August 7 – 11, 2017
BOCA RATON RESORT
BOCA RATON, FLORIDA

Schedule at a Glance

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.

 

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Sunday August 6, 2017
Time
Session
Location
8:00 a.m.-12:00 p.m.
NEMSMA Supervising Officer’s Credentialing Exam Prep Course
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

This workshop will examine the 7 Pillars of EMS Officer Competency knowledge areas in a scenario-based format, addressing the supervisory level in each pillar. The course also reviews the Supervising Officer’s written examination format and style, including clarification of how to interpret the questions and use critical thinking to select answers. Attendees will be eligible to sit for the credentialing exam at the conclusion of the session if they are otherwise qualified and have submitted an accepted application in advance. Participants are required to bring a Wi-Fi enabled laptop or tablet.

8:00 a.m.-5:00 p.m.
NEMSMA MANAGING OFFICER’S CREDENTIALING EXAMINATION PREP-COURSE
SPECIAL MEETINGS & EVENTS
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This full-day workshop will examine the 7 Pillars of EMS Officer Competency knowledge areas in a scenario-based format, addressing the managerial level in each pillar. The course also reviews the Managing Officer’s written examination format and style, as well as the “oral boards” section of the certifying examination, providing clarification of how to interpret the questions and use critical thinking in selecting answers and developing responses. Attendees will be eligible to sit for the credentialing exam at the conclusion of the session if they are otherwise qualified and have submitted an accepted application in advance. Participants are required to bring a Wi-Fi enabled laptop or tablet.


Monday August 7, 2017
Time
Session
Location
7:00 a.m.-8:00 a.m.
Continental Breakfast
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

Sponsored by HealthCall, LLC

Grand Assembly East
8:00 a.m.-11:45 a.m.
CLINICAL BEST PRACTICES 2017: WHAT DOES THE LATEST EVIDENCE TELL US?
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

The creation of a culture of science and information continues to gain momentum in EMS, thanks to the work of pioneering researchers and a growing body of evidence.

In this educational and interactive seminar, some of the leading minds in prehospital care will examine the latest clinical research and trends, providing participants with an insightful look at which new developments will change EMS practice—and which ones won’t be around next year.

This session will shed light on current clinical innovations (and challenges), new mechanisms to make quality improvement efforts more effective and efficient, how EMS can participate in large-scale population health research projects, and a look at some of the most cutting-edge clinical innovations available today and in the future

(Note: Participants registered for this workshop will receive articles to read prior to attending the session to facilitate discussion.)

You will learn:

  • Current research initiatives and their implications for your EMS system
  • Evidence-based ways to address the opioid crisis, sepsis and other issues facing EMS providers today
  • How to prepare for, and take advantage of, anticipated shifts in standards of care and priorities
  • New innovations and technologies that will have a positive impact in your system

Leading EMS researchers Scott Bourn, PhD, former Senior Vice President Quality Measurement and Improvement at Evolution Health; David Page, MS, Director of the Prehospital Care Research Forum at UCLA; Ed Racht, MD, Chief Medical Officer, AMR, and Angus Jameson, MD, EMS Medical Director, Pinellas County, Florida, will facilitate this session.

Sponsored by the Prehospital Care Research Forum at UCLA

Grand G
8:00 a.m.-11:45 a.m.
TRAIN YOUR BRAIN: EVIDENCE-BASED STRATEGIES FOR LEADING OTHERS
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

In this day and age, leaders are more “connected” than ever—yet many have lost the most important connection of all: the human one. In this Pinnacle Power Seminar, participants will learn about the neuro-psychology of leadership and how your brain and the brains of those on your team work for and against effective leadership.

Leveraging the strength of our relationships is perhaps the greatest measure of the quality of our lives and leadership. It is also a key predictor of our sense of internal joy and contentment. Our relationships should be the place where we act our best and give our best. Strong relationships are based on the willingness to be vulnerable, engendering trust.

This session will look at how cultural changes are driving fundamental ways EMS leaders manage, guide and operate their organizations. You will learn:

  • How effective leaders engage their team’s brainpower
  • How to flex the “change muscle” in your brain
  • To use technology to support but not replace key human values
  • To create a new paradigm for thinking, behaving and communicating within your organization

You’ll learn from a dream team of leadership educators, including Mike Taigman, FirstWatch Improvement Guide; David Nelson, DMin, Senior Associate, Fitch & Associates; Jim Marshall, MA, director of the 911 Training Institute; and Jim Lanier, MPA, Technical Services Director for the Alachua County Sheriff’s Office, Gainesville, Florida.

Grand H
8:00 a.m.-11:45 a.m.
WHAT YOU DON’T KNOW CAN HURT YOU: HOW TO MANAGE REGULATORY AND OTHER INVESTIGATIONS
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

EMS executives are involved in incident investigations on a regular basis, both when conducting internal inquiries and when approached by outside investigators. This session is practical and hands on, with experienced investigators, law enforcement officers, and attorneys demonstrating strategies and tactics for both conducting and responding to investigations.  

The session will culminate in a “mock” investigation and interview, demonstrating real-world examples of how to conduct an investigation, defend yourself and your organization, and answer questions should you end up in the hot seat.  

You will learn:

  • Strategies and tactics to conduct a defensible investigation
  • What to do when an outside investigator arrives at your door
  • Ways to avoid the investigation in the first place
  • Consequences of common organizational mistakes

Well-known EMS attorneys Matt Streger, JD, and Kevin Fairlie, JD, along with seasoned investigator Robert Fuller, provide an environment that will open your eyes and make you laugh as you learn about this important topic.  

