Pinnacle 2015
August 3 – 7, 2015

OMNI PLANTATION AMELIA ISLAND     JACKSONVILLE, FL.

Program

Pinnacle engages attendees with no-holds-barred exploration of the most relevant topics in the changing world of EMS. You’ll receive up-to-the-minute information, insight into emerging trends, and real-world tools you can use to get results in your organization.

Special Events & Hospitality

  • PINNACLE POWER SEMINARS

    Monday, July 21
    8 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    ADVANCED STRATEGIES FOR MANAGING AN AGENCY

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    The future of EMS looks bright. But to take full advantage of new opportunities, leaders need to ensure that their organizations excel in the four critical pillars of success: operations, clinical practice, financial and HR/personnel. To be weak in any one area means the entire organization is vulnerable — and unable to respond to challenges.

    In this session, each of the four pillars will be addressed, covering the latest trends and advanced strategies while reinforcing basic truths that don’t change over time. What you learn will help you keep your agency healthy and ready to respond, whatever the future holds.

    Topics include:

    • Updating the national conversation on response times: Is there a paradigm shift coming?
    • The latest thinking in call demand, resource matching and deployment
    • Balancing efficiency and caregiver satisfaction
    • Which schedule best serves customers, employees and your agency’s overtime budget?
    • Fundamentals of quality: measuring what matters, learning to integrate the lessons and building new capabilities/attitudes
    • Developing a functional supervisory team
    • Integrating new employees: the role of the field training officer
    • Managing the future financial gap: Are subsidies required?

    Skip Kirkwood, JD, is EMS chief of the Durham County (North Carolina) EMS system and immediate past president of the National EMS Management Association. AJ Heightman, a former EMS executive, is editorial director for PennWell Public Safety, publisher of JEMS, Journal of Emergency Medical Services.


    Monday, July 21
    8 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    MAKING INTEGRATION HAPPEN: A PLAYBOOK FOR GETTING YOUR MIHP UP & RUNNING

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    Sponsored in part by Medtronic Philanthropy

    Improving health for targeted populations requires a more comprehensive and integrated system of care — one in which EMS has unique attributes for playing a leading role. Mobile Integrated Healthcare Practices harness the power of strategic partnerships among community stakeholders. They are driven by a population-based needs assessment and the triple aims of healthcare reform: enhancing the patient experience, improving clinical outcomes and providing tangible value. This session is a blueprint for success in achieving those goals. You’ll learn:

    • The four buckets of potential revenues/cost savings, and the pitfalls and challenges of each
    • The elements of a population-based assessment (and how that might be different than you think)
    • A new approach to clinical leadership and stakeholder outreach
    • New skills everyone involved in MIHP need to acquire
    • How to move your current prevention efforts out of silos and integrate them with the broader healthcare community

    Participants will each receive a playbook for success, Mobile Integrated Healthcare Practice: Guidelines for Planning and Implementation. The authors of the playbook and the faculty of this session are members of the Mobile Integrated Healthcare Collaborative, a group of EMS innovators, including educators, researchers, administrators, paramedics and physicians, who first came together in the fall of 2012 with a shared interest in rethinking the healthcare paradigm. The result was the concept of MIHP and a vision to foster partnerships and create resources that are truly patient centered in mission. This group is supported in part through unrestricted educational grants from Medtronic Philanthropy.

    Eric Beck, DO, former medical director for the Chicago Fire Department, is associate chief medical officer for Envision Health, helping develop strategies for implementing MIHPs. Ed Racht, MD, is chief medical officer for American Medical Response and Envision Health. Jeff Beeson, DO, is medical director for MedStar, Fort Worth, Texas. Jeffrey M. Goodloe, MD, is medical director, Medical Control Board, Emergency Medical Services System for Metropolitan Oklahoma City and Tulsa, Okla.


    Monday, July 21
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    ENHANCING THE HEALTHCARE CONTINUUM: HOW I.T. SOLUTIONS CAN HELP EMS & HOSPITALS COLLABORATE

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    Expectations are high. EMS agencies must find new ways to enhance efficiency and effectiveness, increase revenue and maintain strict HIPAA compliance, all while continuing to focus on the most important element of the healthcare equation — the patient.

    This session will reframe and challenge your thinking about how EMS agencies interact with hospitals, physicians and the community to provide high-value patient care.

