ORDER NO. 31615 AIR LIFE/AIR EVAC EMERGENCY HELICOPTER MEDICAL SERVICES PROCEDURES Came to be heard this the 8th day of February, 2010, with a motion made by Commissioner Letz, seconded by Commissioner Baldwin, the Court unanimously ' approved by a vote of 4-0-0 to: Approve amending the previous Court Order No. 31561 to offer the same service of ' payroll deduction for Air Evac as we do for Air Life, and authorize Ms. Hyde, through ', Human Resources Department, to meet with Air Evac to get the information and communicate it to the employees, for additional coverage for emergency helicopter medical services procedures. 1,~3 311~I-s COMMISSIONERS' COURT AGENDA REQUEST PLEASE FURNISH ONE ORIGINAL AND ONE (1) COPY OF THIS REQUEST AND DOCUMENTS TO BE REVIEWED BY THE COURT MADE BY: Comm. Oehler MEETING DATE: February 8, 2010 OFFICE: County Commissioner TIME PREFERRED: SUBJECT: Consider, discuss and take appropriate action regarding emergency helicopter medical services procedures involving AirLIFE, AirEvac and Kerrville EMS. EXECUTIVE SESSION REQUESTED: (PLEASE STATE REASON) NAME OF PERSON ADDRESSING THE COURT: Comm. Oehler ESTIMATED LENGTH OF PRESENTATION: IF PERSONNEL MATTER - NAME OF EMPLOYEE: Time for submitting this request for Court to assure that the matter is posted in accordance with Title 5, Chapter 551 and 552, Government Code, is as follows: Meeting scheduled for Mondays: THIS REQUEST RECEIVED BY: THIS REQUEST RECEIVED ON: @ .M. All Agenda Requests will be screened by the County Judge's Office to determine if adequate information has been prepared for the Court's formal consideration and action at time of Court Meetings. Your cooperation will be appreciated and contribute towards your request being addressed at the earliest opportunity. 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[ p iy ~ O °J ~ ~a A' a, , H ' ~ y'b ~~ ° '" ~ `~ ~ O ~`""'~" y"' N ~ C ~ V m b ~ a[i v N id Q V 'O 'a~. o W y ~ p, .ttl ~ ~ ~ W y p p 'f'~' ~ y ~ w ~ ~ ~ P 'O ~ ~ ~ a > ~ ~ ~ "' v p °' ~ 21„ .~ aK, ~ ~ y b a y a~ ~~ o ~ ,b o w p 'Y o o ~ " ~y ~ ~ ~ -" w ++ N .d .5 .~ a, ~ :~ id (tl ~ V ~ ~' M ~ ~ ~ (tl 'O y W ~ W '~ ". ~! .y td O Q 'O G .. 'C1 G _ o _ _. ?-: N '~ ..~ • ~ M t id ~ ~ ~ . a~ m5vro~'~a"i c~c~[oo•~ .O C ~ « q ~ ~ W ~ ~ ~ ~ y ~ ro ~ m o o~~,o o a, ~~ c'" 'C V,~ `~ ~ 3 d~'' ~ v v~ ~~~ ~ ,~ " p.~ O.L ~~ A "y .~y [ C°i G A y~ ~ ~ ~ ~ °~' .S v y ~ y" " ~ ro °' ~ ., 3 ra' v°[' `'° ~ ~ v ~"o o v g 6 ~ v o `d v ~ E 'a .~ v ~ p ~ ~ .~ ~ v ~ ~ '~ .~ 8 ~ G ~ v ~a . v .S o ~ ~ C~ a~i C p~ ~ v'S w Y o w~p~p v~ 3 y o ~ ~ ~~ .c c.C N. m o m'~ ,~ c.S ~ c7 O y O T O O ~ 3 'O ~ .J .v ~ ~ v ~ d ~ o w 0 0 ~ 'o~ A ~ " ° ~ n ~ ~ '" .n A o .,.. E 'c 'o' o '~ °i « y c u.. W m~d ~ ~' ._ o _ ~ 5 E~~~ ~ y C C~ ~ C m a ~~ ~ .. a O O E.~ O A"'t~i '-It :~ L N ~ y ;~ ..y w¢ E ~ .. .5 > 3 .c ~ ' P~ o v°~' ~ °y' a o ~~° y,~ c4 ~ v. ^ " ~°. ° Q. o~ 3 5 6 0 ° H p~~ ~ ~ b ~ ¢ •~ ~ 5 'W~ ~ a v n [ .~ w ~°,. F E~«° w 3'u fi¢~ o. o'~ o. .°J. F`y° ~ PUB~IC PARTICIPATION FORIVi` ~ FOR ~ - / ~ KERR COUNTY COMMISSIONERS' COURT Z INSTRUCTIONS: Fill out all appropriate blanks. Please print or write legibiy. Present to the COUNTY CLERK prior to the time that the Agenda Item (or Items) you wish to address are discussed. If you are handing out any material or documents to the Court, please make sure you have one extra copv for the Clerk to ensure that one is put into the record. ~ ~ ~ M~ ~-Co~-~ Name: Address: ~ ~ ~ ~owe-i ~ C,t,V~,~ ~~~~ ~:~ `~1c. -78vz8 Telephone: g3b~ a 5-7- ~C3~5o Place of Employment: s ~ ~ Employment Telephone: - Do you represent any particular group or organization? Yes No /~ If you represent a group or organization, please state the name, address and telephone number of