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Kentucky Ambulance Providers Association

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Minutes: January 19, 2012

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Kentucky Ambulance Providers Association


Meeting Date: January 19, 2012
Meeting Location: Florence Government Center, Florence KY

Board members in attendance:

Region

Board Member

Present or Absent

At-Large

Terry Dossett

Present

At-Large

Ira Dyer

Absent

At-Large

John Hultgren (Secretary)

Present

At-Large

Jamey Locke

Absent

At-Large

Tim Mahone

Absent

Region 1

Mark Harrison

Present

Region 2

Troy Walker

Present

Region 3

Jim Duke  (Treasurer)

Present

Region 4

Randy Fathbruckner

Present

Region 5

Joe Prewitt (Vice President)

Present

Region 6

Mike Phillips

Present

Region 7

Rob Butcher

Present

Region 8

Robin Barber

Present

Region 9

Terry Fraley

Present

Region 10

Michael Mason

Present

Region 11

Joe Bradshaw

Present

Region 12

Terry Akin

Present

Region 13

David Sloane

Present

Region 14

Jerry Dominion

Present

Region 15

David Eldridge

Present

Region 16

Tom Adams (President)

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 13:12 EST by President Tom Adams

Invocation

Joe Bradshaw

Roll Call

Secretary John Hultgren

Determination of Quorum

A quorum of not less than 51% (11) of the Board of Directors for any regular or special meeting was established. 20 guests also attended.

Minutes of last meeting

Motion by John Hultgren to amend recorded meeting date in the minutes from Sept. 10 to Sept. 27.
Motion to accept by Terry Fraley, second by Jim Duke, to accept

Accepted

Financial Report

Jim Duke

Accepted

Legislative Report

Vice President Joe Prewitt, Legislative Committee Chair:
Discussion on SB91, HB25, HB214. HB38, and SB93.
A concern that HB214 potentially could increase worker’s compensation rates and may encourage abuse of worker’s comp.
A concern that HB38, related to safety inspections of all official vehicles, could increase operating costs.

Discussion on allowing NREMT registered paramedics who leave the United State Military to have paramedic reciprocity with KBEMS through regulation. Noted that basic and advanced EMT already have reciprocity language.
Motion by Joe Prewitt to review current regulation and propose language by letter from KAPA, second by Jim Duke.

Passed

KBEMS Report

Lewis Prewitt, KCTCS and acting director for KBEMS:
Distributed and discussed summary of KBEMS strategic plan.
Discussed six task forces and workgroups currently operating.
Discussed internal review of processes.
Forest Weyen, KBEMS Director of Operations:
An open field staff position should be posted today.

Mr. Prewitt was asked by Tom Adams about rumored KBEMS staff changes. Mr. Prewitt said that both the executive director and deputy director are on approved leave at this time.

Jim Duke and Joe Prewitt discussed a task force that first met yesterday looking at the testing mechanism and educational processes. Extended discussion on the testing process, the recertification process, and the standard that the National Registry of Emergency Medical Technicians sets by Rob Butcher, Joe Prewitt, Mark Harrison, Joe Bradshaw, Terry Dossett, Tom Adams, Randy Fathbruckner, Terry Akin, and Robin Barber.

Reimbursement Report

Jim Duke:
Distributed a list of Medicaid transaction pending issues from November through January, noting that all published issues affect all MCOs and all of the issues’ status are pending.
Solicited concerns or issues any providers are having with the new Medicaid MCOs.
Issues discussed by membership: The process to obtain a preauthorization. Denial of certain transports for medical necessity or portion of charges. Closest hospital may not participate with the network. Scheduled meetings with the MCOs that KAPA can attend.
President Adams asked the members to forward any MCO concerns to Jim Duke and instructed Jim Duke to make sure that KAPA has a presence at any future meeting scheduled with the MCOs.

Conference Committee Report

President Tom Adams:
With Joe Bradshaw’s retirement as conference chair, Tom Adams has placed Troy Walker as lead chairman, Jim Duke as co-chair, and William Dukes as vice-chair.

Joe Bradshaw:
Attendance and revenue were both higher during 2011.
Mr. Bradshaw was recognized for his contributions to KAPA and the Kentucky EMS Conference and Expo.