    This highly informative seminar is tailored for executives and data geeks alike. You’ll learn how to:

    • Capture contextual, historical patient information from multiple sources and relay to paramedics in emergent as well as non-emergent settings
    • Partner with hospitals to reduce avoidable patient readmissions
    • Decrease the time spent at hospitals transitioning patients from your care
    • Electronically schedule follow-up visits for patients recently discharged from the hospital
    • Measure outcomes and costs for every patient

    Anthony Minge is a partner with Fitch & Associates and serves as director of the MedServ Patient Accounts Group. Kurt Steward, PhD, is director of Public Safety and Health & Human Services Practices at Infor and formerly served as the CFO of the Dallas Fire Department. Jerry Malone is alliances director at Infor. Brenda Staffan is healthcare innovation project director for the Regional EMS Authority (REMSA) in Reno, Nev. Todd Stout is CEO of FirstWatch Solutions and a leader in data analytics and innovation.


    Monday, July 21
    1 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    EMS LEADERSHIP DEVELOPMENT & EMPLOYEE ENGAGEMENT: PRACTICAL STRATEGIES FOR RESULTS

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    EMS organizations consistently struggle with fundamental issues of leadership assessment and development, performance management, recruitment and other human resource issues. This workshop moves beyond theory to presenting practical applications of strategies, cases and proven practices of successful organizations. It will also profile the core leadership competencies for supervisors, managers and executives, developed by the National EMS Management Association over the course of the past four years.

    What you will learn:

    • HR law updates and recent noteworthy EMS cases
    • Managing workload and expectations
    • Practitioner wellness: research results and implementation strategies
    • The why and how of implementing an employee engagement program (and pitfalls to avoid)
    • Using leadership competencies and behavior-based development tools to move from perception to performance management
    • Practical steps for introducing a culture of safety (starting with hiring practices)
    • Strategies for dealing with management models “being busy” rather then being reflective

     
    Matthew Streger, JD, is an attorney specializing in EMS issues. Brian LaCroix is CEO of Allina Health EMS, serving more than 100 communities in central Minnesota. Michael Ward is a consultant for Fitch & Associates. Ryan Greenberg is chief of EMS operations for Vanguard Healthcare Systems, serving northern New Jersey.


    Monday, July 21
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    CASE STUDIES IN MOBILE INTEGRATED HEALTHCARE PRACTICES & COMMUNITY PARAMEDICINE

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    sponsored by JEMS

    A number of community-based programs have demonstrated success implementing pilot projects linking public health, EMS systems, social services and hospitals. Some programs have reduced hospital readmission rates while others have focused on mental illness, substance abuse and social need, as they work to fill gaps in healthcare coverage.

    You’ll gain invaluable wisdom firsthand from the leaders who run these programs, including:

    • The right way to conduct a community assessment — and how to use the results to focus your efforts
    • Implementation progress update on multiple programs and initiatives, including the Innovation Grants
    • Implications for 911 dispatch and other call center considerations
    • Picking the right approach and curriculum to educate caregivers
    • Practical approaches for budgeting costs and revenue, plus alternate models for compensation
    • Developing appropriate medical oversight
    • Technology lessons from early initiatives
    • Scaling your implementation
    • Legal lessons learned when establishing MIHP services

    Doug Hooten is CEO and Matt Zavadsky is director of public affairs at MedStar Mobile Healthcare in Forth Worth, Texas, an early adopter of the MIHP concept. Gary Smith, MD, is medical director for the Mesa (Arizona) Fire Department. Brenda Staffan is healthcare innovation project director for the Regional EMS Authority (REMSA) in Reno, Nev.

     


    Monday, July 21
    1 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    DEVELOPING PLANS FOR SUCCESSFULLY MANAGING THE UNTHINKABLE

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    Sponsored in part by the International Association of EMS Chiefs.

    EMS systems across the country and the world have been taxed by shocking events over the past several years, both natural and man-made. While these incidents presented enormous challenges, they also offer opportunities to refine our thinking about how best to prepare. The faculty provides first-person insight into the lessons learned and more important, the key components required to increase your system’s readiness. Topics include:

    • Active shooter and complex, multi-threat incidents
      These types of threats require more than a protocol (think about the recent TSA incident at Los Angeles International Airport). Learn how to implement collaborative, multiagency response plans. One case study: Denver’s regional multidisciplinary capability to increase patient survival (participants will receive a take-home guide based on Denver’s innovative plan).
    • Multiagency training and community partnerships
      This type of collaboration is a must for multi-jurisdictional incidents and can require years to solidify. The Boston Marathon bombing incident will be used as a case study outlining what led to a successful outcome. Compelling site videos, 911 tapes and radio traffic will be used to illustrate what did and did not go as planned.
    • Events that take place over a longer time horizon
      Longer-term events require significantly different readiness and recovery strategies. EMS is affected on multiple levels and strategies must transcend the support offered by federal and state agencies. Superstorm Sandy offers a case study of such an event, with many lessons learned.

     
    Peter Dworsky is corporate director of support services for MONOC, which provides EMS for a variety of communities in New Jersey. Brendan Kearney is the superintendent-in-chief for Boston EMS. James Robinson is chief of operations for Denver Health Paramedics.


