Pinnacle
July 18 – 22, 2016

JW MARRIOTT HILL COUNTRY RESORT     SAN ANTONIO, TX.

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.

Schedule at a Glance

  • PINNACLE POWER SEMINARS

    Monday, July 18
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    CLINICAL BEST PRACTICES: WHAT DOES THE LATEST RESEARCH TELL US?

    VIEW DESCRIPTION

    The movement toward evidence-based practice means that EMS leaders need the latest clinical information to provide the most effective and efficient service. This session, sponsored by the American College of Emergency Physicians (ACEP) and the UCLA Prehospital Care Research Forum, will be highly interactive, with some of the leading clinical minds in EMS debating the evidence. Multiple issues are on the immediate horizon, including how to evaluate clinical competencies, the impact of the new AHA stroke guidelines on systems of care and emerging approaches to sepsis and respiratory compromise.

    You will learn:

    • The latest clinical research that is shaping the future of EMS
    • To separate the reality from the myths of evidence-based medicine
    • How to take advantage of anticipated shifts in standards of care and priorities
    • Which technological innovations will become mainstream
    • How to provide fiscally responsible and effective clinical care

    Faculty include David Page, MS, director of the UCLA Prehospital Care Research Forum; Melissa Costello, MD, ACEP EMS Committee chair; David Miramontes, MD, medical director of the San Antonio Fire Department; Jeff Beeson, DO, medical director with Acadian Ambulance; and Neal Richmond, MD, medical director of MedStar Mobile Healthcare in Fort Worth, Texas.

    Sponsored by ACEP and the UCLA Prehospital Care Research Forum


    Monday, July 18
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    WHAT LEADERS NEED TO KNOW TO MANAGE LEGAL RISK IN 2016

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    Each year, Pinnacle addresses recent cases, current legal issues and strategies for EMS leaders. This session will cover new legal developments, compliance with the latest laws and regulations, medical decision-making, risk management, workplace conduct, healthcare compliance and other timely topics.

    You will learn:

    • New case law and how it will impact EMS and MIH-CP
    • How to make sure you’re in compliance with Medicare reimbursement rules
    • The benefits of proactive risk management
    • How to conduct an internal investigation
    • The do’s and don’ts of dealing with regulatory agencies
    • The importance of performing an internal risk assessment
    • The value of becoming a patient safety organization (PSO)

    Faculty include EMS legal experts Matthew Streger, JD, a senior associate with Fitch & Associates; Allison Bloom, JD, a board member of the National EMS Management Association and a practicing attorney specializing in EMS issues; and Robert Fuller, a senior consultant with Fitch & Associates.


    Monday, July 18
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    BREAKING THROUGH: 5 CASE STUDIES IN INNOVATION

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    Innovation is easy to talk about but hard to accomplish. In this session, six agency leaders share how they were able to implement innovative change in their organizations. Learn how each took an idea and made it a reality, and how to apply the lessons they learned to your agency. In this session you’ll not only get ideas you can implement at home, but also key lessons about how to implement change and collaboration.

    Cases will include:

    • Rural roadmap to innovation (Songer, Mendiola)
    • How EMS coordinates a statewide trauma system (Swanson)
    • Successfully leading a cultural shift from big trucks to sprinters (Farmer)
    • Creating a Texas-sized collaboration with 22 counties (Epley)
    • Implementing a regional approach to monitoring opiate overdoses — in real time (Whitaker)

    Presenters include Pat Songer, director of EMS at Humboldt General Hospital in Winnemucca, Nevada; Louis Mendiola, Health System Development manager at Humboldt General Hospital; Jon Swanson, executive director of Metropolitan EMS in Little Rock, Arkansas; Rob Farmer, director of public safety in Lee County, Florida; Eric Epley, executive director of the Southwest Texas Regional Advisory Council for Trauma; and Robert Whitaker, chief of North Shore Fire/Rescue in Brown Deer, Wisconsin.


    Monday, July 18
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    APPLYING THE “P4” REVOLUTION IN MEDICINE TO MIH-CP

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    A new revolution is taking hold in medicine: P4 stands for predictive, preventive, personalized and participatory. EMS systems will have to quickly evolve to be a part of this new way of thinking about healthcare delivery. The P4 model helps explain why some MIH-CP programs have failed while others have thrived. Understanding how each of these four concepts work together will be the cornerstone of success as healthcare shifts from fee-for-service to a value-based payment model. Using case studies, Rob Lawrence, chief operating officer of Richmond Ambulance Authority, is recognized as one the most progressive leaders serving in EMS. Lawrence will be hosting a stimulating discussion on how the P4 model can help revolutionize EMS and MIH-CP delivery, along with co-speakers Matt Zavadsky, Jon Washko, Todd Stout and Shaughn Maxwell.

