCommunicationCenterTraumaHotlinetoassistwithin-RACtraumatransfers.SupportingmemberandpartnerendeavorswithdonationsandmarketingitemsforeventssuchasShatteredDreamsandsafetyfairs.Itemsincludedbikehelmetssafetydrawstringsportpackslifejacketsanditemswithpreventionmessages.SupportingeducationalprogramssuchashostinganEMSlegalseminarandforcontinuingeducationofferingsattheGeneralMembershipMeetings.AlsoproducedapubliceducationvideoforcardiacandstrokeemergencyawarenessdesignedbythesetwoNCTTRACcommittees.ContinuingsupportofourquarterlyNCTTRACNewsletterdevelopmentandothermeansofcommunicationwithmembershipsuchasourwebsiteandsocialmedia.MeetingsupportforBoardofDirectorCommitteeandGeneralMembershipRACmeetings.SupportoftraveltoregionalandstatemeetingsforappropriatestaffandCommitteeChairs.PortionsofthecostsrelatedtopersonnelleasespaceofficeexpensesandequipmenttrainingdirectlyrelatedtoconductingRACbusinessandinternetsupport.TobaccoFundingNotesTheTobaccoEndowmentFundwasestablishedintheTexasGovernmentCode403.106toprovidethemeansfortheDepartmentofStateHealthServicestoassistRACsinmaintainingandimprovingtheTexasEmergencyMedicalServicesEMSTraumaSystemtoreducemorbidityandmortalityduetoinjuries.TotalstatefundingforRACsfromthetobaccoendowmentfundforFY2013was2.4M.NCTRACreceived286588underthiscontract.DisbursementsarebasedonaformulawhichincludesacalculationofthetraumarelateddeathrateintheTraumaServiceAreaTSA.ChampionsoftheTexasEMSandTraumaSystemmeetwithGovernorRickPerrycenter. EMSCountyAssistancePass-throughFundsFundingDetailsNCTTRACreceived310983.00inEMSCountyAssistancefundsfordistributionto59911EMSProvidersthroughareimbursementprocess.ThepurposeofthesefundsoriginatingfromthesamebasesourcesastheTobaccoAllocationfundsaretoassistintheenhancementanddeliveryofpatientcareintheEMSandtraumacaresystem.LicensedEMSProvidersmustfillDSHSrequirementsfordatasubmissionandlocalRACparticipationrequirementstobeabletosubmiteligiblereceiptsforreimbursement.RACparticipationincludesaBoardapprovedapplicationandduesaminimumnumberofattendedmeetingspointsandparticipationinsystemperformanceimprovementactivitiesasrequested.EMSProviderswereverifiedtohaveactiveparticipationstatusfortheirSeptember2011throughAugust2012membershipperiod.ItemsrangefromEMSsuppliessuchasmedicationbandagesandairwayequipmenttoitemssuchastrainingtravelradiosandserviceagreementsforcapitalequipment.SuppliespassedEquipmentthisyearasthemajoritycategoryat35.Supplies107768OpExpense41038EdTrg21054Equip85908Vehicles42530CommEquip12686FY2012-2013EMSPASSTHROUGHUTILIZATIONBYEXPENDITURETYPEFundUseRestrictionsAccordingtoDSHSguidancethefundsinthisprogramcanonlybeusedforthefollowingSuppliesOperationalExpensesEducationandTrainingEquipmentVehiclesCommunicationSystemsEMSCountyAssistancePass-throughFundsCountyNo.ofProvidersAmt.perProviderCountyNo.ofProvidersAmt.perProviderCollin112297.09Hunt110384.00Cooke18408.00Johnson42666.25Dallas234059.87Kaufman25219.50Denton151437.72Navarro111031.00Ellis43208.75PaloPinto32857.00Erath33388.00Parker19558.00Fannin24052.00Rockwall3812.00Grayson43011.00Tarrant162643.75Hood14478.00Wise19363.00TSA-E310983.00TwooftheregionsfourAMBUSesparticipatinginaDFWIAExercise. FY2013UncompensatedTraumaCareFundDistributionforHospitalsTheTexasDepartmentofStateHealthServicesDSHSOfficeofEMSTraumaSystemsCoordinationannouncedUncompensatedTraumaCareFunddistributionsduringthemonthsofJulyandSeptember2013forFY2013.13362759.98fromtheDesignatedTraumaFacilityandEmergencyMedicalServicesDTFEMSAccount3588Monieswasdistributedto36TSA-Ehospitalsdesignatedastraumafacilitiesormeetinginactivepursuitrequirements.Thisamountis24.4ofthe54720776distributedto286facilitiesaroundTexas.301558.04fromtheEmergencyMedicalServicesTraumaFacilitiesandTraumaCareSystemsAccount1131MoniesandtheEmergencyMedicalServicesandTraumaCareSystemsAccount911Monieswasdistributedto29eligibleTSA-Ehospitals.Thisis24.1ofthetotaldistributionof1246.830.68madeto264Texashospitals.BackgroundInformationDSHSisdirectedbytheTexasHealthandSafetyCode780.004touse96offundsintheDTFEMSAccount3588Moniestofundaportionofuncompensatedtraumacareprovidedathospitalsdesignatedasstatetraumafacilitiesorahospitalmeetinginactivepursuitrequirements.AdditionallyDSHSisallowedtodistribute27offundsintheEmergencyMedicalServicesTraumaFacilitiesandTraumaCareSystemsAccount1131Moniesand27offundsintheEmergencyMedicalServicesandTraumaCareSystemsAccount911Moniestofundaportionofuncompensatedtraumacareprovidedathospitalsdesignatedasstatetraumafacilities.DuringFY2012SenateBill7fromthe82ndTexasSpecialLegislativeSessionS1amendedtheTexasHealthandSafetyCode780.004totransfer26millionfromtheDesignatedTraumaFacilityandEMSAccounttoHealthandHumanServicesCommissionHHSCtomaximizetheamountoffederalfundsthatHHSCreceivesinmedicalassistanceprogramMAPfunds.Ruleswerewrittensothatallhospitalswouldbeheldharmlessinthistransaction.WhilemanyfacilitiesreceivedmorethanpreviousyearsiftheywouldbedeterminedfromthecalculationsdefinedintheTex.H.S.CodetoreceivelesstheywouldreceiveatraumaaddonamountbeforetheendofFY2013.Theamountsbelowreflectthattotal.FY2013UncompensatedTraumaCareDisbursementDisbursementMethodologyUncompensatedtraumacarechargesfromCalendarYear2011asreportedbyeligiblehospitalsontheFiscalYearFY2013UncompensatedTraumaCareFundApplicationHospitalAllocationwereusedinthefundingformulaforbothallocations.TheamountforCY2011asdocumentedontheapplicationsfromTSA-Etraumafacilitieswasover66.4million.Fifteenpercent15ofthetotalamountoffundsavailablewasdividedequallyamongalleligibleapplicants.Theremainingeighty-fivepercent85wasdistributedtoeligibleapplicantsbasedonthepercentageofuncompensatedtraumacareahospitalprovidedinrelationtothetotaluncompensatedtraumacareprovidedbyalleligibleapplyinghospitals.9434125.863059770.17464417.75505106.29200897.95FY2013UncompensatedTraumaFundDistributionAcross36TSA-EHospitalsbyTraumaDesignationLevelLevelI4eligibleLevelII4eligibleLevelIII6eligibleLevelIV15eligibleInActivePursuit7eligibleforpartialfunding