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Committees and Workgroups

Field Data Collection
Chair: Victor Wells, EMT-P
Meets: Second Tuesday Monthly
8:30AM - 10:00AM

Travis County FireRMS
Chair: Casey Ping, EMT-P
Meets: Quarterly (Date Varies)
8:00AM - 10:00AM

REPAC Technology
Chair: Mark Montgomery, RN, LP
Meets: Third Wednesday Monthly
1:30PM - 3:30PM

About STRAC Apps

Clinical Registries
Early on the Southwest Texas Regional Advisory Council recognized clinical informatics as a critical component to improving the emergency healtcare systems in Texas. This approach lends itself to making evidence-based decisions effecting changes to improve the systems that we all depend on to respond and treat you and your loved ones. As a neutral-third party collaborator in this effort, STRAC assembled the trauma, chest pain, and stroke coordinators from every general hospital in southwest Texas to identify the challenges of data collection and built a system for clinicians by clinicians. This project grew to include the regional trauma registry, and the South Texas Intensive Care Unit Registry commonly referred to in southwest Texas as 'STICUR'. The South Texas ICU Registry was developed as a proof of concept to collect data on both medical and trauma patients admitted to the region's Intensive Care Units. This registry collects, stores, and retrieves data describing etiology, demographic characteristics, diagnosis, treatments and clinical outcomes of critically ill and injured patients.

Trauma Registry
This registry (commonly referred to as "Collector") stores and aggregates hospital trauma data from all designated trauma centers in Southwest Texas. While collecting a specific data set that satisfies requirements set forth by the Texas Department of State Health Services, Collector also provides STRAC members with a robust trauma performance monitoring and reporting tool. Containing over 100,000 records, Collector is a proven program offering STRAC and its members yet another means to continually improve processes and outcomes.

RAC Data Collaborative
STRAC's success with collecting, managing, and analyzing its regional trauma data led to the development and refinement of cardiac and stroke registry solutions. These registries offered a greater view into the emergency healthcare systems while offering actionable intelligence and evidence of the effects traditional and emerging processes have on the emergency healthcare systems. These registry systems were designed by providers and clinicians at multiple levels and engineered by STRAC to collect standard and customized data points to meet the needs and reporting requirements of the region.

STRAC was not the only regional advisory council (RAC) in Texas looking for a safe and consistent system they can rely upon to host what may be their most critical information. With no clear standards or common solution to the implementation or management of a multi-system registry, other RACs turned to STRAC. The RAC Data Collaborative was launched in 2015 with broad support and participation amongst the RACs in Texas. While providing a secure platform, regions were able to leverage their data more effectively and securely than ever before. To learn more about the RAC Data Collaborative, please contact us at [email protected].

Crew Scheduler
The key to successful resource management is efficient and effective deployment of your agency's resources when and where they are needed. RescueNet® Crew Scheduler easily manages the multidimensional challenges of EMS scheduling while RescueNet Resource Planner helps determine appropriate staffing and resource levels to meet fluctuating demand in a volatile environment. STRAC is proud to host Crew Scheduler for its participating members. To learn more about Crew Scheduler or to participate, please contact us at [email protected].

Intermedix provides healthcare organizations with the services and technology needed to enhance situational awareness across the enterprise and in the surrounding community. These coordination tools make it possible to streamline activities during daily operations and disasters, improving clinical and operational outcomes.

EMResource is a powerful, web-based solution designed to address resource management needs across the health care continuum. This solution was designed by clinicians for clinicians, equipping those involved in health care and emergency response with practical, convenient and holistic operational views of area and regional resources. The Southwest Texas Regional Advisory Council is proud to host and administer EMResource for the Trauma Service Area - P with the support of the Texas Department of State Health Services and the Texas Department of Aging and Disability.

EMS Feedback
EMS routinely provides life-saving treatment to patients transported to trauma centers without any feedback on the patient outcome. As a critical component to systems improvement and EMS - Hospital communications, STRAC developed the EMS Feedback Portal - a HIPAA-compliant regional system developed to securely process EMS requests for feedback. This system, and the processes by which it processes requests, were designed by Field Medics, EMS Leadership, Trauma Coordinators, Nurse Managers, ED Directors, and Privacy Officers. This new intelligence improves the continuum of care by improving hospital and prehospital communications, confirming treatment protocols, and improving patient outcomes. To learn more about STRACs EMS Feedback system, please contact us at [email protected].

ePCR is an electronic field data collection application deployed throughout Southwest Texas and represents the entire pre-hospital care record. Participation in this project includes approximately fifty Emergency Medical Services and 9-1-1 providers. Annually, the STRAC regional ePCR system collects an average of 250,000 records. The system is designed to guide the user through the proper data collection process – by letting medics know what data they need to capture before a report can be closed. This ensures your Crew, Supervisors, Director, and Medical Director, have everything they need to properly document excellent care in a consistent and predictable manner. To learn more about the ePCR System or to participate, please contact us at [email protected].

Everbridge Mass Notification enables users to send notifications to individuals or groups using lists, locations, and visual intelligence. This notification system keeps everyone informed before, during, and after incidents and events. Everbridge Mass Notification provides robust analytics, GIS targeting, flexible group management, distributed contact data, language localization, multiple options for contact data management, and a “globally local” approach to optimize voice and SMS routing. STRAC is proud to host Everbridge Mass Notification for its participating member organizations and agencies. To learn more about Everbridge or to participate in this solution, please contact us at [email protected].

