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Vail, CO

INTERNATIONAL ROUNDTABLE OF COMMUNITY PARAMEDICINE

AUGUST 9 - 11, 2010


CONFERENCE BROCHURE AND SCHEDULE

CONTENTS Accommodations ................................................................................................................ 3 Schedule at a Glance .......................................................................................................... 4 Presentation Abstracts ....................................................................................................... 5 Speaker Bio ..........................................................................................................................9 Things to do ...................................................................................................................... 13

Fly Fishing the Eagle River

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CONFERENCE BROCHURE AND SCHEDULE

Accommodations

Manor Vail Lodge re-opened this past winter season after extensive renovations and property enhancements. Let breathtaking views of Vail Mountain and Gore Creek captivate you from our coveted location at the base of Golden Peak. Our intimate restaurant and bar area offer the most amazing views that surround the property. The addition of beautiful exterior landscaping with heated pathways, new pool areas and an underground parking structure are some of the newly added resort amenities.

DESCRIPTION $149.00/night USD Studio Condominiums feature a King, Queen or two Double beds and a double Murphy bed, and a full bath. All Studios have a fully equipped kitchen, fireplace, private balcony or patio, cable TV, hairdryer, voicemail and an iron & board. Approximately 700 square feet. $149.00/night USD One-Bedroom Condominiums feature a King or Queen bed in the bedroom with a double Murphy or sleeper sofa in the living room. All OneBedroom units have one full bath, a fully equipped kitchen, fireplace, private balcony or patio, cable TV, hairdryer,

voicemail and an iron & board. Approximately 700 square feet. $249.00/night USD Two-Bedroom Condominiums feature a Master bedroom with a King or Queen bed and a second bedroom with two Double beds or Queen beds. Most units also offer a sofa sleeper or Murphy bed in the living area. All TwoBedroom units have three baths, a fully equipped kitchen, fireplace, private balcony or patio, cable TV, hairdryer, voicemail and an iron & board. Approximately 1400 square feet. Rollaway bed or cribs: $25.00 per night

Mountain Biking the many trails in Vail is a great activity. You can rent bikes and even ride the ski lift to get to the top of the mountain.

RESERVATIONS   Attendees can make a reservation by calling +1-800-950-8245 and identifying themselves as part of International Roundtable of Community Paramedics.  The group discount will apply to all reservations made before the cut-off date.    Cut-Off Date: Rooming List and Individual reservations received after July 17, 2010 12:00:00 AM will be provided on a space available basis.  PARKING Complimentary parking for hotel guests only.  Conference attendees NOT staying at the hotel will be charged $10 per day for parking.

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CONFERENCE BROCHURE AND SCHEDULE

Schedule at a Glance

TIME

SUNDAY

1:00 - 5:00

Check in and Registration

5:00 - 7:00

Welcome Reception

Gary Wingrove

TIME

MONDAY

SPEAKER

7:30 - 8:00

Breakfast

PROVIDED TO HOTEL GUESTS

8:15 - 8:45

Welcome/Introductions

Gary Wingrove

8:45 - 9:45

Keynote COMMUNITY MATTERS: an organic model

Dennis Berens

9:45 - 10:00

Break

PROVIDED

10:00 - 11:00

EMS and Care for non-acute Patients

Kurt Krumperman

11:00 - 12:00

Successful Integration of EMS and Critical Access Hospital System

Pat Songer

12:00 - 1:00

Lunch

PROVIDED

1:00 - 2:00

Urban Model of Delivery

Marjorie Signer

2:00 - 3:00

Standardizing Names

Ben Maartmann

3:00 - 3:15

Break

PROVIDED

3:15 - 4:15

It takes a System

Tom Candlin

4:15 - 5:15

Rural Nebraska Regional Ambulance Network

Dale Gibbs et. al.

6:00

Happy Hour

NEED SPONSOR

7:00

Dinner

PROVIDED

TIME

TUESDAY

SPEAKER

7:30 - 8:00

Breakfast

PROVIDED TO HOTEL GUESTS

8:15 - 9:15

An international EMS leadership and management program?

Peter O’Meara et. al.

9:15 - 10:15

Transferring Licenses Country to Country

Ben Maartmann

10:15 - 10:30

Break

PROVIDED

10:30 - 11:30

Emergency Paramedics - How to get them to “buy in” to CP?

