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What You Need to Know

About Ordering Air Ambulance

Transports

Information for Care Coordinators

“It’s really easy. AASI took care of everything, from air to ground, from bed to bed.”

345 Inverness Drive SouthSuite A110Englewood, CO 80112

PRSRT STDUS Postage PaidEnglewood, CO Permit No. 1173

Air AmbulanceSpecialists Inc.

At Air Ambulance Specialists, we relocate patients to hospitals, nursinghomes or to private residences for those returning home. Some may require specialized medical procedures or treatment at speciality or advanced-care facilities. All aircraft are ICU / CCU equipped, and are staffed with a critical-care team.

AASI transports include:• Ventilator dependent • Burn• Spinal cord injury • Cardiac• Rehabilitation • Trauma• Orthopedic • Geriatric• Brain injury • Pediatric• Transplant

Complete Bed-to-Bed Service

� General patient condition / DX.� Name of originating and destination hospitals.� Date of transport or approximate date of transport.� Tubes or equipment (such as I.V., ventilator, trach) needed� Patient DOB, height, weight, sex.� Payor source – this is needed if insurance is involved so that we can

verify air ambulance benefits and determine ifpre-authorization is required. Pre-authorization will not beobtained until the decision has been made to do the transport with AASI.

� Patient name.� Name of receiving hospital physician, and bed confirmation.� For domestic flights, a valid, government-issued picture ID will suffice.� For international trips, a valid passport and visa information

is required.

What the Communications Centerneeds to know:

� Provide a written bed-to-bed price quote, and check aircraft availability.� Verify air ambulance benefits for insurance payor transports.� Obtain pre-authorization from insurance companies for air transport.� Obtain a medical report from the nurse in charge of the patient.� Verify bed availability and accepting physician at receiving facility.� Arrange ground transportation at sending and receiving facility.� Send necessary documentation, including:

1. Patient transfer guidelines2. Financial obligation form3. Transfer orders

� Provide flight-following and will update the receiving facility with any changesin the schedule. Our Communication Center is bi-lingual and can communicate with countries around the globe in more than 150 languages.

� Provide on-going communication with all parties involved.� Will notify care coordinator of patient’s safe arrival.

What the AASI CommunicationsCenter will do for you:

Call us any time, 24/7!U.S. and Canada : 800-424-7060

International: 720-875-9182Fax: 720-875-9183

www.airaasi.com / email: [email protected]

� Transfer orders from physician and acceptance documentationfrom receiving facility.

� A copy of the patient’s discharge summary and three FACE sheets.� Completed and signed Consent-for-Transport form.� Copy of most recent laboratory work.� A copy of the MAR and any scheduled or PRN medications

the patient may require during transport.

� Patient should be sent with IV access.� Diaper patient if unconscious or incontinent; or consider Foley catheter.� Discontinue tube feedings at least 4 hours prior to transport;

Minimize P.O. intake at least 2 hours prior to transport.� Bivalve any circumferential casts prior to transport.� Limit baggage to no more than two carry-on, soft-sided bags. � Limit passengers to one family member or friend

(depending on space availability).

Patient Transfer Guidelines

Air AmbulanceInterior

An Company

4. An advance-beneficiary notice5. Consent for transport.

Air Ambulance Specialists Inc.is CAMTS accredited (similar toJCAHO for hospitals), and isassociated with or a member ofmost industry organizations.

Paperwork to be included with patient:

Other considerations:

� Private air ambulance� Medical escort on commercial carrier� Commercial stretcher (international flights)

Air Ambulance Specialists Inc. (AASI) is not a FAA 135 direct air carrier but utilizes contracted/dedicated 135 aircraft vendors. AASI may on occasion when necessary, outsource a flight to

another FAA approved air ambulance company.

AMR EMS Offshore Medical Services is asubsidiary of American Medical Response,Inc., a leading emergency medical servicesprovider with operations in 40 states.

AMR EMS Offshoreprovides on-site medicaltechnicians and on-call physician support services using telemedicine technology.We offer services foroffshore oil and gas operations, cruise lines,airlines, remote rural locations, and more. Wealso provide on-siteservices such asEMT/paramedic trainingand certification,employee physicals,drug-testing services,and other physician-related services uponrequest.

Call us any time.

12020 Intraplex ParkwayGulfport, MS 39503

Introducing...