LOCALPROJECTSGRANTSTheDepartmentofStateHealthServicesOfficeofEmergencyMedicalServicesTraumaSystemsCoordinationoffersLocalProjectGrantsLPGawardstoeligibleagenciesforthefundingofprojectsinsupportofEMSinitiatives.ForFY2013therewere82applicantsacrossTexasawardedfundstotaling1.24milliondollars.OfthesethirteenrecipientsfromTraumaServiceArea-ETSA-EincludingNCTTRACreceivedatotalof229976.69anincreasefromFY2012ofover195ThiswasthefifthconsecutiveyearthatNCTTRACwasawardedagrantfromthisprogram.BasedonasuccessfulpilotprojectinZone2whichincludedtenboardseachforthefourAMBUSesNCTTRACrequestedandreceived84960.69topurchasealmost1000NCTTRACregionalbackboards.ThiswasthehighestamountawardedtoanyoneLPGrecipient.TheseRACBoardsareforusebyanyEMSproviderorfirstresponderinthe19countiesofTSA-E.Providersineachzonehelpedtodistributethe1083RACBoards.AdditionallyNCTTRACispleasedtoannouncethatwehavebeennotifiedofaFY2014LPGawardtotaling76068.50topurchasemoreRACBoardsattherequestoftheregionalEMSCommittee.ThisbringsNCTTRACsfiveyeartotalfundingthroughDSHSLPGsto260544.19overaquarterofamilliondollarsFY2013LPGRecipientsfromTSA-EAgencyAwardMemberStatusAgencyAwardMemberStatusBONHAMFD35000.00MANSFIELDFR4407.00ActiveParticipantCAREFLITE13837.00ActiveParticipantNAVARROCOLLEGE8754.00MemberENNISFD8375.00MemberPOSSUMKINGDOMWESTLAKEVEMS30000.00MemberKENNEDALEFD15735.00MemberRICHLANDHILLSFR536.00ActiveParticipantKRUMFD5100.00ActiveParticipantSANGERFD10500.00LOWRYCROSSINGVFD3900.00WISECOEMS8872.00MemberMembershipisnotrequiredtoreceiveLPGbutqualifiestheagencyforadditionalpointswhenapplicationsarescored.FY2013RACBoardDistributionCentersZone1ShermanFDZone2LewisvilleFDLittleElmFDRoanokeFDZone3CareFliteParkerCoEOCZone4KerensVFDZone5AMRHuntCoEMSZone6AirEvacLifeteamCleburneFDZone7AMRArlingtonMedStarZone8DallasFRRichardsonFD AcuteCareDesignationsinNCTTRACBothTexasDepartmentofStateHealthServicesDSHSdesignationsinTraumaandStrokerequirethatthehospitalapplicantshowtheyareactiveparticipantsinthelocalRACssystemofcareinwhichtheyseekdesignation.TheNCTTRACGeneralMembershiphassetthisstandardtoincluderequirementsthatthesehospitalsmustbeapprovedmembersoftheRACmeetminimumamountsofmeaningfulparticipationbyattendingvariousRACsponsoredmeetingsmustparticipateinanyperformanceimprovementinitiativerequestedandsubmittheirrelevantpatientdatatotheemergencypatienthealthcareregionalregistryREGE.NCTTRAChasalllevelsofTraumaDesignationthroughoutthenineteencountieswehaveatleastonedesignatedorinactivepursuitfacilityineachofthem.AdditionallyNCTTRAChasitsfirstComprehensiveStrokeFacilitiesdesignedthisyearalso.TraumaLevelIIIsgrowby50StateWebReference-httpwww.dshs.state.tx.usemstraumasystemsetrauma.shtmThereare267TexastraumafacilitiesdesignatedbytheTexasDepartmentofStateHealthServicesDSHSatfourdifferentlevelsLevelIComprehensiveTraumaFacilityLevelIIMajorTraumaFacilityLevelIIIAdvancedTraumaFacilityLevelIVBasicTraumaFacilityLevelIandIIfacilitiesaretheanchorsforthetraumasystemhoweverallfourlevelsarecriticaltoitsfunction.LevelIIIandIVhospitalsnotonlytreatbutalsohaveefficientpathwaystotransferthemostcriticalpatientstoaLevelIorIITraumaCenter.TheNCTTRACRegionalTraumaSystemPlanandregionalguidelinesalladoptedbyNCTTRACsGeneralMembershipprovideguidancefortransportdecisionsinthebestinterestofpatientcare.LevelIandIITraumaCentersaresurveyedaccordingtoAmericanCollegeofSurgeonsCommitteeonTraumacriteriabynationallyrecognizedteams.LevelIIIandIVcentersaresurveyedbytheTexasEMSTraumaandAcuteCareFoundationTETAFaccordingtoDSHSstandards.ThechartshowsthetraumafacilitiesinNCTTRACasofDecember12013.AdditionallythefacilitiesbelowareinactivepursuitoftraumadesignationaccordingtoDSHSBaylorAllSaintsMedicalCenteratFortWorthGlenRoseMedicalCenterMedicalCenterofLewisvilleMedicalCityDallasHospitalNorthHillsHospitalRedRiverRegionalHospitalTHPresbyterianHospitalWNJTHPresbyterianHospitalDallasTraumaCentersLevelBAYLORUNIVERSITYMEDCENTERICHILDRENSMEDCENTEROFDALLASIJPSHEALTHNETWORKIPARKLANDHEALTHHOSPITALSYSTEMICOOKCHILDRENSMEDCENTERIIMEDICALCENTEROFPLANOIIMETHODISTDALLASMEDCENTERIITEXASHEALTHHARRISMETHODISTFWIIDENTONREGIONALMEDCENTERIIIHUNTREGIONALMEDCENTERGREENVILLEIIIMEDICALCENTEROFARLINGTONIIInewTEXASHEALTHHARRISMETHODISTHEBIIInewTEXASHEALTHPRESBYHOSPITALPLANOIIITEXOMAMEDCENTERIIIDALLASREGIONALMEDCENTERIVENNISREGIONALMEDCENTERIVLAKEGRANBURYMEDCENTERIVLAKEPOINTEMEDCENTERIVMUENSTERMEMORIALHOSPITALIVNAVARROREGIONALHOSPITALIVNORTHTEXASCOMMUNITYHOSPITALIVNORTHTEXASMEDCENTERIVPALOPINTOGENERALHOSPITALIVTEXASHEALTHHARRISMETHODISTAZLEIVTEXASHEALTHHARRISMETHODISTCLEBURNEIVTEXASHEALTHHARRISMETHDSTEPHENVILLEIVTEXASHEALTHPRESBYHOSPITALALLENIVTEXASHEALTHPRESBYHOSPITALKAUFMANIVWEATHERFORDREGIONALMEDCENTERIVWISEREGIONALHEALTHSYSTEMIV StrokeFacilitiesgrowby37StateWebReference-httpwww.dshs.state.tx.usemstraumasystemsstroke.shtmStrokecarefacilitiesmayrecognizedbyvariousagenciesincludingTheJointCommissionDNVHealthcaretheHealthcareFacilityAccreditationProgramHFAPandtheTexasEMSTraumaandAcuteCareFoundationTETAF.FacilitiescompleteadesignationapplicationtotheTexasDepartmentofStateHealthServicesDSHSwhichusestheinformationfromtheseapprovedagenciestodetermineafacilitysdesignationlevel.TherearethreeDSHSdesignationlevelsforastrokefacilityLevelIComprehensiveStrokeFacilityLevelIIPrimaryStrokeFacilityLevelIIISupportStrokeFacilityThesedesignationlevelsareconsideredintheNCTTRACRegionalStrokeSystemPlanasreviewedannuallybytheNCTTRACStrokeCommitteewiththeinputofotherclinicallyorientedcommitteessuchasEMSandSPI.AnychangesarethenpresentedtotheNCTTRACGeneralMembershipforadoptiontoprovideguidancewiththedecisiononthebestfacilitytoreceiveapre-hospitalpatientwithstrokesignsandsymptoms.AsofDecember12013therewere121designatedstrokefacilitiesinTexaswith3730inthisRACsnineteencountiesStrokeFacilitiesLevelMEDICALCENTEROFPLANOIPLAZAMEDICALCENTEROFFORTWORTHIBAYLORMEDICALCENTERATGARLANDIIBAYLORMEDICALCENTERATIRVINGIIBAYLORREGIONALMEDCENTERATGRAPEVINEIIBAYLORREGIONALMEDCENTERATPLANOIIBAYLORUNIVERSITYMEDICALCENTERIICENNTENNIALMEDICALCENTERIIDALLASREGIONALMEDICALCENTERIIDENTONREGIONALMEDICALCENTERIIDOCTORSHOSPITALATWHITEROCKIIJPSHEALTHNETWORKIILASCOLINASMEDICALCENTERIIMEDICALCENTEROFARLINGTONIIMEDICALCENTEROFLEWISVILLEIIMEDICALCENTEROFMCKINNEYIIMEDICALCENTEROFPLANOIIMEDICALCITYDALLASHOSPITALIIMETHODISTCHARLTONMEDICALCENTERIIMETHODISTDALLASMEDICALCENTERIIMETHODISTRICHARDSONMEDICALCENTERIINORTHHILLSHOSPITALIIPARKLANDHEALTHHOSPITALSYSTEMIITEXASHEALTHARLINGTONMEMORIALHOSPITALIITEXASHEALTHHARRISMETHODISTHEBIITEXASHEALTHHARRISMETHODHOSPITALFWIITEXASHEALTHPRESBYTERIANHOSPITALDALLASIITEXASHEALTHPRESBYTERIANHOSPITALDENTONIITEXASHEALTHPRESBYTERIANHOSPITALPLANOIITEXASHEALTHPRESBYTERIANHOSPITALWNJIITEXOMAMEDICALCENTERIIUTSOUTHWESTERNUNIVERSITYHOSPITALIIWISEREGIONALHEALTHSYSTEMIINORTHTEXASMEDICALCENTERIIITEXASHEALTHHARRISMETHODISTHOSPITALAZLEIIITEXASHEALTHPRESBYTERIANHOSPITALKAUFMANIII