Jan Hiebert

11:30 - 12:30

Update on the Little CP Program that Could

Robert Brown

12:30 - 1:30

Lunch

PROVIDED

1:30 - 2:30

Student view of International Exchange

Peter O’Meara

2:30 - 3:30

Elearning to support Paramedics

Craig Hutchins

3:30 - 4:30

7 Low Cost Initiatives you can implement today

Jamie Davis

4:30

Follow-up Questions

Gary Wingrove

WEDNESDAY MORNING 8 - 12 COMMUNITY PARAMEDIC ROUND TABLE DISCUSSION

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CONFERENCE BROCHURE AND SCHEDULE

Presentation Abstracts Monday Keynote COMMUNITY MATTERS: an organic model - Dennis Berens Communities around the globe are facing similar issues and opportunities. In the past we have approached our situations from a linear, siloed focus that often felt unsuccessful. We are now in the "everything is connected to everything else" world and that allows us to envision a new organic model of how we can care for each other. What does it mean to have four generations in our population mix and how can we provide health and health care to our transforming world. Community Paramedicine provides all nations with an opportunity, a model of international cooperation and connectedness. What is your vision for your community, your nation, your world. What are the matters of your community that we can work on together? “EMS and Care for Non-acute Patients” - Kurt Krumperman Paramedicine is merely forty years in the making and therefore still evolving in the context of the larger health care professions, now also in transition. Since the 1980's, EMS medical directors, system administrators and paramedics have been acting to expand the scope of services provided by EMS and in some cases scope of practice as well. There have been two distinct clinical directions for this expanded role on both ends of the patient acuity spectrum. The first direction was the advancement of paramedic’s clinical skills towards that of critical care nursing, for the care and transport of critical patients from one hospital to another. The second direction and the subject of this presentation has been the attempted expansion of the paramedic role at the opposite end of the patient acuity continuum. Studies place the number of low acuity transports, i.e. sprains or flu-like systems, from 10% to 40% of EMS transports. In 2006 24.1% of ED visits were classified as semi-urgent and non-urgent. This presentation will examine the issue as it has developed on the national public policy agenda since the early 1990's up to the present and explore the reasons why this expansion of the EMS role in the proper care of the non-acute patients has had difficulty taking root in the U.S. The presentation will conclude probing the opportunities that exist as a result of the recently enacted Patient Protection and Affordable Care Act. “Creating a System of Excellence: Successfully Integrating EMS and the Critical Access Hospital System” - Pat Songer Can EMS and the Critical Access Hospital System really have a successful marriage? Absolutely! Come learn how one of the most rural EMS systems in the country not only has become the face of Humboldt General Hospital in the field, but how the now-paid service is leading the way in the hospital’s community outreach efforts. The result? Quality of care has improved, call volumes have increased, equipment and personnel have achieved new levels of sophistication and, perhaps most importantly, everybody (including patients, staff and administration) is better served. “Urban Model of Delivery” - Marjorie Signer Community Paramedicine developed first in rural locations because alternative venues for care were not geographically convenient, but its use in urban locations is a logical next step. While it is true that city residents are in closer proximity to traditional health care providers, specific barriers still hamper their ability to utilize these services to effectively manage health care needs. As a result, a significant number of the area's most vulnerable residents (elderly, poor, chronically ill and children) rely on the 9-1-1 system and Emergency Departments as their primary gateway to medical care. Deploying Community Paramedics in the urban environment successfully mitigates all of these obstacles and thus should effectively reduce the need these residents have for 9-1-1 response, emergency room visits and increase their overall health.

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CONFERENCE BROCHURE AND SCHEDULE

