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1 WASHINGTON STATE OFFICE OF EMS AND TRAUMA SYSTEM State Emergency Air Medical Plan

2 Air Medical Plan-Authority Statute includes Emergency Air Medical Services in the planning process WAC addresses air medical services

3 Plan Development Process Draft Plan developed by OEMSTS Draft disseminated to current aero medical services for input Surveys sent to Regional EMSTC Offices to solicit input on current state of emergency air medical support Draft SWOT developed from survey answers

sent to Regional EMSTC Offices to solicit input on current state

4 Plan Development Process Assessment of current distribution of flight bases and equipment conducted Flight time coverage maps updated d to reflect current flight bases; Meetings with agencies to occur in late November or early December to finalize plan content

updated d to reflect current flight bases; Meetings with

5 Current Status of Emergency Air Service Seven flight base operations throughout the State, five on the west side and two on the east side 60 minute flight time from base to scene capability over the entire State t 96% of the State s residential population is within a 30-minute flight time from base to scene

minute flight time from base to scene capability over the entire State t 96%

6 Current Distribution of Flight Bases

7 60-Minute Flight Base to Scene Radii

8 Current Status of Emergency Air Service 94% of the State s land area and 29% of the State s population is within a 30- minute flight window from scene to Level I and II trauma centers 99% of the State s t residential population is within a 30-minute flight window from scene to Level I, II, and III trauma centers

Level I and II trauma centers 99% of the State s t residential population is

9 30-Minute Flight Base to Scene Radii

10 30-Minute Scene to Level I and II Trauma Centers

11 30-Minute Scene to Level I, II and III Trauma Centers

12 Current Status of Emergency Air Service Areas of the State that are both within a 30 minute flight time to scene and 30 minute scene to Level I and II trauma services represent 68% of the State s land area and 91% of the resident population

30 minute scene to Level I and II trauma services represent

13 30-Minute Flight Base to Scene and to Level I and II Trauma Centers

14 Recommendations Recommendation for determining need and distribution of emergency air medical services based upon: Safety Medical Necessity Transport Times Economics (avoiding unnecessary and costly duplication of services)

upon: Safety Medical Necessity Transport Times

15 Determining Need and Distribution of Air Medical Services Scoring Matrix developed considering the following criteria: Presence of a flight operations base in Region Base to Scene flight time radii Scene to Designated Trauma Center flight time radii Population Density Trauma Volume per 1000 population

operations base in Region Base to Scene flight time radii Scene to

16 Determining Need and Distribution of Air Medical Services Draft scoring matrix applied to each EMSTC Region in the State Total points compiled and draft recommendations for minimum and maximum number of flight bases in each Region determined

State Total points compiled and draft recommendations for

17 Determining Need and Distribution of Air Medical Services Total Point Scoring then determines min/max levels: >81 points: No Additional Resources Indicated Points: Additional resources may be indicated <60 Points: Additional resources indicated

points: No Additional Resources Indicated 61-80 Points:

18 Draft Regional Scoring Matrix EMSTC Region Presence of Flight Ops Base Closest Base to Scene Flight Time Radii Scene to Designated Trauma Center Flight Time Population Density Category Trauma Volume per 1000 Population Total Points North Northwest Central West Southwest North Central South Central East

Population Total Points North 5 25 25 10 30 95 Northwest 0 20 15 15 30 80 Central 5 25 25 5 10 70 West 5 25

19 Draft Goal #1 for Emergency Air Services A system of Aero-medical response providing safe and expeditious transport of critically ill and injured patients to the appropriate designated trauma service

20 Draft Goal #2 for Emergency Air Services A minimum of one aero-medical flight operations base in each of the eight EMS and Trauma Care Regions

21 Draft Goal #3 for Emergency Air Services There are patient care procedures for the response of aero-medical resources as part of the DOH-approved Regional EMSTC Plan

22 Draft Goal #4 for Emergency Air Services Aero-medical resources throughout the State of Washington provide optimal coverage while avoiding costly and inefficient duplication of resources

23 Managing New or Expansion of Verified Air Services Does need exist based upon scoring matrix? Are existing services willing to fulfill un- served or underserved areas? Does a new service comply with RCW and WAC requirements? Does the proposed new service avoid costly and unnecessary duplication of service? Granting a new verified license does not adversely affect existing air medical services?

24 Next Steps Conduct meeting of Aero medical Services to review draft plan Final Draft Completed incorporating feedback from Air Medical Services Final Draft presented to Governor s Steering Committee for Action OEMSTS Approves Plan for Publication

Revised October, 2010. DOH 530-129 October 2010 Revised State Air Medical Plan Page 1

Revised October, 2010. DOH 530-129 October 2010 Revised State Air Medical Plan Page 1 STATE OF WASHINGTON EMS AND TRAUMA CARE SYSTEM AIR MEDICAL SERVICE PLAN Revised October, 2010 DOH 530-129 October 2010 Revised State Air Medical Plan Page 1 Overview The State of Washington regulates air