    You will learn:

    • Why some EMS systems succeed where others struggle
    • The role of data in decisions, development and delivery
    • That you may already be practicing mobile integrated healthcare without realizing it
    • How four simple political words — “All those in favor” — can propel or prevent the delivery of efficient health care
    • Why some MIH-CP programs fail and how to prevent it

    Sponsored by the Academy of International Mobile Healthcare Integration (AIMHI)


    Monday, July 18
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    HOW TO SURVIVE THE REIMBURSEMENT REVOLUTION

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    Changes to payment policy are likely to impact every aspect of EMS operations. This session will go beyond the buzz of mobile integrated healthcare and community paramedicine and discuss core reimbursement realities that must be addressed to ensure the sustainability of any EMS system or MIH-CP program. Leaders must learn the tools to survive healthcare reform, how to deploy them at the right time and how their own agency’s unique strengths and challenges impact those decisions.

    Key topics will include:

    • Dealing with bundled payments and carve-outs
    • Capitation and population-based payments
    • Negotiating pay-for-performance with ACOs and other payors
    • Data integration and exchange
    • Contracting strategies, including shared risks and new service lines
    • Clinical and service metrics that matter
    • How fraud and abuse are damaging the profession’s reputation with payers and regulators

    Doug Hooten is the executive director of Fort Worth’s MedStar Mobile Healthcare, which is known for its innovative programs partnering with a diverse group of payors and healthcare stakeholders. Hooten will be joined by other experts in reimbursement policy and members of the AIMHI board.

    Sponsored by the Academy of International Mobile Healthcare Integration (AIMHI)


    Monday, July 18
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    WHAT’S NEXT? EMBRACING DISRUPTIVE TECHNOLOGIES

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    Major disruptive technologies in healthcare are on the horizon as the “information age” has the potential to cause a greater level of disruption across the economy than any other event in modern economic history. New technology incorporated into devices will allow direct monitoring of patient vital signs remotely. As advanced monitoring moves from data that is descriptive to predictive and then prescriptive, a large portion of the demand for current 911 services will be managed prior to a critical event —impacting the entire chain of remote care delivery.

    Topics covered in this session will include:

    • How new technologies will impact EMS service delivery
    • Critical skills necessary to adapt to disruptive technologies
    • How new uses of telemedicine will change treatment paradigms
    • Ways to match strategic focus to organizational capabilities in order to stay relevant

    Scott Somers, PhD, is a professor of public safety practice at Arizona State University and a former member of the National EMS Advisory Committee. He served on the Mesa City Council in Arizona for eight years. Guillermo Fuentes, MBA, a partner with Fitch & Associates, specializes in emerging technology.


    Monday, July 18
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    PINNACLE INSIGHTS: JUST-IN-TIME TOPICS FOR EMS EXECUTIVES

    VIEW DESCRIPTION

    Each year, the leadership of the National EMS Management Association (NEMSMA) provides Pinnacle Insights through a series of mini-presentations followed by small-group roundtable discussions focused on strategies and tactics. Facilitated by NEMSMA President Michael Touchstone and other members of the NEMSMA board of directors, topics this year will include:

    • Current training and quality issues
    • Growing a positive culture
    • Engaging caregivers across generations
    • Dealing with no-transports, alternate destinations and inter-facility transports
    • Scheduling and deployment options and opportunities
    • Law enforcement and EMS operational integration

    Sponsored by NEMSMA          


    Monday, July 18
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    WHAT KEEPS YOU UP AT NIGHT?

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    Sometimes bad things happen that you can’t control — but how you prepare for and respond to them can make a world of difference. There are any number of nightmare scenarios that can and will occur during a leader’s career. This session will utilize short “TED Talk” style presentations to frame an issue followed by hands-on roundtable discussions to develop and share strategies you can take home to your agency so you can be prepared for the unknown.

    Topics will include:

    • Are we hurting more than helping our patients? (Taigman)
    • Surviving a negative media event (Friese)
    • Line-of-duty death and provider suicide (Rose, Young)
    • Using Just Culture strategies to shape an organization’s response (Ward)
    • Preparing for terrorism by building resilient communities (Hunt)

    Mike Taigman, an expert in quality improvement, is the Improvement Guide at FirstWatch Solutions. Greg Friese, paramedic and educator, is the editor-in-chief of EMS1. Rick Hunt, MD, is the senior medical advisor, national healthcare preparedness programs for the Assistant Secretary of Preparedness and Response at the U.S. Department of Health and Human Services. Amy Young and Monique Rose are co-founders of RevivingResponders.com. Michael Ward is a senior associate with Fitch & Associates.


    Tuesday, July 19
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    WHY AUDACIOUS LEADERSHIP MATTERS

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    An audacious leader is likely to be adventurous, fearless, intrepid, bold and daring. At its best, audacity is paired with self-awareness, humility, good judgment and a deep understanding of how people respond to the tasks of leading and being led. This highly interactive session will challenge your perceptions of what it means to be a leader and allow you to gain insight into your own leadership style.  

