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.



Schedule at a Glance

  • PINNACLE POWER SEMINARS

    Monday, August 3
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    SEEKING SUSTAINABILITY: AN EXCLUSIVE MIH/CP EXECUTIVE FORUM

    VIEW DESCRIPTION

    (Open only to agencies that have implemented and are currently operating MIH/CP programs.)

    The concept of mobile integrated healthcare — in which the patient is at the center of all decisions related to the who, what, when, where, and why of care — has made real headway in the past several years and has caught the attention of state and federal policy makers. The concepts of community paramedicine fit within the broader MIH model.

    This session is designed for senior leaders who are actively engaged in operating MIH/CP programs. It is not meant for those interested in the concept but who have yet to start a program — there are other sessions meant to meet those needs.

    In small groups, participants will share their experiences, current issues, and future sustainability options, as well as compare and analyze results and discern best practices. The group’s efforts will be reported in a session later in the conference.

    Dan Swayze is vice president of the Center for Emergency Medicine, which is affiliated with the University of Pittsburgh. Matt Zavadsky is director of public affairs for MedStar Mobile Health in Ft. Worth, Texas. Brenda Staffan manages the Medicare Innovation Grant project at the Regional EMS Authority in Reno, Nevada. Eric Beck, former medical director of the Chicago Fire Department, is associate chief medical officer of Evolution Health and American Medical Response (AMR).

    Sponsored by Medtronic Philanthropy


    Monday, August 3
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    IMPLEMENTING EVIDENCE-BASED MEDICINE FOR CLINICAL EXCELLENCE

    VIEW DESCRIPTION

    Each year, Pinnacle enlists some of the nation’s top physicians to help EMS executives develop strategies consistent with the latest evidence guiding the practice of out-of-hospital medicine. This year, research indicates a sea of change is coming. Join us to hear the latest information from cutting-edge medical directors and work in small groups to review tactics that will move your service forward.

    You will learn:

    • How clinical research is shaping the future of EMS
    • To separate urban (and rural) legends from evidence-based medicine
    • How to take advantage of anticipated shifts in standards of care and priorities
    • What technology developments will become mainstream and why
    • How to provide fiscally responsible and effective clinical care

    Eric Beck, former medical director of the Chicago Fire Department, is associate chief medical officer of Evolution Health and American Medical Response (AMR). Angus Jameson is the Medical Director for Pinellas County (FL) EMS. Bill Gerard is chair of the Department of Emergency Medicine at Palmetto Health in South Carolina, and serves as medical director of Richland County EMS.


    Monday, August 3
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    USING SCIENCE TO PREVENT FATIGUE AND IMPROVE SAFETY IN YOUR ORGANIZATION

    VIEW DESCRIPTION

    In last year’s Pinnacle keynote address, Dr. Shappell took a high-level look at the impact of fatigue on safety. He’s back to present a solutions-oriented Pinnacle Power Seminar where he will transform fatigue theory and research into practical, hands-on strategies for how to design, analyze and improve the systems of work in which caregivers engage.

    You will learn:

    • How to improve patient and caregiver safety
    • How to apply fatigue science in a practical way for fire and EMS programs
    • What fatigue policies should be in place in every EMS system
    • The human factors approach to incident investigation and analysis

    Psychologist Scott Shappell, chair of the Department of Human Factors and Systems at Embry-Riddle Aeronautical University in Daytona Beach, Florida, is recognized worldwide for his work on accident investigation, system safety, behavioral stressors, sustained operations and fatigue. Paul Misasi, a veteran paramedic and private pilot, is a leader in issues of patient safety. He is currently clinical manager of Sedgwick County EMS in Wichita, Kansas, and is a doctoral student in human factors psychology at Wichita State University.


    Monday, August 3
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    MASTERING RFPs: WHAT YOU NEED TO KNOW

    VIEW DESCRIPTION

    Creating the ingredients for a successful RFP process is more difficult than ever. Decreasing revenue, increasing costs, unrealistic community expectations, conflicting clinical evidence, expanded roles, turf battles, the changing healthcare environment, and lots of politics are blended into the witches’ brew of an RFP and the resulting long-term contract. While RFPs have traditionally focused on response time performance as a key accountability, a new clinical ‘systems of care’ model is emerging that suggests more clinically oriented accountability metrics, which can also impact public sector non-transport medical first response providers and hospitals. Such metrics may also be better aligned with the interests of ACOs and other payers that are migrating towards value-based purchasing agreements. The panelists will share their extensive experience in creating and responding to an RFP in the midst of conflicting political agendas, as well as provide best practices for responding to complex, confusing, and potentially expensive contracting opportunities.

    You will learn:

    • Telltale signs of a sham RFP process vs. a straightforward one
    • Elements in a clinical systems of care approach to contract accountabilities
    • Seven questions to ask at any pre-proposal conference
    • How to avoid common pitfalls and mistakes
    • What review committees look for in a proposal
    • How to navigate turbulent political waters

    Rick Keller, a Fitch & Associates founding partner, is a foremost expert in writing and overseeing the EMS RFP process. He will be joined by senior executives from two of the most prominent EMS agencies in the U.S.—and who sometimes find themselves bidding against each other—as well as the AHA’s lead architect for developing clinical systems of care.