FireRMS is an enterprise record management system specifically designed for fire departments. STRAC manages this solution for agencies to streamline day to day scheduling, improve the collection of run data while providing recurring and on-demand state and custom reports as well as manage inventory and department equipment. To further eliminate duplicative processes and repetitive data entry, STRAC coordinated and manages the integration of FireRMS with ePCR to save additional time, money, and lives. To learn more about FireRMS or to request a Demo, please contact us at [email protected].

After the September 11, 2001 attacks, STRAC undertook to help its hospitals protect their emergency rooms from potential attack, developing the first STRAC-ID card to improve physical security. Since then, cyber attack has grown as a major threat not just to national security, but also to hospital business interests, quality of care, and patient privacy.

- Medical-related identity theft accounted for 43 percent of all identity thefts in the U.S. in 2013.
- Network passwords must be replaced and strengthened frequently, at substantial cost in both time and money.
- Physical (building) access systems typically use proprietary card solutions, driving costs higher.
- Imposters posing as nurses or doctors are common.
- Hackers frequently exploit username / password security to steal valuable, sensitive data. Remote access (VPN) is a favorite pathway for hackers due to reliance on single factor user name / password process.
- Implemented solutions are typically proprietary and neither broadly trusted nor broadly usable across disparate entities.
- Emergency responders with trusted ID cards can be put to work faster upon arriving at the scene.

One Identity Card, Many Hospitals and Applications
Since 2008, STRAC has provided its hospitals with a secure way to confirm the identity of physicians with a high degree of assurance. The STRAC-ID Card uses a federal standard (FIPS-201, the same used for IDs for federal government employees and military personnel) to enable different hospitals in different systems using different infrastructure and applications to know with certainty the identity of the person presenting the card.

STRAC-ID started off as a simple bar-code card used for physical access to the emergency room, the physician’s parking lot, and the physicians' lounge. Today, the card carries an embedded smart chip that contains electronic certificates allowing secure authentication not just for physical access but also for logical access to applications such as “tap-and-go” single sign-on, Active Directory integration, and VPN integration. Over 4,500 doctors in the San Antonio area use their STRAC-ID cards to prove their identity and gain access to places and systems. In all, approximately 6,000 STRAC-ID smartcards have been issued to physicians, Fire/EMS personnel, and mid-level health care providers. All of STRAC’s 53 hospitals accept STRAC-ID for physical access today; a growing number of sites use it for logical access.

Flexibility In Real Time
A hospital can rely upon the asserted identity of a STRAC-ID cardholder, regardless of the entity that sponsored that card. Depending upon the hospital business rules for a particular application, electronic identity authentication with a STRAC-ID card can require only the card (one-factor authentication), the card and a PIN (two-factor), or the card, a PIN, and a matching biometric, such as a fingerprint (three-factor). Using STRAC-ID rather than the problematic username / password combination typical in hospitals today eliminates the need for password resets, reduces human error, and can support non-repudiation where the situation calls for it. Though a cardholder’s identity never changes, hospitals may frequently change the cardholder’s access rights to places and systems. Because the STRAC-ID provides certainty of who the cardholder is, a hospital can immediately remove access rights when the need arises. For example, STRAC developed a service for its hospitals that enables near-real-time removal of an identity from all participating physical access systems. And, if a card should be compromised (for example, if a hospital learns there was fraud in its issuance), it can be electronically revoked immediately so that any hospital will know not to trust the cardholder’s asserted identity.

At the heart of the value of the STRAC-ID is trust. Trust that the card follows specific technical interoperability requirements, and trust that STRAC followed a specific, rigorous process in proofing the doctor’s identity and issuing the card. This trust is born not only of STRAC’s reputation and performance, but more importantly, it is a result of STRAC’s independently audited compliance with the federal standard. Though STRAC-ID has long been based on the federal FIPS-201 standard, STRAC is in the final stages of a two-year federal certification process. After STRAC obtains the federal certification, STRAC-ID will transition to an officially certified compliant “Personal Identification Verification – Interoperable” (PIV-I) card. As a certified PIV-I card, STRAC-ID will still look much the same as today, but it will gain automatic acceptance and trust from federal agencies.

To learn more about STRAC-ID or to see how it may benefit your agency, please contact us at [email protected].

WebEOC is a web-based crisis management system developed to improve coordination, communication, and coordination of organizations, agencies, and assets while planning for, responding to, or recovering from man-made and natural disasters. Each installation of WebEOC is uniquely developed to address risks and vulnerabilities specific to that region. STRAC hosts the regional installation of WebEOC for Trauma Service Area - P, Trauma Service Area - S, and the Alamo Area Council of Governments. Within its Critical Information Systems Staff, STRAC employs four of the most advanced WebEOC administrators in the country.

WebEOC is used by healthcare, emergency management, law enforcement, fire, EMS, and public health to plan, practice, and execute routine operations, disaster responses, and special events throughout the region. If you work for a public safety agency or public health organization and would like to know more about WebEOC, or how you may join STRAC's hosted solution, please contact us at [email protected] and we will be happy to help.