Grand J
8:00 a.m.-11:45 a.m.
IN PURSUIT OF SUSTAINABILITY: BUILDING A FISCALLY SOUND MIH PROGRAM
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

For a number of progressive EMS systems, mobile integrated healthcare has served as a positive mechanism to better serve both patients and payers. But for other organizations, MIH has been a shiny new toy, left alone when the batteries wear out and then quietly discarded.  

This session outlines strategies, data, and evidence used by successful mobile integrated healthcare programs that are moving from grant funded to locally sustainable. It will also outline why others have failed to achieve positive outcomes.   

You will learn:

  • How to articulate the value of a multi-payer reimbursement plan that allows for long term project sustainability
  • The importance of broad-based community partners in the development of a multidisciplinary collaborative
  • How technology supports MIH evolution to a larger role in post-acute care
  • Five failure factors you should avoid in MIH

Brenda Staffan is the MIH Project Director for the Regional EMS Authority in Reno, Nevada; Steve Murphy is a senior executive with experience integrating health-related businesses, including EMS, in value-based delivery models; Alison Goldstein is a Licensed Clinical Social Worker and the project lead of the Tri-County 911 Service Coordination Program in greater Portland, Oregon; Paul Bollinger, MPH is the Senior Project Manager for Health Share of Oregon.

Grand I
1:00 p.m.-4:45 p.m.
“BENDING THE CURVE” TO ACHIEVE FISCAL SUSTAINABILITY
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

In healthcare “bending the curve” means fundamentally changing the conditions of a problem so that the result improves, slowing the rise in the cost of care. In EMS, bending the curve means establishing the conditions that will improve savings to the healthcare system as a whole—and getting recognized and paid for your service.

This interactive session challenges participants to improve outcomes when negotiating integrated service delivery contracts; determine service vulnerabilities by using a fraud focused risk assessment; improve documentation; avoid the problems associated with surprise medical bills; and look beyond pro-forma numbers to bend the curve and improve the bottom line.  

You will learn:

  • Key elements of negotiating integrated service agreements
  • Where you are vulnerable and how to perform a fraud focused risk assessment
  • Best practices in documentation and revenue cycle management
  • How to avoid the PR nightmare of non-covered services and other surprise medical bills

Anthony Minge, EdD, is the Reimbursement and Compliance Partner at Fitch & Associates; Kevin Fairlie, JD, is a healthcare compliance attorney based in St. Louis; and Steve Murphy is a senior executive with experience integrating health-related businesses, including EMS, in value-based delivery models.

Grand G
1:00 p.m.-4:45 p.m.
CONTROVERSIES IN EMS: SEPARATING MYTH AND REALITY
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

Clinical, operational, and regulatory debates continue to smolder across the country. Does ALS really make a difference in outcomes? Should units be based in stations, fully deployed in the field, or a combination? Should systems be designed as all ALS or tiered? Can ALS first responders really maintain clinical competencies? Should vehicle specifications be mandated? Does a degree really matter for EMTs and medics? Even the use of lights and sirens and the appropriateness of employing response time as a critical indicator are still debated. The list goes on and on.

In this thought-provoking session you will be engaged (or possibly enraged) to take a position and support it through several debates. If you don’t want to contribute, participate, and have fun while challenging your assumptions, this session might not be for you.

You will learn:

  • How evidence and research are shaping future EMS strategies
  • To separate myths from reality in current controversies
  • How to develop a logical approach to a controversial topic
  • To use contemporary evidence in presentations with local government officials

Ray Barishansky, MPH, is Deputy Secretary for Health Planning and Assessment at the Pennsylvania Department of Health and a member of the EMS World Editorial Advisory Board; Skip Kirkwood, JD, is Director of Durham County EMS in North Carolina; and Scott Bourn, PhD, is former Senior Vice President Quality Measurement & Improvement at Evolution Health.

Sponsored by EMS World

Grand H
1:00 p.m.-4:45 p.m.
PINNACLE INSIGHTS 2017: JUST IN TIME TOPICS FOR EMS EXECUTIVES
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

Each year the leadership of the National EMS Management Association (NEMSMA) provides a combination of networking and education in this high-energy session, featuring interactive discussion of current topics. These four industry experts will engage the audience in dialogue on issues including:

  • Work-life balance
  • Dealing with recruitment and retention issues
  • Developing a more diverse workforce
  • Combating caregiver violence
  • Improving active shooter planning and response
  • Dealing with the ongoing opioid crisis
  • The role and function of EMS chaplains in provider wellness
  • Other current topics impacting the EMS industry that will be selected in the months leading up to the conference

The format is designed to allow participants to engage in open, creative conversation on best practices and problem-solving experiences, while making new connections and sharing lessons learned. This session is sure to be informative and thought provoking.  

Facilitated by NEMSMA President Vince Robbins, Immediate Past President Mike Touchstone, Past President and Board Member Troy Hagen, and President-Elect Brian LaCroix.

Sponsored by NEMSMA

Grand I
1:00 p.m.-4:45 p.m.
WHAT ICS DOESN’T TEACH LEADERS ABOUT LARGE-SCALE INCIDENTS: RISK, OPERATIONS, RECOVERY AND RESILIENCE
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

Incident management and crisis response are critical functions that span all public safety service missions. A successful response depends on much more than our on-scene actions during the incident. Preparation for large-scale incidents, including risk analysis, development of interagency and stakeholder relationships and improving mission proficiency, requires deliberate actions before, during and after the event.

