THE BOTTOM LINE:
Itâ€™s More Than Dollars and Cents for Accounting Team page 5
HOW WELL DO YOU KNOW YOUR CO-WORKERS?
TAKE OUR QUIZ! page 6
? COACHES SUCCESS Provide Stepping Stones to
Summer is officially here—along with its longer days and warmer weather. I hope everyone was able to enjoy some time outdoors this quarter with Captain Cassling’s “Hit the Trails” wellness incentive. I’ve always thought of summer as the season of opportunity, and that’s especially true for Encounter Telepsychiatry. We’ve seen an influx of new patients and hired two new schedulers to meet the growing demands of our customers. We also are building our own telehealth platform and hope to launch it in the next six months. I invite you to read more about Encounter’s growth in the article on page six. This spring we also completed another round of accountability training. Going into training, we knew that among our lowest accountability scorecard results were “overcoming cross functional boundaries” and “hearing the hard things to see reality.” During training, we asked you what is working well and what
Stay up-to-date on CQuence Health Group happenings on the corporate intranet, 360.
isn’t. We heard that boundaries impede on our success, but that these boundaries are also a natural part of the workplace.
We also heard that feedback is intimidating. I understand that giving and seeking feedback can be tough, but I assure you that it’s critical to our success. Feedback makes it possible for each employee and team to face hard realities. Actively seeking feedback not only strengthens your ability to take constructive criticism, it also helps to tear down the invisible walls that exist between departments and the partner companies. I encourage each of you to make feedback a priority—whether it’s structured or informal—and I appreciate everyone’s contributions to make CQuence a great place to work.
Mike Cassling President and CEO
Download This Interactive Issue Today! Impact can be downloaded on 360 Questions or Suggestions? E-mail firstname.lastname@example.org
CQUENCE UNIVERSITY UPCOMING COURSES JULY
Mindfulness in the Workplace
Presented by Jamie Przbylski, counselor, Alegent Creighton EAP
“A Million Miles in a Thousand Years” by Donald Miller Courses are held from 12 to 1 p.m. at the Omaha office or via webinar. Check out 360 to view archived CQuence University courses.
For more information, visit 360 or contact Tana Phelps at email@example.com Impact | Summer 2013
CLIENT OPERATIONS TEAM Drives Client Satisfaction
BEFORE, DURING AND AFTER LAUNCH They live in different cities across the country, but members of the client operations team at Total Living Choices are unified by one mission: To seamlessly bring new hospital clients on board and help them meet their care coordination goals. “Even if we were in the same office, we probably wouldn’t really see much of each other, given our roles,” said Renita Neville, director of client operations, who oversees project managers, client relationship managers and the customer support team. After a sales deal is completed with a new hospital client, the client is introduced to TLC’s project managers. Paige Tafoya, who lives in Long Beach, Calif., and Shauntell Kelley, who resides just outside of Omaha, coordinate the implementation schedule and handle training for system users. “They are road warriors, who often spend upwards of 70 percent of their work week on the road to get clients ready for launch,” Renita said. Project managers also host meetings at the hospital where post-acute providers learn how to respond to the hospital’s patient referrals using TLC’s system. They work closely with the customer support team in Omaha, led by Customer Support Manager Risa Peterson, to help post-acute providers navigate the system.
Shortly after implementation, the project managers prepare to transition the hospital client to the client relationship managers. Sara Douglas, who lives in Kansas City, Mo., and Abby Ahl, who resides in Omaha, help the hospital establish goals and monitor results to ensure they’re reaching their goals. They report what they’re seeing from the previous quarter—whether good or bad—and develop a course of action when needed. The client operations team also is working on other big projects such as getting one of TLC’s existing clients into beta testing of Ensocare Transition, an improved patient discharge module that is replacing Care Finder-Pro. “It’s an exciting time in our company as we evolve,” Renita said. “I’m lucky to have a great team that’s good at adapting and figuring it out. We are constantly improving our processes as we go live with each new client. “It comes back to our culture of accountability. It makes us all better.”
“TLC is recognized for the fastest post-acute provider responses to referrals in the industry, so project managers establish an expectation with post-acute providers at these meetings,” Renita said. “By having 80 to 90 percent of post-acute providers engaged at launch, it helps our hospital clients see results and meet their goals out of the gate.”