Presentation Abstracts Monday “Standardizing Names” - Ben Maartman One of the significant challenges in global communication is the lack of common terms for the different practice levels in the paramedic profession. This presentation is on the adoption of a standard naming convention to promote dialogue and comparison between countries. “The Rural Nebraska Regional Ambulance Network – Partners for Better Rural Health” - Dale Gibbs, Randy Meininger, Julie Smith The session will present the background of the RNRAN Network whose overall focus is to provide better coordination of ground and air ambulance transportation to the citizens of central and western Nebraska. The Network is a partnership of health care providers, hospitals, dispatch agencies, ambulance services, Community Colleges, and HHSS EMS program Staff. The accomplishments achieved by the Network, have been made possible through the involvement and commitment of the partners, steering committee and interested parties. Through utilization of Telehealth, a dedicated Sharepoint website and communication, the interested parties are able to remain informed and interactive with the Network. "It takes a community to care for a community” - Tom Candlin Emergency Medical Services has the opportunity to influence and impact the health of communities at many more levels than the current model is designed. We will look at examples during my discussion that illustrate how EMS can work to affect the health of citizens in communities. EMS should be involved in preventative care and ongoing care of patients in partnership with existing local healthcare resources. This “upstream” and “downstream” approach to complete community care can have a positive impact on the healthcare system at a local level. My goal during this presentation will be to have all participants thinking of how to better integrate EMS systems with healthcare in their communities.

Presentation Abstracts Tuesday “An international EMS leadership and management program?” Peter O’Meara, Bill Raynovich and Joe Acker Ambulance services around the world are facing significant management and leadership challenges associated with rapid growth of call volumes, increasing reliance on sophisticated technology, a broadening scope of clinical practice, greater expectations of citizens, patients and system governors, and the ever increasing complexity of working in both the health and public safety environments. The sustainability of vibrant, healthy and high performing ambulance services depend on competent, experienced and well educated leaders and managers. Charles Sturt University in Australia and Creighton University in the United States recognize that few formal education programs exist anywhere in the world for ambulance service managers. They are seeking to fill this void through the development of a joint Masters degree for both current and aspiring managers to gain internationally flavoured, industry-focused knowledge and skills to help prepare them for the challenge of managing and leading ambulance services or emergency medical services anywhere in the world. “Transferring Licenses from Country to Country” - Ben Maartman Health care demands have created a need for increased labour mobility across health care professions. This presentation will be on the Canadian Labour Mobility Project for Paramedics.

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CONFERENCE BROCHURE AND SCHEDULE

Presentation Abstracts Tuesday Emergency Paramedics - How to get them to “buy in” to Community Paramedic - Jan Hiebert Why did you become a paramedic?? It’s because you “want to help people”, right? Nice try rookie!! It’s the adrenaline, driving fast, lights and sirens, action, blood, trauma and more trauma? It’s because you want to “save lives”. Well do I have a challenge for you!! Join me on this “Health Bus” journey with a Nurse Practitioner while we deliver mobile primary health care in a 35 foot RV. Let’s call it “An Urban Adventure”. We are going to sit down and talk to Mr. Jones about his constipation that he has had for 3 weeks now. Maybe we can discuss dietary changes and stool softeners to help soften things up for him. I dare you, come on this urban adventure with me. You may be surprised at what you find out about yourself in this session. “Update on the Little CP Program that Could” - Robert Brown Since 2002, a community paramedicine model has been operating on the remote communities of Long & Brier Island. Paramedics work in collaboration with a Nurse Practitioner and offer non-emergency services under an expanded scope of practice. This model has resulted in tremendous benefits including reduced ED visits and high levels of patient satisfaction. The planning for the expansion of the current community paramedicine program is currently underway. This is the result of the success of the Long & Brier model; observations made during a recent review of the provincial emergency system; as well as the skills, capacity, and desire of the EHS system and other stakeholders to build on existing infrastructure and knowledge to provide innovative solutions to the challenges facing the health care system. This presentation will provide the delegates with an update on our islands program, including lessons learned, as well as outlining some of the exciting initiatives that are planned for the upcoming year including an urban based model. “Student view of International Exchange” - Peter O’Meara During this session Students from Australia and the United States will give a presentation on the international exchange program. “Elearning to support Paramedics” - Craig Hutchins The New South Wales Ambulance Service NSW has about 3700 on road paramedics operating in 226 stations throughout New South Wales. About 10 years ago after having trouble working out exactly when our paramedics last recertified, it was decided source a computer programme to see if this assisted with the process. It was also decided to have a formal Certificate to Practice. This model provided for formal workshops to assess the practical competencies and update any changes within protocols etc. On top of this paramedics had to contribute activities to account for 60 Certificate to Practice points. It was found that paramedics in major towns had access to seminars and suitable activities but those in remote areas did not. Our Education section purchased a computer based system to manage officers’ certifications and training records, but with this came the opportunity for a platform to offer on line courses. “7 Low Cost Initiatives you can implement today” - Jamie Davis You will take away seven concrete tips to implement community paramedicine in your system that will add little or no money to your bottom line and your personnel might even like it. Jamie shows you how to use techniques and resources already available from other health care systems and programs. Programs to provide additional services, assessment and care to your public that are cheap to reproduce and implement. U sing assessment checklists, risk factor models, and additional community resources, EMS providers in your system will be able to better assess the patients at risk for further medical problems, refer them to resources in your community, and reduce eventual call volume in your system, all at the same time. You will cut overtime hours while simultaneously saving on fuel and equipment costs.

