in Minutes
Hits: 44

Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: September 23, 2015
Meeting Location: Lexington Convention Center, Lexington KY

Board members in attendance:

Region

Board Member  ( = Even Year term)

Present or Absent

At-Large

Kevin Callihan

Present

At-Large

Rick Driskill

Present

At-Large

William Dukes 

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Ashley Powell 

Present

Region 1

Mark Harrison

Present

Region 1

Allen Jones

Present

Region 1

Troy Walker 

Present

Region 2

Jim Duke (Treasurer)

Present

Region 2

Randy Fathbruckner 

Present

Region 2

Joe Prewitt (Vice President)

Present

Region 3

Joe Bradshaw

Present

Region 3

Billy Duncan

Absent

Region 3

James Hacker 

Present

Region 4

Matt Bryant

Present

Region 4

David Eldridge

Absent

Region 4

Mike Phillips 

Present

Region 5

Robin Barber 

Present

Region 5

Stephanie Eliam

Absent

Region 5

Brandon Remley

Present

Region 6

Tom Adams (President) 

Present

Region 6

Terry Fraley

Present

Region 6

Michael Mason 

Present


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 15:02 EDT by President Thomas Adams.

 

Invocation

By Joe Bradshaw.

 

Roll Call

By John Hultgren.

Established

Determination of Quorum

By John Hultgren.
A quorum of not less than 20% (26 of 130 members) of the active Delegates for the annual meeting was established.

Established

Minutes of last meeting

Reviewed.

Motion, Second. No discussion. Approved.

Legislative Report

By Joe Prewitt

  • CON Issue: Many letters of opposition were sent by KAPA members to the Cabinet for Health and Family Services, along with some letters in support. As a result, the Cabinet has backed off changing the CON process. However, there is currently a deficiency in the proposed state health plan that needs to be resolved in the legislative process. Either way that plays out, ambulances should be OK regarding CONs but there were other issues that are likely to be discussed in the legislative process that have the potential to affect all ambulance providers.

 

Financial/Reimbursement Committee Report

By Jim Duke.

General Account: $111,902.46
Conference Account: $32,654.05

 

Motion to accept. Financial Report. Second. No discussion. Approved.

KBEMS Report

By Michael Poynter, Kentucky Board of EMS Executive Director and Chuck O’Neal, Kentucky Board of EMS Deputy Director.

  • A formal subcommittee has prepared a Community Paramedicine guidebook.
  • 501 regulations: still working through a couple of issues, including the ground ambulance standards.
  • The newest Advisor/Inspector was introduced.
  • Data Collection Program update.

 

Conference Committee Report

By Troy Walker.

  • A significant number of attendees were present at today’s opening ceremonies, showing an increase over last year.
  • Kevin Callihan will be taking the lead as sponsor coordinator for the conference.

 

Recruitment /Provider Education Task Force Report

By William Dukes.

  • A membership report was distributed to the board.

 

Old Business

  • By-Laws Review Committee
  • Ambulance Specifications Discussion

 

New Business

  • Board Member Election Results by Rick Driskill.
    • Region 1 re-elected Mark Harrison and Allen Jones
    • Region 2 re-elected Jim Duke and Joe Prewitt
    • Region 3 re-elected Joe Bradshaw and elected Michael Reynolds
    • Region 4 did not hold a meeting
    • Region 5 re-elected Brandon Remley and Stephanie Elam.
    • Region 6 re-elected Terry Fraley
  • Election of Region 4 representatives.
    • David Eldridge was nominated for re-election, and Brad Foley and Phil Deitz were nominated for the open representative position.
  • Election of At-Large Representative positions:
    • Kevin Callihan and Rick Driskill nominated for re-election.
    • Aaron Stamper was nominated for the vacant At-Large Representative position.
  • Secret ballots were collected. Five minute recess to count ballots. David Eldridge and Phil Deitz were elected as Region 4 Representatives. Kevin Callihan and Rick Driskill were re-elected to their At-Large Representative positions, and Aaron Stamper was elected to the vacant At-Large Representative Position.