such group or organization: I f' Which Agenda Item (or Items) do you wish to address: '-~ ,o ` 1,rt,CP~ In general, are you for or against such Agenda Item (or Items}? For Against ~~~ ~ ~ l ~ Signature NOTE: 7his Public Participation Forrn must be presented to the County Clerk prior to the time the agenda item(s) are discussed. Once you reach the podium, please state vour name and who/what vou represent clearlv for the court reporter to accurately record who or~u are. ! ~ " ~ . ~.. ~ ~ ~ ~clc. s~~- ~~~~ts `~~9e ~U ~~~ ~. ; ~~ n~ n~~. Nu~-1~ - e! + ed ~ n~v: C`~ -- y SheY- C~.mbc.~la`r,e ~iJ~v r( ~ GU t Zl ~`1 e ~ l~t{~e 5h~ -~,r, 1~ _ a.i ~t-ed ~ ~ ~ 5he-~ -~ ~a,d ~ n~ - ~^^~~i~ ~.~'-~' - ,. --.~.~ ~... ~~.. ,~~ _ _ _4.._. ~.~ .... ........ L/FETEi4/I ~ll T~. A/R E~1/~4C 800-793-0010 • P.O. Box 948 • West Plains, MO 65775 Fax (417) 257-2863 • membership@air-evac.com Billy McCord 111 Lower Turtle Creek Rd Kemille, TX 78028 Dear Billv. 6/26/2007 Membershin number: 342386 Thank you for joining Air Evac Lifeteam. Your support is extremely important to us. Our members make it possible for us to provide our air ambulance service in your community. As a member of Air Evac Lifeteam, you will receive our newsletter in the mail twice a year. If you have provided us with an email address, we also will send you periodic updates to let you know when we open a new base, or to inform you of other items of interest. Air Evac Lifeteam works closely with ground EMS and 9-1-1 agencies. If it is available in your area, please call 9-1-1 if you have a medical emergency, and let them know you are a member of Air Evac. They will notify us if your condition warrants helicopter transport. We have enclosed a medical information packet, which is intended to provide your medical history to emergency personnel. Please be sure to read the instructions on the reverse side of this letter to use this packet correctly. We also have enclosed a gift certificate request form. What better way to show someone you care, than to give them a gift that could save their life? The more members we have, the better we can serve the people in your community. Not only can more people can taice advantage of our iiresaving service, nut it aiso heips insure tnai we can continue to provide our service in your area. Again, thank you for your support. Please feel free to call us at 1-800-793-0010 if you have questions, or if you need to update your member information. And please visit our website at www.lifeteam.net to order Air Evac logo merchandise, or to find out the latest news at Air Evac. Please refer to the reverse side of this letter for the terms and conditions regarding Air Evac Lifeteam membership. Gratefully yours, ~ ~.~ Colin Collins President MC:2, CS:2, PS:2, MF:2 ~irLIFE News - San Antonio, Te~s http://www.Ucairlife.com/airlife news/san antonio airlife 3_ht~n San Antonio AirLIFE '~3" Kerrvilie, Texas San Antonio AirLIFE, South Texas' only not-for-profit air ambulance service, is proud to announce the start of operetions in Kerrville, Texas. This service provides another vital link to the citizens of Kerrville and entire Hill Country region to trauma centers and specialized care in San Antonio and Austin. A few words from our CEO Thank you for the opportunity to address the Kerrville community about the recent announcement of Sa~ Antonio AirLIFE starting operations in Kerrville. San Antonio AirLiFE is a not for profit air ambulance program that has been serving the Hill Country (Kerr, Gillespie and Kimble counties) since its inception in 1991. AirLIFE is equally funded by the Baptist and the University Health Systems, and is govemed by a board of directors that is comprised of representatives