HospitalPreparednessProgramTheHospitalPreparednessProgramnationwideexperiencedaseachangeinphilosophyandfocusasittransitionedintoathirdfive-yearprogramphase.BeginninginProgramYear11July2012June2013thefederalprogramwasrealignedunderthemanagementoftheCentersforDiseaseControlandPreventionwhichunifiedpreparednessactivitiesforboththePublicHealthEmergencyPreparednessProgramandtheHospitalPreparednessProgram.Thistransitionpresentedfifteennewcapabilitygoalsandobjectivesintendedtobuildahealthcarecoalitionthatcanrespondtoandrecoverfromdisastersaffectingtheprovisionofpublichealthservicesandthedeliveryofmedicalcare.TheendofProgramYear11witnessedtheconclusionofallHPPcontractsandlettersofagreementthroughoutTexasandNCTTRACscontractwiththeDepartmentofStateHealthServiceswasnoexception.Beginninginthefallof2012DSHSbegandiscussionsonfutureexpectationsonmanagingthenewfifteencapabilities.TheseeffortsresultedintheStateissuingarequestforproposalthatrequiredprospectivecontractorstodevelopadetailedfour-yearplanthatwouldachievealltheprogramcapabilityrequirementsthroughJune2017.Afteranarduousfive-monthapplicationeffortDSHSselectedNCTTRACtocontinueastheHPPcontractorforTraumaServiceAreaE.NCTTRACenteredintoProgramYear12inJuly2013byrefocusingonthecontinueddevelopmentoftheregionalHealthcareCoalitioncomprisedmostlyofhospitalsandEMSagencies.ConcentratingonregionalapproachestodisasterhealthcaredeliveryhospitalsandEMSagenciesperformcoremissionswiththesupportofpublichealthbehavioralhealthandlocalandstatejurisdictionemergencymanagementagencies.NCTTRACenhanceditsdevelopmentoftheTSA-EMedicalOperationsCentersupportingregionalhealthcaredeliveryandfurtherintegratingNCTTRACsmultiagencycoordinationcenterwithstatecommandcenters.DSHSalsoselectedNCTTRACtocontinueastheLeadContractorforEmergencyMedicalTaskForce2representingTSA-CWichitaFallsTSA-DAbileneandNCTTRACsTSA-E.EMTF-2hasgrownintooneofthemostcapablevibrantresponseorganizationsofitstypeinTexas.HealthandmedicaldisasterresponseandEMTFactivitieshavebeenenhancedbyoperationofNCTTRACsemergencymedicalwarehousewhichhasgarneredstatewidepraiseforitsorganizationsupportcapabilityandresponsiveness.NCTTRACLogisticsstaffmaintainover4.5milliondollarsinmedicaldevicesnon-pharmaceuticalsanddeployableequipment.SignificantlyNCTTRACislicensedbytheStateofTexastoholdtheseitemsaswellasmedicaloxygensuppliesandhasreceivedaflawlessreportfromDSHSregulators.NCTTRACcontinueditshealthcarecoalitionleadershiproleexpandingessentialandsupportingpartnerstoformoneofthelargesthealthcarepreparednesscoalitionsinthenation.AsProgramYear12startedtheTSA-EHealthcareCoalitionhad481supportingmembersincluding127ofTSA-Es163hospitals.Ofthesehospitalsall34designatedtraumacentersandanothersixacutecarehospitalsthatarepursuingdesignationareparticipating.Withinthe19countytraumaserviceareaanothersixacademicagencies44emergencymanagementdepartments276EMSagencies5non-governmentalagenciessixpublichealthdepartmentsand12publicsafetydepartmentshelpformthecoalition.Oftheseover190hospitalsEMSagenciesfiredepartmentspublichealthdepartmentsandjurisdictionalemergencymanagementofficesareconsideredessentialtotheCoalitionsprovisionofdisasterhealthcareservices. HPPFundingContractAwardNCTTRACreceived4644439inbaselineHPPfundingfortheperiodJuly12012June302013.Thisrepresented19.1ofthefederal21864933awardreceivedbyTexas.Supplementalfundingfordevelopmentofemergencymedicaltaskforces250000andaminorawardforthesupportofExerciseLeanonMe5081boostedprogramfundingto4889520.FundingDistributionHPPexpenditurespromotedthegrowthofthehealthcarecoalitionemergencymedicaltaskforcesandhospitalreadinessinYear11.HPPYEAR11FUNDINGCOSTSbyProgramActivityHPPCapabilitySpentFundingHealthcareSystemPreparedness168279534.5HealthcareSystemRecovery--0--0EmergencyOperationsCoordination3356686.9FatalityManagement--0--0InformationSharing107731522.0MedicalSurge139027328.4ResponderSafetyHealth4033078.2VolunteerManagement--0--0Total4889358HPP4644439ExerciseLeanOnMe5081EMTF250000HPPFundingDistributionbyCapability34.56.922.028.48.2HealthcareSystemPreparednessEmergencyOperationsCoordinationInformationSharingMedicalSurgeResponderSafetyHealthEMTF-2teammembersparticipatedwithteamsfromaroundTexasinExerciseLeanOnMeheldinBastropTX.EMTF-2wasledbyTaskForceLeaderRickyReevesfromtheLewisvilleFDandViceChairofNCTTRAC. LogisticsandTransportationTheLogisticsandTransportationDivisionactsasanintegralpartoftheNCTTRACsregionalresponseplanprovidingcontractmanagementprocurementassetmanagementanddistributionservicestoHealthcareCoalitionmembersandEmergencyMedicalTaskForces.Acustomerservice-orienteddivisionofNCTTRACLogisticsmanagestheNCTTRACemergencymedicalWarehouseandsupportsthedailyandlong-termneedsofEmergencyMedicalTaskForce2mobilizationequipmentsuppliesandmaintenance.InHPPProgramYear11Logisticsfacilitatedprocurementofregionalprojectsexceeding2.045millionand400000inhospitalsubrecipientprojects.TheLogisticsDivisionsupportsHPPsubrecipientagencieswhichholdover24millioninHPPinventoryincludingtheventilatorsanddefibrillatorsshownatright.NCTTRACsinventoryalsomanagedbyLogisticsincludesEMTF-2responseequipmentandexceeds4.5million.OperationoftheNCTTRACEmergencyMedicalWarehouseisuniquewithinTexas.FullylicensedbytheStatetheWarehouseoccupies22800squarefeetwith1800squarefeetofclimate-controlledspaceforstorageofmedicaldevicesandofficeareathatsupportsanalternativeTSA-EMedicalOperationsCenter.ItholdsallmajordeployableEMTF-2assetsandcaches.LogisticsandTransportationDivisionKeynotesLicensedbyTexasDepartmentofStateHealthServicesasaNon-pharmaceuticalandMedicalDeviceDistributorwithmedicalgaslicenseManagesover4.5millionininventoryMorethan5700lineitems11trailersand2primemovertrucks11medicaldevicecachesMedicalEvacuationequipmentcacheMassFatalityequipmentCacheRadiologicaldetectionandidentificationcachePersonalProtectiveEquipmentPPEandDecontaminationequipment250000N95masks39ventilators45suctionunits4AEDs312-leaddefibrillatorsHAMandcommercialbandradiosandantennas