Region 4 nominations accepted, second. Closed.

At-Large nominations accepted, second. Closed.

Meeting Adjourned

Motion to adjourn, second, approved. The meeting was adjourned at 16:09 EDT to allow the newly elected board members to take their seat at the board.

 

Newly elected representatives were seated on the board, and the board meeting was reopened

The meeting was called to order at 16:10 EDT by President Thomas Adams.

 

Election of Officers

·         Tom Adams was nominated for President. Motion, second, approved to close.

·         Joe Prewitt was nominated for Vice President. Motion, second, approved to close.

·         Jim Duke was nominated for Treasuer. Motion, second, approved to close.

·         Rick Driskill was nominated for Secretary. Motion, second, approved to close.

Nominations closed. Motion for the Secretary to cast one vote for each nominee. The Secretary cast his vote for Tom Adams for President, Joe Prewitt for Vice President, Jim Duke for Treasuer, and Rick Driskill for Secretary.

 

Next Meeting

The next meeting of the Kentucky Ambulance Providers Association will be announced at a later date.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 16:14 EDT.

Motion to Adjourn, Second, Approved.

 

Respectfully submitted by:

 

John Hultgren,
September 23, 2015

in Minutes
Hits: 37

Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: June 10, 2015
Meeting Location: Jessamine County EMS West Station, Wilmore, KY

Board members in attendance:

Region

Board Member  ( = Even Year term)

Present or Absent

At-Large

Kevin Callihan

Present

At-Large

Rick Driskill

Absent

At-Large

William Dukes 

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Ashley Powell 

Present

Region 1

Mark Harrison

Present

Region 1

Allen Jones

Present

Region 1

Troy Walker 

Absent

Region 2

Jim Duke (Treasurer)

Present

Region 2

Randy Fathbruckner 

Present

Region 2

Joe Prewitt (Vice President)

Present

Region 3

Joe Bradshaw

Absent

Region 3

Billy Duncan

Absent

Region 3

James Hacker 

Absent

Region 4

Matt Bryant

Absent

Region 4

David Eldridge

Present

Region 4

Mike Phillips 

Absent

Region 5

Robin Barber 

Present

Region 5

Stephanie Eliam

Absent

Region 5

Vacant

 

Region 6

Tom Adams (President) 

Present

Region 6

Terry Fraley

Present

Region 6

Michael Mason 

Present


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 13:40 EDT by President Thomas Adams.

 

Invocation

By Tom Adams.

 

Roll Call

By John Hultgren.

 

Determination of Quorum

By John Hultgren.
A quorum of not less than 51% (11 due to our one board position vacancy) of the Board of Directors for any regular or special meeting was established.

Established

Minutes of last meeting

Reviewed.

Motion, Second. No discussion. Approved.

Legislative Report

By Joe Prewitt, Jim Duke, and Judy Taylor.

  • The proposed changes to the CON review process were reviewed and discussed.
  • The proposed changes are reportedly Cabinet driven to streamline the process.
  • Response options were discussed, including documenting financial impact on 9-1-1 providers and including the Kentucky Association of Counties and the Kentucky County Judge Executive associations, copied to the Governor’s Office.
  • A written request to KAPA from Mike Sherrod, CEO of TriStar Greenview Regional Hospital, was read and discussed.
  • Diane Vogel (representing Louisville Metro EMS) addressed some of the unique challenges they experience.

Motion to oppose the proposed changes and request strengthening the CON language. Second.  Approved.

Financial Report/Reimbursement Committee Report

By Jim Duke.

General Account: $116,754.00

Total Members as of 5/9/15: 127

Reimbursement Report:

  • Medicaid MCOs were discussed.
  • CMS moving away from fee payment to performance based reimbursement was discussed.

Motion to accept Financial Report. Second. No discussion. Approved.