    Monday, August 3
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    BLUEPRINT FOR MIH/CP SUCCESS: A DETAILED REVIEW OF THE RESULTS OF RENO’S COMMUNITY HEALTH PROJECT

    VIEW DESCRIPTION

    Dive deep into the details of Reno’s Regional EMS Authority’s (REMSA) highly touted Community Health Program as it closes out its third year. Funded by a Centers for Medicare and Medicaid Services (CMS) Health Care Innovation Award, the stated goal of the project was to reduce total patient care expenditures by at least the amount of the grant — $10.5 million over three years. The program has carefully monitored outcomes according to standards established by CMS.

    In this session, moderated by Brenda Staffan, the project leader, you’ll hear from REMSA’s managers on the specifics of each program, including lessons learned, best practices and the most recent update on outcome measures:

    • Nurse Health Line – Understand why this intervention has experienced extraordinary levels of community demand and success, with callers and referral sources representing a broad spectrum of individuals, community groups and healthcare professionals.
    • Community Paramedicine – Can specially trained community health paramedics perform in-home delegated tasks to improve the transition from hospital to home, perform point-of-care lab tests and improve care plan adherence? Preliminary results will be discussed, including patient quality of life and satisfaction scores.
    • Ambulance Transport Alternatives – Following an advanced assessment in the field, paramedics provide alternative pathways of care for 9-1-1 patients, including transport of patients with low acuity medical conditions to urgent care centers and clinics, transport of inebriated patients directly to the detoxification center, and transport of psychiatric patients directly to a mental health hospital.

    Learn the inside story of what it takes to create a successful and sustainable MIH practice, with lessons in collaboration, perseverance and a shared vision.

    Brenda Staffan is the Medicare Innovation Grant project manager at the Regional EMS Authority in Reno, Nevada. She previously served as executive director of the California Ambulance Association.

    Sponsored by Integrated Healthcare Delivery

     


    Monday, August 3
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    HOW TO USE “FIRE FREAKONOMICS” TO TRANSFORM YOUR DEPARTMENT

    VIEW DESCRIPTION

    In the book Freakonomics, a “rogue economist” used data to change the way people thought about subjects from crime rates to television game shows, turning many long-held beliefs upside down. In this Pinnacle Power Seminar, seasoned fire service leaders use analytical methods to challenge deep-rooted assumptions in EMS and the fire service, while at the same time outlining how to achieve higher performance levels and deal with the “wicked problems.” With real-life examples, the speakers will show how fire and EMS agencies have found ways to provide effective service and reduce costs, debunking the myth that managers must choose between effectiveness and efficiency.

    You will learn:

    • The critical issues required for sustainability
    • 10 questions every fire/EMS chief should ask their city/county manager
    • How to develop meaningful dashboards that analyze and report the right metrics
    • To recognize MIHP/CP risks and opportunities
    • Real cost-saving measures in operations, including scheduling and recruitment

    Bruce Moeller has served as executive director of safety and emergency services for Pinellas County, Florida, since 2012. Previously, Moeller served as fire chief and then city manager in Sunrise, Florida. Steve Knight, a senior associate with Fitch & Associates, retired as assistant fire chief from the St. Petersburg Fire Department and as a senior manager for fire and EMS at the International City/County Management Association (ICMA). Veteran fire and EMS leader Todd Sheridan, also a senior consultant at Fitch & Associates, joined the firm after more than a decade with the Richmond Ambulance Authority.


    Monday, August 3
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

    MANAGING THE “BIG FIVE” RISK FACTORS OF EMS SYSTEMS

    VIEW DESCRIPTION

    This seminar will demystify legal risk management for EMS executives and provide a simple framework they can apply to their organizations. Rather than making you more risk-averse, the session will encourage you to take a healthy approach to risk in EMS operations, clinical, human resource, financial, and compliance issues. Through lecture, case studies, and small group discussions, these lawyers and EMS leaders will provide practical answers for current topics, from handling a caregiver’s refusal to respond to a possible Ebola patient, to managing the clinical risk of over- and under-treatment.

    You will learn:

    • The five major risk factors every EMS leader must know
    • How much risk an EMS service can safely tolerate
    • How to lead with confidence when making decisions involving legal risk
    • Unique risks associated with MIH/CP, vehicle operations, staff selection, light duty, secondary employment, social media, billing and collections, and discipline
    • Common litigation strategies and early mitigation options 

    Veteran paramedic and practicing attorney Matthew Streger serves as director of mobile health services at Robert Wood Johnson University Hospital in New Jersey. Skip Kirkwood is director of Durham County (N.C.) EMS and is a past president of the National EMS Management Association. Kevin Fairlie is the Founding Principal of Fairlie Law LLC, and General Counsel to several health centers in St. Louis.


    Monday, August 3
    1:00 p.m. - 4:45 p.m.

