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20132014ANNUALREPORTPREPARE.SUPPORT.RESPOND.600SixFlagsDriveSuite160ArlingtonTX76011817.608.0390www.ncttrac.org MESSAGEFROMTHEBOARDCHAIRDearNCTTRACMembersAsweapproachtheendofanotheryearandbeginthelastyearofmytenureastheRACChairIampleasedwiththedevelopmentofourRACregionally.WehaveinstitutedarateincreasethatwillhelpusassuretheRACscontinuingservicesintheyearstocomeandweveattractedtalentintotheRACemployedranks.Ourregistryisdevelopingverywellandweanticipatewewillsoonbeprovidingcontractedservicesthroughthedatacollectionandinformationmanagementsystemswehosttootherentitiesandforpurposesbeyondourownregionalregistry.Wehavealsoincreasedoureducationalopportunitiessubstantiallyfortheregionviaournewnurseeducatorstaffanddevelopedourpreparednessanddisasterresponsecapabilitiesandresourcestoreachnewheights.WehaveprogressedstronglyinourtraditionalTraumaandEMSsystemsdevelopmenteffortsouremergencyplanningandpreventionfunctionsaswellasCardiacStrokeandPediatricsystemsofcarefortheregion.ThesecommitteeshavebeenveryactivewithoutstandingChairpersonswhohaveprovidedleadershipandsuccessinadvancingtheseareastotheforefront.WeexpecttosoondelveintoneonatalandpsychiatricsystemsofcareaswecontinuetopushforenhancedregionalPerformanceImprovementmeasuresinEMSTraumaandallareasofRACinvolvement.WithourageandaccoladeswehavestartedtocaptureahistoricalperspectiveofourRACsdevelopmentstartingwithJimmyDunnsaccountofitsoriginsandmorerecentaccountsofourprogressoverthelasttenyears.AsweorganizationallydevelopfromadolescenceintoyoungadulthoodasaRACwewillneedtolooktowardtheAmericanCollegeofSurgeonsandthenewOrangeBookmakingitincumbentonustocommittoanevenbetterregionaltraumaandemergencyhealthcaresystem.WhileTexasdependsonitsGovernorsEMSandTraumaAdvisoryCouncilGETACasamajorplayerinformingastablestatewidetraumasystemregionallywearetaskedtoimproveourtraumasystemviaourRAC.Wehavedevelopednewtechnologiesintheprehospitalarenasuchasultrasoundandhavemadefurtherprogressinourresearchinoutcomesasaregion.ThefutureIbelievewillneedtoaddressourperformanceimprovementandpatientsafetyeffortsinamoredirectedfashion.IamhopingtogathertheTraumaMedicalDirectorstogetherintheregionandhaveamorerobustperformanceimprovementprocessregionallyinordertoaccountforthesecriteriaasmentionedintheOrangeBookbytheAmericanCollegeofSurgeonsCommitteeonTrauma.AsIwillfinishmylastyearasChairIcontinuetobeawedbyalltheworkyoualldoandcannotquantifyinwordsmyadmirationforthededicationthatIseeonaconstantbasis.Iwishyouallwellinhealthandhappinessbothforyourselvesandyourfamiliesthroughthecomingyear.RespectfullyRajRajeshRGandhiMDPhDFACSSCCMChairNorthCentralTexasTraumaRegionalAdvisoryCouncil MESSAGEFROMTHEEXECUTIVEDIRECTORInMemoryofaGiantDr.ErwinR.ThalAugust311936December132014HewasNCTTRACsfirstChair.WemetonlyoncebuttheenergyandsincerityIfeltinthatbriefintroductionwasprofound.ThiswasamanthatIknewthroughhisassociatedlegacyandimpactonRAChistorynowtwentyplusyearsinthemakingnotthroughpersonalrelationship.Ihadtheprivilegeofattendinghisfuneralservicerecentlytohearfromhisfriendsandfamilyandtofeelmoreabouthim.Hesthetypepersonallyandprofessionallyweallwishwewere.ThiseditionofNCTTRACsAnnualReportisdedicatedtoDr.ErwinR.Thalforitisonhisshouldersthatwearebuiltanditisonhisvisionthatwecontinue.Dr.ThalsworkthroughtheAmericanCollegeofSurgeonsACSCommitteeonTraumaCOTtransformedthecareoftheinjuredpatient.HeandhiscolleaguesdevelopedandimplementedtheTraumaCenterVerificationProgram.UnderDr.ThalsleadershipandguidanceastheChairoftheACSCommitteeonTraumatheTraumaCenterVerificationProgrammovedfromanideatoareality.Hisenergeticleadershipprovidedthedrivingforceforthisprogram.TheprinciplesdevelopedbyDr.ThalandhiscolleagueshavebecomethebuildingblocksoftheAmericanCollegeofSurgeonsapproachtoqualityimprovementandhealthcarereform.Asaresulthisworkhasbothimprovedandcontinuestoimprovecareforliterallymillionsofinjuredorillpatientsworldwide.Dr.ThalservedasChairoftheACSCommitteeonTraumafrom1986to1990.In1992Dr.ThalwashonoredastheScudderOratorwherehepresentedhisaddressOutofApathy.LookingbackhewasanincrediblyproudgraduateofTheOhioStateUniversityreceivinghisundergraduatedegreein1958andhisdoctorofmedicinedegreein1962.HecompletedhisinternshipatDallasParklandMemorialHospitalin1963.HethenspenttwoyearsinUnitedStatesAirForceasaCaptainservingatLangleyAirForceBaseinVirginiawherehereceivedtheCommendationMedalforMeritoriousServicein1966.UponreturningtoParklandandcompletinghisgeneralsurgeryresidencyhethenbecameamemberoftheUTSouthwesternDepartmentofSurgeryfaculty.Since1982hehadservedasaProfessorintheDepartmentofSurgeryatUTSouthwesternMedicalCenterinDallas.HewasabelovedandinspirationalleaderatUTSouthwesternandParklandforfiftyyears.InthisroleheledanddevelopedtheDallasEMSsystemandcontinuouslyadvocatedforimprovementsintheEmergencyDepartmentatParklandHospital.In1972Dr.ThalwasoneofthreesurgeonswhowithChiefBillRobertsdevelopedandimplementedtheDallasEMSSystemwhichalsoincludedthedevelopmentoftheEMTtrainingprogram.HewasachampionfortheEMSActof1973.In1974heandhiscolleaguesexpandedtheprogramtoincludetheparamedictrainingprogram.HethenservedasChairoftheEMSAdvisoryCommitteefrom1974to1993.DoctorThalalsoadvocatedfortheParklandEmergencyDepartmentduringthesesameyears.HeservedasChairoftheEmergencyRoomCommitteefrom1971to1979.In1973hewasacocoursedirectorfortheAmericanCollegeofSurgeonscourseTreatmentofSeriouslyInjuredorIllintheEmergencyDepartment.HealsoservedaschairofthelocalCommitteeonTraumaforDallasfrom1974to1995.ThroughouthistimeatUTSouthwesternErwinwashonoredwithmanyappointmentsandrecognitionsforhislonglistofaccomplishments.StandoutsamongtheseincludeanHonoraryFireChiefappointmentbytheDallasFireDepartmentin1985chairmanoftheAmericanCollegeofSurgeonscommitteeontraumafrom19861990an HonoraryFellowshipintheRoyalAustralasianCollegeofSurgeonsaplaceontheGiantsofParklandSurgerywallandanAlumniAchievementAwardfromtheOhioStateUniversityCollegeofMedicinethe2000MinnieStevensPiperProfessorawardandnumerousExcellenceinTeachingAwardsfromSouthwesternMedicalSchool.InTexasDr.ThalwasoneofahandfulofkeyleadersresponsibleforestablishingdevelopingandlaunchingtheTexasTraumaSystem.HisleadershipwasessentialtothecreationofarobustTexastraumasystem.DoctorThalservedasStateChairoftheCommitteeonTraumasNorthTexasChapterfrom1974to1982andservedontheTexasTraumaTechnicalAdvisoryCommitteefrom1990to1995.AdditionallyhewasamemberoftheEmergencyHealthCareAdvisoryCommitteeTraumaSubCommitteefrom1996to1998.HewasoneofthekeyleadersalongwithDr.KenMattoxfromHoustontoassistindraftingthefirstTexastraumasystemrules.Theserulescalledforthestatetobedividedintotwentytwotraumaserviceareasforregionalsystemplanningtraumafacilitydesignationstandardsstatetraumaregistrystandardsinjurypreventionandoutreacheducation.TheresultingruleswereimplementedbytheTexasDepartmentofHealthin1992.HeservedusastheChairoftheNorthCentralTexasTraumaRegionalAdvisoryCouncilfrom1993to1995.Dr.Thaldemonstratedextraordinarycommitmenttohiscommunityandservedinmultiplevolunteerrolesthroughhiscareer.HeservedontheAmericanRedCrossBoardofDirectorsfrom1977topresent.HewasamemberoftheBoardofTrusteesfortheDallasCardiacInstitutefrom1981to1985.HewasamemberoftheGreaterDallasInjuryPreventionCentersAdvisoryBoardfrom1994to1996.HeservedonthecommitteesfortheTexasMedicalAssociationAmericanAssociationfortheSurgeryofTraumaViceChair1996to1997SouthwesternSurgicalCongressWesternSurgicalAssociationandtheInternationalSocietyofSurgery.Hiscommitmenttoeducationandtheadvancementofknowledgeledhimtoauthoroveronehundredpublications.DoctorThalsabundantenthusiasmandoutgoinginspirationalpersonalitywillbeprofoundlymissed.HoweverhislegacylivesonintheeffortsoftheACSCommitteeonTraumatheTexastraumasystemandtheNorthCentralTexasTraumaRegionalAdvisoryCouncil.Thatlegacyandspiritisclearlyvisibletodayintheeffortstocontinuallyimproveandadvancethecareofinjuredpatientsintraumacentersacrosstheworld.Hewillberememberedasalovinghusbandfathergrandfatherandfriendtoallthatknewandlovedhim.Hewasgenerouskindheartedsharpwittedandhadahugeheart.ErwinThaltenaciouslyroseaboveeveryadversityandchallenge.Hewillberememberedforhispracticaljokessenseofhumorunbridledenergyandpassionforteaching.YouaremissedDr.Thal.SpecialthankstoDr.RonnieStewartandJorieKleinforcontributingmuchofwhatissharedthroughthisdedicationtoDr.Thal.AswitheacheditionofourillustratedAnnualReportIaskyoutocontactmedirectlyat817.607.7001orrantonissencttrac.orgwithanyquestionscommentscriticismsorcomplementsregardinganyandallactivitiessupportedbyNCTTRAC...yourRAC.ItremainsthatyourawarenessyoursupportandyourleadershipareessentialtoTraumaandEmergencyHealthcareSystemsdevelopmentandimprovedpatientoutcomes.ThankyouforyourongoingcommitmenttoyourcommunityTraumaServiceAreaEandtheStateofTexasHendrikJ.RickAntonisseExecutiveDirectorNorthCentralTexasTraumaRegionalAdvisoryCouncil