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William Rabb Portfolio
CORPORATE BROCHURES
What You
Need to Know
About Ordering
Air Ambulance
Transports
Information for Care Coordinators
“It’s really easy. AASI took care of everything,
from air to ground, from bed to bed.”
345InvernessDriveSouth
SuiteA110
Englewood,CO80112
PRSRTSTD
USPostagePaid
Englewood,CO
PermitNo.1173
Air Ambulance
Specialists Inc.
At Air Ambulance Specialists, we relocate patients to hospitals, nursing
homes or to private residences for those returning home. Some may require
specialized medical procedures or treatment at speciality or advanced-
care facilities. All aircraft are ICU / CCU equipped, and are staffed with a
critical-care team.
AASI transports include:
• Ventilator dependent • Burn
• Spinal cord injury • Cardiac
• Rehabilitation • Trauma
• Orthopedic • Geriatric
• Brain injury • Pediatric
• Transplant
Complete Bed-to-Bed Service
General patient condition / DX.
Name of originating and destination hospitals.
Date of transport or approximate date of transport.
Tubes or equipment (such as I.V., ventilator, trach) needed
Patient DOB, height, weight, sex.
Payor source – this is needed if insurance is involved so that we can
verify air ambulance benefits and determine if
pre-authorization is required. Pre-authorization will not be
obtained until the decision has been made to do the transport withAASI.
Patient name.
Name of receiving hospital physician, and bed confirmation.
For domestic flights, a valid, government-issued picture ID will suffice.
For international trips, a valid passport and visa information
is required.
What the Communications Center
needs to know:
Provide a written bed-to-bed price quote, and check aircraft availability.
Verify air ambulance benefits for insurance payor transports.
Obtain pre-authorization from insurance companies for air transport.
Obtain a medical report from the nurse in charge of the patient.
Verify bed availability and accepting physician at receiving facility.
Arrange ground transportation at sending and receiving facility.
Send necessary documentation, including:
1. Patient transfer guidelines
2. Financial obligation form
3. Transfer orders
Provide flight-following and will update the receiving facility with any changes
in the schedule. Our Communication Center is bi-lingual and can
communicate with countries around the globe in more than 150 languages.
Provide on-going communication with all parties involved.
Will notify care coordinator of patient’s safe arrival.
What the AASI Communications
Center will do for you:
Call us any time, 24/7!
U.S. and Canada : 800-424-7060
International: 720-875-9182
Fax: 720-875-9183
www.airaasi.com / email: info@airaasi.com
Transfer orders from physician and acceptance documentation
from receiving facility.
A copy of the patient’s discharge summary and three FACE sheets.
Completed and signed Consent-for-Transport form.
Copy of most recent laboratory work.
A copy of the MAR and any scheduled or PRN medications
the patient may require during transport.
Patient should be sent with IV access.
Diaper patient if unconscious or incontinent; or consider Foley catheter.
Discontinue tube feedings at least 4 hours prior to transport;
Minimize P.O. intake at least 2 hours prior to transport.
Bivalve any circumferential casts prior to transport.
Limit baggage to no more than two carry-on, soft-sided bags.
Limit passengers to one family member or friend
(depending on space availability).
Patient Transfer Guidelines
Air Ambulance
Interior
An Company
4. An advance-beneficiary notice
5. Consent for transport.
AirAmbulance Specialists Inc.
is CAMTS accredited (similar to
JCAHO for hospitals), and is
associated with or a member of
most industry organizations.
Paperwork to be included with patient:
Other considerations:
Private air ambulance
Medical escort on commercial carrier
Commercial stretcher (international flights)
Air Ambulance Specialists Inc. (AASI) is not a FAA 135 direct air carrier but utilizes contracted/
dedicated 135 aircraft vendors. AASI may on occasion when necessary, outsource a flight to
another FAA approved air ambulance company.
AMR EMS Offshore Medical Services is a
subsidiary of American Medical Response,
Inc., a leading emergency medical services
provider with operations in 40 states.
AMR EMS Offshore
provides on-site medical
technicians and on-call
physician support
services using
telemedicine technology.
We offer services for
offshore oil and gas
operations, cruise lines,
airlines, remote rural
locations, and more. We
also provide on-site
services such as
EMT/paramedic training
and certification,
employee physicals,
drug-testing services,
and other physician-
related services upon
request.
Call us any time.
12020IntraplexParkway
Gulfport,MS39503
Introducing...
Providing on-site and
remote medical care
for offshore locations,
24 hours a day
228-897-6639
228-897-6639
Amemberofthefamilyofhealthcarecompanies
24-Hour, Telemedicine Support/Medical Direction:
We provide 24-hour, on-call physician consultations to
remote, on-site medical staff. With our services, on-site
medical staff members can consult with experienced
physicians to discuss treatment options and make sound
medical transfer decisions. We offer the latest telemedicine
technology that allows on-site medical staff to transmit
real-time medical data, such as vital signs and images, to
our network of emergency physicians. Our services can
reduce unnecessary transfers to medical facilities, which
saves time, money and manpower.
Training, Certification and
OSHA-Mandated Classes:
We offer custom-designed training
through on-site instruction or
distance-learning technology to your
on-site medical staff:
SafeGulf / SafeLand certified
CORE compliance certified
Mandatory OSHA classes
Nationally registered EMTs
and paramedics.
On-Site Occupational Medical Service:
EMS Offshore Medical Services provides on-site medical
teams to perform employee physical examinations and
drug testing services for onshore and offshore work
locations. These services can help you meet state and
federal employee health and safety regulations and can
help prevent on-the-job accidents and injuries. Our on-site
teams save time and money and ensure quality and
consistency are not compromised.
Our primary focus is
providing on-site medical
staffing, safety, and training
services to companies with
employees in remote or
offshore locations. We
design customized medical
support services to meet
clients’ needs.
These include on-site
safety technician/medical
personnel and physician
referrals for medical teams
at remote locations. Our emergency
physicians use the latest medical and
computer telemedicine technology to
provide 24-hour physician support.
Call us today
for more information!
228-897-6639
On-site.On-call.
Expertcarewhenyour
workersareoceans
awayfromahospital.
EMS Offshore Medical Services
provides on-site emergency medical
staffing, on-call physician support
services, and emergency medical
and safety training for companies
with remote working sites such as
offshore oil rigs.
24-Hour, On-Site Health, Environment and Safety
Technician / Medical Personnel: AMR EMS Offshore
Medical Services has extensive experience designing and
staffing on-site sick bays. Medical personnel operate under
well-defined standing orders and medical directors provide
direction to on-site medical teams 24/7. Medical personnel
are trained safety technicians and employ methods to
ensure the health and safety of your workforce as well a
quick return to health of your ill or injured personnel.
EMTsatyourlocation.
Physiciansavailable
24hoursaday.
www.amr.net
William Rabb Portfolio
NEWSLETTERS
W O R L D C L A S S S A F E T Y
LEADERSHIP NEWSSECOND QUARTER 2009 | VOL. 1, ISSUE 2
May is EMS Month 2009
Celebrate Our Emergency
Medical Services Workers
The national celebration of EMS Week
2009 will be held May 17-23, with the
theme of: "EMS-A Proud Partner in Your
Community." EMS week brings together
local communities and EMS personnel to
publicize safety and honor the dedication of
those who provide the day-to-day lifesaving
services of medicine's "front line," more than
17,000 of our employees. As we recognize
the daily efforts of AMR caregivers to im-
prove health in the communities we serve, it
is important to recognize that EMS Week
provides the opportunity to emphasize
wellness and safety preventive measures that
will assist our employees throughout their
careers. Examples include healthy eating,
proper exercise and self-care decisions that
will improve the overall quality of their
lives.
The Safety Leadership
Group (SLG) has worked
diligently to develop a
variety of safety and
health programs
that may be uti-
lized by Opera-
tions as they
prepare for EMS
Week. Special ac-
tivities on a na-
tional and local level
will be taking place
throughout our opera-
tions to support and raise
awareness about caregiver health and safety.
A number of the programs the SLG has
recommended encourages employees to be-
come more health conscious. Programs such
as Step by Step and Get Moving, sponsored
by the American Heart Association, focus on
physical fitness for caregivers. Other
health and fitness programs include
weight challenges, health fairs and
24 hour fitness club memberships
at discount pricing.
Contact your regional safety
professional for information on
wellness programs and becoming
a member of a wellness team. Re-
member, a healthy, more fit em-
ployee will be a happier, safer
employee.
As you plan local activities for EMS
Week, we encourage you to include some of
the activities listed on the SRM Knowledge-
base, 2009 EMS Week Activities folder (ac-
cessible via the Portal).
Why accidents need
to be investigated.
Page 2.
Employee Wellness
A choice to be made.
Page 2.
Safety Leadership
Interview with AMR General
Manager Renee Colarossi.