    They will facilitate a discussion of topics such as:

    • Getting at the core of critical issues by asking provocative questions
    • How to achieve personal power (beyond your positional authority) and use it in leadership
    • Using Appreciative Inquiry concepts to move people and your organization forward
    • Identifying and managing stress to achieve better balance in your career and personal life
    • Why trust matters so much—and why it is key to show vulnerability in building trust

    David Nelson, a consultant with Fitch & Associates, is widely known for his work creating and nurturing strong teams and developing excellent leaders. Jim Marshall, MA, is the executive director of the 911 Wellness Foundation and a leading expert on emergency responder stress. Todd Stout, a former paramedic, is CEO of FirstWatch and received the Pinnacle EMS Leadership Award in 2013.

    Sponsored by the Pinnacle Leadership Fellowship Program


    Tuesday, July 19
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    MOVING FROM GOOD TO GREAT: PUTTING PERFORMANCE MEASURES TO WORK

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    For too long, EMS has measured its performance using metrics with questionable ties to patient outcomes or satisfaction. As the rest of healthcare has begun to embrace evidence-based performance improvement, the EMS community has begun to do the same, as evidenced by the EMS Compass initiative and other efforts. In this seminar, learn how some agencies are already using automated measures, and how you can use your NEMSIS-compliant patient care reports and other sources of data to improve the care you deliver every day.

    Examples of improvement efforts will include:

    • Identification and treatment of stroke
    • Compression fraction, time-to-defibrillation and outcomes in cardiac arrest
    • Patient and employee satisfaction
    • Documentation and collection rates
    • Evidence-based acute coronary syndrome and STEMI measures

    As an associate consultant with the RedFlash Group, Michael Gerber, MPH, works on outreach and communications for the EMS Compass initiative. He will be joined by several experts in implementing performance improvement projects at the local level, including Joe Penner, MBA, executive director of Medic in Charlotte, N.C.; Jeff Jarvis, MD, medical director of Williamson County EMS outside of Austin, Texas; Mike Taigman, MA, Improvement Guide at FirstWatch Solutions; and Shaughn Maxwell, deputy chief and division head of emergency medical and community health services for Snohomish County Fire District 1 in Washington.


    Tuesday, July 19
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    LET THE EVIDENCE SPEAK: HOW TO EDUCATE COMMUNITY LEADERS ABOUT FIRE SERVICE DESIGN

    VIEW DESCRIPTION

    While many agencies have embraced a shift towards evidence-based system design in EMS and particularly mobile integrated healthcare, the body of research in fire behavior and fire system design is greater than ever but often ignored. One of the primary barriers to adoption is the difficulty in navigating a public discourse that challenges long-held assumptions. In this session, experienced fire service leaders and city and county government officials will lead a highly interactive discussion on strategies to move community leaders toward evidence-based system designs in the fire service.

    You will learn:

    • How clinical research is shaping fire-based EMS systems
    • Strategies for moving city or county leaders toward evidence-based design.
    • How to communicate with the community when considering evidenced-based design
    • Strategies for successfully implementing alternative models
    • How evidence-based strategies are changing firefighter safety and fireground operations

    Steve Knight, a Fitch & Associates consultant, served as assistant chief of the St. Petersburg Fire Department; Bruce Moeller, a Fitch & Associates consultant, is a retired fire chief and former county executive. Scott Somers, a professor of public safety practice at Arizona State University, recently left the Mesa, Arizona, City Council after eight years. Ian Womack is an assistant chief with the St. Petersburg Fire Department.


    Tuesday, July 19
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    MITIGATING SAFETY RISKS—WHAT’S A LEADER TO DO?

    VIEW DESCRIPTION

    Provider and patient safety remain top priorities of EMS leaders worldwide, with risks including violence against caregivers, traffic collisions, behavioral health incidents, medication errors, airway events and a lack of employee fitness. This session, led by experts in patient safety and provider health, will develop the case for action.

    Topics will include:

    • What you can learn about trends from data
    • How to evaluate your agency’s risk
    • Key patient safety concepts to support improved patient care and outcomes
    • The five biggest risks when it comes to patient safety
    • How to match risk and low-cost mitigation strategies
    • Core competencies and emerging trends for a successful safety program

    Joe Coons is the director of safety at LifeFlight Eagle air medical program, based in Kansas City, Missouri. Lee Varner is the EMS program manager for the Center for Patient Safety. Ron Thackery, JD, is a senior vice president at AMR and a member of the board of directors of the National Safety Council. Bryan Fass is the president of Fit Responder.


  • MAIN CONFERENCE

    Wednesday, July 20
    9:00 a.m. - 10:15 a.m.