BoardofDirectorsFY14BoardPositionNameOrganizationFY15BoardPositionNameOrganizationChairDr.RajeshGandhiJPSHealthNetworkChairDr.RajeshGandhiJPSHealthNetworkViceChairRickyReevesLewisvilleFireDepartmentViceChairRickyReevesLewisvilleFireDepartmentSecretaryAmyAtnipMedicalCenterofPlanoSecretaryAmyAtnipMedicalCenterofPlanoTreasurerDavidOrcuttWeatherfordRegMedCenterTreasurerDavidOrcuttWeatherfordRegMedCenterAirMedicalCommitteeMikeEastleeAirEvacLifeTeamAE67AirMedicalCommitteeMikeEastleeAirEvacLifeteamAE67CardiacCommitteeKarenYatesMethodistMansfieldMedCenterCardiacCommitteeKarenYatesMethodistMansfieldMedCenterEMSCommitteeKevinCunninghamCedarHillFireDepartmentEMSCommitteeKevinCunninghamCedarHillFireDepartmentFinanceCommitteeDerrickCuencaLakeGranburyMedicalCenterFinanceCommitteeDerrickCuencaLakeGranburyMedicalCenterPediatricCommitteeMelindaWeaverCookChildrensMedCenterPediatricCommitteeMelindaWeaverCookChildrensMedCenterPhysiciansAdvisoryGroupLiaisonDr.BobSimonsonPhysicianEmergencyCareAssociationPhysiciansAdvisoryGroupLiaisonDr.BobSimonsonPhysicianEmergencyCareAssociationProfessionalDevelopmentCommitteeShawnWhiteParklandHealthHospitalSystProfessionalDevelopmentCommitteeShawnWhiteMethodistMansfieldMedCenterPubEdInjuryPreventionCommitteeMaryAnnContrerasJPSHealthNetworkPubEdInjuryPreventionCommitteeMaryAnnContrerasJPSHealthNetworkRegionalEmergencyPreparednessCommitteeNickSloanBaylorUniversityMedicalCenterRegionalEmergencyPreparednessCommitteeJ.J.JonesJPSHealthNetworkStrokeCommitteeSharonEberleinPlazaMedCenterofFortWorthStrokeCommitteeSharonEberleinPlazaMedCenterofFortWorthSPICommitteeDwayneHowertonEmergencyPhysiciansAdvisoryBoardSPICommitteeDwayneHowertonEmergencyPhysiciansAdvisoryBoardTraumaCommitteeLawanSmithTXHealthHarrisMethodistHospitalFWTraumaCommitteeLawanSmithTXHealthHarrisMethodistHospitalFWZonesRepresentativeMarthaHeadrickAirEvacLifeteamNorthTXZonesRepresentativeMarthaHeadrickAirEvacLifeteamNorthTX ExecutiveSummaryWearepleasedtoprovideafourthconsecutiveNCTTRACAnnualReportupdatingourmembersaswellasTraumaandEmergencyHealthcarecoalitionpartnersonRACactivitythroughthepastprogramandfiscalyearsbetweenJuly1st2013throughAugust31st2014.TheNorthCentralTexasTraumaRegionalAdvisoryCouncilNCTTRACcelebrateditstwentiethanniversaryduring2014asaTexasNonProfitCorporationorganizedtofacilitatethedevelopmentimplementationandoperationofacomprehensivetraumacaresystembasedonacceptedstandardsofcaretodecreasemorbidityandmortality.TheTraumaServiceAreaTSAEforNCTTRACiscomprisedof19countiesofNorthCentralTexasthatincludeCollinCookeDallasDentonEllisErathFanninGraysonHoodHuntJohnsonKaufmanNavarroPaloPintoParkerRockwallSomervellTarrantandWise.NCTTRACsupportsoneofthelargestTraumaServiceAreasinthestateservingagrowingpopulationequalto27ofthepopulationoftheStateofTexasandapproximately2.3ofthepopulationoftheUnitedStates.AsNCTTRACandourregioncontinuetoexpandmajormilestoneshavebeenreachedthisyearfurtheringourorganizationaleffortforpositiveimpactofthetraumacaresysteminsuchalargeanddiverseregion.HighlightedgoalsweveachievedtogetherincludeNCTTRACsBoardofDirectorssupportedthehiringofaClinicalInformaticsManagertosingularlypursueuseofourregionalregistrydataforanalyticsandinformaticsresearch.WiththenumberofregistryREGErecordsnowhittingover3millionthefocusonextractingregionalspecificbenchmarkingisagoalsettobeachieved.NCTTRACsBoardofDirectorsalsosupportedthehiringofanEmergencyHealthcareSystemsNurseEducatortobringfocusandopportunityforwidespreadclinicaleducationacrosstheregion.AclearinghouseofeducationalofferingsandclinicalreferencematerialhasprovidedanimmediateimprovementandusefulnesstoNCTTRACswebsiteandcourseofferingsavailablefortheregion.EmergencyHealthcareSystemsSupportstaffmarkedthehighestlevelofactivitytodateforboththeEmergencyMedicalTaskForceandtheTraumaServiceAreaEMedicalOperationsCenter.Inadditiontoscheduledtrainingandexercisesrealworldeventsimpactingtheregionthispastyearincludedcobblestoneicingseverewinterweatherelectricalgriddowntimeandregionalinfluenzasurge.RespondermobilizationandcoordinationalsoreachednewlevelswiththelargestdeploymentoftheEmergencyMedicalTaskForce2insupportoftheannualSouthPadreIslandSpringBreakeventmarkingaregionalsuccessstoryforcoordinationofafullteamofphysiciansnursesparamedicsandsupportstaffservingpatientsfromacrossthestate.RegionalandstatewideemphasisonconsensusTraumaSystemPerformanceImprovementgainedmomentumwhileStrokeandSTEMIplansexpandedwithearmarkedthoughminimalfundingandahighlightedfocusoncardiovascularhealthdatacollection.NCTTRACcontinuedtoserveastheHospitalPreparednessProgramHPPregionalcontractorin2014fortheseventhconsecutiveyearwithNCTTRACanditssubrecipienthospitalsandEmergencyMedicalServicesagenciesprovidingthecoretoanexpandingEmergencyHealthcareCoalitionfortheregion. FinancialOverviewTheStatementofActivitiesfortheFiscalYearEndedAugust312014reflectsNCTTRACsunauditedfinancialactivityforthelastfiscalyear.NCTTRACreceivesfundingthroughcontractsandgrantsfromDSHSaswellasrevenuefromunrestrictedorganizationalactivitiessuchasmemberduesandsponsorships.ContractandgrantfundingsourcesfortheFiscalYearendedAugust312014includethefollowingEMSRegionalAdvisoryCouncilsEMSRACThepurposeofthesefundsistoassistintheenhancementanddeliveryofpatientcareintheEMSandTraumaServiceCareSystem.AdministrativesupportfunctionsaretheprincipalactivitiessupportedbythiscontractwiththeintenttoenhanceandimprovedeliveryofEMSandtraumapatientcareinthenineteencountyregionservedbyNCTTRAC.TobaccoRACThepurposeofthesefundsistoassistinmaintainingandimprovingtheTexasEMSTraumaSystemtoreducemorbidityandmortalityduetoinjuries.ThesefundssupportprogrammaticfunctionsrelatedtotheNCTTRACRegionalPatientRegistryREGEaswellasprovideeducationalprogramsandpubliceducationmaterialsformembers.LocalProjectsGrantLPGThepurposeofthesefundsistoconductprehospitalprogramactivitiestodevelopupgradeorexpandemergencymedicalservicessystems.Thefundsreceivedduring2014wereusedtopurchaseover900backboardsforEMS.Duringthe2013programyeartheEMSCommitteecreatedadistributionpolicythataddressesthechallengesofhowbackboardsareusedandreturnedintheDFWarea.The2014LPGgrantwasusedtocontinuethatprocess.EMSCountyAssistanceThepurposeofthesefundsissimilartotheEMSRACfundstoassistintheenhancementanddeliveryofpatientcareintheEMSandTraumacaresystem.ThemostsignificantdifferenceisthatthesefundsarepaiddirectlytoqualifyingEMSProviderstosupportsupplieseducationandtrainingcommunicationsequipmentandvehicles.ASPRHPPThepurposeofthesefundsistoenhancetheabilityofparticipatinghospitalsandhealthcarefacilitiestoimprovesurgecapacityandenhancecommunityandhospitalpreparednessforpublichealthemergencies.ThisisachievedatthelocalandregionallevelthroughdesignatedcapabilitiesandbenchmarksdesignatedbytheOfficeoftheAssistantSecretaryofPreparednessandResponse.Unrestrictedfundsareorganizationalandarenotrelatedtothecontractsdescribedabove.Sourcesofthesefundsincludemembershipduesdonationsandsponsorshipsandinterestoninvestments.TheBoardofDirectorsisresponsibleforoversightanddirectionofallNCTTRACsfundingcontractandunrestrictedfundsinclusive.AllcontractsrequirethatanyfundsremainingunobligatedorunspentattheendofthecontractperiodbereturnedtoDSHS.WhileitisexpectedthatfuturefundingthroughDSHScontractsandgrantswillbeaffectedbycurrenteconomicconditionstheBoardofDirectorsandstaffcontinuemanagingallNCTTRACfinancialresourcestomeetourmissionforthesupportandimprovementoftheemergencyhealthcaresystemwithinTSAEthroughpreventioneducationadvocacyresearchpreparednessandresponse. EMSRACTOBACCOASPRHPPYR12ASPRHPPYR13LPGEMSCOUNTYASSISTANCEUNRESTRICTEDTOTALRevenueStateofTX-DSHS247816290277477219131662184996295123-6007024ProgramIncome--------HPPObligatednotRequested--------MembershipDues------236234236234InterestonInvestments------169169Other--11353----11353Sponsorships------10001000EducationalRegistration--------In-KindDonations--------TotalRevenue2478162902774783543316621849962951232374036255779ExpendituresSalaries146720169118725966146578--621571250539FringeBenefits364783587917281734630--3890283694Travel--243826892--1987351147Equipment--459138-84996--544134Supplies--3251233861--339329323Contractual--1864683--295123-2159806Other597658228081771179965--373521077073Indirect4852-39372335931--19287453793Unobligated-3000---1270915709TotalExpenditures2478162902774783543307857849962951231556076165219RevenuesOverUnderExpenditures---8764--8179690560BeginningUnrestrictedNetAssets------293656293656EndingTempRestrictedNetAssets---8764---8764EndingUnrestrictedNetAssets------375452375452EndingNetAssets---8764--375452384216HospitalPreparednessProgramYR12-EndedJune302014HospitalPreparednessProgramYR13-TwoMonthsEndedAugust312014NCTTRACUNAUDITEDSTATEMENTOFACTIVITIESFORTHEPROGRAMYEARSENDEDAUGUST312014 EmergencyHealthcareSystemFundsTheEmergencyHealthcareSystemofTraumaServiceAreaEreceivesfinancialsupportfromtheTexasDepartmentofStateHealthServicesDSHSthroughseveralfundingstreams.TheseincludeRedLightcameraenforcementthestatestobaccosettlementendowment911surchargesandvariousdangerousdrivingfines.ProgramsSupportedwiththeTobaccoEndowmentMaintainingsupportfortrainingandoperationsfortheREGEprojectourregionalpatientregistry.Consultingservicesfeesforlegalservicesaswellasrequiredindependentaudits.MaintainingtheRegionalCommunicationCenterTraumaHotlinetoassistwithinRACtraumatransfers.SupportingmemberandpartnerendeavorswithdonationsandmarketingitemsforeventssuchasaregionalcardiacawarenesscampaignDontbeembarrassedtodeath.ItemsincludedmoodcupsandpencilstranslucentwaterbottlesanddrawstringbagsallimprintedwiththeNCTTRACnameandlogalongwiththecampaignmotto.SupportingeducationalprogramsintheregionandofferingcontinuingeducationattheGeneralMembershipMeetings.ContinuingsupportofourquarterlyNCTTRACNewsletterdevelopmentandothermeansofcommunicationwithmembershipsuchasourwebsiteandsocialmedia.MeetingsupportforBoardofDirectorCommitteeandGeneralMembershipRACmeetings.SupportoftraveltoregionalandstatemeetingsforappropriatestaffandCommitteeChairs.PortionsofthecostsrelatedtopersonnelleasespaceofficeexpensesandequipmenttrainingdirectlyrelatedtoconductingRACbusinessandinternetsupport.TobaccoFundingNotesTheTobaccoEndowmentFundwasestablishedintheTexasGovernmentCode403.106toprovidethemeansfortheDepartmentofStateHealthServicestoassistRACsinmaintainingandimprovingtheTexasEmergencyMedicalServicesEMSTraumaSystemtoreducemorbidityandmortalityduetoinjuries.FY14NCTTRACreceived287277.DisbursementsarebasedonaformulawhichincludesacalculationofthetraumarelateddeathrateintheTraumaServiceAreaTSA.CHAMPIONSOFTHETEXASEMSANDTRAUMASYSTEMMEETWITHGOVERNORRICKPERRYCENTER. EMSCountyAssistancePass-throughFundsFundingDetailsNCTTRACreceived297265.00inEMSCountyAssistancefundsfordistributiontofiftyseven911andoremergencytransportProvidersthroughareimbursementprocess.ThepurposeofthesefundsistoassistintheenhancementanddeliveryofpatientcareintheEMSandtraumacaresystem.LicensedEMSProvidersmustfillDSHSrequirementsfordatasubmissionandlocalRACparticipationrequirementstobeabletosubmiteligiblereceiptsforreimbursement.RACparticipationincludesaBoardapprovedapplicationandduesaminimumnumberofattendedmeetingspointsandparticipationinsystemperformanceimprovementactivitiesasrequested.EMSProviderswereverifiedtohaveactiveparticipationstatusfortheirSeptember2012through2013membershipperiod.FY14EMSPassthrufundsweredistributedto56ofthe57eligibleagenciesandwereexpendedasfollowingFundUseRestrictionsAccordingtoDSHSguidancethefundsinthisprogramcanonlybeusedforthefollowingSuppliesOperationalExpensesEducationandTrainingEquipmentVehiclesCommunicationSystemsEMSCountyAssistancePassthroughFundsCountyNo.ofProvidersAmt.perProviderCountyNo.ofProvidersAmt.perProviderCollin122242Johnson42379Cooke18865Kaufman24994Dallas224917Navarro110977Denton161297PaloPinto24268Ellis43125Parker19553Grayson43025Rockwall3828Hood14488Tarrant192243Hunt111010TSA-E297265Supplies113492OpExpense24589EdTrg22327Equip.89950Vehicles41697CommEquip3067FY2014EMSPASSTHROUGHEXPENDITURESBYCATEGORY AcuteCareDesignationsinNCTTRACTraumaCentersBothTexasDepartmentofStateHealthServicesDSHSdesignationsinTraumaandStrokerequirethatthehospitalapplicantshowtheyareactiveparticipantsinthelocalRACssystemofcareinwhichtheyseekdesignation.TheNCTTRACGeneralMembershiphassetthisstandardtoincluderequirementsthatthesehospitalsmustbeapprovedmembersoftheRACmeetminimumamountsofmeaningfulparticipationbyattendingvariousRACsponsoredmeetingsmustparticipateinanyperformanceimprovementinitiativerequestedandsubmittheirrelevantpatientdatatotheemergencypatienthealthcareregionalregistryREGE.NCTTRAChasalllevelsofTraumaDesignationthroughoutthenineteencountieswehaveatleastonedesignatedorinactivepursuitfacilityineachofthem.TherearefourTraumaleveldesignationsIIVallTraumadesignatedtreatandprovidethemostefficientsystemoftransfertothemostcriticalTraumapatients.LevelIandIITraumaCentersaresurveyedaccordingtoAmericanCollegeofSurgeonsCommitteeonTraumacriteriabynationallyrecognizedteams.LevelIIIandIVcentersaresurveyedbytheTexasEMSTraumaandAcuteCareFoundationTETAFaccordingtoDSHSstandards.Thereare284TexastraumafacilitiesdesignatedbytheTexasDepartmentofStateHealthServicesDSHSLevelIComprehensiveTraumaFacilityLevelIIMajorTraumaFacilityLevelIIIAdvancedTraumaFacilityLevelIVBasicTraumaFacilityThechartshowsthetraumafacilitiesinNCTTRAC.AdditionallythefacilitiesbelowareinactivepursuitoftraumadesignationaccordingtoDSHSColumbiaMedicalCenterofMcKinneyLasColinasMedicalCenterPlazaMedicalCenterofFortWorthRedRiverRegionalHospitalTexasHealthHuguleyHospitalTHPresbyterianHospitalDallas StrokeCentersStrokecarefacilitiesmayberecognizedbyvariousagenciesincludingTheJointCommissionDNVHealthcaretheHealthcareFacilityAccreditationProgramHFAPandtheTexasEMSTraumaandAcuteCareFoundationTETAF.FacilitiescompleteadesignationapplicationtotheTexasDepartmentofStateHealthServicesDSHSwhichusestheinformationfromtheseapprovedagenciestodetermineafacilitysdesignationlevel.TherearethreeDSHSdesignationlevelsforastrokefacilityLevelIComprehensiveStrokeFacilityLevelIIPrimaryStrokeFacilityLevelIIISupportStrokeFacilityThesedesignationlevelsareconsideredintheNCTTRACRegionalStrokeSystemPlanasreviewedannuallybytheNCTTRACStrokeCommitteewiththeinputofotherclinicallyorientedcommitteessuchasEMSandSPI.AnychangesarethenpresentedtotheNCTTRACGeneralMembershipforadoptiontoprovideguidancewiththedecisiononthebestfacilitytoreceiveaprehospitalpatientwithstrokesignsandsymptoms.Currentlythereare131designatedstrokefacilitiesinTexaswith40inthisRACsnineteencounties FY2014UncompensatedTraumaCareFundDistributionforHospitalsTheTexasDepartmentofStateHealthServicesDSHSOfficeofEMSTraumaSystemsCoordinationannouncedUncompensatedTraumaCareFunddistributionsduringthemonthsofJulyandSeptember2014forFY2014.13017937fromtheDesignatedTraumaFacilityandEmergencyMedicalServicesDTFEMSAccount3588Monieswasdistributedto39TSAEhospitalsdesignatedastraumafacilitiesormeetinginactivepursuitrequirements.Thisamountis24ofthe54515062distributedto295facilitiesaroundTexas.272513fromtheEmergencyMedicalServicesTraumaFacilitiesandTraumaCareSystemsAccount1131MoniesandtheEmergencyMedicalServicesandTraumaCareSystemsAccount911Monieswasdistributedto34eligibleTSAEhospitals.Thisis28ofthetotaldistributionof965669madeto279Texashospitals.FY2014UncompensatedTraumaCareDisbursementLOCALPROJECTSGRANTSTheDepartmentofStateHealthServicesOfficeofEmergencyMedicalServicesTraumaSystemsCoordinationoffersLocalProjectGrantsLPGawardstoeligibleagenciesforthefundingofprojectsinsupportofEMSinitiatives.ForFY2014therewere90applicantsacrossTexasawardedfundstotaling1.6milliondollars.OfthesethirteenrecipientsfromTraumaServiceAreaETSAEincludingNCTTRACreceivedatotalof233108.ThiswasthefifthconsecutiveyearthatNCTTRACwasawardedagrantfromthisprogram.BasedonasuccessfulpilotprojectinZone2whichincludedtenboardseachforthefourAMBUSesNCTTRACrequestedandreceived76069topurchaseover800NCTTRACregionalbackboards.TheseRACBoardsareforusebyanyEMSproviderorfirstresponderinthe19countiesofTSAE.Providersineachzonehelpedtodistributethe1083RACBoards.DisbursementMethodologyUncompensatedtraumacarechargesfromCalendarYear2012asreportedbyeligiblehospitalsontheFiscalYearFY2014UncompensatedTraumaCareFundApplicationHospitalAllocationwereusedinthefundingformulaforbothallocations.Fifteenpercent15ofthetotalamountoffundsavailablewasdividedequallyamongalleligibleapplicants.Theremainingeightyfivepercent85wasdistributedtoeligibleapplicantsbasedonthepercentageofuncompensatedtraumacareahospitalprovidedinrelationtothetotaluncompensatedtraumacareprovidedbyalleligibleapplyinghospitals. HospitalPreparednessProgramChallengesaboundedwiththeadventofthethirteenthyearoftheHospitalPreparednessProgramHPP.Originallyorientedtohelphospitalsachieveimprovedreadinesslevelsinhealthandmedicalcaregivingevidenceandrealworldeventshaveillustratedthathospitalscannotbesuccessfulinresponsewithoutrobustcommunityhealthcarecoalitionpreparednessengagingcriticalpartners.Addingtotraditionalprehospitalandhospitalpartnerscriticalpartnersincludeemergencymanagementpublichealthandmentalbehavioralhealthproviders.TogetherthesepartnersmakeuptheTraumaServiceAreaEHealthcareCoalition.TheHPPprogramstrengthensandintegratesthecapabilitiesoftheHealthcareCoalitionnotjusttheindividualhospitalbuildingcommunitywideplanningandhealthcareresiliency.TheHealthcareCoalitioninNorthCentralTexasisaNationalBestPracticeU.S.HealthandHumanServicesHPPProjectOfficerRegionVIAugust2014WorkingwithfederalandstatepartnersNCTTRACrecognizeddecliningfederalfundingwouldcauseseverebudgetcutsbeginninginYR13inJuly2014.NCTTRACrefocusedspendingprioritiesinYR12completingawiderangeofprocurementactionsthatwouldhelpfurtherdevelopHealthcareCoalitioncapabilities.IntegratingprojectsproposedbythewholeofHealthcareCoalitionfifteenprimaryeffortstotalingover1.55millionsupportedEmergencyMedicalServicesEMSEmergencyMedicalTaskForcesEMTFHospitalsandAirMedicalmembers.SeveralprojectssupportedtheentirerangeofHealthcareCoalitionpartnersandforthefirsttimeprovideddirectproductsupporttoregionalEMSagencies.Federalfundingcutstothestatesresultedina36cutinfundingstartingJuly12014YR13alossofover1.62milliontoTSAEinHPPbaselinefundingfromtheprioryear.TheEmergencyMedicalTaskForceprogramwithintheregionsuffereda7cutfromYR12fundinglevels.ThesecutscurtailedcontinuedimplementationofpotentialregionalprojectsandplacedmanyaspectsofHealthcareCoalitiondevelopmentintoasustainmentmode.HPPYR12RegionalProjectsProjectCostImpactUponDisasterBehavioralHealth77000HealthcareCoalitionMobileMSATCommunications158703EMTFPatientTrackingTriageTags225422EMSMERCSatelliteCommTrailers298000EMTFEvacuationEquipmentTrailers14000EMSPediMateRestraintSystem79857EMSCommunicationsAssessment60000HospitalsActiveShooterTraining110000HealthcareCoalitionESF8DisasterSymposium4500HealthcareCoalitionADLSBDLSCISMTraining44000HealthcareCoalitionAmbulanceBusVests926EMTFHelicopterLandingZoneKits4000EMSAirMedicalMobileReadyPhoneApp10000HealthcareCoalitionEMTFSpecializedEquipment34.373EMTFNICUPediatricEvacuationGear436696Hospitals NCTTRACreceived4517121inbaselineHPPfundingforBudgetPeriod2fromJuly12013June302014.Alongwith200000awardedtodevelopEMTF2thisrepresented24.7ofthefederal19024666awardreceivedbyTexas.NCTTRACalsoreceivedsupplementalfundingfromBudgetPeriod1fundinginsupportofEMTFactivitiesatSouthPadreIslandduringSpringBreak85551boostingprogramfundingto4802672.TSA-EHPPFundingByFiscalYear20022014NCTTRACcontinueditshealthcarecoalitionleadershiprolesustainingessentialandsupportingpartnerstomaintainoneofthelargesthealthcarepreparednesscoalitionsinthenation.AsProgramYear12endedtheTSAEHealthcareCoalitionhad473supportingmembersincluding124ofTSAEs178hospitals.Ofthesehospitalsall34designatedtraumacentersandanothersixacutecarehospitalsthatarepursuingdesignationareparticipating.Withinthe19countytraumaserviceareaanothersixacademicagencies44emergencymanagementdepartments276EMSagencies5nongovernmentalagenciessixpublichealthdepartmentsand12publicsafetydepartmentshelpformthecoalition.Oftheseover190hospitalsEMSagenciesfiredepartmentspublichealthdepartmentsandjurisdictionalemergencymanagementofficesareconsideredessentialtotheCoalitionsprovisionofdisasterhealthcareservices.HPPFundingContractAwardFundingDistributionHPPexpenditurespromotedthegrowthofthehealthcarecoalitionemergencymedicaltaskforcesandhospitalreadinessinYear12.HPPYEAR12FUNDINGCOSTSbyProgramActivityHPPCapabilitySpentFundingHealthcareSystemPreparedness140893330HealthcareSystemRecovery8700 