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CONFERENCE BROCHURE AND SCHEDULE

Presentation Abstracts Wednesday “Local Planning for Community Paramedic - A Case Study in EMS and Public Health Integration” - Anne Robinson and Chris Montera The Community Paramedic model, based on international best practices, is a potential solution that provides access to essential healthcare services. In rural areas, like Eagle County, Colorado, the problem is exacerbated due to a higher uninsured rate and shortage of healthcare providers as compared to urban settings. The collaboration between Public Health, primary care and EMS has been instrumental to the early success of the Program. “Community Paramedicine – Calculating the return on investment” - Jan Hiebert A 45 year old Philippino newcomer stopped at the Health Bus just to “check things out”. With very broken English, he grabbed his upper arm and squeezed it, indicating he wanted his blood pressure checked. With an impeccable medical health history, we found his blood pressure to be 240/130!! Oh to have a crystal ball. This session will give you the tools to calculate the return on investment with community paramedicine. “Facilitated Discussion” - All Attendees, Gary Wingrove, Nels Sandal, and Chris Montera This roundtable discussion will talk about next steps and how to start creating programs locally. This will include the hurdles, barriers and innovative ways to start your Community Paramedic Program. This will be a perfect time to ask questions and exchange information on best practices.

Summer in Vail: Golf, mountain biking, and white water rafting are some of the great activities you can enjoy while in Vail. Take time to enjoy weather that is beautiful and temperatures that are in the 80 F/26 C.

Winter in Vail: World Class Skiing, snow mobile rides, and snow boarding are the great winter activities in Vail. 2015 World Ski Championships will be in Beaver Creek and Vail. This was just announced. Come back and enjoy knee deep powder and sunny days. We hope to see you during winter very soon.

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CONFERENCE BROCHURE AND SCHEDULE

Speaker Biographies Dennis Berens grew up on a farm in Charter Oak, Iowa and was trained as a teacher at Concordia University, Seward, Nebraska. Received a BSed.degree as well as a Masters degree in education. Taught junior high students for 9 years and then purchased the Seward County Independent Newspaper in 1976. In 1990, I was asked to be the Coordinator/Director of the Nebraska State Office of Rural Health where I continue to serve. I have developed curriculum for a university teacher training program, worked at recruiting business and industry to my community and state. Serve on local, state, regional and national educational, newspaper and extension programs. In my present position I facilitated the creation the Rural and Frontier EMS Agenda for the Future, served on various EMS workgroups and worked to start the IRCP. Facilitated the creation of the Community Healthcare and Emergency Cooperative which was the creator of the Community Health Paramedic Curriculum being piloted in Minnesota and Colorado and has been sent to over 12 nations. Served for two years as President of the National State Offices of Rural Health and am presently serving as the President of the National Rural Health Association. I believe that rural communities are the "shelter belts" of our society and that we all need to believe that Communities Matter. Bobby Brown began his career in Emergency Medical Services in 1980 in the Annapolis Valley, Nova Scotia. Bobby currently serves as Director of System Support for Emergency Health Services in Nova Scotia. In this role Bobby provides support, operational leadership and strategic direction to our provincial support team including, Performance Excellence, Community Paramedic Programs, Fleet and Physical Resources, Medical First Responders, Facilities Management. The primary focus of our team remains the delivery of patient centered, safe, quality care, consistent with the vision, mission and values of our service, Emergency Medical Care and Emergency Health Services. In addition to his clinical and field experience, Bobby has had opportunity to hold several frontline and senior leadership positions including Operations Supervisor, Regional Operations Manager, Manager Medical Communications, acting Director for our LifeFlight Air Medical Team and most recently Director of field Operations.. Bobby was instrumental in the development and implementation of the Community Paramedic Program. Bobby remains current as an Intermediate Care Paramedic, Emergency Medical Dispatcher, Community Paramedic as well as an Emergency Vehicle Technician. Throughout his career Bobby has served on and chaired several educational and operations committees. Currently holding a seat on our provincial strategic advisory and operations committees dedicated to developing our Community Paramedic Program through further healthcare integration and solutions. Most recently Bobby was honored with the opportunity to serve on the Executive of Emergency Medical services Chief’s of Canada. Thomas Candlin III is an all around nice guy. He is the EMS Coordinator for St. Anthony Hospital PreHospital Services in Denver, Colorado. Tom has over 30 years of experience in EMS as a provider, educator, and lecturer. He is responsible for changing the way providers see the world and has held every position in EMS including Director.

