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APPROVED 26 October 2015 Georgia Trauma Commission: EMS Subcommittee on Trauma Meeting Minutes: 13 August 2015 Page 1 EMS SUBCOMMITTEE ON TRAUMA MEETING MINUTES Thursday, 13 August 2015 Scheduled: 10:00 AM – 12:00 PM Georgia Public Safety Training Center 1000 Indian Springs Dr., Room 106 Forsyth, GA CALL TO ORDER Mr. Courtney Terwilliger called the August meeting of the EMS Subcommittee on Trauma to order and established quorum at the Georgia Public Safety Training Center in Forsyth, GA. at 10:12 AM. SUBCOMMITTEE MEMBERS PRESENT SUBCOMMITTEE MEMBERS ABSENT Courtney Terwilliger, Chair & GA Trauma Commission Vic Drawdy – GA Trauma Commission Paul Beamon – Region Four Lee Oliver – Region Five Blake Thompson – Region Six Jimmy Carver – Region Seven Brandon Fletcher – Region Eight Dr. Jeff Nicholas – GA Trauma Commission (Conference Line) David Moore – Region Nine Randy Pierson – Region One Chad Black – Region Two Pete Quinones – Region Three Huey Atkins – Region Ten Amend vendor contracts: No pre-payment to vendors for goods or services Mr. Pettyjohn stated on or about July 8th or 9th we received an email from Teresa MacCartney, the States CFO, and Director of the Office of Budget and Planning, in that was a memo, please see pages 1 of the handouts, bullet point 3. Pages 1 – 2. Handouts attached Some of the contracts GAEMS, Inc., the Preparedness Foundation and EMS region 1 fall under this rule. Working with Ms. Abston we requested a conference call with OPB. OTHERS REPRESENTING Jim Pettyjohn Kim Littleton (Conference Line) Cathy White Dewayne Joy (Conference Line) Keith L. White William Riner Kristal Smith Georgia Trauma Commission, Staff GAEMS GAEMS CHOA Rockdale Fire Rural Metro Region Five RTAC

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Page 1: EMS SUBCOMMITTEE ON TRAUMAgeorgiatraumacommission.org/wp-content/uploads/2016/08/13_Aug… · Mr. Pettyjohn stated Ms. Sullivan from the AG’s office has referred me to Mr. Alkesh

APPROVED  26  October  2015  

 

Georgia  Trauma  Commission:  EMS  Subcommittee  on  Trauma  Meeting  Minutes:    13  August  2015   Page  1  

 

EMS SUBCOMMITTEE ON TRAUMA

MEETING MINUTES

Thursday, 13 August 2015

Scheduled: 10:00 AM – 12:00 PM Georgia Public Safety Training Center

1000 Indian Springs Dr., Room 106 Forsyth, GA

CALL  TO  ORDER  Mr. Courtney Terwilliger called the August meeting of the EMS Subcommittee on Trauma to order and established quorum at the Georgia Public Safety Training Center in Forsyth, GA. at 10:12 AM.

SUBCOMMITTEE MEMBERS PRESENT SUBCOMMITTEE MEMBERS ABSENT Courtney Terwilliger, Chair & GA Trauma Commission Vic Drawdy – GA Trauma Commission Paul Beamon – Region Four Lee Oliver – Region Five Blake Thompson – Region Six Jimmy Carver – Region Seven Brandon Fletcher – Region Eight Dr. Jeff Nicholas – GA Trauma Commission (Conference Line)

David Moore – Region Nine Randy Pierson – Region One Chad Black – Region Two Pete Quinones – Region Three Huey Atkins – Region Ten

Amend vendor contracts: No pre-payment to vendors for goods or services Mr. Pettyjohn stated on or about July 8th or 9th we received an email from Teresa MacCartney, the States CFO, and Director of the Office of Budget and Planning, in that was a memo, please see pages 1 of the handouts, bullet point 3. Pages 1 – 2. Handouts attached Some of the contracts GAEMS, Inc., the Preparedness Foundation and EMS region 1 fall under this rule. Working with Ms. Abston we requested a conference call with OPB.