KBEMS Report

Michael Poynter, Kentucky Board of Emergency Medical Services Executive Director, discussed:

  • Community Paramedicine update. A national examination is being developed. A textbook should be available next year.
  • Planning an EMS Day on the Hill for the next Kentucky legislative session.
  • Inspector/Liason position closes tomorrow.

Chuck O’Neal, Kentucky Board of Emergency Medical Services Deputy Director, discussed:

  • Stroke Destination Guidelines.
  • Scope of Practice regulation.
  • 501 regulation update.
  • Recommended that ambulance service directors develop a patient satisfaction survey to address expected future ACO evaluations where reimbursement may be linked to patient satisfaction.

Paul Phillips, Kentucky Board of Emergency Medical Services Director of Operations, discussed:

  • Stretcher fastening requirements.

 

Break

A brief break where no business was conducted.

 

Conference Committee Report

By Tom Adams and Allen Jones.

  • 95% of the education track for the 2015 conference is finalized, including six national keynote speakers.
  • There will be no medical director track this year but it may return next year.
  • The conference chair is exploring returning the awards ceremony to an evening dinner event. Discussion.

 

Recruitment/Provider Education Task Force Report

By William Dukes.

  • A packet was provided to the board members detailing membership by region. Some errors were acknowledged.
  • Discussion held on splitting up some of the responsibilities between the KAPA Treasurer and KAPA Recruitment. President Adams instructed both to work out the details and report back at the next meeting.
  • Affiliate Membership discussion. Draft document providing more detail on Affiliate Membership benefits distributed to board members for discussion, which may become a proposed by-law amendment.

 

Old Business

  • KAPA’s Congressional Delegation visited our Congressmen in Washington DC the third week in May. U.S. Representative Ed Whitfield agreed to cosponsor the Medicare reform act during our meeting with him. Most of our Congressmen were very supportive and we feel it was a very productive trip.
  • North Central EMS Cooperative. President Adams was able to compare some rates and found that the cooperative’s rates were competitive; he is continuing negotiations.

 

New Business

  • Discussion on waiving the next scheduled meeting, which is now only one month away.

Motion to waive the next scheduled meeting. Second.  Approved

Announcements

  • An Open House will be held at the Elizabethtown airport at 11 AM EDT tomorrow celebrating the 10 year anniversary of the Elizabethtown Air Methods base..

 

Next Meeting

The next meeting of the Kentucky Ambulance Providers Association will be September 23, 2015 at 15:00 EDT (14:00 CDT) at the 2015 Kentucky EMS Conference and Expo in Lexington. The meeting room location to be determined.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 16:02 EDT.

Motion to Adjourn, Second, Approved.

 

Respectfully submitted by:

 

John Hultgren,
June 10, 2015

in Minutes
Hits: 38

Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: September 24, 2014
Meeting Location: Lexington Convention Center, Lexington KY

Board members in attendance:

Region

Board Member  ( = Even Year term)

Present or Absent

At-Large

Kevin Callihan

Present

At-Large

Rick Driskill

Present

At-Large

William Dukes 

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Tim Mahone 

Absent

Region 1

Mark Harrison

Present

Region 1

Allen Jones

Present

Region 1

Troy Walker 

Absent

Region 2

Jim Duke (Treasurer)

Present

Region 2

Randy Fathbruckner 

Present

Region 2

Joe Prewitt (Vice President)

Present

Region 3

Joe Bradshaw

Present

Region 3

Billy Duncan

Absent

Region 3

James Hacker 

Present

Region 4

Matt Bryant

Present

Region 4

David Eldridge

Absent

Region 4

Mike Phillips 

Absent

Region 5

Robin Barber 

Present

Region 5

[Vacant]

 

Region 5

David Sloane

Present

Region 6

Tom Adams (President) 

Absent

Region 6

Terry Fraley

Present

Region 6

Michael Mason 

Present


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 15:03 EDT by Vice President Joe Prewitt.

 

Invocation

By Joe Bradshaw.