    MAIN CONFERENCE

    EMS SPEAKS: OVERCOMING THE OBSTACLES TO INNOVATION

    VIEW DESCRIPTION

    While many other professions have implemented new technologies, system designs, payment models and diverse service offerings, EMS has had relatively little success in adapting to external forces or innovating to keep pace. Funded by three federal agencies, the Promoting Innovation in EMS project drew stakeholders together for a series of roundtable discussions and launched a national survey. The effort has yielded a series of recommendations across seven major challenge areas for EMS. Project leader Kevin Munjal, MD, MPH, associate medical director for prehospital care at Mount Sinai Health System in New York, will share the project findings and outline strategies you can use to pursue innovative approaches to EMS delivery.

    Sponsored by ZOLL


    Wednesday, July 20
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    TACKLING THE ELEPHANT IN THE ROOM: HOW EMS CAN BECOME A TRUE PROFESSION

    VIEW DESCRIPTION

    Last year, Jay Fitch described “10 Elephants in the Room” during his Pinnacle Leadership Series lecture, each one a threat to EMS maturing as a profession. In this fast-paced session, EMS educators and researchers Scott Bourn, PhD, vice president of clinical practice for Evolution Health, and David Page, MS, director of the UCLA Prehospital Care Research Forum, will update three key issues that remain top priorities this year, including creating diversity among caregivers and EMS leaders, changing clinical and service paradigms and how EMS can grow into a true healthcare profession.


    Wednesday, July 20
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    CMS INNOVATION GRANTS — A REPORT FROM THE FRONT LINES OF MIH-CP

    VIEW DESCRIPTION

    When the U.S. Centers for Medicare and Medicaid Services (CMS) awarded billions of dollars to support innovative payment models and healthcare delivery systems, a number of EMS systems were among the grant recipients. Several of these mobile integrated healthcare and community paramedic programs have shown the potential to impact changes to the EMS delivery model could have on patient outcomes and healthcare costs. At this session, three of these programs will present the challenges they have faced, the results of their projects so far and what’s next for these innovative services.

    Brenda Staffan is the project director for the Regional EMS Authority (REMSA) CMS Innovation Grant in Reno, Nevada. Now in its fourth year, REMSA’s program has established a nurse hotline, a community paramedic system and an alternative destination protocol. Kevin Munjal, MD, MPH, is an assistant professor at the Icahn School of Medicine in New York, which received a CMS Innovation Grant in 2014 for its Mobile Acute Care Team (MACT) program, which utilizes telemedicine and a diverse team of caregivers to provide acute care services in the home. Scott Somers, PhD,  a fire captain and paramedic, served on the Mesa City Council in Arizona, where the Mesa Fire and Medical Department was awarded a CMS Innovation Grant for its Community Care Response units, which partner paramedics with other healthcare providers, such as behavioral health specialists and nurse practitioners, to provide care and avoid emergency department visits for low-acuity problems.


    Wednesday, July 20
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    FOUR STEPS TO ACHIEVE VALUE AND THE TRIPLE AIM

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    Every organization must find its own path to value. Most will need to achieve four major milestones on the way to achieving the IHI Triple Aim of enhancing the patient experience, improving the health of those they serve and reducing the total cost of care. The milestones include developing business intelligence, adopting a performance improvement program, managing risk and developing an agile culture.

    Roxanne Shanks, MBA, brings valuable insight as a former health system executive. She currently serves as the CEO of an innovative air medical program and executive director of the Association of Critical Care Transport.

    Sponsored by Markel


    Wednesday, July 20
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    TAKING THE PULSE OF THE NATION’S EMS — THE FITCH/EMS1 TREND REPORT

    VIEW DESCRIPTION

    It’s always been difficult to answer the question: “How are we doing as an agency or as a profession?” More than 100 diverse organizations from across the country completed a detailed survey describing multiple aspects of their operations, finances, management and other areas. Key findings of this year’s survey and what trends to watch for in the future will be shared in this session, along with data from several other surveys conducted in the last year.

    Michael Gerber, MPH, an associate consultant with the RedFlash Group, served as quality improvement officer for the Alexandria, Virginia, Fire Department. Greg Friese, MS, editor-in-chief of EMS1, is an experienced writer, paramedic and educator. Vince Robbins, president and CEO of MONOC, a New Jersey hospital-based ambulance service, is president-elect of the National EMS Management Association.


    Wednesday, July 20
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    TURNING CAREGIVERS INTO CHAMPIONS FOR PATIENT SATISFACTION

    VIEW DESCRIPTION

    Research shows people desire to be treated with courtesy and respect and in a timely manner when they call EMS. Organizations that measure, report and make efforts to improve the patient experience can increase patient satisfaction and improve the quality of clinical care. When faced with multiple priorities and resource demands, however, EMS agencies may question the feasibility and value of measuring and improving the patient experience. Jamie Pianka BSBA, NRP Chief Operating Officer of Pro EMS, provides his unique perspective on the topic starting with selection and training and exploring the QI feedback loop that measuring the patient experience can provide.