10 Minute Recess

Recess at 14:30. Meeting reconvened at 14:44

Old Business:

Critical Care Whitepaper Discussion

Unable to substantiate that the group known as the Critical Care White Paper Discussion Group is even meeting any longer. Have been told unofficially that this group has disbanded. Will continue to monitor.

Reorganization

President Tom Adams introduced the proposed by-law changes and explained the reasons for the proposed changes.
Joe Prewitt presented a concern about the proposed by-law requirement for holding a regional meeting within 90 days of the general annual meeting.

Motion made by Mark Harrison to amend the proposed by-law change stating that the region will have a meeting for elections not more than 90 days nor less than 14 days before to the annual meeting. Second by Randy Fathrucker.

Passed

Motion by Rob Butcher to amend the proposed by-laws requiring that the board be notified of regional meetings prior to the meeting so that they can distribute the meeting dates and times through electronic media in advance of the meeting.
Seconded by Jerry Dominion.

Passed

Jim Duke motioned that the president meet with current regional representatives to select a third representative in the two regions which are gaining a new representative. Second by Rob Butcher.

Passed

Joe Bradshaw motioned that we accept the proposed by-law changes as amended. Second by Randy Fathbruckner.

Passed

KAPA Brochure

Joe Bradshaw motioned to order 3000 updated KAPA brochures. Second by Rob Butcher.

Passed

Legislative Delegation to Washington DC

Motion by Mark Harrison to entrust the president to plan a legislative delegation trip to Washington D.C. Second by Terry Fraley.

Passed

New Business:

NFPA

Rob Butcher reported some suggestions from Ken Knipper regarding issues that he felt KAPA should comment on.

Next Meeting

The date and time for our next scheduled board meeting was set for April 19, 2012 at 13:00 CDT (14:00 EDT) at a location to be announced in western Kentucky.

Adjournment

This Kentucky Ambulance Providers Association Board Meeting was adjourned at 15:49.

The content of these minutes will not be approved until the next board meeting and are unofficial.
Respectfully submitted by Secretary John Hultgren, 19-January-2011

Join KAPA or renew your membership

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It is the first of the year and with that it is time to renew your membership with the Kentucky Ambulance Providers Association. For those of you who are not members of the Association, it is the time of the year we formally invite you to join us.

This New Year brings many issues that will directly and indirectly affect the ability of local Ambulance Services like you and I to provide the Citizens of the Commonwealth with quality ambulance service. As a local Service it is difficult to keep up with the issues, from legislation to regulations, and have a voice in what happens. It is also virtually impossible as a single agency to have an impact on these issues.

That is where the Kentucky Ambulance Providers Association comes in play, bringing all Providers together into one strong group: one voice for the needs of the Ambulance Service Providers from one end of the Commonwealth to the other. A voice that represents and watches out for those of use who do our very best every day to care for those people who call upon us, expecting us to be there without exception.

KAPA works hard to keep track of what is happening at not only the state but the federal level. Whether it is with the help of our lobbyist in Frankfort, one of our committees, or thru visits to Washington D.C. to talk face-to-face with our elected representatives.

This year KAPA is striving to improve communications with the provider community all over Kentucky. First by looking at our organization, working to make it more accessible to each of you. Then, by improving the ways we bring KAPA to you to hear your concerns and needs. Our goal is for KAPA to listen to you and work throughout all aspects of federal, state and local government to be one strong voice for positive change to the ambulance service community. Through the promotion of education, we will strive to help produce the very best trained EMS community that any state has to offer.

Having said this is one thing; to archive it will take all of us, from the smallest to the largest ambulance service, working in one voice for a common goal.

Today I invite you to become part of that voice, part of the largest organization of ambulance service providers in this fine Commonwealth. An organization dedicated to representing and promoting ambulance service in every community in Kentucky.

Click here to download a membership form

Click here to pay your membership dues on-line

January Meeting Date Correction

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Meeting Date Change: Please note that our January Board Meeting was incorrectly reported in our November newsletter. The meeting will be held on January 19 (not January 12), 2012, at 1 pm EST at the Florence Government Center, 8100 Ewing Blvd Meeting Room “C” in Florence, KY.

