About Central Texas Regional Advisory Council and Our Services
The Central Texas Regional Advisory Council (CTRAC) is a 501(c)(3) non-profit organization comprised of local hospitals, EMS agencies, fire departments, County and City Offices of Emergency Management, and other healthcare providers. We proudly serve the 6 counties located in Trauma Service Area L: Bell, Coryell, Hamilton, Lampasas, Milam, and Mills.
We were formed to provide the infrastructure and leadership necessary to sustain an inclusive trauma system within our service area through the following actions:
- Assist member organizations in achieving the highest level of emergency healthcare they are capable of providing, which will result in a decrease in morbidity and mortality and ultimately improve the ill or injured patient’s outcome.
- Encourage activities designed to promote cooperation between member organizations and provide a forum to resolve conflicts regarding injured patient care.
- Provide and facilitate educational programs for the public to increase awareness regarding an inclusive trauma system with a heavy emphasis on prevention activities.
Regional Advisory Councils (RACs) are the organizational bodies responsible for the trauma & emergency healthcare system. They provide oversight in geographical areas know as Trauma Service Areas (TSA) in Texas. The TSAs are also known as Perinatal Care Regions (PCR). Each of the 22 RACs across Texas is tasked with developing, implementing, and monitoring a regional emergency healthcare system plan.
The Regional Advisory Councils were charged with developing a systematic plan based on standard guidelines for implementing a comprehensive trauma & emergency healthcare system. Some elements of the plan are required by the Department of State Health Services (DSHS), while others have been added to best reflect the community’s needs. While the plan may have numerous components, its success is a testament to the professionals that transform these guidelines into reality.
Since its inception, CTRAC has been active in prevention and education programs. Maintaining public education and awareness activities to increase the understanding of the trauma & emergency healthcare system, access to time sensitive care, and prevention of injuries & illnesses is an integral part of the mission and goals of CTRAC.
The regional trauma & emergency healthcare system should augment care provided by our EMS providers and facilities that provide patients with well-organized and high-quality care. The incorporation of an overall healthcare systems approach requires cooperation and availability of each component of the system. The essence of a trauma & emergency healthcare system is the ability to get the right patient to the right hospital at the right time to reduce death and disability. CTRAC members have made great strides toward this goal and continue to collaborate and strive to improve the care of the trauma and emergency healthcare patient.
Wesley Gilbreath has been with the Belton Fire Department Since 2002 and currently serves as the Assistant Fire Chief. Wesley has been active with CTRAC for a number of years serving as a member of the EMS Operations Committee. Wesley has served as the Secretary of the Executive Committee since elected in 2019.
Dr. Ratcliff started his career in EMS attending EMT school in Lubbock, Texas in 1995. He later completed his Paramedic training at Texas Tech University Health Sciences Center in 1998 and worked for Lubbock EMS, the Lubbock Fire Department and Aerocare until leaving full time prehospital care to start medical school at the Tech University Health Sciences Center School of Medicine. Ratcliff graduated medical school and started residency training in 2009 with the Scott & White, Texas A&M Emergency Medicine Residency Program in Temple, Texas, where he continues to work as an Assistant Clinical Professor of Emergency Medicine. He is board certified in emergency medicine as well as EMS medicine and a Fellow of the American College of Emergency Physicians and holds the FAEMS designation from the National Association of EMS Physicians. Dr. Ratcliff is the division director of prehospital medicine for the Baylor Scott & White Central Texas division and is the Baylor Scott & White emergency management system medical director. He is the EMS Medical Director for the cities of Belton, Harker Heights, Copperas Cove and Waco, in addition to first responders in Bell and McLennan counties. He is also an assistant medical director for PHI Texas. In addition, he provides medical direction for the Temple College Health Professions EMS program and Bell and McLennan county emergency medical dispatch programs. Ratcliff serves as the physician medical director for the Texas Emergency Medical Task Force, region 7 team that encompasses the Central Texas area. Dr. Ratcliff serves on the Texas Governor’s Emergency and Trauma Advisory Council (GETAC) as the EMS education member and is a site visitor for CoAEMSP and is the current president of the Texas Chapter of the National Association of EMS Physicians. In addition to spending time with his wonderful family, he continues to enjoy volunteering as a firefighter and paramedic with the Morgan’s Point Resort Fire Department.
Board of Directors
Kayla Cehand is the Trauma Program Manager for McLane Children’s Medical Center Baylor Scott & White and the Temple Region Forensics Program Manager. She has been a member of the Central Texas RAC since 2015. Kayla has a passion for serving the Pediatric population and improving trauma care. She received her degree; Masters of Nursing Administration, from the University of Texas in Arlington. In her spare time she enjoys being outdoors with her two young sons.
Heidi Cantrell MSN, MHA, RN has been a nurse since 1994 and in leadership since 1999. In her current professional at Seton Medical Center in Harker Heights, Heidi advocates for best practice in the care of mothers and their babies. Heidi serves as co-chair for the local chapter of the Association of Women’s Health and Neonatal Nurses and secretary of the Crossroads Quilting Guild. Heidi’s passion is her family, including her husband and three daughters.
Jacob Creel has been active in the Central Texas RAC since 2018. He is a Clinical Education Coordinator and Flight Parameidc for PHI Air Medical and an EMS Instructor at Temple College. He holds a BS in Emergency Health Sciences and an MS in Healthcare Administration.
Daniel Lay grew up in Little-River Academy, TX and now lives in Gatesville. He has been a member of Central Texas RAC since 2017. He is currently the Deputy Chief for Coryell Health EMS and has 12 years of experience in EMS. Additionally, Daniel is involved with the Texas Emergency Medical Task Force. Daniel has a wife and two children ages 2 and 4.