HospitalPreparednessProgramYear12RegionalProjectsNICUPEDIATRICEVACUATIONEQUIPMENTRegionalTriageTagSystemHelicopterLandingZoneKitFieldSupervisorTriageTagSystemMobileSatelliteCommunicationsKitsPediMateRestraintSystemAmbulanceStrikeTeamRadioKits AcustomerserviceorienteddivisionofNCTTRACLogisticsprovidesNCTTRACsprocurementandinventorymanagementfunctionsandsupportsthedailyandlongtermneedsofEMTF2mobilizationequipmentsuppliesandmaintenance.InHPPProgramYear12Logisticsfacilitatedprocurementofregionalprojectsexceeding1.1millionand400000inhospitalsubrecipientprojects.TheLogisticsDivisionsupportsover150HPPsubrecipientagencieswhichholdover24millioninHPPfundedinventory.NCTTRACsinventoryalsomanagedbyLogisticsincludesEMTF2responseequipmentandexceeds5.2million.LogisticscontinuedoperationofNCTTRACsEmergencyMedicalWarehouse.UniquewithinTexastheWarehouseisfullylicensedbytheStatemeetingallstandardsforMedicalDeviceDistributionundertheFederalFoodandDrugAct.Occupying22800squarefeetwith1800squarefeetofclimatecontrolledspaceforstorageofmedicaldevicestheWarehouseholdsallmajordeployableEMTF2assetsandcachesandsupportsTSAEasatrainingsiteamobilizationassemblypointforEMTF2andasanalternativecommandcenterfortheregion.NCTTRACLogisticsandTransportationDivisionTheLogisticsandTransportationDivisionactsasanintegralpartoftheNCTTRACsregionalresponseplanprovidingcontractmanagementprocurementassetmanagementanddistributionservicestoHealthcareCoalitionmembersandEmergencyMedicalTaskForces.LogisticsandTransportationDivisionKeynotesManagesover5.2millionininventoryRadiologicaldetectionandidentificationcacheMedicalEvacuationequipmentcacheMassFatalityequipmentCache11medicaldevicecachesOver250000N95masks21trailersandgeneratorswith2primemovertrucks39ventilators45suctionunits4AEDs312leaddefibrillators12MobileSatellitecommunicationskitsHAMandpublicsafetyradiosandantennasLicensedbyTexasDepartmentofStateHealthServicesasaNonpharmaceuticalandMedicalDeviceDistributorwithmedicalgaslicensePersonalProtectiveEquipmentPPEandDecontaminationequipmentFINANCECOMMITTEEMEETINGATNCTTRACWAREHOUSEMOBILEEMERGENCYRESPONSECOMMUNICATIONSTRAILERANDEVACUATIONSUPPORTTRAILERSATNCTTRACWAREHOUSE EmergencyMedicalTaskForceEMTF-2MissionReadyEMTF-2SMOBILEMEDICALUNITINACTIONATSOUTHPADREISLANDTeamwork.Training.Experience.Dedication.ThesewordsdescribewhatmakesourregionalEmergencyMedicalTaskForceasuccess.ItboilsdowntopeopleworkingtogethermakingEMTF2MissionReady.EMTF2isreadytorollanywhereandanytime.Capitalizingontheexceptionalworkinitiatedin2012inwhichEMTFcomponentteamswererecruitedandtrainedEMTF2demonstratedgreatsuccessbybuildinguponpartnershipswithmanyprivateagenciesandjurisdictionsanddemonstratingthecapabilitytosupportdisasterhealthcaredelivery.CedarHillFireDepartmentFriscoFireDepartmentMedStarFortWorthFireDepartmentandShermanFireDepartmentoperatefourofthestates13ambulancebusesAmBuses.AmbulanceStrikeTeamsASTsareprovidedby44participatingagencieswithover100MICUandALSambulancesandcrewsreadyformissionassignment.EMTF2sMobileMedicalUnitMMUSTisstaffedbyHospitalCorporationofAmericaHCAhealthcareprofessionalswithtwofullstriketeamsavailableandexperiencedindeploymentoperations.EMTF2alsorostersfiveRegisteredNurseStrikeTeamsRNSTswithoneteamspecializinginHighRiskMaternalTransport.UndertheguidanceoftheTexasDisasterMedicalSystemMedicalIncidentSupportTeamsMISTwereaddedthisyeartotheEMTFconceptbringavastpoolofhighlytrainedleaderstotheforefront. EMTF-2InActionMobileMedicalUnitandNurseStrikeTeamsMarch12th2014wasthefirstdeploymentofourEMTF2sMobileMedicalUnitStrikeTeamMMUSTteaminsupportofthestatewideSouthPadreIslandExercise2014beingconductedduringSpringBreak.ThestrikegroupwassupportedbytheregionsRegisteredNurseStrikeTeammembers.OurMMUSTsupportedtheSouthPadreIslandcommunityanditsassociatedmedicalsurgefor48hoursandsawover125patientsinanadvancedalternatecaresetting.LedbyMMUGroupSupervisorsJacobJohnsonandRonnieIkelertheTeamwascomprisedof33personnelanddeployedwithtwophysicianstwophysicianassistantstennursessixparamedicsfourtechnicianstwoclerksoneoperationsmanageronegroupsupervisorsonelogisticsmanagerandthreelogisticsspecialists.EMTF2SMMUSTDEPLOYSTOSOUTHPADREISLANDTosupporttheMMUteamdownrangeascommandstaffourEMTF2MedicalDirectorDrSharonMaloneandtwoofourthreeTaskForceLeadersChiefRickyReevesandChiefJ.J.Jonesdeployedassubjectmatterexpertsandtoserveasleadershipforthistremendouseffort. AmbulanceBusesFRISCOANDCEDARHILLAMBUSESSUPPORTINGDFWINTERNATIONALAIRPORTLIFESAVER2013EXERCISEEMTF2sAmBusesprovidedsupportforoperationaltrainingandexerciseevents.BuildingcapacitywithemphasisonmasscasualtysupportregionalAmBusesprovidedforceprotectionsatnationalinteresteventswiththeopeningofthePresidentGeorgeW.BushLibraryandtheJohnF.Kennedy50thAnniversaryandMemorialceremony.AmBuseshavebecomeastapleatlargevenueeventswithinTSAEroutinelysupportingconcertsandcollegefootballgames.EspeciallycriticalAmBusesworkedwithregionalhospitalstotrainstaffinlargescalepatientmovementincludingspecializedsupportofpediatricpatients.ExercisingwithjurisdictionemergencymanagementandfiredepartmentsAmbuseshavesupportedtheDallasFortWorthInternationalAirportLifesaver2013exerciseUrbanShield2013NortheastFireDepartmentAssociationMCIexerciseExerciseThunderboltandtheNavalAirStationJointReserveBaseFortWorth.CEDARHILLAMBUSATJFK50THANNIVERSARYANDMEMORIALNICUPediatricPatientMovementbyAmBusTrainingFRISCOTRAININGWITHMEDICALCENTEROFMCKINNEYEMTFComponentIntegrationEquipmentandSuppliesEMTF2volunteersidentifiedmanyequipmentitemsduringtrainingexercisesandactualdeploymentthatcouldimproveresponsecapabilityamongallEMTFcomponents.AdvancesincapabilityincludeDoublingMMUtentcapacityto32bedsAddinglargegeneratorcapacityAdding60ambulancestriketeamradiosforstatewidecommoncommunicationsProvisionof12AmbulanceStrikeTeamLeadersatellitecommunicationssystemsDevelopmentofambulancestagingmanagementkitsMedicalIncidentSupportTeamkitsPatientTrackingkitsandadditionalradiogokitsProcurementoftwoMobileEmergencyResponseCommunicationstrailerswithVSATMSATHAMandpublicsafetyradioradiorepeatersystemsandWiFicapabilitiesUltrasoundpatientmonitorsandIVcontrolsystems TeamDevelopmentAchievingmissionreadinessacrossthediversityofEMTFmissionsgoesfarbeyondinitialintroductionsittakestrainingpracticeanddedicationallkeytoourreadiness.EMTF2continuestohaveoneoftheStateslargestcadreoftrainedmedicalprofessionalsrepresentingover100MobileMedicalUnitandNurseStrikeTeammembers.SecondtononeisitscadreofTaskForceLeadersAmbulanceStrikeTeamLeadersMMUGroupSupervisorsandMedicalDirectors.HoweverEMTF2mustcontinuallyrecruittrainandexercisetogethertoremainproficient.GrowthoftheteamcontinuesitsmomentumsoifyouhaveaninterestinjoiningthiseffortpleasecomebepartofagrowingopportunitytoprovideemergencymedicalcareandassistanceaspartoftheEmergencyMedicalTaskForceTeamThankstoourvolunteersTheverynatureoftheEmergencyMedicalTaskForceisdependentuponregionalvolunteerswhostepforwardtobeapartoftheresponseteam.LeadingRNStrikeTeamsisLakeGranburyMedicalCenter.HospitalCorporationofAmericaNorthTexasDivisionalongwithitsTSAEregionalhospitalsprovideEMTF2withMobileMedicalUnitStrikeTeamstaff.PartneredwithHCAistheQuestcarephysiciansgroupwhichcomplementsthenursesparamedicstechnicianspharmacistsandclerksthatmakeupmuchofthemobilemedicalunitstaff.SupplementingthesepartnershipsisthelogisticssupportteambroughtbyCannefaxAssociates.ThesevolunteersrepresentoneofthelargestandmostcapabledisasterresponseclinicianteamsinthestateandNCTTRACisproudtopartnerwiththemThediversityofsupportingagenciesandvolunteersdictatestheneedforstrongprofessionalleadership.EMTF2hasbeenfortunatetobuilduponthreeexceptionalTaskForceLeadersChiefRickyReevesofLewisvilleFireDepartmentChiefJeffMorrisofEulessFireDepartmentandChiefJeffJonesofShermanFireDepartment.MedicaldirectionwithinEMTF2andrepresentationattheTexasDisasterMedicalSystemisprovidedbySharonMaloneM.D.Dr.Malonesleadershipandguidancehasbeenphenomenalinteamdevelopmentandresponse.FinallyEMTF2representsresponseagenciesfromTSAEArlingtonTSACWichitaFallsandTSADAbilene.WorkingtogetherforthesuccessoftheEMTFprogramtrulyrepresentstheoneteamonefightconceptofEMTFthroughoutthestate.CANNEFAX