If you are planning on spending the night in Northern Kentucky here are the two hotels that our host, Rob Butcher, would recommend. They are close to the meeting location and are known for being clean and having nice amenities. However, if you are a member of any hotel club, there should be a hotel in this area to meet your needs.

Holiday INN Florence
7905 Freedom Way, Florence, KY 41042
(859) 980-1700 Website

Hilton Florence
7373 Turfway Rd, Florence, KY 41042

(859) 371-4400 Website

The following restaurants are all within a mile of the government center in case you want to eat prior to or after the meeting, just put them into your GPS.

  • Famous Dave’s BBQ
  • O’Charley’s
  • Applebees
  • Rafferty’s
  • Tumbleweed Southwest grill
  • Cracker Barrel
  • Bob Evans
  • Frisch’s
  • Hooters
  • Cheddars
  • Logans Road House
  • Fazolis
  • Red Lobster
  • Olive Garden
  • Smoky Bones BBQ

KAPA Regions 'restructuring' proposed

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KAPA Regions ‘restructuring’ proposed
by Tom Adams, President

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[Please see the Fall edition of "The Provider" newsletter for a map of the proposed restructuring.]

 

The core of KAPA’s mission is to represent and support all of the providers in the Commonwealth of Kentucky.  This is not an easy task with a state that can take 7 hours just to drive across.

Provider issues on one end of the Commonwealth many times are far different than those of providers on the other end of the state.

To take on this task the KAPA Founders used the 16 ADD districts that were already in place as a way to divide the Commonwealth. Each district was to elect one representative to sit on the board to help address the concerns not only at the state level but at the regional level that might be unique to that region. Add to those 16 board members 5 at-large board members to represent the Providers of the Commonwealth as a whole, you now have the make-up of the current KAPA board of directors.

Although it has worked for many years, nothing is perfect. Thru the years we have seen board members that, because of sickness or local service issues, have not been able to be active or attend meetings, leaving a region without their voice on the board. We have had times that we could not find a representative to elect in a region to sit on the board.

From the time I was first elected to the KAPA board there have been conversations about how to achieve a complete and fair representation of the Providers that KAPA is committed to represent. I have heard talk of restructuring the board or restructuring the districts, and many good ideas have been tossed back and forth. Up to now there has not been an opportunity to actually look at changes that would provide that consistent representation across the state, making KAPA stronger and giving the Provider an even louder voice.

The Executive Board has sat down to look at and study many of these ideas. I believe we have now come up with a plan that will accomplish what all providers across the state expect from KAPA.

We will bring to the Board of Directors at the January meeting a proposal that will amend and change the by-laws. This proposal changes the district breakdown from 16 regions to 6 regions and will increase representation in each to 3 elected board members. That will bring the Board of directors from 16 to 18 regional representatives. Leaving the 5 at-large positions the same, the board total move from 21 to 23.

There are a number of positive impacts that come from these changes, so let me share just a couple.

With 3 board representatives from each region, the likelihood that at least one of the elected members being able to make a meeting is greatly increased. This helps to improve representation of all regions at each meeting, giving voice to all parts of the Commonwealth.

This will also allow the board to rotate its meetings across the state, having a meeting in every region over a two year period. You may ask why that is so important. As KAPA works to achieve its goals of representing all Providers we need to hear from those that have ideas and concerns. It is not practical to expect every Provider from western Kentucky to drive to eastern Kentucky to get to address the board in a meeting. This will make membership access to the full board much easier.

The members of the board from each region will be asked to come together as a team and hold a regional meeting at least once a year. The goal again is to bring the Providers that they represent together to hear their concerns and challenges so that they might bring to the full board from their respective regions the concerns they hear, many unique but just as important.

During these meetings it will also allow us to bring to the Providers information and show them that KAPA truly is here to support and represent them.

As KAPA changes we improve, growing stronger and louder as a voice for the Providers of the Commonwealth of Kentucky. The end result, providing the very best prehospital care in all of Kentucky.

The Kentucky Ambulance Providers Association is a sponsor of the Kentucky EMS Connection Network. For questions about this site, contact Web Developer.

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Providers Association
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The Kentucky EMS Conference and Expo is a registered Service Mark of the Kentucky Ambulance Providers Association
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