Year 2018 4124 Clemson Blvd, Anderson, SC 29621 www.camts.org O -864 287-4177 From the Executive Director The year 2018 was a busy year of expansion and consolidation. For example, we accredited 58 medical transport services. This does not seem like a large number but because we often have many sites combined under the same program’s survey – these 58 programs included 271 bases. For initial accreditation site visits to new applicants, this means we visit every base. For reaccreditations, we will visit new or changed bases and usually include an unannounced base visit. This involves a great deal of planning, logistics, and travel to remote bases with as many as 5 site surveyors at times. Gigi Randall, our Administrative Assistant, and our experienced lead site surveyors do a wonderful job of scheduling and coordinating these visits. We changed the policy last year to accommodate these large services under one owner/operator. Combined services may apply as one service if they have the same mission, management, policies, medical direction and protocols, and a common Part 135 certificate. Shelley Dixon, our bookkeeper assistant, keeps the new and reaccrediting services represented correctly and promptly on the camts.org website. In addition to complex site surveys, we completed the standards and process for Special Operations – Medical Retrieval which were accepted by both CAMTS and CAMTS EU Board of Directors and is available worldwide. Special Operations – Medical Retrieval includes criteria for services that provide tactical rescue or “SWAT: call-outs and citizen recovery from potentially unstable environments. There are already 2 applications for this specific accreditation. The 11th Edition CAMTS Accreditation Standards were published in October 2018. The Standards Committee (organized per ANSI policies) spent 18 months meeting and discussing comments from the public and peers who visit our website to comment on the drafts of standards. The Standards Committee is well-organized under Dudley Smith, our Associate Administrative Director. Jan Eichel, our Clinical Associate Executive Director, has been completely revising our internal QM process. In addition, she holds regular meetings with site surveyors to review the results of QM evaluations and to update the site surveyors on new policies and practices proposed by the Board of Directors. In July 2018, the CAMTS and CAMTS EU Board members met in Munich at the ADAC headquarters. ADAC is one of the largest helicopter emergency services in Europe. See the July meeting minutes in this report for details and a Board picture in front of the ADAC headquarters. Prior to the October meeting in Phoenix, we sponsored another “GAMUT Workshop” that resulted in “Standing Room Only” participation. Dr. Michael Bigham and Dr. Hamilton Schwartz – co-founders of the GAMUT Database and Linda Meiner, MSN, RNC, Clinical Manager for PHI Air Medical and CAMTS Site Surveyor were the presenters. We also held our annual “Preparing for Accreditation” workshop with a full attendance to learn about and receive copies of the newly published 11th Edition Accreditation Standards At the end of 2018, we rebranded CAMTS EU and developed a new logo and website. See the press release and logo on page 21 of this report. Please enjoy the summary of 2018 that follows. 1 Table of Contents Page Number Treasurer’s Report Page 3 Board Meeting and Site Surveyor Meeting Summaries January 2018 Board Meeting Page 4 April 2018 Board Meeting Page 6 July 2018 Board Meeting Page 10 October 2018 Board Meeting Page 15 CAMTS Global Press Release Page 20 Member Organizations and Board Representatives Page 21 Listing of Current Site Surveyors Page 22 Current Listing of Accredited Services Page 24 2 Treasurer’s Report The 2019 budget was approved with the new fee structure in place. Due to the consolidation of helicopter services we see across the U.S., an increase in asset fees seemed to make the most sense. We did not increase the PIF fee of $6500.00. Accreditation fees had remained the same for 9 years prior to this increase while most non-profit organizations impose a cost of living increase. A letter was sent to all programs that were planning on reaccreditation in 2019 and beyond for budgeting purposes. The Board also changed the All or None policy so that independent companies who operate under the same policies, practices, medical direction and protocols, and FAA Part 135 Certificate may apply as a group. Planning and scheduling these site visits and coordinating surveyors for these huge multistate visits is very time consuming and reflected by the increase in fees. Unlike other accrediting bodies, CAMTS does not charge an annual fee to medical transport organizations. We continue to use our accounting firm - Milam and Associates in Tulsa, Oklahoma and their QuickBooks online accounting for reports and daily bookkeeping. This service provides us with improvements in data back-up; internet-based access and enhanced reporting capabilities. An Independent Accountant’s Compilation