Dispatch 032615

MARCH 26, 2015

PERFORMANCE PAY, NEW BUILDING IMAGES AND MUCH MORE!

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Putting his briefcase down on the wood podium, Doc dence that an idea may be suitable and can be turned Studnek, smiles and says, “Welcome to Medic 102. Let’s into a project that may require additional time and reget started, shall we?” sources. The charter, mind you, provides a clear aim with deliverables that the project team is held accountAs we discussed last week, improvement requires will, able to produce. Another difference is that unlike creatideas and execution. However, an argument may be ing a pull card, creating a charter is a team sport. The made that execution is the most difficult step in manag- more input you have from subject matter experts, the ing the change process. Therefore, we need tools that better. (If you need a refresher on Pull Cards, click here help us manage project execution. or visit the Medic extranet.

One of those tools is a project charter. A project charter Before we go, let’s briefly discuss what the first section helps a team answer three questions: of a charter contains. It’s pretty simple: what are we 1. What are we trying to accomplish? trying to accomplish? And we do that by stating our 2. How do we know that a change is an improve- aim, providing background information, and setting ment? project goals. Now this part of a charter is pretty easy to 3. What changes can we make to lead to an im- write because the aim and the background information provement? should have been included in the pull card. Don’t be surprised if you need to refresh the aim with your charKaren, ‘I’ll always get an A’ lab assistant asks, “What’s the ter workgroup (for clarification purposes). But a large difference is between a charter and a pull card?” part of this work is done. Mind you, outlining your goals is probably the most difficult part, when dealing with the “Well that’s a great question”, Doc says, moving towards charter. Project goals should be points along the way the smart board. At Medic, a charter states that a project that mark progress toward your aim. exists and provides a team the authority to start work. A pull card, on the other hand, gives our organization evi- I hope you got something great out of this week’s, Learning Lab. Stay tuned next week where we discuss how change is an improvement and/or how to measure success. w o kn ys, let us !

CLASS DISMISSED! As alwa u think what yo topic sugestions, at Send qu to Tiffany s n o ti s e m. g ic911.co d e m @ a tiffany

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As previously noted, the latest Performance Pay Tracking Period began on November 1st. We are striving to meet the Patient Satisfaction goal of a ≥ 68% rating (experience as “Excellent”).

In order to create a comfortable margin of performance, while continuing to improve the patient experience, we would like to share some feedback from recent patient focus groups.

The two areas that patients value the most are: 1. Communication from the treating crew: “Explain treatment options and procedures” “Provide reassurance and compassionate communication with the patient” 2. Setting clear expectations: “Set transport length expectation” “Set a triage level expectation before arriving at the hospital”

SEPTEMBER 2014

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Central Piedmont Community College/Center for PreHospital Medicine 2015-2016 Paramedic Program.

Applications for the 2015-2016 paramedic program will be accepted from April 1st through 30th.

The following is how our process will proceed over the next few months.

• Application period 04/01/15-04/30/15 • FISDAP testing 05/11/15-05/22/15 • Review FISDAP testing and make selections for the 2015-2016 paramedic program 06/08/1506/12/15 • Notify students of seat awards 06/15/15 • Students will complete background checks and drug testing 06/16/15-06/30/15 • Students will apply to CPCC as a curriculum student. Instructions to follow.

You will need to have completed an additional anatomy and physiology course prior to the beginning of the paramedic program (08/17/15).

There is an online course being taught through CPCC. The dates are 05/20/15-07/16/15. To register for this course, call 704-330-4223 and register for HEA 7265.

You cannot register for this course until summer semester registration opens. Registration for summer semester opens on 04/24/15 at 8am.

CPCC/CPM faculty and staff hopes to see you in our program.

This is a very progressive paramedic program. Students receive exceptional instruction and a world class clinical and field internship experience. Graduates of this program have had a 100% pass initial pass rate on the North Carolina Office of EMS paramedic exam and The National Registry Paramedic exam.

Let us prepare you for a career in emergency medical services.

For more information, please contact Elizabeth Mitchell at elizabethm@medic911.com or 704-943-6132.

As we have turned the corner into the second half of Fiscal Year 2015, we wanted to provide you with and Agency budget update to make you aware of factors influencing the ability for Medic to meet forecasted budget targets.

The Agency has a financial target of revenue exceeding expenses by >1%. There is a risk that we could miss this target. There have been a few contributing factors to the problem: MEDICAID COST REPORT • The Cost Report utilizes a formula to calculate how much supplemental Medicaid Reimbursement a care provider is due each fiscal year • While we can predict the expected amount, the time when the actual supplement is to be paid out to Medic is currently a variable.

1. Specifically, there is a 10% withholding of that amount until a final desk audit is completed. Currently,

those Medicaid audits are running extensively behind on their audit schedule – so the timing relative to

when Medic can expect to see the return of this withholding is still unknown.

DEBT SET-OFF REDUCTION • The State of North Carolina allows government agencies such as Medic to recoup outstanding debts owed by garnishing the person’s NC tax return. The majority of this funding arrives at Medic between February 1 and April 30 each year, driven by the tax filing window. Based on historic data, we generally have a good idea as to how much debt set off revenue we are going to recoup in a given fiscal year by early March. We are there SEPTEMBER 2014 now, and the forecast isn’t good.