Providing on-site andremote medical care

for offshore locations, 24 hours a day

228-897-6639

228-897-6639

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� 24-Hour, Telemedicine Support/Medical Direction:We provide 24-hour, on-call physician consultations toremote, on-site medical staff. With our services, on-sitemedical staff members can consult with experiencedphysicians to discuss treatment options and make soundmedical transfer decisions. We offer the latest telemedicinetechnology that allows on-site medical staff to transmit real-time medical data, such as vital signs and images, toour network of emergency physicians. Our services canreduce unnecessary transfers to medical facilities, whichsaves time, money and manpower.

� Training, Certification andOSHA-Mandated Classes:We offer custom-designed trainingthrough on-site instruction or distance-learning technology to youron-site medical staff: � SafeGulf / SafeLand certified� CORE compliance certified� Mandatory OSHA classes� Nationally registered EMTs

and paramedics.

� On-Site Occupational Medical Service: EMS Offshore Medical Services provides on-site medicalteams to perform employee physical examinations anddrug testing services for onshore and offshore worklocations. These services can help you meet state and federal employee health and safety regulations and canhelp prevent on-the-job accidents and injuries. Our on-siteteams save time and money and ensure quality andconsistency are not compromised.

Our primary focus is providing on-site medicalstaffing, safety, and trainingservices to companies withemployees in remote or offshore locations. Wedesign customized medicalsupport services to meetclients’ needs.

These include on-sitesafety technician/medicalpersonnel and physicianreferrals for medical teamsat remote locations. Our emergency physicians use the latest medical and computer telemedicine technology toprovide 24-hour physician support.

Call us today for more information!228-897-6639

On-site. On-call.Expert care when your workers are oceans away from a hospital.EMS Offshore Medical Servicesprovides on-site emergency medicalstaffing, on-call physician supportservices, and emergency medical and safety training for companieswith remote working sites such as offshore oil rigs. � 24-Hour, On-Site Health, Environment and SafetyTechnician / Medical Personnel: AMR EMS OffshoreMedical Services has extensive experience designing andstaffing on-site sick bays. Medical personnel operate underwell-defined standing orders and medical directors providedirection to on-site medical teams 24/7. Medical personnelare trained safety technicians and employ methods to ensure the health and safety of your workforce as well aquick return to health of your ill or injured personnel.

EMTs at your location.Physicians available24 hours a day.

www.amr.net

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W O R L D C L A S S S A F E T Y

LEADERSHIP NEWSS E C O N D Q U A R T E R 2 0 0 9 | V O L . 1 , I S S U E 2

May is EMS Month 2009Celebrate Our Emergency Medical Services Workers

The national celebration of EMS Week2009 will be held May 17-23, with thetheme of: "EMS-A Proud Partner in YourCommunity." EMS week brings togetherlocal communities and EMS personnel topublicize safety and honor the dedication ofthose who provide the day-to-day lifesavingservices of medicine's "front line," more than17,000 of our employees. As we recognizethe daily efforts of AMR caregivers to im-prove health in the communities we serve, itis important to recognize that EMS Weekprovides the opportunity to emphasizewellness and safety preventive measures thatwill assist our employees throughout theircareers. Examples include healthy eating,proper exercise and self-care decisions thatwill improve the overall quality of theirlives.

The Safety LeadershipGroup (SLG) has workeddiligently to develop avariety of safety andhealth programsthat may be uti-lized by Opera-tions as theyprepare for EMSWeek. Special ac-tivities on a na-tional and local levelwill be taking placethroughout our opera-tions to support and raiseawareness about caregiver health and safety.

A number of the programs the SLG hasrecommended encourages employees to be-

come more health conscious. Programs suchas Step by Step and Get Moving, sponsoredby the American Heart Association, focus on

physical fitness for caregivers. Otherhealth and fitness programs include

weight challenges, health fairs and24 hour fitness club membershipsat discount pricing.

Contact your regional safetyprofessional for information onwellness programs and becominga member of a wellness team. Re-

member, a healthy, more fit em-ployee will be a happier, safer

employee. As you plan local activities for EMS

Week, we encourage you to include some ofthe activities listed on the SRM Knowledge-base, 2009 EMS Week Activities folder (ac-cessible via the Portal).

Why accidents needto be investigated.Page 2.

Employee Wellness A choice to be made.Page 2.