OTHERS REPRESENTING Jim Pettyjohn Kim Littleton (Conference Line) Cathy White Dewayne Joy (Conference Line) Keith L. White William Riner Kristal Smith

Georgia Trauma Commission, Staff GAEMS GAEMS CHOA Rockdale Fire Rural Metro Region Five RTAC

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APPROVED  26  October  2015  

 

Georgia  Trauma  Commission:  EMS  Subcommittee  on  Trauma  Meeting  Minutes:    13  August  2015   Page  2  

 

On July 22nd 2015 we had the conference call with Ms. Teresa MacCartney and a Representative of the State Accounting Office, Ms. Kris Martins. We asked our questions and they were very adamant on their part this could not be done, it is not policy. They stated Georgia funds cannot be used to prepay vendors for services and goods not yet delivered and documentation is needed that the work is complete, and that some of our contracts would need to be amended. Mr. Pettyjohn contacted Ms. Martins after the conference call to request documentation of the reference made referring to the policy that Georgia funds cannot be used to prepay vendors for services and goods not yet delivered, I will be speaking to our legal counsel and I would like to have a copy of this policy. Ms. Martins stated she would have to get back to me. Page 3, Attached I contacted Ms. Monica Sullivan regarding our contracts and asked what we need to do to make sure our contracts are in compliance or where do we go from here to amend these contracts. Page 4, Attached Mr. Pettyjohn stated I express to the AG’s office we felt we had built in a strong residual fund tracking mechanism, a program progress report all based on the results of the Warren Averett report we had with GAEMS Inc., a couple of years ago. We felt very strong in understanding as to where the funds went and how they were spent. We also felt we had the support of the law department in following this direction as well. Based on this we developed the contract using the same boilerplate for the Preparedness Foundation who is the recipient of the EMS stakeholder funding for FY 2015 together with the Region 1 DART program and the training they are doing. Mr. Pettyjohn continued to report on July 23rd, 2015 I received an email from the State Accounting Officer, Mr. Alan Skelton providing several references in State policy where prepayment is not accepted. Page 5 – 8, Attached. Mr. Pettyjohn stated Ms. Sullivan from the AG’s office has referred me to Mr. Alkesh Patel with the contracts division of the AG’s office and since 24 July 2015 we have been working with Mr. Patel and Ms. Sullivan to resolve these contract issues. Mr. Pettyjohn stated there was no change to funding, no change to the deliverables, we are still on target, and the only thing that has changed is we cannot prepay for goods and services. Mr. Terwilliger stated what this means for the EMS community is that we are on hold, until all of this is done. Mr. Terwilliger continued that this is not the first time we had a contact that was not paid upfront, some of you remember the laptops grant for 1.28 million dollars. Mr. Pettyjohn asked whom the grant was from. Mr. Terwilliger stated it was with the Department of Community Health. Mr. Terwilliger continued what will happen now is you will purchase the equipment, send in the affidavit showing that purchase, we will invoice the Trauma Commission, they will send it to DPH for payment and then the money will be sent out. Mr. Drawdy asked as representatives of our regions what is the best thing to go back and tell everyone, to get their invoices in?

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APPROVED  26  October  2015  

 

Georgia  Trauma  Commission:  EMS  Subcommittee  on  Trauma  Meeting  Minutes:    13  August  2015   Page  3  

 