    PINNACLE POWER SEMINARS

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

    VIEW DESCRIPTION

    This popular up-to-the-minute session features four TED Talk-style mini-presentations followed by small group roundtable discussions focused on strategy and tactics. Facilitated by NEMSMA President Michael Touchstone and other members of the NEMSMA board, the four cornerstone topics will include, among others:

    1. Regulatory Issues and Alliances – Ray Barishansky
    2. Big Data Needs, Small Budget Reality – Sean Caffrey
    3. How Do We Pay for EMS? – Skip Kirkwood
    4. Avoiding Administrative & Operational Gotchas – Michael Poynter

    The complete lineup of subjects and facilitators will be posted prior to the session. You’ll have a chance to choose from a variety of topics of most importance to you and your agency, facilitated by experts ready to help answer your most critical questions.

    Sponsored by NEMSMA


    Tuesday, August 4
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    BUILD A BETTER LEADERSHIP TEAM AND OVERCOME THE DYSFUNCTION INHERENT IN ORGANIZATIONS

    VIEW DESCRIPTION

    Are your leadership meetings smooth affairs with little conflict? Are your people too polite to disagree with you or each other? Is there confusion around roles and accountability? If at least some of your answers are yes, you may have a dysfunctional team, or at least one that isn’t as effective as it could be.

    That’s not surprising. Teams are made up of people, full of strengths, weaknesses, prickly biases and different personalities — everything that makes us human. The trick is to understand this dynamic and find the common ground that binds teams together, through trust, clarity of mission and healthy conflict.

    This session is based on principles espoused by leadership guru Patrick Lencioni in his book The Advantage: Why Organizational Health Trumps Everything Else in Business.

    Todd Stout and Brian LaCroix, your facilitators for this session, are seasoned EMS leaders who have built highly effective teams — and have witnessed highly dysfunctional ones along the way. Together, they will guide you through a proven approach to creating a “healthy” organization.

    You’ll learn:

    • How trust—that is, a willingness to be vulnerable—is the foundation for any effective team
    • What actions you need to take as a leader to develop trust between team members
    • How to promote healthy conflict and allow the team to get to the best decisions
    • How to ensure clarity around role and mission, understanding the difference between what you do and why you do it

    Todd Stout is CEO of FirstWatch, an award-winning technology firm. Previously, he worked in high-performance EMS systems in Missouri and Oklahoma. Brian LaCroix is CEO of Allina Health EMS, a hospital-based system serving more than 100 communities in central Minnesota. It is nationally recognized as one of best EMS systems in the country.


    Tuesday, August 4
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    SEVEN STRATEGIES FOR IMPROVING SUSTAINABILITY AND THE BOTTOM LINE

    VIEW DESCRIPTION

    Confronted with continuous advances in science and technology, an ever-aging population, and more demanding stakeholders, systems are straining to remain viable. What has worked for EMS services in the past will no longer suffice as changes in healthcare measurement and financing occur every day. You’ll hear from an experienced EMS executive and one of the leading experts on EMS data who’ll provide real-world examples that will provide a hands-on opportunity to develop implementable strategies.

    You will learn:

    • To respond effectively to the economic dynamics of local markets
    • How to integrate data into operations and measure the right metrics
    • How to contain core operating costs
    • Mechanisms to improve revenue cycle management
    • How to prepare for the shift to value-based compensation models

    Roxanne Shanks is CEO of LifeFlight Eagle, the nonprofit air medical organization serving the Kansas City, Missouri, area. Greg Mears is medical director for ZOLL Medical Corporation. Mears previously served as state EMS medical director for North Carolina and was the original principal investigator for the National EMS Information System (NEMSIS).


    Tuesday, August 4
    8:00 a.m. - 11:45 a.m.

    PINNACLE POWER SEMINARS

    BEYOND STANDARDS OF COVER: NEW WAYS TO ENHANCE FIRE AND EMS DEPLOYMENT

    VIEW DESCRIPTION

    Fire and EMS deployment strategies are often based on outdated methodologies such as limiting consideration to potential risks and using historical data. In this session, participants will be challenged to change their thinking in order to evaluate the true levels of risk in their communities. New approaches, including critical tasking, must be considered. These veteran fire service and EMS leaders will use a case presentation comparing the performance, safety, cost, and marginal benefits of two different response models.

    You will learn:

    • How to differentiate and assess various types of risk
    • How critical tasks impact effectiveness and safety
    • Deployment models to mitigate risk
    • How to defend deployment decisions
    • Bottom-up quality improvement for deployment planning

    Steve Knight, a senior associate with Fitch & Associates, is a retired assistant fire chief with the St. Petersburg Fire Department in Florida. He also served as senior manager for fire and EMS at the International City/County Management Association (ICMA). Guillermo Fuentes is a partner with Fitch & Associates and previously served as chief administrative officer for the Region of Niagara (Canada) police agency and as associate director of the regional EMS program. Steve Cotter is the director of EMS in Berkeley County, South Carolina, after serving in similar roles for Sedgwick County, Kansas, and Piedmont Medical Center in Rock Hill, South Carolina.

    Sponsored by Bradshaw Consulting Services, Inc.


  • MAIN CONFERENCE

    Tuesday, August 4
    5:00 p.m. - 6:15 p.m.

    MAIN CONFERENCE

    KEYNOTE ADDRESS: SOME PLAY THE GAME, OTHERS CHANGE THE WAY THE GAME IS PLAYED

    VIEW DESCRIPTION

    Anyone who has taken an advanced business course knows the Southwest Airlines story —it’s an enduring case study of how a clear vision of “why” drives strategy and tactics, and in the process creates a culture that clearly differentiates an organization.