Safety LeadershipInterview with AMR GeneralManager Renee Colarossi.Page 3.

Worker’s CompChanges in pharmacyservice form.Page 4.

ContributorsTom EllerRon ThackeryPaul CormierTroy MeckelNational Safety CouncilNewsletter Editor: Rob Garrett

Safety Leadership GroupRon Thackery, SVP Professional Services

& IntegrationPaul Cornier, SRM, NortheastTom Eller, Dir SR, Southwest/HawaiiHadassa Fyffe, SRM, GA, FL, CarolinasRob Garrett, SRM , CentralKen Gosteli, SRM, NorthwestMike Hill, SRM, Southwest/HawaiiTroy Meckel, SR Specialist, SouthRich Silva, HR Mgr, NorCal

We’re on the Portal:http://portal.emsc.net

Inside this issue:

EMS workers at AMR’s

Arlington, Texas operations

W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 2

Investigating an Incident: Why?All incidents, whether Worker’s Compensation, auto collision, general liability,

compliance or OSHA-related incidents, warrant a complete investigation. Otherincidents, such as professional liability incidents, require different types of investiga-tions, and thus, would require consultation with Safety & Risk and Clinical Man-agement.

In order to determine causation of an incident, we must first understand thefactors involved. Those factors include the five ‘Ws.’ Who did the incident in-volve, What happened, Where and When did it happen and Why did it happen.

We can determine ‘who’ was involved by not only naming the crew but alsotalking to witnesses. Witness statements are important in relating facts about thescene of the incident at the exact time.

When answering ‘what’ and ‘where’ the incident happened, not only do wewant a brief statement from the affected employee(s), but photographs can alsohelp answer this question by providing pieces of the incident for evaluation like apuzzle.

Was it raining or snowing? Was it night time, twilight or daytime? These typesof questions help to answer the ‘when.’

Only after answering the first four ‘Ws’ can we begin to answer the ‘why.’The first four help us build a picture of the event. But just because we can provideone answer to ‘why’ does not necessarily mean the ‘why’ has been answered. Wemay have to ask ‘why’ many times to come to a final cause for the incident.

A proper investigation of the incident will help to establish the factors, thus,causation. You may ask: “Why should I care about causation? Is that not why wehave an insurance carrier to determine who is at fault?” Determining causationthrough a proper investigation will assist your operation in learning what areasemployees may need more training or education, or where there may be equip-ment failure or malfunction, and how to prevent accidents in the future.

Everyday, AMR crews respond to calls for help from patients experiencing a myriad of health problems. In manycases, they discover ailments that are a result of poor personal choices: sedentary lifestyles, smoking, drinking, poor di-etary habits and stress. While the damaging effects are already there, and in some cases are irreversible, we often stilloffer advice on healthy choices and hope at least a few patients listen…

Sadly, the same lifestyle risk factors that cause so many deaths each year are also prevalent among EMS workers.Research has demonstrated that virtually all individuals can benefit from regular physical activity, whether they participatein vigorous exercise or some type of moderate health-enhancing physical activity. Regular physical activity delivers manyrewards: Reduces the risk of dying prematurely, heart disease, developing diabetes, high blood pressure, cancer. Also re-duces feeling of depression and stress. Helps control weight and build and maintain healthy bones, muscles and jointsand promotes worker productivity.

Yet, despite the benefits, only about 23% of workers report regular vigorous activity for 20 minutes or longer 3 or moredays per week. In EMS, there are a few “givens” that we have simply just come to terms with:

� We eat when we can, not when we want;� Back pain is not uncommon; and� We will experience stress.Even though these three “givens” surround us each day, remember that there are ways to combat them, including:

talking to co-workers for support, breathing exercises during stressful events (in through the nose and out the mouth sev-eral times), getting enough sleep and, finally, as mentioned above, exercise.

Since there is no telling what a new day will bring, we need to come to work physically and mentally prepared for theworst everyday. We don’t get to start a shift with an agenda, except that of what we need to do when the moment comes.For this reason, EMS will simultaneously remain one of high respect and high demand for the public. It’s also yet anotherreason why caring for our patients must parallel caring for ourselves by Making a Healthy Choice.

Health & Wellness is the most important thing to you and the most important thing to AMR.