    Tuesday, July 22
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    HOW EVIDENCE-BASED MEDICINE WILL RESHAPE THE PRACTICE OF EMS: A CLINICAL UPDATE

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    As EMS begins to break free from outdated and inflexible models of care delivery, leaders are considering expanded clinical research projects and new ways of thinking to improve outcomes. What is the research telling us? What else might be possible?

    This year’s clinical update will provide an insightful look at several specific projects and an important discussion about the implications of recent studies. By the end of this session you’ll know:

    • Essential considerations for managing and leading clinical care delivery
    • What the research reveals about emerging technologies
    • How to deal with divergent operational and clinical priorities
    • What disruptive innovations are on the horizon and how to cope with them
    • How to build your system’s clinical performance and evidence base without breaking the bank

     

    Eric Ossmann, MD, is director of Prehospital and Disaster Medicine at Duke University Medical Center in Raleigh, N.C. Jeffrey M. Goodloe, MD, is medical director, Medical Control Board, Emergency Medical Services System for metropolitan Oklahoma City and Tulsa, Okla.


    Tuesday, July 22
    8 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    HOW THE FIRE SERVICE NEEDS TO EVOLVE: EXPECTATIONS FROM CITY & COUNTY GOVERNMENT

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    To local government officials, the fire service represents a budgetary behemoth, one that can’t be ignored in the quest to trim public expenditures. And when they scrutinize the fire service, what do they see? Calls for fire suppression are decreasing, while outcomes research suggests narrowing the types of EMS calls requiring fire department first response. At the same time, staffing for the specialized capabilities required of an all-hazard department is increasingly difficult to justify.

    How does this translate to expectations from local government for the fire service’s core mission? How do fire agencies develop new models that explain the need to city/county managers and politicians? By the end of this session you will understand:

    • Critical metrics in an increasingly accountable environment
    • The real risks and options to cover risk
    • Translating demand and workload into workable schedules
    • Substitution concepts for apparatus and personnel
    • Who should do what and why to match resources and call type
    • Strategies for developing leaders who embrace change
    • Key elements of budgets and creative ways to present fiscal information
    • Using data to build support, both internally and with councilmembers — and what should be avoided
    • How to work collaboratively rather than confronting the political leadership
    • Case studies of collaboration, via a public/private partnership of a nurse practitioner program and a regional transportation contract

     

    Bruce Moeller, PhD, is the executive director of public safety in Pinellas County (Fla.) and formerly served as the city manager as well as fire chief in Sunrise, Fla. Scott Somers is a councilmember representing District 6 in Mesa, Ariz., and serves on the National EMS Advisory Council, which provides expert advice on EMS to agencies of the federal government. Guillermo Fuentes, MBA, is a partner with Fitch & Associates. He previously served as the chief administrative officer for the Region of Niagara (Canada) police agency and as associate director of the regional EMS system.


    Tuesday, July 22
    8 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    THE FINANCIAL BALANCING ACT BETWEEN EMS SYSTEM DESIGN & POPULATION HEALTH: HOW TO NEGOTIATE YOUR BEST DEAL WITH AN ACCOUNTABLE CARE ORGANIZATION

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    Sponsored in part by the Association of Critical Care Transport

    Scarcities of resources will force difficult decisions in the financing of episodic care, including medical transport. There are increasing tensions in all health-care sectors in aligning organizational mission and values while reimbursements decrease and the pressure increases to contain costs under a population-based funded system.

    Accountable Care Organizations (ACO’s) are the mechanism to define and establish the value proposition for every intervention in medicine. How will these critical trends affect your EMS agency?

    EMS leaders are barraged with information on ACOs, but few know what to do. Rather than trying to “build the bicycle while riding,” learn from the experts how to successfully negotiate the best deal with ACOs as well as with other new payer-provider risk models. Dive deep into this topic with faculty who are leading national experts.  In this session, you’ll:

    • Learn how the ACO reimbursement structure will work
    • Identify and calculate the costs of air and ground transportation systems within the context of value-based purchasing and population-based healthcare finances
    • Measuring and improving customer satisfaction
    • Developing and selling your EMS value proposition
    • Identify the key metrics of population-based medicine that affect medical transport
    • Examine complex business decisions and ROI methodology using proprietary software
    • Analyze and determine if established industry standards are financially achievable under population-based health coverage
    • Learn to forecast the balance of air and ground transport to deliver a 100 percent reliable EMS system

    Thomas Judge is the executive director of LifeFlight of Maine and president of ACCT. Christine Zalar is a founding partner at Fitch & Associates and has played a pivotal role aligning EMS with broader healthcare priorities nationwide.  Roxanne Shanks, MBA, is CEO of LifeFlight Eagle, the nonprofit air medical organization serving the Kansas City, Mo., area. Rick Keller is a founding partner at Fitch & Associates and is considered a leading expert on EMS reimbursement. Todd Stout is CEO of FirstWatch Solutions and a leader in data analytics and innovation.