for both of these organizations. AirLIFE will transfer patients as requested by both EMS and hospitals to comprehensive tertiary care facilities in San Antonio and Austin regardless of the patient's ability to pay. One of the most frequently asked questions has been, 'Since the hospital is t,pntract+ed with Airi.IFE now, will I be fonced to tly on AirLIFE when I have a membership with another company7" No. The patient and or the patienYs agent (family, spouse, or power of attomey) always has the final decision on where a patient is to go and by what mode of transport. However, if a patient requests to go by ground arntrulance or by a helicopter that is in Austin and one's medical condition merits immediate transport, there will be a decision that has to be made by the patient (or their agent) EMS and the'Ftospital to delay care or depart immediately. "How can AirLIFE honor other agencies' meinbersJiips?" Since we untlerstand that Kerrville citizens have invested in a membership pragram, and there may be instances that a member may need transport by air ambulance and that resource is not readily available, AirLIFE will fly those patients and will bill the patient's insurance. The patient, by law, is obligated to pay whatever deductable that their insurance carrier sets, however, any balance of charges that are billed to the patient will not be collected. Since AirLIFE does not do its own billing, if we Fly a member and that member receives a bill, they will have to contact the billing agency and provide proof of their membership to have these charges removed. '7s AirLIFE going tosel/ mernLe~hips in Kemri/le?° At this time, AirLIFE management does not plan to sell memberships; however, we will continue to ~ ~fd 2/4/2010 9:19 AM Robert W. Hilliard, FACHE President and CEO San Antonio AirLIFE ~irLIFE News - San Antonio, Te~cas hrip://www.~sa~iriite.com/airlite_news/san antonio airlite 3.htm evaluate the concept based on customer demand and industry trends. Membership pians are very restrictive in their coverage area. When one owns a membership or subscription plan, a person is bound by a geographical anea to be covered by that plan. No other air medical program is obligated to honor it. If a person were to drive to the coast or Rio Grande Valley and necessitate helicopter transport to a hospital with a higher level of care, a Kerrville membership would be useless. This is the case as well if you travel to San Angelo, Big Bend, Dallas/Ft. Worth, Houston, and the Panhandle. "Is Aeterson Memoria/ MedicaJ Center paying or receiving payment from AirLIFE to ptavide their services2" No. There is no financial contract or obligation between the two agencies. I hope that this answers some of the frequently asked questions that we have received since this announcement was made. If you have any additional questions about San Antonio AirLIFE, please contact Steve Soliz, RN at 210-233-5807, or via email at steve.solizCa~txairlife.com. I thank you for your time. Robert W. Hilliard, FACHE President and CEO San Antonio AirLtFE Our Aircraft San Antonio AirLIFE will initially begin operations flying in a brand-new Eurocapter AS350 (B2). The single engine AS350 is renowned for its high perFormance, its safety, and it has reduced operating costs. This is the same aircraft currently operated by Shannon AirMedi in San Angelo. In spring 2009, AirLIFE will replace the AS350 with a new Bell 407. Since its first flight in 1995, the Bell 407 has Eurocopter AS350 (zoom) completed over 1.2 million flight hours and more than 600 are in operation in more than 40 countries worldwide. The aircraft has a range of 330 nautical miles. The Bell 407 is a highly-maneuverable, four-bladed, light