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Southern Minnesota Regional Trauma Advisory Committee

General Meeting May 14, 2019 | 1:00 p.m. – 3:00 p.m.

MCHS - Clinic, Rooms A-C – 2200 26th Street NW, Owatonna, MN

Meeting web cast access on www.smrtac.org | JOIN ZOOM

Trauma Education – Burn Management 10:00 a.m. – 12:00 p.m. JOIN ZOOM

AGENDA

Time Agenda Item Presenter(s) Action

2 minutes Welcome, Call to Order Denise Klinkner, MD

3 minutes Roll Call (Establish if Quorum is Met) Denise Klinkner, MD

5 minutes Current Agenda and Minutes of December 13, 2018 Denise Klinkner, MD Approval

5 minutes

Consent Agenda:

• Subcommittee Minuteso Trauma Program Managerso Outreach Education

Denise Klinkner, MD Approval

15 minutes

Voting: • EMS Chair – Tim Malchow - Voting Members• EMS Representative – Adam Grant• Hospital Administrator – Voting Members• Chair Transition – Dr. Daniel Stephens -– Voting

Members • Injury Prevention - Subcommittee Chair/Committee• SMRTAC Coordinator Role - Kristen Sailer• RTTDC Support – Voting Members

Denise Klinkner, MD Nomination / Voting

5 minutes Chairperson’s Report:

• Fiscal Report• MDH Grant

Denise Klinkner, MD Informational

5 minutes TOPIC Course Update Terri Elsbernd, RN Informational

15 minutes SMRTAC PI Process Christopher Kasal, MD Terri Elsbernd, RN Informational /

Discussion

10 minutes Driving Simulator Charges Peggy Sue Gerber Discussion / Endorsement

10 minutes SMRTAC 10 Year Anniversary Denise Klinkner, MD Discussion / Endorsement

http://www.smrtac.org/https://zoom.us/j/326661518https://zoom.us/j/256908426

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5 minutes STAC Update • STAC Liaison Change Denise Klinkner, MD Informational

5 minutes Grant Deliverables Denise Klinkner, MD Informational

10 minutes

SMRTAC Outreach Update

• ENA Conference• TZD Workshop• South Central Emergency Preparedness

Conference • South East EMS Conference

Kristen Sailer Informational

5 minutes Stop the Bleed Trainer Kits Update Denise Klinkner, MD Maria Flor, RN Approval

10 minutes Subcommittee Chair Reports All Chairs Informational

10 minutes Roundtable

• STAC Liaison Change• Pediatric Surge

All

Adjourn *Items with attachments are hyperlinked blue

Notation Items Member List Robert’s Rule Pediatric Surge MDH

Future Topics

Dates to Note

• 2019 SMRTAC DatesNEW VENUE MCHS Owatonna 2200 26th Street NW – Owatonna, MN 55060o 2/12/2019 CXLDo 5/14/2019o 8/13/2019o 11/12/2019

• 2019 STAC Meetingso 3/5/2019o 6/4/2019o 9/10/2019o 12/10/2019

http://rulesonline.com/index.html

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Voting Members Kathy Berns, RN Aero-Medical Representative

Jill Bondhus Dispatch Agency Representative

Bethany Corliss daRocha, MD Medical Director of Level III/IV Representative

TBD EMS Agency Representative

Peggy Sue Garber, RN Injury Prevention Specialist

Don Hauge Regional EMS Representative

Mike Juntunen Regional Data Registry Specialist

Denise Klinkner, MD Level I Representative Chair, SMRTAC

Laurie Mc Levis, RN Pediatric Specialist

Vicki Neidt Disaster Planning Specialist

Angela Schrader Level IV Representative Secretary, SMRTAC

Laura Walker MD Level IV Provider

Pam Williams, RN Hospital Administrator Vice-Chair SMRTAC

Administrative Staff Byron Callies SMRTAC Co-Coordinator

Gwen Meyer SMRTAC Co-Coordinator

Elle Stangl Administrative Assistant

Sub-Committee Chairs Deb Anderson, RN Regional Data Registry

Terri Elsbernd PI Co-Chair

Mark Griffith EMS

Jill Hunchis, RN, CNP Pediatrics

Chris Kasal, MD PI Co-Chair

Jessica Pastick, RN Education/Outreach

Gail Norris, RN Trauma Program Manager

OPEN Injury Prevention

Liaisons Chris Ballard MN Statewide Trauma System

Maria Flor SMRTF Foundation Executive Dir.

Marty Forseth State Designation Coordinator

Tim Held MN Statewide Trauma System, Rural Health

Carol Immermann, RN STAC Liaison

John Osborn SMRTF Foundation Treasurer

Tammy Peterson State Designation Coordinator

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Attendance of Voting Members

Kathleen (Kathy) Berns RN Vicki Neidt RN

Jill Bondhus Angela M. Schrader RN Bethany Corliss daRocha MD Laura E. Walker MD

Karla Eppler ME-PD, NRP Pam Williams RN Donovan (Don) A Hauge Michael Juntunen

Denise B. Klinkner MD, M.Ed

Laurie A. Mc Levis RN

X= attending; NA = not attending; P = participating remotely

Attendance of Subcommittee Members

Deb Anderson RN Gail L. Norris RN

Terri Elsbernd RN Peggy Sue Garber RN Mark Griffith Jill M Hunchis RN, CNP Christopher Kasal, MD Jessica Pastick RN

X= attending; NA = not attending; P = participating remotely

Southern Minnesota Regional Trauma Advisory Committee

General Meeting December 13, 2018 | 1:00 p.m. – 3:00 p.m.

MnDOT Headquarters, 1010 21st Avenue NW, Owatonna, Minnesota

Meeting web cast on www.smrtac.org | Conference call: 1-866-365-4406, access: 16194349#

WebEx: Participant: Join Meeting

AGENDA

Time Agenda Item Presenter(s) Action

2 minutes Welcome, Call to Order Denise Klinkner, MD

3 minutes Roll Call (Establish if Quorum is Met) Denise Klinkner, MD

5 minutes Current Agenda and Minutes of October 11, 2018 Denise Klinkner, MD Approval

Motioned by Angela Schrader

Seconded: Kathy Berns

5 minutes

Consent Agenda:

• Subcommittee Minuteso Educational Outreacho Trauma Program Managerso EMS – (None)o Pediatric – (None)o Data Registry – (None)o Injury Prevention – (None)o Performance Improvement – (None)

Denise Klinkner, MD Approval

Motion to approve: Peggy Sue Garber

Seconded: Laurie Mc Levis

Attachment A

http://www.smrtac.org/https://core.callinfo.com/interface/guest.jsp?jvm=FlashWIN_11_2_202_233&an=8663654406&ac=16194349

10 minutes

• Resignation of Meghan Lamp, RN from her role as Subcommittee Chair for Education/Outreach – Motion and Vote on Jessica Pastick, RN as new Subcommittee Chair

• Voting Members

Terms up for renewal

Emergency Preparedness- Vickie Kneidt reassigned

Hospital administrator- Need someone to fulfill

EMS-

Karla has resigned due to positon change. Need someone to fulfill position

Vote on open positions will be at next meeting.

Denise Klinkner, MD

Nomination / Voting Motioned by: Denise Klinkner Seconded: Jill Bondhus

10 minutes • SBAR – SMRTAC Virtual Meeting Solution

Due to recent challenges with ZOOM there is a need for SMRTAC to get their own account. The cost will be approximately 240 yearly. There will be a link to ZOOM on the SMRTAC page for those to use that cannot attend the meeting or educational sessions in person.

Byron Callies Approval

10 minutes

• SMRTAC Coordinator Support Role

The coordinator role will support SMRTAC and the south east disaster coalition. This role will be accountable to the SMRTAC advisory committee. This will be a contracted position outside of Mayo Clinic. Please refer to the guideline and resume regarding this position. The target is to have a person in place January 2019. There is more work to be done for this to happen. More to come…

When the coordinator role begins Gwen and Byron will be stepping out of their current roles. o Guideline o Resume

Byron Callies

Endorsement

20 minutes

Chairperson’s Report:

• Fiscal Report

State grant paperwork was sent in. have not received it yet but we can start spending the exact amount is not known.

• COT Funding Have decided to provide funding for training kits for stop the bleed. Will continue to support RTTDC

Denise Klinkner, MD

Informational

classes SMRTAC will be supporting at least one RTTDC.

• 10 Year Anniversary – Special Event?

What should be done to celebrate during upcoming summer can we combine with 5k? would be a great idea. Need to take time to celebrate us where we are not doing the work but to celebrate us.

PI forum: Tentatively planned on April 16 for a TOPIC course sponsored by Mayo trauma center. Cost is 350 per individual. SMRTAC would like to support persons to go financially. Location has been saved in the Owatonna area. If anyone has conflicts with this date let Denise, Terri or Carole know.

10 minutes STAC Update

There are six open positions. Need people to apply.

Level IV criteria was officially approved not sure if on website as of yet. Most controversial is what patients are allowed to be admit to a level IV facility.

EMS regulatory board update: Discussion was had regarding the closet helicopter is not always getting called to the scene. Dr.Hick Emergency Medicine representative on STAC will be working with group to review this. Re-designations: Mayo Clinic Rochester peds and adult, MCHS-Mankato.

Carol Immermann, RN Informational

10 minutes

2019 SMRTAC Format Changes

Meetings will be held quarterly at the new location the Owatonna

• Lunches provided by Mayo Clinic Trauma Center

Byron Callies

Informational

10 minutes

SBAR Trample Trauma 2019

Refer to the SBAR. Discussion on whether or not to have the event. If not what would be other fund raising opportunities. Look at a membership fee to be part of SMRTAC this would be a solid revenue stream. Need to look at foundation bylaws regarding fee structure. Have the support person look into grants.

Gwen Meyer Informational / Discussion

5 minutes Use of Driving Simulator

Have been many request to use the simulator. Consideration of charging for use of the simulator if it is outside of the SMRTAC region. One request was in Iowa. General Mills requested use of simulator at a safety evet. Should we consider charging for our time if we accompany the simulator to the event?