  • MAIN CONFERENCE

    Tuesday, July 22
    5 p.m - 6:15 p.m.

    MAIN CONFERENCE

    KEYNOTE ADDRESS: LIFE IN THE BALANCE — THE SCIENCE BEHIND CRITICAL DECISION-MAKING

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    Sponsored by Bradshaw Consulting Services Inc.

    In a high-consequence industry such as EMS, critical decisions mixed with fatigue have the potential to kill. Caregivers and EMS leaders alike make critical decisions every day, but EMS lags behind other industries, such as aviation and healthcare, in changing the way it considers human factors and fatigue in decision-making. Scott Shappell’s remarkable research has changed the way a growing number of professions consider human factors in decision-making.

    In this entertaining and down-to-earth presentation, Shappell examines the process of decision-making in general, the tendencies of different personalities toward decision-making, and how you can recognize and improve your ability to analyze situations and come to an appropriate conclusion, especially in leadership positions. In particular, he will review the effect of fatigue on decisions, in the operational as well as the clinical setting. Shappell will explain the Human Factors Analysis and Classification System and the Human Factors Intervention Matrix that are used worldwide in a variety of high-risk industries for accident/incident investigation and the development of target training and prevention efforts.

    Shappell is the chair of the Department of Human Factors and Systems at Embry-Riddle University in Florida. Recognized worldwide for his work as a neuropsychologist, he has published/presented more than 200 papers, books and presentations on accident investigation, system safety, behavioral stressors, sustained operations and fatigue. Shappell formerly served as Human Factors Branch Chief at the U.S. Naval Safety Center and as a human factors accident investigation consultant for the Joint Service Safety Chiefs, representing all branches of the military. He also served as the Human Factors Research Branch Manager at the Civil Aerospace Medical Institute of the Federal Aviation Administration in Oklahoma City.


    Wednesday, July 23
    9:00 a.m. - 10:00 a.m.

    MAIN CONFERENCE

    BREATHING NEW LIFE INTO RESUSCITATION: A LEADER’S JOURNEY

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    Sponsored by Stryker EMS
    Sponsored in part by Medtronic Philanthropy

    Bentley Bobrow, MD, describes his journey to improve patient care, not just with clinical data and prehospital science, but also from the standpoint of a state EMS medical director and leader who used every tool at his disposal to change a culture of apathy to one of collaboration and vision for what could be.

    A decade ago, EMS in Arizona had a myriad of challenges, including a 3 percent survival rate for sudden cardiac arrest. Fast forward 10 years to 2014 and Arizona is now a partner in the national HeartRescue Project, sponsored by Medtronic Philanthropy, with significant improvements in survival rates. In fact, it is also helping spread the lessons of a “system of care” approach to cardiac resuscitation across Asia as part of a Clinton global health initiative.

    Arizona’s efforts have resulted in more than 1,500 sudden cardiac arrest survivors. A spillover effect has been a parallel and completely unique statewide effort now funded by the National Institutes of Health to improve neurologically intact survival from another leading cause of death — traumatic brain injury.

    Bobrow provides an inspiring and insightful message for any EMS leader who wants to upset the status quo and tackle what may seem to be insurmountable challenges.

    Bentley Bobrow, MD, FACEP, is medical director of the Bureau of EMS and Trauma Systems, Arizona Department of Health Services, and a professor of emergency medicine at the University of Arizona College of Medicine, Phoenix campus.


    Wednesday, July 23
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    THREE FEDERAL INITIATIVES YOU NEED TO UNDERSTAND, NOW

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    It’s not on everyone’s radar, but the federal government has been taking a greater interest in EMS in recent years: launching the National EMS Advisory Council (NEMSAC), awarding innovation grants to EMS agencies, collaborating on a white paper that challenges the “transportation payment paradigm” and taking on a half a dozen major initiatives.

    And now, for the first time, the Federal Interagency Committee on EMS (FICEMS) has created a strategic plan, pulling agencies together from throughout the government to leverage resources in 25 areas of overlapping interest. You’ll hear about key federal initiatives that will directly affect how emergency out-of-hospital care is provided in this country — and in your agency.

    Dia Gainor, executive director of the National Association of State EMS Officials, will facilitate this session.  Joining her will be Noah Smith, representing the federal Office of EMS, Gregg Margolis with the Office of the Assistant Secretary for Readiness and Response, an agency of the Department of Health and Human Services, and Bill Seifarth, branch chief for Medical First Responder Coordination with the Department of Homeland Security.