RegionalMedicalOperationsandResponseTraumaServiceAreaEMedicalOperationsCenterThedevelopmentofresponsecapabilitiesandtheEmergencyMedicalTaskForcethroughoutourregionhasdrivenNCTTRACsOperationsDivisionandtheTSA-EMedicalOperationsCentersE-MOCgrowthandexpansionsignificantlythispastyear.InpreviousyearstrainingexerciseandHospitalPreparednessProgramperformanceelementshavebeenthebenchmarkofoperationalsuccessbyourorganizationwithsupportfromourregionalpartnersthattogetherformourHealthcareCoalition.Thispastyearrealemergenciessetthestageforactualresponsecoordinationandcollaborationwithstateregionalandlocalpartners.InterfacewiththestatesrolethroughtheDepartmentofStateHealthServicesandTexasDivisionofEmergencyManagementwasstrengthened.RegionalpartnershipsbetweenDSHSregionalHealthServiceRegion23andtheDisasterDistrictCommitteeswerefostered.LocalrelationshipsthathavelongexistedbetweenNCTTRACandhospitalsEMSpublichealthandemergencymanagementcontinuedtobebuilt.Pleasejoinusasyoureadthroughthesenextfewpagestounderstandandseefirsthandthroughpictureshowourpartnershipshavemadeourcommunitystronger.WestTexasExplosionTheroleofNCTTRACsregionalcoordinationofemergencyhealthcareservicesexpandedexponentiallythispastyearaseffortstoservethecommunityaspartoftheHealthcareCoalitionincreased.WiththedevastatingexplosioninWestTexasacalltoactionwassentoutforthedeploymentofassetsfromacrossthestate.Ourregionsemergencyresponderssteppedintoimmediateactiontoassistourneighboringcommunity.RegionalAirMedicalassetswerecalledupontotransporttheinitialwaveofinjuredpatientsandareahospitalswereonthereceivingendofmanyofthesetransports.TheDepartmentofStateHealthServicesmadeimmediaterequestsfordeploymentofourregionally-heldAMBUSestwoofwhichdeployedfromCedarHillandFriscoFireDepartments.WiththeinitialestimationofsizeandscopeofthedisasterNCTTRACsRegionalEmergencyMedicalOperationCenterE-MOCactivatedinresponsetothecoordinationneedsofregionalEmergencyMedicalTaskForceelementsdeploymentsupportfortheAMBUScrewsandpatienttransportandtrackingawareness.TheWestTexasexplosionwasoneofthefirststatewideemergencieswhichdrewupontheEmergencyMedicalTaskForcecapabilitiesintermsofa MobileMedicalUnitdeploymentwithequipmentmedicalsuppliesandmedicalpersonnelalongwithAMBUSesandtheirfullystaffedcrewsandAmbulanceStrikeTeams.ResponseassetsandpersonnelweresentaspartofanofficialStatewideMissionActivationoftheTaskForcetoassistwithemergencyefforts.FiveAmbulanceStrikeTeamswereputonalertwithover25ambulancesavailabletodeployimmediatelyshouldourassetshavebeencalledupon.SpringTornadoSeason2013OntheheelsoftheWestTexasemergencycameaviciousspringstormseasonthatbroughtdevastatingtornadoshighwindsandflooding.InthecourseofjustacoupleofmonthsourregionrespondedinrapidsuccessiontoahostofemergenciesimpactingnotonlyourareadirectlybutcommunitiesbothtothenorthandthesouthofourTraumaServiceArea.WithinourregioncommunitiestosouthandwestofthemetroplexwereheavilyimpactedincludingGranburyCleburneandwidespreadimpactinEllisCounty.TheregionalMedicalOperationsCenterwasagainactivatedtoassistwithanimmediatecallforhelpinthetransportofmultiplepatientsutilizinganotherofourregionalEmergencyMedicalTaskForceAMBUSesjointlyoperatedbyMedStarFortWorthFD.TheAMBUSalongwithadditionalresponseassetsfromcountlessEMSandhospitalpartnerscamefromacrosstheregion.LakeGranburyMedicalCenteraNCTTRACmemberhospitalhasbeencommendedforitseffortswhenimpactedwithamedicalsurgeofpatientsfromthisdangerousweatherevent.ForourownregionandbeyondcallswentouttwiceagainforthestateofTexastohelpsupporttornado-strickenareasinOklahoma.TheNorthCentralTexasregionhometoahostofemergencyresponseassetsandwillingresponderswerewillinglyplacedonalertstatusandstoodreadytodeployatamomentsnoticeifthestateofOklahomahadcalledforhelp.OurpartnershipwithHCANorthTexasandLakeGranburyMedicalCenterhospitalshelpedensurethatwehadacadreofphysiciansnursesandsupportstaffreadytodeployastheclinicalcomponentoftheEMTF-2MobileMedicalUnitStrikeTeam.AspecialthankstoDr.SharonMaloneMDwhohastirelesslysupportedthedevelopmentofEMTF-2withcountlesshoursofcommitment.TheTSA-EregionalMOCcontinuestosupporttheeffortsofourEMSandemergencyhealthcarepartnersacrossourareaindirectassistancewithcoordinationanddeploymentofregionalassets.TheunprecedentednumberofresponseactivitiesNCTTRAChassupportedhasincludedtheuseofNCTTRACsregionalCrisisApplicationplatformsfortheIrvingbuscrashoccurringApril11thandmedicalAMBUSsupportfromCedarHillFDfortheGeorgeW.BushPresidentialCenterDedication.AdditionallyChiefJeffJonesandhiscrewwhohostShermanFDsAMBUShavelongservedthenorthernpartofourregionevenintoOklahomawithproactivesupportofhospitaldrillscommunitydisplaysandemergencyresponse. EmergencyMedicalTaskForceEMTF-2TrainingExerciseandCapabilityWiththiscurrentyearstrainingandexerciseeffortsourregionalEmergencyMedicalTaskForcebecameareality.WiththeDepartmentofStateHealthServicescancellationofstatewideresponseassetMemorandumsofAgreementitpavedthewayforTaskForceelementstoberecruiteddirectlythroughtheTraumaServiceAreasleadRegionalAdvisoryCouncil.AnnouncementsweresentoutinlateFallandearlyWinterthatanewMOArelationshipwouldbenecessarybetweenresponseagenciesandNCTTRACservingastheEMTFLeadRACtoprepareforanypotentialstatemissionactivationsissuedbytheState.ForourregionourEMSpartnerssteppedforwardtosigntheiragreementsandplantowardpotentialcall-ups.MobileMedicalUnitandNurseStrikeTeamsTrainThispastyearstrainingeffortscontinuedtohighlightregionalneedsasexpressedbyourHealthcareCoalition.WiththeevolutionoftheEmergencyMedicalTaskForcedevelopmentoftheMobileMedicalUnitStrikeTeamwasattheforefrontforregionaldevelopmentandgrowingconceptandcapabilityintoreality.Asthespringseasonunfoldedconcertedeffortstoprovidetrainingandexerciseopportunitiesforourvolunteerswereunderway.Trainingwasconductedinitiallyasatwo-daysessionbutstreamlinedtoonefornewteammembersandincludedEMTFstatewidehistoryandbackgroundalongwithdiscussionoftheexpectationsforaMobileMedicalUnitStrikeTeamwhenitdeploysinresponsetoanemergencyordisaster.Teammemberswereprovidedawarehouseorientationsessionalongwithahands-onopportunitytoerectapartialMobileMedicalUnittentconfiguration.TheMobileMedicalUnitassociatedEmergencyRoomandAlternateCareSitecacheswerepartoftheorientationalongwithsite-configurationtrainingtoallowclinicalmembersafirst-timelearningenvironmenttoassesswhatequipmentisavailableandhowtheywillbestutilizeassetsduringanemergency.OurfirstStrikeTeamtrainingmarksanimportantmilestoneforjoiningstaticwarehouseemergencyresponseassetswithclinicalpersonnelwhohavedemonstratedthewillingnessandexpertisetoprovidemedicalassistancetothestateofTexasduringanemergency.TheMobileMedicalandNurseStrikeTeamsareanessentialpartoftheEmergencyMedicalTaskForceandaremadeupofphysiciansadvancedpracticeprofessionalsnursesparamedicsandadministrativeandlogisticalsupportpersonnelthatcompriseadynamicteamofexpertsreadytorespondduringanemergency.Growthoftheteamcontinuesitsmomentumsoifyouhaveaninterestinjoiningthiseffortplease