Many critical incidents grow rapidly and exponentially and demand skills not practiced during routine responses, such as engaging with public officials and media, deploying a robust liaison network, managing numerous information requests, increasing logistics management capabilities and understanding and effectively employing surge forces.

In this session, we’ll discuss best practices for addressing each of those topics as well as how to create effective mechanisms to care for your people before, during and after the event.

Bruce Moeller, PhD, a Senior Associate with Fitch & Associates, is the former Director of Public Safety in Pinellas County, Florida; Todd Sheridan is an Operations Director of a major EMS system in New Jersey; Krista Haugen is the Director of the Survivors Network; and Jim Marshall, MA, is a certified therapist and Director of the 911 Training Institute.

Grand J

Tuesday August 8, 2017
Time
Session
Location
7:00 a.m.-8:00 a.m.
Continental Breakfast
SPECIAL MEETINGS & EVENTS
Grand Assembly East
8:00 a.m.-11:45 a.m.
SCHOOL FOR FIRE AND EMS RADICALS
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

Anyone who wants to bring about change has to be ready to break the rules. But in emergency services, that can be really difficult. The art of rocking the boat, while staying in it, is something that no one has been able, or willing, to teach you—until now.

This session will outline key issues, strategies, and successes to help you change culture, operational capabilities, and employee engagement and move your agency from where it is now to where it needs to be.

You will learn:

  • The latest thinking on operational and practical changes related to stations, staffing, scheduling, and regionalization
  • How to develop station-based community engagement plans
  • When to use technology to improve capacity and outcomes
  • How to move colleagues from change resistant to change resilient
  • Where and how to find the support and money to fund change strategies  

Steve Knight, PhD, is the Fire Service Practice Lead at Fitch & Associates and a former Assistant Chief of the St. Petersburg, Florida, Fire Department, and Mike Myers is Fire Chief of Portland, Oregon, Fire & Rescue and former Chief in Las Vegas, Nevada.

Grand G
8:00 a.m.-11:45 a.m.
WHAT IS “HIGH VALUE EMS” AND WHY DOES IT MATTER TO ME?
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

The expectations of the people you serve—patients, employees, healthcare partners, payers, regulators, medical directors, elected officials and members of the community—change on a mostly daily basis. The organizations that are members of the Academy of International Mobile Healthcare Integration (AIMHI) understand and embrace the challenges this brings; that’s why they are on the cutting edge of delivering and proving value to these important constituents in the dramatically changing EMS and healthcare environment.  

This seminar will focus on key issues and trends that AIMHI members are effectively managing in their rapidly evolving delivery models, providing helpful tools and tips you can use to do the same in your community.   

You will learn:

  • How to balance the clinical and operational needs of your organization
  • How to develop, propose and implement alternate payment models for EMS
  • Why it’s critical to understand today’s EMS workforce and issues such as employee engagement, FMLA, and aligning employee goals with organizational goals
  • To collect, analyze, and interpret data as a key element to process and clinical improvement
  • How to understand the value perspectives of organizational partners and develop metrics that demonstrate the current and potential value you provide

Facilitated by Brenda Staffan, MIH Project Director for the Regional EMS Authority in Reno, Nevada; Brad Lee, MD, REMSA Medical Director; Matt Zavadsky, MS-HSA, president-elect of NAEMT and Director of Public Affairs at MedStar Mobile Healthcare in Fort Worth, Texas; Doug Hooten, President of AIMHI and CEO of MedStar Mobile Healthcare; Todd Stout, CEO of FirstWatch; Rob Lawrence, Chief Operating Officer of Richmond Ambulance Authority and Jonathan Washko, Assistant Vice President of CEMS at Northwell Health in New York.

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

Grand H
8:00 a.m.-11:45 a.m.
PERFORMANCE IMPROVEMENT MEASURES IN THE REAL WORLD: WHAT YOU SHOULD BE MEASURING NOW
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

The evolution of electronic patient care reports, diagnostic technologies and electronic records management systems for billing, training and a host of other areas means organizations have more data than they know what to do with. The problem is no longer a lack of information. Now, the struggle is how to use that information thoughtfully in a way that truly makes a difference for patients, the organization and the community.

In this session, you’ll learn which performance measures are actually being used, how your agency can use them, and what actions you can take based on your findings to deliver more effective and efficient service to your organization’s community.

You will learn:

  • Which clinical measures actually provide useful information and how to turn that information into better patient care
  • How the EMS Compass measures have been tested and implemented—and how to use them in your system
  • Where to find the data that can make your service a safer one for patients and providers
  • How to turn administrative and financial measures into real savings and more efficient operations
  • How to use measures to determine your organization’s biggest areas of risk—and what to do about them

Faculty include Jeff Jarvis, MD, medical director of Williamson County EMS outside of Austin, Texas; Andrew Rand, chair of the Peoria County Commission and CEO of a regional nonprofit ambulance service; Lee Varner, EMS program manager for the Center for Patient Safety; and Guillermo Fuentes, MBA, a partner with Fitch & Associates.

