Cleared for Independent Dispatch: Aetna’s Eric Thepsiri Completes Precepting Phase

Eric Thepsiri Precepting Completion

Hartford Hospital’s Dave Bailey (L) with Eric Thepsiri.

HARTFORD –  As of August 21, 2015, Aetna’s Eric Thepsiri has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Eric started at Aetna in March of 2015 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Matt Campbell. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. Eric started in EMS at 16.  He is currently continuing his education at UConn with an eye towards medical school.

As with all precepting phases at Aetna, Eric’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish Eric the best of luck and say we are very proud to have such skilled professionals on staff.

ASM Currently Seeking Candidates for Full Time EMT and Paramedic Positions

Due to our continued growth, ASM is currently seeking to add full time EMT and Paramedic positions and is seeking qualified and interested applicants. New graduates with an active State of Connecticut EMT certification or Paramedic license are welcome as are those with varied experience levels and professional backgrounds.

The application process is confidential. You must have a clean driving record, a clean criminal background and be able to pass a physical exam and drug screen.

A list of benefits and PDFs of Job Applications and Job Descriptions are available here: http://ambulanceservicemanchester.com/careers.php

Due to the large volume of applications we receive we ask that you please take the following into consideration:

  • After submission of an application, you can follow up on its status via email to the Director of Operations, as detailed in the page linked above. Please refrain from calling about open positions, hiring status, qualifications or the status of your application unless requested to or it is absolutely necessary to do so
  • Applications may be submitted in person, via email, by fax or by mail. Applicants should not expect a meeting or interview at the time of submission. Interviews will be arranged at a later date. When mailing please do not send applications by registered or certified mail.
  • Whenever possible, please submit a copy of your CPR card and applicable EMS licenses and certifications with your application.
  • Applications will be kept active for a period of time of no more than six months. You will receive a call or letter within a reasonable period after submission informing you of the status of your application. If you are declined you may re-apply again at any time after receipt of the letter.

Thank you very much for seeking us out and wanting to be a part of our growing team!

Kudos from the Cath Lab: Volume 15

EMS team receives Kudos from the Cath LabGLASTONBURY — During July 2015, ASM Paramedic Joshua Traber and his partner Supervisor Michael Sparks responded to a medical call in Glastonbury with Glastonbury Ambulance. The EKG was indicative of a STEMI and Josh wirelessly transmitted the 12-lead EKG to Saint Francis Hospital, activating their cardiac catherization lab from the field. (#15-53809).

SFH Cath Lab Patient Follow-Up Form Treatment by EMS and Direct to SFH ED

EMS Agency: Ambulance Service of Manchester & Glastonbury Vol Ambulance

Indication: STEMI

First Medical Contact (FMC) (at pt side)                           14:09          elapse:  00:00

EMS 12 Lead Acquisition Time:                                           14:17          elapse: 00:08

EMS STEMI Alert Request Time (source: cmed):                14:38        elapse: 00:21

EMS 12 Lead Transmit Rec’d Time (source: Lifenet):        14:37          elapse: 00:20

Arrival Time (SFHED):                                                            14:46          elapse: 00:09

Cath Lab Arrival Time (SFH):                                              15:37          elapse: 00:51

Procedure Start Time:                                                             15:46          elapse: 00:09

First Device Time:                                                                  16:07          elapse: 00:21

————————————————————————————————————–

SFHED Door to First Device:                                                81 min

FMC to First Device:                                                              118 min

Vessel Angiography Findings / Treatment:100% LAD and 80% RCA lesions; LAD open and stented. IABP required. NOTE: delay to PCI due to CTSCAN  to r/o aortic aneurysm-family history.

Meet the Newest Members of the Aetna Team: Aetna Hires Ten, 2015

HARTFORD — On August 14, 2015, nine EMTs and one Dispatcher were added to the Aetna team. As part of our continued growth Aetna and ASM seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Mark Correa:    FULL TIME, EMT. Hello my name is Mark Correa and I am a 23 year old currently residing in Springfield, MA. I have been an EMT in Springfield since 2011 and I take great pride in the work and care I provide to each patient with which I interact. I’ve worked as lifeguard for  seven years, a Dialysis Technician and an EMT at semi-pro football games. This allows me ample opportunity to work with those in need. I am currently in school working on a Bachelors of Science in Fire Science with an ultimate goal of becoming a Firefighter/Paramedic. I like to be active, I’m a sports guy, and I play semi-pro football as well as being an EMT at the games. I am excited and grateful for this new opportunity. 