Peggy Sue Garber Informational / Discussion

10 minutes Subcommittee Chair Reports EMS- Today’s meeting was on ZOOM should be available by end of December. PI- Dr.Kassel should be able to attend more meetings with new dates and times. Peds- need more members for the committee. Let Jill know i you are interested Trauma Program Managers- please encourage TPM/C to participate. There will be SMART goals for the group with expectation of attending 50% of the meetings. Promote stop the bleed by doing one class per month. Education outreach- has decided on four education sessions to be held prior to SMRTAC general meeting February Peds airway May- burns with Regions August- chest tube management and drainage systems, cricothyrotomy needle decompression November- Trauma team response/dynamics

All Chairs Informational

10 minutes Roundtable Teri Elsbernd is the president elect for the Pediatric Trauma Society

All

Adjourn

*Items with attachments are hyperlinked blue

SMRTAC TPM Meeting Minutes January 15, 2019 0800-0830 Global Crossing: 866-365-4406 Access Code: 3854745

Item Discussion Accountability Review SMART Goals approved by SMRTAC 12/13/18

S: Specific Keep language clear Purpose M: Measurable Are we able to track the progress and measure the outcome A: Attainable/Achievable Is the goal reasonable R: Relevant Is the goal worthwhile to meet our needs T: Timely What is the time limit

Approved Goals: 1. Members of the TPM/TC subcommittee meeting will

attend at least 50% of the 8 scheduled meetings in2019. Gail will document attendance. (Attendancerecord is attached)

2. The committee will commit to conducting at least 12Stop the Bleed classes in 2019. Members will submittheir class dates and locations to Elle Stangl atStangl.Elizabeth@mayo.edu

3. The committee will commit to providing at least 12driving simulator sessions during 2019.

4. The committee will commit to keeping all PMGassigned to this committee up to date during 2019.

SMRTAC 2019 Quarterly Meeting Dates: we will meet in person these dates at 10:15 am 2/12/19: TPM meeting cancelled due to educational session

5/14/19 8/13/19

11/12/19 2019 Virtual Meeting Dates: Meetings start at 0800

1/15/19 4/16/19 7/16/19

10/15/19

Gail will be on vacation 2/12/19, Chris Edmiston has agreed to lead the TPM meeting in Owatonna.

50% attendance is required for 2019 meetings.

Attachment B

mailto:Stangl.Elizabeth@mayo.edu

TOPIC Carol announced the date for TOPIC as April 11th at Assisi Heights in Rochester.

There will be 6 SMRTAC scholarships available that will reduce the registration fee from $400 to $100. The scholarships will be available to all; however preference will be given to Non-Mayo facilities. TPM/TC and their trauma teams are highly encouraged to register. Feedback from those who attended last year stated this was an excellent class with many take a ways. To register, please follow this link. https://netforum.avectra.com/eWeb/DynamicPage.aspx?Site=STN&WebCode=EventList&FromSearchControl=Yes&;

Revised Level IV criteria

Maria Flor, Peggy Sue Garber, and Angela Schrader created this power point to share at their sites. The power point can be revised for your specific facility if you choose to use it.

New Criteria regional work plan. leadership

Thank you Maria, Peggy Sue, and Angie!!!!

Nursing Education for Level IV facilities

Maria Flor, Peggy Sue Garber, Angela Schrader, and Gwen Meyer (nominated by Carol) will work on an educational power point that covers the required educational components (as announced at STAC). The material will be sent to Tammy or Marti from MDH for approval. Once approved each SMRTAC site can decide if and how they want to use the power point.

STAC Representatives

Congratulations Dr. Denise Klinkner for fulfilling the Pediatric Provider role for STAC !!!! Please see the STAC website for additional new members.

Stop the Bleed We discussed how SMRTAC might be able to assist schools to meet their educational needs for students and/or teachers.

More discussion is needed.

Next meeting date

April 16th at 0800. An agenda and meeting notice will be sent prior to the meeting.

Members: Attendance Tracker

Cheryl Arnold 1/1 Brad Niebuhr 0/1 Brooke Warm

0/1

Emily Banks 0/1 Jeanne Hovda

1/1 Gail Norris 1/1 Chris Wells 0/1

Margo Bjork 0/1 Carol 1/1 Jessica Pastic 1/1 Jessica 0/1

https://netforum.avectra.com/eWeb/DynamicPage.aspx?Site=STN&WebCode=EventList&FromSearchControl=Yes&https://netforum.avectra.com/eWeb/DynamicPage.aspx?Site=STN&WebCode=EventList&FromSearchControl=Yes&

Immermann Whipps

Bethany Corliss 0/1 Dr. Klinkner NA Brittany Price 0/1 Krista Wills 0/1 Robben Crabtree 1/1 Scott Konz 0/1 Alisha Schmidt 0/1 Brian Quinn 0/1 Anne Duscher 1/1 Kim Lewis 0/1 Karee

Schmiesing 0/1

Chris Edmiston 1/1 Jennifer Mclaughlin

0/1 Angela Schrader 1/1

Terri Elsbernd 1/1 Gwen Meyer 0/1 Joy Shaft 0/1 Maria Flor 1/1 Lori

Neidecker 0/1 Katie Snow 0/1

Peggy Sue Garber 1/1 Anna Nepper 1/1 Kelly Thimmessch

0/1

Outreach Education Subcommittee Meeting Minutes

Thursday February 7th, 2019: 1400-1500

Members present: Jessica Pastick, Maria Flor, Jay Johnson, Mark Griffith, Terri Lisbernd, Todd, Meghan Lamp

• Update on where we are with upcoming education topics:

• Feb 12th- On track for Chris B. and the pediatric airway session: Jessica will bemeeting Elle and Chris to set up the room. Meghan is bringing the CEUs and atracking sheet.

May 14th- Heidi Altamirano/Regions Burn Center is confirmed for this session

August 13th- Meghan and Todd Dorn will be hosting this

• B-CON Progress Report

a. Updates, help needed, idea sharing- none:

b. Annette 4/18 Mankato towards zero death, 1045 75 minutes session.Unknown attendees- Meghan Lamp plans on being there along with GoldCross medics

c. Maria shared that some recent emails were going out related to who is or hasdone BCON in schools in the state…more to come.

• Open Forum

a. Location of training…should it rotate through the region? Discussion wasmade related to whether we should consider trialing some different sites forthe locations of education sessions as some parts of the region are notable/willing to commute to Owatonna. Will bring this up at the generalmeeting Tuesday with a tentative trial for the August session to be heldelsewhere.

Next Meeting: Thursday May 9th, 2019 1400-1500

Attachment C

e-Trauma UpdateJanuary 2019

STAC Members AppointedMDH Commissioner Jan Malcolm has appointed five new members to the State TraumaAdvisory Council (STAC) and re-appointed one member. The six officers began their four–year terms on January 7, 2019.

Dr. Steven Lockman was re-appointed as the Rehabilitation Specialist. Dr. Lockman, fromHennepin County Medical Center, has serve on the STAC since 2015. He and the rest of theCouncil are now joined by five new members:

Tami Bong, R.N., the Trauma Program Manager at St. Cloud Hospital

Mark Ebeling, Paramedic, EMS Director at Perham Area EMS

Denise Klinkner, M.D., Pediatric Trauma Medical Director at Mayo Clinic HospitalEugenio Litta Children's Hospital

John Lyng, M.D., Emergency Medicine Physician at North Memorial Health Hospital

Elizabeth Weber, M.D., Orthopedic Surgeon at Children’s Minnesota

The STAC's Rural Level 3 or 4 Family Medicine Emergency Physician seat remains open andapplications for the office continue to be accepted. To qualify for the seat, an applicant mustbe a physician certified by the American Board of Family Medicine or the Osteopathic Boardof Family Practice, and whose practice includes emergency department care in a Level 3 or 4trauma hospital in a designated rural area. Interested candidates should file an applicationwith the Minnesota Secretary of State.

Five long-serving STAC members have retired from the Council. Commissioner Malcolmrecognized Peter Cole, M.D.; Dan DeSmet, Paramedic; Ron Furnival, M.D.; John Hick, M.D.;and Carol Immermann, R.N. for their dedicated service to the citizens of Minnesota.

STAC Adopts New Level 4 Criteria

At their December 2018 meeting, the State Trauma Advisory Council (STAC) adopted newcriteria for Level 4 trauma hospitals. While the new criteria must be implemented byJanuary 1, 2020, hospitals may elect to implement it sooner. With the adoption of the new

Attachment D

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criteria, the STAC also repealed some existing Level 4 criteria requirements.

The trauma system is hosting informational webinars in January and February to helphospital trauma program leaders understand the new criteria and to provide a forum to askquestions. All Level 4 Trauma Hospitals are encourage to register for one of the sessions.

2019 MNTrauma Data Dictionary Published

The 2019 MNTrauma Data Dictionary was recentlypublished. It defines each of the data elements and theirassociated value options that are recorded in the traumaregistry and the traumatic brain injury/spinal cord injuryregistry. The dictionary plays an important role incontributing to a reliable and accurate data set by helpingregistrars to understand precisely what information is beingsolicited by any given data field.