RegionalMedicalOperationsandResponseTrainingandExercisesAYearinReviewAstheNorthCentralTexasTraumaRegionalAdvisoryCouncilNCTTRACclosesoutanotherHPPcontractyeartheOperationsDivisionTrainingandExercisesinitiativefinishesstrong.Overthepastyear469participantshaveattendedthe31trainingopportunitiesNCTTRAChashosted.AlleightoftheHPPcapabilitiesPreparednessRecoveryEmergencyOperationsFatalityManagementInformationSharingMedicalSurgeResponderSafetyandHealthandVolunteerManagementwereaddressedthroughouttheyearinthe31providedtrainingopportunities.AdditionallyNCTTRAChashostedfacilitatedandparticipatedin10regionaldrillsexercisesandregionalemergencyevents.ThelargestexerciseinitiativewastheRegionalFunctionalExerciseREGEXSpring2014whichwasconductedacrosstheregiononApril102014.Participationincludedover1000individualsfrom65HealthcareCoalitionpartneragencieshospitalslocalemergencymanagementdisasterdistrictcoordinatorsfireEMSandairmedical.TheexercisefocusedonregionalcommunicationsuseoftheTSAEcrisisapplicationsforinformationsharingandsituationalawarenessmedicalsurgeandadisruptioninsupplychainscausinglimitedresourcesandresourcerequesting.Theexercisewasasuccesswithparticipatingpartnershavinganopportunitytoidentifytheirstrengthsandareasforimprovements.DFWAirportExerciseOctober19th2013DuringaplanecrashscenarioatthetriannualDFWInternationalAirportDepartmentofPublicSafetyDFWIADPSLifesaver2013ExerciseNCTTRACworkedinconjunctionwithDFWIADPStoincorporateanewelectronicpatienttrackingtoolthatisbeingusedthroughouttheTSAEregiontheTexasEmergencyTrackingNetworkTxETNwithinWebEOC.Thiswasthefirsttimetheregionwasabletooperationallytestandexercisethesystem.Fieldprovidersfirstrespondersandhospitalswereabletoenterpatientsandmovethemthroughtheentiresystemsimulatinghowoperationswouldoccurandapatientwouldbetrackedinanactualevent.NCTTRACbroughtinsevenemergencypreparednesscoordinatorsEPCsfromthreelocalhospitalstosimulatereceivingtheelectronicpatientswithintheTxETNsysteminordertocompletethetransportprocessandexerciseinthesamemannerparticipantswouldberesponding.NCTTRACstaffwerestationedwithDFWIADPSEmergencyMedicalSystemsCaptainsatthevehiclestagingareaandMedOpstriageandtransportinordertoobserveoperationsandofferanyassistancewiththeoperationsofthesoftware.ANCTTRACstaffmemberwasstationedwiththeHospitalEPCsinatrainingroomonsitetofacilitatethehospitalsreceivingpatients.AthirdDFWIADPSEMSCaptainwasstationedintheDFWIAEmergencyOperationsCenterEOCwithcommandstafftoobservetheuseoftheTxETNboardsandfacilitateoperationsofthesystem.Overallmorethan50patientswereinputtedintotheTxETNsystemfromthesceneassignedtooneofthe25participatingEMSvehiclesandelectronicallytransferredtotheappropriatehospital.ThisprovedhighlysuccessfulforDFWEMSCaptainDonnieStoneintheIAEOCashewasabletoshowpatienttotalsbymedicalconditionallowingDFWIAEOCstafftovirtuallytrackpatientmovementduringtheentireevent. TSA-EMedicalOperationsCenterRegionalExerciseNovember82013ThisregionalfunctionalexercisewasheldinconjunctionwiththeNorthCentralTexasUrbanShieldEmergencyOperationsCenterfunctionalexerciseonFridayNovember82013.Theexercisewasdesignedtoassesstheregionsabilitytosuccessfullyrespondtoandmanagemultiplemanmadedisastersandotheremergenciesoccurringsimultaneously.TheoverarchinggoaloftheNCTUrbanShieldexerciseistoprovideamultilayeredtrainingexercisetoenhancetheskillsandabilitiesofparticipatingregionalfirstrespondersaswellasthoseresponsibleforcoordinatingandmanaginglargescaleevents.Theexercisewasdesignedtostrengtheninformationsharingtestinteroperablecommunicationsandimproveoperationsplanning.TheTSAEMedicalOperationsCenterMOCparticipatedinUrbanShieldEmergencyOperationsCenterexerciseactivitieswith24otherEOCsacrosstheregionandwithparticipatinghealthcarecoalitionpartners.NCTTRACalsoputoutaninvitationforMedicalIncidentSupportTeamMISTmemberswithinourcoalitiontocometotheTSAEMOCtoparticipateintheregionalactivitiesandexercisehowtheywouldbeusedinanactualevent.MISTmembersparticipatedintrainingdrillsanddiscussiononhowtheywouldactasTSAEMOCrepresentativesliaisonsbothintheTSAEMOCduringactivationorinotherEOCsasaTSAEMOCliaison.InconjunctionwiththeregionalUrbanShieldexerciseNCTTRACandtheTSAEMOCparticipatedinaregionalconferencecallandwebinarregionalinformationsharingwithinWebEOCwithboardsfusedovermultipleregionalserverstworadionetswithcorrespondingrollcallsandparticipationwiththeNorthCentralTexasPublicInformationOfficerPIOgroupanduseoftheirPIERVirtualJointInformationCenterVJICtoshareregionalinformationviapressreleaseswithPIOsandmediaoutletsthroughouttheregion.Theseeventstestedregionalcommunicationcapabilitiesandtheredundanciesthatareinplace.UsingthesecommunicationsystemstheTSAEMOCwasabletocommunicatewith24othercitycountyhospitalregionalandstateoperationcenters.EMTFOperationalReadinessExercise-SouthPadreIslandMarch11-162014EmergencyMedicalTaskForceEMTF2rosteredanddeployedaTypeIMobileMedicalUnittoparticipateinthestatewidefullscaleoperationalexercisetoevaluatestatewideEMTFresponsecapabilitywhileatthesametimeprovidingemergencymedicalfieldservicesduringspringbreak.Uponarrivalonsceneafter12hoursontheroadtheteamwasabletosetuptheirlodgingandbeginaugmentingthecurrentEMTFonsite.EMTF2tookoveroperationsoftheMMUat0700on13March2014andcontinueditfor48hoursbeforeturningoveroperationstoanotherEMTFteamat0700on15March2014.Inthattimetheteamsaw125patientsandtransported26ofthosepatientstolocalhospitalsbyambulanceairmedicalandAMBUS.Patientrecordswerekeptviathe useofTSheetsandtheTexasEmergencyTrackingNetworkTxETNinWebEOContheLoneStarServerwhichworkedverywellbutitwassuggestedthatEMSlogsandAirMedicallogsneededtoalsobekepttotrackthecomingsandgoingsoftransportvehicles.EMTF2sparticipationinthisfullscaleoperationalexercisewasanoverwhelmingsuccess.TheteamfunctionedseamlesslyandwaseasilyabletointegratewithotherEMTFteamsandbetweenthedifferentshiftswithinourownteam.Teamleadershipwaswellpreparedforthisdeploymentandinstilledconfidenceintherestoftheteam.Withthesmoothoperationstheteamwasabletofocusonthedetailsoftheoperationsandpatientcareandreportbackonhowdeploymentscanbefinetunedinthefuturetomakethemevenbetter.RegionalFunctionalExerciseREGEXApril102014TheNorthCentralTexasTraumaRegionalAdvisoryCouncilNCTTRACconductedtheRegionalFunctionalExerciseREGEXSpring2014fortheTSAEregion.ThisexercisewasdevelopedtoaddressmajortopicsthathavebeendiscussedduringthispastyearwithintheTSAEregion.InDecember2013theNorthCentralTexasRegionwashitwithanicestormthatbroughttheregiontoastandstillforfivedays.InJanuary2014theregionexperiencedahighnumberofinfluenzalikeillnessesplacinganincreaseddemandonemergencydepartmentsandhospitaladmissions.Additionallythiscreatedaregionaldemandforventilatorswhichwasnotabletobemetbycontractedsuppliers.NCTTRACfacilitatedfacilitiesthroughtheregionalresourcerequestingprocessinordertoreleaseregionalventilatorcachesuppliestoassistintheregionalneed.February2014realizedanationalshortageinnormalsalinesupply.NCTTRAConceagainfacilitatedinregionalresourcerequestingprocedures.AlongwiththeseeventstheregionhasplacedalargefocusonaddressingregionalinteroperableandredundantcommunicationsdevelopmentofcontinuityofoperationsCOOPplansmassfatalityplanningandresourcerequestingforregionaltraininganddevelopment.ThegoalsandscenariodevelopmentforREGEXSpring2014werebasedoffoftheseactualeventsandobjectivesfromregionaltrainingoverthepastyear.Byexercisingtheseobjectivesparticipantswereabletoevaluatewhatimprovementshavebeenincorporatedsuccessfullysincegoingthroughtheseeventsandtrainingandidentifywhereimprovementscanstillbemade.REGEXSpring2014addressedtheASPRHospitalPreparednessProgramcapabilitiesofHealthcareSystemPreparednessHealthcareRecoveryEmergencyOperationsCenterCoordinationFatalityManagementInformationSharingMedicalSurgeandVolunteerManagementoverthefourhourexercise.Duringtheexercise65healthcarecoalitionpartnershospitalslocalemergencymanagementdisasterdistrictcoordinatorsfireEMSandaeromedicalintheTSAEregionparticipatedinregionalcommunicationsviaphoneradioandcrisisapplicationssituationalawarenessandstatusupdatesregionalresourcerequestingandhadtheopportunitytositdownwithcommandstafftoreviewtheiremergencyoperationsplans. BrandNewOnlineActiveShooterTrainingThroughtheuseofHPPregionalprojectfundingNCTTRAChaspurchasedandismakingavailabletoourregionalHealthcareCoalitionPartnersanewtrainingopportunityShooterandWorkplaceViolenceTrainingforHealthcareProviders.ThepurchasedtrainingfromtheCenterforPersonalProtectionSafetyCPPSincludesthreemodulesFlashPointforHealthcareShotsFiredforHealthcareandSilentStorm.ThesetrainingmoduleshavebeenuploadedtoNCTTRACsnewtrainingportalonourwebsite.Healthcarecoalitionpartnerscanaccessthetrainingmaterialsbyloggingintothewebsiteviewingthematerialandcompletingthefinalknowledgeassessment.Eachcourseconsistsofanapproximately25minutevideoposttestanddownloadablestudentguides.CourseInformationFlashPointforHealthcareRecognizingandPreventingViolenceintheHealthcareCommunityThiscourseraisesawarenessandprovidekeyinsightssurroundingtheevolutionarynatureofworkplaceviolence.LookingthroughthelensofthehealthcareenvironmentFlashPointforHealthcarehelpsviewerslearntoidentifytheearliestsignsoftroubleandwhattheycandotohelppreventviolencefromeruptinginthefirstplace.FlashpointforHealthcareisdesignedtomakeparticipantsmindfulnotfearfulorsuspicious.Participantswilllearnhowtocreateanenvironmentwhereeveryoneisastakeholderintheirsafetyandthesecurityoftheirworkplace.ShotsFiredforHealthcareGuidanceforSurvivinganActiveShooterSituationintheHealthcareCommunityThiscourseisdesignedtoempowerhealthcareprofessionalswithcriticalguidanceonpersonallysurvivingandprotectingotherswhileinsideanactiveshooterevent.Distinctfrommanyworkplacesettingsthehealthcarecommunityhasauniquerequirementtopromoteasafeandsecureenvironmentofcarefortheirpatients.ShotsFiredforHealthcareaddressesthisheadonwithdecisiveproactiveresponsesthatcanbeusedtoincreasethechancesofsurvivalforbothcaregiverandpatient.ShotsFiredforHealthcareisdesignedtomakeparticipantsmindfulnotfearfulorsuspicious.Participantswilllearnhowtocreateanenvironmentwhereeveryoneisastakeholderintheirsafetyandthesecurityoftheirworkplace.SilentStormIntimatePartnerViolenceandStalkingTheImpactontheWorkplaceRecentreportsindicatethatintimatepartnerviolencehasalreadyentrencheditselfineverymidtomoderatesizedcompanyatacostofover4billionperyearinlostproductivityincreasedhealthcarecostsandabsenteeism.TohelporganizationsmanagethisgrowingproblemSilentStormprovidesaninstructional