    Wednesday, July 20
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    BEYOND SUICIDE PREVENTION: BUILDING CAREGIVER RESILIENCE

    VIEW DESCRIPTION

    Instances of post-traumatic stress disorder and suicide are steadily increasing in emergency services, ending too many of our friends’ and colleagues’ careers and lives. In this session, Jim Marshall, MA, executive director of the 911 Wellness Foundation and a leading expert on emergency responder stress, will describe the scope of this issue, the different ways in which PTSD can manifest over time, and a surprising new therapy developed by the military that is showing true promise.

    Resilience helps people reframe challenges to minimize their stress-related effects and to feel more confident and empowered, ultimately improving productivity and engagement, promoting wellness and reducing both absenteeism and turnover.

    Marshall is an insightful and motivational speaker who will bridge the gaps between theory, anecdotal evidence and practice on this critical EMS leadership issue.


    Tuesday, July 19
    5:00 p.m. - 6:15 p.m.

    MAIN CONFERENCE

    KEYNOTE ADDRESS: GROWING EMS LEADERS

    VIEW DESCRIPTION

    Across the profession, EMS must find ways to infuse the next generation — young people with great technical abilities — with leadership skills. Florida Hospital recently found itself in a similar situation, with a desire to help its physicians grow into team-oriented leaders willing to tackle the myriad challenges of contemporary healthcare. At the same time, hospital leadership was searching for new ways to energize its doctors and inspire them to address the elements of the triple aim.

    They tried several approaches, but none worked until retired Lt. Gen. Mark Hertling brought four decades of military service to Florida Hospital and successfully translated the U.S. Army’s approach to leadership development to the healthcare environment. Hear more about his remarkable journey and how the lessons he learned can impact the future of EMS during the Pinnacle Opening Keynote.

    Hertling served more than 37 years in the Army, retiring in 2012 after serving as the commanding officer for the Army in Europe. After leaving the military, Hertling became a senior vice president for Florida Hospital, where he focuses on global strategy and leadership development. Passionate about fitness and health, Hertling also serves on the President’s Council on Fitness, Sports and Nutrition, having been appointed by President Barack Obama in 2013.

    Sponsored by Bradshaw Consulting Services


    Thursday, July 21
    9:00 a.m. - 10:15 a.m.

    MAIN CONFERENCE

    PINNACLE LEADERSHIP SERIES: LOOKING BEYOND THE YELLOW BRICK ROAD

    VIEW DESCRIPTION

    Tornado-force changes in our profession are all around us. Decisions have to be made with the future at stake. The “Wizard of Oz” story touches a chord in each of us but there is more to this tale for EMS leaders than just entertainment. In this era of change and transformation, what lessons can we take from the journey to Oz and back again?

    Each year, as part of the Pinnacle Leadership Series, Jay Fitch, PhD, outlines a broad leadership concept and interprets it in a way to improve hands-on skills. As founding partner of Fitch & Associates, Jay has been educating, mentoring and inspiring EMS leaders for more than three decades.

    Sponsored by Infor


    Thursday, July 21
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    ALCOHOL AND DRUG ADDICTION IN EMS: A MEDICAL DIRECTOR’S PERSONAL REFLECTIONS

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    Alcoholism and drug addiction plague EMS like every sector of society. Maybe it is more shocking when we see it among our colleagues because we all see the impact substance abuse has on our patients and their families. Marshal Isaacs, MD, will bring a new sense of urgency to the topic, providing insights to assist you in supporting caregivers in recovery without putting your program’s integrity at risk.

    Marshal Isaacs, MD, is the medical director for both the Dallas Fire-Rescue Department and the UT Southwestern/Parkland BioTel EMS System.


    Thursday, July 21
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    IN PURSUIT OF THE HOLY GRAIL: USING HOSPITAL DATA TO MEASURE EMS PERFORMANCE

    VIEW DESCRIPTION

    EMS agencies have struggled to access hospital outcome data in a regular and meaningful way that would allow them to assess the full chain of care, from the 911 call and the field to the emergency room and hospital discharge. This limits their ability to measure the accuracy of dispatch and treatment decisions and the effectiveness of any clinical interventions, leaving EMS to rely on structural and process measures.

    New performance measures for EMS are recommending the use of hospital outcome data and there is growing momentum to make this happen as EMS integrates with healthcare.  New technology is helping, allowing out-of-hospital and hospital data systems to be interoperable—or at least talk to each other and match records.