    Wednesday, July 23
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    NOT READY FOR MIHP/COMMUNITY PARAMEDICS? DEVELOPING “BUILDING BLOCK” STRATEGIES

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    A variety of barriers, such as the lack of legislative authority, education or funding, may preclude your immediate implementation of the concepts of Mobile Integrated Healthcare Practice or Community Paramedicine. Don’t be left out! Simple engagements in the community and the larger healthcare stakeholder continuum are still very important, and provide a foundation for more advanced interventions in the future. Andrew Rand provides examples you can easily put in place now.

    Andrew Rand is CEO of Advanced Medical Transport, a multistate not-for-profit EMS system in the Midwest. He also serves as a county commissioner in Peoria, Ill.


    Wednesday, July 23
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    NEW PERSPECTIVES ON EMS REIMBURSEMENT: A FACILITATED FORUM WITH PAYOR REPRESENTATIVES

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    Sponsored by Medlert, Inc.

    The Affordable Care Act is dramatically changing how health care is delivered, and is causing major shifts in payor-provider relationships. The federal Centers for Medicare & Medicaid Services (CMS) intends to move away from fee-for-service payments, and sooner rather than later. Future success hinges on healthy partnerships between payor organizations and providers to coordinate patient care, maintain quality standards and reduce healthcare costs. EMS must demonstrate value, but the payors ultimately determine what “value” is. This interactive forum will give you unique insight from the payors themselves about how they will approach the transition process.

    Sharon Henry, president of Evolution Health, will facilitate the forum. Representatives of leading payor groups from across the country, including Aetna, Blue Cross, Blue Shield and Kaiser, have been invited. Pinnacle’s media partners, including Best Practices in Emergency Services, EMS1.com, EMS World and JEMS, will provide questions for the panel.


    Wednesday, July 23
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    NEW EMS LEGAL TRENDS & THEIR IMPLICATIONS FOR LEADERS

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    The EMS legal landscape is complex and changing. Each year, Pinnacle presents current case law that influences ambulance operations, personnel management and the practice of medicine in the public safety environment. You’ll get key legal insights from industry-specific cases, including the evolution of mobile health care, social media issues, patient boundary concerns, fraud and abuse issues, 911 dispatching considerations, the tension between public safety and public health, and more.

    Matt Streger, JD, is a senior associate with Fitch & Associates. His current assignment for the firm is serving as executive director of the EMS program at Robert Wood Johnson Hospital in New Jersey.  Streger is an experienced EMS/healthcare attorney and executive.


    Wednesday, July 23
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    I DON’T HAVE ENOUGH MONEY — NOW WHAT?

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    It’s been said that “with enough money, anyone can do it,” but lean times offer opportunities to develop broader understanding of new and creative ways to improve performance and value. This session explores new operational methodologies and recent research that offers some surprising results. You’ll come away with specific strategies you can immediately put to use.

    Bruce Moeller, PhD, is a former fire chief and city manager and now serves as executive director of public safety services for Pinellas County, Florida. Guillermo Fuentes, MBA, is a partner with Fitch & Associates and is widely recognized for translating complex analytical models into practical applications for emergency services. He served as chief administrative officer of the Niagara (Canada) regional police and as associate director of Niagara EMS.


    Wednesday, July 23
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    IS THE ALS PARAMEDIC A FADING CONCEPT?

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    Sponsored by Infor

    Forty years into the ALS world, we know so much more about prehospital care than we did in the 1970s, when our original concepts were developed. Is our focus on the ALS paramedic misplaced overkill — or even dangerous? A new school of thought suggests that investing in our EMTs — or a new “EMT 2.0” — would serve patients well and build an authentic new role better matched to the realities of EMS as we know them now. What talents, what experiences and what interventions best match the needs of our patients? What parts of traditional ALS place patients at risk?

    Alan Craig, who as deputy chief of Toronto EMS transformed an all-ALS system to a tiered model, brings nearly 36 years of experience to these questions, using data and science to present challenging new options. He is currently the vice president of clinical strategies at American Medical Response.


    Thursday, July 24
    9:00 a.m. - 10:15 a.m.

    MAIN CONFERENCE

    PINNACLE LEADERSHIP SERIES: DEFYING GRAVITY & OTHER DUMB THINGS LEADERS DO

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    Sponsored by Philips Healthcare

    Each year at Pinnacle, Jay Fitch presents a leadership concept and interprets it in a way to improve hands-on skills. Gravity is a fundamental force of the universe — and it also serves as a useful metaphor for certain universal leadership truths that EMS leaders often try to defy. (Hint: Gravity almost always wins.) In his unique style, using case examples and personal experience, Fitch provides practical tools to keep you and your leadership staff grounded in proven principles of success.