Page 3.
Worker’s Comp
Changes in pharmacy
service form.Page 4.
Contributors
Tom Eller
Ron Thackery
Paul Cormier
Troy Meckel
National Safety Council
Newsletter Editor: Rob Garrett
Safety Leadership Group
Ron Thackery, SVP Professional Services
& Integration
Paul Cornier, SRM, Northeast
Tom Eller, Dir SR, Southwest/Hawaii
Hadassa Fyffe, SRM, GA, FL, Carolinas
Rob Garrett, SRM , Central
Ken Gosteli, SRM, Northwest
Mike Hill, SRM, Southwest/Hawaii
Troy Meckel, SR Specialist, South
Rich Silva, HR Mgr, NorCal
We’re on the Portal:
http://portal.emsc.net
Inside this issue:
EMS workers at AMR’s
Arlington, Texas operations
W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 2
Investigating an Incident: Why?
All incidents, whether Worker’s Compensation, auto collision, general liability,
compliance or OSHA-related incidents, warrant a complete investigation. Other
incidents, such as professional liability incidents, require different types of investiga-
tions, and thus, would require consultation with Safety & Risk and Clinical Man-
agement.
In order to determine causation of an incident, we must first understand the
factors involved. Those factors include the five ‘Ws.’ Who did the incident in-
volve, What happened, Where and When did it happen and Why did it happen.
We can determine ‘who’ was involved by not only naming the crew but also
talking to witnesses. Witness statements are important in relating facts about the
scene of the incident at the exact time.
When answering ‘what’ and ‘where’ the incident happened, not only do we
want a brief statement from the affected employee(s), but photographs can also
help answer this question by providing pieces of the incident for evaluation like a
puzzle.
Was it raining or snowing? Was it night time, twilight or daytime? These types
of questions help to answer the ‘when.’
Only after answering the first four ‘Ws’ can we begin to answer the ‘why.’
The first four help us build a picture of the event. But just because we can provide
one answer to ‘why’ does not necessarily mean the ‘why’ has been answered. We
may have to ask ‘why’ many times to come to a final cause for the incident.
A proper investigation of the incident will help to establish the factors, thus,
causation. You may ask: “Why should I care about causation? Is that not why we
have an insurance carrier to determine who is at fault?” Determining causation
through a proper investigation will assist your operation in learning what areas
employees may need more training or education, or where there may be equip-
ment failure or malfunction, and how to prevent accidents in the future.
Everyday,AMR crews respond to calls for help from patients experiencing a myriad of health problems. In many
cases, they discover ailments that are a result of poor personal choices: sedentary lifestyles, smoking, drinking, poor di-
etary habits and stress. While the damaging effects are already there, and in some cases are irreversible, we often still
offer advice on healthy choices and hope at least a few patients listen…
Sadly, the same lifestyle risk factors that cause so many deaths each year are also prevalent among EMS workers.
Research has demonstrated that virtually all individuals can benefit from regular physical activity, whether they participate
in vigorous exercise or some type of moderate health-enhancing physical activity. Regular physical activity delivers many
rewards: Reduces the risk of dying prematurely, heart disease, developing diabetes, high blood pressure, cancer. Also re-
duces feeling of depression and stress. Helps control weight and build and maintain healthy bones, muscles and joints
and promotes worker productivity.
Yet, despite the benefits, only about 23% of workers report regular vigorous activity for 20 minutes or longer 3 or more
days per week. In EMS, there are a few “givens” that we have simply just come to terms with:
We eat when we can, not when we want;
Back pain is not uncommon; and
We will experience stress.
Even though these three “givens” surround us each day, remember that there are ways to combat them, including:
talking to co-workers for support, breathing exercises during stressful events (in through the nose and out the mouth sev-
eral times), getting enough sleep and, finally, as mentioned above, exercise.
Since there is no telling what a new day will bring, we need to come to work physically and mentally prepared for the
worst everyday. We don’t get to start a shift with an agenda, except that of what we need to do when the moment comes.
For this reason, EMS will simultaneously remain one of high respect and high demand for the public. It’s also yet another
reason why caring for our patients must parallel caring for ourselves by Making a Healthy Choice.
Health & Wellness is the most important thing to you and the most important thing toAMR.
Employee Wellness: A Healthy Choice
Getty Images Subscription
AMR Photos
P A G E 3 2 Q 2 0 0 9 W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S
San Bernardino County is the largest county in the United States
and covers roughly 20,160 square miles. The AMR service area for
the county covers a population of 1.6 million. Currently, AMR is the
contracted emergency operations area provider for the county, and
that includes an annual call volume of 168,344 total calls and 125,797
transports. There are three main operations in the county: Rancho
Cucamonga, Redlands/San Bernardino, and Victorville. AMR’s SB
County Operations full-time field employee mix consists of 316
EMT’s, 144 Paramedics and 10 CCT nurses.
Question: What does “safety leadership” mean to you
as a leader at AMR?
Renee: We are all accountable for safety within the or-
ganization. As leaders, we are accountable for the safety of
our employees, patients and the communities we serve. To
me, safety leadership really means that management con-
tinuously observes safety behaviors, and commends and
corrects behavior immediately as needed. The main goal
would be to instill a culture of safety for all employees.
Most importantly, I feel that as leaders we certainly need to lead by
example.
Question: How do you feel safety leadership and awareness
impacts your area and AMR as an organization?
Renee: Safety Leadership and awareness is critical for accident
and injury reductions and promoting an ongoing culture of safety
within the organization. Also, safety leadership has a significant im-
pact on enhancing operational efficiencies, productivity, employee
morale, and many other areas of the operations. Overall, it is just the
right thing to do for our employees, patients and communities we
serve. Additionally, continued focus in positive safety performance
and loss management reduces our overall costs and enhances prof-
itability for my area and the entire organization.
Question: What are some of the safety programs you have im-
plemented in SB county to address safety issues and opportunities?
Renee: We included driving safety in our 2007 Strategic Plan.
The focus in safe driving behaviors were monitored through our Road
Safety program which measures speed, backing, seatbelts, and high
force counts. We established objectives and tactics to measure and
monitor driving behaviors. Through establishing goals and tactics,
utilizing established metrics and posting scores, and providing con-
stant feedback, we have since seen significant positive results in our
driving safety performance. Additionally, we have developed and
added a comprehensive gurney-handling skills-training component in
our new-hire orientation and FTO training process. Since implement-
ing this training and focus we have seen a reduction in gurney related
incidents.”
Question: Is there a specific safety initiative, process or pro-
gram that you have implemented that you feel has had the most im-
pact on your safety performance?
Renee: Including safe driving behavior in our Strategic Plan had a
large impact in reducing our auto-collision rates. Safe driving behavior
has become an expectation and culture within our operations through
continuous focus and awareness.
Question: How do you promote safety and generate safety aware-
ness?
Renee: We continually promote safety awareness through ensuring
the National Safety Initiative posters are posted and all em-
ployees receive the safety message from their supervisor
monthly. Also, we communicate safety issues and successes in
our staff meetings to ensure safety communications are being
done, safety goals are established and met, and safety strate-
gies are developed and communicated.
Question: What specific processes do you feel are im-
portant to ensure safety accountability for your leadership
team?
Renee: That our safety goals are continually communi-
cated and discussed with the management team, and to ensure expecta-
tions are established. During our monthly staff meetings we review the
National safety goals on the Management Safety Incentive Program and
National Safety Performance Strategic Indicators. Positive safety per-
formance is recognized and expectations are clearly communicated for
improvements when necessary. Also, continuous monitoring of accident
types and causes is critical in establishing safety strategies to mitigate
potential loss trends and drivers.
Question: How do you set safety expectations for your operational
leaders and caregivers?
Renee: By reviewing our safety goals established for the year with
all managers and ensuring they clearly understand the importance of
safety in their operations. Additionally, we ensure that all managers un-
derstand the impact of the expenses related to accidents and injuries.
Also, we ensure that our caregivers understand their role and responsi-
bilities for safety through training and awareness of our safety policies.
Safety expectations are promoted through positive recognition for safe
behaviors and immediate correction and remediation for unsafe behav-
iors.
Question: What else can the Safety and Risk Management De-
partment do for you…what would you like to see from the SRM De-
partment that would assist you better in overcoming operational
challenges?
Renee: I would like to see more statistical data analysis on types
and causes of accidents so that we can ensure we are focusing on prior-
ity areas. This would be helpful to ensure we are focusing our safety
efforts and resources in the proper prevention strategies. Additionally,
more updated lists for available training and remediation would be wel-
come.
What is Safety Leadership?