    Facilitated by veteran healthcare executive Ed Marasco, MPM, this session focuses on the latest technology that can help solve this issue, with representatives from four leading vendors in this area. Allen Johnson, MPA, is the Vice President for Health Data Exchange at ESO Solutions. Greg Mears, MD, is medical director for ZOLL Medical Corporation. Kurt Steward, PhD, is the vice president of the public sector division at Infor. Dave Zaiman is the business development manager at ImageTrend, Inc. Todd Stout is CEO of FirstWatch Solutions and a leader in data analytics and innovation.


    Thursday, July 21
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    50 YEARS OF MODERN EMS. NOW WHAT?

    VIEW DESCRIPTION

    This year marks the 50th anniversary of the publication of Death and Disability on America’s Highways: The Neglected Disease of Modern Society, the landmark white paper often cited as the birth of modern EMS. Its recommendations for a universal emergency number and emergency responder training, equipment, communications and systems of care set in motion a new era.

    It has also been 20 years since the release of the EMS Agenda for the Future, which recommended the integration of EMS into the healthcare system. Members of the Federal Interagency Committee on EMS plan to fund a similar collaborative effort to look at the future of EMS later this year.

    It is said you should start with end in mind. What do we want EMS to look like 50 years — or even 20 — from now? Is EMS capable of a shared vision? Will it even be called EMS? What policy decisions, technological innovations, and changes in culture will be the catalysts for a new future?

    Bruce Moeller, PhD, will host EMS visionary Ed Racht, MD, medical director of American Medical Response, the country’s largest ambulance service, and Bill Metcalf, former president of the International Association of Fire Chiefs, in an insightful and entertaining conversation about the past, the present and the future of EMS.

    Sponsored by Ferno


    Thursday, July 21
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    WHAT NEW STROKE TREATMENTS MEAN FOR EMS

    VIEW DESCRIPTION

    Stroke is the fifth leading cause of death in the U.S. and causes severe disability in a large number of survivors. But revolutionary changes have occurred in the treatment of stroke that are giving patients a better chance of returning to a normal life. Last year, the American Heart Association and American Stroke Association updated stroke guidelines based on several recent studies published in major medical journals that demonstrated the effectiveness of endovascular mechanical thrombectomy in treating strokes, including potentially devastating large-vessel occlusions.

    EMS has a major role to play in the recognition and treatment of stroke and can make a difference by ensuring stroke victims get to the right hospital that can provide the most appropriate treatments. Hear Mark Ellis, MPS, division chief of EMS for Hallandale Beach Fire Rescue in Florida, discuss how systems can evaluate their stroke protocols, measure evidence-based stroke processes of care and outcomes, and coordinate with the entire stroke system of care—from dispatch and transport to intervention and rehab.

    Sponsored by Medtronic


    Thursday, July 21
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    FIGHTING THE OPIOID EPIDEMIC: WHY INFORMATION, NOT NALOXONE, MIGHT BE EMS’S GREATEST CONTRIBUTION

    VIEW DESCRIPTION

    An increase in opioid use across the country has been called a crisis by President Obama and has sparked debate among the presidential candidates. Why has the crisis emerged now? Who is vulnerable? Should Narcan be administered by bystanders and police?

    Yet to truly stem the tide of narcotics-related overdoses and deaths, the solution will be prevention—through education and other interventions at both the national, local and individual levels.

    Still, the role of EMS in those public health efforts is significant. No one has more data on where overdoses are occurring or who is experiencing them. The potential uses of that information are still being realized, from targeting interventions in neighborhoods with frequent overdoses to alerting public health educators who can meet the patient at the hospital. And opioid overdoses are just one example of how EMS data can change public health.

    Former paramedic and medical director Alex Garza, MD, MPH, is an associate professor of epidemiology and the associate dean of public health at the Saint Louis University College for Public Health and Social Justice. He is the medical director for FirstWatch and sits on the board of the National Association of EMS Physicians. Join him as explores the role that EMS can play in prevention, surveillance and other public health efforts, and why collaboration and integration between EMS and public health systems is more important than ever.


    Thursday, July 21
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    CLOSING KEYNOTE: FAILURE IS NOT AN OPTION

    VIEW DESCRIPTION

    Pondering the future of the EMS profession can be overwhelming, making you want to throw in the towel, pull the covers over your head and hope for the best. But the industry can’t stick with the status quo and ignore the changes going on around it. Instead, EMS leaders must explore how the convergence of healthcare reform, industry consolidation, new care models, and emerging disciplines will impact their organizations’ futures.

    Bill Atkinson, PhD, is a progressive administrator who served as the CEO of WakeMed Health & Hospitals in North Carolina for ten years. He remains an active paramedic and has never lost his passion for EMS and belief in how it can help individuals and communities. Atkinson will challenge and inspire us to think about transformation and how we uproot long-standing practices, processes and paradigms in order to open the door to new opportunities.

    Sponsored by Intermedix


  • BONUS SESSIONS

    Friday, July 22
    8:00 a.m. - 9:00 a.m.