Grand I
8:00 a.m.-11:45 a.m.
CONTINUING EDUCATION FOR AMBULANCE SERVICE MANAGERS
PINNACLE POWER SEMINARS
VIEW DESCRIPTION

This is a continuing education session designed for graduates of the Ambulance Service Manager (ASM) program, but open to all. The workshop involves three unique interactive sessions. In the first, Dr. David Nelson will lead a self-awareness and interactive listening skills refresher using real-life challenging situations. In the second block participants will update specific skills by self-selecting multiple professional and personal interest groups led by faculty and graduates. The third block will hone personal development and accountability plans to confirm that your thoughts, words, and actions are aligned with your goals.  

David Nelson, DMin, is a coordinator for the ASM program and is legendary for his impact upon the careers of EMS leaders. Jim Marshall, MA, is a certified therapist and serves as the Director of the 911 Training Institute. David and Jim will be assisted by other industry leaders who are alumni of the ASM program.  

Grand J
1:00 p.m.-4:00 p.m.
FIRST WATCH USER GROUP MEETING
SPECIAL MEETINGS & EVENTS
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.

Grand I
2:00 p.m.-3:15 p.m.
PINNACLE MEDICAL DIRECTOR AND EMS EXECUTIVE FORUM
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

In this high-energy, informal and candid session, EMS chiefs and their medical directors discuss where their goals and strategies align and where they sometimes collide. Research, education, data-driven decisions, implementation of new technology, quality improvement, succession planning and more are all on the table. We encourage medical directors and chiefs from the same system attend, but the session is open and complimentary to all. The discussion is facilitated by Brian LaCroix, CEO and EMS Chief of Allina Health EMS, and Charlie Lick, MD, his medical director.

Grand G
3:30 p.m.-4:30 p.m.
NEMSMA Annual Membership Meeting
SPECIAL MEETINGS & EVENTS
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.

Grand J
3:30 p.m.-4:30 p.m.
NEMSMA Annual Membership Meeting
MAIN CONFERENCE
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.

Grand J
4:00 p.m.-4:30 p.m.
WELCOME TO BOCA RATON
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

A brief orientation for spouses and children about the events and activities available at the Boca Raton Resort.

Veranda Salon IV
5:00 p.m.-6:15 p.m.
OPENING KEYNOTE: WHAT EMS LEADERS CAN LEARN FROM THE IHI ABOUT PATIENT-CENTERED CARE
MAIN CONFERENCE
VIEW DESCRIPTION

Each year, Pinnacle chooses a leader from outside the EMS mainstream to focus our thoughts for the week. Those who have interacted with the Institute for Healthcare Improvement (IHI) or have taken its educational courses know it is a powerful and inspiring organization. Martha Hayward, Lead for Public and Patient Engagement, will challenge our understanding of public and patient involvement in healthcare. As a cancer survivor, Hayward has experienced firsthand how the patient experience can impact the delivery of healthcare. In her role at IHI, she has been involved in numerous improvement efforts and educational programs, helping organizations change the way they approach the provider-patient relationship.

A founding board member of the nonprofit Women’s Health Exchange, Hayward’s experience spans health, politics, and education. As Executive Director at The Partnership for Healthcare Excellence, Ms. Hayward brings a particular focus on, and considerable insight in, the area of patient advocacy. She also served as a member of the EMS Compass steering committee.

Sponsored by Bradshaw Consulting Services, Inc.

Royal Palm Ballroom
6:15 p.m.-6:30 p.m.
Pinnacle Leadership Award
MAIN CONFERENCE
Royal Palm Ballroom
6:30 p.m.-8:30 p.m.
Opening Reception
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

Sponsored by Penske

Grand ABCDEF

Wednesday August 9, 2017
Time
Session
Location
7:45 a.m.-8:30 a.m.
EVIDENCE-BASED STRATEGIES TO ADDRESS FATIGUE IN EMS
MAIN CONFERENCE
VIEW DESCRIPTION

Despite evidence that fatigue plagues the majority of EMS providers and can raise the risk of injuries to caregivers and patients, many organizations struggle to address the issue. Last year, the National Highway Traffic Safety Administration and National Association of State EMS Officials convened a panel of experts to review the evidence and develop voluntary fatigue risk management guidelines for EMS agencies and personnel. In this session, the project’s principle investigator and one of the leading authorities on patient and provider safety will present the new guidelines for the first time and describe the evidence that led to their development—and what EMS leaders can do to keep their providers and patients safe.

7:45 a.m.-8:30 a.m.
ROUNDTABLE DISCUSSION: HOW EMS CAN FIGHT THE OPIOID OVERDOSE CRISIS
MAIN CONFERENCE
VIEW DESCRIPTION

Opioid overdoses are now clearly one of the biggest public health threats facing this country, leading to more than 33,000 deaths in 2015 according to the Centers for Disease Control and Prevention. EMS has a role to play beyond responding and administering naloxone. Whether it’s providing links to addiction treatments or sharing valuable EMS data with public health partners, agencies across the country are finding innovative ways to help address the problem and stop overdoses before they occur.

In this roundtable discussion, leaders of EMS systems taking proactive approaches to addressing the opioid crisis, including the Richmond (Va.) Ambulance Authority, ProEMS in Cambridge, Mass., and Trinity EMS in New Hampshire, will share their successes and challenges. Members of the audience will be invited to tell their communities’ stories as well in an open and honest conversation of the role of EMS in halting the rise in overdose deaths.