Mr. Terwilliger stated yes, but Ms. Littleton is working on a letter to explain to everyone what is happening and how to process going forward. Mr. Pettyjohn stated he spoke to Ms. Littleton earlier in the week how this will impact agencies it may take up to 30 days to process their payment and could Ms. Littleton address this in the letter being sent out. Extrication Courses Mr. Fletcher reported to the group on the progress of the extrication course. There were three train-the-trainer courses and they were very well received. This course produced instructors at the Opts level, the next steps would be the technician level course where they deal with advance stabilization, and there has been a tremendous amount of interest in this at the instructors level. Also they finish up with a provider level certificate that responds to hybrid, electrical, and alternative fuel vehicles. I cannot teach that but it would be a certification at the provider level. Update on work with Georgia Southern Mr. Terwilliger reported he met with Georgia Southern on Tuesday 11 August 2015 they have setup 5 or 6 focus groups that will do the SWOT analysis. Mr. Pettyjohn asked if that was the FY 2014 funds. Mr. Terwilliger stated yes. Mr. Pettyjohn stated the contract would need to be amended so that the funds could come over. Mr. Terwilliger stated we are waiting on that contract from them. Mr. Pettyjohn stated it would be good to have that contract so we can add this to the next amendment. Update on PHTLS/ITLS/TCCC Courses Ms. Littleton updated the group on the PHTLS/ITLS/TCCC courses. For the FY 2014 funds there were 13 PHTLS/ITLS classes scheduled, 4 completed, 1 going on right now. We have been asked to add an Emergency Pediatric Care course using the FY 2014 funds. MOTION #1 EMS Subcommittee 2015-08-01: I make the motion to approve to allow services that receive a grant to provide PHTLS/ITLS to substitute an Emergency Pediatric Care Course.

MOTION BY: BLAKE THOMPSON SECOND BY: JIMMY CARVER

VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, nor abstentions.

GEMSIS update Mr. Terwilliger reported we conducted 4 meetings with the stakeholder group that we invited to Macon. With the help of Mr. Keith Wages were able to get Dia Gainor, Executive Director of the National Association of State EMS Officials and Dr. Clay Mann, NEMSIS Principal Investigator, University of Utah School of Medicine, also Dr. O’Neal spoke. We had a full day meeting at GPSTC, we were able to use the capture equipment, and this is now being transfer to vimeo. In September the new learning management system should be up and running and we will be able to put some of this on that system.

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APPROVED  26  October  2015  

 

Georgia  Trauma  Commission:  EMS  Subcommittee  on  Trauma  Meeting  Minutes:    13  August  2015   Page  4  

 

Mr. Pettyjohn stated before we go forward I would like to bring to the EMS subcommittee’s attention that in the FY 15 funds you asked for and received over $80,000 for EMS re-design, $55,000 for Triage System and $20,000 for EVOC that is not in that contract, they are being held back until a proposal is written. Mr. Pettyjohn asked Mr. Terwilliger where they are with the Triage System. Mr. Terwilliger stated they are working on some issues with other state entities on Triage Tags. Mr. Terwilliger stated Mr. Pierson would like to use residual funds to buy shirts for the DART members. Mr. Oliver asked if they would wear these for response. Mr. Terwilliger stated during response and any function they might have. Mr. Oliver stated he did not feel it would be good for them to be out of their normal uniform. MOTION #2 EMS Subcommittee 2015-08-02: I make the motion to approve residual funding from DART to be used to purchase shirts for the DART team.

MOTION BY: JIMMY CARVER SECOND BY: BLAKE THOMPSON

VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, and one abstention (Lee Oliver).

Mr. Fletcher asked if the minutes from the last meeting have been approved. APPROVAL OF MINUTES MOTION #3 EMS Subcommittee 2015-08-03: I make the motion to approve the minutes from the 15 May 2015 EMS Subcommittee Meeting as written.

MOTION BY: BLAKE THOMPSON SECOND BY: VIC DRAWDY

VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, nor abstentions.

Presentation Region 5 RTAC Ms. Smith gave a brief description of The School Response Program. The School Response Program is designed to enable “non-traditional” lay responders (school administrators, coaches, teachers) to render immediate, potentially life-saving medical aid to injured students or co-workers while they await the arrival of professional responders. Region 5 would to extend the current Region F Healthcare Preparedness Coalition School Response Program to all high schools within Region 5. This program is currently being rolled out in Healthcare Coalition F counties, six of which are located in EMS Region 5. Please see attached slides. Mr. Pettyjohn asked Ms. Smith if there are requirements by the state of Georgia for teachers or some staff members of a high school to be trained in CPR. Ms. Smith stated there are no requirements but there are a handful of personnel in the schools that are.