    Jay Fitch, PhD, Pinnacle program chair, is founder and president of the emergency services consulting firm Fitch & Associates, now celebrating 30 years of service. As a consultant, educator and author he has inspired thousands of EMS leaders.


    Thursday, July 24
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    PROFILES IN INNOVATION

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    In this fast-paced session, we profile three agencies that have implemented innovative solutions to solve specific operational, clinical or customer service challenges. Learn how Paramedics Plus used learning technology in new ways to enhance caregiver competencies; how Pro-Transport-1 used communications technology to enhance productivity; and how the Mesa Fire Department devised a successful alternative to transporting mental health patients.

    Michael Greene, MBA, is a partner with Fitch & Associates and serves as the firm’s Just Culture coordinator; he is also the author of the JEMS Salary Survey. Greene will facilitate presentations by Jason Likens, corporate director of analysis, Paramedics Plus; Glenn Leland, chief strategy officer, ProTransport-1; and Gary Smith, MD, medical director, Mesa Fire Department.


    Thursday, July 24
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    ENGAGING EMS PRACTITIONERS TO BUILD YOUR ADVOCACY BASE

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    Advocacy is more than a fancy word for politics. It is persuasively telling your story to get across a specific point, usually with a particular action in mind that is part of a larger vision. The more stakeholder groups you have on board, the more credible and persuasive your effort can be. Advocacy occurs at the local, state and national levels, but EMS hasn’t harnessed its resources well to develop the relationships and linkages — and trust — to secure its future. EMS practitioners, in general, are an important but often unrepresented group. Learn how to engage this important voice.

    Don Lundy, director of EMS for Charleston, S.C., is president of the National Association of EMTs. Troy Hagen, CEO of Care Ambulance (Falck) in Southern California, is president of the National EMS Management Association. James Robinson, chief of operations for Denver Health Paramedics, is president of the International Association of EMS Chiefs.


    Thursday, July 24
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    WHY THE PATIENT EXPERIENCE MATTERS NOW MORE THAN EVER & HOW YOU CAN INFLUENCE IT

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    Sponsored by ZOLL

    The patient experience is a hot topic throughout health care, raising questions about how it can be accurately assessed, and responsibility appropriately assigned. In general, the patient experience is defined as the sum of all interactions, shaped by an organization’s culture, that influence patient perceptions across the continuum of care. Hospital-originated metrics assessing the patient experience metrics are now being incorporated into ACO contracts. You’ll hear how EMS practitioners influence key metrics including respectful communication, information provided about care, cleanliness and pain management. As ACOs seek to improve their patient experience grades, the implications for EMS will be significant.

    Brian LaCroix is CEO of Allina Health EMS, a Minnesota hospital-based EMS system serving more than 100 communities.


    Thursday, July 24
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    PINNACLE UPDATE: CURRENTS & CONTROVERSIES

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    NEMSMA President Troy Hagen facilitates this fast-moving session which updates participants on a variety of current topics and controversies.

    Topics will include:
    • Mobile Integrated Healthcare: Reno Innovation Grant Update (Brenda Staffan)
    • CAAS Vehicle Standards Initiative (Sarah McEntee)
    • Social Media and Legal Issues (Mathew Streger)
    • What it Takes to be A Leader: New Competencies Have Three Levels (Ryan Greenberg)
    • In Harms’s Way? Policies to Improve Survivability in IED and Active Shooter Incident (Skip Kirkwood)


    Thursday, July 24
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    TACKLING THE WICKEDLY DIFFICULT DECISIONS

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    Some problems are relatively easy to solve while others are more difficult but still manageable. Dealing with a disruptive employee may be hard, but it’s a problem with a solution.

    There’s a whole category of problems that seem like they can’t be solved at all. Every time you try to define the problem you find that what you thought was the issue was the consequence of some deeper problem. Each time you try to implement a solution, unintended consequences create a new set of issues. These sorts of problems are called “wicked.” A timely example in EMS is Mobile Integrated Healthcare Practice. Or is it Community Paramedicine? Or both?

    Leaders need to be able to differentiate wicked problems from the more common variety and understand that standard decision-making methodologies are ineffective. The good news? While the approach may be different than what you’re used to, there is a tried and true process to reveal the true nature of a deep-rooted problem and tame its wickedness.

    Michael Touchstone is the Philadelphia Fire Department’s paramedic chief and is president-elect of the National EMS Management Association. Touchstone recently completed a master’s degree in Homeland Defense and Security at the Naval Postgraduate School, where wicked problems are a common topic.


    Thursday, July 24
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    CLOSING KEYNOTE: IS THAT REALLY A BEST PRACTICE OR JUST YOU PRACTICING?

