POST-CRITICAL TRAUMA CARE COMMISSION

Meeting, January 28, 2003

9:00 a.m. – 2:30 p.m.

 

 

Meeting Location:        Ohio Farm Bureau Federation, 11th Floor Conference Room

                                    Two Nationwide Plaza, 280 North High Street, Columbus, Ohio  43215

 

Present:                      Bob Bates, Sally Betz, Jerry Blackmore, John Corrigan, John Edwards, Mike Glenn, Jill Huntley, Cindy Iske, Tina Kielmeyer, Suzanne Minnich, Jana Perry, Paul Platt (new representative from Ohio Assoc. of Rehab. Fac.), Judy Roush, Mike Smeltzer, Ron Suprenant, and Sheila Young*

 

Absent:                        Sen. Steve Austria, Peter Feldkamp, Chris Goff, June Gutterman, Sen. Robert Hagan, Beverley Laubert, Michael Link, Casey Maxwell, Sandra Miller, Karen Principe, Elaine Schiwy, Art Schlesinger, Suman Srinivasan, Larry Sowers, and Michael Williams*

 

Facilitators:                 Ed Krauss and Maggie Lewis, Ohio Commission on Dispute Resolution and Conflict Management (absent - services not required at January meeting)

 

Staff:                            Roy Croy, Ohio Department of Health; (Virginia Haller, Ohio Department of Health – absent); (Lou Pomerantz, Ohio Department of Health - absent)

 

*                                   Committee membership and alternates as of 01/01/03.  The sign-in sheet is attached to these minutes indicating the agency or constituency each commission member or alternate represents.

_____________________________________________________________________________________

 

Welcome and Introductions:

 

The meeting was called to order at 9:14 a.m. by Commission Chair, John Corrigan. The agenda of today's meeting would follow the general meeting format whereby the commission will meet from 9:00 a.m. to 2:30 p.m. with a half hour working lunch around noon.  Dr. Corrigan indicated that the group may have a shorter day depending upon how quickly the members were able to get through the day’s agenda.  The Chair then introduced Paul Platt as the new representative of the Ohio Association of Rehabilitation Facilities who replaced Sharon Parker.

 

BWC Study on Service Utilitzation:

 

The meeting was turned over to John Edwards, one of the representatives from BWC, for a presentation of the BWC study on service utilization.  At the conclusion of his presentation, it was agreed that this information would be good appendix material for the final report.

 

Overview of Draft Recommendations:

 

Dr. Corrigan gave a brief overview of the progress so far on the draft recommendations as well as the format the document was taking.  He advised that all the chapters would not be exactly the same because of the different writing styles and format used by the three sub-groups providing input.  However, after review of this first draft in total, the membership agreed that they were comfortable with how the current document was coming along with just a few minor changes:

 

 

 

PCTC Meeting Minutes

Page Two of Four

January 28, 2003

 

 

1.  Order was good, however, it was agreed that Chapter 5 should be placed after Chapter 3.

2.  Review and add appendices.

3.  Add executive summary, title page and table of contents.

4.  Continue to utilize a “get to the point” writing style.

 

Review of Chapters 1-6:

 

Dr. Corrigan asked that during this portion of the agenda that members begin looking at the big picture layout of each chapter, review basic content, and avoid “word smithing.”  After today’s meeting, he encouraged the continued use of the e-mail to maximize communication between meetings among the members so that changes could be incorporated in time for review and comment at the next scheduled meeting.

 

Chapter 1 –

 

It was agreed that the addition of trauma registry graphs pulled by age was needed.  A couple of these graphs should be placed within the chapter and all others could be placed into the appendices.

 

It was also agreed that the endorsers of the recommendations should be placed in the front of the chapter.

 

Chapter 2 –

 

There was consensus on the general content on the model patient Bill of Rights.

 

Chapter 3 –

 

It was agreed that the general content was satisfactory with a few minor rewrites.

 

Chapter 4 –

 

There was consensus on the general content of the Follow-Up Registry.

