Dispatch 110818

NOVEMBER 8, 2018

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PROJECT UPDATE: REFERRAL NETWORK Develop and implement resources enabling employees to actively review and access mental wellness professionals.

REASON FOR THE EFFORT n Agency has limited availability of knowledge, expertise and resources to address EE psychological needs n We have maintained a long term relationship with EAP as the provider for EE psychological needs n HR experience and EE feedback indicates EAP does not meet all EE psychological needs n New research indicates a need for alternate tools specific to acute psychological event management n We do not have resources to address acute care intervention in a timely manner n Anecdotally, HR deals with 2-3 EEs with psychological issues each month beyond the scope of an EAP referral n Two of top three Rx classes for Medic are Stimulants and Antidepressants n Medic’s most commonly diagnosed chronic conditions are:

1. Hypertension (90)

2. Psych/Neurotic Disorder (83)

3. Non-Psychological Mental Disorder (75) n As measured by Cigna, Medic has 19.3% of employees with depression compared to the Cigna average of 8.8% n As measured by Cigna, our depression adherence with medical, coaching and Rx treatment is 60% of employees with depression compared to the Cigna average of 87% adherence n Employees have asked for resources to address mental wellness through surveys and

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focus groups n Added benefit to promote Agency as a leader in the EMS industry EXPECTED OBJECTIVES n Create on-line tool accessible to employees 24/7/365 for anonymous review and access to mental wellness professionals n Provide additional resources to Human Resources and LDI to manage employee mental wellness needs n Gain knowledge about feasibility and use of on-site mental wellness professionals n Provide employee education on resources WHERE ARE THEY TODAY? Stress Management Referral Network is continuing the work to provide our employees more resources for all aspects of mental health.

In the coming weeks, we will be introducing a phone app which provides easy access to our mental health resources and crisis assistance resources specific to first responders.

We are also researching alternative EAP providers with more experience supporting first responders.

Additionally, we are developing a web page providing an interactive platform for our employees to review and provide anonymous recommendations of mental health professionals who have helped co-workers with their mental health needs.

The work is aimed to provide easy access to all types of mental health resources. For more information, email project lead Sharon Taulbert at sharont@medic911.com.

PERIOD 2 (11/1/18 - 2/28/19) WEEKLY RESULTS THRU’ 11/2/18

EST. PAYOUT : $850 FINANCIAL STANDING VS. BUDGET (GOAL: > 0.25%)

QUALIFYING CRITERIA Budget, Patient Satisfaction and Total Task Time goals must be met to turn on Performance Pay. If one of these three goals is not met, Performance Pay will not be paid.

ON TARGET

PATIENT SATISFACTION RATED AS “EXCELLENT” 63%

(GOAL: > 50%; LOW: 50%-59%; MID:60%-64%; HI: > 65%)

TOTAL TASK TIME

66:01

(GOAL: < 70:00; LOW: 69:00-70:00; MID: 68:01-68:59; HI: < 68:00)

$0

$150 $300

$0

$150 $300

AGENCY DRIVER SAFETY SCORING AVERAGE (GOAL: > 8%) 9

PERFORMANCE CRITERIA ($100 EA.)

CMED MPDS HIGH COMPLIANCE (GOAL: > 70%) 77%

RESPONSE TIMES P1: 96.67%/P2: 95.19% (GOAL: P1, P2: > 90%; P3: > 85%) P3: 90.35%

P1 TRAUMA SCENE TIMES (GOAL: < 10:00) 8:01

The latest Performance Pay Tracking Period began on November 1. We are striving to meet the Patient Satisfaction goal of a ≥ 50% 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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DEPARTMENT OVERVIEW: RISK AND SAFETY The Risk and Safety team works to continuously manage the overall safety and compliance for employees, patients, and the Agency as a whole. The department provides training for areas including, but not limited to, safe operation of vehicles, proper lifting, OSHA and regulatory compliance, and Corporate Compliance. We guide employees on matters of court subpoena, On the Job Injuries, HIPAA and Privacy and GeoTab profiles. In addition, we provide TB testing, vaccinations, and we provide guidance on matters of Family Medical Leave.

enforcement record requests and vehicle accident, property and medical claims. Pam continuously works to develop and execute the online corporate compliance materials and administers annual respiratory fit testing for our clinical providers. She tracks and works with employees on driver license renewals and holds a lead role in all safety committee meetings.

AMY BROUGHTON, RISK AND SAFETY SUPERVISOR Amy oversees daily tasks while providing direct oversight to the Risk and Safety Specialist and the Occupational Health Nurse. Amy coordinates patient and employee safety while working to find solutions to reduce auto, liability and worker’s compensation claims. She administers all compliance activities related to regulatory agencies including OSHA, Federal and State offices, DHHS (HIPAA & Privacy) and many other required reporting agencies.

Claudia’s primary job duties include monitoring and reporting workplace injuries and other medical leaves, providing Case Management for worker’s compensation, managing and administering FMLA, assisting employees in returning to work from medical leave, and coordinating light duty assignments. She directly works with the onboarding of new employees by coordinating pre-placement physicals and provides support for the needs of all employees by managing immunization records, completing mandatory health screenings, and managing blood borne and other exposures. She enjoys being an employee liaison and working to maintain health and wellness of each individual team member.

SEPTEMBER 2014

PAMELA JACKSON, RISK AND SAFETY SPECIALIST Pamela supports the department by assisting with general administration and execution of Agency safety programs. She educates newly hired employees on Medic’s policies while overseeing all drivers training and retraining. She processes employee subpoenas, court time cards, law

CLAUDIA TETENBAUM, OCCUPATIONAL NURSE Claudia brings years of prior experience working in hospital and clinical settings that directly relate to her daily tasks with the Agency.