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APPROVED  26  October  2015  

 

Georgia  Trauma  Commission:  EMS  Subcommittee  on  Trauma  Meeting  Minutes:    13  August  2015   Page  5  

 

Mr. Drawdy asked have you received the funding from the Trauma Commission. Mr. Pettyjohn stated the hospital received those funds. Proposed use of residual funding FY 2015/Begin Discussion on FY 2016 Funding Initiatives Please see the attached spreadsheet. The items listed at $1.00 are the items the EMS Subcommittee feel might need to be funded. The $1.00 serves as a placeholder and not a real amount. MOTION #4 EMS Subcommittee 2015-08-04: I make the motion we support concept on CHOA education on child abuse but the subcommittee feels this should be supported from other funding sources.

MOTION BY: JIMMY CARVER SECOND BY: BLAKE THOMPSON

VOTING: All members voted in favor of motion. ACTION: The motion PASSED with no objections, and one abstention.

Meeting was adjourned at 12:52 pm with no date set for the next meeting. Minutes crafted by: Lisa McDowd

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Subject: Policy  requestDate: Wednesday,  22  July  2015  at  15:51:12  Eastern  Daylight  TimeFrom: Jim  Pe?yjohnTo: [email protected]: Walker,  Lisa,  Dena  Abston

Good afternoon Kris,

Thank you for taking my follow-up call.

I have placed two of our vendors on notice that we may need to renegotiate contract invoicing conditions. I have also placed a hold on approving all invoices that may be out of compliance with Ms. MacCartney’s memo dated 08 July 2015 (revised): “It is not the policy of this state to make a payment to a vendor prior to the delivery of goods and services. Accordingly, agencies are not allowed to make cash payments to vendors prior to receipt of goods or services.”

I plan to visit with legal counsel tomorrow after you send me the policy the above quoted statement references. We will refer the two vendor contracts in question as well as the governing policy to counsel with a request to assist us in bringing those contracts into compliance.

Your support is greatly appreciated.

Regards,

Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410  Chickamauga  AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: [email protected]

This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.

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Monday,  03  August  2015  at  08:11:50  Eastern  Daylight  Time

Page  1  of  5

Subject: Re:  Invoice  Purchase  Order  Reminders  -­‐  Follow-­‐upDate: Thursday,  23  July  2015  at  13:54:52  Eastern  Daylight  TimeFrom: Jim  PeGyjohnTo: Monica  Sullivan

Monica,

Attached is the executed GAEMS Inc. FY 2014 agreement that resulted from Law Department counsels' reviews and edits.

Based on those reviews and sign off, if you will, I developed an understanding that the concepts of pre-paying for some deliverables and admin fees, strong program progress reporting procedures and residual funds tracking were acceptable concepts and compliant with state policies. Based on information Mr. Skelton provided below, I now fear that is not the case.

With that “understanding" as a guide, I developed the FY 2015 GEMSPF, Inc agreement and the FY 2015 NWGEMSS agreement using similar language as the GAEMS Inc. FY 2014 agreement. Both of those executed agreements are also attached.

Please note I have not included in this email any of the Exhibit 4 Excel files of these agreements. I will email those to you when you need.

Jim

Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410  Chickamauga  AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: [email protected]

This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.

From:  Jim  PeGyjohn  <[email protected]>Date:  Thursday,  23  July  2015  at  13:09To:  "Skelton,  Alan"  <[email protected]>Cc:  "MacCartney,  Teresa"  <[email protected]>,  "MarUns,  Kris"  <[email protected]>

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Subject:  Re:  Invoice  Purchase  Order  Reminders  -­‐  Follow-­‐up

Thank you Mr. Skelton for this information.

I will share this with legal counsel and we will work to bring our contracts into compliance.

Regards,

Jim

Jim PettyjohnExecutive DirectorGeorgia Trauma Commission410  Chickamauga  AvenueRossville, Georgia 30741Office Main: 706.841.2800Direct: 706.841.2801Email: [email protected]

This message and any included attachments are from the Georgia Trauma Commission, a Georgia State Agency and are intended only for the addressee(s). The information contained herein may include privileged or otherwise confidential information. Unauthorized review, forwarding, printing, copying, distributing, or using such information is strictly prohibited. If you receive this message in error or have reason to believe you are not authorized to receive it, please promptly delete this message and notify the sender by email.