helicopter with hot and high altitude capability. The helicopter can fly in arctic, desert, hot and high environments. All of our aircraft are maintained and operated by Air Methods Corporation of Englewood, Colorado. Air Methods has been the sole vendor providing these very important services to San Antonio AirLIFE since our inception in 1990. Our Staff AirLIFE has always prided itself with the high-level of experience that our medical crews have. We average 17-years of healthcare experience by all of our Flight Nurses and Flight Paramedics. We do fly with a nurse and paramedic on every mission, ensuring the highest level of care for every patient that we transport. Currently, we are fortunate enough to have some staff members that were former empioyees of Critical Air Medicine, the original air ambulance service in Kemrille that began operations in 2000. This will provide a levet of familiarity from our regional EMS and hospital ~ of 4 2/4/2010 9:19 AM Fage 3 of 3 BJ McCord From: "Todd Corbin" To: "'BJ McCord"' Sent: Friday, February 05, 2010 9:13 AM Subject: RE: Air Life written policy Sorry { pulled up the wrong base number you need base 48 information. Charles (Nick) Clark is the program director 830.257.0441 Horace Taylor is the sales manager 830.423.4544 I can't confirm any patient information but ! can confirm we were on the scene at the time you indicated and did transport a person. Todd Corbin Rir-Evac Lifeteam Systems Coordinator - Membership Services 417.257.1591 1.800.793.0010 ext 71591 www.lifeteam.net We are committed to quality customer service by creating awareness in communities we serve to help minimize the financial burden to families who suffer medical emergencies From: BJ McCord [mailto:mccordil@windstream.net] Sent: Thursday, February 04, 2010 4:34 PM To: Todd Corbin Subject: Re: Air Life written policy Todd, Regarding base #47 Director. I caNed the number you gave me for Jose, 979.639.1236, and that number is the line for a Scott Schaeffer. I am trying to determine whether Air Evac Lifeteam was at the scene of the accident that I was in at Hwy 16 and Lower Turtle Creek Road, on 30Dec09, somewhere around 3:03 PM. And, if so, who was their passenger, a Sharon Hurley? I made it extremely clear to the EMS lady who was assisting me that I wanted to ONLYgo on the Air Evac helicopter, and NO OTHER. If it wasn't there, I wanted to wait until it got there, because I was a member in good standing with them. I really believe that they put Mrs. Hurley on Air Evac, and me on Lifeline, and that is where this problem started. Thanking you in advance, Heidi and B.J. McCord - Original Message - From: Todd Corbin To: 'SJ McCord' Sent: Thursday, February 04, 2010 9:50 AM Subject: RE: Air Life written policy 2/5l2010 i ~~ c~ . - ~ . . ~. ~. ~ ~ ~. ~ .. - ~~.. ~.~'~. ~~~ ~~'~ ~~ 615 Soiedad, 3~d Floor Snn Antonio, T)( 78205 ~ te: O r~~~ f' ~ . ~1~G1 i ~ C~~Y~ . ~ ~ ~ L~UU~' ~I~{ i~~'~-~ C 1~~ ~=- . ~C~~/i, ~I~ -~ ~~c~~~ , __ __ PATIENT: _ ~ 4 I PATIENT #: ~~ (I~~' / '~ ~ate of Service ' ~~~ f ~ i~~~ ~-~~ ea~.n~~ :$ ~ o~~ N~5 ~. i~.~~~~d - Your Irtsurance Cnrrier ~~~ hns denied ment stnting claim is ~ ~ f • ~ ~ ~~r ~- n~~~~~~ ~v L~~ ~-~ .~~~, W~. _ A letter has been sent to you from the cart^ier re~arding this.matter. Please contact your insu~ance cnrrier as soon as possible and provide them with n(I.needed information to compEete your claim. If you have any additiatwl questions, please cnll our office C~ 210-297-1683. If no reply is receiyed within 15 days if this letter, balance will be partient responsibility. u, ~ h Airlife ~Bi Iler/Collector ~ (210) 297-ib83 = ~ ~ ~ ~-~` C~.S (,~ ~'~ ~(~ I~V~(1~.~ U~S~ ~~~ ~-~.~ `~ I~ . ~ - ~ i~--(~~~~-~ ~ , ~ ~~ ~