ED Operations Committee
The Emergency Department Operations (ED Ops) Committee is responsible for improving Emergency Department operations in TSA-E by engaging in and supporting the development and implementation of clinical guidelines and processes and enhancing communication, collaboration, and alignment amongst the EDs, ED partners in care, and other NCTTRAC Committees in TSA-E. The ED Ops Committee provides guidance in the development and review of hospital and pre-hospital assessment tools, regional plans and treatment guidelines, and the Committee SOP. Additionally, the committee will interface with other RAC committees, professional associations appropriate to the services, and the Governor’s EMS and Trauma Advisory Council (GETAC).
Regional Pulsara MCI Patient Tracking Implementation - Live July 1st, 2023
Committee Responsibilities & Representation
The following provides a continuation of the committee responsibilities to the TSA-E region:
1.1. Create broad stakeholder representation to provide an opportunity to discuss issues related to patient throughput, clinical care, and quality outcomes in ED care.
1.2. Establish and/or provide support in the development and implementation of standards, guidelines, protocols, and tools to improve ED operations and clinical care.
1.3. Review and share relevant literature and resources on best practices, research, and current issues and trends.
1.4. Review, discuss and make recommendations on process and quality improvement initiatives based on data reports from EMResource and other local, regional, and state data repositories.
1.5. Serve as a resource to ED nursing and physician leaders in operational issues, professional issues, and NCTTRAC policy and procedure.
Please use the ED Operations Committee Document Library below to view the previous and current Committee Standard Operating Procedures (SOP).
Please use the button below to view the current committee projects and assignments via the Accountability Scorecard:
Committee Core Group
In accordance with NCTTRAC Bylaws Article IX, there is not a voting core group identified within the ED Operations Committee. (The absence of an identified core group opens voting rights at the committee level to all NCTTRAC Members in good standing). The committee is comprised of represented organizations that provide Emergency Department services in TSA-E and maintain NCTTRAC Membership in good standing.
Please use the Member Hub Login button in the column on the right-hand side to view all of your organization’s current Voting Representatives.
Committee-Specific Active Participation
*The ED Operations Committee has not identified elements to be creditable for active participation at the committee level.*
Chiefs and Executives Dashboard
Members can utilize the NCTTRAC Chiefs and Executives Dashboard to review the overall performance of their respective member organization; including information on the following:
- Organization’s Membership
- Active Participation Status
- Attendance in committee meetings
- Participation in data submission requests
- Status of different agreements and contracts
Additionally, member organizations can view their individual participation/performance status and compare their own performance against other member organizations throughout TSA-E.
Chiefs and Executives Dashboard
ED Operations Committee Document Library
This Document Library allows members to review the respective committee documents and resources, as approved by the member organizations. You are currently viewing the PUBLIC view. You must be logged in to view the dashboard. Use the red “Log-In” button at the top right corner of your screen.
Data Initiatives
TSA-E EMResource Performance Measurement
NCTTRAC, in collaboration with the DFWHC Foundation, has sponsored the development of a new regional trauma registry to provide member organizations with the opportunity to access a robust data repository and report generating platform supporting multiple service lines. This new registry will grant access to data and reporting capabilities for regional emergency & acute healthcare system development and performance improvement initiatives. The primary objective of this registry is to enhance patient care, improve outcomes, and inform evidence-based decision-making for trauma system stakeholders.
The Committee has defined performance indicators (measurable verification of success) that will be blinded as outlined below:
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- EMResource Hospital update compliance
- Advisory Closures
Members can utilize the TSA-E EMResource Performance Measurement data report to review their respective member organization’s performance on EMResource Hospital Updates.
Designation Survey Support
The Texas Department of State Health Services (DSHS) designations in Maternal, Neonatal, Stroke, and Trauma require that the hospital applicant show they are “active participants” in the local RAC’s system of care in which they seek designation. The NCTTRAC General Membership has set this standard to include requirements that these hospitals must be approved members of the RAC, must participate in any performance improvement initiative requested, and submit data as requested for various Committee and Regional assessments.
To request a RAC Letter of Participation for your upcoming Designation Survey, please utilize the Support Ticket System:
NCTTRAC Support Ticket System – RAC Participation Letter Request
For further information regarding Designation Support, please visit the Designation Support Webpage:
Designation Support Webpage
EMS Time Out
ED Operations Committee Leadership
Committee Chair
Jessica Lucio, BSN, RN, CEN, TCRN
Texas Health Hospital Mansfield
jessica.lucio@adventhealth.com
September 2025 – August 2026
Committee Chair Elect
Keith Jones, AS, NREMTP, ASM
Texas Health Hospital Mansfield
keith.jones@adventhealth.com
September 2025 – August 2026
Committee co-medical directors
Elizabeth Fagan, MD, FACEP, FAEMS
Baylor Scott & White Medical Center – McKinney
efagan@ies.healthcare
Christina Bird, DO, MBA, FACEP
Baylor University Medical Center
christina.bird@bswhealth.org
Your Member Hub Account provides access to the following:
– NCTTRAC Membership Information
– Meeting Registration
– Active Member Directory Listings
– Committee/Workgroup Subscriptions
– Resource Library
Primary Committee Staff Support:
Brenna McLain
EHS Program Manager
BMcLain@NCTTRAC.org
EHS2@ncttrac.org
Direct: 817.607.7007
NCTTRAC Main: 817.608.0390
NCTTRAC APOT Report
This report helps presents recommendations to reduce EMS Wall Times, improve patient flow, and ensure timely care transitions in emergency departments, it aims to enhance hospital efficiency, support EMS providers, and uphold patient safety.
You are currently viewing the PUBLIC view. You must be logged in to view the dashboard. Use the red “Log-In” button at the top right corner of your screen.
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