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RTTDC Courses Offered by Mayo Clinic Trauma Centers 2019

Madelia, MN March 14, 2019 Lake City, MN March 21, 2019 Decorah, IA April 26, 2019

o Lake City, MN October 10, 2019

Attachment E

Southern Minnesota Regional Trauma Foundation- Financial Report

May 2019

Income:

Trample Trauma – Race Roster deposit (Dec.) 2364.51

Total 2364.51

Expenses:

TOPIC Scholarships (no one sent) 0.00

SE EMS Conference booth fee 250.00

ZOOM set up and use fees 162.08

RTTDC Books (17) pending

Stop the Bleed trainer kits

- Totes, gauze and wound models (ordered) 98.60 - CAT trainers(22)/orange (14) (ordered) 806.42

Total 1317.10

Current Balance:

May 3, 2019 40,315.59

Attachment F

Attachment G

PI Plan Draft 01/2019

Southern Minnesota

Regional Trauma

Advisory Committee

Performance Improvement Patient Safety Plan

2019

_________________

Denise Klinkner MD

SMRTAC Chair

_________________

Chris Kasal MD

PI Subcommittee Co-Chair

_________________

Terri Elsbernd MS, RN

PI Subcommittee Co-chair

Attachment H

PI Plan Draft 01/2019

Southern Minnesota Regional Trauma Advisory Committee (SMRTAC)

SMRTAC Performance Improvement and Patient Safety (PIPS) Plan

Purpose The purpose of this plan is to assure the PIPS activities in the SMRTAC region support the primary mission of the organization, to decrease morbidity and mortality of trauma patients in the region through collaborative practice, education, and research to ensure quality and timely care to injured citizens. The overarching concept directing all PIPS activities is the culture of safety; trauma PIPS embraces an environment that supports activities to drive safe care practices and improved patient outcomes through a process that evaluates real and possible events in an objective and blameless methodology.

Scope

The PIPS plan applies to all stakeholders that impact the care for injured patients across the region. This includes hospitals, EMS agencies, law enforcement, physicians, nurses, and aeromedical.

Authority The SMRTAC PIPS process is fully supported by the regional and state trauma system organizations. The following groups grant authority to the SMRTAC PIPS subcommittee to conduct PIPS activities: A. MN State Trauma Advisory Council (STAC):

STAC was established by legislation to advise, consult with and make recommendations to the Commissioner of the Minnesota Department of Health regarding the development, maintenance and improvement of the statewide trauma system. The SMRTAC Chair and/or coordinator provide annual and/or as needed regional updates to this council.

B. SMRTAC Executive Board:

The SMRTAC Executive Board has authority for the administrative operation of SMRTAC, including all subcommittee work up to and including the PIPS Subcommittee. This board answers to the SMRTAC membership and STAC leadership. The SMRTAC Chair is a standing member of SMRTAC Executive Board. C. SMRTAC Board: The SMRTAC Board consists of multidisciplinary members from the region, considered voting members, who are appointed by the Commission of Health. Executive Board members are members of the board.

D. SMRTAC General Membership: The SMRTAC general membership consists of all stakeholders interested in trauma

including by not limited to the general public, hospitals, EMS services, law enforcement,

PI Plan Draft 01/2019

and trauma program personnel. All members of these entities are welcome to all meetings and educational opportunities.

Committee Structure

A. SMRTAC PIPS Subcommittee: The SMRTAC PIPS Subcommittee is a multidisciplinary peer review subcommittee functioning under the auspices of the SMRTAC Board. The charge of the committee is to provide a tertiary or quaternary level review for events identified through the PIPS process. Members provide critical review of all aspects of the case/event involved further identifying prevention and/or mitigation strategies to facilitate event resolution.

1. Roles and Responsibilities

a. SMRTAC PIPS MD co-chair has overall responsibility and leadership for the regional PIPS process and provides secondary reviews when needed.

b. SMRTAC PIPS RN co-chair provides operational support for the PIPS process including intake of events from regional stakeholders, providing primary reviews and documentation of all SMRTAC PIPS activities.

2. In addition to the co-chairs noted above, other SMRTAC PIPS Subcommittee membership includes multi-disciplinary representation as follows:

a. SMRTAC Chair b.Pediatric Trauma Center representative c. Level III representative d.Level IV critical access representative e. Level IV representative f. EMS provider BLS service g.EMS provider ALS service h.EMS provider aeromedical service i. Advanced Practice Provider (APP) from critical access site j. Level IV Trauma Medical Director

3. Attendance at SMRTAC PI Subcommittee is required to be 50% annually at a minimum for all committee members. This attendance is tracked as part of the PI activities of SMRTAC.

SMRTAC PIPS Process

A. Event Identification 1. Information for PIPS purposes is collected concurrently and retrospectively.

Sources of events and data, include but are not limited to the following: • SMRTAC PI Subcommittee Case Review Request (attachment #1) • Regional Database

2. The following quality indicators are used for event identification

• Standards of quality care: All regional trauma patients that meet activation criteria for entry into the trauma registry are monitored for

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compliance with or adherence to the standards of quality trauma care as established by the Statewide Trauma System and SMRTAC. Adherence to current practice management guidelines will be monitored on an on-going basis through a variety of methods including but not limited to; discussion at SMRTAC meetings, focused reviews when specific complications are identified as problematic, and when national standards of care demonstrate a need for change. In addition, practice management guidelines will be reviewed on a regular basis assuring they are in keeping with current accepted standards.

• Death Reviews: All trauma patient deaths within the SMRTAC region are reviewed as they relate to trauma care and trauma system issues. All trauma deaths include a judgement as to presence or lack of an opportunity for improvement.

• Audit Filters: Audit Filters as defined by the American College of Surgeons (ACS) and/or the Minnesota State Trauma Plan and/or SMRTAC PI Subcommittee are monitored as part of the PI process.

1. Complications: National Trauma Data Bank definitions are used to identify complications. Trauma patient complications are recorded in the trauma registry.

2. Systems Issues: All identified issues that are not provider or medical care related are reviewed and resolved at any of the three levels of review.

3. PI Filters: Trauma specific indicators that relate to generally accepted standards of care

4. Measures to be captured and evaluated will be reviewed on an annual basis by the SMRTAC PIPS subcommittee and general membership

B. Review Process A. Levels of Review: algorithm attachment #2

1. Primary Review: Primary review is defined as finding and validating the

event. The SMRTAC PIPS RN co-chair will do the initial case review. This review includes confirmation and validation that an event actually occurred and determination of level of harm. If the primary review affirms the clinical care was appropriate based on current standards and policies; that no provider or systems events were identified; and there was no harm or potential harm to the patient, the case requires no further review. Events that require more investigation will be referred for secondary review.

2. Secondary Review: The secondary review can be conducted by the SMRTAC PIPS MD Co-chair or SMRTAC chair. A secondary level review is required when there is a question regarding clinical care, provider or systems factors and physician expertise and judgement is necessary. This may begin further

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analysis, implementation of action without formal referral to SMRTAC PI Subcommittee.

3. Tertiary Review: Tertiary review occurs within the multi-disciplinary SMRTAC PI Committee structure. The “goals of this tertiary review include but are not limited to: review the efficacy, efficiency, and safety of the trauma care provided, provide focused education, and provide peer review” (Optimal Care ACS 2014). Based upon the SMRTAC PI Subcommittee review decision, the committee may communicate with individual providers or request a quaternary review. Recommendations related to systems events might include process changes/improvements and/or guideline, protocol development. Event determination will be made by the committee using the criteria to follow.

4. Quaternary Review: Quaternary review is defined as an additional review by the State Trauma System leadership or Regional Trauma Advisory Committee leadership. The conclusions and results of these reviews should be documented and available to the SMRTAC PI Subcommittee leadership.

5. All levels of review require documentation that includes the following: • Analysis of event • Action plan for resolution • Date of event resolution

Determinations The SMRTAC PI Subcommittee uses the following judgment designations:

Mortality Determinations Mortality with opportunity for improvement Mortality without opportunity for improvement

Event Determinations (Factors) System Factors An event or complication not specifically related to a

provider or a disease, such as operating room availability, blood availability, and diagnostic testing availability; an event or complication whose correction usually goes beyond a single provider or department. System-related issues usually involve multiple individuals or departments.

Human Factors – Patient An event or complication that is an expected sequela of a disease, illness or injury

Human Factors - Provider An event or complication largely due to provider-related provision of care by a credentialed or non-credentialed provider functioning in a supportive and otherwise well-functioning system.

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C. Action Planning a. When an opportunity for improvement is identified through the PIPS process,

appropriate actions plans to mitigate or prevent similar future adverse events must be developed and implemented. Though not all inclusive, the majority of events are addressed through the following means:

i. Guideline, protocol, or policy development or revision ii. Targeted education

iii. Additional and/or enhanced resources iv. Counseling v. Focused workgroup

vi. Periodic reporting, tabulation and tracking for further reporting vii. External review or consultation

D. Event Resolution a. An event is considered resolved when the actions taken prove successful in the

mitigation or prevention of similar future cases. This requires a demonstrated measurement of improvement or change over time.

E. Documentation of Analysis and Evaluation

A. Analysis of an event will include: 1. Documentation of all case related events, including meeting minutes, all levels

of review, and action plans will be kept in a secure environment. 2. Documentation of all operational process performance events will be included

in SMRTAC PI Subcommittee minutes. 3. The SMRTAC PI Subcommittee chair(s) is responsible for assuring all events

are brought to event resolution and that documentation of such is complete.

F. Confidentiality Protection

1. All performance improvement activities at the local, regional and state must follow:

MN State Statute 145.61-145.67 provides discovery protection for review organizations

145.64 CONFIDENTIALITY OF RECORDS OF REVIEW ORGANIZATION.

Subdivision 1. Data and information.

(a) Except as provided in subdivision 4, data and information acquired by a review organization, in the exercise of its duties and functions, or by an individual or other entity acting at the direction of a review organization, shall be held in confidence, shall not be disclosed to anyone except to the extent necessary to carry out one or more of the purposes of the review organization, and shall not be subject to subpoena or discovery. No person described in section 145.63 shall disclose what transpired at a meeting of a review organization except to the extent necessary to carry out one or more of the purposes of a review organization. The proceedings and records of a review organization shall not be

https://www.revisor.mn.gov/statutes/?id=145.63

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subject to discovery or introduction into evidence in any civil action against a professional arising out of the matter or matters which are the subject of consideration by the review organization. Information, documents or records otherwise available from original sources shall not be immune from discovery or use in any civil action merely because they were presented during proceedings of a review organization, nor shall any person who testified before a review organization or who is a member of it be prevented from testifying as to matters within the person's knowledge, but a witness cannot be asked about the witness' testimony before a review organization or opinions formed by the witness as a result of its hearings.

Pursuant to Section 160.007 of the Minnesota Occupations Code, the following information relating to trauma performance improvement review is confidential and privileged.