Employee Wellness: A Healthy Choice

Getty Images Subscription

AMR Photos

P A G E 3 2 Q 2 0 0 9 W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S

San Bernardino County is the largest county in the United Statesand covers roughly 20,160 square miles. The AMR service area forthe county covers a population of 1.6 million. Currently, AMR is thecontracted emergency operations area provider for the county, andthat includes an annual call volume of 168,344 total calls and 125,797transports. There are three main operations in the county: RanchoCucamonga, Redlands/San Bernardino, and Victorville. AMR’s SBCounty Operations full-time field employee mix consists of 316EMT’s, 144 Paramedics and 10 CCT nurses.

Question: What does “safety leadership” mean to youas a leader at AMR?

Renee: We are all accountable for safety within the or-ganization. As leaders, we are accountable for the safety ofour employees, patients and the communities we serve. Tome, safety leadership really means that management con-tinuously observes safety behaviors, and commends andcorrects behavior immediately as needed. The main goalwould be to instill a culture of safety for all employees.Most importantly, I feel that as leaders we certainly need to lead byexample.

Question: How do you feel safety leadership and awarenessimpacts your area and AMR as an organization?

Renee: Safety Leadership and awareness is critical for accidentand injury reductions and promoting an ongoing culture of safetywithin the organization. Also, safety leadership has a significant im-pact on enhancing operational efficiencies, productivity, employeemorale, and many other areas of the operations. Overall, it is just theright thing to do for our employees, patients and communities weserve. Additionally, continued focus in positive safety performanceand loss management reduces our overall costs and enhances prof-itability for my area and the entire organization.

Question: What are some of the safety programs you have im-plemented in SB county to address safety issues and opportunities?

Renee: We included driving safety in our 2007 Strategic Plan.The focus in safe driving behaviors were monitored through our RoadSafety program which measures speed, backing, seatbelts, and highforce counts. We established objectives and tactics to measure andmonitor driving behaviors. Through establishing goals and tactics,utilizing established metrics and posting scores, and providing con-stant feedback, we have since seen significant positive results in ourdriving safety performance. Additionally, we have developed andadded a comprehensive gurney-handling skills-training component inour new-hire orientation and FTO training process. Since implement-ing this training and focus we have seen a reduction in gurney relatedincidents.”

Question: Is there a specific safety initiative, process or pro-gram that you have implemented that you feel has had the most im-

pact on your safety performance?Renee: Including safe driving behavior in our Strategic Plan had a

large impact in reducing our auto-collision rates. Safe driving behaviorhas become an expectation and culture within our operations throughcontinuous focus and awareness.

Question: How do you promote safety and generate safety aware-ness?

Renee: We continually promote safety awareness through ensuringthe National Safety Initiative posters are posted and all em-ployees receive the safety message from their supervisormonthly. Also, we communicate safety issues and successes inour staff meetings to ensure safety communications are beingdone, safety goals are established and met, and safety strate-gies are developed and communicated.

Question: What specific processes do you feel are im-portant to ensure safety accountability for your leadershipteam?

Renee: That our safety goals are continually communi-cated and discussed with the management team, and to ensure expecta-tions are established. During our monthly staff meetings we review theNational safety goals on the Management Safety Incentive Program andNational Safety Performance Strategic Indicators. Positive safety per-formance is recognized and expectations are clearly communicated forimprovements when necessary. Also, continuous monitoring of accidenttypes and causes is critical in establishing safety strategies to mitigatepotential loss trends and drivers.

Question: How do you set safety expectations for your operationalleaders and caregivers?

Renee: By reviewing our safety goals established for the year withall managers and ensuring they clearly understand the importance ofsafety in their operations. Additionally, we ensure that all managers un-derstand the impact of the expenses related to accidents and injuries.Also, we ensure that our caregivers understand their role and responsi-bilities for safety through training and awareness of our safety policies.Safety expectations are promoted through positive recognition for safebehaviors and immediate correction and remediation for unsafe behav-iors.

Question: What else can the Safety and Risk Management De-partment do for you…what would you like to see from the SRM De-partment that would assist you better in overcoming operationalchallenges?

Renee: I would like to see more statistical data analysis on typesand causes of accidents so that we can ensure we are focusing on prior-ity areas. This would be helpful to ensure we are focusing our safetyefforts and resources in the proper prevention strategies. Additionally,more updated lists for available training and remediation would be wel-come.