From:  "Skelton,  Alan"  <[email protected]>Date:  Thursday,  23  July  2015  at  12:30To:  Jim  PeGyjohn  <[email protected]>Cc:  "MacCartney,  Teresa"  <[email protected]>,  "MarUns,  Kris"  <[email protected]>Subject:  Invoice  Purchase  Order  Reminders  -­‐  Follow-­‐up

Jim  PeGyjohn,  I  understand  that  you  had  a  call  with  SAO  and  OPB  on  Monday  to  discuss  the  recent  memo  concerning  invoices  and  purchase  orders.    I  also  understand  that  you  have  some  concerns  with  the  secUon  of  the  memo  that  precluded  agencies  from  prepaying  vendors.    More  specifically,  it  states  that  “it  is  not  the  policy  of  the  state  to  make  a  payment  to  a  vendor  prior  to  the  delivery  of  goods  or  services.    Accordingly,  agencies  are  not  allowed  to  make  cash  payments  to  vendors  prior  to  receipt  of  goods  or  services.”  While  I  cannot  point  you  to  a  policy  that  uses  those  words  verbaUm  I  can  point  to  you  mulUple  references  in  statute  and  policy  which  support  this  statement  and  reaffirm  the  concept  that  agencies  are  not  allowed  to  prepay  for  goods  or  services.      These  reference  include,  but  are  not  limited  to:

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prepay  for  goods  or  services.      These  reference  include,  but  are  not  limited  to:  

STATE  OF  GEORGIA  ACCOUNTING  PROCEDURES  MANUAL  SECTION:  THREE  –  ACCOUNTING  PROCEDURES  TOPIC:  EXPENDITURES  AND  OPERATING  EXPENSES  hGp://sao.georgia.gov/sites/sao.georgia.gov/files/imported/vgn/images/portal/cit_1210/14/57/1731917753-­‐8-­‐1%20Expenditures-­‐Expenses.pdf  

Governmental  Funds  -­‐  Modified  Accrual  Basis  of  AccounYngUnder  the  modified  accrual  basis  of  accounUng,  it  is  not  sufficient  for  an  economic  event  to  have  occurred  for  an  event  to  effect  the  operaUng  statement  but,  in  addiUon,  the  related  cash  flow  must  occur  within  a  short-­‐enough  Ume  frame  for  the  event  to  have  an  effect  on  current  spendable  resources.  In  other  words,  expenditures  are  required  to  be  recorded  when  a  financial  event  is  expected  to  draw  upon  current  financial  resources.  In  pracUce,  most  State  expenditures  should  be  recognized  when  the  goods  and  services  have  been  received  since  sufficient  funds  normally  are  available  at  fiscal  year-­‐end  to  liquidate  operaUng  liabiliUes.Encumbrance  accounts  are  budgetary  accounts  which  record  only  commitments;  therefore,  encumbrances  do  not  meet  GAAP  expenditure  recogniUon  criteria.  Encumbrances  under  the  modified  accrual  basis  of  accounUng  are  disclosed  as  a  reservaUon  of  fund  balance  (328000  account  series).  Only  when  the  actual  goods  and  services  are  received  should  expenditures  and  related  liabiliUes  be  recorded.  Proprietary  Funds,  Fiduciary  Funds,  Component  Units  and  Government-­‐Wide  Statements  –  Accrual  Basis  of  AccounYngUnder  the  accrual  basis  of  accounUng,  expenses  are  recorded  rather  than  expenditures.  Expenses  are  defined  as  oullows  of  assets  or  the  incurring  of  liabiliUes  (or  combinaUon  of  both)  resulUng  from  delivering  or  producing  goods,  rendering  services,  or  carrying  out  other  acUviUes  that  consUtute  the  organizaUon's  ongoing  major  operaUons.  Expenses  recorded  in  these  funds  should  be  consistent  with  those  of  a  commercial  enterprise.  Under  the  accrual  basis  of  accounUng,  transacUons  and  events  are  recognized  as  expense  when  they  occur  regardless  of  when  the  related  cash  flows  take  place.  These  funds  report  both  current  and  long-­‐term  liabiliUes  that  are  expected  to  be  paid  from  the  fund.  However,  in  pracUce,  as  is  the  case  for  the  modified  accrual  basis  funds,  normal  operaUng  expenses  should  be  recognized  when  goods/services  have  been  received.  Examples  of  transacUons  which  are  presented  within  the  fund  financial  statements  in  a  manner  which  differs  from  the  modified  accrual  basis  include;  variances  in  the  manner  of  presenUng  long-­‐term  liabiliUes,  capital  assets,  certain  bond  related  costs  and  the  presentaUon  of  depreciaUon  expense.  DepreciaUon  expense  should  be  recorded  within  the  accrual  basis  funds  as  an  operaUng  expense  and  closed  along  with  other  operaUng  expenses  directly  to  net  assets  in  a  manner  similar  to  the  procedures  used  by  commercial  enterprises  regardless  of  the  source  of  funds  used  to  purchase  the  asset.  