 

Roll Call

By John Hultgren.

Established

Determination of Quorum

By John Hultgren.
A quorum of not less than 20% (26 of 130 members) of the active Delegates for the annual meeting was established.

Established

Minutes of last meeting

Reviewed.

Motion, Second. No discussion. Approved.

Financial/Reimbursement Committee Report

By Jim Duke.

General Account: $131,504.61
Conference Account: $29,169.25

Total Members as of 07/28/14: 130
     Providers: 121
     Affiliate Members: 9

Reimbursement Report:

  • Auditor Adam Edelen spoke at the conference this morning and reports that he is including rural EMS in a financial report his office is preparing.
  • Linda Basham reports there is already a state regulation that says the Kentucky State Department of Revenue can collect money owed to counties and cities.
  • Ambulance Access Fraud Prevention Resource Act is currently in the House. Members are asked to reach out to the Congressmen asking for their support. This is our most important national issue.

Motion to accept Financial Report. Second. No discussion. Approved.

Legislative Report

None.

 

.

KBEMS Report

By Chuck O’Neal, Deputy Director.

  • KBEMS was able to go to a fully automated licensing system this year.
  • An amendment will be presented to the KBEMS Board to the Scope of Practice regulation as it relates to Advanced EMTs and nasal administration of Naloxone.

 

Old Business

  • Discussed a Class 1/Class 2 licensing issue in regulation.
  • NFTA 1917: Paul Phillips gave an update. 56 public comments have been reviewed and they are moving towards completion.

 

Conference Committee Report

By Troy Walker.

  • Contacts for 2016 were discussed. Motion to table discussion until the President can appoint a committee to review, and authorize that committee to make the decision about the 2016 conference contract.

Motion to approve Second. Motion approved.

Recruitment /Provider Education Task Force Report

By William Dukes.

 

New Business

  • Board Member Election Results by Rick Driskill.
    • Region 1 re-elected Troy Walker
    • Region 2 re-elected Randy Fathbruckner
    • Region 3 re-elected James Hacker
    • Region 4 re-elected Mike Phillips
    • Region 5 re-elected Robin Barber and elected Stephanie Eliam to fill a vacant position
    • Region 6 re-elected Michael Mason and Thomas Adams
  • Election of At-Large Representative positions: Robin Barber
    • William Dukes, Tim Mahone, Michael Reynolds, Ashley Powell, and Chris Winstead were nominated. William Dukes and Ashley Powell were elected.

 

Meeting Adjourned

 

 

Newly elected representatives were seated on the board, and the board meeting was reopened

 

 

 

·         Tom Adams was nominated for President.

·         Joe Prewitt was nominated for Vice President.

·         John Hultgren was nominated for Secretary.

·         Jim Duke was nominated for Treasuer.

Nominations closed. Motion for the Secretary to cast one vote for each nominee.

 

Announcements

  • Tom Adams is not here this conference because he is recovering from a fall over the past weekend.

 

Next Meeting

The next meeting of the Kentucky Ambulance Providers Association will be announced at a later date.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 16:29 EDT.

Motion to Adjourn, Second, Approved.

 

Respectfully submitted by:

John Hultgren,
September 24, 2014

in Minutes
Hits: 40

Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: January 15, 2015
Meeting Location: United Methodist Church Greenwood Campus, Bowling Green, KY

Board members in attendance:

Region

Board Member  ( = Even Year term)

Present or Absent

At-Large

Kevin Callihan

Present

At-Large

Rick Driskill

Present

At-Large

William Dukes 

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Ashley Powell 

Present

Region 1

Mark Harrison

Present

Region 1

Allen Jones

Present

Region 1

Troy Walker 

Present

Region 2

Jim Duke (Treasurer)

Present

Region 2

Randy Fathbruckner 

Present

Region 2

Joe Prewitt (Vice President)

Present

Region 3

Joe Bradshaw

Present

Region 3

Billy Duncan

Absent

Region 3

James Hacker 

Absent

Region 4

Matt Bryant

Absent

Region 4

David Eldridge

Present

Region 4

Mike Phillips 

Absent

Region 5

Robin Barber 

Present

Region 5

Stephanie Eliam

Excused

Region 5

David Sloane

Present

Region 6

Tom Adams (President) 

Present

Region 6

Terry Fraley

Present

Region 6

Michael Mason 

Present


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 13:05 CST by President Thomas 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

Reviewed.