AGeneral Manager’s Perspective
An Interview with Renee Colarossi,
General Manager, AMR-San Bernardino County, CA
LEADERSHIP
CORNER
LEADERSHIP
CORNER
Due to changes in the prescription service, all AMR
operations should now be using a new prescription
card (shown to the right) for Worker’s Compensation
claims. The previous prescription card from MSC is no
longer applicable. In an effort to control costs and
utilization, we have temporarily chosen Express Scripts
as our pharmacy choice for Workers Compensation
claims.
The new form can be found in the Injured Workers
Packet on the Safety & Risk Knowledge Base in the li-
brary. Your operations should download this revised
Injured Workers Packet and begin using this form for
all injured employees who seek treatment.
W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 4
Pharmacy
changes for
Worker’s
Comp claims
The National Safety Initiative (NSI) Program has been a tool
AMR has used for the last 10 years to bring World Class Safety
awareness to its employees. The program has four features every
month: a safety poster, a supervisor letter, a talking-point card and
four weekly “What’s Wrong With this Picture?” cards. All but the
talking point cards should be posted in conspicuous locations.
Although the content will remain the same, the talking point
card has taken on a new look. Instead of wallet-sized cards, the
talking points are now on letter-size paper. This will allow for a
more personal interaction between the employees and the man-
agement staff, makes it easier to record employee names on, and
saves printing time. You are encouraged to reprint these pages for
distribution to supervisors and field training officers, if needed.
The talking points are intended to generate a conversation about
safety between management and crews.
Each operation is expected to contact at least 90% of their
full-time employees. These NSI contacts are then reported into a
national database, tracked and included into the Strategic Indicator
report each month. An employee may be contacted more than
once, by different supervisors and field training officers.If you have
any questions about this program, please contact your divisional
safety professional for further interpretation.
Monthly safety packages revised
WORLD-CLASS
SAFETY
BEGINS WITH YOU.
The choice is clear:
Stay hydrated
this summer.
Don’t rely on thirst alone to know
when to drink fluids.
Before strenuous activity, drink about
two cups of water.
During activity, try to drink 4-6
ounces every 20 minutes.
After activity, drink plenty of water.
For every pound of water weight you
lose when exercising, drink about
20 ounces of fluids.
Keep caffeine, alcohol and
sugary drinks to a minimum.
Source: WebMD
June 2009
Stay hydrated
this summer.
Supervisor / Field Training Officer Card Jun ‘09
The bullet items on this card should be discussed with each of your employees during the month. Please
write down your employees’ names on the back of this card after meeting with them and turn it in to the op-
erations’ director/manager upon completion. Thanks!
Staying hydrated throughout the year is essential to your good health, no matter what the weather. One of
the most effective ways you can improve your overall health is very simple — drink more water.
Talking Points:
Water regulates body temperature, cushions and protects organs, assists digestion, reduces stress,
transports nutrients and dispels wastes.
Signs and symptoms of dehydration include: excessive thirst (dry mouth), fatigue, headache, little or no
urination, muscle weakness and feeling dizzy/lightheaded.
Drink at least 2,000 milliliters or eight 8-oz. glasses of water daily.
To prevent dehydration, drink fluids before, during and after physical activity.
WORLD-CLASS SAFETYBEGINS WITH YOU.
William Rabb Portfolio
DIRECT MAIL
Is your
anesthesia provider
causing delays
in your surgery schedules?
AnesthesiaCare is a leading innovator in performance
improvement for both clinical and operational areas of
anesthesia department management. Our services are
results-focused and driven to improve turnaround time,
outcomes, and patient safety/satisfaction.
A partnership with AnesthesiaCare can
result in the following improvements:
Prompt operating room start times
Rapid room turnover
Fewer delays in surgery schedules
Immediate availability in the
obstetrical suite
Facilitating the surgeon’s
schedule by prompt pre-op
evaluations and maximum
utilization of the operating
rooms/regional anesthesia when indicated
Pleasant and cordial attitudes
Prevailing spirit of teamwork
Safe, efficient, and effective delivery of
anesthesia and related services.
is the solution you need.
To learn more about what a partnership with
AnesthesiaCare can mean for you, please contact:
Lindsay Wilkinson
850-444-2551
Emergency Medicine. Customer Driven.
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with programs tailored to provide expert service and financial synergy in
a demanding healthcare environment.
To help our clients thrive in today’s challenging healthcare environment, EmCare continues to expand our hospital-based
services. Our industry-unique offering of multiple hospital-based services gives your hospital the ability to bundle services,
providing a venue for financial and service synergy.
Emergency Department Practice Management Services – Founded 1972
EmCare continues to be the nation’s leading provider of emergency care.
We are committed to delivering a high quality of care through experienced
physician and nursing leadership, extensive support resources, and consultative
support programs. EmCare is successfully using LEAN to implement Front-End
Redesign and Rapid Medical Evaluation to improve ED metrics, throughput and
patient satisfaction. EmCare is a national leader in recruiting quality physicians
and medical directors and in supporting clients to improve key departmental
metrics, including patient satisfaction, LWOT/AMA, throughput and length of
stay. Through our exclusive Studer Group partnership, we develop consistent
accountability systems that help increase physician satisfaction, increase patient
and family satisfaction, improve efficiencies and improve clinical outcomes.
Inpatient/Hospitalist Practice Management Services – Founded 1997
EmCare Inpatient Services, continues to successfully reduce length of stay and
utilization costs for our client hospitals. We also work closely with the hospital
and emergency department leadership to reduce length of stay, streamline the
admissions process, implement cost-effective care paths, and increase patient
satisfaction through a continuum of care. When bundled with our ED services,
we continue to see impressive service and financial results.
Complete Anesthesiology Services. - Founded 2007.
AnesthesiaCare is the nation's largest provider of hospital-based anesthesia
services. AnesthesiaCare can meet your needs for an experienced, highly
trained anesthesiology staff. Anesthesiologists and/or certified registered nurse
anesthetists (CRNAs) provide full services when you need them. Clients range
from some of the smallest community hospitals to some of the largest and most
complex sub-specialty systems. We provide continuous monitoring of clinical
protocols, standards and outcomes. In addition, we offer full-service practice
management, including recruiting and credentialing, accounting, cash
management, risk management, billing and collections.
Radiology Practice Management Services – Founded 2004
Five years ago EmCare founded its radiology services division, RadCare, at the
request of client John Peter Smith. Today, RadCare provides our client hospitals
quality, turn key, radiology practice management services including
teleradiology final reads. RadCare’s teleradiology final reads serve to reduce
backlogs at night and eliminate day spikes. Comprehensive solutions include
night/weekend final interpretation services. RadCare clients enjoy reduced
study backlogs and wait times for referring physicians and patients.
EmCare continues to focus on developing bundled service solutions to
support and serve health care leaders. If one or more of these services are
of interest, please call 800.444.7009, ext 7704.
Increased patient satisfaction. Improved throughput. Bundled services.R
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AMERICAN MEDICAL
RESPONSE
JUNIOR
PARAMEDIC
JUNIOR
PARAMEDIC
Helpyour
studentsfind
thehero
within.
Helpyour
studentsfind
thehero
within.
AMERICAN MEDICAL
RESPONSE
JUNIOR
PARAMEDIC
JUNIOR
PARAMEDIC
Helpyour
studentsfind
thehero
within.
Helpyour
studentsfind
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within.
American Medical Response, San Bernardino
County’s leading ambulance service, offers a FREE
Junior Paramedic program for elementary students. Our
highly trained paramedics can come to your school with
a fun and informative program that teaches kids:
When to call 9-1-1
How to provide vital information
when calling 9-1-1
What medication information
they should keep with them
at all times
The importance of safety,
and how local emergency
medical services save lives.
Call us today to discuss this acclaimed program
that’s free for all accredited schools.
909-477-5026
Community Education Department
American Medical Response, San Bernardino County
7925 Center Ave
Rancho Cucamonga
CA 91730-3007
American Medical Response, San Bernardino
County’s leading ambulance service, offers a FREE
Junior Paramedic program for elementary students. Our
highly trained paramedics can come to your school with
a fun and informative program that teaches kids:
When to call 9-1-1
How to provide vital information
when calling 9-1-1
What medication information
they should keep with them
at all times
The importance of safety,
and how local emergency
medical services save lives.
Call us today to discuss this acclaimed program
that’s free for all accredited schools.
909-477-5026
Community Education Department
American Medical Response, San Bernardino County
7925 Center Ave
Rancho Cucamonga
CA 91730-3007
William Rabb Portfolio
POSTERS
The
BD Team
is here
to help.
So...
help us
help
you!
Tips for better graphics, ad campaigns,
brochures, proposals, postcards and more:
Send only high-resolution photos (300 dpi or better, and at least 5 inches wide.)
Photos should be well-lit and in-focus.
Think about who will be receiving the piece, and exactly what message you want
to convey. What is the purpose of the piece? What is the target market?
Offer specific information and compelling data whenever possible.
(For example, an ad campaign that says WHY we’re a good choice is better than an ad
campaign that only says, “We’re the best.” Think about what sets AMR apart in your
local market.