Q&A Q A Q A Q A
with Mary Kay Thalken, RN, MBA Total Living Choices Chief Nursing Officer
What is your role as TLC’s Chief Nursing Officer? My role is to provide strategic clinical leadership and oversight to the organization, lead our product development partnerships and act as a clinical resource to guide sales and product development. If there is a typical workday, what does it entail? Interestingly, I seldom have a typical workday. Lately I have been traveling to meet with our development partners, conducting conference calls with the sales team and working with the marketing, product management and development teams on the messaging, design and functionality of Ensocare. What do you do for fun? I recently took classes at the Culinary Institute in San Francisco and learned to prepare unique and delicious dishes. I enjoy gourmet cooking and entertaining family and friends, as well as golfing and long-distance bike rides.
Visit 360 to read more about Mary Kay.
to Improve Your
Whether at work or at home, etiquette rules exist to facilitate social interactions and help people feel more comfortable, although the rules usually are unwritten. Unfortunately, bad manners are rarely forgotten. Are your professional interactions in step with etiquette norms? Read the tips below to make your first impression count. EMAIL ETIQUETTE
The average business executive sends and receives an estimated 110 emails per day. Here are a few tips for proper emailing:
• Read the email out loud. It’s hard to convey emotion
through words on a screen. If you’re trying to be funny or sarcastic, does your email sound that way? Is it too terse? If so, consider softening your language.
• Double-check recipient(s). Leave the “To” and “Cc” fields blank until you’re done writing your email and have checked spelling and grammar. Does everyone in your “Cc” field really need to be copied?
• Keep it simple. Long emails are hard to digest. A
succinct email with bullet points and key highlights is appreciated.
• Know when to talk in person. If you have unpleasant
news, need to discuss something that might cause confusion or need to tell someone they did something wrong—speak face-to-face.
• Don’t pick up a call when someone is waiting on you, serving you or ringing up your groceries at a store.
• Don’t text during a face-to-face conversation. • Put your ringer on silent in restaurants, meetings and public gatherings.
• Don’t blame the other person for a dropped call. It
sounds petty and can make people feel bad. • In a shared workspace, people can hear speakerphone calls and may find them disruptive. Pick up the receiver or take the call in a private room. 4
DINING WITH CLIENTS OR CUSTOMERS
• You will eat again; cleaning your plate at a business meal is not necessary.
• Don’t order messy meals. • Liquids should be on your right and solids on your left. • Always pass food to the right. • Place your napkin on your chair if you leave the table.
GENERAL BUSINESS ETIQUETTE
• Introductions. In business, persons of lesser authority
are introduced to persons of greater authority. When appropriate, include a brief but meaningful piece of information about the person. For example, “Mr. CEO, I would like to introduce John Doe, our new intern. He graduated from Penn State.” or “Mr. Client, this is Ms. Johnson, our chief financial officer. Ms. Johnson is from Seattle.” If you forget someone’s name, say, “I’m sorry, I’ve just drawn a blank.” If you remember something about them from a past conversation, mention it.
• Send a thank-you note. A handwritten thank-you is appreciated in today’s electronic world and differentiates you and your company.
• Focus on the face. When you’re in a meeting or
listening to someone speak, turn off the phone. Pay attention and be present. You don’t have to multitask to feel efficient and productive.
• Nametags. Proper placement of a nametag is high on
your right shoulder, which makes your name more visible to someone shaking your right hand.
Impact | Summer 2013
THE BOTTOM LINE:
It’s More Than Dollars and Cents for Accounting Team
Above: Controller Joan Boulay and Accounts Payable Clerk Angela Hajek.
A love for numbers is important, but a zest for exploration and problem solving is even more vital for the accounting department at CQuence Health Group. As a shared service, accounting keeps a keen focus on the bottom line for all companies under the CQuence umbrella. The five-person team handles bookkeeping responsibilities such as expenses, revenue collection, maintaining a general ledger and reconciling. They also prepare for annual audits and handle monthly sales tax filings and registrations in all states where business is conducted. This can be complex as each state has varying filing requirements. All of these responsibilities require juggling multiple weekly, monthly and annual deadlines. “We are driven by hard deadlines,” said Controller Joan Boulay. “There is no wiggle room with most of our deadlines.”
