KAPA Meeting Minutes: January 14, 2013

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Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: January 14, 2013
Meeting Location: Hardin County Emergency Medical Services, Elizabethtown, KY

Board members in attendance:

Region

Board Member (E)= Even Year

Present or Absent

At-Large

Terry Dossett

Absent

At-Large

William Dukes (E)

Present

At-Large

Ira Dyer

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Tim Mahone (E)

Absent

Region 1

Rick Driskill

Present

Region 1

Mark Harrison

Absent

Region 1

Troy Walker (E)

Present

Region 2

Jim Duke (Treasurer)

Present

Region 2

Randy Fathbruckner (E)

Present

Region 2

Joe Prewitt (Vice President)

Present

Region 3

Joe Bradshaw

Present

Region 3

Billy Duncan

Absent

Region 3

James Hacker (E)

Present

Region 4

Robert Butcher

Absent

Region 4

David Eldridge

Present

Region 4

Mike Phillips (E)

Present

Region 5

Robin Barber (E)

Absent

Region 5

Jerry Domidion

Present

Region 5

David Sloane

Present

Region 6

Tom Adams (President) (E)

Present

Region 6

Terry Fraley

Absent

Region 6

Michael Mason (E)

Absent


The following items were presented, discussed, and/or acted upon while the board meeting was in order:

Item

Discussion

Action

Call to order

The meeting was called to order at 13:07 EST by President Tom Adams

 

Invocation

By Joe Bradshaw.

 

Roll Call

By John Hultgren.

 

Determination of Quorum

By  John Hultgren:
A quorum of not less than 51% (12) of the Board of Directors for any regular or special meeting was established.

Established

Minutes of last meeting

No changes advised

Approved

Financial/Reimbursement Report

By Jim Duke. No financial report as there has been very little financial activity and he has been working on 2013 dues.

 

Legislative Report

By Joe Prewitt. KAPA is currently watching the following bills:

  • Senate Bill 54 filed on Jan. 11 that would move KBEMS from KCTCS to the Public Protection Cabinet.
  • Senate Bill 37, an act relating to Medicaid managed care organizations.
  • Senate Bill 38, an act relating to Medicaid provider credentialing and declaring an emergency.
  • House Bill 79, an act relating to the prescription of Naloxone.

A meeting has been scheduled for Thursday between some outside parties and Tom Adams, Mark Harrison, and John Hultgren to discuss Senate Bill 54.

Motion by Jim Duke for KAPA to oppose House Bill 79. Second by Mike Phillips. No further discussion. Motion passed with one dissent by Joe Prewitt.

Motion by Ira Dyer to continue employment of our lobbyist, Judy Taylor, at the same rate of compensation as last year. Second by Randy Fathbruckner. Some discussion followed. Motion passed.

President Adams thanked members for the e-mails to Senator McConnell over the Fiscal Cliff negotiations during the last week of last year.

Some discussion about Senate Bill 1 (related to special taxing districts, which has not been published yet). KAPA will be meeting with the state auditor’s office to discuss.

Ira Dyer discussed 202 KAR 7:530 pertaining to data collection and patient care reports, saying there has been no public discussion on this regulation and was concerned that now it appears as an emergency regulation. Jim Duke responded that multiple meetings with the Kentucky Hospital Association were held to develop a minimum data set, and Mr. Duke explained that KHA was going to propose a solution if EMS didn’t and that EMS must decide what they want to do and stand behind it. Joe Prewitt explained that the state has invested to develop a data collection system so that all services could have an inexpensive way to participate. Mr. Dyer removed his concerns at the conclusion of the discussion.

Motion to oppose Senate Bill 79 passed.

Motion to continue employment of Judy Taylor at the same rate of compensation passed.

KBEMS Report

By Michael Poynter, KBEMS Executive Director.

  • Mr. Poynter introduced Chuck O’Neal, KBEMS’ new deputy director.
  • KBEMS is committed to the EMS conference and will be assisting with speakers and in other areas.
  • Expressed that KBEMS should be a resource to EMS providers and will be providing (in a joint operation with Indiana EMS) a conference for administrators and directors.
  • KBEMS recertified 5,193 in 2012.
  • The Capstone 2014 drill (New Madrid Fault) will be a major drill in June 2014 with an 8-state involvement.
  • KBEMS has put together a capital outlay work group. KCTCS has approached KBEMS and the Fire Commission about space issues at the KCTCS office. One location in Lexington has been identified as promising as a new office.
  • KBEMS will sponsor the NASEMSO conference in Kentucky in 2015.