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CONFERENCE BROCHURE AND SCHEDULE

Speaker Biographies Jamie Davis, RN, NREMT-P, BA, AS, a.k.a. the "Podmedic" has conducted many interviews with medical professionals around the world for his online radio programs, the MedicCast and the Nursing Show. In the course of his discussions with nurses, paramedics and physicians from many different systems, Jamie has collected various unique methods of care delivery provided to communities worldwide.

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Dale Gibbs is the Director of Outreach and Telehealth Services for Good Samaritan Hospital who has over 35 years as a rural volunteer EMT-B and paid Paramedic. He is an EMS representative to the Technical Assistance and Services Center of the Rural Health Resource Center- Rural Hospital Medicare Flexibility (Flex) Program and a member of the State of Nebraska Trauma Advisory Board. He is also responsible for the coordinator of a 14 critical access hospital network in Central Nebraska. Dale was the recipient of the Nebraska Rural Health Association - Outstanding Rural Health Award in 2008. Jan Hiebert has been passionately involved in EMS at M.D. Ambulance in Saskatoon, SK, Canada for 19 years. Throughout her career, Jan has served in a variety of roles including an advanced care paramedic, critical care flight paramedic, educational crew trainer, assistant operations supervisor, and most recently Director of Corporate Services. Jan was integral in the research, development and implementation of the Primary Mobile Health Centre, more commonly known as the “Health Bus”. Jan’s educational background also includes a Bachelor of Health Sciences (Pre-Hospital Care) through Charles Sturt University in Australia, the Leadership Development Program at the University of Saskatchewan. Jan is continuing to pursue her passion in leadership through her application in the Program for Leadership Development through Harvard Business School. Craig Hutchins is Paramedic Educator with the Ambulance Service New South Wales Joined the Ambulance Service in 1975 and have worked in Rural and City locations before moving into the education environment in 1998.

Kurt Krumperman MS, NREMT-P is Clinical Assistant Professor at the Department of Emergency Health Services at the University of Maryland, Baltimore County (UMBC). Professor Krumperman joined the faculty after a 23-year career with Rural/Metro Corporation, the nations second largest ambulance service provider, where he served as Senior Vice-president for Federal Affairs and Strategic Initiatives as well as leader of the company’s disaster response team. On the national level, he has served as the Secretary of the American Ambulance Association, and on the board of the Commission for the No Photo Available Accreditation of Ambulance Services. Mr. Krumperman is currently on the board of the National Registry of Emergency Medical Technicians. Mr. Krumperman is President of Advocates for EMS, a coalition of four national EMS organizations and other supporting members that advocate in Washington on national Emergency Medical Services. He was appointed by the U.S. Secretary of Transportation to serve on the National EMS Advisory Council and also served on the FEMA Advisory Committee. He retains his status as a National Registry EMT-P. Professor Krumperman serves as EHS Management Program Director with primary responsibility for the department’s Management Track program and majors. He teaches courses related to EMS service planning, finance, and operations as well as directing student internships.