What is Safety Leadership?A General Manager’s Perspective

An Interview with Renee Colarossi, General Manager, AMR-San Bernardino County, CA

LEADERSHIPCORNER

LEADERSHIPCORNER

Due to changes in the prescription service, all AMRoperations should now be using a new prescriptioncard (shown to the right) for Worker’s Compensationclaims. The previous prescription card from MSC is nolonger applicable. In an effort to control costs andutilization, we have temporarily chosen Express Scriptsas our pharmacy choice for Workers Compensationclaims.

The new form can be found in the Injured WorkersPacket on the Safety & Risk Knowledge Base in the li-brary. Your operations should download this revisedInjured Workers Packet and begin using this form forall injured employees who seek treatment.

W O R L D C L A S S S A F E T Y L E A D E R S H I P N E W S 2 Q 2 0 0 9 P A G E 4

Pharmacychanges forWorker’sComp claims

The National Safety Initiative (NSI) Program has been a toolAMR has used for the last 10 years to bring World Class Safetyawareness to its employees. The program has four features everymonth: a safety poster, a supervisor letter, a talking-point card andfour weekly “What’s Wrong With this Picture?” cards. All but thetalking point cards should be posted in conspicuous locations.

Although the content will remain the same, the talking pointcard has taken on a new look. Instead of wallet-sized cards, thetalking points are now on letter-size paper. This will allow for amore personal interaction between the employees and the man-agement staff, makes it easier to record employee names on, andsaves printing time. You are encouraged to reprint these pages fordistribution to supervisors and field training officers, if needed.The talking points are intended to generate a conversation aboutsafety between management and crews.

Each operation is expected to contact at least 90% of theirfull-time employees. These NSI contacts are then reported into anational database, tracked and included into the Strategic Indicatorreport each month. An employee may be contacted more thanonce, by different supervisors and field training officers.If you haveany questions about this program, please contact your divisionalsafety professional for further interpretation.

Monthly safety packages revised

WORLD-CLASSSAFETY

BEGINS WITH YOU.

The choice is clear:

Stay hydratedthis summer.

�Don’t rely on thirst alone to know when to drink fluids.

�Before strenuous activity, drink abouttwo cups of water.

�During activity, try to drink 4-6ounces every 20 minutes.

�After activity, drink plenty of water. For every pound of water weight youlose when exercising, drink about20 ounces of fluids.

�Keep caffeine, alcohol and sugary drinks to a minimum.

Source: WebMDJune 2009

Stay hydratedthis summer.

Supervisor / Field Training Officer Card Jun ‘09

The bullet items on this card should be discussed with each of your employees during the month. Please

write down your employees’ names on the back of this card after meeting with them and turn it in to the op-

erations’ director/manager upon completion. Thanks!

Staying hydrated throughout the year is essential to your good health, no matter what the weather. One of

the most effective ways you can improve your overall health is very simple — drink more water.

Talking Points:� Water regulates body temperature, cushions and protects organs, assists digestion, reduces stress,

transports nutrients and dispels wastes.

� Signs and symptoms of dehydration include: excessive thirst (dry mouth), fatigue, headache, little or no

urination, muscle weakness and feeling dizzy/lightheaded.

� Drink at least 2,000 milliliters or eight 8-oz. glasses of water daily.

� To prevent dehydration, drink fluids before, during and after physical activity.

WORLD-CLASS SAFETYBEGINS WITH YOU.

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Is your anesthesia provider causing delays in your surgery schedules?

AnesthesiaCare is a leading innovator in performanceimprovement for both clinical and operational areas ofanesthesia department management. Our services areresults-focused and driven to improve turnaround time,outcomes, and patient safety/satisfaction.

A partnership with AnesthesiaCare canresult in the following improvements:� Prompt operating room start times � Rapid room turnover � Fewer delays in surgery schedules � Immediate availability in the

obstetrical suite � Facilitating the surgeon’s

schedule by prompt pre-opevaluations and maximum utilization of the operatingrooms/regional anesthesia when indicated

� Pleasant and cordial attitudes � Prevailing spirit of teamwork � Safe, efficient, and effective delivery of

anesthesia and related services.

is the solution you need.

To learn more about what a partnership withAnesthesiaCare can mean for you, please contact:Lindsay Wilkinson850-444-2551

Emergency Medicine. Customer Driven.

The Complete Anesthesia Solution.

R

Cost-effective. Accessible Technology.