Let us know as early as possible about the project.
(All requests need at least 10 days notice.)
Please use the Graphics Request Form on SalesForce or SharePoint. Fill out the form
electronically and email it to Talma.Carstarphen@amr.net or William.Rabb@amr.net.
On SharePoint, go to: AMR Department Sites, Business Development,
Resource Library, Pensacola Team, and double-click on “Graphics Request Form.”
On SalesForce, click on Documents, then Folder: Resource Library.
Don’t hesitate to call and explain or ask questions: 850-437-7700.
The Family You Help
Could Be Your Own.
Sign up today for a recurring contribution through payroll
deduction or make a one-time contribution by check or PTO
donation. Simply go to the employee portal at
http://portal.emsc.net, print out
a payroll deduction form,
PTO or vacation donation
form and send it or a check to:
Just one dollar per paycheck, from every employee, can make a tremendous
difference in the lives of your co-workers— and your family—
in a time of severe need.
Your contribution will be
recognized by the Foundation:
EMSC Charitable Foundation
c/o Jason Standifird
6200 S. Syracuse Way, Suite 200
Greenwood Village, CO 80111
$100 Bronze Donor
$250 Silver Donor
$500 Gold Donor
$1,000 Platinum Donor
One Dollar
Can Go
a Long Way
for a Co-Worker
in Need.
Sign up today for a recurring contribution through payroll
deduction or make a one-time contribution by check or PTO
donation. Simply go to the employee portal at
http://portal.emsc.net, print out
a payroll deduction form,
PTO or vacation donation
form and send it or a check to:
Just one dollar per paycheck, from every employee, can make a tremendous
difference in the lives of your co-workers— and your family—
in a time of severe need.
Your contribution will be
recognized by the Foundation:
EMSC Charitable Foundation
c/o Jason Standifird
6200 S. Syracuse Way, Suite 200
Greenwood Village, CO 80111
$100 Bronze Donor
$250 Silver Donor
$500 Gold Donor
$1,000 Platinum Donor
WashingtoncouldusesomeCPR.
Literally.
In fact, people all over Washington,
Maryland and northern Virginia need
CPR and all other emergency medical
services. American Medical Response,
the nation’s largest amblance service,
is now hiring paramedics,
EMTs and wheelchair
drivers for one of the
country’s fastest-growing
and most important metro
areas. We can help you
every step of the way with
training, career
advancement and more.
Consider the benefits of a career
in emergency medical services:
Competitive wages.
Medical, dental, vision insurance; 401K plan.
An opportunity to help others and make a
difference.
The chance to work sports
and political events and
stand-bys.
FEMA deployment team
for major national disasters.
Eligibility Requirements
Current National Registry as
paramedic or EMT-P, EMT-I, EMT
or DC, Maryland or Virginia EMT-P,
EMT-I or EMT.
High school diploma or GED.
Valid driver’s license with a
good driving record.
Drug screen and background investigation.
NOWHIRING. Calltoday: 202-636-8571
2825 V St NE Washington DC 20018 www.amr.net
WORLD-CLASS
SAFETY
BEGINS WITH YOU.
The choice is clear:
Stay hydrated
this summer.
Don’t rely on thirst alone to know
when to drink fluids.
Before strenuous activity, drink about
two cups of water.
During activity, try to drink 4-6
ounces every 20 minutes.
After activity, drink plenty of water.
For every pound of water weight you
lose when exercising, drink about
20 ounces of fluids.
Keep caffeine, alcohol and
sugary drinks to a minimum.
Source: WebMD
June 2009
Stay hydrated
this summer.
WATCH
YOUR
STEP!
WATCH
YOUR
STEP!
Slipsandfallsarea
leadingcauseof
workplaceinjuries,
resultinginmorethan
700Americanskilled
and250,000harmed
eachyear.
Takestepstoprevent
accidents—everyday,everyway:
Promptly and thoroughly clean up spills, dropped food, trash.
Place caution signs until spills are cleaned up.
Keep cords, cables, hoses out of walking areas whenever possible,
and stow them properly when not in use.
Install and use handrails where needed.
Take care when reaching for and carrying large items. Make sure floors
and stairs are clean, dry and free of obstructions before proceeding.
Wear proper footwear.
Slipsandfallsarea
leadingcauseof
workplaceinjuries,
resultinginmorethan
700Americanskilled
and250,000harmed
eachyear.
WORLD-CLASS
SAFETY
BEGINS
WITH YOU.
YES YES NO NO
Source: Bureau of Labor Statistics
WORLD-CLASS SAFETY
BEGINS WITH YOU.
Prevent needle sticks by clicking the safety cap in place
immediately after use, then dispose of the syringe directly
into a sharps container. Don’t leave used sharps sitting on
surfaces, and don’t hand used sharps to others.
Potential
target markets
may be easier
to hit than
you think.
TARGET TWO
Customers currently using our
competition (leakage or shared
contracts).
TARGET ONE
Former customers who haven’t used AMR in a while.
TARGET FIVE
"Underperforming" customers with high
potential volume not being realized
(leakage or shared contracts.)
TARGET THREE
Other facilities in a similar line of
business as our top customers
where we can offer similar
solutions (24 hour Urgent Care
Centers, etc.)
TARGET SIX
Other decision makers within other hospital
departments to offer solutions (For example: interventional
radiology places many g-tubes and Hickman catheters for
SNF patients and they do call medical transportation.)
TARGET FOUR
Recent past employees of current customers now
working with a new company (Review the health
care employment ads (newspaper and on-line) to
identify facilities looking for new CEOs, CFOs,
administrators and/or directors of nursing. Find
out who left and the name of the interim – the
interim may be looking for a solution to
demonstrate they are a problem solver and an
asset in their interim leadership role.
TARGET SEVEN
Referrals from current customers and from
prospects who may not be a fit, but who may know
others that might be. (Ask our contacts at our
current facilities if they know anyone at one of our
targeted facilities – if so, ask for an introduction.)
William Rabb Portfolio
PRINT ADS
Stop wasting time
trying to find
medical transportation
for your members.
Stop wasting money
booking more-expensive
transportation than your
members may need.
M
anaging transportation can be challenging, costly and time-consuming for
your health plan. But Access2Care’s state-of-the-art software and
dedicated staff do all the work for you. You may not realize it, but without
Access2Care, you could be hiring more-expensive forms of transportation than your
members need. You may also be spending too much time
finding transportation vendors.
Access2Care operates in 20 states and specializes in serving
Medicare and Medicaid health plans with competitive, capitated-
priced transportation solutions. Our proprietary software and
Web portal allow health plans easy, convenient, 24/7 oversight
of the transportation benefit and provide instant access to call-
center, network-performance and care-management
reports. Call us today to talk about how we can keep your time
and money from going down the drain.
We take care of everything.
www.access2care.net
or call: Bjorn Thommesen at (314) 678-4166
email: bjorn.thommesen@emsc.net.
An Company
WE HOLD THE KEYS
TO BETTER MEDICARE
TRANSPORTATION
MANAGEMENT.
www.access2care.net 1-866-860-8797
Come see our booth at the Medicare Customer Service & Outreach Forum
Hawaii needs paramedics! And with American Medical
Response, you can be part of the nation’s largest and most
respected ambulance service — the one everyone wants to
work for.
Interested? Call today!
Phone: (808) 487-4900 Fax your resume: (808) 486-1765
Andy_Ancheta@amr-ems.com
Consider the rewards:
Great pay.
$3,000 signing bonus and $1,500 relocation stipend.
Great benefits.
Living in paradise.
A rewarding career helping others.
A skill set you can use anywhere, anytime.
Picture
Yourself
Here.
Hometown Professionals.
Proudly Serving Natchez,
Adams County and Concordia Parish.
American Medical Response of Adams-Concordia is part of
the nation’s leading ambulance service, with more than 150
operations around the country. This means we can bring in
extra crews and equipment at a moment’s notice, any time
this area needs it, because of a natural disaster
or other major emergency.
But we’re also local folks born and raised right here in
Miss-Lou. We’re glad to be a part of this community.
190 Hwy 61 South, Natchez, MS 39120
(601) 442-4259 (In emergencies, call 9-1-1.)
Call on us any time you need reliable medical transportation.
William Rabb Portfolio
PROPOSAL COVERS
Your Dependable Partner
A Presentation to
Baptist Health System
August 2009
Case Management Meeting
Cape Cod Hospital
August 5, 2009
CaseManagementMeeting/CapeCodHospital
Aug.
2009
Jan. 22, 2008
AnOffertoProvideEMS/AmbulanceService
fortheSoutheastCollinCounty,TX
EMSCoalition
An Offer to Provide
EMS / Ambulance Service
for the Southeast Collin County
EMS Coalition
Jan. 22, 2008
“When response time and reliability
are most important.”
