1. Virginia Hastings, Executive Director Inland Counties Emergency Medical Agency (Inyo, Mono and San Bernardino Counties) September 21, 2009

2. California Trauma System Summit II Local EMS Agencies Perspectives PLANNING FOR REGIONALIZATION  Need identified 8 – 10 years ago  “California’s Trauma Care: In Crisis” (2002)  Trauma Advisory Committee Recommendations and Planning  SB 261 – Romero (2007) NOT ENACTED Mandated Regionalization Mandated State Registry EMSA estimated its costs at $450,000 Included funding for local agencies to fund intercounty transfers EMSA/LEMSA agree voluntarily to regionalize to improve patient care, although no funding provided  EMSA grants for Registry and Regional meetings

3. California Trauma System Summit II Local EMS Agencies Perspectives PERSPECTIVES  Polled all LEMSA’s  What’s working / not working  Strengths / Weaknesses  Commitments / Suggestions  Nearly identical responses from all LEMSA’s

4. California Trauma System Summit II Local EMS Agencies Perspectives STRENGTHS  Commitment to regionalization  Communications of all participants  Improved partnering  Gap analysis  Tackling “short term” issues immediately

5. California Trauma System Summit II Local EMS Agencies Perspectives SIMILARITIES  Assessment of resources  Standardization of triage criteria  Standardization of QI filters  Standardization of registries  Funding / Repatriation

6. California Trauma System Summit II Local EMS Agencies Perspectives ISSUES / PROBLEMS  Geography barrier to participation in large regions  Time commitments  Sustainment of commitments Budget Reductions Furloughs Heavier workloads Travel reductions  Continued funding for planning from EMSA

7. California Trauma System Summit II Local EMS Agencies Perspectives ISSUES / PROBLEMS (continued)  Funding for uninsured  Physician availability  Transportation availability – particularly in rural areas  Absence of regulatory requirement to participate

8. California Trauma System Summit II Local EMS Agencies Perspectives RECOMMENDATIONS  Update of State Trauma Planning Document to describe current regional models and planning  Continuation and increase in EMSA trauma funding to sustain commitment  Acquire a planning coordinator for each region  Access to technical experts, e.g. ACS system consultant teams

9. California Trauma System Summit II Local EMS Agencies Perspectives LEMSA’S OVERALL PERSPECTIVE LET’S KEEP MOVING !!!