    BONUS SESSIONS

    CASES FROM THE FITCH FILES

    VIEW DESCRIPTION

    Fitch & Associates clients and consultants will profile key cases for EMS leaders, outlining challenges, solutions and results. After three decades and more than 1,000 engagements, their experience is unique. Learn how Fitch clients nationwide, from systems of all types and sizes, overcame obstacles to innovate and improve clinical, financial and operational elements in their systems.


    Friday, July 22
    9:10 a.m. - 10:10 a.m.

    Bonus Session

    BUILDING A BETTER AMBULANCE

    VIEW DESCRIPTION

    Imagine a family car from 1980 sitting next to a 2016 model. Thanks to advances in technology and safety, they hardly resemble one another. Now picture the patient compartment of a 1980s ambulance and compare it with one rolling out of the factory today. They are virtually identical. EMS providers have failed to advocate for safer ambulance patient compartments, and manufacturers have had little to no incentive to produce them on their own. Yet we know that when ambulances are involved in a crash, EMS personnel and patients are often injured or killed. Following a fatal ambulance crash in 2014, Allina Health EMS engaged manufacturers, practitioners and patients to redesign their ambulances and make them safer. Join Allina Health EMS Operations Director Jeff Czyson and Chief Brian LaCroix to hear the story of one organization’s efforts to move a needle that has been stuck for decades.


    Friday, July 22
    9:10 a.m. - 10:10 a.m.

    BONUS SESSIONS

    PREPARING FOR SENTINEL EMS NEWS EVENTS

    VIEW DESCRIPTION

    Local news media is interested in EMS when it is at its best—saving lives—or at its worst. The coverage you receive is a reflection of intentional pre-planning and relationship building as well as inadequate preparation for sentinel events – collisions, thefts, billing fraud, LODDs, and at-work arrests. This session explores the best practices of several agencies who excel at media relations and the trends in news coverage that expose opportunities for policy change and training improvement. The session concludes with several insights about opportunities to better align field providers with mission of the EMS agency.

    Greg Friese, MS, editor-in-chief of EMS1, is an experienced writer, paramedic and educator.

    Presented by EMS1.com


    Friday, July 22
    10:20 a.m. - 11:20 a.m.

    BONUS SESSIONS

    WHY YOU SHOULD IMPLEMENT AACN PROTOCOLS IN YOUR SERVICE

    VIEW DESCRIPTION

    Automatic Advanced Collision Notification (AACN) protocols can make a significant difference in how your agency responds to motor vehicle crashes. Learn about the data from recent AACN studies and why you should consider updating your service’s AACN protocols.

    The American College of Emergency Physicians and the National Association of EMS Physicians have recently launched a new one-hour course on AACN technology for EMS personnel—from medical directors to EMS leaders to field personnel. Scott Sasser, MD, chair of emergency medicine at the University of South Carolina School of Medicine, will share highlights from the new course and answer questions that relate to AACN technology and its important role within your service.

    Sponsored by OnStar


    Friday, July 22
    10:20 a.m. - 11:20 a.m.

    Bonus Session

    HOW PROACTIVELY MANAGING RISK LEADS TO ENHANCED SAFETY AND LOWER COSTS

    VIEW DESCRIPTION

    Too often leaders take corrective action only after it is too late or they have no choice. A major incident injures or kills someone or a government body issues a fine, or the media exposes a problem leading to significant negative publicity. Sometimes taking a more proactive approach can present many obstacles, but investing in a risk management program is not only the right thing to do—it can also control costs in the long run. In this session, we’ll share the characteristics of the most cost-effective and successful risk management programs so that you can implement them at home. Topics covered will include organizational safety culture, near-miss reporting, physical abilities testing and much more.

    Tim Brewster is the Risk Management Team Leader at National Interstate Insurance Company.

    Sponsored by National Interstate Insurance


  • SPECIAL MEETINGS & EVENTS

    Tuesday, July 19
    1:00 p.m. - 3:30 p.m.

    SPECIAL MEETINGS & EVENTS

    FIRSTWATCH USER GROUP MEETING

    VIEW DESCRIPTION

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

    More than 300 communities in North America use FirstWatch, turning their data into actionable information. Now in its eighth year, the FirstWatch User Group meeting is an effective way to get updated on the latest applications and learn how your peers are using their data to improve clinical care, situational awareness and operations.  


    Monday, July 18
    7:00 a.m. - 8:00 a.m.

    SPECIAL MEETINGS & EVENTS

    CONTINENTAL BREAKFAST

    VIEW DESCRIPTION

    Sponsored by Medtronic


    Monday, July 18
    5:30 p.m. - 7:00 p.m.

    SPECIAL MEETINGS & EVENTS

    NO HOST GATHERING


    Tuesday, July 19
    7:00 a.m. - 8:00 a.m.