Angela Hajek, accounts payable clerk, and Lisa Morris, staff accountant, work primarily with Cassling and Siemens. “Angela and Lisa work closely with service and service operations to balance a delicate relationship with customers,” Joan said. “This helps contribute to Cassling’s world-class service.” With experience setting up Encounter Telepsychiatry and taking over the books for Total Living Choices, the accounting team is able to adapt quickly to the changing needs at CQuence. Jolene Mathews and Sandi Kanger, senior staff accountants, manage Encounter and TLC’s needs. “Jolene and Sandi embrace the new companies and the challenges that may come with bringing them onboard,” Joan said. “That’s what’s so great about our model here.” Employees agree the variety in their job makes it fulfilling. “Even though we have certain daily and weekly deadlines, no two days are the same,” Jolene said. “As a smaller
Above: Senior Staff Accountant Jolene Mathews and Staff Accountant Lisa Morris.
company, we are not responsible for just one thing. We’re cross-trained to handle anything and help each other out.”
By the Numbers: Monthly Averages
• Process 360 expense reports • Process about 450 mileage reports • Make more than 300 bank transmittals • Make 200 deposits • Match and verify nearly 500 purchase orders • Reconcile more than 100 general ledger accounts • File sales tax reports in 20 states and growing
In addition to solving problems and adhering to strict deadlines, the accounting team has to be detail-oriented, learn quickly, have patience and maintain confidentiality. Employees can’t work in silos as they meet the needs of each CQuence company. “We’re proud of the fact that we work with every department,” Joan said. “When we’re working on a contract or another project, there’s a lot of back-and-forth and fact-checking to make sure everything is right. “It can be complicated work,” she said. “But that’s why we love it.”
Help Accounting Help You To help employees meet their own goals and deadlines, the accounting team offered some helpful tips:
• Submit expense and mileage reports with proper documentation in a timely fashion.
• Close work orders in a timely fashion. • Obtain necessary approvals prior to submitting invoices.
How Well Do You Know Your Co-workers?
Take Our Quiz! Just walk through the front door or pass by a conference room, and it might seem like you see more new faces than familiar ones. CQuence Health Group did hire almost 30 employees in 2012, but the truth is that 60 percent of employees have been employed for more than five years. To test your knowledge of your fellow employees, read the profiles to the right. If you know who is being described, visit 360 to submit your guesses. Individuals with the most correct guesses will be entered into a drawing to win $5 in Bob Bucks.
“I started working for Cassling in 2001 as an applications specialist. My favorite summer pastime is grilling out and spending time with family and friends. I’m a lifelong jokester, but that is only to hide my true identity of Batman. I have two daughters and live in Papillion, Neb. Who am I?”
“I will soon be celebrating my one-year anniversary with Total Living Choices. In high school, I was in the marching band and gospel choir. My hobbies include shopping, writing, reading, camping and listening to music. If I could ask an actress to play me in a movie, it would be Beyoncé. Who am I?”
“I started working for Cassling in 2005 and have met a lot of great people over the years. I have three daughters, six grandkids and live in Yutan, Neb. My dream vacation is to visit Scotland, but I take a fishing trip with my brothers each year that I really enjoy. My birthday is June 10 and my favorite TV show is American Idol. Who am I?”
“I will celebrate my 14th year here this October and enjoy that there’s never a dull moment. I’m a fan of country music and a former Girl Scout leader of three years. I recently built a new home and am looking forward to a California vacation in August to visit family. Who am I?”
Encounter Telepsychiatry’s Growth
Fueled by Key Wins
Since launching in January, Encounter Telepsychiatry has achieved several key wins. Each month brings new
clients and the number of patients seen within each site continues to increase. In June, Encounter signed its first engagement outside of Nebraska and will begin treating patients in Wyoming this summer. The increase in clients and patients has fueled Encounter’s organizational development. In addition to hiring two schedulers and building our own telehealth platform, Encounter is actively recruiting additional clinicians to provide psychiatric services. If you have questions about Encounter, please contact Lindsay Cosimano.