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    Sponsored by Ferno

    A best practice is a method or technique consistently showing results superior to those achieved with other means. But this term can be overused and the concept applied incorrectly. Controversy swirls about the lack of appropriate evidence-based best practices and the need to use a research-based approach to validate interventions. Brent Myers, MD, always eloquent and thought provoking, will challenge you to think hard about what really constitutes a best practice in the EMS field — compared to what people do out of habit or history.

    Brent Myers, MD, is director and medical director of the Wake County EMS System in Raleigh, N.C. He also serves as adjunct assistant professor of emergency medicine at the University of North Carolina School of Medicine in Chapel Hill. Myers is nationally recognized for his clinical leadership and innovative approach to the practice of out-of-hospital care.


  • SPECIAL MEETINGS

    Monday, July 21
    8 a.m. - 4:45 p.m.


    Tuesday, July 22
    1:30 p.m. - 3:30 p.m.

    SPECIAL MEETINGS

    PINNACLE INSIGHTS FORUM

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    In what has become a popular Pinnacle tradition, participants can choose from among a dozen hot topics for focused round-table discussion, facilitated by expert faculty.

    The Forum is sponsored by the National EMS Management Association. Expert facilitators are drawn from the leadership of NEMSMA and Pinnacle faculty.

    This year’s topics will include:

    1. Leading Through Crisis
    2. Avoiding Tow Trucks and Other Maintenance Gotchas
    3. Crash Course in Social Media Pitfalls — and Opportunities
    4. Applying ROI Concepts to Your Services
    5. The Fleet of the Future
    6. Using Safe Driving Technology to Save Lives
    7. If You Could Improve Only 5 Things, What Would They Be?
    8. Impairment and Drug Testing
    9. Best Practices With Controlled Substances
    10. Alternative Strategies for Frequent Users
    11. Caregiver CE: NREMT’s New Competencies Program
    12. Pinnacle First Timers’ Welcome and Orientation

    Tuesday, July 22
    2:00 p.m. - 4:30 p.m.

    SPECIAL MEETINGS

    FIRSTWATCH USER GROUP MEETING

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    Open and complimentary to existing FirstWatch customers and interested EMS agency representatives. Preregistration is required.

    Learn how having real-time EMS data at your fingertips can change your world for the better. The FirstWatch User Group Meeting, now in its fourth year, is a forum for user agencies to hear how peers are using this innovative technology. It’s a learning opportunity for anyone interested in how CAD, ProQA, ePCR and hospital data can be effectively leveraged to improve clinical care, operations and provide situational awareness. You’ll be guided by FirstWatch’s customer service representatives and data experts, including FirstWatch CEO Todd Stout, and FirstWatch medical director Alex Garza, MD.


    Tuesday, July 22
    3:30 p.m. - 4 p.m

    SPECIAL MEETINGS

    NATIONAL EMS MANAGEMENT ASSOCIATION MEMBERSHIP MEETING

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    Open to all interested participants

    Receive a fast-paced update of the activities of the association, including special projects, new educational offerings, advocacy, its field training and evaluation program (FTEP), its new leadership textbook and the development of leadership competencies. Learn how you can get involved in one of the committees.


    Tuesday, July 22
    4 p.m - 4:30 p.m.

    SPECIAL MEETINGS

    WELCOME TO SCOTTSDALE & THE WESTIN KIERLAND RESORT

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    Orientation for spouses, companions and family members

    Many Pinnacle attendees bring spouses, companions and/or family. This special session provides an orientation to the many activities at the Westin Kierland Resort, including spa services, the OK Corral for kids, the Digital Kids Club, the Adventure Pool, Waterpark and Flowrider, as well as special golf opportunities. You’ll also get an insider’s perspective on local attractions, shopping and restaurants, many within walking distance in the Kierland Commons across the street from the Westin.


    Friday, July 25
    7:00 a.m. - 7:00 a.m.

    SPECIAL MEETINGS

    NAEMT BOARD STRATEGIC PLANNING MEETING

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    Open to board members only


    Friday, July 25
    9 a.m. - 4 p.m


  • BONUS SESSIONS

    Friday, July 25
    8 a.m. - 9 a.m.

    BONUS SESSIONS

    CASES FROM THE FITCH FILES

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    With 30 years of experience and more than 1,000 consulting engagements representing agencies of all types and sizes, Fitch & Associates brings unmatched insight to the challenges EMS leaders face. In this popular presentation, Fitch clients and consultants will profile key cases for EMS leaders, outlining both issues and results. You’ll learn how leaders like you overcame obstacles to improve clinical, financial and operational elements in their systems.


    Friday, July 25
    9:10 a.m. - 10:10 a.m.

    SPECIAL MEETINGS

    IT’S ALL ABOUT THE MESSAGE: NEW RULES OF COMMUNICATION FOR LEADERS

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    Leadership, at its essence, is about communicating — communicating your organization’s values to others, describing your vision in a way that inspires people, learning to actually listen, and much more.