The EMS/Trauma System Performance Improvement initiative consists of ongoing and systematic monitoring, evaluation, management and documentation of performance. This system PI process is supported by a valid and objective method of data collection and collation. The development of standard guidelines from evidence based practice, protocols, consensus of aspects of care and regulatory statutes are components of the review process. Defined outcome measures and quality care indicators are tracked and monitored through this process.

4. Whenever possible generic identifiers for patients and care providers will be utilized. No PI information will be part of the patient medical record. All PI paper documents and electronic information will be kept in a secure location with limited, controlled access.

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Attachments: #1 SMRTAC PI Subcommittee Case Review Request – When completed please forward to : Need to determine best email address

Southern Minnesota Regional Trauma Advisory Committee

Performance Improvement Subcommittee Case Review Request

Date of Request Person referring case (please print)

Name ________________________________________ Title _________________________________________ Agency _______________________________________ Contact Information ______________________________

Date of occurrence Please describe the problem and information from the initial case review.

Location of incident (check all that apply): � Scene First Responder/Law Enforcement � EMS � Air � Enroute � ED � Hospital (Inpatient status) � Dispatch

Communication: Describe your concerns and your reason for requesting a regional review:

PI Plan Draft 01/2019

What actions have you taken to address the problem? (Example: Contacted agency PI person and requested run sheet/chart; talked with PI person and informed them of issue, etc.)

Initial Review by PI Co-Chair Date Reviewed Regional System Issue Determination

� This is a regional issue, appropriate for PI Subcommittee � This is a non-regional issue between involved entities � This is a trend that should be reviewed by PI Subcommittee

Recommendations (check all that apply)

� Refer to PI Subcommittee � More in-depth information is required � Do not refer to PI Subcommittee

Chair (or designee) will discuss with referring agency to obtain names/specifics

Hospital/Facility: ___________________________________ EMS Agency: ______________________________________ Other: ____________________________________________

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Signature of PI Chair________________________________ Date_________________

This page to be completed by SMRTAC PI Subcommittee PI Subcommittee Review

Date referred to PI Subcommittee

Summary of discussion

Mortality Determinations

� Mortality with opportunity for improvement � Mortality without opportunity for improvement

Event Determinations (Factors)

� System Factors � Human Factors-Patient � Human Factors-Provider

Action Plan Determination

� Unnecessary � Trend � Education � Guideline/Protocol � Counseling � Peer-review presentation � Resource enhancement � Other

Action Plan(s) � Requires written communication from the SMRTAC in the form of:

� Recommendations for improvement 1.

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2. 3.

� Education on _____________________________ ________________________________________

� One-on-one discussion between _________________ & ____________________

� Referral to home RTAC (if outside SMRTAC)

� Requires verbal communication � Communication is unnecessary � Communication is inappropriate

Person(s) responsible for taking corrective actions

Date to be completed Date loop closed Signature of PI Chair___________________________________ Date_____________________

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SMRTAC DRIVING SIMULATOR EQUIPMENT RENTAL AGREEMENT (LEASE)

THIS AGREEMENT, made the day of , 2016,

by and between _hereafter called the Lessee, and the Southern Minnesota Trauma Advisory Committee, hereafter called the Lessor.

Lessee and Lessor, for the consideration hereafter named, agree as follows:

Under the General Conditions of Lease, Lessor hereby leases to Lessee all equipment named and identified in the following “List of Equipment,” for use at such location and at such rental rate for approximately such time as is therein stated. Lessor shall furnish such equipment, in operative condition.

List of Equipment

Equipment Description

Location of Use

Rental Period Security Deposit

Rental Rate Replacement Cost

Driving Simulator system

$10,000

Wheel $450

Monitor Awaiting price

Foot Pedals Awaiting price

Staff time and travel expense

TBD

Lessor and Lessee, for themselves, their successors, executors, administrators and assigns, agree to the full performance of the covenants herein contained.

IN WITNESS WHEREOF, they have executed this Agreement the day and year first above written:

Southern Minnesota Regional Trauma Advisory Committee, Lessor By:_ Date:

Name: Phone #

Billing Address:

Signature: Date: , Lessee

Attachment I

GENERAL CONDITIONS OF EQUIPMENT LEASE

The conditions of lease here below stated, together with the Agreement above of this sheet, constitute a contract between the parties therein named which contract is hereafter referred to as “this Agreement”.

1) RENTAL PERIOD. The Rental period shall cover all time consumed in transporting the equipment, including the date of delivery and the date of return. This Rental shall begin on the above date and shall terminate on return in fully working condition to the Lessor. If the equipment has to be repaired to return it to a fully working state the equipment will continue to be rented until it is repaired. The Rental period will end only when the equipment has been returned to a fully working state.

2) RENTAL CHARGES. Lessee shall pay rental for the entire Rental Period on each article of equipment named in the List of Equipment, at the rate set forth herein.

3) PAYMENT. The rent for any and every item of equipment described in the List of Equipment shall be the amount therein designated and is payable in advance or ( if advance is not selected) upon the return of the equipment. Lessee shall pay Lessor interest at ten percent (10%) or the highest lawful rate, whichever is greater, on any delinquent payment from the date when such payment was due until paid and on any other sum for breach of this Agreement, from the date of the breach, and expenses of collection or suit, including attorneys’ fees.

4) SECURITY DEPOSIT. Any security deposit paid by Lessee to Lessor is paid to guarantee Lessee’s full and faithful performance of all terms, conditions and provisions of this Agreement. If Lessee shall so perform, an equal sum shall be repaid without interest to Lessee at the termination of this Agreement.

5) FEES, ASSESSMENTS, AND TAXES PAID BY LESSEE. Lessee shall pay all license fees, assessments, and sales, use, property and excise, and other taxes or hereafter imposed, and relating to Lessee’s use or possession of the equipment.

6) RISK OF LOSS OR DAMAGE. The Lessee assumes all risk of loss or damage to the equipment from any cause, and agrees to return it to the Lessor in the condition received from the Lessor, with the exception of normal wear and tear. The Lessor or their appointed agent will determine normal wear and tear. All determinations made by the Lessor are final. If the equipment is not returned to the Lessor for any reason, Lessee shall pay to the Lessor the Replacement Cost of the equipment. If no Replacement Cost is designated herein, Lessee shall pay the actual cost of replacing the equipment at the time of replacement.

7) MAINTENANCE AND OPERATION. Lessee shall see that the equipment is not subjected to careless, unusually or needlessly rough usage; and Lessee shall at Lessee’s own expense maintain the equipment and its appurtenances in good repair and operative condition, and return it in such to Lessor in the same condition as received, ordinary and reasonable wear and tear resulting from proper use thereof excepted.

8) REPAIRS. The expense of all repairs made during the Rental Period, including labor, material, parts and other items shall be paid by Lessee.

9) CARE AND OPERATION OF EQUIPMENT. The equipment may only be used and operated in a careful and proper manner and at the location set forth herein. Its use must comply with all laws, ordinances, and regulations relating to the possession, use, or maintenance of the equipment, including registration and/or licensing requirements, if any.

10) DISCLAIMER OF WARRANTIES. LESSOR, BEING NEITHER THE MANUFACTURER, NOR A SUPPLIER, NOR A DEALER IN THE EQUIPMENT, MAKES NO WARRANTIES, EXPRESS OR IMPLIED, AS TO ANY MATTER WHATSOEVER, INCLUDING, WITHOUT LIMITATION, THE CONDITION OF THE EQUIPMENT, ITS MERCHANTABILITY, ITS DESIGN, ITS CAPACITY, ITS PERFORMANCE, ITS MATERIAL, ITS WORKMANSHIP, ITS FITNESS FOR ANY PARTICULAR PURPOSE, OR THAT IT WILL MEET THE REQUIREMENTS OF ANY LAWS, RULES, SPECIFICATIONS, OR CONTRACTS WHICH PROVIDE FOR SPECIFIC APPARATUS OR SPECIAL METHODS. LESSOR FURTHER DISCLAIMS ANY LIABILITY WHATSOEVER FOR LOSS, DAMAGE, OR INJURY TO LESSEE OR THIRD PARTIES AS A RESULT OF ANY DEFECTS, LATENT OR OTHERWISE, IN THE EQUIPMENT. AS TO LESSOR, LESSEE LEASES THE EQUIPMENT “AS IS”. LESSOR SHALL NOT BE LIABLE IN ANY EVENT TO LESSEE FOR ANY LOSS, DELAY, OR DAMAGE OF ANY KIND OR CHARACTER RESULTING FROM DEFECTS IN, OR INEFFICIENCY OF, EQUIPMENT HEREBY LEASED OR ACCIDENTAL BREAKAGE THEREOF.

11) INDEMNITY. Lessee shall indemnify Lessor, and its agents and employees against, and hold Lessor and its agents and employees harmless from, any and all claims, actions, suits, proceedings, costs, expenses, damages, and liabilities, including attorney’s fees, arising out of, connected with, or resulting from the equipment or the Lease, including without limitation, the manufacture, selection, delivery, leasing, renting, control, possession, use, operation, maintenance or return of the equipment. Lessee shall further indemnify Lessor, and hold Lessor harmless from all loss and damage to the equipment during the rental period. Lessee recognizes and agrees that included in this indemnity clause, but not by way of limitation, is Lessee’s assumption of any and all liability for injury: disability and death of workmen and other persons caused by the operation, use, control, handling, or transportation of the equipment during the Rental Period.

12) ASSIGNMENT. The Lessee shall not assign or sublet any interest in this Rental or the equipment or permit the equipment to be used by anyone other than the Lessee or Lessee’s employees, without Lessor's prior written consent.

13) ENTIRE AGREEMENT AND MODIFICATION. This contract constitutes the entire agreement between the parties. No modification or amendment of this contract shall be effective unless in writing and signed by both parties. This contract replaces any and all prior agreements between the parties.