Impact | Summer 2013
are a ‘Win-Win’ for Cassling and its Customers
N I W IN W
Cassling’s strategic partnerships—which are essentially longterm sales and service agreements between a customer, Siemens and Cassling—are first and foremost based on integrity, trust and dedication to common goals. Cassling has established strategic partnerships with eight customers, who typically agree to purchase 80 percent of their equipment from Siemens and Cassling. In return, Cassling provides added value in the form of strategic planning meetings, asset utilization resources and in some cases, marketing support. Cassling Customer Support Manager Elizabeth Grieger serves as a dedicated liaison to facilitate communication between strategic partners, Siemens and Cassling. Grieger sees her role as a behind-the-scenes job, working with account executives and service personnel to ensure the relationship goals are met. While the contracts for strategic partners are standardized, some have caveats. “From account to account, they tend to have unique goals,” Grieger said. “The strategic partners are concerned about doing more with less and look to Cassling as a partner in how to best utilize their equipment, staff and technology.” Relationship steering meetings are one example of the individualized support a strategic partner can expect from Cassling. Steering meetings are held yearly, semi-annually or even quarterly, and the topics might include the state of the health-care industry or specific equipment inventory and service concerns. Cassling recently helped coordinate speakers for an annual relationship steering meeting at Lawrence Memorial Hospital in Lawrence, Kan. Hospital executives requested a presentation on the future of the hybrid operating room, including what it is, how to plan for it and how to market it.
In addition to high-level executive meetings, Cassling gets involved at the department level, offering specific education based on department needs that impact day-to-day functions. Strategic partners also benefit from Cassling’s professional and marketing services. Professional services are led by Director of Clinical Operations Patrick Harvey and include demographic studies, throughput analysis and benchmarking. Marketing support is led by Marketing Manager Heather Monaster and includes custom materials to help the customer promote a system, service line or their overall organization. Key Accounts Executive Tammy Martin sees firsthand how strategic partnerships create a win-win for the customer and Cassling. “These partnerships give us a chance to focus on an organization’s deeper issues in addition to their equipment needs,” Martin said. “In the ever-changing world of health care, it’s great to be able to communicate with these partners openly and honestly. We really help each other out.”
Cassling’s Strategic Partners:
Cleaning Your House Without
Harsh Chemicals Household cleaners with harsh ingredients do more than kill germs and tackle tough stains. They can affect your health—causing eczema, eye irritation, allergies or even poisoning. Fortunately, there are simple ways you can keep your family safe and your home clean. Consider these tips for safe cleaning:
Choose safer household cleaners.
Look for household cleaners that say, “petroleum-free,” “biodegradable,” “phosphate-free,” “VOC-free,” or “solventfree.” They are friendlier to both the environment and the body.
Less is more.
Many household cleaners can be diluted with water yet still clean quite effectively. Diluting a cleaner is an easy way of making it less harsh.
Skip the antibacterial soap.
Despite the popularity of antibacterial soaps, plain old soap and water get the germs off just as well. Antibacterial soap not only contains chemicals you don’t need, but in the long term it may increase the risk of creating tougher, resistant bacteria.
Don’t use spray-on carpet cleaners.
According to experts, chemical carpet cleaners contain a lot of ingredients that can become trapped in carpet. For child- and pet-safe cleaning, use a steam cleaner with water and no detergent.
Share your cleaning intentions.
If you have help at home (e.g., a babysitter or cleaning service) make sure that they understand your approach to safe cleaning. Show them the household cleaners you prefer and how and when to use them.
Stop dirt from getting in the house.
Wipe your feet as you come in the house – it will keep out dirt as well as any contaminants from outside. Better yet, take off your shoes as you come in the house. The floor won’t get as dirty and you can clean less often.
Make your own cleaning agents It may sound a bit old-fashioned, but it’s actually easy to make your own household cleaners. The advantage is knowing exactly what’s going in them. Try these homemade cleaning recipes:
Ingredients: • • • •
2 cups Borax 2 cups washing soda 2 cups Lemi Shine powder detergent 1 cup kosher salt
1. Mix all ingredients in container with lid. Mixture will be clumpy after sitting for a day. 2. To use, place 1 tbsp of detergent in your dishwasher’s soap dispenser. Put ½ tbsp in pre-wash compartment if desired. 3. Run dishwasher as normal 4. Store in airtight container. Consider using white vinegar as a rinse aid (instead of Jet Dry).
Essential Hand & Body Wash
• 1 bar Kirk’s Castile soap • Essential oil of choice
1. Shred one bar of soap with a cheese grater. 2. Boil 6 cups of water (use 5 cups for thicker soap). 3. Once the water is boiling, remove from heat and combine with the shredded soap. 4. Add 10-12 drops of essential oil and stir occasionally until soap takes on the desired thickness. This may take an hour or more. 5. Once satisfied, transfer to soap dispensers. *Find these ingredients at your local natural grocer.