Motion, Second. No discussion. Approved.

Financial/Reimbursement Committee Report

By Jim Duke.

General Account: $94,080.69
Conference Account: $95,343.26

Total Members as of 12/31/14: 130
     Providers: 121
     Affiliate Members: 9

  • A discussion was held on membership. Mr. Dukes provided a map identifying members.

Reimbursement Report:

  • No recent activity. Our problems with MCOs continues to grow and Mr. Dukes stated we need to make this a priority. Mr. Dukes has been attempting to get a meeting with the Medicaid Commissioner’s boss.

Motion to accept Financial Report. Second. No discussion. Approved.

Legislative Report

By Joe Prewitt, Legislative Committee Chair.

  • There are nine members appointed to the legislative committee, broken into two teams that are able to respond quickly to Frankfort when needed.
  • A report showing bills of interest in the current Kentucky Legislative Session to EMS was distributed. These are the bills that the Legislative Committee is currently monitoring
  • The Legislative Committee recently met with KBEMS to discuss current legislation.
  • Discussion on House Bill 105.
  • Discussion on House Bill 171.

 

Motion to renew contract with lobbyist. Second. Discussion. Approved.

Motion to send a letter of support from KAPA to the sponsors of  HB 105 but request EMT and paramedic be removed from the language. Second.  Approved.

Motion to oppose HB 171. Second. Approved.

KBEMS Report

By Michael Poynter, Kentucky Board of Emergency Medical Services Executive Director, and Chuck O’Neal, Kentucky Board of Emergency Medical Services Deputy Director.

  • Community Paramedicine workgroup has been very active. Hopeful that KBEMS will have a pilot program later this year.
  • Financial Analyst vacancy exists.
  • First year of automated renewal went smoothly.
  • EMS LINKS Conference will be held April 2-3, 2015 in Hopkinsville. KBEMS will be going back to the traditional sticker system for CE hours.
  • 501 revision process continues.

 

Membership Report

By William Dukes.

 

Conference Committee Report

By Troy Walker.

  • Discussion on 2016’s conference location. A small group visited Owensboro’s new Convention Center last week and Mr. Walker has been discussing potential prices with the Convention Center.
  • Mr. Allen Jones discussed speakers and extending the speaker application deadline until the end of January. Seeking input on educational needs.
  • Discussion on moving from an award’s luncheon back to an evening award’s banquet.

Motion to remain in Lexington for 2016. Second. Motion approved.

New Business

  • Washington D.C. Contingent discussion for next May.
  • Oregon Emergency Medical Services Association invitation. Discussion.
  • North Central EMS Cooperative discussion. Research was conducted with other associations/organizations which are participating.

Motion to plan the next Washington D.C. trip for this spring. Second. Discussion. Approved.

Motion for KAPA’s Executive Committee to negotiate with North Central EMS Cooperative.  Second. Discussion. Approved.

Announcements

  • None.

 

Next Meeting

The next meeting of the Kentucky Ambulance Providers Association will be April 23, 2015 at 13:00 EDT (12:00 CDT) in Region 5. The location to be determined.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 14:44 CST.

Motion to Adjourn, Second, Approved.