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CONFERENCE BROCHURE AND SCHEDULE

Speaker Biographies D. Randy Kuykendall, MA, NREMT - P has thirty-five years experience in local, regional and state emergency medical services program development and administration. He currently serves as Chief of the Colorado Emergency Medical and Trauma Services Section, responsible for leadership and management of both trauma and EMS programs at the state level. He has eight years experience as State EMS Training Coordinator/EMS Program Operations Manager, State of New Mexico Emergency Medical Services Bureau, Community Health Services Division, Public Health & Environment Department. His e xtensive background and experience in both urban and rural EMS system management and resource development makes him invaluable for the State of Colorado and the Future of EMS. He was former Chairman of the National Council of State EMS Training Coordinators, Inc. He has served in leadership of several major national projects, including development of US Department of Transportation Paramedic curriculum and Injury Prevention program for EMS providers. Mr. Ben Maartman: Project Director, Labour Mobility Project, Canadian Organization of Paramedic Regulators; BSc (Hons Physiology) (1981), Advanced Care Paramedic (1988), Masters in Business Administration (2005). His MBA Consulting Project was a feasibility plan for pre-hospital care in a remote first nations community. Mr. Ben Maartman has been a Paramedic practitioner for 18 years, a Paramedic Educator for 7 years, and Superintendent and Director for 5 years. He was the Project Director for the British Columbia Ambulance Service (BCAS) (2007) and was seconded to work with Paramedic Regulators on Inter-Provincial Trade Agreements between BC and Alberta (2008). Currently he is seconded from the BCAS to work on the National Labour Mobility Project for Paramedics. He is a contributing author for four federal grants over the last two years. He maintains his Paramedic license and continues to provide clinical instruction to Paramedics and the Military. He has a passion for 'paramedics without borders' and has spoken Nationally and Internationally on this subject.

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Randy Meininger the owner of Valley Ambulance Services Inc. since 1979 is a NREMT-P, who has achieved certification from the Management Training Institute (ASM). He is also the manager of Emergency Response Care in Sidney NE for Regional West Medical Center. He currently serves on the State of Nebraska Region Four Trauma Board and has been a member of the steering committee for RNRAN since it originated. He has been the mayor of Scottsbluff since 2006. Randy has been the recipient of many awards for his work and dedication to improving trauma care in the region.

Dr. Peter O’Meara is Professor of Paramedic Practice and Leadership at Charles Sturt University in Australia. Before this he worked at the Monash University School of Rural Health following over 20 years in EMS service delivery and management. He is also a Faculty member of the North Central EMS Institute in the United States and a Visiting Professor in Prehospital Care at Coventry University in the United Kingdom. His doctorate awarded from the University of New South Wales examined Rural EMS models in Australia and he has also conducted and published research connected with rural paramedic roles and the management of volunteer EMS systems. Along with Professor Carol Grbich, Professor O’Meara recently edited a “Paramedics in Australia: contemporary challenges of practice.”

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CONFERENCE BROCHURE AND SCHEDULE

Speaker Biographies Marjorie Signer first joined the Fire Service in 1998 as a FF/EMT-B. She founded Unity Medic Collaborative because given a proactive opportunity and the necessary support, paramedics have the ability to positively affect the overall health of our communities and help reduce the current strain on the 9-1-1 emergency response system. She holds three Bachelor Degrees from the University of Cincinnati: Economics, International Affairs, and Journalism. Additionally, she has a minor in Spanish. In addition to founding Unity Medic Collaborative, Marjorie is the CEO of a Northern Kentucky based public relations firm and is the former Director of Marketing for a 600 million dollar bank in Southwest Ohio. She serves as an executive on the Board of the Residents of MainStrasse Association, is a member of the MainStrasse Village Business Association, and serves on the Housing Committee for Cincinnati Mayor Mark Mallory's Young Professional Kitchen Cabinet. Marjorie will earn her EMT-Paramedic certificate in winter 2010. Julie Smith is the Network Director for the Rural Nebraska Regional Ambulance Network. She has worked with the Network since March 2008. She has over 25 years experience in healthcare, obtaining her certification in Emergency Nursing in 2004. She is a Bachelors prepared Registered Nurse with a Masters in Healthcare Administration. She is employed by CIMRO of Nebraska the Quality Improvement Organization as a QI Manager and is a past president and current board member for the NeRHA (Nebraska Rural Health Association). No Photo Available

