Who Makes the Decisions
The seventeen-member Idaho Time Sensitive Emergency (TSE) Council meets once a month to govern the statewide system. The purpose of the TSE Council is to develop, implement and monitor a statewide system that includes trauma, stroke and heart attack facilities. The TSE Program staff from Idaho Department of Health and Welfare oversee the day to day operation of the TSE System. The TSE Council is composed of the initial 11 Governor appointed members and the 6 additional TSE Regional Chairs who represent their respective regions.
Idaho TSE Council Appointment
The Governor appoints 11 of the council members upon assurance of equitable geographic and rural representation. The additional 6 Council members are Regional TSE Chairs.
- Three (3) representatives are from facilities holding or seeking designation of the following: one (1) Idaho Trauma Center; one (1) Idaho Stroke Facility; and one (1) Idaho Heart Attack Center. The three (3) members may be a medical director, a coordinator or a program manager responsible for the respective facility's program.
- Three (3) representatives are from EMS agencies of the following: one (1) agency licensed by the department which primarily serves urban response area; one (1) agency licensed by the department which primarily serves rural response area; and one (1) air medical agency licensed by the department.
- Two (2) administrators or chief executive officers from hospitals of the following: one (1) administrator of an Idaho hospital that either holds or is seeking Idaho trauma, stroke or heart attack designation; one (1) chief executive officer or administrator of an Idaho critical access hospital that either holds or is seeking Idaho trauma, stroke or heart attack designation.
- Two (2) licensed health care providers who: one (1) licensed health care provider who routinely works in the emergency department of a hospital that serves a primarily urban area that holds or is seeking trauma, stroke or heart attack designation; one (1) licensed health care provider who routinely works in the emergency department of a hospital that serves a primarily rural area that holds or is seeking trauma, stroke or heart attack designation.
- One (1) Idaho citizen with an interest in furthering the quality of trauma, stroke and heart attack care in Idaho.
- The chair of each regional TSE committee are voting members of the TSE system council.
The TSE Council appointments can be found on Idaho Governor's website https://gov.idaho.gov/appointments/
Members of the Council serve four (4) year terms with half of the members initially appointed, as determined by lot, serving two (2) year terms.
In 2013 the Health Quality Planning Commission (HQPC) requested that the Legislature adopt a concurrent resolution called House Concurrent Resolution 10. The resolution directed the Idaho Department of Health and Welfare to convene a workgroup to define the elements of, funding mechanisms for, and an implementation plan for a comprehensive system of care for time sensitive emergencies in Idaho.
The workgroup was responsible for drafting legislation for consideration by the 2014 Legislature to form an Idaho TSE program.
The 45-member workgroup, comprised of a variety of stakeholders, including emergency medical service providers, hospitals, healthcare providers, public health, health insurers, rehabilitation providers, legislators and community members, met from May through December creating the system and the legislation to present to the 2014 Legislature. On March 19, 2014, Governor Otter signed Senate Bill 1329aa into law.
Idaho Statute Title 56 Chapter 10 Subsection 24-30 provided the TSE Council the authority to write rules governing the statewide TSE system.
Provide nationally accepted evidence-based practices to time sensitive emergencies
Ensure that standards are adaptable to all providers wishing to participate
Ensure that designated facilities institute a practiced, systematic approach to time sensitive emergencies
Reduce morbidity and mortality from time sensitive emergencies
Design inclusive systems for time sensitive emergencies
Participation is voluntary
Data are collected and analyzed to measure the effectiveness of the system
TSE System related Idaho Statutes, Title 56, Chapter 10:
56-1024 Idaho Time Sensitive Emergency System of Care - Statement of Intent.
56-1026 Idaho Time Sensitive Emergency System Creation.
56-1027 Idaho Time Sensitive Emergency System Council - Creation - Composition.
56-1028 Idaho Time Sensitive Emergency System Council - Duties - Rulemaking.
56-1029 Idaho Trauma, Stroke, Heart Attack Centers - Designation.
56-1030 Regional Time Sensitive Emergency Committees - Membership - Duties.
Idaho TSE Registry Idaho Statute, Title 57, Chapter 20:
57-2001 - 57-2007 Time Sensitive Emergency (TSE) Registry
Idaho Administrative Procedures Act -Rules Governing TSE:
2019 IDAPA 16, Title 02, Chapter 01 - 16.02.01
Idaho TSE Council and TSE Regional Committees subject to the Idaho Open Meeting Law:
2017 Idaho Open Meeting Law
Bylaws of the Idaho Time Sensitive Emergency System of Care:
2021 Idaho TSE Council Bylaws