Inpatient Solutions. In-Depth Support.

The Physician Management Services of

We are your single-source solution.

As industry-leading providers of outsourced hospital-based physician services,we are the only source you need for emergency department, anesthesiology,radiology, teleradiology, and inpatient services. Count on our nearly fourdecades of experience in improving performance and customer satisfactionwith programs tailored to provide expert service and financial synergy in a demanding healthcare environment.

To help our clients thrive in today’s challenging healthcare environment, EmCare continues to expand our hospital-basedservices. Our industry-unique offering of multiple hospital-based services gives your hospital the ability to bundle services,providing a venue for financial and service synergy.

Emergency Department Practice Management Services – Founded 1972EmCare continues to be the nation’s leading provider of emergency care.We are committed to delivering a high quality of care through experiencedphysician and nursing leadership, extensive support resources, and consultativesupport programs. EmCare is successfully using LEAN to implement Front-EndRedesign and Rapid Medical Evaluation to improve ED metrics, throughput andpatient satisfaction. EmCare is a national leader in recruiting quality physiciansand medical directors and in supporting clients to improve key departmentalmetrics, including patient satisfaction, LWOT/AMA, throughput and length ofstay. Through our exclusive Studer Group partnership, we develop consistentaccountability systems that help increase physician satisfaction, increase patientand family satisfaction, improve efficiencies and improve clinical outcomes.

Inpatient/Hospitalist Practice Management Services – Founded 1997EmCare Inpatient Services, continues to successfully reduce length of stay andutilization costs for our client hospitals. We also work closely with the hospitaland emergency department leadership to reduce length of stay, streamline theadmissions process, implement cost-effective care paths, and increase patientsatisfaction through a continuum of care. When bundled with our ED services,we continue to see impressive service and financial results.

Complete Anesthesiology Services. - Founded 2007.AnesthesiaCare is the nation's largest provider of hospital-based anesthesiaservices. AnesthesiaCare can meet your needs for an experienced, highlytrained anesthesiology staff. Anesthesiologists and/or certified registered nurseanesthetists (CRNAs) provide full services when you need them. Clients rangefrom some of the smallest community hospitals to some of the largest and mostcomplex sub-specialty systems. We provide continuous monitoring of clinicalprotocols, standards and outcomes. In addition, we offer full-service practicemanagement, including recruiting and credentialing, accounting, cash management, risk management, billing and collections.

Radiology Practice Management Services – Founded 2004Five years ago EmCare founded its radiology services division, RadCare, at therequest of client John Peter Smith. Today, RadCare provides our client hospitalsquality, turn key, radiology practice management services includingteleradiology final reads. RadCare’s teleradiology final reads serve to reducebacklogs at night and eliminate day spikes. Comprehensive solutions includenight/weekend final interpretation services. RadCare clients enjoy reducedstudy backlogs and wait times for referring physicians and patients.

EmCare continues to focus on developing bundled service solutions tosupport and serve health care leaders. If one or more of these services areof interest, please call 800.444.7009, ext 7704.

Increased patient satisfaction. Improved throughput. Bundled services.R

R

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Help your students find

the hero within.

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Help your students find

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the hero within.

American Medical Response, San BernardinoCounty’s leading ambulance service, offers a FREE Junior Paramedic program for elementary students. Ourhighly trained paramedics can come to your school witha fun and informative program that teaches kids:

�When to call 9-1-1�How to provide vital information

when calling 9-1-1�What medication information

they should keep with themat all times

�The importance of safety,and how local emergencymedical services save lives.

Call us today to discuss this acclaimed programthat’s free for all accredited schools.

909-477-5026Community Education DepartmentAmerican Medical Response, San Bernardino County

7925 Center Ave

Rancho Cucamonga

CA 91730-3007

American Medical Response, San BernardinoCounty’s leading ambulance service, offers a FREE Junior Paramedic program for elementary students. Ourhighly trained paramedics can come to your school witha fun and informative program that teaches kids:

�When to call 9-1-1�How to provide vital information

when calling 9-1-1�What medication information

they should keep with themat all times

�The importance of safety,and how local emergencymedical services save lives.

Call us today to discuss this acclaimed programthat’s free for all accredited schools.

909-477-5026Community Education DepartmentAmerican Medical Response, San Bernardino County

7925 Center Ave

Rancho Cucamonga

CA 91730-3007

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The

BD Team is here

to help.