7:45 a.m.-8:45 a.m.
CONTINENTAL BREAKFAST
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

Sponsored by Brandt VX, LLC

Grand Assembly
9:00 a.m.-10:00 a.m.
TERRORISM, CYBER ATTACKS, AND NATURAL DISASTERS: HOW LEADERS PREPARE & RESPOND IN THE NEW PARADIGM
MAIN CONFERENCE
VIEW DESCRIPTION

This session is intended to question conventional wisdom and establish new principles for planning for the unthinkable. From terrorist attacks, to hurricanes and pandemics to mass shootings and targeted hackings, leaders must continually reassess their approach to readiness and response.

How do you maintain an agile organization, able to work collaboratively with local, state, and federal agencies, when the need emerges? Changing digital technologies and social media add an additional layer of challenges, as emergency personnel must continually re-evaluate best practices, standardized approaches and how public expectations for transparency and instant information impact operations. How can leaders best use technology for enhanced situational awareness and communication? How do you build resiliency into the fabric of your community?

You’ll gain valuable insight from two leaders who have been on the front lines of this transition.  David Paulison is the former Fire Chief of Metro-Dade County. After 9/11, President George W. Bush named Chief Paulison U.S. Fire Administrator; following the response to Hurricane Katrina, he was appointed director of FEMA. He currently serves on the boards of both the NFPA and the Underwriters Laboratory. Bruce Moeller, PhD, is a Senior Associate at Fitch & Associates. He is the former Public Safety Director for Pinellas County, Florida, and served as both the Fire Chief and City Manager in Sunrise, Florida.  

Sponsored by Deccan International

Royal Palm Ballroom
10:00 a.m.-10:15 a.m.
REPORT ON BURNING ISSUES OF THE JOINT NATIONAL EMS LEADERSHIP FORUM
MAIN CONFERENCE
VIEW DESCRIPTION

The major membership organizations in EMS and the federal partners that have responsibilities related to EMS and preparedness, have an informal collaboration called the Joint National EMS Leadership Forum. The Forum meets in person several times a year (including at Pinnacle) to share information, challenges and opportunities. Dia Gainor, executive director of the National Association of EMS Officials, which helps support the group, will brief Pinnacle attendees on the results of their meeting from the previous day.

Sponsored by Infor

Royal Palm Ballroom
10:45 a.m.-11:45 a.m.
THE UNCERTAIN FUTURE OF HEALTHCARE REFORM: WHAT EMS LEADERS NEED TO KNOW
MAIN CONFERENCE
VIEW DESCRIPTION

The Trump administration is now a fact and our nation’s healthcare policies will be changing. Many experts say that the momentum toward population health, value-based reimbursement and prevention will continue.  

This session will provide a just-in-time assessment of the healthcare policy landscape and what it means to EMS.  What can you expect in the short term, in the next decade, and how can you prepare your agency?

Roxanne Shanks, MBA, is the Executive Director of the Association of Critical Care Transport (ACCT) and serves as CEO of Kansas City’s LifeFlight Eagle air medical program. She previously served as Vice-President of a major Midwest healthcare system.  She is nationally recognized for her insight and expertise in healthcare policy and finances.

Sponsored by ACCT

Royal Palm Ballroom
10:45 a.m.-11:45 a.m.
STRATEGIES FOR REBUILDING CAREGIVER CAREERS
MAIN CONFERENCE
VIEW DESCRIPTION

Most EMS agency leaders are significantly challenged to understand and provide effective mental health care to their healthcare providers. Building over time, EMTs and paramedics face emotionally charged situations that can impact their professional and personal lives in ways that are hard for others to comprehend.

Coping mechanisms in EMS vary widely, and research has shown that conventional employee assistance programs often miss the mark. Improving mental wellness and handling substance abuse issues and suicide in the public safety setting have received much more attention in recent years—but the conversations often fail to include solutions. In this session, leading experts in the field will present effective strategies and therapies that can be employed to encourage caregivers to become more resilient.

Jim Marshall, MA, is a certified therapist and the Director of the 911 Training Institute; Krista Haugen is the Director of the Survivors Network for the Air Medical Community.

Royal Palm Ballroom
11:45 a.m.-1:15 p.m.
LUNCH
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

Sponsored by Logis Solutions, Inc

Grand ABCDEF
1:30 p.m.-2:15 p.m.
CHASING THE MEDICARE DRAGON: AN FBI FRAUD INVESTIGATOR’S PERSPECTIVE
MAIN CONFERENCE
VIEW DESCRIPTION

Ambulance reimbursement is an area of significant scrutiny from federal regulators, including CMS, the HHS Inspector General, the FBI and the Department of Justice. Due to willful or unintentional negligence, more agencies and individuals find themselves in the crosshairs of fraud investigators. The consequences are costly, with penalties including fines of up to $11,000 per claim, exclusion from reimbursement programs, and even prison.  

Multiple ambulance owners are now serving prison sentences and municipalities have repaid millions of dollars; at the same time, the rules for self-reporting violations to avoid criminal sanctions recently have been tightened even more. This session will outline specific enforcement emphasis areas and strategies you can use to ensure that your agency is not a target of a future investigation.   

Special Agent Shaun O’Neill has more than 19 years of experience working high-profile criminal matters for the FBI, and currently supervises a squad of Agents and Analysts that investigates health care fraud, public corruption, civil rights and human trafficking.

