Board Minutes 08/16/2005

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Taney County Ambulance District Board Meeting
Tuesday, August 16, 2005


President Scotty Penner called the meeting of the Taney County Ambulance District to order at 19:00 on August 16, 2005. Attendance: President Scotty Penner, Vice-President Kenny Nave, Treasurer David Rozell, Board Member Tim Ford and Board Member Scott Novak present, and Board Member Jackie Smith absent.

Others present: Steve Harris, Katie Sharpe, Melissa Stiffler, Pam Harmon, Kent Vanderpool and Kevin Tweedy.

MOTION - APPROVE JULY MINUTES
Director Rozell made a motion to approve July minutes. Director Novak seconded
the motion. The motion passed by vote: Director Penner (Yes), Director Nave
(Yes), Director Rozell (Yes), Director Ford (Yes), Director Novak (Yes).

MOTION - APPROVE JULY FINANCIALS
Director Novak made a motion to approve July financials. Director Ford seconded
the motion. The motion passed by vote: Director Penner (Yes), Director Nave
(Yes), Director Rozell (Yes), Director Ford (Yes), Director Novak (Yes).

Nave inquired about water bills for East and West. Steve advised that more water
is probably used out East as they are able to wash their cars more often.

Old Business
Steve stated they are still working on the duct work for the Education classrooms.
It looks like it will be a couple of months before the classrooms are completed.

Accountant
Steve advised the new accountant started Monday, August 15th. Her name is
Maria. Novak inquired about hiring Maria without approval. Steve advised she was recommended by Jeff Long, David Bearden and Ron Martin. Ford advised that it is Steve's place to do the hiring. Melissa stated that in the last couple months the Board did approve the accountant position with the salary range. Rozell suggested bonding. Steve advised we are all bonded. It is noted that Scott Novak objects to filling the position at this time.

Accounts Receivable
Melissa advised that July receivables were $137,819.49. Year to date receivables are at $789,197.15.

MOTION - WRITE OFF ACCOUNTS
Discussion was held about some of the accounts that were over $1000.00. Melissa advised that those would be closest facility transports, such as psychiatric transports to West Plains and Joplin. Director Rozell made a motion to write off accounts totaling $61,492.72. Director Novak seconded the motion. The motion passed by vote: Director Penner (Yes), Director Nave (Yes), Director Rozell (Yes),
Director Ford (Yes), Director Novak (Yes).

Skaggs transfers
Nave inquired about transfers. Are they up? Has the new Dispatch criteria helped?
Steve advised that Dr. Mire advised this has not been a problem.

Steve advised we are now in the process of writing protocols for trauma bypass.

Kevin
Kevin advised that new remount should be ready in October.

We are still lacking medics. We are doing fine on EMT's. Nave inquired about running 2 medics on a car. Kevin advised that we are currently lacking paramedics.
Rozell inquired if that is because they are not out there or if salary is not there.
What is the base pay for paramedic? Katie advised $29,000.00 for a starting
Paramedic. Nave inquired about incentive for paramedics. It was suggested that we pay part time more. Rozell inquired if Pam had any suggestions. Pam advised
she thought it would be a good idea to pay them more, especially with high gas
prices now. Steve advised if you pay too much more an hour the full time would object. Rozell suggested that management further research this issue.

Nave
inquired if we have 7 or 8 EMT's that get their Paramedic license in the next 5 years what will we do with them. Steve stated that turnover should take care of that.

Kent
Kent advised on turnover in Dispatch. I expect to receive a resignation from
Michael Porter. He is looking into seminary. Kent advised we have 2 in training.

I have done some CAD research. I have gotten good input on what our needs are.

I have been working with Jeff in QA. We have been looking at some long response
times and they are doing a patient follow up on some of our transports. Jeff is coming in & being informed about wrong address information from Dispatch.

Today we had the MMACC today at WTCFPD Station 7 for a Region D WMB
planning meeting. Novak advised there was a good write up today in the paper
about the MMACC.

Kent advised that he has turned people away that cannot even carry on a
conversation with me and I feel cannot sit at the console.

Nave inquired if there is some incentive we need to offer for Dispatch.

Education
Steve advised that is going well. Pam inquired if we will be having a Paramedic class this next year. Steve advised it does not look like it at this time.

Katie
Katie presented information from the evaluation survey. She advised she got a new program that writes job descriptions and creates evaluations from the job description. Katie advised that there were comments about documentation counting for too much on the evaluation. She stated she feels this is an education problem and we have not taught them how important documentation is. Documentation actually counts for 25% of the evaluation. She advised that we
need accurate documentation to help reduce liability for themselves and the District.

The next evaluation meeting is scheduled August 31.

Katie advised that we had team building training yesterday. The unlawful
harassment training will be next month. She stated that the trainer for this session has advised it is really important for the Board sign off on the policies on this. Katie presented a copy of the PowerPoint presentation to the Board.

Katie presented EAP program information. We are looking at a company to
contract with. The cost is $26.50 per person per year for the District. We could hand out information to the employees regarding the program. They have a 24 hour number for the employees to call for confidential assistance. They also have a CISD team out of Kansas City.

Pam
Thank you for the tinted windows. Nave inquired if it makes that much difference. Pam advised it does and it keeps the cabs much cooler.

MOTION - ADJOURN AT 19:58
Director Rozell made a motion to adjourn at 19:58. Director Nave seconded the
motion. The motion passed by vote: Director Penner (Yes), Director Nave (Yes), Director Rozell (Yes), Director Ford (Yes), Director Novak (Yes).