    We are honored to have Howard Putnam, one of the architects of the Southwest model and a highly sought-after speaker, kick off Pinnacle this year with this inspiring presentation.

    Southwest Airlines changed the way the game is played in the airline industry with a vision to democratize air travel, making it affordable to people who typically traveled by bus. How did Southwest do it? Their strategy resulted in a set of highly defined disciplines —influencing everything from the type of planes they flew to their boarding process to the type of people they hired — all with a specific purpose. In the process, they became the most consistently profitable and reliable airline in the world, posting profits even during the Great Recession, and always with excellent customer reviews.

    As an EMS leader, you face turbulent times with the healthcare “game” clearly changing. Is your agency willing to challenge the conventions of the past 40 years? Don’t miss this exclusive opportunity to learn from Putnam’s experience as a leader and innovator —someone who challenged the status quo and whose vision never wavered.

    Howard Putnam is the former CEO of the highly successful Southwest Airlines. Later, when recruited to be the CEO of failing Braniff International, Howard Putnam was the 1st CEO to successfully restructure a major airline into…through, and out of Chapter 11. Earlier he spent over twenty years with United Airlines, his final position being Group VP of Marketing.

    He has been an entrepreneur and has served as a director of several startup technology companies. He is an author, speaker and advisor on business issues, change, leadership and ethics. Howard Putnam has an MBA in Marketing from the Univ. of Chicago and attended Harvard’s Advanced Management Program.

    Sponsored by Bradshaw Consulting Services, Inc.


    Wednesday, August 5
    9:00 a.m. - 10:15 a.m.

    MAIN CONFERENCE

    THE QUALITY IMPERATIVE AND THE LINK TO REIMBURSEMENT

    VIEW DESCRIPTION

    EMS agencies throughout the U.S. are connecting the dots to enhance quality, improve health and reduce costs. If the predicted demise of fee-for-service payments over the next decade becomes a reality, what will replace them? If value-based purchasing is the answer, what will be the value proposition for EMS — early response, patient navigation, transportation, or something else? Dr. Margolis will address these questions and discuss how changes in the funding model may impact the fundamental way services are organized and delivered. A paramedic, EMS leader, and now director of health system policy for the Office of the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services, he brings his unique perspective in a session not to be missed.

    Gregg Margolis, a veteran paramedic, previously served as associate director of the National Registry of EMTs and was the first EMS professional to participate in the Robert Wood Johnson Health Policy Fellowship.

    Sponsored by Markel 


    Wednesday, August 5
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    THINK YOU’RE READY FOR A COMPLIANCE INVESTIGATION?

    VIEW DESCRIPTION

    There is no doubt that scrutiny will increase as healthcare reform unfolds. Kevin Fairlie has represented multiple agencies that have navigated state and federal investigations. He will describe what really happens when a government investigation begins and share critical mitigation strategies you should consider before an investigator ever comes calling. He will provide a succinct cost-benefit analysis for central regulatory and compliance activities. When it comes to a topic like this, “you don’t know what you don’t know.” Find out here.

    Kevin Fairlie is the Founding Principal of Fairlie Law, LLC and General Counsel to several health centers in St. Louis.


    Wednesday, August 5
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    WHY STANDARD PERFORMANCE MEASURES MATTER MORE THAN EVER

    VIEW DESCRIPTION

    How do you measure how well your agency is doing, in terms of clinical care, operations and finances? What are accepted outcome measures for EMS, proven to be relevant and accessible? How can you compare your agency’s performance to other similar agencies?

    Often the only answer EMS agencies can provide—and the only one currently understood by municipal leaders—is “response times.” But it’s time to move beyond response times as the chief measure of success and start demonstrating the actual value EMS provides to the community. Healthcare is quickly moving from fee-for-service to value-based reimbursement — and patients, the public, and payors will be scrutinizing outcomes like never before.

    Such a shift requires a uniform set of performance measures to assess and improve an EMS system. The federal NHTSA Office of EMS and the National Association of State EMS Officials (NASEMSO) have embarked on EMS Compass, an initiative to create a system that develops, tests, and validates standardized key performance indicators for EMS for use at the local, state, and national levels. Just as important, EMS Compass will provide guidance and leadership to demonstrate how agencies of every size and model of service delivery can access their data to do critical benchmarking. Several leaders of EMS Compass will be at Pinnacle to discuss this important issue and hear feedback on specific performance measures being considered by the EMS Compass team.

    Dia Gainor, the executive director of NASEMSO, has said this initiative could “transform how we do EMS in this country.” Bob Bass, the highly regarded former director of the Maryland Institute for EMS Systems, came out of retirement to head the initiative’s prestigious steering committee. Dr. Alex Garza, chair of the Medical Advisory Group for the initiative, is former medical director for Department of Homeland Security. Data expert, consultant and paramedic Nick Nudell is the project manager.


    Wednesday, August 5
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    THE PAYOR’S PERSPECTIVE ON VALUE

    VIEW DESCRIPTION

    Everyone’s talking about value! But how do agencies and payors change from adversaries to partners? How does EMS demonstrate and quantify value? Neither providers nor payors know how to initiate these critical conversations or what tools are required to strengthen payor relationships. This highly interactive session not only provides the payor’s perspective, it affords participants an opportunity to ask questions and develop a common understanding of opportunities ahead in the rapidly changing EMS/mobile health market.