Impact | Summer 2013
BIG SPLASH IN HEALTH CARE Stores once known for selling cards and candy are fulfilling consumers’ demand for better healthcare access and affordability. Retail health clinics are popping up in grocery stores and pharmacies across the country and hiring nurse practitioners and physician assistants to provide convenient clinical care. That means shoppers can pick up groceries and get a flu shot in one stop.
The Convenient Care Association estimates there are more than 1,400 health clinics inside retail chain stores nationwide, double the number from six years ago. CVS Caremark Corp. operates 650 MinuteClinics in 25 states and plans to have 1,500 in 35 states by 2017. Walgreens is planning doubledigit growth to expand its Take Care clinic roster of 372 stores. The convenience of one-stop shopping for nonemergency health care is one major appeal of retail clinics. Consumers also are looking for less expensive alternatives as they now have more responsibility for payment with high-deductible plans.
about 30 million people. Without a primary-care physician, many may prefer the convenience of getting routine medical care from professionals at local pharmacies, grocery stores and shopping malls. Retail Health Clinics
Number of U.S. Clinics
In addition, some patients have trouble finding primary-care physicians, a situation that will likely worsen as health-care reform expands coverage for
Federal Mandate Aims To Improve Dementia Care Treatment In Nursing Homes Psychotropic drugs—which were first developed in the 1950s to treat severe cases of schizophrenia—are frequently administered to nursing home patients with dementia who exhibit aggressive behavior. In fact, recent Medicare research reported that 40 percent of dementia-afflicted nursing home residents are prescribed psychotropic medications even though they do not suffer from a psychotic condition that would warrant the use of such treatment. Percent of Long-Stay Nursing Home Residents Who Receive Psychotropic Drugs: Nebraska 22.9%
There are a number of non-drug alternatives to calm aggressive behavior in dementia patients. Encounter Telepsychiatry is actively pursuing partnerships with nursing homes across the Midwest to provide patients with consistent mental health-care services and reduce their need for psychotropic drugs.
Source: Nursing Home Compare website.
COACHES SUCCESS Provide Stepping Stones to
Pictured with daughter, Amanda, coach David Nelson dyed his hair green for his soccer team’s 2012 tournament championship game.
Rahman Sayeed coaches a tee ball player on swinging the bat.
at Summit. Yogi Berra. Tony Dungy. No matter the sport, these coaches and many others are positive role models for youth everywhere. But you don’t have to be a household name to make a difference. CQuence Health Group applauds its employees and their spouses who coach youth sports teams in their communities.
PATIENCE AND STRUCTURE ARE KEY
Ask any coach about essential teaching skills and “patience” usually tops the list. David Nelson, husband of Tammy Nelson, sales coordinator at Cassling, has coached their 14-year-old daughter’s soccer team for the past six years. “A coach must have patience, especially as kids mature and get involved in other activities,” David said. “Soccer may be year-round, but families undoubtedly have varying priorities.” Rahman Sayeed, national director of sales for Total Living Choices, has coached basketball and baseball teams for his sons, ages 12, 7 and 5. He believes that in addition to being patient, you must be organized. “For my young teams, that means having practice plans and doing stations with hitting, throwing, fielding and base running. It’s enough structure that they learn fundamentals and still have fun,” he said.
Jeff Armitage and his son Jackson pose before a football game.
TEAMWORK: THE ONLY TRACK TO SUCCESS
Jeff Armitage, husband of Carol Armitage, director of service operations at Cassling, has coached his children’s tee ball, baseball, basketball and football teams for more than seven years. “I stress the importance of teamwork and sportsmanship when coaching,” Jeff said. “We focus more on working together, developing fundamentals and building friendships than on winning.”
COACHES ARE HUMBLED BY PROGRESS
Helping players improve their skills is also a top motivator for coaches. “At the beginning of the season, kids don’t know how to hold a bat or glove,” said Rahman, who has seven years of coaching experience. “By the end of the season, it’s great to see the smiles on their faces when they scoop the ball up for the first time.” Jeff agrees. “My favorite part of coaching is seeing kids develop their skills and the satisfaction it brings them when they succeed. In the end, that’s more rewarding than the win,” he said. David also sees coaching as an opportunity to give back. “I think we all have an obligation to volunteer, and coaching is my contribution,” he said. “I also enjoy spending the extra time with my teenage daughter.”