For more information, email Amy Broughton at amyb@medic911.com.

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COMPLIANCE CLASS TRAINING In order to successfully complete this LMS training, please be aware of the following: Passwords and Login It is your responsibility to ensure that you have access to the Success Factors Learning Management System (LMS). You will need to log into the LMS to complete your compliance training and to set up your fit testing/TB test, if applicable.

ATTENDEES

If you have never logged into the LMS then you will do the following: • Go to: https://medic911.plateau.com • User ID: Employee ID number with preceding zeros if applicable • Default Temporary Password is: ‘medic911’ If you have forgotten your password please use the “forgot password” function. If that fails then contact Medical Services at eqs@medic911.com.

Password resets will only occur during business hours.

Tuesday

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Benjamin Astrike, Jacob Brod, Danny Cipriano, Meagan Crowson, John Crunk, Dan Geis, Derek Gray, Angela Hightshoe, Jason Jeffares, Sam Jones, Chris Kraetz, John MacIntosh, Elizabeth Maki, Jacklyn Manley, Matthew McPherson, Chelsea Miller, Eric Morrison, Nicole Mudd-Tyson, Alexis Perkel, Drew Smith, Brian Smith, Jordan Sneed, Christopher Stephens, Michael Stratton, Melaine Varnadore and Michael Walker.

December 2018

• Calendar week starts on Monday.

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You must be sure that you have your correct login information before attempting to complete work in the lab For complete instructions, visit https://www. medic911.com/extranet/my-medic/corporatecompliance. If you have Corporate Compliance content questions, contact Pam Jackson at pamelaj@medic911.com. For technical questions, contact Medical Services at eqs@medic911.com

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SAFE TEEN 0700 - 1300

ASSESSMENT CENTER 0800 - 1700 17

18 SAFETY MEETING 1300 - 1400

24 CHRISTMAS BREAK – ADMIN OFFICES CLOSED 31

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HUMAN TRAFFICKING Thank you to everyone that made the 2018 Simulation Center’s, Human Trafficking topic a success. As EQS shared, here’s a short overview of what signs to look for when you’re on-scene: WHAT TO LOOK FOR PHYSICAL SIGNS • Fractures, contusions, burns in random areas, trauma to the mouth • Genital pain, vaginal bleeding, pregnancy complications, STI’s, multiple elective abortions • Substance Abuse, anxiety, depression, suicidal ideation and PTSD SOCIAL SIGNS Avoids eye contact, fearful of you, minimal possessions, never left alone or allowed to speak for themselves, unknown address or surroundings, poor living conditions (prison like), <18yo prostitute YOU CAN CHANGE THEIR LIVES! 1. Establish trust by explaining who you are and acknowledging their fears 2. Separate the patient and one provider interview and treat 3. Most importantly! Reassure the patient it is not their fault they were abused and tell them how strong and courageous they are REPORTING Reporting is available 24/7 and is confidential. Please use the following resources: • 1-888-373-7888 • https://humantraffickinghotline.org/report-trafficking • Email:nhtrc@polarisproject.org • Text “BeFree” (233733) *North Carolina is ranked as a top-10 state for human trafficking with Charlotte being the top destination. It’s estimated that more than 1,700 girls are trafficked in North Carolina each year. 2,200 children in North Carolina are considered homeless and statistics show that 1 in 3 will be picked up by a pimp and sold within the first 48 hours of becoming homeless * http://lilypad-haven.org/what-is-human-trafficking For more information, email Veronica Michaelis at veronicam@medic911.com HEALTH FAIR RAFFLE WINNERS Congratulations to the Health Fair raffle winners: Ronnie Martin – Cooler Nick McCulloch – Lunch Box Matt Lewis – $25 Gift Card Kathleen Connell – Digital Tracking Bottle Jim Manning – Digital Tracking Bottle Audrey Danko – Gift Basket

Chelsea Miller – Stadium Chair Adamo Riascos – Umbrella Barry Thornton – Umbrella Mark Hayes – Umbrella Victoria Moore – Cooler BagSEPTEMBER 2014 Chamika McClain - $25 Gift Card For more information, email humanresources@ medic911.com.

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NOVEMBER BIRTHDAYS Cline, Kacey A. 1 Kimbrough, Mikaela J. 1 Reynolds, David A. 1 Henry, Stephen W. 3 Joseph, Austin W. 3 Strother, Mark W. 3 Queen, Jason B. 5 Smith, Andrew J. 5 Jordan, Catherine A. 6 Oliva, Lester 6 Ivey, Ethan D. 7 Casey, Desiree N. 8 Marsian, Caitlin A. 9 Billings, RaShae M. 10 Gilliland, Candace R. 10 Michael, Travis D. 10 Rohrer, Laura A. 10 Clark, Philip E. 11 Townes, Maureen M. 11 Jerrell II, Christopher V. 12 Jones, Alexander S. 12 Merges, Milan 13 Wallace, Parker B. 13 Marshall, Jennifer A. 14 Ek, Andrew R. 15 Lowe, Ryan M. 16 Reed, Alex P. 16 Wagner, John D. 16 Bivens, Robert C. 17 Dellinger, Laura K. 18 Jewell, Adam C. 18 Johnson, Tanesha L. 18 Kennedy, Nicholas R. 18 Baffaro, Daniel B. 19 Dresser, Emerson B. 19 Cummings, Ashley N. 20 Wenham, John M. 20 Larsen, Nicholas K. 21 Michaelis, Veronica M. 21 Rimmer, Mary E. 24 Meadows, Michelle O. 27 Ray, Marcus A. 27 Hopping, Aaron L. 28 Malinowski, Mary E. 28 Walker, Shane M. 28 Stanford, Michael W. 29 Washington, Janeice Y. 30