14) GOVERNING LAW. This contract shall be construed in accordance with the laws of the State of Minnesota

SMRTAC MEMBER LIST

1

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Luke Albrecht Luke.Albrecht@allina.com AllinaDeb Anderson RN anderson.debra@mayo.edu Work 507-255-4556 Mayo ClinicMelea Anderson RN melea.anderson@childrensmn.org Mobile 612-272-6316 Work 612-813-8890 910 East 26th Street

Mailstop 40-420Minneapolis, MN 55404

Children's of Minnesota

Eduardo Antpack MD antpack.eduardo@mayo.edu MCHS Austin/Albert LeaCheryl Arnold RN cheryl.arnold@allina.com 200 State Avenue

Faribault, MN 55021District One Hospital

Dave Augustin dave.augustin@northmemorial.comNicole A Aune RN naune@mvhc.org Work 507-593-8420 621 S Fourth Street

Le Suer, MN 56058MN Valley Health Center

Julaine T. Balbach RN balbach.julaine@mayo.edu MCHS in MankatoChris Ballard chris.ballard@state.mn.us Golden Rule Building

85 East 7th Place; PO Box 64882St. Paul, MN 55164-0882

MN Dept of Health

Brian N Bartlett MD bartlett.brian@mayo.edu Work 507-385-2610 Mankato, MN Mayo Clinic Thomas (Tom) Beniak beniak.thomas@mayo.edu Mayo Clinic Bob Benson LCAmbulance@ci.lake-city.mn.us Lake City AmbulancePaul Berg harderins@frontiernet.netKathleen (Kathy) Berns RN berns.kathleen@mayo.edu Mayo ClinicMargo Bjork margo.bjork@ridgeviewmedical.orgJill Bondhus jbondhus@rsc-psap.orgAllen W Brown MD brown.allen@mayo.edu Mayo ClinicDonald T Buisman MD Buisman.Donald@mayo.edu 15147 Jeffers Pass NW

Prior Lake, MN 55372Owatonna Hospital

Sandy Bushey RN, CEN sandy.bushey@northmemorial.com Mobile 952-913-3349 Work 952-469-1138 Lakeville, MN North Memorial Air Care

Byron I. Callies Jr. callies.byron@mayo.edu Mayo ClinicDarrell Carter dlcarter@calsprogram.comJanet S Chestnut MD Chestnut.Janet@mayo.edu Mayo ClinicBethany Corliss daRocha MD bcorliss@gmail.com Work 507-457-4328 855 Mankato Ave

Winona, MN 55987Winona Health

Chris Cox coxtvhdw@acegroup.ccRobben C Crabtree RN Crabtree.Robben@mayo.edu 1000 1st Drive NW

Austin, MN 55912MCHS in Austin

Ronda Dahl RN rdahl@uhd.orgKevin Dather LCAmbulance@ci.lake-city.mn.us Lake City AmbulanceTodd D Dorn Dorn.Todd@mayo.edu Mayo ClinicPaul E Drucker RN drucker.paul@mayo.edu Mayo ClinicChris Edmiston edmiston.Christopher#mayo.edu Mayo ClinicRick R. Ellingson ellingson.richard@mayo.edu Gold CrossTerri Elsbernd RN elsbernd.terri@mayo.edu Mayo ClinicTodd Emanuel RN emanuel.todd@mayo.edu Mayo ClinicVickie K Ernste MSN, RN ernste.vickie@mayo.edu Mayo ClinicLisa Ewert ewerlisa@hotmail.comGretchen Finke-Pike finkepike.gretchen@mayo.edu Mayo ClinicHolly Flom RN flom.holly@mayo.edu Work 507-263-6000 MCHS in Cannon FallsMaria Flor RN flor.maria@mayo.edu 625 N Jackson Ave

Springfield, MN 56087MCHS in Springfield

Notation 1

mailto:Luke.Albrecht@allina.commailto:anderson.debra@mayo.edumailto:melea.anderson@childrensmn.orgmailto:antpack.eduardo@mayo.edumailto:cheryl.arnold@allina.commailto:dave.augustin@northmemorial.commailto:naune@mvhc.orgmailto:balbach.julaine@mayo.edumailto:chris.ballard@state.mn.usmailto:bartlett.brian@mayo.edumailto:beniak.thomas@mayo.edumailto:harderins@frontiernet.netmailto:berns.kathleen@mayo.edumailto:margo.bjork@ridgeviewmedical.orgmailto:jbondhus@rsc-psap.orgmailto:brown.allen@mayo.edumailto:Buisman.Donald@mayo.edumailto:sandy.bushey@northmemorial.commailto:callies.byron@mayo.edumailto:dlcarter@calsprogram.commailto:Chestnut.Janet@mayo.edumailto:bcorliss@gmail.commailto:coxtvhdw@acegroup.ccmailto:Crabtree.Robben@mayo.edumailto:rdahl@uhd.orgmailto:Dorn.Todd@mayo.edumailto:drucker.paul@mayo.edumailto:ellingson.richard@mayo.edumailto:elsbernd.terri@mayo.edumailto:emanuel.todd@mayo.edumailto:ernste.vickie@mayo.edumailto:ewerlisa@hotmail.commailto:finkepike.gretchen@mayo.edumailto:flom.holly@mayo.edumailto:flor.maria@mayo.edu

SMRTAC MEMBER LIST

2

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Marty Forseth marty.forseth@state.mn.us Work 651-201-3830 85 E 7th Place, Suite 220Box 64882St Paul MN 55164-0882

MN Dept of Health

Alynda Foster afoster@uhd.org Work

John Fox NRP ambulance@wabasha.org Mobile 651-560-6911 Wabasha Ambulance

Josh Frommie josh@minniowa.com Mobile 641-590-2886 Work 507-526-7394 Blue Earth, MN United Hospital DistrictPeggy Sue Garber RN Garber.Peggy@mayo.edu Work 507-238-8696 800 Medical Center Drive

Fairmont, MN 56031MCHS Fairmont

Dayna M Gerlach RN gerlach.dayna@mayo.edu Mayo Clinic

Adam Grant agrant@uhd.org Work UHD Ambulance Blue Earth

Kara E Grant Grant.Kara@mayo.edu Mayo ClinicMark Griffith mark.griffith@scmnems.org Work 507-257-3224 102 Industrial Drive

Eagle Lake, MN 56024South Central MN EMS

Julie A Grimm Grimm.Julie@mayo.edu Mayo ClinicAmy Gulbranson gulbransons3@gmail.comTheresa Hager RN hagert@semcwabasha.org 1200 5th Grant Boulevard

Wabasha, MN 56256St. Elizabeth Medical Center

Julie Halvorson julie.halvorson@allina.com Mobile 507-327-9903 Work 507-217-5244 1324 5th NorthNew Ulm, MN 56073

New Ulm Medical Center

Daniel G Hankins MD dhankins@mayo.edu Mayo ClinicJulie Harmon jbharmon@frontiernet.netHeidi M Harms APRN, RN harms.heidi@mayo.edu Work 651-267-5710 MCHSDonovan (Don) A Hauge don.hauge@seems.com Mobile 507-383-6697 Work 507-536-9333 1130 1/2 7th Street NW, Suite

201Rochester, MN 55901

SE Minnesota EMS

Judy Havemeier jhavemeier@semedicalcenter.org

Tim Held Tim.Held@state.mn.usKristine J. Hernandez kristine.hernandez@state.mn.us Mobile 507-273-0677 Work 507-286-7601 2900 48th Street NW

Rochester, MN 55901Office of Traffic, Safety & Technology

Diana Horan hollandaleemr@gmail.comJill M Hunchis RN, CNP Hunchis.Jill@mayo.edu Mayo Clinic Carol Immermann RN immermann.carol@mayo.edu Mayo Clinic Trauma

CenterRhonda Ingebritson roni2711@mchsi.comMatthew Jakubik matthew.jakubik@northmemorial.comLisa Jelinek RN jelinek.lisa@mayo.edu Mayo ClinicAaron Johnson johaa@uhd.orgJay M Johnson CEM johnson.jay3@mayo.edu Mayo ClinicJennie Johnson jrj1220@gmail.comNancy A Johnson Johnson.Nancy7@mayo.edu Austin Emergency

Department

mailto:marty.forseth@state.mn.usmailto:afoster@uhd.orgmailto:ambulance@wabasha.orgmailto:josh@minniowa.commailto:Garber.Peggy@mayo.edumailto:gerlach.dayna@mayo.edumailto:agrant@uhd.orgmailto:Grant.Kara@mayo.edumailto:mark.griffith@scmnems.orgmailto:Grimm.Julie@mayo.edumailto:gulbransons3@gmail.commailto:hagert@semcwabasha.orgmailto:julie.halvorson@allina.commailto:dhankins@mayo.edumailto:jbharmon@frontiernet.netmailto:harms.heidi@mayo.edumailto:don.hauge@seems.commailto:jhavemeier@semedicalcenter.orgmailto:Tim.Held@state.mn.usmailto:kristine.hernandez@state.mn.usmailto:hollandaleemr@gmail.commailto:Hunchis.Jill@mayo.edumailto:immermann.carol@mayo.edumailto:roni2711@mchsi.commailto:matthew.jakubik@northmemorial.commailto:jelinek.lisa@mayo.edumailto:johaa@uhd.orgmailto:johnson.jay3@mayo.edumailto:jrj1220@gmail.commailto:Johnson.Nancy7@mayo.edu

SMRTAC MEMBER LIST

3

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Ronald G Jones MD jones.ronald@mayo.edu Mayo Clinic

Michael Juntunen juntunen.michael@mayo.edu Mayo ClinicChristopher Kasal kasal.christopher@mayo.edu Work 651-267-5666 701 Hewitt Blvd; PO Box 95

Red Wing, MN 55066Mayo Clinic Health System - River Corridor

Gregory Kays Kays.Gregory@mayo.edu Mayo ClinicJack Keilty LCAmbulance@ci.lake-city.mn.us Lake City AmbulanceJohn Kelly kellyj@winmedical.org

Sue Kester skester@ci.chatfield.mn.us Work 507-867-4446 21 Second Street SEChatfield, MN 55923

Chatfield Ambulance/EMS Training

Daniel Killion dkillion@uhd.org Mobile 507-200-8258 UHD AmbulanceJayl King jk.emt459@hotmail.comJosh Kitzerow joshkitzerow@yahoo.com