Dr. Scott G. Sagraves was born in New Britain, CT and graduated from Trinity College in Hartford, CT with a Bachelors of Science Degree in Biology. He served his community as an EMT/Paramedic for ten years and was an Auxiliary Police Officer with the New Britain Police Department Dive/Rescue Team. Dr Sagraves received his Medical Doctorate degree from the Chicago Medical School.
Dr. Sagraves completed an Internship and Residency in General Surgery at Maricopa Medical Center in Phoenix, AZ where he was recognized as the Resident of the Year. Dr. Sagraves continued his training at Orlando Regional Medical Center where he completed a two year Fellowship in Trauma and Surgical Critical Care. Dr. Sagraves is board certified in General Surgery and Surgical Critical Care.
Upon completion of his Fellowship in 2000, Dr. Sagraves joined the faculty at East Carolina University Brody School of Medicine and ascended to rank of Associate Professor with tenure. He was Chief of the Division of Trauma and Surgical Critical Care, while serving as the Trauma Medical Director for the healthcare system. Dr. Sagraves received numerous recognitions and awards for his teaching while at ECU, including the University of North Carolina Board of Governor’s Distinguished Professor for Teaching Award. He also served as the President of the Eastern Regional Advisory Committee (ERAC) for the North Carolina Trauma System for many years and received a Distinguished Leadership Award for his service to ERAC.
Nationally, Dr. Sagraves has served as the Vice Chair and Chair of the North Carolina ACS Chapter of the Committee on Trauma (ACSCOT), as well as serving on the Missouri Committee on Trauma from 2012 – 2017. He is currently a member of the South Texas ACSCOT. He has been on the Executive Board of the Eastern Association for the Surgery of Trauma (EAST) as that organization’s President-elect in 2012 after serving six years on the EAST Board as the Local Arrangements and Future Meeting Chairman. Dr. Sagraves assumed the Presidency of EAST in January 2013 for that year. Dr. Sagraves is also a Fellow of the American College of Surgeons and he is a member of the American Association for the Surgery of Trauma (AAST) and the Society of Critical Care Medicine (SCCM).
In 2012, Dr. Sagraves joined the faculty of the University of Missouri-Kansas City School of Medicine as a Professor of Surgery and served as the Chief of the Acute Care Surgery Division for the Department of Surgery and as the Trauma Medical Director for Saint Luke’s Hospital of Kansas City. In August 2017, Dr. Sagraves accepted the position of Medical Director for Trauma Services within the Central TX Division of the Baylor Scott and White Healthcare System, overseeing 9 trauma centers in Central Texas. He is a member of the Board of Directors for the Central TX RAC and a member of the Trauma Systems Committee of the Governor’s EMS and Trauma Advisory Council (GETAC). Dr. Sagraves has been appointed to the American College of Surgeon’s Committee on Trauma in December 2019 for an initial three-year term.
Scott, and his wife, Michelle, have a wonderful family of three daughters: Tayler, Kim, Jordann and a son, Nick. Together they have two grandchildren, Charlotte and William. Dr. Sagraves currently resides in Belton, TX with a base office at the Baylor Scott and White Medical Center – Temple.
Dr. Shadman is a board certified neurologist in general and vascular neurology.
He received his medical degree (MD) from Shiraz University of Medical Sciences and finished his neurology residency at JFK hospital in Edison NJ. He then completed his fellowship in Vascular Neurology At UT San Antonio and is currently working as a Vascular Neurologist.
He is an expert in treating a variety of Central Nervous System vascular conditions including ischemic strokes, intracranial hemorrhages, AVMs, venous malformations and aneurysms.
Ashley is a US Army Veteran and Division Chief for Clinical Performance and Education for Travis County. Ashley is the future author of the
book titled 'Walk Fast, Talk Loud’. A jack‐ of‐all‐trades, Ashley's passions include, leadership, human performance, PHARM, mental
health and taking care of one another. She is a purveyor of, and enthusiastic advocate for, Free Open Access Medical Education
(#FOAM). Ashley delivers lectures around the globe, is a frequent podcast guest and is an author/editor for the UK based St. Emlyn's
Blog and Podcast.
Dr. Widmer has recently joined the staff at Baylor Scott and White as an interventional/structural cardiologist, serving as a Clinical Assistant Professor for the Texas A&M College of Medicine. He recently concluded the second year of a combined interventional/structural cardiology fellowship after finishing an ABIM-sponsored clinical investigator program affiliated with Cardiovascular Diseases Fellowship. He achieved his undergraduate work at Southwestern University in Georgetown, TX and his combined MD/PhD at Texas A&M Health Sciences Center in 2009. He was then accepted to the prestigious clinical research track at Mayo in Rochester, MN. Additionally, Jay has completed the selective Mayo Clinic Physician Scientists Clinical Research Certificate program. Jay completed his Internal Medicine Training in June of 2012, general cardiology training in 2016, and interventional/structural cardiology training in 2018 with board certifications currently held in all three.
His interest in interventional cardiology began in a research lab just before beginning medical school while witnessing a cardiac catheterization procedure (porcine, no less), and has continued to mature as he begins a career as an academic interventionalist. A serendipitous turn in his research career involved designing a digital health program for cardiac rehabilitation as well as implementing both the feasibility and randomized trials to test the system. These projects have resulted in over 50 peer-reviewed manuscripts and over 60 conference abstracts in the field of vascular biology, coronary physiology, cardiovascular outcomes/prevention, social media, and digital health. Dr. Widmer has continued these research interests while being junior faculty at Baylor Scott and White and has laid the groundwork for long-term success by becoming site principal investigator on multiple trials and building databases in non-obstructive coronary artery disease, chronic total occlusion PCI, cardio-oncology, and quality metrics for acute myocardial infarction.