2008
MEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATION
Job No. 07/0406
Proposal to Provide
Ambulance Services
for the Harris County, Texas
Hospital District Proposal to Provide
Ambulance Services
for the
Harris County, Texas
Hospital District
MEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATION
November 26, 2007
Job No. 07/0406
November 2007
A Proposal to Provide
Non-Emergency
Transportation
Services
for the Mississippi Division
of Medicaid
A Proposal to
Provide
Non-Emergency
Transportation
Services
for the
Mississippi
Division of
Medicaid
November
2009
November
2009
using the
Solution
An Offer to Provide
Non-Emergency Ambulance Services
for Beneficiaries of the
VA Medical Center,
Omaha, NE
VA-263-09-RQ-0154 | June 2009
PRICING PROPOSAL
ORIGINAL
An Offer to Provide
Ambulance Service
for the
United States
Air Force Academy
May 7, 2008
An Offer to
Provide
Ambulance
Service
for the
United States
Air Force
Academy
May7,2008
No.FA7000-08-R-0006
No. FA7000-08-R-0006

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William Rabb Design Portfolio

  • 2. What You Need to Know About Ordering Air Ambulance Transports Information for Care Coordinators “It’s really easy. AASI took care of everything, from air to ground, from bed to bed.” 345InvernessDriveSouth SuiteA110 Englewood,CO80112 PRSRTSTD USPostagePaid Englewood,CO PermitNo.1173 Air Ambulance Specialists Inc.
  • 3. At Air Ambulance Specialists, we relocate patients to hospitals, nursing homes or to private residences for those returning home. Some may require specialized medical procedures or treatment at speciality or advanced- care facilities. All aircraft are ICU / CCU equipped, and are staffed with a critical-care team. AASI transports include: • Ventilator dependent • Burn • Spinal cord injury • Cardiac • Rehabilitation • Trauma • Orthopedic • Geriatric • Brain injury • Pediatric • Transplant Complete Bed-to-Bed Service General patient condition / DX. Name of originating and destination hospitals. Date of transport or approximate date of transport. Tubes or equipment (such as I.V., ventilator, trach) needed Patient DOB, height, weight, sex. Payor source – this is needed if insurance is involved so that we can verify air ambulance benefits and determine if pre-authorization is required. Pre-authorization will not be obtained until the decision has been made to do the transport withAASI. Patient name. Name of receiving hospital physician, and bed confirmation. For domestic flights, a valid, government-issued picture ID will suffice. For international trips, a valid passport and visa information is required. What the Communications Center needs to know: Provide a written bed-to-bed price quote, and check aircraft availability. Verify air ambulance benefits for insurance payor transports. Obtain pre-authorization from insurance companies for air transport. Obtain a medical report from the nurse in charge of the patient. Verify bed availability and accepting physician at receiving facility. Arrange ground transportation at sending and receiving facility. Send necessary documentation, including: 1. Patient transfer guidelines 2. Financial obligation form 3. Transfer orders Provide flight-following and will update the receiving facility with any changes in the schedule. Our Communication Center is bi-lingual and can communicate with countries around the globe in more than 150 languages. Provide on-going communication with all parties involved. Will notify care coordinator of patient’s safe arrival. What the AASI Communications Center will do for you: Call us any time, 24/7! U.S. and Canada : 800-424-7060 International: 720-875-9182 Fax: 720-875-9183 www.airaasi.com / email: info@airaasi.com Transfer orders from physician and acceptance documentation from receiving facility. A copy of the patient’s discharge summary and three FACE sheets. Completed and signed Consent-for-Transport form. Copy of most recent laboratory work. A copy of the MAR and any scheduled or PRN medications the patient may require during transport. Patient should be sent with IV access. Diaper patient if unconscious or incontinent; or consider Foley catheter. Discontinue tube feedings at least 4 hours prior to transport; Minimize P.O. intake at least 2 hours prior to transport. Bivalve any circumferential casts prior to transport. Limit baggage to no more than two carry-on, soft-sided bags. Limit passengers to one family member or friend (depending on space availability). Patient Transfer Guidelines Air Ambulance Interior An Company 4. An advance-beneficiary notice 5. Consent for transport. AirAmbulance Specialists Inc. is CAMTS accredited (similar to JCAHO for hospitals), and is associated with or a member of most industry organizations. Paperwork to be included with patient: Other considerations: Private air ambulance Medical escort on commercial carrier Commercial stretcher (international flights) Air Ambulance Specialists Inc. (AASI) is not a FAA 135 direct air carrier but utilizes contracted/ dedicated 135 aircraft vendors. AASI may on occasion when necessary, outsource a flight to another FAA approved air ambulance company.
  • 4. AMR EMS Offshore Medical Services is a subsidiary of American Medical Response, Inc., a leading emergency medical services provider with operations in 40 states. AMR EMS Offshore provides on-site medical technicians and on-call physician support services using telemedicine technology. We offer services for offshore oil and gas operations, cruise lines, airlines, remote rural locations, and more. We also provide on-site services such as EMT/paramedic training and certification, employee physicals, drug-testing services, and other physician- related services upon request. Call us any time. 12020IntraplexParkway Gulfport,MS39503 Introducing... Providing on-site and remote medical care for offshore locations, 24 hours a day 228-897-6639 228-897-6639 Amemberofthefamilyofhealthcarecompanies
  • 5. 24-Hour, Telemedicine Support/Medical Direction: We provide 24-hour, on-call physician consultations to remote, on-site medical staff. With our services, on-site medical staff members can consult with experienced physicians to discuss treatment options and make sound medical transfer decisions. We offer the latest telemedicine technology that allows on-site medical staff to transmit real-time medical data, such as vital signs and images, to our network of emergency physicians. Our services can reduce unnecessary transfers to medical facilities, which saves time, money and manpower. Training, Certification and OSHA-Mandated Classes: We offer custom-designed training through on-site instruction or distance-learning technology to your on-site medical staff: SafeGulf / SafeLand certified CORE compliance certified Mandatory OSHA classes Nationally registered EMTs and paramedics. On-Site Occupational Medical Service: EMS Offshore Medical Services provides on-site medical teams to perform employee physical examinations and drug testing services for onshore and offshore work locations. These services can help you meet state and federal employee health and safety regulations and can help prevent on-the-job accidents and injuries. Our on-site teams save time and money and ensure quality and consistency are not compromised. Our primary focus is providing on-site medical staffing, safety, and training services to companies with employees in remote or offshore locations. We design customized medical support services to meet clients’ needs. These include on-site safety technician/medical personnel and physician referrals for medical teams at remote locations. Our emergency physicians use the latest medical and computer telemedicine technology to provide 24-hour physician support. Call us today for more information! 228-897-6639 On-site.On-call. Expertcarewhenyour workersareoceans awayfromahospital. EMS Offshore Medical Services provides on-site emergency medical staffing, on-call physician support services, and emergency medical and safety training for companies with remote working sites such as offshore oil rigs. 24-Hour, On-Site Health, Environment and Safety Technician / Medical Personnel: AMR EMS Offshore Medical Services has extensive experience designing and staffing on-site sick bays. Medical personnel operate under well-defined standing orders and medical directors provide direction to on-site medical teams 24/7. Medical personnel are trained safety technicians and employ methods to ensure the health and safety of your workforce as well a quick return to health of your ill or injured personnel. EMTsatyourlocation. Physiciansavailable 24hoursaday. www.amr.net
  • 7. W O R L D C L A S S S A F E T Y LEADERSHIP NEWSSECOND QUARTER 2009 | VOL. 1, ISSUE 2 May is EMS Month 2009 Celebrate Our Emergency Medical Services Workers The national celebration of EMS Week 2009 will be held May 17-23, with the theme of: "EMS-A Proud Partner in Your Community." EMS week brings together local communities and EMS personnel to publicize safety and honor the dedication of those who provide the day-to-day lifesaving services of medicine's "front line," more than 17,000 of our employees. As we recognize the daily efforts of AMR caregivers to im- prove health in the communities we serve, it is important to recognize that EMS Week provides the opportunity to emphasize wellness and safety preventive measures that will assist our employees throughout their careers. Examples include healthy eating, proper exercise and self-care decisions that will improve the overall quality of their lives. The Safety Leadership Group (SLG) has worked diligently to develop a variety of safety and health programs that may be uti- lized by Opera- tions as they prepare for EMS Week. Special ac- tivities on a na- tional and local level will be taking place throughout our opera- tions to support and raise awareness about caregiver health and safety. A number of the programs the SLG has recommended encourages employees to be- come more health conscious. Programs such as Step by Step and Get Moving, sponsored by the American Heart Association, focus on physical fitness for caregivers. Other health and fitness programs include weight challenges, health fairs and 24 hour fitness club memberships at discount pricing. Contact your regional safety professional for information on wellness programs and becoming a member of a wellness team. Re- member, a healthy, more fit em- ployee will be a happier, safer employee. As you plan local activities for EMS Week, we encourage you to include some of the activities listed on the SRM Knowledge- base, 2009 EMS Week Activities folder (ac- cessible via the Portal). Why accidents need to be investigated. Page 2. Employee Wellness A choice to be made. Page 2. Safety Leadership Interview with AMR General Manager Renee Colarossi. Page 3. Worker’s Comp Changes in pharmacy service form.Page 4. Contributors Tom Eller Ron Thackery Paul Cormier Troy Meckel National Safety Council Newsletter Editor: Rob Garrett Safety Leadership Group Ron Thackery, SVP Professional Services & Integration Paul Cornier, SRM, Northeast Tom Eller, Dir SR, Southwest/Hawaii Hadassa Fyffe, SRM, GA, FL, Carolinas Rob Garrett, SRM , Central Ken Gosteli, SRM, Northwest Mike Hill, SRM, Southwest/Hawaii Troy Meckel, SR Specialist, South Rich Silva, HR Mgr, NorCal We’re on the Portal: http://portal.emsc.net Inside this issue: EMS workers at AMR’s Arlington, Texas operations