Pat Songer, NREMT-P, ASM, CMTE, is Director of Emergency Medical Services and Rescue for Humboldt General Hospital in Winnemucca, Nevada. HGH EMS Rescue responds to nearly 2,000 calls each year across 9,626 square miles of rural high desert in ambulances, rescue vehicles, on ATVs and on bicycles. Pat also oversees a critical care ground transport program that responds to approximately 275 calls yearly to take patients the 165-mile, one-way, distance to trauma centers in Reno, Nevada. HGH EMS Rescue was recently nationally accredited through the Commission on Accreditation of Ambulance Services (CAAS) and is among the smallest and most rural services to ever receive CAAS certification. Additionally, the service was the main feature in the July 2009 issue of EMS Magazine for its proactive and dedicated efforts to raise the bar in rural EMS. The service further merited mention in the February 12 edition of the Wall Street Journal for its use of handheld ultrasound devices in the field. In addition to its all-ALS ambulance service, HGH EMS is an American Heart Association training site. The service further offers a myriad of programs aimed at educating the local community and keeping residents safe. These include car seat education and installation, helmet safety, babysitting instruction, file of life setup for seniors, and a Public Access Defibrillator (PAD) program that will see 200 AED units deployed in Humboldt County by 2011. To date, over 120 AED units have been placed in this community of 17,000 residents. Pat also has led the formation of HGH EMS Rescue’s Tactical Emergency Medicine Service (TEMS) team. Pat is a licensed flight paramedic and over the past 21 years served with Tri State Care Flight, Big Sky Paramedics and the Lewistown Fire Department before coming to Humboldt General Hospital in September 2005.

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CONFERENCE BROCHURE AND SCHEDULE

Things to do... Summers in Vail Talk to any Vail Valley local and you will hear them attest that summers in the valley are just as thrilling as the winter. It's easy to jam-pack a day with adventurous activities like mountain biking, rock climbing, kayaking, whitewater rafting, paragliding, horseback riding and hot-air balloon rides. Other popular activities include jeep and Hummer tours, heart-pounding zip-line tours the single track mountain bike courses on Vail or Beaver Creek Mountains. Exploring our destination's prized golf courses and hiking trials will leave you thinking summer when thinking of the Vail Valley. A day all on the hustle not for you? Not to worry, the area's boutiques and spas will leave you feeling relaxed and rejuvenated. Many of the area's spas even combine relaxation with athleticism by combining yoga classes with a spa session. Another reason to put the Vail Valley on the top of your vacation list. Never boring, always innovative. Don't forget that the summer months are filled with festivals and special events! The Vail Valley has it all, ranging from cultural events such as the Vail International Dance Festival and the Bravo! Vail Valley Music Festival to iconic mountain events. These include Oktoberfest and the weekly farmer's markets. And every local knows that you don't want to miss the weekly Hot Summer Nights concerts at Vail's outdoor amphitheatre of Ford Park! Concerts just as "hot" but more "classical" also

take place in outdoor concert venues, an experience in its own leaving you wanting more. Best yet about summer activities in the Vail Valley- many are free!

Fun Things Guided Fly Fishing Tours Gore Creek Fly Fisherman 970-476-3296 Rafting - Colorado River Arkansas Valley Adventure at 800-370-0581 to reserve your trip at least 48 hours in advance Jeep Tours Timberline Tours 800-831-1414 Bicycle Rentals Vail Sports 970-476-3600 Golf Vail Golf Club 970-479-2279

Free Things Budweiser Hot Summer Nights Concerts - Vail Free concerts on Tuesday nights at the Gerald R Ford Amphitheater, east of Vail Village beginning mid-June through midAugust. Gondola Rides - Vail Throughout the summer (mid-June through Labor Day), the Eagle Bahn Gondola offers For more information on all Vail free rides up Vail Mountain 4:00 - 9:00 Activities go to: p.m. on Thursdays, Fridays and http://www.visitvailvalley.com/ Saturdays. Check out Vail's F.A.C. (Friday Afternoon Club) where you can enjoy live entertainment at 10,000 feet. Betty Ford Alpine Gardens - Vail A public botanic garden curating a fully documented collection of high elevation plants. Beaver Creek Concert Series Beaver Creek An eight-week concert series held every Saturday in July and August at 4:30 p.m. during July and August. From blues and jazz to Celtic and Latin. the series is a family friendly social event to savor. Avon's Lakeside Cinema - Avon From mid-July through the end of August at Nottingham Park in Avon, this outdoor film series that plays on Fridays at 8:30 p.m., is a great way to catch a flick or classic. Farmers Markets - Vail, Minturn and Edwards Come see where the best vendors in Colorado spend their weekends.

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