By Chuck O’Neal, KBEMS Deputy Director:

  • Education regulations were enacted on Nov. 5.
  • Data Collection and Block Grant regulation will be heard Feb. 11.
  • Advanced EMT regulations have been put in legal format and will be heard soon.
  • The National Association of State EMS Officials feels that NFPA 1917 will lead to a $5-$10,000 in increased vehicle cost. The GSA has granted a request by NASEMSO to delay the sunset period on KKK until Oct 1, 2015. Correspondence approved by the NASEMSO Board of Directors was sent to the General Services Administration Automotive Dorector on December 7 requesting a delay of cancellation of the Federal Star of Life Ambulance Vehicle Specifications until October 1, 2015. An affirmative response was received on December 11. This creates a temporary but important relief valve for states that have incorporated the KKK specifications in whole or part in state regulations. NASEMSO has filed a request with NFPA to establish a short term workgroup to provide substantive comment to the NFPA 1917 Technical Committee.
  • KBEMS will be working through a gap analysis for military medics.

 

Medicaid MCO Report

By Jim Duke. The last meeting with the Kentucky Medicaid MCOs was in June 2012. One for Sept. at the EMS Conference was cancelled by the MCOs. Mr. Duke will reach out to Kentucky Spirit and Passport to explore meeting later and another attempt at the 2013 EMS Conference.

 

Conference Committee Report

By Troy Walker:

  • Ready to put more money into speakers, and he needs to know how much will be budgeted.
  • Need to decide if we are leaving the conference in Lexington or moving somewhere else in 2015.

Joe Bradshaw explained why he was not in favor of moving the conference because every time it moves we lose attendance. Lexington also offers more to do.

Motion by Joe Prewitt for the conference to remain in Lexington in 2015, second by Jerry Domidion. No discussion. Motion passed.

Motion to provide the conference committee with at least $15,000 for EMS Conference speakers by Joe Bradshaw. Second by Jim Duke. No discussion. Motion passed.

Motion for the Kentucky EMS Conference and Expo to remain in Lexington in 2015 passed.

Motion to provide $15,000 for the speaker budget passed.

Recruitment/Provider Education Task Force

By William Dukes.

  • The new KAPA display booth was unveiled at the last EMS Conference. Mr. Dukes thanked those who assisted with that project.
  • Reviewed membership by region. Western Kentucky has a higher percentage of members, and eastern Kentucky has the lowest percentage of members.
  • The task force believes they have a good plan to increase membership but feels they lack a defined benefit package and share a lot of benefits with non-members. Requested a work group to create a benefit package.

Ira Dyer distributed a flyer concerning the Premier healthcare alliance and discussed the organization. Requested a work group to further explore.

Randy Fathbruckner and Mike Phillips were appointed by President Adams to be on this work group with Mr. Dyer. Mr. Dukes said that this work group will also serve the purpose of the work group to develop a benefits package that he had requested.

 

Old Business

  • EMAC: Chuck O’Neal discussed mission ready packages. 12 agencies have shown interest in participation, have submitted the appropriate paperwork, and are ready to deploy.

 

New Business

  • Motion to send the Legislative Committee to Washington D.C. to visit with Congressional members in April or May by David Eldridge, second by William Dukes. No discussion. Motion passed.
  • Kevin Callahan has been appointed to fill the At-Large position formerly held by Terry Dossett.
  • Jim Duke has been appointed to the American Ambulance Association’s Government Affairs Committee.
  • Ira Dyer motioned that KAPA become a member of the American Ambulance Association. David Sloan seconded. Some discussion on information sharing. Motion passed.
  • Provider Spotlight volunteers in upcoming newsletters discussed.
  • Lee Brown from Western Kentucky University explained that it is becoming increasingly difficult to get clinical sites for EMS students and asked for KAPA’s assistance. Mike Poynter offered to discuss this with KHA.

Motion to send KAPA’s Legislative Committee to Washington D.C. in April or May passed.

Motion for KAPA to join the American Ambulance Association passed.

Announcements

None

 

Next Meeting

Location and date to be announced.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 15:42 EST.

 

 

Respectfully submitted by:

John Hultgren,
January 14, 2013.