    SPECIAL MEETINGS & EVENTS

    CONTINENTAL BREAKFAST

    VIEW DESCRIPTION

    Sponsored by Sierra Wireless


    Tuesday, July 19
    2:00 p.m. - 3:30 p.m.

    SPECIAL MEETINGS & EVENTS

    PINNACLE MEDICAL DIRECTOR/EMS EXECUTIVE FORUM

    VIEW DESCRIPTION

    Open to all interested participants

    In this high-energy, informal and candid session, medical directors and EMS executives will discuss where their goals and strategies align and where they sometimes collide. The forum is open to the first 25 organizations that register both a medical director and a senior executive for Pinnacle.


    Tuesday, July 19
    3:30 p.m. - 4:30 p.m.

    SPECIAL MEETINGS & EVENTS

    EMS AND FIRE SERVICE TRENDS: STRATEGIES FOR CITY AND COUNTY OFFICIALS

    VIEW DESCRIPTION

    Open and complimentary for municipal officials

    EMS and fire services are consuming an increasing slice of the municipal budget. City and county leaders are struggling to balance service delivery, cost containment and an ever-changing healthcare landscape. Simply put, the existing EMS response model has failed to evolve as community needs for emergent and nonemergent healthcare delivery have changed. At the same time, many fire departments have failed to adapt to new realities. This session will outline five trends in the transformation of emergency services and the 10 questions every city and county manager should ask its fire and EMS leaders.

    Bruce Moeller, PhD, is a former county executive and fire chief. Andrew Rand is the chair of the Peoria County Commission and CEO of a regional non-profit ambulance service. Steve Knight, PhD, is a senior associate with Fitch & Associates and co-author of the 2015 International City/County Management Association whitepaper “The New EMS Imperative: Demonstrating Value.”


    Tuesday, July 19
    3:30 p.m. - 4:30 p.m.

    SPECIAL MEETINGS & EVENTS

    NEMSMA MEMBERSHIP MEETING

    VIEW DESCRIPTION

    Open to all interested participants

    Receive a fast-paced update of the activities of the association, including the development of leader competencies and certifying exams, special projects and committee work, new educational offerings, and advocacy. Learn how you can get involved.


    Tuesday, July 19
    4:00 p.m. - 4:30 p.m.

    SPECIAL MEETINGS & EVENTS

    WELCOME TO SAN ANTONIO

    VIEW DESCRIPTION

    A BRIEF ORIENTATION FOR SPOUSES & CHILDREN


    Tuesday, July 19
    6:15 p.m. - 6:30 p.m.

    SPECIAL MEETINGS & EVENTS

    PINNACLE LEADERSHIP AWARD


    Tuesday, July 19
    6:30 p.m. - 8:30 p.m.

    SPECIAL MEETINGS & EVENTS

    OPENING RECEPTION

    VIEW DESCRIPTION

    Sponsored by Penske Truck Leasing


    Wednesday, July 20
    7:45 a.m. - 8:45 a.m.

    SPECIAL MEETINGS & EVENTS

    BREAKFAST WITH THE EXPERTS

    VIEW DESCRIPTION

    Sponsored by HealthCall, LLC


    Wednesday, July 20
    11:45 a.m. - 1:15 p.m.

    SPECIAL MEETINGS & EVENTS

    LUNCH

    VIEW DESCRIPTION

    Sponsored by Ninth Brain


    Wednesday, July 20
    5:30 p.m. - 6:30 p.m.

    SPECIAL MEETINGS & EVENTS

    NETWORKING RECEPTION


    Wednesday, July 20
    6:30 p.m. - 9:00 p.m.

    SPECIAL MEETINGS & EVENTS

    Bradshaw Consulting Services User Appreciation Dinner

    VIEW DESCRIPTION

    For existing MARVLIS/Dispatch Pro Users.


    Thursday, July 21
    7:45 a.m. - 8:45 a.m.

    SPECIAL MEETINGS & EVENTS

    BREAKFAST WITH THE EXPERTS

    VIEW DESCRIPTION

    Sponsored by Logis Solutions, Inc.


    Thursday, July 21
    11:45 a.m. - 1:15 p.m.

    SPECIAL MEETINGS & EVENTS

    LUNCH

    VIEW DESCRIPTION

    Sponsored by ESO Solutions


    Friday, July 22
    9:00 a.m. - 3:00 p.m.

    SPECIAL MEETINGS & EVENTS

    NEMSMA PREPARATION SESSION AND CREDENTIAL EXAM

    VIEW DESCRIPTION

    This workshop will review the 7 Pillars of EMS Officer Competency knowledge areas in a scenario-based format addressing the supervisory level in each pillar.  Attendees will be eligible to sit for the pilot credential exam at the conclusion of the session.  Participants must provide a laptop or tablet that can access a wireless internet service.


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