    Facilitated by Rick Keller, a founding partner of Fitch & Associates and a foremost expert in EMS finance. Keller will be joined by senior leaders from Cigna, Kaiser and United Healthcare

    Sponsored by Ferno


    Wednesday, August 5
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    “FLIPPING” YOUR SERVICE TO ACHIEVE THE TRIPLE AIM

    VIEW DESCRIPTION

    A “flip” is a bold new way of looking at the caregiver-patient encounter, one that both challenges our assumptions about the interaction and enhances outcomes. The Robert Wood Johnson Foundation has been on healthcare’s cutting edge for decades and is again changing the way in which patients and caregivers interact.

    Applying revolutionary concepts in education pioneered by Khan Academy to turn the classroom inside out, the foundation is encouraging caregivers to change the manner in which they interact with patients, creating a critical moment to positively impact long-term health. Learn how this program can be implemented to support your EMS service’s efforts to achieve the Institute for Healthcare Improvement’s Triple Aim of improving care outcomes, improving the patient’s experience and reducing costs.

    Matthew Streger is executive director of the Robert Wood Johnson Health System’s mobile healthcare/EMS program. He is also a senior consultant with Fitch & Associates and an experienced healthcare attorney. 


    Wednesday, August 5
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    ADVANCED APPLICATIONS FOR CREW RESOURCE MANAGEMENT

    VIEW DESCRIPTION

    The multidisciplinary, time-critical nature of EMS and the vulnerability of the people it serves create an environment especially unforgiving of mistakes. Human factors account for most adverse events in EMS, making a climate of safety essential. Crew resource management focuses on teamwork, threat and error management, and an open, blame-free discussion of mistakes. In this session, a veteran EMS leader describes how an executive can lead a culture change and create a safer organization.

    Scott Matin is vice president of clinical and business services for MONOC Mobile Health Services in New Jersey. He serves on the faculty at Fairleigh Dickinson University in Teaneck, New Jersey, and is the Region I Director for the National Association of EMTS.


    Wednesday, August 5
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    STRESS, SUICIDE AND SUPPORT FOR CAREGIVER WELLNESS

    VIEW DESCRIPTION

    Recent statistics demonstrate a shocking increase in stress-related illness and suicides among emergency services personnel. Every caregiver is susceptible. In this important session, Susan Balaban, PhD, will outline current research, present key action steps for every administrator and describe multiple approaches for prevention, resilience and well-being within your agency. Dr. Balaban is the clinical manager of the Uniformed Services Program at Brattleboro Retreat is considered a leading expert in this field.

    Sponsored by Stryker EMS


    Thursday, August 6
    9:00 a.m. - 10:15 a.m.

    MAIN CONFERENCE

    PINNACLE LEADERSHIP SERIES:
    TEACHING THE ELEPHANT TO DANCE — LEADING ORGANIZATIONAL CHANGE

    VIEW DESCRIPTION

    In today’s rough-and-tumble environment, the phrase “lead or get left behind” is a reality. Rocked by reform and big changes in areas including financing, care models, and population trends, chief executives must make bold leadership decisions. Each year as part of the Pinnacle Leadership Series, Jay Fitch outlines a broad leadership concept and interprets it in a way to help improve hands-on skills. In this session, he will describe key skills leaders must know as they lead their organizations through change. It’s possible to teach an elephant to dance, or even transform an entrenched organization, but it takes a carefully choreographed approach.

    Jay Fitch is the founding partner and president of Fitch & Associates. He is recognized as a thought leader for emergency services and was recently recognized with a lifetime leadership award presented by the National Association of EMTS.

    Sponsored by MedaPoint, Inc.


    Thursday, August 6
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    FROM SARS TO EBOLA AND FERGUSON’S UNREST: ARE WE PREPARED?

    VIEW DESCRIPTION

    Public safety prides itself on preparation, but recent events have shown that we are not as prepared as we think we are. EMS leaders from Dallas, Missouri and Ontario, Canada, who have dealt with some of the most significant challenges to EMS in recent years, tell their stories in three rapid-fire presentations, discussing not only what went well, but what did not go well, and how to avoid those failures. Following the presentations, time will be reserved for attendees of this interactive session to ask specific questions.

    Kevin Smith is the chief of Niagara EMS in Ontario, Canada. Norman Seals is the assistant chief of EMS for the Dallas Fire-Rescue Department. Chris Cebollero is the EMS chief at Christian Hospital in the St. Louis area.


    Thursday, August 6
    10:45 a.m. - 11:45 a.m.

    MAIN CONFERENCE

    THE FUTURE IS NOW: HOW BROADBAND COMMUNICATIONS WILL TRANSFORM OUT-OF-HOSPITAL CARE

    VIEW DESCRIPTION

    Every day, millions of people around the world video-conference with family on smart phones, transmit personal information on tablets, and work from coffee shops on laptops. Yet in EMS, we still frequently print written reports, communicate to the hospital via two-way radios or even faxes, and in general suffer from a lack of adequate information when we need it. The potential for broadband technology to revolutionize EMS is clear, from telemedicine to integrated patient data.  With an initiative called FirstNet (dedicated broadband for first responders), practitioners will soon have technologies in the field that they use in their personal lives every day. 