videotrainingsprogramdesignedtoincreaseawarenessofintimatepartnerviolenceandprovidetoolstoincreasesafetyintheworkplace.SilentStormisdesignedtomakeparticipantsawarethatIntimatePartnerViolenceanditsspillovereffectsarefastbecomingamajorissueofconcerninourworkplacestoday.Afterdefiningintimatepartnerviolencethecoursewillteachparticipantsavailableactionstodealwithrippleeffectontheworkplace.AdditionalinstructionalmaterialsareavailableforpartnerstoholdlivetrainingsattheirfacilitiesandhostthecoursesontheirsystemintranetandLearningManagementSystems.FormoreinformationabouttheseinstructionalmaterialspleasecontactNCTTRACsTrainingandExercisesCoordinatorattepincttrac.org.CompletedTrainingOpportunitiesProvidedThisYearEMTF2MobileMedicalUnitStrikeTeamEMTF2MobileMedicalUnitAdvancedLogisticsAmbulanceStrikeTeamLeaderCourseCrisisApplicationsTrainingETRACSWebEOCEMResourceETRACSPatientTrackingTxEmergencyTrackingNetworkforEMSHospitalTraintheTrainerRadPackRadiologicalDetectionCacheDisasterBehavioralHealthDBHForceResilienceTraintheTrainerDBHForceResilienceDBHPsySTARTResponderApplicationContinuityofOperationsPlanningCOOPCriticalIncidentStressManagementBasicandAdvancedDisasterLifeSupport CommunicationsandInformationSharingHPPFY2013-2014ThisyearNCTTRACcontinuedwiththeplantosolidifyredundantcommunicationandinformationsharingbetweentheregionshospitalsandtheirlocaljurisdictions.ParticipationinthedrillsheldbytheRACaveraged100uniqueagenciesconnectingtoNCTTRACortheirlocaljurisdictioneveryquarter.CommunicationdrillsareconductedwiththeDFWCONNCTjurisdictionalradiosystemDFWWidecommercialradiosystemSatellitecommunicationandAmateurRadio.NCTTRACbolsteredthecommunicationscapabilitiesfortheregionthroughtheacquisitionoftwoMERCMobileEmergencyResponseCommunicationsTrailersandacacheofASTAmbulanceStrikeTeamradiosandMSATsystems.TheMERCtrailersaredesignedtobedeployedintheeventofaneventbigorsmallwheresupplementalcommunicationsareneeded.TheMERCsystemincludesVSATSatelliteIPtelephonyandWiFiinternetaccessMSATSatellitecommunicationVHFandUHFPublicSafetyInteroprepeatersandredundantPublicSafetyradios.ThesystemalsoincludesUHFVHFHFAmateurRadiocapabilitiesCellphoneboostersforthethreemajorcarriersDirecTVnewsfeedandabuiltinsecuritysystem.TheASTradiosaredesignedtobearapiddeployradiothatcanbequicklyinstalledintoanambulancewithapowerportplugandmagnetmountedantennaareprogrammedwiththeVHFinteropchannelsasdesignatedbytheStateofTexas.TheMobileMSATkitsarealsodesignedforrapiddeploymentwithmagnetmountedsatelliteandVHFantennasgivingastriketeamleadertheabilitytocommunicatethroughtheMSATviaaVHFHandheld.NCTTRAChasalsoinstalledMSATradiosinourofficeandWarehouseaswellasintheMERCtrailersandtheregionsfourAMBUSunifyingcommunicationcapabilities.TheMSATsystemisuniqueinthatitallowsfordirectunittounitandunittotalkgroupoptionsaswellasoperatingasasatellitetelephone.NCTTRACiscommittedtoredundantcommunicationsandinformationsharingandlookforwardtocontinuallytestingtheseandothercomminationsystemstoenhancetheabilityoftheregionshealthcarecommunitytoshareinformationandreachouttooneanotherwhenoriftheneedarises. HospitalPreparednessProgramYR12EndofYearAssessmentReportPleasefindtheresultsoftheHPPYR12EOYAssessment.ThisreportisbeingsharedinanefforttoprovidemoreconsistentfeedbackofinformationbasedonthereportingeffortsofourCoalitionpartners.76facilitiescompletedthissurveyinETRACSTSAEsSystemforTrackingResourcesAlertingandCapabilitiesThefacilitiesweregiventwoweekstocompletethisassessmentinordertoprovidethemostaccuraterepresentationoftheirperformancefromJuly12013June302014.Pleasenotethisinformationonlyprovidesahighlightoftheresultspresentedinthesectionsbelow.PercentageofCapabilitiesAddressedByExercisesorRealLifeEventsThegraphbelowprovidedavisualrepresentationofthepercentageoffacilitieswhohaveimplementedanyofthegivencapabilitiesintoanexerciseorreallifeeventoverthelastyearJune2013July2014.9262916177846651050100Capability1HealthcareSystemPreparednessCapability2HealthcareSystemRecoveryCapability3EmergencyOperationsCoordinationCapability5FatalityManagementCapability6InformationSharingCapability10MedicalSurgeCapability14ResponderSafetyandHealthCapability15VolunteerManagementPercentageofFacilitiesCapabilityPercentageof76Facilites HPPYR11andYR12FunctionsDemonstratedinanExerciseThegraphabovedisplaysthetrendoffunctionsbetweenYR11and12.Whencomparingyear11toyear12thereisanincreaseof5outof6exercisefunctionsdemonstratedthroughoutthispastyear.2013WinterWeatherMedicalNeedResultsOnDecember182013hospitalsinDDC4HurstGarlandandDDC22Shermanweredistributedasurveytocapturetheirwinterweatherpatientstatistics.ThesurveyrequestedthefacilitiestoprovidethenumberofinjurieshospitalizationsandfatalitiestheyservicedduringtheDecember4122013WinterWeatherEvent.Theseresultsarerepresentedwithoverallandcountytotals.WinterWeatherMedicalNeedReportTotalsThegraphontheleftprovidesthetotalnumberoftotalinjurieshospitalizationsandfacilitiesreportedduringtheDecember4122013WinterWeatherEvent.797176736550128783728078513020406080100TriageTreatmentReceivingtransportedpatientsTrackingofpatientsDocumentationofcareOffloadingofpatientsNonePercentageofFacilitiesExerciseFunctionsYR11Percentageof84FacitlitesYR12Percentageof76FacilitesYR11YR1226983365050010001500200025003000TotalInjuriesTotalHosptilazationsTotalFatalitiesTotalof3039Reports DSHSSalineShortageSurveyResultsFebruary262014PleasefindtheresultsoftheFebruary19and242014DSHSSalineShortageSurvey.TheseresultswerederivedfromthoserespondentswhocompletedthesurveysinETRACS.TheFebruary192014surveywascomprisedoftwoquestionswhichaskedthefacilityscurrentsalineshortagestatusandthefacilityssalinesurplusstatus.TheFebruary242014surveyservedasafollowuptoinvestigatesalineconservationefforts.Atotalof86and89hospitalscompletedtheshortnoticeDSHSsurveyonFebruary19and242014respectively.Thisreportisbeingprovidedtoillustrateasnapshotoverviewoftheregionssalinestatus.TotalShortageStatusThegraphtotheleftprovidesanoverviewofthesalineshortagestatus.ThebarlabeledShortagerepresentsthosefacilitiesthatareexperiencingashortageinsaline.ThebarlabeledNoShortagerepresentsthosefacilitiesthatarenotcurrentlyexperiencingasalineshortage.Thisgraphindicatesariseinthenumberoffacilitiesintheregionexperiencingashortageinsaline.CollinDallasDentonEllisFanninGraysonHoodHuntKaufmanPaloPintoRockwallTarrantWiseInjuries76922681833632075111810126111588Hospitalizations596027050115010112812Fatalities0000020000030020040060080010001200NumberofMedicalNeedsWinterWeatherMedicalNeedReportTotalsByCounty41456236010203040506070ExperiencingShortageNoShortagePercentageofFacilitiesSalineStatus2192014Totalof86Facilities2242014Totalof89Facilties21920142242014 NumberofFacilitiesImplementingConservationStrategiesTheInfluenzaTrendReportPleasefindthereportoutliningmajorfactorsrelatedtotheInfluenzapreparednesseffort.ThisreportincludesanoverviewoftheJanuary2013influenzasurgestrategiesatrendanalysisofpastyearavailablebedandventilatortotalsandaventilatorinventorysummary.2013InfluenzaSurgeStrategiesThegraphbelowsummarizestheresultsoftheJanuary2013influenzasurgestrategies.Eachweekthefacilitieswereresponsibleforprovidingthepreparednesseffortsforapossibleinfluenzasurge.ThefacilitiesansweredyesornototheeightsurveyquestionslistedinETRACS.ThesurveyresponseswerecollectedonJanuary18thblue24thredand31stgreen2013.Eachbarrepresentsthenumberoffacilitiesthatansweredyestothecorrespondingsurgestrategy.Forweek1January18ththerewereatotalof72respondentsonJanuary24ththerewere79respondentsand81respondentsonJanuary312013.Thegraphtotheleftprovidesanoverviewofthesalineshortagestatus.ThebarlabeledShortagerepresentsthosefacilitiesthatareexperiencingashortageinsaline.ThebarlabeledNoShortagerepresentsthosefacilitiesthatarenotcurrentlyexperiencingasalineshortage.Thisgraphindicatesariseinthenumberoffacilitiesintheregionexperiencingashortageinsaline. WinterBedAvailabilityTrendReportAverageTotalBedsReportedBySeasonTotheleftyouwillfindthebedavailabilitytrendgraphwhichprovidesagraphicalrepresentationofthebedavailabilityduringthewintermonths.Totheleftyouwillfindagraphdepictingtheseasonaltrendofbedavailability.Thegeneraltrendsuggestsahighernumberofavailablebedsinthespringandthelowestamountofavailablebedsinthewinterseason. NationalHealthcarePreparednessProgramProgramManagementToolPilotOnApril152014membersoftheAssistantSecretaryforPreparednessandResponseASPRcollaboratedwithNCTTRACstafftopilottesttheNHPPprogrammanagementtool.NCTTRACwasselectedasoneof10HealthcareCoalitionsinthenationtohelpinthepilotingprogrammanagementtool.ThesessionincludedanoverviewofthetoolsHealthcareCoalitionModuleReportingModuleVerificationModuleandProgramManagementTooltrainingimplications.InadditiontheattendeeswalkedthroughafewofthetoolsmanagementtabsincludingThreatandHazardIdentificationandRiskAssessmentHealthcareCoalitionDevelopmentandconcludedwithtestingthetoolsfunctionalityusingafewHPPcapabilitymodulesasexamples.ThevisitachievedthreemaingoalssetforthbyASPR.FirstdetermineiftheNHPPProgrammanagementtoolsolutionsmeetstheHPPassessmentandevaluationgrantrequirementsforAwardeesandHealthcareCoalitions.SeconddetermineiftheNHPPprogrammanagementtoolsolutionimprovesthecollaborativeworkingenvironmentsfortheFPOandtheAwardee.Andfinallyacquirefeedbackandviableinformationforwidespreaddistributionanduseofthetool.AfterworkingthroughthetoolfunctionalityandthoroughcollaborationbothpartiesleftwithagreaterunderstandingoftheHPPProgramManagementToolanditsfutureimplications. TSA-EHospitalPreparednessProgramProgressTheHospitalPreparednessProgramHPPhascompletedbudgetperiod2BP2andtakingthefirststepstowardbudgetperiod3BP3ofthefiveyearcontractperiod.Thecontractandprogramarescheduledtocontinuethrough2017.TheHPPiscurrentlycomprisedof8capabilitiesandeachcapabilityisfurtherdefinedamongseveralfunctions.ForthepasttwobudgetperiodstheHealthcareCoalitionhasfocusedoncompletingobjectivesrelatedtoalleightcapabilities.WithaDepartmentofStateHealthServicesDSHSState36budgetreductionaprioritizedstrategictieredhealthcarepreparednesscapabilityapproachhasbeenestablished.TheprioritystrategicapproachwillincludeemphasisonbuildingenhancingTier1capabilitiesandsustainmentenhancementeffortsforTier2capabilitiesandwillbedependentonavailableHPPfundsandresources.ThevisualinformaticsshownproviderelativepercentagecompletiontodateforeachHPPCapability.Tier1capabilitiesincludeCapability1HealthcareSystemPreparednessCapability2HealthcareSystemRecoveryoFunction2ContinuityofOperationsCOOPCapability3EmergencyOperationsCoordinationEOCCapability6InformationSharingCapability10MedicalSurgeTier2capabilitiesincludeCapability2HealthcareSystemRecoveryoFunction1HealthcareSystemRecoveryCapability5FatalityManagementCapability14ResponderSafetyandHealthCapability15VolunteerManagement