  • 8. W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 2 Investigating an Incident: Why? All incidents, whether Worker’s Compensation, auto collision, general liability, compliance or OSHA-related incidents, warrant a complete investigation. Other incidents, such as professional liability incidents, require different types of investiga- tions, and thus, would require consultation with Safety & Risk and Clinical Man- agement. In order to determine causation of an incident, we must first understand the factors involved. Those factors include the five ‘Ws.’ Who did the incident in- volve, What happened, Where and When did it happen and Why did it happen. We can determine ‘who’ was involved by not only naming the crew but also talking to witnesses. Witness statements are important in relating facts about the scene of the incident at the exact time. When answering ‘what’ and ‘where’ the incident happened, not only do we want a brief statement from the affected employee(s), but photographs can also help answer this question by providing pieces of the incident for evaluation like a puzzle. Was it raining or snowing? Was it night time, twilight or daytime? These types of questions help to answer the ‘when.’ Only after answering the first four ‘Ws’ can we begin to answer the ‘why.’ The first four help us build a picture of the event. But just because we can provide one answer to ‘why’ does not necessarily mean the ‘why’ has been answered. We may have to ask ‘why’ many times to come to a final cause for the incident. A proper investigation of the incident will help to establish the factors, thus, causation. You may ask: “Why should I care about causation? Is that not why we have an insurance carrier to determine who is at fault?” Determining causation through a proper investigation will assist your operation in learning what areas employees may need more training or education, or where there may be equip- ment failure or malfunction, and how to prevent accidents in the future. Everyday,AMR crews respond to calls for help from patients experiencing a myriad of health problems. In many cases, they discover ailments that are a result of poor personal choices: sedentary lifestyles, smoking, drinking, poor di- etary habits and stress. While the damaging effects are already there, and in some cases are irreversible, we often still offer advice on healthy choices and hope at least a few patients listen… Sadly, the same lifestyle risk factors that cause so many deaths each year are also prevalent among EMS workers. Research has demonstrated that virtually all individuals can benefit from regular physical activity, whether they participate in vigorous exercise or some type of moderate health-enhancing physical activity. Regular physical activity delivers many rewards: Reduces the risk of dying prematurely, heart disease, developing diabetes, high blood pressure, cancer. Also re- duces feeling of depression and stress. Helps control weight and build and maintain healthy bones, muscles and joints and promotes worker productivity. Yet, despite the benefits, only about 23% of workers report regular vigorous activity for 20 minutes or longer 3 or more days per week. In EMS, there are a few “givens” that we have simply just come to terms with: We eat when we can, not when we want; Back pain is not uncommon; and We will experience stress. Even though these three “givens” surround us each day, remember that there are ways to combat them, including: talking to co-workers for support, breathing exercises during stressful events (in through the nose and out the mouth sev- eral times), getting enough sleep and, finally, as mentioned above, exercise. Since there is no telling what a new day will bring, we need to come to work physically and mentally prepared for the worst everyday. We don’t get to start a shift with an agenda, except that of what we need to do when the moment comes. For this reason, EMS will simultaneously remain one of high respect and high demand for the public. It’s also yet another reason why caring for our patients must parallel caring for ourselves by Making a Healthy Choice. Health & Wellness is the most important thing to you and the most important thing toAMR. Employee Wellness: A Healthy Choice Getty Images Subscription AMR Photos
  • 9. P A G E 3 2 Q 2 0 0 9 W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S San Bernardino County is the largest county in the United States and covers roughly 20,160 square miles. The AMR service area for the county covers a population of 1.6 million. Currently, AMR is the contracted emergency operations area provider for the county, and that includes an annual call volume of 168,344 total calls and 125,797 transports. There are three main operations in the county: Rancho Cucamonga, Redlands/San Bernardino, and Victorville. AMR’s SB County Operations full-time field employee mix consists of 316 EMT’s, 144 Paramedics and 10 CCT nurses. Question: What does “safety leadership” mean to you as a leader at AMR? Renee: We are all accountable for safety within the or- ganization. As leaders, we are accountable for the safety of our employees, patients and the communities we serve. To me, safety leadership really means that management con- tinuously observes safety behaviors, and commends and corrects behavior immediately as needed. The main goal would be to instill a culture of safety for all employees. Most importantly, I feel that as leaders we certainly need to lead by example. Question: How do you feel safety leadership and awareness impacts your area and AMR as an organization? Renee: Safety Leadership and awareness is critical for accident and injury reductions and promoting an ongoing culture of safety within the organization. Also, safety leadership has a significant im- pact on enhancing operational efficiencies, productivity, employee morale, and many other areas of the operations. Overall, it is just the right thing to do for our employees, patients and communities we serve. Additionally, continued focus in positive safety performance and loss management reduces our overall costs and enhances prof- itability for my area and the entire organization. Question: What are some of the safety programs you have im- plemented in SB county to address safety issues and opportunities? Renee: We included driving safety in our 2007 Strategic Plan. The focus in safe driving behaviors were monitored through our Road Safety program which measures speed, backing, seatbelts, and high force counts. We established objectives and tactics to measure and monitor driving behaviors. Through establishing goals and tactics, utilizing established metrics and posting scores, and providing con- stant feedback, we have since seen significant positive results in our driving safety performance. Additionally, we have developed and added a comprehensive gurney-handling skills-training component in our new-hire orientation and FTO training process. Since implement- ing this training and focus we have seen a reduction in gurney related incidents.” Question: Is there a specific safety initiative, process or pro- gram that you have implemented that you feel has had the most im- pact on your safety performance? Renee: Including safe driving behavior in our Strategic Plan had a large impact in reducing our auto-collision rates. Safe driving behavior has become an expectation and culture within our operations through continuous focus and awareness. Question: How do you promote safety and generate safety aware- ness? Renee: We continually promote safety awareness through ensuring the National Safety Initiative posters are posted and all em- ployees receive the safety message from their supervisor monthly. Also, we communicate safety issues and successes in our staff meetings to ensure safety communications are being done, safety goals are established and met, and safety strate- gies are developed and communicated. Question: What specific processes do you feel are im- portant to ensure safety accountability for your leadership team? Renee: That our safety goals are continually communi- cated and discussed with the management team, and to ensure expecta- tions are established. During our monthly staff meetings we review the National safety goals on the Management Safety Incentive Program and National Safety Performance Strategic Indicators. Positive safety per- formance is recognized and expectations are clearly communicated for improvements when necessary. Also, continuous monitoring of accident types and causes is critical in establishing safety strategies to mitigate potential loss trends and drivers. Question: How do you set safety expectations for your operational leaders and caregivers? Renee: By reviewing our safety goals established for the year with all managers and ensuring they clearly understand the importance of safety in their operations. Additionally, we ensure that all managers un- derstand the impact of the expenses related to accidents and injuries. Also, we ensure that our caregivers understand their role and responsi- bilities for safety through training and awareness of our safety policies. Safety expectations are promoted through positive recognition for safe behaviors and immediate correction and remediation for unsafe behav- iors. Question: What else can the Safety and Risk Management De- partment do for you…what would you like to see from the SRM De- partment that would assist you better in overcoming operational challenges? Renee: I would like to see more statistical data analysis on types and causes of accidents so that we can ensure we are focusing on prior- ity areas. This would be helpful to ensure we are focusing our safety efforts and resources in the proper prevention strategies. Additionally, more updated lists for available training and remediation would be wel- come. What is Safety Leadership? AGeneral Manager’s Perspective An Interview with Renee Colarossi, General Manager, AMR-San Bernardino County, CA LEADERSHIP CORNER LEADERSHIP CORNER