    Kevin McGinnis, a FirstNet board member, is a foremost expert in communications technology as it relates to healthcare and public safety, and advises five leading EMS associations on the topic.  He will lead a discussion of how telemedicine is changing the practice of EMS today and how EMS leaders can prepare for the technological revolution.


    Thursday, August 6
    1:15 p.m. - 2:15 p.m.

    MAIN CONFERENCE

    WHAT DOES THE FUTURE HOLD FOR MIH/CP? WHAT THE DATA (AND OUR GUTS) TELLS US

    VIEW DESCRIPTION

    Earlier in the conference, leaders in the concept of mobile integrated healthcare will meet in an Executive Forum designed for those agencies actively engaged in running a practice. Hear the results of the Forum, which seeks to answer questions such as:

    • Can we definitely say that MIH/CP programs are meeting the Institute for Healthcare Improvement’s Triple Aim?
    • How can we uniformly measure the results of MIH/CP programs?
    • What are common best practices for implementing a program?
    • With CMS payment reform a long-term goal, how can agencies make MIH/CP sustainable in the short run?
    • How are MIH and CP programs different, in terms of the concepts, EMS role and urban vs. rural settings?
    • What is, or can be, the role of the fire service in MIH/CP?
    • What are the barriers and challenges to making MIH/CP a continuing national trend?
    • What do other healthcare stakeholders and payors think?

    You’ll get up-to-the-minute answers from some of the brightest leaders in this emerging field.

    Dan Swayze is the vice president of the Center for Emergency Medicine, which is affiliated with the University of Pittsburgh. Matt Zavadsky is the director of public affairs for MedStar Mobile Health in Ft. Worth, Texas. Brenda Staffan manages the Medicare Innovation Grant project at the Regional EMS Authority in Reno, Nevada. Eric Beck, former medical director for the Chicago Fire Department, is the associate chief medical officer for Evolution Health and American Medical Response (AMR). 

    Sponsored by Infor Public Sector 


    Thursday, August 6
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    INNOVATIONS IN DATA AND TECHNOLOGY: WHAT TO EXPECT NEXT

    VIEW DESCRIPTION

    With renewed focus on performance measures and healthcare integration, the importance of meaningful data — and the technologies that provide seamless access, translation and sharing — is ever more critical.

    This fast-paced, lightning-round style session brings together three visionaries in the use and integration of data. Using case studies and examples from innovative agencies, they will show how systems are “connecting the dots” of a patient’s record, from real-time data received at dispatch all the way to discharge. With a peek into the not-too-distant future, they will tell us where technology is taking us, in terms of harnessing the data in our systems to make significant improvements in operations, finance, clinical performance and data sharing.

    Keith Griffiths is president of the RedFlash Group, a national marketing and communications consulting firm. Guillermo Fuentes is a partner with Fitch & Associates and has had a special focus on technology for many years. Chris Dillie is CEO of ESO, a leading software company. Jonathan Washko is the assistant vice president of operations for North Shore LIJ Health System, a high-performance system serving New York City and Long Island.

     


    Thursday, August 6
    2:45 p.m. - 3:45 p.m.

    MAIN CONFERENCE

    RESUSCITATION SUCCESS: USING RESEARCH TO EMPOWER EMS EXECUTIVES

    VIEW DESCRIPTION

    Minnesota is the land of 10,000 lakes — and maybe as many SCA survivors. A partner with the nationally recognized HeartRescue Project, it boasts some of the highest survival rates in the nation. Central Minnesota is home to Allina Health EMS, a hospital-based system that serves more than 100 communities and boasts an SCA survival rate of 44.1 percent (Utstein, defined as witnessed V-fib).

    It wasn’t always that way. You’ll hear Charlie Lick, MD, Allina’s EMS medical director, and CEO Brian LaCroix explain how they approached the leadership challenge of improving their performance, starting with research and the need to motivate staff to accept change, even when it meant more effort. Working together, they sorted out budget priorities when it came to training, new technology, data gathering and convincing a variety of stakeholders, including vendors, governance boards and members of their own team. Ultimately the mechanics of goal setting and execution got the job done, but it started with a shared vision.

    Charles Lick is the medical director of Allina Health EMS. Brian LaCroix is the CEO of Allina Health EMS, a nationally recognized hospital-based system serving more than 100 communities in central Minnesota.

    Sponsored by Medtronic Philanthropy


    Thursday, August 6
    4:00 p.m. - 5:00 p.m.

    MAIN CONFERENCE

    CLOSING KEYNOTE: THE POWER OF COLLABORATION AND WHAT WE’VE LEARNED IN THE PAST 10 YEARS

    VIEW DESCRIPTION

    Leadership research shows that collaboration doesn’t occur by happenstance, nor is it brought about by mandate. True collaboration is a philosophy framed by a set of principles. It’s much more than coordination and cooperation — a genuine collaborative effort is driven by a purpose greater than any individual stakeholder’s success, and often requires sacrifice.