 STATE  OF  GEORGIA  ACCOUNTING  PROCEDURES  MANUAL  SECTION:  THREE  –  ACCOUNTING  

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STATE  OF  GEORGIA  ACCOUNTING  PROCEDURES  MANUAL  SECTION:  THREE  –  ACCOUNTING  PROCEDURES  TOPIC:  ACCOUNTS  PAYABLE,  INTERGOVERNMENTAL  PAYABLES,  CONTRACTS  PAYABLE,  PAYROLL/WITHHOLDINGS  PAYABLE  AND  BENEFITS  PAYABLE    hGp://sao.georgia.gov/sites/sao.georgia.gov/files/imported/vgn/images/portal/cit_1210/31/37/1403271153-­‐2-­‐1%20AP-­‐Intergov-­‐Contracts-­‐etc.pdf  

State  organizaUons  included  in  the  AppropriaUons  Act  must  account  for  payables  in  conformity  with  both  the  State’s  budgetary  basis  of  accounUng  and  GAAP.  Significant  variances  between  GAAP  and  the  State’s  budgetary  basis  are  discussed  below.  Governmental  FundsUnder  the  modified  accrual  basis  of  accounUng  it  is  not  sufficient  for  an  economic  event  to  have  occurred  for  an  event  to  effect  the  operaUng  statement  but,  in  addiUon,  the  related  cash  flow  must  occur  within  a  short-­‐enough  Ume  frame  for  the  event  to  have  an  effect  on  current  spendable  resources.  In  other  words,  expenditures  are  required  to  be  recorded  when  a  financial  event  is  expected  to  draw  upon  current  financial  resources.  In  pracUce,  payables  for  normal  operaUng  expenditures  should  be  recognized  when  the  goods  and  services  have  been  received.  Encumbrance  accounts  are  budgetary  accounts  which  record  only  commitments;therefore,  encumbrances  do  not  meet  GAAP  expenditure  recogniUon  criteria.  Encumbrances  under  the  modified  accrual  basis  of  accounUng  are  disclosed  as  a  reservaUon  of  fund  balance.  Only  when  the  actual  goods  and  services  are  received  should  expenditures  and  related  liabiliUes  be  recorded.  Proprietary  Funds,  Fiduciary  Funds  and  Component  UnitsTransacUons  and  events  under  the  accrual  basis  of  accounUng  are  recognized  as  expense  when  they  occur  regardless  of  when  the  related  cash  flows  take  place.  These  funds  report  both  current  and  long-­‐term  liabiliUes  that  are  expected  to  be  paid  from  the  fund.  Normal  operaUng  expenses  are  recognized  as  expense  when  the  goods  and  services  have  been  received  and  neither  encumbrances  nor  net  assets  restricted  for  encumbrances  are  disclosed  on  the  operaUng  statement  or  statement  of  net  assets.