Denise B Klinkner MD, M.Ed klinkner.denise@mayo.edu Work 507-284-2623 Rochester, MN Mayo ClinicJim Klock jhklock@gundersenhealth.org LaCrosse, WI Gundersen Health

SystemsK Konkel kkonkel@winonahealth.org Winona HealthScott Konz RN scott.konz@allina.com 1324 5th North

New Ulm, MN 56073New Ulm Medical Center

Jo Koo DO jkoo@winonahealth.org Work 507-457-4328 855 Mankato AvenueWinona, MN 55987

Winona Health

Tim Krueger krueger.timothy@mayo.edu 1101 Moulton & Parsons DriveSt. James, MN 56081

MCHS in St. James

Karma Krumwiede krumwiede.karma@mayo.edu Mayo Clinic TCGSCarrie Lager clager@riversedgehealth.org St. Peter, MN River's Edge Hospital

Gary Lambrecht gdlamb@sleepyeyetel.netMeghan B Lamp lamp.meghan@mayo.edu Mayo ClinicMichael Lampi lampim@frontiernet.netWayne Landhuis landwd@hotmail.comAlan Larson dalarson330@hotmail.comAnnette Larson annette.l.larson@state.mn.us Mobile 507-720-2101 Work 507-304-6110 2151 Bassett Drive

Mankato, MN 56001-6888MDH

Jim LaRue laruejim53@gmail.comDawn M. Laufenburger laufenburger.dawn@mayo.edu Work 507-284-2623 Mayo Clinic

Chad P Liedl RN liedl.chad@mayo.edu Mayo Clinic Hospital Admissions & Transfer Center

Kim J Lombard lombard.kimberly@mayo.edu Work 507-255-5066 Mayo ClinicSteve Loomis loom204@hotmail.comPat Lovick plovick@hickorytech.netDustin Luhman goodhuefd@gmail.com Goodhue Fire Department

Anuradha Luke MD Luke.Anuradha@mayo.edu Work 507-255-7003 Mayo Clinic

mailto:jones.ronald@mayo.edumailto:juntunen.michael@mayo.edumailto:kasal.christopher@mayo.edumailto:Kays.Gregory@mayo.edumailto:LCAmbulance@ci.lake-city.mn.usmailto:kellyj@winmedical.orgmailto:skester@ci.chatfield.mn.usmailto:dkillion@uhd.orgmailto:jk.emt459@hotmail.commailto:joshkitzerow@yahoo.commailto:klinkner.denise@mayo.edumailto:jhklock@gundersenhealth.orgmailto:kkonkel@winonahealth.orgmailto:scott.konz@allina.commailto:jkoo@winonahealth.orgmailto:krueger.timothy@mayo.edumailto:krumwiede.karma@mayo.edumailto:clager@riversedgehealth.orgmailto:gdlamb@sleepyeyetel.netmailto:lamp.meghan@mayo.edumailto:lampim@frontiernet.netmailto:landwd@hotmail.commailto:dalarson330@hotmail.commailto:annette.l.larson@state.mn.usmailto:laruejim53@gmail.commailto:laufenburger.dawn@mayo.edumailto:liedl.chad@mayo.edumailto:lombard.kimberly@mayo.edumailto:loom204@hotmail.commailto:plovick@hickorytech.netmailto:goodhuefd@gmail.commailto:Luke.Anuradha@mayo.edu

SMRTAC MEMBER LIST

4

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Matt Maas matt.maas@co.dodge.mn.us Mobile 507-319-2322 Work 507-635-6132 Dodge County

Bo E Madsen MD Madsen.Bo@mayo.edu Mayo Clinic

Tim Malchow tmalchow@cannonfallsmn.gov Work 507263-7027 918 River RoadCannon Falls MN 55009

Cannon Falls Ambulance

Chris Matek CMPA, NRP matekc@northfieldhospital.org Mobile 612-730-1270 Work 507-646-1476 2000 North AvenueNorthfield, MN 55057

Northfield Hospital & Clinics EMS

Laurie A Mc Levis RN mclevis.laurie@mayo.edu Mayo ClinicScott McConkey smcconkey@hickorytech.net

Jen McLaughlin jennifermcl@mchospital.org Madelia Community Molly Meier mmeier@uhd.org

Maria Mendes-Soares Soares.Maria@mayo.edu

Mallory Meyer mmeyer2013@gmail.comDavid Morris davidstephenmorris@gmail.comRobert C Morris MD morris.robert@mayo.edu 1025 Marsh Street

Mankato, MN 55001MCHS in Mankato

Monica Muchow amonicak@hotmail.com Mobile 605-376-4390 LeSueur AmbulanceLucas (Luke) Myers myers.lucas3@mayo.edu Gold Cross

Vicki Neidt RN neidt.vicki@mayo.edu Work 507-461-5215 South Central Healthcare Coalition

Nicholas (Nick) J Nelson RN nelson.nicholas@mayo.edu Mayo ClinicNicholas V Nelson nelson.nicholas1@mayo.edu Mayo Clinic

John Nicholson police@newulmtel.netBradley J Niebuhr Niebuhr.Bradley@mayo.edu Mayo Clinic

Mary Norgaard hotspot@hickorytech.netRobert Norlen Mobile 218-830-0436Gail L Norris RN Norris.Gail@mayo.edu 1025 Marsh Street, Room 1-

806Mankato, MN 56001

MCHS in Mankato

Lesa Ocker lesaocker@yahoo.com

Val Omvig vomvig@hotmail.comBryan Ormsby LCAmbulance@ci.lake-city.mn.us Lake City AmbulanceJohn B Osborn osborn.john@mayo.edu Mayo ClinicJared Oscarson dcambdirector@ci.dodgecenter.mn.us Mobile 507-259-4201 Work 507-374-2600 PO Box 430

305 1st Street NWDodge Center, MN

Dodge Center Ambulance

Daniel S Paley MD paley.daniel@mayo.edu Mayo ClinicJessica Pastick jpastick@winonahealth.org Winona Health

Rob Pearson rob.pearson@northmemorial.com

mailto:matt.maas@co.dodge.mn.usmailto:Madsen.Bo@mayo.edumailto:tmalchow@cannonfallsmn.govmailto:matekc@northfieldhospital.orgmailto:mclevis.laurie@mayo.edumailto:smcconkey@hickorytech.netmailto:jennifermcl@mchospital.orgmailto:mmeier@uhd.orgmailto:mmeyer2013@gmail.commailto:morris.robert@mayo.edumailto:amonicak@hotmail.commailto:myers.lucas3@mayo.edumailto:neidt.vicki@mayo.edumailto:nelson.nicholas@mayo.edumailto:nelson.nicholas1@mayo.edumailto:police@newulmtel.netmailto:Niebuhr.Bradley@mayo.edumailto:hotspot@hickorytech.netmailto:Norris.Gail@mayo.edumailto:lesaocker@yahoo.commailto:vomvig@hotmail.commailto:osborn.john@mayo.edumailto:dcambdirector@ci.dodgecenter.mn.usmailto:paley.daniel@mayo.edumailto:jpastick@winonahealth.orgmailto:rob.pearson@northmemorial.com

SMRTAC MEMBER LIST

5

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Theresa Person MD tpers0004@live.com UHDDan Portner danportner82@gmail.comD. Dean Potter Jr, MD potter.d@mayo.edu Mayo ClinicBeth Poulin RN bpoulin2@winonahealth.org 855 Mankato Ave

Winona, MN 55987Winona Health

Pat Quam pmquam@hotmail.comBrian R. Quinn MSN, RN quinn.brian6@mayo.edu Work 651-267-5000 Mayo Clinic Hospital -

RochesterJohn Richardson John.Richardson@allina.comGail Riersma LCAmbulance@ci.lake-city.mn.us 205 West Center Street

Lake City, MN 55041Lake City Ambulance

Michael Rodman LCAmbulance@ci.lake-city.mn.us Lake City Ambulance

Mark E. Ross PA-C ross.mark1@mayo.edu 500 Pheasanat Run Lane NEStewartville, MN 55976

Waseca Medical Center

James Rupe james.rupe@ticasino.com Work 651-388-2523 PO Box 75Red Wing, MN 55066

Treasure Island Resort & Casino

Sara Rybarczyk LCAmbulance@ci.lake-city.mn.us Lake City AmbulanceKristen Sailer sailer.kristen@mayo.edu Mayo ClinicEileen Schansberg cityoffice@harmony.mn.us Mobile (507) 696-7696 Work 507-886-8122 City of Harmony

225 3rd Ave SW; PO Box 488Harmony, MN 55939

Harmony Ambulance Service

Henry J Schiller MD schiller.henry@mayo.edu Mayo ClinicJessica Schleck jessica.schleck@state.mn.us MnDOT /State Patrol Facility

Rochester, MNState of MN

Karee Schmeising Sleepy Eye, MN Sleepy Eye Medical Center

Alisha Schmidt RN, BSN aschmidt2@rehc.org Work (507) 931-2200 1900 North Sunrise DriveSt. Peter, MN 56082

River's Edge Hospital

Angela M Schrader RN Schrader.Angela@mayo.edu Mobile 651-329-6087 501 N State StreetWaseca, MN 56093 ::: 301 2nd

MCHS in New Prague and Waseca

Kim Schutterle MD schutterle.kim@mayo.edu Home 217-202-6693 Box 7117Rochester, MN 55903

MCHS in Fairmont

Jessica Severin severin.jessica@mayo.edu Mayo Clinic

Joy P Shaft shaft.joy@mayo.edu 404 W Fountain StreetAlbert Lea, MN 56007

MCHS in Albert Lea

Katie Snow ksnow@olmmed.org Work 507-529-6645 1650 4th Street SERochester, MN 55904