Cont’d, Backpage

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APRIL COMPLIANCE Thu, Apr 2 Wed, Apr 8 Fri, Apr 17 Tue, Apr 21 Sat, Apr 25

0800 - 1200 0800 - 1200 1300 - 1700 1300 - 1700 1600 - 2000

APRIL IN-SERVICE Tue, Apr 21st Wed, Apr 22 Thu, Apr 23 Fri, Apr 24 Mon, Apr 27

Wed, Apr 29

Thu, Apr 30

1000 - 1400 1200 - 1600 1000 - 1400 0800 - 1200 1200 - 1600 1800 - 2200 1200 - 1600 1800 - 2200 1800 - 2200

REQUIRED ATTENDANCE Josiah Balbuena, Kristi Beaver, Terran Berry, Johnathon Bobbitt, Allison Brinzey, Amanda Burdette, Steven Cimijotti, Heather Clay, Harley Conrad, Jessica Deen, Laura Dellinger, Gabriel Donaldson, Ute Dorflinger, Patricia Dowbiggin, Dusty Edwards, Jacob Ellison, Matthew Godec, Rebecca Hamilton, Mark Hayes, Shannon Helms, David Hewitt, Robin Houser, Eric Hudspeth, Matt Johnson, Vashti Lynch, Jim Manning, Mike Moore, Edmund Naumann. Lester Oliva, Sam Pendlay, Susan Pollich, Robert Ramsey, Alex Raymer, Bradley Rowland, Ryan Schott, Derek Scott, Ashley Smith, Misty Swaringen, Heather Teague, David Toney, Maureen Townes, Andrew Tucker, John Wagner, Sarah Walsh, Tonya Whitesides, Andy Williams, Teresa Womble and Andrew Wooten.

CONGRATS TO MIKHAIL MAKAROV. He is the proud recipient of a $4,000 scholarship from NCAREMS. Serving as our BLS Relief Team Leader we are all proud of your academic endeavors, Mikhail. CONGRATS! on winning this scholastic award.

PLEASE NOTE: If your Annual Performance Review was in March and you did not attend the March class, you must contact Amy Broughton to attend a April class.

INFORMATION UPDATES • Please register for your Corporate Compliance Training session through LMS. • The duration of the Medic Safety & Compliance Training sessions is up to 4 hours.

• Attendees will be paid for the total time spent in class.

• Each employee, with an Annual Performance Review within that same month, MUST attend one of the available Compliance Training Sessions.

• Compliance sessions are held next to the Medic Fitness Center.

For more information on Corporate Compliance Class or if you need directions, please contact Amy Broughton at amyb@medic911.com.

Admin Office is closed Apr 3, in observance of Good Friday.

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SUN

MON

TUE

APR 2015

WED

THU

FRI

SAT

1

2 COMPLIANCE 0800 - 1200

3

4

5

6

7

8 COMPLIANCE 0800 - 1200

9

10

11

12

13

14

15

16

17 COMPLIANCE 1300 - 1700

18

19

20

21 COMPLIANCE 1300 - 1700

22 IN-SERVICE 1200 - 1600

23 IN-SERVICE 1000 - 1400

24 IN-SERVICE 0800 - 1200

25 COMPLIANCE 1600 - 2000

29 IN-SERVICE 1200 - 1600 1800 - 2200

30 IN-SERVICE 1800 - 2200

IN-SERVICE 1000 -1400 26

27 IN-SERVICE 1200 - 1600 1800 - 2200

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March is National Nutrition Month, and a great time to review the food in your emergency kit to make sure it is healthy and safe. Learn more about the foods you should choose for your emergency food supply and the best way to safely store your emergency kit food: http://1.usa.gov/1b1UqXJ

SEPTEMBER 2014

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• This past year North Carolina decreased the income tax rate paid by state residents. We were aware that this could reduce the amount of revenue Medic would recoup this fiscal year and adjusted this line item in our budget accordingly, however we could not be clear as to how much until we experienced it.

• With the early returns in, we are now forecasting that we will only recoup about half of what was budgeted for from debt setoff for this fiscal year.

Unfortunately these two developments put us in a similar situation to last fiscal year; the good news is we recognized it much earlier, giving us a better shot at managing it these last four months. Agency leadership has a plan to minimize spending through the end of June to close the gap. We are also pleased to share that all other revenue sources are performing as forecasted, so the hole shouldn’t get any deeper.

Please rest assured that NOTHING related to patient care, equipment, safety or the schedule will be impacted by these factors. If you have additional questions, please feel free to reach out to your Supervisor or Manager.

We will be providing timely updates and sharing related information as we receive it.

One last very important point. What occurred this year is a reflection of legislative changes that are impacting some of the key funding sources that Medic currently relies upon. As new realities emerge with regard to reimbursement in our space, we are very actively communicating with County officials with the intent of finding a funding model with fewer variables outside of our control. We will keep you apprised of any developments along these lines as we work through the FY ’16 budget process and beyond.

Thank you for continued hard work and the excellent care you provide to each of our patients.

- Joe