 Georgia  Procurement  Manual  Chapter  7,  SecYon  7.5:  

“The  state  enUty  must  not  pay  for  goods  or  services  which  have  not  been  accepted  by  the  state  enUty  (i.e.,  the  supplier  has  failed  to  deliver  goods,  equipment  or  services  which  conform  to  the  contract  requirements).  In  the  event  the  supplier  has  failed  to  perform,  payment  should  be  withheld  pending  state  enUty  saUsfacUon  with  the  supplier’s  progress.  The  costs  incurred  by  the  supplier  must  be  in  accordance  with  the  terms  of  the  contract,  including  any  contract  rate  schedule.  The  following  subsecUons  detail  addiUonal  policy  governing  the  payment  process.”

OCGA  reference  regarding  payments  to  contractors  and  subcontractors:

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§  13-­‐11-­‐3.    Contractors'  and  subcontractors'  enUtlement  to  payment:  Performance  by  a  contractor  or  subcontractor  in  accordance  with  the  provisions  of  his  or  her  contract  and  the  saUsfacUon  of  the  condiUons  of  his  or  her  contract  precedent  to  payment  enUtles  such  person  to  payment  from  the  party  with  whom  he  or  she  contracts.

 As  for  applicability  of  this  informaUon  to  the  Commission,  I  have  included  the  following  excerpt  from  statute  which  I  believe  indicates  that  the  Commission  is  subject  to  such  policies  and  memos  issued  by  SAO….  

§  50-­‐5B-­‐4.    ObligaYons  of  state  government  organizaYons  with  respect  to  the  state  accounYng  officer

(a)  As  used  in  this  chapter,  the  term  "organizaUon  of  state  government"  shall  mean,  without  limitaUon,  any  agency,  authority,  department,  insUtuUon,  board,  bureau,  commission,  commiGee,  office,  or  instrumentality  of  the  State  of  Georgia.  Such  term  shall  not  include  any  enUty  of  local  government,  including,  but  not  limited  to,  a  county,  municipality,  consolidated  government,  board  of  educaUon,  or  local  authority,  or  an  instrumentality  of  any  such  enUty.

(b)  All  organizaUons  of  state  government  and  all  officers,  agents,  and  employees  thereof  shall  conform  to  and  comply  with  the  rules,  regulaUons,  policies,  procedures,  and  forms  devised,  promulgated,  and  installed  by  the  state  accounUng  officer.

I  believe  these  example  above  provide  clear  evidence  that  the  concept  of  recording  expenditures/exposes  and  paying  a  vendor  prior  to  the  receipt  of  goods/services  is  not  a  new  concept  and  it  is  well  entrenched  in  state  policy.    If  you  have  any  follow-­‐up  quesUons,  please  feel  free  to  give  me    a  call.

Alan SkeltonState Accounting Officerwww.sao.ga.gov404-657-4138 (office)770-274-9758 (cell)  ______________________________________________________________________________________________________________________________________________________The information contained in this message may be CONFIDENTIAL and is for the intended addressee only. Any unauthorized use, dissemination of the information, or copying of this message is prohibited. If you are not the intended addressee, please notify the sender immediately and delete this message.  

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School Response

Immediate Care for the Injured Training Module

Purpose •  Emergencies happen -

tornadoes, fires, floods or acts of violence.

•  No one wants to think about such disasters, but being prepared for an emergency can help.

•  This training is designed to enable you to render immediate, potentially life-saving medical aid to injured students or co-workers while you await the arrival of professional responders.

Program Highlights •  Public high schools located in

the counties served by EMS Region 5 and Health-care Coalitions F and H are eligible to participate in the School Response Program.

•  School Response Bags are

designed for mass casualty events in which EMS response may be delayed or when immediate first aid might be warranted.

•  Bags can also be used for less critical incidents.

= counties with School Response trainers

Program Highlights •  Bags will include ten bleeding

control modules and eight first aid modules.

•  Schools are to train at least ten employees in the use of the bag's contents, basic management of airway and breathing, CPR, and hemorrhage control.