HeartachetoHealingPreparingourCommunityWorkshopJune42014OntheeveningofSeptember151999agunmanenteredWedgwoodBaptistChurchduringayouthprayerrallyandfiredover100shots.Sevenyoungpersonswerekilledandsevenotherswerewoundedbeforethegunmanendedhisownlife.Intheaftermaththevictimstheirfamiliesandthecommunitywerelefttostrugglewiththeirgriefandrecoveryfromtheterrifyingexperience.TheworkshopwassponsoredbyTheTexasDepartmentofStateHealthServicesHealthServiceRegion23andsupportedbyNCTTRACalongwithotherkeyregionalpartners.HeartachetoHealingexaminedtheWedgwoodtragedyandthegrowthofthebehavioralhealthcommunitysincethateventandhighlightstheimportanceoftheirintegrationintocommunityresponseplans.Discussionincludedhowtomovefromheartachetohealingandhowwecanprepareourcommunitytopreventfuturetragedies.Inadditionparticipantssharedanddiscussedopportunitiestofurtherintegratedisasterbehavioralhealthintodisasterplanningresponseandrecoveryactivitiesintheregion.Participantsleftwithanimprovedunderstandingofthefunctionalrelationshipbetweenpublichealthemergencymanagementanddisasterbehavioralhealthpartnersduringadisasterresponsetoincluderolesandresponsibilitiesofeachpartner.TheHeartachetoHealingWorkshopbroughttogetheremergencymanagementthementalhealthcommunitypublichealthandmanyothercommunitypartnersthatmaybecalledtorespondtoadisasterthatthreatensthehealthofourcommunity. DataandInformationSystemsDivisionThemissionoftheDataandInformationSystemsDivisionistoprovidesuperiorcrisisapplicationsystemsandcustomerservicetosupportthemissionofNCTTRACanditspartners.The20132014yearallowedforsolidificationofthesystemsthattheNorthCentralTexasTraumaRegionalAdvisoryCouncilDataandInformationSystemsDivisionsupports.Wetookacomprehensivelookandthegapsthatwehadsupportingthemembershipandtheinternalstaffinprioryearswhichrevealedseveralgaps.Werealizedthatweneededtochangetheinternalsystemstoprovidefortheexpandedneedofstaff.Additionallyweneededtoaddressthelimitationsofaselfhostedinfrastructureitseffectonthegrowthoftheorganizationaswelooktoprovidemoreprogrammaticsupportinthefuture.Theresultwastheadditionofafewnewitemsandacomprehensiveplantomovetheserverandnetworkinfrastructureintoahostedenvironmentprovidingsuperiorserverandredundancycapability.Internallywechangedphonessystemsandperformedasignificantupgradetotheemailserversandhost.ThefocusofmanyoftheprojectswasastrategicmovementtowardaselfreliantsystemfortheRAC.Thepositiveeffectsofthoseendeavorsarebeingrealizedaswecloseouryear.UptimeReportNCTTRACexperiencedaconsistentamountofdowntimethisyearusingprioryearsasabenchmark.Thisisbecauseoftheservermigrationsfortheemailandcommunicationsystems.Thecrisisapplicationswereavailablemorethanlastyearwhichisoneofourkeyperformancegoals.Theamountoftimeunavailableequalsabout3minutesforallofthesystemsacrosstheinfrastructure.Thisisalargereasonformovingintoahostedorvirtualenvironment.WeexpectasignificantimprovementaswereportendoftheyearuptimenextDecember.StrategicApproachtoMemberApplicationsThisyearwasfocusedonprovideacomprehensiveapproachtoemergencyhealthcaredelivery.ETRACSREGEWebEOCandEMResourceareupdatedonaregularbasistoaddressorfixproblemsthathavebeenidentified.Thisisnotanewapproachotherthanwehavebeenprovidingfeedbackduringthesetimesforthememberstoprepareandaddressthechanges.SeveralyearsagotheDISteamcommittedtoourmembershipthatwewouldprovideaplatformthatwouldbeagnosticinsharinginformationtotheappropriatepartners.WestartedthatendeavorwiththeintegrationofbedcountsbetweenETRACSandWebEOC.WecontinuethefocusonregionalEMSHospitalCoordination.Asweexpandtheinfrastructurewewillcontinuetoevaluatenewwayswecanmoveforwardinprovidingwhatwillworkforourmembers.Theaboveboxisachecklistoftechnicalsolutionswehavebeenstrivingtomeetthispastyear.WehaveachievedthislistbutwillcontinuetoworkwiththeOperationsandEmergencyHealthcareSystemsteamstoensurethatweareoperationallycapabletoperformineachofthesearea.RegionalEMSHospitalCoordinationNotificationAlertingSystemHospitalEMSResourceCapabilityStatusEmergencyDepartmentSaturationStatusHospitalPreparednessProgramProcurementInventoryEMSEDField-to-FacilityVisibilityRealTimePatientFatalityVehicleTrackingIntegrationwithPatientRegistryContinuumofCareSituationalAwarenessandStatusCommandCenter ConnectingDataAnotherareaofstrategicfocushasbeenontheregionalregistryandintegrationwithotherdatabaseshostingpatientcareinformation.InitiallyweevaluatedprovidingEMSdatatohospitalsinanelectronicformatatthetimeoftheepisodeofcareanddropoff.Thisdirectionwaseasytoovercomeusingtechnologybutitdoesnotprovideforthewholepicture.ThefirstsolutionwastoprovidetheclosetorealtimeEMSpatientinformationtothefacility.ThiswasaccomplishedthroughHospitalHubinETRACS.WetestedtheviabilityofthissolutionwiththeGrapevineFireDepartmentandBaylorRegionalMedicalCenteratGrapevine.ThechallengewasthatitrequiredthatalltheprovidersoperateoffofanImageTrendPlatform.WecelebratedsuccessinGrapevineandusedtheinformationtomoveforwardprovidingthesamesolutiontoRichardsonandSherman.Asindicatedthissolutiondoesnotprovideacompletepatientinformationpicture.DuringthetestingandpilotofHospitalHubwebeganhavingconversationswithotherEMSagenciesandbegantounderstandtheconceptofMobileIntegratedHealthcare.ThediscussionbecamelessaboutputtingthepatientinformationintotheEDattimeofpatientdropoffandmoreaboutputtingtheinformationinthehandsoftheEMSprovidersinthefield.AtthistimeweareworkingtoprovideaseamlessdataportalforEMSproviderstohavepatientinformationfromlasthospitalstaysorprimaryphysicianvisitsatthetimeofthepatientpickup.TheinformationwillbeavailablethroughtheelectronicpatientcarereportbeingusedbytheEMSprovider.AdditionallytheEMSdatawillporttothehospitalpatientrecordssystemthroughapplicationprograminterfacesandbeavailablefortheregistrationpersonnelinpreadmitscreens.Theresultwillbeamorecompletepatientrecordwithlesstimespentdoingpaperworkandmoretimefocusingonthepatientcare. RegionalCrisisApplicationsReportTheregionalCrisisApplicationssawmanysuccessesandenhancementsinyear12.Statisticallytherewasover100peopletrained800accountscreated15exercisessupportedand3majorreallifeeventsmanagedentirelyonline.TherewerenewmodulestestedandimplementedvirtualsolutionscreatedforimpendingregionalchallengesandtheredundantcommunicationbetweencoalitionpartnerswasthestrongestinRAChistoryWebEOCWebEOCstartedtheyearoffstrongwiththeintroductionoftheTexasEmergencyTrackingNetwork.ThisisaseriesofboardsthatweredevelopedbytheTexasDivisionofEmergencyManagementTDEMforhurricaneevacueetracking.ThissystemquicklycaughttheeyeoftheMedicalOperationsCenterIntegrationWorkgroupastheyhadmadeadeliberatelineitemintheiragendadedicatedtofindingasolutionforpatienttrackingandfamilyreunification.ThesystemwaspilotedandprovenquitesuccessfulduringtheDFWInternationalAirport2013LifesaverExercisetheZone7TriageTagExerciseandtheHCANorthTexasDivisionExercise.TheregionalWebEOCadministratorsinPlanoFortWorthDallasMcKinneyTylerandatNCTTRACexpandedtheircollaborationeffortsandprojectsduringquarterlymeetingstoensureaccurategapfreeinformationsharingduringthemostcrucialoftimes.OnMarch20ththeCriticalInformationSystemsCoordinatorfortheTexasDivisionofEmergencyManagementandleadWebEOCadministratorforthestateJeffNewboldjoinedthegrouptofurtherthisinteraction.TherewasspecificdiscussiondedicatedtostrengtheningthemedicalcommunitysinvolvementaswellasaddingapplicationprograminterfacesAPIstoallowformultipleapplicationstobetiedintoWebEOC.Thisprojectwillfurtherthegoaltohaveoneapplicationthatcanbeuseddailyorintheeventofanemergencyandstillallowforcrosssharingofinformationbetweenallentitiesandtiersofgovernment.EMResourceEMResourcesawagreatamountofactivitythisyearandremainedasolidformofregionalmassnotificationthroughouttheregion.DuringtheseverecaseofwinterweatherthatimpactedNorthCentralTexasinearlyDecember2013EMResourcebecamethesituationalawarenesshubfortheNationalEmergencyDepartmentOvercrowdingScoresNEDOCS.HospitalswerepromptedtoupdatethisstatusasoftenaspossiblewhichledtoemergencymanagersandcorehospitalofficialshavingtheabilitytogageEDsaturationforboththeirfacilityandsurroundinghospitals.Theairmedicalcommunityalsousedthesystemduringthisicymonthtoaskhospitalstomakesuretheirhelipadwasclearofprecipitation.Thismethodprovedeffectiveandensuredasafelandingforinboundairtraffic. MandatoryDepartmentofStateHealthServicesbedreportswerecommunicatedasusualusingtheEMResourcealertmanagementtoolwhichallowsuserstoreachallpointsofcontactsforeveryfacilityinsidethesystemwithjustafewclicksofabutton.Becausethisnotificationsendstobothphoneandemailtherewashigherconfidenceinreceiptofmessageandtheparticipationratewasoverallmoresuccessful.WiththeeaseandclarityofpresentedinformationandthedirectcommunicationbetweenprehospitalandhospitalEMResourcehasbeenastrongtoolinthetoolboxforthisregion.BesuretowatchoutforseveralnewupdatesthatareprojectedthisyearETRACSWhileETRACSortheTraumaServiceAreaETrackingofResourcesAlertsandCapabilitiesSystemistheyoungestofthethreeapplicationsithasbyfarseenthemostgrowthandengagementthisyear.Withalmost3000usersand600agenciesthisapplicationhastheabilitytostretchwellintootherpartsofthestateandhasthepotentialofonestopshoppingformanyfunctionalitiesduringvirtualemergencyhealthcaremanagement.ThemassnotificationandalertingsystemcamefullcirclethisyearandwasusedheavilyduringthewinterweatherstormsthesalineshortagetheinfluenzaseasonmandatoryDSHSbedreportsandtorosterandnotifyallcomponentsoftheEmergencyMedicalTaskForceupondeployment.TherewasanapplicationprograminterfaceAPIbuiltbetweenETRACSandEverbridgeMassNotificationthatallowedforthesystemtotargettheindividualinsteadofthedevice.Whenanalertissentthemessagecanbouncefromcellphonepagerdeskphonehomephoneemailoreventbannerensuringthattheindividualreceivestheemergencymessage.Thisformofcommunicationhasproventobeessentialwhenalertingtheregionofvariousupdatesandimportantinformationthatwillhelpwiththeemergencytheymaybeexperiencing.JustlikeWebEOCETRACSpatienttrackingalsointroduceditselfwithahighsatisfactionratethisyearfromthosewhotestedandtrainedonit.Thistoolallowsforvirtualpatientmanagementfrommultipleoutletsthroughoutthetriagetransportadmitanddischargeprocess.Thesystemtrackspatientsthroughouttheirtreatmentcollectsdiscernibleinformationefficientlymanagesemergencyincidentseffectivelyandlocatesandreunitesfamilies.Theconstantlyupdatedoverviewofpatientcareandstatusandavailablehospitalsandnumberofpatientsreceivedareinvaluabletoolsallowinguserstoeasilymanageandprepareformajorincidents.ThissystemravedpraisefromboththeNorthEastFireDepartmentAssociationandHuntCountOfficeofEmergencyManagementduringtheirrespectiveexercisesheldthisyear.Itwasevidentthatseveralpeoplecouldbetrainedquiteeasilyinaslittleas30minutesandthencouldsufficientlyoperatethesystemandallowforseamlesspatientmanagementthroughouttheentireevent.ThissystemisworkingitswaythroughouttheregionhelpingsupporttheNorthTexasareatobestrongerandbetterpreparedforuncontrollableeventsthatmayresultinmasscasualtyincidents.ResourceRequestingwasimplementedandprovedtobeausefulformatforthesharingofresourcesbetweenhealthcarecoalitionpartners.ThiscapabilityalloweduserstosearchavailableHPPinventorytoensureregionalassetshadbeenexhaustedbeforeformallyrequestingassistancefromthestate.NCTTRACwasabletousethisprocesstofulfill3regionalresourcerequestsfor9ventilatorsinresponsetotheearlyyearinfluenzasurge. TheRegionalStatusscreenalsoenduredafaceliftmakingiteasiertoreadandobtainmoreinformation.TheNationalEmergencyDepartmentOvercrowdingScoreNEDOCSwasbuiltintothisscreentopullthesameinformationthatlivesinsideEMResourceinthenearfuture.Thisscreencanbefilteredtoshowdiversionstatustraumalevelbedavailabilityandspecialtyservicesavailability.Itcanalsobescaleddowntoshowonlycertaincountieszoneshealthservicesregionsandcouncilofgovernments.Itistrulycustomizabletoyourneedsandcanbeaperfectassettoanyemergencyoperationscenterforataglancesituationalawareness.Thereportingandsurveymodulesexpandedcapabilityandallowedforvitalanalysistobemadeduringthemajoreventsexperiencedthisyear.HospitalsandEMSagenciescanbesurveyeduponloginallowingforNCTTRACstafftoreportoutresultsinmuchmoreseamlessway.FinallyoneofthemostimportantupdatesthatwasmadetothesystemthisyearwastheintroductionofHospitalHub.ThismoduleallowsforfieldEMStofilloutelectronicpatientcarereportsePCRastheytransportthepatientandthenautomaticallydroptheminonelocationwherehospitalscantheneasilyaccessthereportinaPDFformat.HospitalscandisplaythismoduleintheirEDandseewhatpatientsarebeingtransportedwhattheircurrentconditionisandwhoisbringingthempriortotheambulanceeverreachingtheED.Thismodulefurthersthegoalofbridgingthegapbetweenprehospitalandhospitalandallowsforbetterpatientcareespeciallyincaseswheremultiplepatientsarebeingtransportedatonce.ETRACShascomealongwayovertheyearsandstillhasalongwaytogo.ThereareseveralbigupdatesthatwilloccurinthecomingyearincludingtheintroductionofCommandCenterwhichwillserveasavirtualemergencyoperationscenterchatroom.Therearealsoseveralinitiativesinplacetomapallapplicationstothisdatabaseandcontinueflowinginformationinmultipleplacesallowingforvisibilitytoallusersregardlessofwhataccounttheyhold.Alloftheplansofcourseleaduptobettersupportingtheregionsneedsandmitigatingchallengesoflessonslearnedandtoprovidethecoalitionwithbetteropportunitytomanagetheemergenciesthatweknowundoubtfullyoccuratsomepointintime. REGEREGEistheregionalemergencyhealthcarepatientdatacollectionregistryservingTraumaServiceAreaETSAE.REGEhasmaturedagreatdealinthelast12months.NCTTRAChasmovedforwardtoachievethereleaseof2013EMSFireandHospitalAnnualRegionalBenchmarkingReports.NCTTRACstaffcurrentlymeasuressuccessbydataanalyticsoccurringpostsubmissiontoREGE.DataanalyticsispivotalforNCTTRACmemberperformanceimprovement.REGEreportrequestsisnowavailableviaanelectronicrequestatsupport.ncttrac.org.REGEEMSandTraumaCentersDataSuccessThematurityoftheREGEsystemcanbeseenintheprogressofthenumberofrecordsinthesystem.In2013EMSFireimported91029eventsintoREGEasshowninchartherelabeledCountofEventsYearOverYear.In2013Hospitalsbothimportedandmanuallyentered69999incidentrecordsintoREGEasshowninchartherelabeledTraumaTypeCasesByYear. ThegrowthinpatientrecordsubmissiontoREGEenablestheSystemsPerformanceSPICommitteeandtheNCTTRACstafftoprovidebetterregionalreportingandanalytics.NCTTRACTraumaStrokeCardiacEMSInjuryPreventionPediatricProfessionalDevelopmentPhysiciansAdvisoryGroupPAGandSPIcommitteescontributedtothesuccessfulincreaseofdataandparticipationintheregistry.ToenhancetimelinessandtransparencyofREGEdatasubmissionsaquarterlyCallforDataandReportOutofdataisdeliveredtoallregionalstakeholdersandmembers.REGEtrainingisdeliveredvirtuallyviaWebExtobothprehospitalandhospitalendusers.AsCardiacandStrokebuildintodefiningnationaldatastandardsNCTTRACcommitteesarestandardizingdatasubmissionsinaccordancewithGetWithTheGuidelinesGWTGACTIONandStrokedataelements.BothGWTGACTIONandStrokeformsandimportsarenowavailableinPatientRegistryREGE.NCTTRACcommitteesrespectivelytooktimetoevaluatedataprovidedandcontributedbestpracticesapproachestoimprovethequalityofthedatareviewed.NCTTRACsREGEFormsAlliancewithDSHSStateofTexasRegistryMAVENIn2014NCTTRACstaffformedanalliancewiththeStateofTexasRegistryMAVENsystemtocreateaninterfaceandamovetonationaldatastandardsforbothprehospitalandhospitaldataaggregation.UtilizingnationaldatastandardswillincreasevalidationandreduceschemaimportingerrorsforREGEusers.OverallthealliancebetweenREGEandMAVENwillmakecomparingapplestoapplesarealityforregionalNCTTRACmembers.InpreparationforpendingchangestonationaldataelementsNCTTRACmadeavailableDataDictionariesforTraumaStrokeCardiacandEMSFiretohelpdevelopacommonthreadofunderstandingofcurrentandavailabledataelements.AsREGEandMAVENmovetonationalstandardizationbothstateandregionallevelanalyticswillbemorecomprehensiveandwellaligned. REGERoadMapIn2014NCTTRACstaffconstructedaREGEBusinessPlanforsustainabilityandcontinualimprovement.AsshowninpictographbelowREGEallowsaregionalvantageofprehospitaldecisionpointsfromIncidentRecognitiontoTramaCenterHospitalED.AlsoREGEispreparedtoprovidearegionalanalysisfromarrivalatdestinationfacilitytoAcuteMedicalCaretoRehabilitation.REGEispositionedforQualityImprovementwithtraumaregistrydataanalysisforuseinregionalInjuryPreventionandPublicEducation.Thechangesseenin2014ispositioningREGEtodelivermorecomprehensiveanalyticstoassistmembersindrivingchangesinorganizationsregionwide. NCTTRACsFutureEmergencyHealthcareSystemsUpcomingFirstAnnualNCTTRACSymposiumCommunityMobileIntegratedHealthcareandCommunityParamedicineMIHCPLeanInformaticsWorkgrouptosupportregionalregistrybenchmarkingthroughREGEFocusonEmergencyHealthcareSystemsClinicalEducationopportunitiesfortheregionStrokeSTEMIandregionalTraumaSystememphasisforimprovedpatientcareEmergencyMedicalOperationsContinuedEmergencyMedicalTaskForcetraininganddevelopmentFocusonhealthcarecoalitionbuildingwithhealthcarepartnersExpandedcommunicationcapabilitytrainingandexerciseopportunityEnhancedregionalCrisisApplicationstrainingandexercisedeliveryDataInformationSystemsFocusprovidingaseamlessdatasolutionforregionaleventsExpandedfocusonintegrationofinternalandexternalinfrastructuresGainuseracceptancethroughincreasedfunctionalityReducememberworkloadthroughautmoationofpatientinformationAdministrationFinanceSupporteffectiveandefficientuseofunrestrictedbudgetsMaintainsuperiourauditperformanceExpandsupportformemberswithconsolidationofusableinformationFacilitatecrossfunctionalinformationsharingamongmembersandpartnersLogisticsTransportationSupportPPEcachedevelopmentforEMSandhospitalEbolaoperationsMaintainandsustainEmergencyMedicalWarehouseequipmentandsuppliesFacilitateHPPinventorystandardizationandsystemimprovementsDistributeevacuationandpatienttrackingmaterialstoHealthcareCoalitionmembers ChairRajeshGandhiMDTraumaMedicalDirectorJPSHealthNetworkP.O.Box33937FortWorthTX76162Phone8177025557Fax8173701373Emailrgandhijpshealth.orgViceChairRickyReevesEMSDivisionChiefLewisvilleFireDepartmentP.O.Box299002LewisvilleTX75067Phone9722193580Fax9722193704Emailrreevescityoflewisville.comTreasurerDavidOrcttCEOWeatherfordRegionalMedicalCenter713EastAndersonStreetWeatherfordTX76086Phone8173412273Emaildavid_orcuttchs.netSecretaryAmyAtnipDirectorofTraumaServicesEMSMedicalCenterofPlano3901W.15thSt.PlanoTX75075Phone9725191574Fax4694840606Emailamy.atniphcahealthcare.comExecutiveDirectorHendrikJ.RickAntonisseExecutiveDirectorNorthCentralTexasTraumaRegionalAdvisoryCouncil600SixFlagsDr.Suite160ArlingtonTX76011Phone8176080390Fax8176080399Emailrantonissencttrac.org