  • 10. Due to changes in the prescription service, all AMR operations should now be using a new prescription card (shown to the right) for Worker’s Compensation claims. The previous prescription card from MSC is no longer applicable. In an effort to control costs and utilization, we have temporarily chosen Express Scripts as our pharmacy choice for Workers Compensation claims. The new form can be found in the Injured Workers Packet on the Safety & Risk Knowledge Base in the li- brary. Your operations should download this revised Injured Workers Packet and begin using this form for all injured employees who seek treatment. W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 4 Pharmacy changes for Worker’s Comp claims The National Safety Initiative (NSI) Program has been a tool AMR has used for the last 10 years to bring World Class Safety awareness to its employees. The program has four features every month: a safety poster, a supervisor letter, a talking-point card and four weekly “What’s Wrong With this Picture?” cards. All but the talking point cards should be posted in conspicuous locations. Although the content will remain the same, the talking point card has taken on a new look. Instead of wallet-sized cards, the talking points are now on letter-size paper. This will allow for a more personal interaction between the employees and the man- agement staff, makes it easier to record employee names on, and saves printing time. You are encouraged to reprint these pages for distribution to supervisors and field training officers, if needed. The talking points are intended to generate a conversation about safety between management and crews. Each operation is expected to contact at least 90% of their full-time employees. These NSI contacts are then reported into a national database, tracked and included into the Strategic Indicator report each month. An employee may be contacted more than once, by different supervisors and field training officers.If you have any questions about this program, please contact your divisional safety professional for further interpretation. Monthly safety packages revised WORLD-CLASS SAFETY BEGINS WITH YOU. The choice is clear: Stay hydrated this summer. Don’t rely on thirst alone to know when to drink fluids. Before strenuous activity, drink about two cups of water. During activity, try to drink 4-6 ounces every 20 minutes. After activity, drink plenty of water. For every pound of water weight you lose when exercising, drink about 20 ounces of fluids. Keep caffeine, alcohol and sugary drinks to a minimum. Source: WebMD June 2009 Stay hydrated this summer. Supervisor / Field Training Officer Card Jun ‘09 The bullet items on this card should be discussed with each of your employees during the month. Please write down your employees’ names on the back of this card after meeting with them and turn it in to the op- erations’ director/manager upon completion. Thanks! Staying hydrated throughout the year is essential to your good health, no matter what the weather. One of the most effective ways you can improve your overall health is very simple — drink more water. Talking Points: Water regulates body temperature, cushions and protects organs, assists digestion, reduces stress, transports nutrients and dispels wastes. Signs and symptoms of dehydration include: excessive thirst (dry mouth), fatigue, headache, little or no urination, muscle weakness and feeling dizzy/lightheaded. Drink at least 2,000 milliliters or eight 8-oz. glasses of water daily. To prevent dehydration, drink fluids before, during and after physical activity. WORLD-CLASS SAFETYBEGINS WITH YOU.
  • 12. Is your anesthesia provider causing delays in your surgery schedules? AnesthesiaCare is a leading innovator in performance improvement for both clinical and operational areas of anesthesia department management. Our services are results-focused and driven to improve turnaround time, outcomes, and patient safety/satisfaction. A partnership with AnesthesiaCare can result in the following improvements: Prompt operating room start times Rapid room turnover Fewer delays in surgery schedules Immediate availability in the obstetrical suite Facilitating the surgeon’s schedule by prompt pre-op evaluations and maximum utilization of the operating rooms/regional anesthesia when indicated Pleasant and cordial attitudes Prevailing spirit of teamwork Safe, efficient, and effective delivery of anesthesia and related services. is the solution you need. To learn more about what a partnership with AnesthesiaCare can mean for you, please contact: Lindsay Wilkinson 850-444-2551
  • 13. Emergency Medicine. Customer Driven. The Complete Anesthesia Solution. R Cost-effective. Accessible Technology. Inpatient Solutions. In-Depth Support. The Physician Management Services of We are your single-source solution. As industry-leading providers of outsourced hospital-based physician services, we are the only source you need for emergency department, anesthesiology, radiology, teleradiology, and inpatient services. Count on our nearly four decades of experience in improving performance and customer satisfaction with programs tailored to provide expert service and financial synergy in a demanding healthcare environment.
  • 14. To help our clients thrive in today’s challenging healthcare environment, EmCare continues to expand our hospital-based services. Our industry-unique offering of multiple hospital-based services gives your hospital the ability to bundle services, providing a venue for financial and service synergy. Emergency Department Practice Management Services – Founded 1972 EmCare continues to be the nation’s leading provider of emergency care. We are committed to delivering a high quality of care through experienced physician and nursing leadership, extensive support resources, and consultative support programs. EmCare is successfully using LEAN to implement Front-End Redesign and Rapid Medical Evaluation to improve ED metrics, throughput and patient satisfaction. EmCare is a national leader in recruiting quality physicians and medical directors and in supporting clients to improve key departmental metrics, including patient satisfaction, LWOT/AMA, throughput and length of stay. Through our exclusive Studer Group partnership, we develop consistent accountability systems that help increase physician satisfaction, increase patient and family satisfaction, improve efficiencies and improve clinical outcomes. Inpatient/Hospitalist Practice Management Services – Founded 1997 EmCare Inpatient Services, continues to successfully reduce length of stay and utilization costs for our client hospitals. We also work closely with the hospital and emergency department leadership to reduce length of stay, streamline the admissions process, implement cost-effective care paths, and increase patient satisfaction through a continuum of care. When bundled with our ED services, we continue to see impressive service and financial results. Complete Anesthesiology Services. - Founded 2007. AnesthesiaCare is the nation's largest provider of hospital-based anesthesia services. AnesthesiaCare can meet your needs for an experienced, highly trained anesthesiology staff. Anesthesiologists and/or certified registered nurse anesthetists (CRNAs) provide full services when you need them. Clients range from some of the smallest community hospitals to some of the largest and most complex sub-specialty systems. We provide continuous monitoring of clinical protocols, standards and outcomes. In addition, we offer full-service practice management, including recruiting and credentialing, accounting, cash management, risk management, billing and collections. Radiology Practice Management Services – Founded 2004 Five years ago EmCare founded its radiology services division, RadCare, at the request of client John Peter Smith. Today, RadCare provides our client hospitals quality, turn key, radiology practice management services including teleradiology final reads. RadCare’s teleradiology final reads serve to reduce backlogs at night and eliminate day spikes. Comprehensive solutions include night/weekend final interpretation services. RadCare clients enjoy reduced study backlogs and wait times for referring physicians and patients. EmCare continues to focus on developing bundled service solutions to support and serve health care leaders. If one or more of these services are of interest, please call 800.444.7009, ext 7704. Increased patient satisfaction. Improved throughput. Bundled services.R R
  • 16. American Medical Response, San Bernardino County’s leading ambulance service, offers a FREE Junior Paramedic program for elementary students. Our highly trained paramedics can come to your school with a fun and informative program that teaches kids: When to call 9-1-1 How to provide vital information when calling 9-1-1 What medication information they should keep with them at all times The importance of safety, and how local emergency medical services save lives. Call us today to discuss this acclaimed program that’s free for all accredited schools. 909-477-5026 Community Education Department American Medical Response, San Bernardino County 7925 Center Ave Rancho Cucamonga CA 91730-3007 American Medical Response, San Bernardino County’s leading ambulance service, offers a FREE Junior Paramedic program for elementary students. Our highly trained paramedics can come to your school with a fun and informative program that teaches kids: When to call 9-1-1 How to provide vital information when calling 9-1-1 What medication information they should keep with them at all times The importance of safety, and how local emergency medical services save lives. Call us today to discuss this acclaimed program that’s free for all accredited schools. 909-477-5026 Community Education Department American Medical Response, San Bernardino County 7925 Center Ave Rancho Cucamonga CA 91730-3007
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  • 19. The BD Team is here to help. So... help us help you! Tips for better graphics, ad campaigns, brochures, proposals, postcards and more: Send only high-resolution photos (300 dpi or better, and at least 5 inches wide.) Photos should be well-lit and in-focus. Think about who will be receiving the piece, and exactly what message you want to convey. What is the purpose of the piece? What is the target market? Offer specific information and compelling data whenever possible. (For example, an ad campaign that says WHY we’re a good choice is better than an ad campaign that only says, “We’re the best.” Think about what sets AMR apart in your local market. Let us know as early as possible about the project. (All requests need at least 10 days notice.) Please use the Graphics Request Form on SalesForce or SharePoint. Fill out the form electronically and email it to Talma.Carstarphen@amr.net or William.Rabb@amr.net. On SharePoint, go to: AMR Department Sites, Business Development, Resource Library, Pensacola Team, and double-click on “Graphics Request Form.” On SalesForce, click on Documents, then Folder: Resource Library. Don’t hesitate to call and explain or ask questions: 850-437-7700.