    Pinnacle turns 10 years old this year. We’ve seen amazing twists and turns along the way, with technology and data, clinical care, healthcare reform, education, professionalism, and the rise and fall of EMS systems. But the one thing that hasn’t changed is the need for leadership that values and nurtures collaboration. In fact, in this new era of healthcare integration, collaboration is even more necessary.

    Why is it, then, despite so much sincere interest in collaboration, that people in every branch of government, professionals at multiple levels of healthcare systems, and leaders from every type and size of EMS service model struggle with this fundamental leadership concept?

    We’ve asked acclaimed Pinnacle speaker Dr. Ed Racht to address this complex issue. In this thought-provoking presentation, Dr. Racht reflects on the changes in EMS and healthcare over the past 10 years, the type of topics Pinnacle will be addressing in 2025, and the critical role of collaboration in overcoming challenges past, present and future.

    Dr. Racht never fails to provide insight and inspiration — this is a session you don’t want to miss.

    Ed Racht is the chief medical officer for Evolution Health and American Medical Response (AMR). He previously served as the EMS Medical Director for Austin-Travis County, Texas, and Richmond, Virginia.

    Sponsored by ZOLL


  • SPECIAL MEETINGS & EVENTS

    Monday, August 3
    7:00 a.m. - 8:00 a.m.

    SPECIAL MEETINGS & EVENTS

    Continental Breakfast

    VIEW DESCRIPTION

    Sponsored by MedServ


    Monday, August 3
    8:00 a.m. - 5:00 p.m.

    SPECIAL MEETINGS & EVENTS

    ASSOCIATION OF CRITICAL CARE TRANSPORT MEMBERSHIP MEETING

    VIEW DESCRIPTION

    Open to all members of ACCT 


    Tuesday, August 4
    7:00 a.m. - 8:00 a.m.

    SPECIAL MEETINGS & EVENTS

    Continental Breakfast

    VIEW DESCRIPTION

    Sponsored by Sierra Wireless


    Tuesday, August 4
    1:30 p.m. - 3:00 p.m.

    SPECIAL MEETINGS & EVENTS

    INSIDE THE NEMSMA COMPETENCIES

    VIEW DESCRIPTION

    Open to all Pinnacle attendees

    Competency is required regardless of your leadership level. NEMSMA has identified 91 specific competencies grouped into seven pillars (categories) that outline the knowledge, skills and abilities needed for each competency at three different levels (supervision, managing and executive) within an EMS organization. In this special bonus session, learn the importance of developing your capabilities and how NEMSMA’s tool can be used to achieve and maintain these critically important competencies.

    Ryan Greenberg has served in a variety of EMS leadership roles including chief of EMS Operations for Vanguard Health Systems. He is a board member and chair of the NEMSMA National EMS Officer Competencies Committee.


    Tuesday, August 4
    1:30 p.m. - 3:00 p.m.

    SPECIAL MEETINGS & EVENTS

    PINNACLE MEDICAL DIRECTOR/EMS EXECUTIVE FORUM

    VIEW DESCRIPTION

    There is a natural, and important, tension in the relationship between a medical director and the CEO. In this high-energy, candid dialogue session medical directors and EMS executives will discuss where their goals and strategies parallel and collide. This forum is open to the first 25 organizations that register both a medical director and a senior executive for Pinnacle.


    Tuesday, August 4
    2:00 p.m. - 4:30 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 to monitor and integrate their data. Now in its seventh 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.


    Tuesday, August 4
    3:30 p.m. - 4:00 p.m.

    SPECIAL MEETINGS & EVENTS

    NEMSMA Member Meeting

    VIEW DESCRIPTION

    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, August 4
    4:00 p.m. - 4:30 p.m.

    SPECIAL MEETINGS & EVENTS

    WELCOME TO THE ISLAND

    VIEW DESCRIPTION

    A brief orientation for spouses and children.


    Tuesday, August 4
    6:15 p.m. - 6:30 p.m.


    Tuesday, August 4
    6:30 p.m. - 8:30 p.m.

    SPECIAL MEETINGS & EVENTS

    Opening Reception

    VIEW DESCRIPTION

    Sponsored by Ninth Brain


    Wednesday, August 5
    7:45 a.m. - 8:45 a.m.

    SPECIAL MEETINGS & EVENTS

    Breakfast with the Experts

    VIEW DESCRIPTION

    Sponsored by Penske


    Wednesday, August 5
    11:45 a.m. - 1:15 p.m.

    SPECIAL MEETINGS & EVENTS

    Networking Lunch

    VIEW DESCRIPTION

    Sponsored by FirstWatch


    Wednesday, August 5
    5:30 p.m. - 6:30 p.m.

    SPECIAL MEETINGS & EVENTS

    Networking Reception

    VIEW DESCRIPTION

    Sponsored by EMS World


    Wednesday, August 5
    6:30 p.m. - 9:00 p.m.

    SPECIAL MEETINGS & EVENTS

    BCS MARVLIS/DispatchPro Customer Appreciation Dinner

    VIEW DESCRIPTION

    This is open and complimentary to all existing MARVLIS/DispatchPro users.  Preregistration is required.  Please RSVP to registration@bcs-gis.com.