So...

help us

helpyou!

Tips for better graphics, ad campaigns,

brochures, proposals, postcards and more:

Send only high-resolution photos (300 dpi or better, and at least 5 inches wide.)Photos should be well-lit and in-focus.

Think about who will be receiving the piece, and exactly what message you wantto convey. What is the purpose of the piece? What is the target market?

Offer specific information and compelling data whenever possible. (For example, an ad campaign that says WHY we’re a good choice is better than an adcampaign that only says, “We’re the best.” Think about what sets AMR apart in yourlocal market.

Let us know as early as possible about the project. (All requests need at least 10 days notice.)

Please use the Graphics Request Form on SalesForce or SharePoint. Fill out the formelectronically and email it to [email protected] or [email protected] SharePoint, go to: AMR Department Sites, Business Development,Resource Library, Pensacola Team, and double-click on “Graphics Request Form.”On SalesForce, click on Documents, then Folder: Resource Library.

Don’t hesitate to call and explain or ask questions: 850-437-7700.

The Family You HelpCould Be Your Own.

Sign up today for a recurring contribution through payrolldeduction or make a one-time contribution by check or PTOdonation. Simply go to the employee portal athttp://portal.emsc.net, print out a payroll deduction form,PTO or vacation donation form and send it or a check to:

Just one dollar per paycheck, from every employee, can make a tremendous difference in the lives of your co-workers— and your family—

in a time of severe need.

Your contribution will be recognized by the Foundation:

EMSC Charitable Foundationc/o Jason Standifird6200 S. Syracuse Way, Suite 200Greenwood Village, CO 80111

$100 Bronze Donor$250 Silver Donor$500 Gold Donor$1,000 Platinum Donor

One DollarCan Go a Long Way for a Co-Workerin Need.

Sign up today for a recurring contribution through payrolldeduction or make a one-time contribution by check or PTOdonation. Simply go to the employee portal athttp://portal.emsc.net, print out a payroll deduction form,PTO or vacation donation form and send it or a check to:

Just one dollar per paycheck, from every employee, can make a tremendous difference in the lives of your co-workers— and your family—

in a time of severe need.

Your contribution will be recognized by the Foundation:

EMSC Charitable Foundationc/o Jason Standifird6200 S. Syracuse Way, Suite 200Greenwood Village, CO 80111

$100 Bronze Donor$250 Silver Donor$500 Gold Donor$1,000 Platinum Donor

Washington could use some CPR.

Literally.In fact, people all over Washington,Maryland and northern Virginia needCPR and all other emergency medicalservices. American Medical Response,the nation’s largest amblance service,is now hiring paramedics,EMTs and wheelchair drivers for one of the country’s fastest-growingand most important metroareas. We can help youevery step of the way withtraining, careeradvancement and more.

Consider the benefits of a careerin emergency medical services:� Competitive wages.� Medical, dental, vision insurance; 401K plan.� An opportunity to help others and make a

difference.� The chance to work sports

and political events andstand-bys.

� FEMA deployment teamfor major national disasters.

Eligibility Requirements � Current National Registry as

paramedic or EMT-P, EMT-I, EMTor DC, Maryland or Virginia EMT-P,EMT-I or EMT.

� High school diploma or GED.� Valid driver’s license with a

good driving record.� Drug screen and background investigation.

NOW HIRING. Call today: 202-636-8571

2825 V St NE Washington DC 20018 www.amr.net

WORLD-CLASSSAFETY

BEGINS WITH YOU.

The choice is clear:

Stay hydratedthis summer.

�Don’t rely on thirst alone to know

when to drink fluids.

�Before strenuous activity, drink about

two cups of water.

�During activity, try to drink 4-6

ounces every 20 minutes.

�After activity, drink plenty of water.

For every pound of water weight you

lose when exercising, drink about

20 ounces of fluids.

�Keep caffeine, alcohol and

sugary drinks to a minimum.

Source: WebMDJune 2009

Stay hydratedthis summer.

WATCHYOUR STEP!

WATCHYOUR STEP!Slips and falls are aleading cause ofworkplace injuries,resulting in more than700 Americans killedand 250,000 harmedeach year.