 

Royal Palm Ballroom
2:45 p.m.-3:45 p.m.
ALIGNING INTERESTS: IS NOW THE TIME FOR STRATEGIC REGIONAL ORGANIZATIONS (SROS)?
MAIN CONFERENCE
VIEW DESCRIPTION

Agencies are realizing the difficulty of going at it alone in an increasingly competitive environment. With this backdrop, there is growing interest in the concept of Strategic Regional Organizations (SROs) as a transformative pathway to sustainability and to enhance performance. 

What then is an SRO?

  • Strategic: two or more significant providers look to build the economies of scale necessary to support the infrastructure to be successful.
  • Regional: comprised of complementary organizations to organize geographies and populations to redefine the markets in which they compete. 
  • Organization: Formal structures which take many different forms depending on the goals of the parties involved. They do not necessarily compromise independence but foster interdependence and sustainability. 

EMS agencies’ motivations for considering an SRO often include expanding geographic service areas, improving operational effectiveness, integrating another struggling service, and improving financial sustainability. To be successful, SROs have to address obstacles including incompatible cultures, mistrust, shared governance and concerns about both transitions plans and exit strategies if the initiative is not successful.

Christine Zalar, MA, Founding Partner at Fitch & Associates, will outline necessary elements for a successful healthcare SRO. Steve Knight, PhD, Senior Associate at Fitch & Associates, will describe how EMS and fire agencies can implement this emerging trend.

Royal Palm Ballroom
2:45 p.m.-3:45 p.m.
INVESTING IN YOUR ORGANIZATION’S FUTURE
MAIN CONFERENCE
VIEW DESCRIPTION

Our tendency in EMS is often to be reactive, paying attention to the urgent but not as important items that fill our “to do” lists.  In this session, we’re asking our participants to be proactive in preparing their organizations for the future, dedicating the time, money and resources needed. The type of investment that services can make come in many shapes and sizes. In these four compelling mini-case presentations, service leaders describe how they successfully invested in their organization’s future and achieved positive results for the community.

  • Caregivers: Tom Little
  • Communications: Jim Lanier
  • Compliance: Edmundo Calderon
  • Community: Charles Maymon

Tom Little is a senior associate at Fitch & Associates. Jim Lanier is the Technical Services Director for the Alachua County Sheriff’s Office in Gainesville, Florida. Edmundo Calderon is the Chief Internal Auditor for the El Paso Fire Department in Texas. Charles Maymon is the regional CEO of American Ambulance (Falck).

Royal Palm Ballroom
4:00 p.m.-5:00 p.m.
LEVERAGING CLINICAL TECHNOLOGIES: THE TRANSITION FROM INTERVENTION TO DIAGNOSTICS
MAIN CONFERENCE
VIEW DESCRIPTION

EMS has traditionally focused on interventions to mitigate severe illness and injury followed by rapid transport. The endless debates of “stay and play” versus “load and go” and the value and impact of EMS interventions on morbidity and mortality continues. But perhaps the discussion moving forward should not be focused on the effect of EMS treatments of life-threatening emergencies, but instead on improving diagnostic ability in the field in order to get patients the right care at the right time in right place. In this session, emerging diagnostic technologies will be evaluated—which ones will fundamentally change how EMS makes a difference for patients, and which ones will simply end up gathering dust?

Thomas Judge, a practicing paramedic, serves as the Executive Director of LifeFlight of Maine. With an extensive background in pre-hospital emergency medical services and air medicine he has served in both the public and non-government sectors. 

Sponsored by Ninth Brain

Royal Palm Ballroom
5:00 p.m.-6:00 p.m.
Networking Reception
SPECIAL MEETINGS & EVENTS
Grand ABCDEF

Thursday August 10, 2017
Time
Session
Location
7:45 a.m.-8:45 a.m.
CONTINENTAL BREAKFAST
SPECIAL MEETINGS & EVENTS
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Sponsored by Savvik Buying Group

Grand ABCDEF
9:00 a.m.-10:15 a.m.
PINNACLE LEADERSHIP SERIES: FINDING THE HIGHER GROUND
MAIN CONFERENCE
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The need for principled leadership in healthcare and public safety has never been more important. It involves not only doing what is right, but doing so in a way that encourages others to follow suit. An EMS leader’s actions make a profound difference in establishing and maintaining a culture of integrity within your organization. It’s not easy and many of us fail as we lose our way.   

Each year as part of the Pinnacle Leadership Series, Dr. Jay Fitch outlines a broad leadership concept and interprets it in a way to help improve hands-on skills. In this session, he will discuss how leaders throughout history have wrestled with making the right choice. In an age of instant communication, today’s contemporary ethical issues are not necessarily different, but increasingly more complex. How do you find the courage to be a principled leader?

Jay Fitch, PhD is a founding partner of Fitch & Associates and is a nationally recognized expert in leadership and EMS system design.

Sponsored by Intermedix

Royal Palm Ballroom
10:45 a.m.-11:45 a.m.
LEADERSHIP LESSONS FROM ACADIAN’S SUCCESS
MAIN CONFERENCE
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Acadian Ambulance has a fascinating story.  It grew from humble beginnings to one of the largest and most influential private ambulance services in the nation and among the largest employee-owned companies in the United States. From the structuring of its employee stock ownership plan (ESOP) to its policy of generously giving back to the community, Acadian stands out as an organization that takes care of its providers and partners in addition to its patients.