  • 20. The Family You Help Could Be Your Own. Sign up today for a recurring contribution through payroll deduction or make a one-time contribution by check or PTO donation. Simply go to the employee portal at http://portal.emsc.net, print out a payroll deduction form, PTO or vacation donation form and send it or a check to: Just one dollar per paycheck, from every employee, can make a tremendous difference in the lives of your co-workers— and your family— in a time of severe need. Your contribution will be recognized by the Foundation: EMSC Charitable Foundation c/o Jason Standifird 6200 S. Syracuse Way, Suite 200 Greenwood Village, CO 80111 $100 Bronze Donor $250 Silver Donor $500 Gold Donor $1,000 Platinum Donor
  • 21. One Dollar Can Go a Long Way for a Co-Worker in Need. Sign up today for a recurring contribution through payroll deduction or make a one-time contribution by check or PTO donation. Simply go to the employee portal at http://portal.emsc.net, print out a payroll deduction form, PTO or vacation donation form and send it or a check to: Just one dollar per paycheck, from every employee, can make a tremendous difference in the lives of your co-workers— and your family— in a time of severe need. Your contribution will be recognized by the Foundation: EMSC Charitable Foundation c/o Jason Standifird 6200 S. Syracuse Way, Suite 200 Greenwood Village, CO 80111 $100 Bronze Donor $250 Silver Donor $500 Gold Donor $1,000 Platinum Donor
  • 22. WashingtoncouldusesomeCPR. Literally. In fact, people all over Washington, Maryland and northern Virginia need CPR and all other emergency medical services. American Medical Response, the nation’s largest amblance service, is now hiring paramedics, EMTs and wheelchair drivers for one of the country’s fastest-growing and most important metro areas. We can help you every step of the way with training, career advancement and more. Consider the benefits of a career in emergency medical services: Competitive wages. Medical, dental, vision insurance; 401K plan. An opportunity to help others and make a difference. The chance to work sports and political events and stand-bys. FEMA deployment team for major national disasters. Eligibility Requirements Current National Registry as paramedic or EMT-P, EMT-I, EMT or DC, Maryland or Virginia EMT-P, EMT-I or EMT. High school diploma or GED. Valid driver’s license with a good driving record. Drug screen and background investigation. NOWHIRING. Calltoday: 202-636-8571 2825 V St NE Washington DC 20018 www.amr.net
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  • 24. WORLD-CLASS SAFETY BEGINS WITH YOU. The choice is clear: Stay hydrated this summer. Don’t rely on thirst alone to know when to drink fluids. Before strenuous activity, drink about two cups of water. During activity, try to drink 4-6 ounces every 20 minutes. After activity, drink plenty of water. For every pound of water weight you lose when exercising, drink about 20 ounces of fluids. Keep caffeine, alcohol and sugary drinks to a minimum. Source: WebMD June 2009 Stay hydrated this summer.
  • 25. WATCH YOUR STEP! WATCH YOUR STEP! Slipsandfallsarea leadingcauseof workplaceinjuries, resultinginmorethan 700Americanskilled and250,000harmed eachyear. Takestepstoprevent accidents—everyday,everyway: Promptly and thoroughly clean up spills, dropped food, trash. Place caution signs until spills are cleaned up. Keep cords, cables, hoses out of walking areas whenever possible, and stow them properly when not in use. Install and use handrails where needed. Take care when reaching for and carrying large items. Make sure floors and stairs are clean, dry and free of obstructions before proceeding. Wear proper footwear. Slipsandfallsarea leadingcauseof workplaceinjuries, resultinginmorethan 700Americanskilled and250,000harmed eachyear. WORLD-CLASS SAFETY BEGINS WITH YOU. YES YES NO NO Source: Bureau of Labor Statistics
  • 26. WORLD-CLASS SAFETY BEGINS WITH YOU. Prevent needle sticks by clicking the safety cap in place immediately after use, then dispose of the syringe directly into a sharps container. Don’t leave used sharps sitting on surfaces, and don’t hand used sharps to others.
  • 27. Potential target markets may be easier to hit than you think. TARGET TWO Customers currently using our competition (leakage or shared contracts). TARGET ONE Former customers who haven’t used AMR in a while. TARGET FIVE "Underperforming" customers with high potential volume not being realized (leakage or shared contracts.) TARGET THREE Other facilities in a similar line of business as our top customers where we can offer similar solutions (24 hour Urgent Care Centers, etc.) TARGET SIX Other decision makers within other hospital departments to offer solutions (For example: interventional radiology places many g-tubes and Hickman catheters for SNF patients and they do call medical transportation.) TARGET FOUR Recent past employees of current customers now working with a new company (Review the health care employment ads (newspaper and on-line) to identify facilities looking for new CEOs, CFOs, administrators and/or directors of nursing. Find out who left and the name of the interim – the interim may be looking for a solution to demonstrate they are a problem solver and an asset in their interim leadership role. TARGET SEVEN Referrals from current customers and from prospects who may not be a fit, but who may know others that might be. (Ask our contacts at our current facilities if they know anyone at one of our targeted facilities – if so, ask for an introduction.)
  • 29. Stop wasting time trying to find medical transportation for your members. Stop wasting money booking more-expensive transportation than your members may need. M anaging transportation can be challenging, costly and time-consuming for your health plan. But Access2Care’s state-of-the-art software and dedicated staff do all the work for you. You may not realize it, but without Access2Care, you could be hiring more-expensive forms of transportation than your members need. You may also be spending too much time finding transportation vendors. Access2Care operates in 20 states and specializes in serving Medicare and Medicaid health plans with competitive, capitated- priced transportation solutions. Our proprietary software and Web portal allow health plans easy, convenient, 24/7 oversight of the transportation benefit and provide instant access to call- center, network-performance and care-management reports. Call us today to talk about how we can keep your time and money from going down the drain. We take care of everything. www.access2care.net or call: Bjorn Thommesen at (314) 678-4166 email: bjorn.thommesen@emsc.net. An Company
  • 30. WE HOLD THE KEYS TO BETTER MEDICARE TRANSPORTATION MANAGEMENT. www.access2care.net 1-866-860-8797 Come see our booth at the Medicare Customer Service & Outreach Forum
  • 31. Hawaii needs paramedics! And with American Medical Response, you can be part of the nation’s largest and most respected ambulance service — the one everyone wants to work for. Interested? Call today! Phone: (808) 487-4900 Fax your resume: (808) 486-1765 Andy_Ancheta@amr-ems.com Consider the rewards: Great pay. $3,000 signing bonus and $1,500 relocation stipend. Great benefits. Living in paradise. A rewarding career helping others. A skill set you can use anywhere, anytime. Picture Yourself Here.
  • 32. Hometown Professionals. Proudly Serving Natchez, Adams County and Concordia Parish. American Medical Response of Adams-Concordia is part of the nation’s leading ambulance service, with more than 150 operations around the country. This means we can bring in extra crews and equipment at a moment’s notice, any time this area needs it, because of a natural disaster or other major emergency. But we’re also local folks born and raised right here in Miss-Lou. We’re glad to be a part of this community. 190 Hwy 61 South, Natchez, MS 39120 (601) 442-4259 (In emergencies, call 9-1-1.) Call on us any time you need reliable medical transportation.
  • 34. Your Dependable Partner A Presentation to Baptist Health System August 2009
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  • 36. Case Management Meeting Cape Cod Hospital August 5, 2009 CaseManagementMeeting/CapeCodHospital Aug. 2009
  • 37. Jan. 22, 2008 AnOffertoProvideEMS/AmbulanceService fortheSoutheastCollinCounty,TX EMSCoalition An Offer to Provide EMS / Ambulance Service for the Southeast Collin County EMS Coalition Jan. 22, 2008 “When response time and reliability are most important.”
  • 38. 2008
  • 39. MEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATION Job No. 07/0406 Proposal to Provide Ambulance Services for the Harris County, Texas Hospital District Proposal to Provide Ambulance Services for the Harris County, Texas Hospital District MEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATIONMEDICALTRANSPORTATION November 26, 2007 Job No. 07/0406 November 2007
  • 40. A Proposal to Provide Non-Emergency Transportation Services for the Mississippi Division of Medicaid A Proposal to Provide Non-Emergency Transportation Services for the Mississippi Division of Medicaid November 2009 November 2009 using the Solution
  • 41. An Offer to Provide Non-Emergency Ambulance Services for Beneficiaries of the VA Medical Center, Omaha, NE VA-263-09-RQ-0154 | June 2009 PRICING PROPOSAL ORIGINAL
  • 42. An Offer to Provide Ambulance Service for the United States Air Force Academy May 7, 2008 An Offer to Provide Ambulance Service for the United States Air Force Academy May7,2008 No.FA7000-08-R-0006 No. FA7000-08-R-0006