•  Training designed for “non-

traditional” lay responders to enable them to render medical aid while they await the arrival of professional responders.

Response Bag - Components

10 Bleeding Control Modules 8 First Aid Modules 4  Pairs of Trauma Shears 4 10”x30” Trauma Dressings 30  Pairs of Gloves (various sizes) 10  Casualty Care Cards 6 Emergency Status Cards (2 sets)

Bleeding Control Modules SWAT-T Tourniquet

Pair Nitrile Gloves

Laerdal CPR Face Shield

2 - 5” x 9” ABD Pads

2 - 3”x5yds Roller Gauze

Combat Medic Reinforcement Tape

Triangle Bandage

2 - Ziploc Bags

Immediate Action Card

First Aid Modules 2 - Pkgs of 2 Sterile 3” x 3” Gauze pads

2 - 2” x 3” Non-Adherent Pads

1 - 5” x 9” ABD Pad

1 - Triangle Bandage

8 - 1” x 3” Fabric Adhesive Strips

6 - Knuckle Bandages

2 - 3” x 5yds Roller Gauze

1 - 1” x 5yds Cohesive Wrap

2 - ½” x 2½yds Waterproof Tape

Individual Response Kits (IRK) SWAT-T Tourniquet

Pair Nitrile Gloves

CPR Face Shield

2 - 5” x 9” ABD Pads

2 - 3”x5yds Roller Gauze

Combat Medic Reinforcement Tape

Triangle Bandage

2 - Ziploc Bags

Trauma Shears

Immediate Action Card

Scope of Training •  This course is not a comprehensive

First Aid or CPR course.

•  It’s designed to address two primary causes of preventable death in trauma – ventilatory and circulatory compromise.

•  We will focus on basic management

of airway and breathing, control of bleeding, and other basic life saving interventions.

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Prioritizing Care

STEP  4:  CHECK  FOR  BLEEDING  Find  and  control  bleeding.  

STEP  3:  CHECK  BREATHING  Check  to  see  if  the  person  is  breathing.  

STEP  2:  CHECK  RESPONSE  Check  whether  the  person  responds.  

STEP  1:  ASSURE  SAFETY  Check  for  DANGER  for  you  and/or  the  injured  person.  

Prioritizing Care:

Questions?

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FY15 FY2016Description Percentage  of  Funding Available  FundsEMS  UCC  Audit  Procedures  Cost   $0

Total  Allocation  (20%  of  available  funding  for  stakeholders) $2,728,300 2,767,002.00AVLS  Support $379,185 570,748.00

Available  for  Stakeholder  Distribution   $2,349,115 $2,056,516 2,344,604.00FY14 FY15  suggested %

Leadership  Course   4.3% $100,951 $100,951 4.30% 100,951.00Equipment  Grants 65.6% $1,540,324 0.00%

EMR/EMT 5.4% $126,189 $126,000 5.36% 126,000.00EMS  Uncompensated  Care 0.0% $0 0.00%

GEMSIS  Support 0% $0 $20,800 0.89% 26,000.00Vehicle  Grant 0% $0 0.00%EMS  Redesign 3.4% $80,761 $80,761 3.44%

0% $0 0.00%Triage  System 2.4% $55,523 $55,523 2.36% 55,523.00

Scholarships:  EMS  Advancement 0% $0 0.00%PHLTS/ITLS/EPC 4.7% $111,046 $109,300 4.65% 121,300.00

Regional  Training 0% $0 0.00%EVOC 0.9% $20,190 $20,190 0.86% 1.00

Extrication 0% $0 0.00% 1.00Telemedicine 0% $0 0.00% 1.00

Child  Seat  Tech 2.4% $56,532 0.00%Additional  AVLS 0% $0 0.00% 1.00

DART $102,036 4.34%0.00%

Region  One  Training  Pilot $40,700 1.73%0.00%

Totals  for  Stakeholder  Distribution Current  Total $656,261Remaining  fund  balance

Funds  Remaining $1,692,854

FY  2015  EMS  Stakeholder  Distribution  Discussion