    Bradshaw Consulting Services is proud to offer the MARVLIS suite of products designed to improve the delivery of time-critical services such as EMS, Fire, and even Mobile Integrated Healthcare or Community Paramedicine. Efficiency and effectiveness are the goals that drive BCS toward creating valuable partnerships with clients and industry leaders. It is that focus that results in high performance solutions, like MARVLIS, that integrate GIS technology with spatial reasoning to solve real world problems in public safety.


    Thursday, August 6
    7:45 a.m. - 8:45 a.m.

    SPECIAL MEETINGS & EVENTS

    Breakfast with the Experts

    VIEW DESCRIPTION

    Sponsored by Healthcall


    Friday, August 7
    9:00 a.m. - 4:00 p.m.

    SPECIAL MEETINGS & EVENTS

    COALITION OF ADVANCED EMERGENCY MEDICAL SYSTEMS MEMBERSHIP MEETING

    VIEW DESCRIPTION

    Open to all members of CAEMS 


  • BONUS SESSIONS

    Friday, August 7
    8:00 a.m. - 9:00 a.m.

    BONUS SESSIONS

    CASES FROM THE FITCH FILES

    VIEW DESCRIPTION

    Fitch clients and consultants will profile key cases for EMS leaders, outlining both issues and results. After 30 years 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 improve clinical, financial and operational elements in their systems.


    Friday, August 7
    9:10 a.m. - 10:10 a.m.

    BONUS SESSIONS

    PINNACLE 2015 LEGAL UPDATE

    VIEW DESCRIPTION

    Each year as part of the Pinnacle Legal Update, recent critical cases and trends every executive needs to know are reviewed. The partners of EMS law firm Page, Wolfberg and Wirth will present this year’s update.

    Doug Wolfberg and Steve Wirth are both experienced caregivers and attorneys. Their national law practice specializes in EMS and healthcare matters. 

    Sponsored by Page, Wolfberg and Wirth


    Friday, August 7
    9:10 a.m. - 10:10 a.m.

    BONUS SESSIONS

    WHAT DOES SAFETY REALLY COST?

    VIEW DESCRIPTION

    Accident and injury reduction are known positive outcomes of implementing driving programs. What EMS executives want to know is: Can the investment in driver feedback and travel monitoring systems be quantified? Is there a demonstrable ROI? The Center for Medical Transport Research recently completed a multisite study documenting safety systems’ impacts on operating costs, which provides insight on the culture of safety and quality to help EMS leaders make data-driven decisions.

    Cathy Jaynes is the executive director of the Center for Medical Transport Research in Columbus, Ohio. She previously served as nursing faculty and department chair for several universities.  

    Sponsored by ZOLL


    Friday, August 7
    10:20 a.m. - 11:20 a.m.

    BONUS SESSIONS

    FIRE? POLICE? WHAT ABOUT GRANTS FOR EMS?

    VIEW DESCRIPTION

    Participants will learn about federal, state, local and private funding opportunities, tools and tips for writing proposals, and resources available for those who hate to write grants. Successful grant writing requires a clear understanding of the target and to be able to appropriately demonstrate well-defined outcomes.

    Rachel Stemerman is currently a paramedic for New Castle County EMS in Delaware. She attained her Bachelor of Arts from Wesleyan University and has been freelance grant writing for both the non profit sector and EMS agencies around the country for the past 6 years. While working with EMSGrantsHelp.com Rachel has helped agencies all over the country attain funding for various projects. Currently she is in the process of attaining her Masters in Public Health Policy and Administration Management from University of North Carolina.

    Sponsored by EMS1.com 


    Friday, August 7
    10:20 a.m. - 11:20 a.m.

    BONUS SESSIONS

    TOOLS TO BENCHMARK AND IMPROVE FIRE SERVICE OPERATIONS

    VIEW DESCRIPTION

    The fire service is shifting gears to understand how specific actions impact the outcome of an event. Previous data tools including the NFIRS have not allowed fire departments to effectively benchmark and develop strategies based on availability, capability and response outcomes. Learn about the new free, web-based N-Fors (pronounced “InForce”) tool.

    Michael McAdams is a key team member on this FEMA-funded project. He has 30 years of fire service experience including serving as the chief of the Montgomery County (Maryland) Fire Rescue Service’s Operations Division. Dr. Greg Mears is the chief medical officer of ZOLL. He previously served as the initial principal investigator for the National EMS Information System Project.


    Friday, August 7
    10:20 a.m. - 12:20 p.m.

    BONUS SESSIONS

    HEALTHCARE REFORM AND SELF-INSURANCE: BEST PRACTICES

    VIEW DESCRIPTION

    Healthcare reform and the Affordable Care Act have presented many challenges and opportunities to EMS companies of all sizes. What do you need to do to be compliant with all the new regulations? We will also look at different lines of coverage available through self-funding and will review the various types of self-insurance and what protections they provide. We will discuss the tax advantages, flexibility and cost containment measures for health and other lines of insurance as well as creative ways to use Captives for risk mitigation and tax savings.

    Kris Geary, president and founder of Keystone Benefits Group Inc., based in Greensburg, Pennsylvania, has more than 25 years of employee benefit plan experience. Keystone has assisted clients, CPAs and HR professionals in understanding the implications of the Affordable Care Act.

    Sponsored by medTRANS Insurance LTD


Stay Connected

Receive Pinnacle program updates and important date reminders

×