comebepartofagrowingopportunitytoprovideemergencymedicalcareandassistanceaspartoftheEmergencyMedicalTaskForceTeamOverthecourseofayearstrainingwenowhaveoneoftheStateslargestcadreoftrainedmedicalprofessionalsrepresenting100MobileMedicalUnitandNurseStrikeTeammembers.Totherightisagraphicrepresentationofnumberofpersonneltrainedintermsofcommandstaffphysiciansnursesadvancedpracticeprofessionalsparamedicstechniciansclerksandlogisticssupport.ThiscircularmetricrepresentsthecollectiveteameffortintermsofexpertisevolunteerscoordinationandcollaborationthroughasuccessfulHealthcareCoalitionstructureThankstoourvolunteersTheverynatureoftheEmergencyMedicalTaskForceisdependentuponregionalvolunteerswhostepforwardtobeapartoftheresponseteam.NCTTRACwouldliketorecognizeourpartnershipswithLakeGranburyMedicalCenter.TheirmedicalvolunteersweretheveryfirsttostepforwardtosignaMOAandprovideateamofnursestoserveinaquickdeploymenttype5mission.AlsoaspecialthankyoutoDrSharonMalonewhohasvolunteeredherserviceasmedicaladvisorfortheEMTFbothstatewideandregionally.Shehasbeeninstrumentalinhelpinggetourregionalprogramoffthegroundandbringsunbridledenthusiasmandexpertisetoourarea.WearefortunatetohaveherasalocalresourceandmentorOneofthemostimportantaspectsassociatedwiththedeploymentofaMobileMedicalUnitisthesheersizeandscopeofequipmentandmovingpiecesandparts.ThispastyearwehadatremendousteamoflogisticssupportwhohelpedusthroughafullscaleexerciseandtheGovernorsDisplayin Austin.DinahCannefaxandherteammemberspartneredwithNCTTRACthroughaMOAforlogisticsandequipmentsupport.IttookavillagetosetupsecuremaintainanddemobilizealloftheassociatedassetsthatallowaMobileMedicalUnittofunctionasatriageandstabilizationunit.Herteamwasinstrumentalinhelpingsupportandsafelymaintainregionalequipmentduringmobilizationactivitiesafullscaleexerciseandstaticdisplay-evenspendingalongnightinthetentduringaferociousspringstormtoensuresafetyandintegrityoftheequipmentMobileMedicalUnitPartnershipwithHCANorthTexasandQuestcarePhysicianGroupNCTTRAChostsatremendousstateandregionalassetintermsoftrainedpersonnelabletodeploydownrangeduringanemergencyeventwith100memberstrained.IntermsofnumbersandcapabilitythistranslatestothreefullType1teamseachincluding32specializedpositionsabletofulfil24hourcontinuousmobilemedicalresponseduringdisasterevents.AnewpartnershipwasestablishedthispastyearwithHCANorthTexasDivisionanditshospitalstobringthisType1capabilitythree-foldovertothestateandourregion.ThroughthetirelessrecruitmenteffortsofJacobJohnsonandRonnieIkelertheDepartmentofStateHealthServicesEmergencyMedicalTaskForceResponseMOAwasreviewedandfullyvettedbytheHCANorthTexasdivisionataregionallevelanationalcorporatelevelandultimatelypavedthewayforourownindividualregionalhospitalstoalignmedicalandspecializedpersonneltocompletetheseteams.WiththeadditionofQuestcarephysiciansgroupthissystem-wideapproachbyHCAhospitalsandpartnershipwithQuestcarephysicianshasbeenasuccessfulmodelintermsofmedicalcontrolbyphysicianswithafullcomplementofType1medicalteamcomprisedofnursesparamedicstechniciansclerksandlogistics.ThispartnershiprepresentsoneofthelargestofitskindinthestateandNCTTRACisproudtopartnerwithbothtobringemergencyresponsevolunteersandequipmentassetcapabilitytoourregionandthestateCommandandControlTaskForceLeadershipWiththegrowthoftheEmergencyMedicalTaskForceanditsdeploymentcapabilityspecialrecognitionshouldbeextendedtotheTaskForceLeaderswhohavehelpedbuilditscurrentcapability.ChiefRickyReeveswiththeLewisvilleFireDepartmenthaslongservedNCTTRACthroughcountlessvolunteerhoursandcurrentlyholdstheViceChairpositionontheBoardofDirectors.HealsohasledthewayacrossthestateandregionallytodeveloptheEMTFprogramacrossthestateandiswidelyrespectedforhisexpertiseandleadership.ChiefReeveswasEMTF-2sfirstTaskForceLeaderandhasbeeninvolvedinallofthefullscaleexercisesstaticdisplaysanddeploymentrequestsasanEMTFandMedicalIncidentSupportTeamLeader.ChiefJeffMorriswiththeEulessFireDepartmentalsoservedasoursecondaryTaskForceLeader andbroughthisexpertisetoEMTFthroughourfullscaleexerciseandthespringtornadoseason.ChiefCameronKraemerwithFriscoFireDepartmentservedasourtertiaryTaskForceLeaderandhascommittedmuchofhistimeinsupportoftheEMTFaswellashostingoneofourfourregionalAMBUSesthroughFriscoFireDepartmentssupport.HavingthesupportoftheserecognizedandrespectedregionalleadershasmadetheEmergencyMedicalTaskForcewhatitistoday.EMTF-2atTDEMsGovernorsShowcaseOnFridayMay31sttheTexasDepartmentofPublicSafetyDivisionofEmergencyManagementTDEMhostedahurricaneemergencyresponseexerciseandresourceshowcaseattheAustin-BergstromInternationalAirportABIA.TDEMconductedatourofstateequipmentandresourcesandheldapressconferencewithvariousstateofficialsandemergencyresponderstodiscussthe2013HurricaneSeason.TheTexasEmergencyMedicalTaskForceEMTFhadasignificantfootprintfortheexerciseandshowcasewhilealsoprovidingforceprotectionforeveryoneonsite.FiveoftheeightEMTFregionswererepresentedonsitewiththreeAMBUSsanAmbulanceStrikeTeamandaMobileMedicalUnitthatincludedfourinterconnectedtentsandtwocommandtrailersfrommultipleregions.Thiswasatrueshowcaseofmulti-regioncoordinationofTexasEMTFTaskForceassets.EMTF-2deployedourMobileMedicalUnitMMUtoincludeourZumroTentSystemERMedicalCacheandMMUStrikeTeampersonnel.ManyofourMMUStrikeTeampartnersshownbelowfromacrossourregiondeployedincludingHCALakeGranburyMedicalCenterMedStarCannefaxConsultingandDr.SharonMalone.Region2MedicalIncidentSupportTeamM-ISTmemberswerealsoonsitesupportingtheset-upandstagingoftheMMUassets.ThepastquarterhasseensomemajordevelopmentoftheMMUStrikeTeamandthiswasawonderfulopportunitythatallowedsomeofournewMMUclinicalandlogisticspartnersachancetodeploywithourassetsforthefirsttime.WecontinuetogrowanddeveloptheEMTF-2teamifyouareinterestedinmoreinformationorjoiningtheEMTFteampleasefeelfreetocontactSaraJensenat817-607-7018orsjensenncttrac.org.Youcanalsocheckoutourwebsiteathttpwww.ncttrac.org. RegionalAMBUSesontheMoveAYearinPicturesASpecialNoteofRecognitionandThanksforOurRegionalAMBUSPartnersFriscoFireDepartmentShermanFireDepartmentCedarHillFireDepartmentandMedStarCityofFortWorthFireDepartment. NCTTRACOperationsRegionalExerciseDevelopmentRegionalFunctional-LevelExercise-VantagePointEachyearNCTTRACiscommittedtothedevelopmentandexecutionofaregionalfunctional-levelexerciseopportunityforHealthcareCoalitionpartnerstoparticipatein.ThispastyearNCTTRACfacilitateditslatestregionalexerciseREGEXVANTAGEPOINTandisthelatestinaseriesoffunctionallevelHSEEP-compliantexercisesthatNCTTRACcontinuestoprovidefortheTraumaServiceArea-Ehealthcarepartners.VantagePointwasbuiltuponpreviouslessonslearnedandprovidedaplatformforHealthcareCoalitionpartnerstotesttheirorganizationalcapabilitiesandEmergencySupportFunctionESF-8coordinationinresponsetoanactofbiologicalterrorismrelatedtofoodsafetyandmedicalsurge.NCTTRACworkedjointlywithpublichealthandemergencyhealthcarepartnersduringthedevelopmentoftheexercisetofosteraWholeofCommunityregionalapproach.AsatestoftheTraumaServiceAreaEMedicalOperationsCenterE-MOCNCTTRAChostedanadditionaltierofactivityatafunctionalleveltopromotehealthcaresystempreparednessviacrisisapplicationsandredundantcommunications.Thisfunctionalportionoftheexerciseinvolvednearly150usersrepresentingover100agenciesperformingtaskswithinWebEOCETRACSandEMResource.AdditionalexerciseactivityalsotargetedfunctionalrolesforregionalTSAEMOCliaisonsbyhostingexercise-drivendiscussionamongregionalpartnerrepresentatives.InsupportofaregionalfocustheTSA-EMOCsimulatedafullactivationandwasstaffedby14partnerliaisonsservingasrepresentativesfortheregionsEMSemergencymanagementpublichealthandhospitalpartnershipforanunprecedentedlevelofexerciseactivityandcoordination.Thescenarioincludedintentionalcontaminationofwidelydistributedfoodproductsaspartofaterroristicthreat.ScenarioactiondroveregionalhealthcareresponsetestingtheintegrationofpublichealthwithhospitallocalmedicaloperationscentersEMSandemergencymanagementagencies.ThankyoutoourpartnerswhoparticipatedacrosstheregionandforservinglocallyorvirtuallythroughourTSA-EMedicalOperationsCenterREGEXVantagePointwasdesignedtoEvaluatecapabilityofhospitaltoimplementtheHospitalIncidentCommandSystemHICSinresponsetobiologicalterrorismandpatientsurge. Evaluateinteroperablecommunicationstoincludetwo-wayradiocommunicationandredundancy.EvaluateregionalESF-8integrationandcommunicationmodalitiesforresourcerequests.EvaluateabilitytoassesscriticalmedicationandresourcesinventoryandtrackpatientsurveillancedataforregionalESF-8preparednesspurposes.EvaluateawarenessanduseofregionalESF-8CrisisApplicationtoolsETRACSWebEOCandEMResourceforhospitalstatustoincludebedavailabilityandreportingmeasuresduetoaninfluxofpatientscausedbyaregionalpublichealthemergency.RegionalFull-ScaleExerciseBlackRainOnApril17thand18thNCTTRACinitiatedthesecondannualfull-scaleexercisedesignedtotestthecapabilityoftheEmergencyMedicalTaskForcebetterknownasEMTFforRegion-2.WithanexcitedyetcautiousstepforwardthisyeartheEMTFexercisetookplaceontheNorthHillsHospitalcampusinNorthRichlandHills.ThepreviousyearMay23rd2012markedthefirstfull-scaleexerciseforEMTFknownasREGEXTrinity.REGEXTrinityservedastheinitialtestingoftheEMTFequipmentandassetsavailablethentodeployatatimewhentheentiremissionpackagehadnotbeenreceived.REGEXBlackRainwasthefirstfull-scaleexerciseNCTTRAChasconductedonahospitalcampus.AlthoughtemperedbytheWestTexasexplosionwhichoccurredthenightofthe17thREGEXBlackRainwasabeneficialset-upexerciseincombiningboththeEMTFZumrotentassetswithBase-Xtentsthathavebeenprovidedtojurisdictionsandrepresenttheregionsinitialeffortstoestablishmobilemedicalandshelteringcapability.ThegoaloftheseexercisesistostressandevaluatetheregionaldisastermedicalresponsepotentialthatcontinuestodevelopwithintheNorthCentralTexasregion.ElementsoftheEMTFconceptCommandPersonnelAmbulanceStrikeTeamAMBUSorMulti-patientVehicleMobileMedicalUnitStrikeTeamwerepresenttointeractasasimulatedhospitalevacuationescalatedtoaregionalresponselevel.AspecialthankyoutoKathyHumphreywithNorthHillsHospitalandChiefChrisJungstwithNorthRichlandHillsFireDepartmentforyourcoordinatingefforts.WearealsothankfulfortheleadershipanddirectionofChiefRickyReevesLewisvilleFDChiefJeffMorrisEulessFDChiefCameronKraemerFriscoFDandChiefToddJamisonLittleElmFDandChiefDavidStappwiththeCityofArlingtonFireDepartmentinpreparationforthisexercise.CrisisApplicationsandCommunicationDrillsandTrainingAstheyearprogressedNCTTRACincreasedandenhancedthenumberandqualityofcommunicationdrillopportunitiesavailableforregionalHealthcareCoalitionpartnerstotesttheirproficiencyintheuseofWebEOCETRACSandEMResourceaswellasredundantcommunicationmethods.ThemonthlyradionethostedbyNCTTRAChasbecomearegionalplatformforhospitalsandemergencymanagementpartnerstotestcommunicationcapability.ThroughthisemphasisNCTTRACsownTSA-EMedicalOperationsCenterhasexpandeditscapacitytocommunicatethroughouttheentire19countyregionbyuseofamateurradioDFW-WideandtheDFWCONNCToverlaytoincreaseexistingcapability. WiththenecessaryspecializationandemphasisonregionalcommunicationNCTTRACsCommunicationandOperationsSupportCoordinatorCorySockwellrecentlycompletedCOMLtrainingaspartofthefocusoncommunicationscapabilityandassessmentforthisregion.TheAll-HazardsCommunicationsUnitLeaderCOMLcoursetrainsemergencyresponderstoserveasradiocommunicationsunitleadersduringall-hazardsemergencyoperations.COMLsareresponsibleforbuildingandprovidingIncidentRadioCommunicationPlansdistributingcommunicationequipmentprovidingcommunicationsupportandmanagingcommunicationassetsandpersonnelduringanincident.ThepositionisanessentialcomponentofEMOCoperationswhenactivatedaswellascommunicationsdrillsandexercises.DuringthethreedaytrainingcoursecourtesyoftheNorthCentralTexasCouncilofGovernmentsattendeeswereassignedtoteamsoffiveforgroupexercisesandtraining.Exercisesconsistedofanalyzingincidentsandbuildingacommunicationsplanaddressingthecommunicationneedsoftheevent.WithintheplangroupssimulateddevelopmentofresourcerequestformsandfillingoutICS205IncidentRadioCommunicationsPlanForms.Thisformistheprimarysourcedocumentforcommunicationsandinformationduringanincident.ClassroominformationalsoincludeddidacticlearningofspecificcommunicationsinformationfortheCOML.Theclasslearnedaboutdifferenttypesofradiofrequenciesandcapabilitiespersonnelsafetyandsecurityandplanningfordeploymentcommunicationssetupsinareaswherecommunicationhasbeendegraded.Exercisesbuiltteamworkandgaveeachmemberachancetoaddvaluableknowledgeandideas.Additionallyexperiencedinstructorsprovidedparticipantswithpracticalknowledge.NCTTRACwouldalsoliketorecognizearegionalvolunteerwhoishelpingNCTTRACanditsregionshospitalsexpanditsradiocommunicationcapabilities.Mr.DaveWalkerhasvolunteeredhistimeandeffortovercountlesshoursinsupportofNCTTRACsmonthlycommunicationdrillshospitalinstallationofradioequipmenttheNCTTRACwarehouseinstallationofradioequipmenttonameafewWeallknowwhenMrWalkershowsupintheearlymorningonaFridayitstimeforourregionsradionet.ThanksDaveforallyoursupportandguidancethispastyear 