In this session, Acadian CEO Richard Zuschlag, recipient of the 2016 Pinnacle Lifetime Achievement Award, will tell how the company he started became the Acadian we know today while staying true to the same values it was founded upon more than 45 years ago.

Royal Palm Ballroom
10:45 a.m.-11:45 a.m.
ENVISIONING EMS IN 2050: CREATING A FOUNDATION FOR THE FUTURE
MAIN CONFERENCE
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It has been said that we can’t predict the future, but we can invent it. Two decades ago leaders from across EMS created the Agenda for the Future, paving the way for many recent advances to the nation’s EMS systems. Now it is time for the EMS community to come together again to look beyond the next few years and create a vision for what a patient-centered, evidence-based EMS system will look like in more than 30 years—and the steps needed to get there.

Veteran EMS visionary Mike Taigman, facilitator for EMS Agenda 2050, will be joined by Jon Krohmer, MD, director of the NHTSA Office of EMS, as they lead a conversation about the project and the future of EMS in the United States.

Royal Palm Ballroom
11:45 a.m.-1:15 p.m.
LUNCH
SPECIAL MEETINGS & EVENTS
Grand ABCDEF
1:15 p.m.-2:15 p.m.
HOW THE QUALITY MOVEMENT GOT HIJACKED (AND WHAT EMS LEADERS CAN DO ABOUT IT)
MAIN CONFERENCE
VIEW DESCRIPTION

More than 15 years ago, the Institute of Medicine defined high-quality care as doing the right thing (delivering the healthcare services that are truly needed), at the right time (when a patient needs them), and in the right way (using appropriate tests or procedures).

But strange things happened along the path toward improving EMS quality. What began as a drive to help patients was twisted to be more about judging and dismissing caregivers, rather than recognizing and developing them into better providers.

Ed Racht, MD, AMR’s Chief Medical Officer, and Mike Taigman, Improvement Guide for FirstWatch, two of the nation’s leading experts on quality improvement, will entertain and enlighten as they share how to prevent this phenomenon in your organization and make sure your quality programs are truly focused on quality.

Sponsored by Markel

Royal Palm Ballroom
2:45 p.m.-3:45 p.m.
DIGITAL DISRUPTIONS – ARE YOU NEXT? CYBER SECURITY FOR EMS AND 911
MAIN CONFERENCE
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Forbes recently said healthcare is more at risk of cyber attacks than any other industry. The push to digitize medical records and other data, including identity, insurance, and financial information, has spawned system design flaws, sloppy data handling, and everything in between.

Likewise, 911 communication centers in many communities use outdated technology that is vulnerable to terrorists or hackers who could overwhelm the system, preventing 911 telecommunicators from answering or dispatching actual emergency calls. Many of these facilities have significant exposed risks that can lead to breaches. This session outlines key risks and strategies to employ to reduce your agency’s risk of a digital attack.

Frank Gresh, MS, is the Chief Information Officer of the Emergency Medical Services Authority, Tulsa/Oklahoma City, Oklahoma.

Royal Palm Ballroom
2:45 p.m.-3:45 p.m.
EMS INNOVATIONS AND CHALLENGES FROM AROUND THE GLOBE
MAIN CONFERENCE
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This fast-paced session will feature innovations from around the world describing research and best practices related to clinical care, technology, systems of care, provider wellness, performance measurement and more.  You’ll also hear about common challenges EMS providers face, and how they overcome them.

Jerry Overton, Chair of the International Academies of Emergency Dispatch, and Freddy K. Lippert, MD, Associates Professor, FERC, is CEO of the Emergency Medical Services in Copenhangen, Denmark, are members of the JEMS International Editorial Board; A.J. Heightman is Editor-in-Chief of JEMS.

Sponsored by JEMS, the Journal of Emergency Medical Services

Royal Palm Ballroom
4:00 p.m.-5:00 p.m.
CLOSING KEYNOTE: From the Front Lines of EMS to the White House Situation Room: Leadership Lessons from an Unlikely Journey
MAIN CONFERENCE
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Throughout his career, Dr. Richard Hunt has kept the patient at the center of every job he has held, whether in the emergency department, as an EMS medical director, or on the president’s national security team.

The recipient of last year’s Pinnacle Joseph P. Ornato Award for Clinical Leadership in EMS, Dr. Hunt returns this year to provide both inspiration and entertainment as he shares his experiences becoming a leader in the EMS profession. With behind-the-scenes stories from treating patients in the emergency room to advising the president in the West Wing, he’ll share what he’s learned over three decades of challenging the status quo and standing up for patients.  

Richard Hunt, MD, is currently 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. Prior to that, he served as Director for Medical Preparedness Policy, National Security Staff, The White House. His career also includes stints as head of the CDC’s Division of Injury Response, EMS medical director and former president of NAEMSP. 

Sponsored by ZOLL

Royal Palm Ballroom

Friday August 11, 2017
Time
Session
Location
8:00 a.m.-9:00 a.m.
CASES FROM THE FITCH FILES
BONUS SESSIONS
VIEW DESCRIPTION

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

Grand G
9:00 a.m.-12:30 p.m.
NEMSMA MANAGER AND SUPERVISOR CREDENTIAL EXAM
SPECIAL MEETINGS & EVENTS
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Facilitated by Greg Lawton

Grand J
9:15 a.m.-10:15 a.m.
TAKING THE NATION’S PULSE: THE 2017 FITCH/EMS1 TREND REPORT
BONUS SESSIONS
VIEW DESCRIPTION

It’s always been difficult to answer the question: “How are we doing as an agency or as a profession?” Last year, the first-ever Fitch/EMS1 Trend Report described the current state of EMS in the nation by surveying nearly 100 diverse organizations about multiple aspects of their operations, finances, management and other areas. Now, with the report in its second year, we can see what trends are occurring in the profession, where we might expect to see EMS headed in the future, and how your own agency compares to the rest of the industry.