 

Chapter 5 –

 

Suzanne Minnich prepared a draft of this chapter that she distributed at the meeting today.  Suggestions were made for minor rewrites.  Suzanne indicated she would incorporate those suggestions and send the revised chapter to Dr. Corrigan before the next meeting.

 

Chapter 6 –

 

 Jana Perry was unable to share her draft today but will provide it at the next meeting.

 

Chapter 7 –

 

Since the meeting was moving along quickly, there was time to discuss Chapter 7.  Dr. Corrigan distributed a document regarding the issues of substance abuse in trauma cases.  After a brief discussion, it was agreed that the Commission would acknowledge the issues and list barriers for substance abuse among the post-trauma population, but will not provide recommendations.  Instead, the membership decided that further review of these issues by established groups currently involved in Ohio’s trauma delivery system would be encouraged by the PCTC.

PCTC Meeting Minutes

Page Three of Four

January 28, 2003

 

 

Request from American College of Surgeons:

 

Dr. Corrigan shared a letter written by Dr. Jay Johannigman, Director of Trauma and Medical Care at the University Hospital in Cincinnati.  In the letter, Dr. Johannigman thanked Dr. Sandra Miller for her presentation regarding the work of the PCTC during their semi-annual meeting of the Ohio Committee on Trauma.

 

Two areas of concern that arose during this meeting and were directed back to the PCTC through Dr. Johannigman’s letter to Dr. Corrigan were the difficulty in obtaining Medicaid certification for trauma patients in a timely fashion and a revision of the definition of “disability” that would enable trauma patients to obtain appropriate assistance from the state within 6 months rather than the current 12 month time period.

 

Jill Huntley indicated that she will ask the Ohio Health Plan policy people within ODJFS regarding Medicaid certification and Paul Platt said he would look at reimbursement rates.

 

Next Steps:

 

Dr. Corrigan was pleased with today’s progress and asked that the revisions decided upon today could be incorporated into the proper chapters and returned to him by February 12.  Due to his current work schedule, Dr. Corrigan indicated that it would be difficult for him to compile a draft document that could be sent to the membership two weeks prior to the scheduled February 25th meeting.  Therefore, it was agreed that arrangements would be made to reschedule the next meeting for March 11, 2003.  In this way, Dr. Corrigan would complete the revisions, send them out electronically by March 1, and allow the membership an adequate amount of time to review the document prior to the next meeting.

 

The Chair advised the group that it was time to give some thought and begin preparations to present the draft recommendations to the heads of the involved government agencies to test the waters for support as well as solicit endorsements from the represented associations.  Also, the most complete version of the draft recommendations will be need to be taken to those agencies/associations who are not commission members but who may be impacted by the changes the recommendations will bring if adopted into the post-trauma care system.  These agencies/associations will also most likely require about 3-4 months for review before providing an endorsement.

 

Future Meetings:

 

Dr. Corrigan indicated that with the start of the new year, time was becoming short for the Commission to complete its charge before the November, 2003 deadline.  Therefore, while the PCTC is currently moving along at a good pace, he recommended that all future meetings return to the original timeframe of 9:00 a.m. to 2:30 p.m. and the group agreed. If the Commission’s work and the document have been completed before that time or if the longer meetings become unnecessary, changes to these arrangements will be communicated to the membership in a timely manner.  The next meeting will take place on March 11, 2003 at the Ohio Farm Bureau, 11th floor conference suites, 9:00 a.m. to 2:30 p.m.  However, future meetings will return the original schedule of the fourth Tuesday of each month, from 9:00 a.m. to 2:30 p.m., beginning with the April meeting.

 

Miscellaneous Items/Public Comment:

 

There were no miscellaneous items to report or public comment at this meeting. 

 

PCTC Meeting Minutes

Page Four of Four

January 28, 2003

 

 

Adjournment:

 

The meeting was adjourned at 2:10 p.m.                                                                                          

 

Respectfully submitted,

 

 

Linda Vojtush, Executive Secretary

ODH - Bureau of Community Health Care Facilities & Services