4434484354524727363239203529253HPPYear11SurveyBaselineAssessmentSurveysReportsandMetricsSupportRACOperationsCapabilityFocusNCTTRACOperationsisproudtocontinueprovidingstaffexpertisefordataandanalysis.SofarwehavebeenabletodistributemetricsthatdisplaythefindingsoftheYR11HPPEndofYearSurveyandBaselineAssessmentNoNoticeDSHSBedReportandYR11PerformanceMeasuresReport.FromtheYR11HPPEndofYearSurveyandBaselineAssessmentwewereabletodiscoverfacilityaffirmedtraininggaps.ThetopthreetraininggapsincludePatientTrackingResourceRequestingandCrisisApplications-WebEOC.WewereabletousethesefindingstooutlinetheMultiYearTrainingandExercisePlanforthe2013-2017periods.InitialcrisisapplicationstrainingwillbeofferedquarterlytomeettheregionsdemandsforrefresherandnewusertraininginEMResourceETRACSandWebEOC.Additionaltopic-specificusertraininge.g.HowtosendanETRACSalertorHowtoupdateyourAvailableBedsandVentilatorsforeachoftheapplicationswillbedevelopedandavailablethroughourwebsite.IfthereisadditionaltrainingemphasisthatyouwouldliketoseepleasecontactourTrainingandExercisesCoordinatorCraigBreinatNCTTRAC_TEPIncttrac.orgtoensurethatyourtrainingneedsaremet.BesuretovisitourTrainingandExercisessiteoftenforthelatestineducationalopportunitiesatwww.ncttrac.orgtraining.NCTTRACOperationsDivisionEmergencyMedicalTaskForceAdvancedLevelTrainingFullScaleEMTFExercise-PadreIslandSpringBreakNCTTRACMonthlyRadioNetinCoordinationwithDDCandEmergencyManagementExpandedHPPHealthcareCoalitionDataAnalysisandPerformanceAssessmentRegionalFunctionalHSEEPCompliantExerciseforHospitalsRegionalCommunicationsAssessmentandPlanNextyearsactivities DataandInformationSystemsDivisionThemissionoftheDataandInformationSystemsDivisionistoprovidesuperiorcrisisapplicationsystemsandcustomerservicetosupportthemissionofNCTTRACanditspartners.ThispastyearbroughtmanychangestotheDataandInformationSystemsDivisionDIS.In2011weexpandedthesupporttoourmembershipandpartnersandexperiencedsomeinfrastructurechallengesinthatphase.Thelasthalfofthecalendaryearof2012wasatimetofocusontheinternalinfrastructureoftheorganizationtoprepareforthenextcycleofgrowth.AsplannedthedivisioncompletedatotalmigrationofWebEOCREGEandETRACStonewserverhardware.Thischangewasbadlyneededaswehadseenagrowthtoover2500usersusingthosesystems.Withthatadditionwealsoworkedwithourvendorstoprovidemoreuser-friendlyproducts.Thepositiveeffectsofthoseendeavorsarebeingrealizedaswecloseouryear.UptimeReportNCTTRACexperiencedmoredowntimethisyearthaninthepriortwoyears.Asnotedweperformedsignificantservermigrationsforthecrisisapplicationsserverscausingthemajorityoftheoutages.Inrealitytheoutageswereequaltoabout4minutesoftotaldowntimeoverthepastyear.Weconsiderthisanopportunityforimprovement.TheevaluationsofdifferentITdisasterrecoverysolutionswereexploredin2012toreducethisnumberfurther.Weendedtheyearinputtingthefirstofseveralpiecesofvirtualequipmentinplacetomovetowardsimprovement.WebEOCandETRACSApplicationsWebEOCwasrefinedthispastyear.Weworkedhardtoimprovethefunctionalityoftheexistingboardsandprovideasimpleapproachtousageofthesoftware.Therewereafewboardstestedin2012anddeterminedtobeoflittlevalueortoocomplicatedforthequickandefficientsharingofinformation.Thetestingorpilotingofboardsprovidesassurancesthatweareworkingtoimprovetheflowofinformation.ThisapproachwasaugmentedbytheclosealignmentoftheCrisisApplicationsAdministratorwiththeOperationsDivision.Thatalignmentassistedbothdivisionswithadeeperunderstandingoftheneedsofthecommunityandincreasedfunctionalityofthesoftware.OneexampleofincreasedfunctionalitywastherewritingoftheWebEOCboardstoworkintheiPadorTabletplatform.Thebuttonsandtableswereformattedtobeeasilynavigatedonthosedevices.Thenewformattingprovidedanopportunitytoupdatesomeofthenomenclatureclearingupsomeareasofconfusion.Thenewerformattingbecametheexampleatastatelevelofboardfunctionalityandeaseofuse.ThebackendofWebEOCwasalsomanagedtoprovideastrongerinfrastructurepresence.WecontinuedtheefforttoparticipateintheNorthCentralTexasWebEOCAdministrationGroup.Thisparticipationallowsustomoreeffectivelytietheregionalemergencymanagementgroupsintothehealthcaresector.WebEOCiscontinuallybeingevaluatedforeffectivenessandsupporttoourmembers.Inthecomingyearswewillcontinuetoconsolidatesomeofthefunctionalityandprovideabroaderviewoftheregionforourpartners.99.999699.999899.999899.999699.9998UptimeUptime ETRACSsawitsshareofimprovementsandfunctionalityincreasesthispastyear.TheprocurementmodulecompletedasecondyearoftheASPRHPPgrantcycle.Manythingswerelearnedinthepreviousyearthatbecamethebackgroundfortheimprovementoftheinventoryandprocurementmodules.Theimportandreportingfunctionalitywerebothpointsoffocusallowinginventoriesfrom2009topresentbeloadedformanyHPPparticipants.HPPparticipantswerenottheonlygroupthatbenefitedfromtheProcurementmoduleupdates.EMSCountyAssistancerecipientsinformationwascapturedinETRACS.Becauseofthevastdifferencesintheprogramrequirementsthereareimprovementsbeingplannedforthecomingyear.Despitethechallengesthiswasamoveforwardfortheoverallsystem.BedReportingcontinuedtobeastrongpointourresponsetostateincidents.Weusedthesystemtodetermineavailabilityinseveralrealeventsaswellasexercises.Theabilitytorapidlyreportthatinformationcontinuestobeinstrumentalinouroverallresponse.TheintegrationofEverbridgewasagoalforthepastyearandgreatstridesweremadeinthatdirection.Thebackendofthesystemiswasputintoplaceduringthefirstphaseoftheproject.Inthecomingyearwewillrollouttheuserinterfacealloweachusertosetuptheirownnotificationpreferences.Simultaneouslythereportingfieldswillbeenabledcreatingreportsthataremoregranular.Thisimprovementgrantsustheabilitytodirectlymonitortheeffectivenessofouralertsandextendsthatabilityintotheagencies.REGEREGEistheregionalemergencyhealthcarepatientdatacollectionregistryservingTraumaServiceAreaETSA-E.REGEhasmaturedagreatdealinthelast12months.WehavemovedforwardwithmanydifferentareasacrosstheEMSandHospitalenvironments.REGEEMSandTraumaCentersDataSuccessNCTTRACcontinuestomeasuresuccesswiththeamountofdatathatisbeingsubmittedtotheregistry.Thisisimportantbecausethevolumeofdataallowsustoprovidealargerscopeofreportingandcontributestotheeaseofblindinginformation.Thematurityofthesystemcanbeseenintheflatteningofthenumberofreportsinthesystem.Whilethischartshowsasmallincrease050001000015000200002500030000Sept2008-Aug2009Sept2009-Aug2010Sept2010-Aug2011Sept2011-Aug2012Sept2012-Aug201316545976165712512126490PatientRecordsFiscalReportingYearSept.1Aug.31REGEHospitalRecordsGrowth from2011-2012yearitshouldbenotedthatamountisactuallyanincreaseofnearly10000recordsasreportedfromtheprioryear.Thereareseveralfactorsallowustoreporttheincrease.Alltherecordsof2012arenowinthesystem.Thiswasachallengeinthe2011yearbecauseofsoftwarecompatibilitiesandreportingcycles.In2012thereportingcyclewasfurtherstandardizedandincompatibilitieswereresolved.SimilarincompatibilitieswerenotedintheEMSreportingalso.Thesubsequentfixismoredramatic.InthisinstanceEMSrecordsimportedintothesystemgrewby98000records.AswiththehospitalimprovementsthegrowthinrecordswillallowstheSystemsPerformanceCommitteeandtheNCTTRACstafftoprovidebetterreporting.OnereportingfeaturethedataprovidesisawaytobenchmarkEMSagencieswitheachother.Thisissomethingthathasnotbeenavailabletodate.NewReportingToolsNewreportingtoolshavemadeaccesstothedataeasierthanithasbeen.Thesoftwarevendorhasbeenworkingongreatlyimprovingtheusermanagementofinformation.Thatimprovementisfoundinthereportingmoduleupdates.Asanexampleknowledgeaboutfallshavebeendifficulttoobtainbecauseofthedifferentdataelementsthatcanbeselectedforfallinjuries.Thereportbelowisascreenshotofasimplereportoffallsbygenderandagerange.0100000200000300000400000Sept2008-Aug2009Sept2009-Aug2010Sept2010-Aug2011Sept2011-Aug2012Sept2012-Aug2013574371017017261805360033PatientRecordsFiscalReportingYearSept.1Aug.31REGEEMSRecordsGrowth AlargefocusofthestaffatNCTTRACthispastyearwasonvalidationandcompletionofthedatainREGE.ThetaskisdifficultastheStateofTexashasbeenmovingforwardwiththeiradjustmentstothestateregistry.Therehavebeenseveralchangestotherequireddatafieldscreatingadditionalteachingopportunities.AsuccessoftheteachingopportunitieswasfoundwhenareportwasgeneratedshowingtheAnnualIncidentsbyISSRangebyyear.Thischartshowsbeginstodescribetheseverityoftraumaincidentsbynumberofcasesseeninayear.Whilethisinformationonlyleadstoamorecomprehensivereviewweareexcitedtoseeenoughdatainthesystemtoshowthistypeofinformation.SeveraldifferentaspectsofNCTTRACcontributedtothesuccessfulincreaseofdataandparticipationoftheregistryin2012howevercommitteesprovidedthegreatestmotivation.TheTraumaStrokeCardiacEMSandSPIcommitteesalltooktimetoreviewthedataprovidedandcontributedplansandbestpracticestoimprovethequalityofthedatareceived.InthispastyeartherequestforreportsbecausesofocusedtheDataandInformationsSystemsdivisioncreatedawaytoelectronicallyrequestaREGEreport.Thissystemallowsustotracktherequestandcommunicatewiththerequestortoensurethatallelementsarebeingcaptured.In2014wewillseeanotherchangetothedataelementsandamorecomprehensivereportingcycle.Thesechangeswillimprovethevalidityoftheinformationandassistinbetterreporting.ETRACSandREGEIntegrationOneofthelargergoalsoftheDataandInformationSystemsDivisionwastobeginthegroundworkforsignificantshiftinhowtheregionaddressesthetransitionfromday-to-dayhealthcaretoadisasterorcontingenttreatmentofmulti-patientevents.ThetransitionreliesontheintegrationofETRACSandREGE.TobeginfacilitatingthattransitioninJulytheClinicalInformaticsSupervisorwasmovedtotheDISdivision.Initiallythisservesasawaytoalignthedifferentinterestoftheemergencymanagementversustheclinicalapplications.Ultimatelythedifferentinterestwillbecohesivelyonesystem.ThetwosoftwaresetsREGEandETRACShavebeenupgradedtosupportseamlessconnectivitybetweenthedatasets.Thisphasepreparesthesoftwaretoprovideadecisionsupportmechanismbysharingnumbersofpatientswithemergencymanagementgroupsfordecisions. EmergencyHealthcareSystemsDSHSAmericanCollegeofSurgeonsRACTraumaSystemSurvey900plusmorebackboardsforTSA-EEMSagenciesExpandeduseofEMResourceforairmedicalawarenessandallhospitaldesignationsPedimateDistributionthroughHPPforallNCTTRACEMSProvidersEmergencyMedicalOperationsFullScaleStatewideExcerciseatPadreIslandSpringBreakEmergencyMedicalTaskForceadvancedleveltrainingMonthlyNCTTRACradionetwithDDCandemegencymanagementRegionalcommunicationsassessmentandplanDataInformationSystemsETRACSandREGEintegrationStepped-upserverandsiteredundanciesExpandedfunctionalityforourCrisisApplicationsIncreasedmobilecommunicationsAdministrationFinanceMemberparticipationrequirementsreviewNewfundingopportunitiesthroughexternalgrantsNCTTRACstaffexpandingtoincludeaprofessionaleducationmanagerMembershipconsiderationforFreestandingEmergencyDepartmentsLogisticsTransportationSupportingnewregionalprojectsforEMSresponseandhospitalsupportContinuedupdatestocommunicationequipmentMedicalcachedevelopmentandspecializationAdditionalequipmentpurchasesinsupportofEMTFresponseNCTTRACsFutureUpcomingYearsHighlights ChairRajeshGandhiMDTraumaMedicalDirectorJPSHealthNetworkP.O.Box33937FortWorthTX76162Phone817702-5557Fax817370-1373Emailrgandhijpshealth.orgViceChairRickyReevesEMSDivisionChiefLewisvilleFireDepartmentP.O.Box299002LewisvilleTX75067Phone972219-3580Fax972219-3704Emailrreevescityoflewisville.comTreasurerDavidOrcttCEOWeatherfordRegionalMedicalCenter713EastAndersonStreetWeatherfordTX76086Phone817341-2273Emaildavid_orcuttchs.netSecretaryAmyAtnipDirectorofTraumaServicesEMSMedicalCenterofPlano3901W.15thSt.PlanoTX75075Phone972519-1574Fax469484-0606Emailamy.atniphcahealthcare.comExecutiveDirectorHendrikJ.RickAntonisseExecutiveDirectorNorthCentralTexasTraumaRegionalAdvisoryCouncil600SixFlagsDr.Suite160ArlingtonTX76011Phone817608-0390Fax817608-0399Emailrantonissencttrac.org600SixFlagsDriveSuite160ArlingtonTexas760118176080390-www.NCTTRAC.org