Greg Friese, MS, is Editor-in-Chief of EMS1.com, Catherine R. Counts is a doctoral candidate in the department of Global Health Management and Policy at Tulane University School of Public Health and Tropical Medicine,  and Anthony Minge, EdD, specializes in reimbursement and compliance as a partner at Fitch & Associates.

Grand H
9:15 a.m.-10:15 a.m.
UNDERSTANDING COMPLEXITY: CASE STUDIES IN ADVANCED SYSTEM PLANNING
BONUS SESSIONS
VIEW DESCRIPTION

Change is never easy, but there are strategies and technologies that can make it easier.  This session will feature agency leaders presenting case studies that illustrate the tools, technologies, and information needed to implement complex system change.  What are all the relevant factors that need to be considered? What are common mistakes that agencies make?

How do you handle the political ramifications of major changes? How do you evaluate various scenarios and pick the best solution for your community?

Facilitated by Chris Callsen, former paramedic and EMS systems consultant and currently an executive with Intermedix, this session will feature an opportunity to discuss the approach and technology agencies have used to evaluate their most complex scenarios.

Sponsored by Intermedix

Grand G
9:15 a.m.-10:15 a.m.
POSITIONING YOUR ORGANIZATION FOR RECRUITMENT SUCCESS
BONUS SESSIONS
VIEW DESCRIPTION

Your community probably understands what your organization does. But do they really understand why your organization exists? Whether recruiting new generations to the workforce, retaining a happy and engaged staff, or improving relationships with community partners, sharing your organization’s purpose and differentiating it from the crowd is vital. Using examples from EMS and other industries, you’ll learn how organizations have successfully shared their stories and positioned themselves for success.

 Jeff Berend, a partner with the RedFlash Group, has worked with top companies in healthcare and public safety for more than 20 years. Michael Gerber, MPH, an associate consultant with the RedFlash Group, has more than 15 years of experience as a paramedic in both volunteer, career and fire-based services.

Grand I
9:30 a.m.-5:00 p.m.
CAAS Accreditation Seminar: Prepare for Accreditation Using the Version 3.0 CAAS Standards
SPECIAL MEETINGS & EVENTS
VIEW DESCRIPTION

This full-day seminar is the ideal forum to assist you in planning for your accreditation or re-accreditation using the CAAS Gold Standards. It provides a detailed overview of the application process and clearly defines what can be expected throughout. Faculty will address the benefits and value of accreditation and identify ways in which you can increase operational and clinical performance, reduce risk and liability, and maximize your market potential as a result. The revised version 3.0 standards will be explained in detail as well as the paperless submission process. The interactive format provides an opportunity to share ideas and best practices and receive expert answers to important questions. Course books and materials are included in the registration fee.

Click Here to Register

10:30 a.m.-11:30 a.m.
SAVING TIME AND MONEY: DISPATCH AND DEPLOYMENT STRATEGIES FOR NON-EMERGENCY TRANSPORTS
BONUS SESSIONS
VIEW DESCRIPTION

This is a critical but often overlooked area that can impact crews, patients—and your bottom line. Find out how technology is helping one service with efficiencies in this area and how you can apply these lessons to your own organization.

Corinne Walser is Operations Manager for MEDIC in Charlotte, North Carolina.

Sponsored by Bradshaw Consulting Services, Inc.

Grand G
10:30 a.m.-11:30 a.m.
THE ALLINA “CARE GOALS” MODEL AS A BLUEPRINT FOR IMPROVEMENT
BONUS SESSIONS
VIEW DESCRIPTION

Focus, focus, focus. Eight years ago Allina Health EMS tried a new path toward improving patient care — using data and research to select one area of patient care that needed to be improved, and then having the entire organization commit to doing just that during the course of a year. Called the annual Care Goals, it provides very specific measurable outcomes — and a way to reach them, through training, education, data collection and a variety of feedback loops.  

Susan Long, Allina Health EMS’ Director of Clinical Services, and Andrew Stevens, MD, their Associate Medical Director, will provide the details of how they select, implement and measure their Care Goal, and how to avoid the pitfalls they learned the hard way. Allina Health EMS serves more than 100 communities in central Minnesota and has a reputation as one of the leading EMS agencies in the country.

Grand I
10:30 a.m.-11:30 a.m.
2017 PINNACLE LEGAL UPDATE
BONUS SESSIONS
VIEW DESCRIPTION

The law never seems to get simpler.  To bring our attendees up-to-date, each year Pinnacle addresses recent cases, current legal issues and strategies for EMS leaders with leading EMS attorneys. You’ll hear the latest legal developments and get insight on compliance with the latest laws and regulations, risk management, workplace conduct, and other timely topics.

We’re pleased to bring back two of our most popular experts in EMS law, Doug Wolfberg, JD, and Steve Wirth, JD, whose presentations are always highly relevant, educational and entertaining. They are partners with Page, Wolfberg & Wirth, a leading EMS law firm.

Grand H

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