 

Respectfully submitted by:

 

John Hultgren,
January 15, 2015

in Minutes
Hits: 37

Kentucky Ambulance Providers Association
Board Meeting Minutes

Meeting Date: July 28, 2014
Meeting Location: Cumberland Inn, Williamsburg, Kentucky

Board members in attendance:

Region

Board Member  ( = Even Year term)

Present or Absent

At-Large

Kevin Callihan

Present

At-Large

Rick Driskill

Present

At-Large

William Dukes 

Present

At-Large

John Hultgren (Secretary)

Present

At-Large

Tim Mahone 

Absent

Region 1

Mark Harrison

Present

Region 1

Allen Jones

Absent

Region 1

Troy Walker 

Present

Region 2

Jim Duke (Treasurer)

Absent

Region 2

Randy Fathbruckner 

Present

Region 2

Joe Prewitt (Vice President)

Absent

Region 3

Joe Bradshaw

Present

Region 3

Billy Duncan

Absent

Region 3

James Hacker 

Present

Region 4

Matt Bryant

Present

Region 4

David Eldridge

Present

Region 4

Mike Phillips 

Present

Region 5

Robin Barber 

Present

Region 5

[Vacant]

 

Region 5

David Sloane

Present

Region 6

Tom Adams (President) 

Present

Region 6

Terry Fraley

Present

Region 6

Michael Mason 

Present


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 13:04 EDT by President Tom Adams.

 

Invocation

By Joe Bradshaw.

 

Roll Call

By John Hultgren.

Established

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

Reviewed.

Motion, Second. No discussion. Approved.

Financial/Reimbursement Committee Report

By Thomas Adams.

General Account: $98,684.61
Legal fees paid for Medicaid work: $5,703.00

Total Members as of 07/28/14: 130
     Providers: 123
     Affiliate Members: 7

  • Following our meetings with the Kentucky Medicaid Commissioner, we have met with our new attorney and now are planning to meet with the Secretary.
  • We have met with the State Auditor about the crisis in rural healthcare, and he is now including ambulance reimbursement in his town hall discussions. KAPA members are encouraged to attend these town hall meetings.

Motion to accept Financial Report. Second. No discussion. Approved.

Discussion on Medicaid.

Legislative Report

By Thomas Adams.

  • The Congressional Delegation met with almost all of Kentucky’s Congressmen in May in their Washington D.C. offices. These meetings went well, answering many of their questions and explaining some of the challenges that EMS faces.

Discussion.

KBEMS Report

By  Michael Poynter, KBEMS Executive Director.

  • The 501 regulations are in the process of being reviewed by a committee.
  • The renewal process is being streamlined.
  • Discussion on community paramedicine. A work group has been created and a handbook is being created.
  • Discussion on EMS leadership.
  • Discussion on state data collection. KBEMS will begin enforcement of data collection on July 1, 2015. The next step is for all services to complete the Data Sharing Agreement Application which can be found under your service’s application section in KEMSIS.

Discussion.

Break

A ten minute break was held 14:10 through 14:21.

 

Conference Committee Report

By Troy Walker.

  • This is the busiest time for the conference committee but we are just about done with all the classes and expect to have the class schedule finalized by the end of the week. Randolph Mantooth will be a guest speaker at the conference; he will kick off the opening of the Expo and the Awards Presentation. Services are encouraged to submit nominations for the Above and Beyond Award, the East and West Directors Awards, and a new Service Medical Director Award. Once we get the schedule mostly finalized, registration will be turned on.

.Discussion.

Recruitment / Provider Education Task Force Report

By William Dukes.

On track to meet or exceed membership totals for last year.

 

Old Business

  • None.

 

New Business

  • Tom Bennett from First In Medical MAGI Services made a presentation on a volume discount for KAPA members within a region for on-site maintenance.
  • Regional meetings for elections of KAPA representatives needs to be scheduled.

 

Announcements

  •  

 

Next Meeting

The next meeting of the Kentucky Ambulance Providers Association will be September 24, 2014 at 15:00 EDT at the Kentucky EMS Conference and Expo in Lexington.

 

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was concluded at 14:57 EDT.

Motion to Adjourn, Second, Approved.

 

Respectfully submitted by:

John Hultgren,
July 28, 2014