Olmsted Medical Center

Traci Stachowitz tstachy@charter.netElle Stangl Stangl.Elle@mayo.edu Mayo ClinicJill Steinborn jillmorrow02@gmail.comDaniel Stephens stephens.daniel@mayo.edu Mayo ClinicNeal Stocker nealstocker@gmail.comStanley Stocker stockcon@frontiernet.netBeth Stumm stumm.beth@mayo.edu Mayo Clinic

mailto:tpers0004@live.commailto:danportner82@gmail.commailto:potter.d@mayo.edumailto:bpoulin2@winonahealth.orgmailto:pmquam@hotmail.commailto:quinn.brian6@mayo.edumailto:John.Richardson@allina.commailto:LCAmbulance@ci.lake-city.mn.usmailto:ross.mark1@mayo.edumailto:james.rupe@ticasino.commailto:sailer.kristen@mayo.edumailto:cityoffice@harmony.mn.usmailto:schiller.henry@mayo.edumailto:jessica.schleck@state.mn.usmailto:aschmidt2@rehc.orgmailto:Schrader.Angela@mayo.edumailto:schutterle.kim@mayo.edumailto:severin.jessica@mayo.edumailto:shaft.joy@mayo.edumailto:ksnow@olmmed.orgmailto:tstachy@charter.netmailto:Stangl.Elle@mayo.edumailto:jillmorrow02@gmail.commailto:stephens.daniel@mayo.edumailto:nealstocker@gmail.commailto:stockcon@frontiernet.netmailto:stumm.beth@mayo.edu

SMRTAC MEMBER LIST

6

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Carla Swenson RN cswenson@mvhc.org 621 4th StreetLeSueur, MN 56058

MN Valley Health Center

Deb O. Teske teske.deborah@mayo.edu Mayo ClinicDanielle L Thate Thate.Danielle@mayo.edu Mayo ClinicDiane Thenhaus RN thenhaud@mercyhealth.com Work 641-428-5198 1000 4th SW

Mason City, IA 50401Mercy North Iowa

Randy Therkilsen therkrmo@rrcnet.orgAnthony (Tony) Thompson Olmsted Medical CenterNancy Timm doctimm@gmail.comMike Tornstrom CC Paramedic caledoniaambulance@gmail.com Caledonia Ambulance

Carl Ukkestad Southwest RTACSandee K Vaske Vaske.Sandee@mayo.edu Mayo Clinic

Angi Veek RN veek.angila@mayo.edu Work 651-307-8433 701 Hewitt BoulevardRed Wing, MN 55066

MCHS in Red Wing

Marilyn Vosberg sparklereddragon@yahoo.comBrenda Voshalike bvoshalike4510@gmail.com

Scott Vrzal svrzal32@gmail.comLaura E Walker MD Walker.Laura@mayo.edu Mayo ClinicHolly Wallace wallace.holly@mayo.edu Work 507-304-7333 Southwest MN Region

PO Box 86731025 Marsh StreetMankato, MN 56002-8673

Mayo Clinic Health System

Mindy L. Ward PA-C ward.mindy@mayo.edu Mayo ClinicMike Warner mike.warner@ci.red-wing.mn.us Work 651-3887141 Red Wing EMS 420 Plum Street

Red Wing, MN 55066

Brooke M Warm RN warm.brooke@mayo.edu MCHS in Cannon Falls

Mark Warner comfreyfr@frontiernet.net

Naomi Weiss nweiss@semedicalcenter.org Sleepy Eye, MNEric M Weller EMT Weller.Eric@mayo.edu 1920 Lee Boulevard

North Mankato, MN 56003South Central College

Jessica Whipps RN jessica.whipps@allina.com 1095 12th Street SEOwatonna, MN 55060

Owatonna Hospital

Kelly Jo Wicks RN kellyjo.rlmc@gmail.com Home 507-383-1621 1505 4th Ave SWAustin, MN 55912

Ridgeview LeSueur Medical Center

Mike Wilcox mwilcox3090@yahoo.comArden Willford ajwillford@harmonytel.net

Bryan Williams WILLIABJ@mercyhealth.comPamela Williams, RN pamela.williams@ridgeviewmedical.org Work 507-665-8661 621 S Fourth Street

Le Sueur, MN 56058Ridgeview LeSueur Medical Center

Nathon Winkels zr5001998@hotmail.comMike Woslager Hayfield AmbulanceHeather Youngwirth RN youngwirth.heather@mayo.edu MCHS Mankato

mailto:cswenson@mvhc.orgmailto:teske.deborah@mayo.edumailto:Thate.Danielle@mayo.edumailto:thenhaud@mercyhealth.commailto:therkrmo@rrcnet.orgmailto:doctimm@gmail.commailto:caledoniaambulance@gmail.commailto:Vaske.Sandee@mayo.edumailto:veek.angila@mayo.edumailto:sparklereddragon@yahoo.commailto:bvoshalike4510@gmail.commailto:svrzal32@gmail.commailto:Walker.Laura@mayo.edumailto:wallace.holly@mayo.edumailto:ward.mindy@mayo.edumailto:mike.warner@ci.red-wing.mn.usmailto:warm.brooke@mayo.edumailto:comfreyfr@frontiernet.netmailto:nweiss@semedicalcenter.orgmailto:Weller.Eric@mayo.edumailto:jessica.whipps@allina.commailto:kellyjo.rlmc@gmail.commailto:mwilcox3090@yahoo.commailto:ajwillford@harmonytel.netmailto:WILLIABJ@mercyhealth.commailto:pamela.williams@ridgeviewmedical.orgmailto:zr5001998@hotmail.commailto:youngwirth.heather@mayo.edu

From: Klinkner, Denise B., M.D., M.Ed.To: Stangl, Elizabeth J. (Elle); Meyer, Gwen D., M.S.N., R.N.; Callies, Byron I. Jr.Subject: FW: Pediatric SurgeDate: Wednesday, January 30, 2019 5:39:48 PMAttachments: image001.gif

From: Waterman, Alexandra (MDH) [mailto:Alexandra.Waterman@state.mn.us] Sent: Wednesday, January 30, 2019 4:36 PMTo: heidi.m.altamirano@healthpartners.com; melea.anderson@childrensmn.org; Dan DeSmet; mdoerin2@Fairview.org; Deb Hanson; LynMaree Harris; Klinkner, Denise B., M.D., M.Ed.;paula.kocken@childrensmn.org; tracy.a.larsen@healthpartners.com; james.levi@childrensmn.org; michael.d.mcgonigal@healthpartners.com; Neidt, Vicki, R.N.; Todd Nelson;normaliz.rodriguez@childrensmn.org; Schrader, Angela M., R.N.; Shawn Stoen;marie.sullivan@essentiahealth.org; tamara.supinski@sanfordhealth.org;cori.sybrant@northmemorial.com; ewilson@ausm.org; ashley.strobel@gmail.com;karie.pearce@hcmed.org; Mark Dascalos; Carrie Bergquist; christine.chell@hcmed.org;ken.combs@childrensmn.org; Elsbernd, Terri A., R.N.; annexecutivedirector@sw-ems.org; Rebecca Jurrens; Sherrie Murphy; Devin, Bernard R.; laura.plasencia@childrensmn.org;kjelsey.polzin@childrensmn.org; lance.ross@northmemorial.com; Sheldrew, Donald; Teske, Deborah O.; Jo ThompsonSubject: [EXTERNAL] Pediatric Surge

Good Afternoon everyone!

I’m pleased to let you all know the website and toolkit are completed. We at MDH are putting final touches on the website and I’ve been told the launch will be mid-February while I’m out. The health care coalitions should receive notification when the site is live and I would ask those RHPCs on this workgroup share this information with the others in this group.

Below you will find the link to the new site. I am so excited for this! Thank you all for your blood, sweat, and tears reviewing and updating materials meticulously. I really appreciate the time you take out of your day jobs to provide your expertise. Thank you, thank you, thank you. I cannot say it enough.

http://www.health.state.mn.us/communities/ep/surge/pediatric/index.html

Last but not least, I would like to say the Plan is still under review by the powers that be at MDH but it will be posted to the website when approved. I did not want to delay the toolkit because of this final step on our end.

I hope you all are as pleased with the site as I am when it goes live. I will be out of the office

February 1st through the 26th so if you need anything, please let me know tomorrow so I cancomplete it before I sign off tomorrow night.

Thank you!Alex

Alexandra Waterman, MPH, BSN, RNPlanning Director State | Medical Surge CoordinatorCenter for Emergency Preparedness & Response

Minnesota Department of HealthOffice: 651-201-5713 | Mobile: 651-207-7166

Notation 3

mailto:Klinkner.Denise@mayo.edumailto:Stangl.Elle@mayo.edumailto:Meyer.Gwen@mayo.edumailto:Callies.Byron@mayo.eduhttp://www.health.state.mn.us/communities/ep/surge/pediatric/index.html

SMRTAC Agenda 5.14.19Attachment A Minutes 12.13.19Attachment B TPM MinutesAttachment C Outreach MinutesAttachment D TransitionAttachment E RTTDC Attachment F Fiscal ReportAttachment G MDH GrantAttachment H PI ProcessAttachment I Driving SimulatorNotation 1 Member ListNotation 3 Ped Surge

e-Trauma UpdateJanuary 2019

STAC Members AppointedMDH Commissioner Jan Malcolm has appointed five new members to the State TraumaAdvisory Council (STAC) and re-appointed one member. The six officers began their four–year terms on January 7, 2019.

Dr. Steven Lockman was re-appointed as the Rehabilitation Specialist. Dr. Lockman, fromHennepin County Medical Center, has serve on the STAC since 2015. He and the rest of theCouncil are now joined by five new members:

Tami Bong, R.N., the Trauma Program Manager at St. Cloud Hospital

Mark Ebeling, Paramedic, EMS Director at Perham Area EMS

Denise Klinkner, M.D., Pediatric Trauma Medical Director at Mayo Clinic HospitalEugenio Litta Children's Hospital

John Lyng, M.D., Emergency Medicine Physician at North Memorial Health Hospital

Elizabeth Weber, M.D., Orthopedic Surgeon at Children’s Minnesota

The STAC's Rural Level 3 or 4 Family Medicine Emergency Physician seat remains open andapplications for the office continue to be accepted. To qualify for the seat, an applicant mustbe a physician certified by the American Board of Family Medicine or the Osteopathic Boardof Family Practice, and whose practice includes emergency department care in a Level 3 or 4trauma hospital in a designated rural area. Interested candidates should file an applicationwith the Minnesota Secretary of State.

Five long-serving STAC members have retired from the Council. Commissioner Malcolmrecognized Peter Cole, M.D.; Dan DeSmet, Paramedic; Ron Furnival, M.D.; John Hick, M.D.;and Carol Immermann, R.N. for their dedicated service to the citizens of Minnesota.

STAC Adopts New Level 4 Criteria

At their December 2018 meeting, the State Trauma Advisory Council (STAC) adopted newcriteria for Level 4 trauma hospitals. While the new criteria must be implemented byJanuary 1, 2020, hospitals may elect to implement it sooner. With the adoption of the new

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criteria, the STAC also repealed some existing Level 4 criteria requirements.

The trauma system is hosting informational webinars in January and February to helphospital trauma program leaders understand the new criteria and to provide a forum to askquestions. All Level 4 Trauma Hospitals are encourage to register for one of the sessions.

2019 MNTrauma Data Dictionary Published

The 2019 MNTrauma Data Dictionary was recentlypublished. It defines each of the data elements and theirassociated value options that are recorded in the traumaregistry and the traumatic brain injury/spinal cord injuryregistry. The dictionary plays an important role incontributing to a reliable and accurate data set by helpingregistrars to understand precisely what information is beingsolicited by any given data field.

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SMRTAC Voting Members

Page 1 of 1

Name E-mail Phone Type Phone Phone Type Phone Address Organization

Kathleen (Kathy) Berns RN berns.kathleen@mayo.edu

Jill Bondhus jbondhus@rsc-psap.org Bethany Corliss daRocha MD bcorliss@gmail.com Work 507-457-4328 855 Mankato Ave

Winona, MN 55987Winona Health

Donovan (Don) A Hauge don.hauge@seems.com Mobile 507-383-6697 Work 507-536-9333 1130 1/2 7th Street NW, Suite 201Rochester, MN 55901

SE Minnesota EMS

Michael Juntunen juntunen.michael@mayo.eduDenise B Klinkner MD, M.Ed klinkner.denise@mayo.edu Work 507-284-2623 Mayo ClinicLaurie A Mc Levis RN mclevis.laurie@mayo.eduVicki Neidt RN neidt.vicki@mayo.edu Work 507-461-5215 South Central Healthcare

CoalitionAngela M Schrader RN Schrader.Angela@mayo.edu Mobile 651-329-6087 501 N State Street

Waseca, MN 56093 ::: 301 2nd Street NENew Prague, MN 56071

MCHS in New Prague and Waseca

Laura E Walker MD Walker.Laura@mayo.edu

Pam Williams RN pamela.williams@ridgeviewmedic Work 507-665-8661 621 S Fourth StreetLe Sueur, MN 56058

Ridgeview LeSueur Medical Center

Removed Karla Eppler per 12/13/18 Meeting

mailto:berns.kathleen@mayo.edu

mailto:jbondhus@rsc-psap.org

mailto:bcorliss@gmail.com

mailto:juntunen.michael@mayo.edu

mailto:klinkner.denise@mayo.edu

mailto:mclevis.laurie@mayo.edu

mailto:neidt.vicki@mayo.edu

mailto:Schrader.Angela@mayo.edu

mailto:Walker.Laura@mayo.edu

mailto:pamela.williams@ridgeviewmedical.org

SMRTAC SUBCOMMITTEE

1

Name E-mail PhoneType Phone Address Organization

Name OrganizationTitle

Deb Anderson RN anderson.debra@mayo.edu Work 507-255-4556 Mayo Clinic

Terri Elsbernd RN elsbernd.terri@mayo.edu Mayo Clinic

Mark Griffith mark.griffith@scmnems.org SCEMS South Centeral EMS DirectorJill M Hunchis RN, CNP

Hunchis.Jill@mayo.eduMayo Clinic Health System - River Corridor

Christopher Kasalkasal.christopher@mayo.edu

Work 651-267-5666 701 Hewitt Blvd; PO Box 95Red Wing, MN 55066

Mayo Clinic Health System - River Corridor

Medical Director of Surgical Services

Jessica Pastick jpastick@winonahealth.org Winona Health

Gail L Norris RNNorris.Gail@mayo.edu

1025 Marsh Street, Room 1-806Mankato, MN 56001

MCHS in Mankato Trauma Program Manager

mailto:anderson.debra@mayo.edu

mailto:elsbernd.terri@mayo.edu

mailto:Hunchis.Jill@mayo.edu

mailto:kasal.christopher@mayo.edu

mailto:jpastick@winonahealth.org

mailto:Norris.Gail@mayo.edu

SMRTAC MEMBER LIST

1

Name E-mail Phone Type Phone Number Phone Type Phone Number Address Organization

Luke Albrecht Luke.Albrecht@allina.com AllinaDeb Anderson RN anderson.debra@mayo.edu Work 507-255-4556 Mayo ClinicMelea Anderson RN melea.anderson@childrensmn.org Mobile 612-272-6316 Work 612-813-8890 910 East 26th Street

Mailstop 40-420Minneapolis, MN 55404

Children's of Minnesota

Eduardo Antpack MD antpack.eduardo@mayo.edu MCHS Austin/Albert LeaCheryl Arnold RN cheryl.arnold@allina.com 200 State Avenue

Faribault, MN 55021District One Hospital

Dave Augustin dave.augustin@northmemorial.comNicole A Aune RN naune@mvhc.org Work 507-593-8420 621 S Fourth Street

Le Suer, MN 56058MN Valley Health Center

Julaine T. Balbach RN balbach.julaine@mayo.edu MCHS in MankatoChris Ballard chris.ballard@state.mn.us Golden Rule Building

85 East 7th Place; PO Box 64882St. Paul, MN 55164-0882

MN Dept of Health

Brian N Bartlett MD bartlett.brian@mayo.edu Work 507-385-2610 Mankato, MN Mayo Clinic Thomas (Tom) Beniak beniak.thomas@mayo.edu Mayo Clinic Bob Benson LCAmbulance@ci.lake-city.mn.us Lake City AmbulancePaul Berg harderins@frontiernet.netKathleen (Kathy) Berns RN berns.kathleen@mayo.edu Mayo ClinicMargo Bjork margo.bjork@ridgeviewmedical.orgJill Bondhus jbondhus@rsc-psap.orgAllen W Brown MD brown.allen@mayo.edu Mayo ClinicDonald T Buisman MD Buisman.Donald@mayo.edu 15147 Jeffers Pass NW

Prior Lake, MN 55372Owatonna Hospital

Sandy Bushey RN, CEN sandy.bushey@northmemorial.com Mobile 952-913-3349 Work 952-469-1138 Lakeville, MN North Memorial Air Care

Byron I. Callies Jr. callies.byron@mayo.edu Mayo ClinicDarrell Carter dlcarter@calsprogram.comJanet S Chestnut MD Chestnut.Janet@mayo.edu Mayo ClinicBethany Corliss daRocha MD bcorliss@gmail.com Work 507-457-4328 855 Mankato Ave

Winona, MN 55987Winona Health

Chris Cox coxtvhdw@acegroup.ccRobben C Crabtree RN Crabtree.Robben@mayo.edu 1000 1st Drive NW

Austin, MN 55912MCHS in Austin

Ronda Dahl RN rdahl@uhd.orgKevin Dather LCAmbulance@ci.lake-city.mn.us Lake City AmbulanceTodd D Dorn Dorn.Todd@mayo.edu Mayo ClinicPaul E Drucker RN drucker.paul@mayo.edu Mayo ClinicChris Edmiston edmiston.Christopher#mayo.edu Mayo ClinicRick R. Ellingson ellingson.richard@mayo.edu Gold CrossTerri Elsbernd RN elsbernd.terri@mayo.edu Mayo ClinicTodd Emanuel RN emanuel.todd@mayo.edu Mayo ClinicVickie K Ernste MSN, RN ernste.vickie@mayo.edu Mayo ClinicLisa Ewert ewerlisa@hotmail.comGretchen Finke-Pike finkepike.gretchen@mayo.edu Mayo ClinicHolly Flom RN flom.holly@mayo.edu Work 507-263-6000 MCHS in Cannon FallsMaria Flor RN flor.maria@mayo.edu 625 N Jackson Ave

Springfield, MN 56087MCHS in Springfield

mailto:Luke.Albrecht@allina.com

mailto:anderson.debra@mayo.edu

mailto:melea.anderson@childrensmn.org

mailto:antpack.eduardo@mayo.edu

mailto:cheryl.arnold@allina.com

mailto:dave.augustin@northmemorial.com

mailto:naune@mvhc.org

mailto:balbach.julaine@mayo.edu

mailto:chris.ballard@state.mn.us

mailto:bartlett.brian@mayo.edu

mailto:beniak.thomas@mayo.edu

mailto:harderins@frontiernet.net

mailto:berns.kathleen@mayo.edu

mailto:margo.bjork@ridgeviewmedical.org

mailto:jbondhus@rsc-psap.org

mailto:brown.allen@mayo.edu

mailto:Buisman.Donald@mayo.edu

mailto:sandy.bushey@northmemorial.com

mailto:callies.byron@mayo.edu

mailto:dlcarter@calsprogram.com

mailto:Chestnut.Janet@mayo.edu

mailto:bcorliss@gmail.com

mailto:coxtvhdw@acegroup.cc

mailto:Crabtree.Robben@mayo.edu

mailto:rdahl@uhd.org

mailto:Dorn.Todd@mayo.edu

mailto:drucker.paul@mayo.edu

mailto:ellingson.richard@mayo.edu

mailto:elsbernd.terri@mayo.edu

mailto:emanuel.todd@mayo.edu

mailto:ernste.vickie@mayo.edu

mailto:ewerlisa@hotmail.com

mailto:finkepike.gretchen@mayo.edu

mailto:flom.holly@mayo.edu

mailto:flor.maria@mayo.edu

SMRTAC MEMBER LIST

2