Report for the fiscal year ending December 31, 2018, will also be completed by this firm. There were 14 new applications in the calendar year 2018, 2 of those were for Special Operations – Medical Retrieval and 4 of the 14 were Children’s Transport services. There are also 8 outstanding applicants who are working on submitting the PIF. International medical transport services, outside of North America and applying for the first time, are the responsibility of CAMTS Global. As 2019 begins, we have plan on fewer applicants but much larger and more complicated surveys. Respectfully submitted, W. Ashley Smith Jr. Treasurer and NATA representative to the Board 3 Board Meeting Summaries - 2018 Executive Summary COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS Web Meeting – January 22 of 2018 EXECUTIVE COMMITTEE MEMBERS PRESENT: Mr. Gryniuk, Mr. Sittig, Dr. Conn, Dr. Orr BOARD MEMBERS PRESENT: Dr. Stuhlmiller, Ms. Serrato, Mr. Hickman, Mr. Lewis, Dr. Miller, Mr. Brisbois, Ms. Rush, Mr. Ruff, Ms. Montgomery, Mr. Goff, Ms. Corbett, Dr. Alexander, Dr. Cohen, Ms. Treadwell STAFF PRESENT: Ms. Frazer, Mr. D. Smith, Ms. Eichel MEMBERS ABSENT: Col. Friedrichs, Dr. Brunko, Dr. Holleran, Dr. Guyette, Dr. Becker, Mr. A. Smith, EXECUTIVE DIRECTOR’S REPORT…......................................Ms. Frazer / Mr. D. Smith Ms. Frazer announced that the Annual Report for 2017 was sent out to all the member organizations and will be available on the CAMTS website. Ms. Frazer discussed the recent ad-hoc financial committee meeting. The committee is analyzing costs and expenses and merging services that lead to fewer initial fees. The committee will be meeting again and have a full report for the board at our April meeting. 4 Ms. Frazer stated that she has sent out the hotel information for our April meeting. We will be meeting at the Wyndham Hotel in San Antonio in conjunction with the CCTMC conference. Board members must call the hotel and make their own hotel reservations. We are proceeding with arrangements for a joint CAMTS/CAMTS EU board meeting in Munich, Germany on July 12-14. Ms. Frazer will make more information available as she receives it. Ms. Frazer stated that some member organizations have raised concerns regarding the costs of meeting in Europe. Ms. Frazer stated that outside of airfare, the costs of our past European meetings have been significantly less than those we have had in the States due to the associated meeting costs at the host hotel. Mr. D. Smith stated that the new standards committee formed under the ANSI structure met earlier this month for the first time and will have another meeting upcoming. ACCREDITATION DELIBERATIONS.................................................................The Board There were nine accreditation deliberations that resulted in six Full Accreditations and three Probation Accreditations as follows: Advocate Children’s Transport Service – Oak Lawn, IL RW/G AirCARE 1 International – Albuquerque, NM FW Benefis Mercy Flight – Great Falls, MT RW/FW HALO Flight, Inc. – Corpus Christi, TX RW PHI Air Medical NE – Leesburg, VA RW UW Med Flight/ CHETA – Madison, WI RW/G Classic Air Medical – Woods Cross, UT RW/FW HELP Flight-St Vincent Healthcare – Billings, MT RW/FW Life Flight Network LLC – Aurora, OR RW/FW/S Meeting adjourned. The next meeting will be In San Antonio – April 5-7, 2018. 5 Executive Summary of the COMMISSION ON ACCREDITATION OF MEDICAL TRANSPORT SYSTEMS Board Meeting in San Antonio, TX – April 5, 6, & 7 of 2018 EXECUTIVE COMMITTEE MEMBERS PRESENT: Mr. Gryniuk, Mr. Sittig, Mr. A. Smith, Dr. Conn, Dr. Orr BOARD MEMBERS PRESENT: Dr. Becker, Dr. Stuhlmiller (arrived Thursday at 0930hrs), Ms. Palmer, Dr. Guyette, Mr. Lewis, Dr. Miller, Ms. Treadwell (arrived Friday), Mr. Brisbois, Dr. Holleran, Ms. Rush, Mr. Ruff, Dr. Cohen, Ms. Montgomery, Mr. Goff, Dr. Brunko, Ms. Corbett STAFF PRESENT: Ms. Frazer, Mr. D. Smith, Ms. Eichel MEMBERS ABSENT: Col. Friedrichs, Dr. Alexander, GUESTS: Neil McCready, Angela Hall (Saturday) Meeting called to order at 0815hrs on April 5, 2018. I. Ms. Frazer introduced Neil McCready as a guest. Mr. McCready will be discussing special operations medical evacuation and will join a subgroup with Angela Hall later in the meeting to discuss specific standards that apply to Special Operations. II. Treasurer’s Report Mr. A. Smith provided a brief review of our budgetary performance and distributed the 1st quarter balance sheet. A report from the Finance Committee was provided regarding changes in the fee schedule to sustain future operations. III. Executive Director’s Report……........................Ms. Frazer / Mr. D. Smith / Ms. Eichel Ms. Frazer stated our annual report is posted on the CAMTS website. Ms. Frazer will distribute copies of the letter that was sent to each board member’s organization. Ms. Frazer discussed that some member organizations were concerned about the board decision to hold a meeting in Germany. Ms. Frazer explained that because we are being hosted, our costs are far less than a usual State-side meeting.