Take steps to prevent accidents—every day, every way:� Promptly and thoroughly clean up spills, dropped food, trash. � Place caution signs until spills are cleaned up.� Keep cords, cables, hoses out of walking areas whenever possible,

and stow them properly when not in use.� Install and use handrails where needed.� Take care when reaching for and carrying large items. Make sure floors

and stairs are clean, dry and free of obstructions before proceeding.� Wear proper footwear.

Slips and falls are aleading cause ofworkplace injuries,resulting in more than700 Americans killedand 250,000 harmedeach year.

WORLD-CLASSSAFETYBEGINS

WITH YOU.

YES YES NO NO

Source: Bureau of Labor Statistics

WORLD-CLASS SAFETYBEGINS WITH YOU.

Prevent needle sticks by clicking the safety cap in placeimmediately after use, then dispose of the syringe directlyinto a sharps container. Don’t leave used sharps sitting onsurfaces, and don’t hand used sharps to others.

Potential target marketsmay be easierto hit thanyou think.

TARGET TWO

Customers currently using our

competition (leakage or shared

contracts).

TARGET ONE

Former customers who haven’t used AMR in a while.

TARGET FIVE

"Underperforming" customers with high

potential volume not being realized

(leakage or shared contracts.)

TARGET THREE

Other facilities in a similar line of

business as our top customers

where we can offer similar

solutions (24 hour Urgent Care

Centers, etc.)

TARGET SIX

Other decision makers within other hospital

departments to offer solutions (For example: interventional

radiology places many g-tubes and Hickman catheters for

SNF patients and they do call medical transportation.)

TARGET FOUR

Recent past employees of current customers now

working with a new company (Review the health

care employment ads (newspaper and on-line) to

identify facilities looking for new CEOs, CFOs,

administrators and/or directors of nursing. Find

out who left and the name of the interim – the

interim may be looking for a solution to

demonstrate they are a problem solver and an

asset in their interim leadership role.

TARGET SEVEN

Referrals from current customers and from

prospects who may not be a fit, but who may know

others that might be. (Ask our contacts at our

current facilities if they know anyone at one of our

targeted facilities – if so, ask for an introduction.)

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We take care of everything.

www.access2care.netor call: Bjorn Thommesen at (314) 678-4166

email: [email protected].

An Company

WE HOLD THE KEYSTO BETTER MEDICARETRANSPORTATIONMANAGEMENT.

www.access2care.net 1-866-860-8797

Come see our booth at the Medicare Customer Service & Outreach Forum

Hawaii needs paramedics! And with American MedicalResponse, you can be part of the nation’s largest and mostrespected ambulance service — the one everyone wants towork for.

Interested? Call today!Phone: (808) 487-4900 Fax your resume: (808) 486-1765

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Hometown Professionals.Proudly Serving Natchez,

Adams County and Concordia Parish.American Medical Response of Adams-Concordia is part ofthe nation’s leading ambulance service, with more than 150operations around the country. This means we can bring inextra crews and equipment at a moment’s notice, any time

this area needs it, because of a natural disasteror other major emergency.

But we’re also local folks born and raised right here inMiss-Lou. We’re glad to be a part of this community.

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Your Dependable Partner

A Presentation toBaptist Health System

August 2009

Case Management MeetingCape Cod Hospital

August 5, 2009

Case M

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Jan. 22, 2008

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An Offer to ProvideEMS / Ambulance Service for the Southeast Collin CountyEMS Coalition

Jan. 22, 2008

“When response time and reliabilityare most important.”

2008

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Job No. 07/0406

Proposal to ProvideAmbulance Services

for the Harris County, TexasHospital District Proposal to Provide

Ambulance Servicesfor the

Harris County, TexasHospital District

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November 26, 2007

Job No. 07/0406

November 2007

A Proposal to Provide

Non-Emergency Transportation

Servicesfor the Mississippi Division

of Medicaid

A Proposal toProvide

Non-Emergency Transportation

Servicesfor the Mississippi

Division ofMedicaid

November2009

November2009

using the

Solution

An Offer to Provide Non-Emergency Ambulance Services

for Beneficiaries of the VA Medical Center,

Omaha, NE

VA-263-09-RQ-0154 | June 2009

PRICING PROPOSALORIGINAL

An Offer to ProvideAmbulance Service

for the United States

Air Force Academy

May 7, 2008

An Offer toProvide

AmbulanceServicefor the

United States Air ForceAcademy

May 7

, 2008

No. F

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