    Attend this fast-paced session to tune up your communications skills and learn:

    • The most common communications mistakes leaders make (and how to avoid them)
    • The importance of building the “why” into everything your organization communicates
    • Why communication isn’t really about what you say (and what it’s actually about)
    • How to differentiate your own voice from that of your organization (and why that’s really, really important)
    • When “overcommunication” is essential

    Jeff Lucia and Jeff Berend are partners at the RedFlash Group, a business development and communications consulting firm serving the healthcare and public safety markets.


    Friday, July 25
    9:10 a.m. - 10:10 a.m.

    BONUS SESSIONS

    AN EXECUTIVE OVERVIEW OF JUST CULTURE

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    Just culture holds organizations accountable for their processes and how they respond to caregiver behaviors fairly and justly. In turn, caregivers are accountable for the quality of their choices and for reporting both their errors and system vulnerabilities. Human behavior falls into four general categories: good/desired (the behavior we want), bad/human error (mistakes, slips and lapses), ugly/at-risk (behavior that may or may not have a bad outcome) and reckless (behavior that displays intentional disregard or lack of care about outcomes). Executives will get a fast-paced overview of how Just Culture can be used to support successful outcomes in EMS by effectively managing human behavior.

    Michael Greene is a partner at Fitch & Associates and has significant experience with air and ground EMS program management. Michael Ward is a senior associate with Fitch & Associates and is currently assigned as executive director of St. Clare’s Medical Center EMS/Medical Transportation Service, Denville, N.J. Both are certified Just Culture facilitators.


    Friday, July 25
    10:20 a.m. - 11:20 a.m.

    BONUS SESSIONS SPECIAL MEETINGS

    DEALING WITH EQUIPMENT END-OF-LIFE ISSUES: WHAT TO DO WHEN CAPITAL FUNDS AREN’T AVAILABLE

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    Systems all over the country are struggling with end-of-life issues with radio systems, CAD, vehicles and other major capital equipment items. You’ll hear tactics to ensure safe and reliable operations and replacement strategies that will win approval.

    Tom Little is a senior associate with Fitch & Associates and the former owner of Medevac MidAmerica, Topeka, Kan. Glenn Kasprzyk, is chief operating officer of Life Line Ambulance Service, in Prescott, Ariz.


    Friday, July 25
    10:20 a.m. - 11:20 a.m.

    BONUS SESSIONS SPECIAL MEETINGS

    HARNESSING BIG DATA IN HEALTHCARE & EMS

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    The big data revolution under way is designed to accelerate value and innovation. Healthcare data silos are crumbling and formerly proprietary data is being harnessed to help target treatments and predict the course of illnesses. Federal initiatives are accelerating these efforts. Technology development for EMS is haphazard and disjointed at best. This session describes how to take advantage of the radical changes ahead and strategies for getting the most out of your data, including the ability to monitor operations in real-time and innovative ways to use your data for quality improvement.

    Todd Stout is CEO of FirstWatch Solutions and is nationally recognized for his leadership in using technology and data to improve EMS. Alexander Garza, MD, MPH is the former Assistant Secretary for Health Affairs and Chief Medical Officer for the U.S. Department of Homeland Security. Currently Dr. Garza serves as medical director and Homeland Security advisor for FirstWatch.


    Friday, July 25
    11:30 a.m. - 12:30 p.m.

    BONUS SESSIONS SPECIAL MEETINGS

    THE WHY & HOW OF ACCREDITATION

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    Why should your agency pursue accreditation by the Commission on the Accreditation of Ambulance Services, or the prestigious Accredited Center of Excellence award by the International Academies of Emergency Dispatch? Learn how the process works and why all the hard work is worth it, in terms of organizational pride, improved operations — and the bottom line. New this year, learn how ACE centers can use their status for opportunities in the area of Mobile Integrated Healthcare Practice.

    Sarah McEntee is executive director of CAAS. Carlynn Page is associate director of the International Academies of Emergency Dispatch.


    Friday, July 25
    11:30 a.m. - 12:30 p.m.

    BONUS SESSIONS

    FINDING ROI IN INJURY PREVENTION & WELLNESS

    VIEW DESCRIPTION

    Organizations often give lip service to injury prevention and wellness. Are you really committed? Do you understand how to measure the return on investment for your efforts? This session outlines the key elements necessary for any successful program, and provides a national overview of issues related to agility testing, stress, fatigue and prevention. Learn how Mecklenburg County EMS (Charlotte, N.C.) and Austin-Travis County (Texas) successfully implemented comprehensive programs and how to apply their lessons to your agency.

    Brian Fass is a former paramedic and is certified as an athletic trainer and strength coach. His program “Fit Responder” helps public safety agencies nationwide to implement injury prevention and wellness.


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