b'Regional Emergency Preparedness Committee The Regional Emergency Preparedness Committee (REPC) serves as the HCC governing body for TSA-E.This committee meets the first Tuesday of every month.This year also brought two asset request offerings, which helped to complete the budget items for HPP YR 17 and 18.The key regional projects for the year included a regional MCI Framework, EMTF Restroom Trailer, Handwashing Stations, and MERC Upgrades.Future projects include the NCTTRAC Patient Coordination Support project, Bleeding Control training mannequins, radios, and a decontamination shower.The committee also updated and approved the SOP/ Governance Structure, Multi-Year Training and Exercise Plan, and completed the first Response Strategy, which is now an annex to the Trauma System Plan.The Committee also approved the HCC Training Plan and Work Plan. Each of these projects are scheduled to be updated annually. The committee reviewed best practices and educational topics including Texas Division of Emergency Management Conference Review May 2019, The Joint Commission Preparedness Conference Review June 2019, June 9-10, 2019 Microburst Incident Review July 2019, Mass Casualty Trauma Triage Paradigms and Pitfalls Review August 2019, and the Regional MCI Framework Overview September 2019. The committee will continue to provide insight and recommendations to further preparedness and response capabilities within the region. Stroke Committee The Stroke Committee identified via an on-line survey tool the items to be reviewed as Quality Metrics from the Stroke Designated facilities. These items include the following data points: Median Door to Needle time Overall Median Door to Needle time including patient transfers MedianDoor-IntoDoor-OuttimesfortransfersofAcuteIschemicStrokepatientsthatreceived intravenous Thrombolytic medicationMedian Door-In to Door-Out times for transfers of Acute Ischemic Stroke patients that did not receive intravenous Thrombolyticmedication With 70% of the surveyed participants being from Primary (Level II) Stroke Centers, the average door to needle time was reported at 46 minutes. The Door-In to Door-Out time for transfers receiving thrombolytic medication wasreportedto beon average2hoursand 32minutes,whilethosetransfersnotreceivingthrombolytic medications averaged slightly shorter times at 2 hours and 12 minutes.12'