Impact | Summer 2013
Patient Engagement Important
but No Consensus on Definition The new era of health care focuses on patient engagement as a way to reduce costs. Practically everyone in the industry agrees that patient engagement is important, but there is no consistent definition. A survey conducted by the National eHealth Collaborative revealed that some health leaders thought patient engagement meant using educational material and online resources to better understand their condition, while others believed it meant being comfortable enough to discuss questions and health issues with doctors face-to-face. To explore uncertainties surrounding the future of patient engagement, Health Intelligence Partners, a member-based healthcare collaboration convened by Leavitt Partners, arranged a strategic meeting of influential stakeholders last spring. The panel— which included Kyle Salem, Ph.D., CQuence Health Group managing director, and Mary Kay Thalken, MBA, RN, Total Living Choices chief nursing officer—recognized that the needs of individual patients will always vary. Healthy patients will need to focus more on disease prevention and wellness, while those with chronic illness will need more intensive care management.
“There will not be a one-size-fits-all approach to effective patient engagement,” Kyle said. “Proactive, positive and personalized outreach will be the most effective way to engage patients.” Mary Kay agreed. “Overall, patient engagement is not seen as an active partnership with the provider, namely the primary care physician,” she said. “It’s more about health literacy and preventive care, which truly is consumer health engagement.”
Offering Provider Incentives to Involve Patients
Patient engagement is not a new concept, but it’s certainly the buzz phrase of the health-care industry as providers focus on patient satisfaction scores and Meaningful Use incentives.
Engaging patients in their health care is a central tenet of Meaningful Use, also called the Electronic Health Records (EHR) Incentive Program. This policy aims to improve patients’ understanding of their health and related conditions so they can take a more active role in their health care.
The EHR Incentive Program provides payments to eligible providers—including hospitals and physicians—who use EHR technology in ways that positively impact patient care. Experts say providers’ adoption of EHR is critical to transforming a health-care system to one that focuses on outcomes rather than services.
Using Technology to Engage and Empower Consumers
Technology has empowered consumers in nearly every part of their lives—from online banking and bill paying to social networking and entertainment—and now it’s enabling them to become more active in their health care. EHRs not only help providers better coordinate patient care in one secure place, but they give patients direct access to their medical records. The belief is that by electronically engaging consumers in their health care—through EHRs, online resources and mobile apps— they are more likely to take better care of themselves and improve relationships with their doctors, which impacts outcomes. While patient engagement will continue to be difficult to define, the lack of consensus gives providers flexibility to experiment with different approaches. “At the end of the day, the goal is to bend the cost curve and keep people out of the hospital,” Mary Kay said.
How health-care leaders define patient engagement: Patient uses educational materials & online resources to learn about their condition:
Patient uses tools & resources to manage his/ her medical record and other health data:
Patient feels comfortable challenging doctor when something doesn’t seem right or is not clear:
Patient feels comfortable discussing health issues and questions with doctor face-to-face:
2012 National eHealth Collaborative Stakeholder Survey N=185
Are you an engaged patient? Blog about it on 360 and let us know what you do to become more involved in your health.
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Hit the Trails with Captain Cassling
The month of June is National Great Outdoors Month—which made it the perfect time to get outside with Captain Cassling’s latest wellness incentive. The “Hit the Trails” challenge encouraged all employees, spouses and family members to visit local state parks and track activity minutes for a chance to win prizes.
Employees shared their favorite way to hit the trails: “Our favorite outing during the ‘Hit the Trails’ incentive was camping and exploring the trails at Two Rivers. I love that I’m getting exercise while having fun with my family in the great outdoors!” – Anne Tippets, wife of Nate Tippets, CQuence Health Group MIS administrator
“My kids are finally old enough to ride their bikes without training wheels. I look forward to taking longer rides with them this summer on a trail near our home.” – Ryan Wachter, Cassling field service engineer
“Hit the Trails was a great opportunity to take my family to the different parks I went to growing up. My boys love hands-on activities, and we recently enjoyed feeding fish at Schramm Park.” – Risa Peterson, Total Living Choices customer support manager
“This incentive means I’m off the treadmill and ‘hitting the trails’ around my home. I also enjoy taking photos of the different wildlife and scenery around Wehrspann Lake with my new camera.” – Gayla Stappert, CQuence Health Group administrative assistant