Kelsey Gross:    FULL TIME, EMT. My name is Kelsey Gross.  I am 22 years old and live in Manchester, Connecticut.  For the first two years of my college career I attended the University of Wilmington in North Carolina, and then transferred back to my hometown of Storrs to finish obtaining my degree.  This past May I graduated from UCONN Storrs Campus with a Bachelor’s of Science in Biology.  My interest in the field of emergency care began when I took an EMT course at UCONN during fall of my Junior year, as well as when I shadowed my pediatrician throughout my summers in college.  In the future I plan on attending a Physician Assistant program in the hopes of becoming a pediatric Physician Assistant, thus combining my love of children and of the medical field.  Before joining Aetna I worked in a childcare center during the week as well as at a winery on the weekends.  In my spare time I enjoy hiking, playing volleyball, and traveling.  In addition, one of my favorite activities is playing with one of my many dogs; right now there are 5 in my house!  I am very excited to join the Aetna family, and cannot wait to meet all of my fellow coworkers!

Ariel Mazara:     FULL TIME, EMT. My name is Ariel Mazara, I am 29 years old and currently live in Bristol, CT. I grew up in Queens, New York. While in high school, I joined multiple Volunteer Ambulance Companies, the Manhasset-Lakeville Volunteer Fire Department and was a founding member of Medical Explorer Post # 7380. At the age of 16 I became a New York State Certified First Responder (NYS CFR), later becoming an EMT at the age of 18. After working several different jobs ranging from afterschool programs, to a private non-emergency transport company, to being a supervisor for the Starbucks Coffee Company I enlisted in the Marine Corps. I served four and a half years as an intelligence analyst specializing in legal compliance and oversight. While on active duty I graduated from Excelsior College with an Associates of Science in Liberal Arts in January of 2015. I am currently pursuing a Bachelor’s of Science in Criminal Justice.

Brianna Middel:    FULL TIME, EMT. My name is Bri Middel and I’m from East Lyme, Connecticut. I am 24 years old and I graduated from Springfield College in 2013 with a degree in Biology. I hope to attend Nursing or Physician’s Assistant graduate school in the future, with hopes of becoming a cardiac perfusionist eventually. In my spare time, I love to be outdoors, whether it is to run, hike, kayak, or travel somewhere new. I love meeting new people, and I’m excited to be a part of such a great team!

David O’Brien:    FULL TIME, EMT. My name is David O’Brien and I recently became an Emergency Medical Technician. This past year I have dedicated myself to changing my career to helping others. I enrolled in an EMT course, became a volunteer firefighter and a substitute teacher all since February of 2015. My background includes 18 years of working in warehouse and transportation settings and through those settings I have learned that my heart truly yearns to helping others. I graduated from Northeastern University with an Athletic Training degree and during my time at Northeastern I was assigned to the Tuft University Athletic Training room; NU AT room; and both the NU basketball and football teams. I also did a co-op at Natick High School as the Assistant Athletic Trainer. I pride myself on being a results oriented, hands-on individual. During my time in Operations, I realized that because my management style strongly emphasizes communication and the principles of team building, I want to get back to helping others. Within Aetna I feel that I will be a valued addition to the team. I continue to train as a Triathlete, having completed the REV3 a few years ago, and I maintain a healthy lifestyle with a wonderful wife and three active children.

Roberto Rizza:    FULL TIME, EMT. My name is Roberto Rizza. I’m 38 years old and from Meriden. I studied Criminal Justice in college and shortly after I obtained a career as a Correctional Officer for 12 years. I pursued my education at Wolcott Fire School where I received a Firefighter-I certification. I then completed an EMT course in which I also received a certification. I have been a South Meriden Firefighter Volunteer for the past three years. I’ve always had a passion for helping those in need especially with quick response in emergent situations and most importantly, in saving lives. In my spare time, I enjoy going for a run, working-out, playing sports, going to the beach, hanging out with friends, and spending time with my family. I also speak Italian. My parents were born in Italy and came here for better opportunities. I’ve been brought up with a strong work-ethic and ambition to achieve my goals. I am thankful and look forward to this opportunity.

Blake St. John:    FULL TIME, EMT. My name is Blake St. John and I am 29 years old. I reside in Vernon, CT and have spent most of my life in the Hartford area. I got my start in emergency services with the Town of Vernon Fire Department in 2006. I was instantly hooked and knew I had found my calling. I have been a fully active member ever since. All the while, I maintained full time employment while concurrently working towards my degree from CCSU in New Britain. I have been employed full time in the Information Technology field since 2007 and with the same firm since 2008; a great software company located in the Hartford area. In my time in the Town of Vernon, I was inspired and encouraged to take on new roles and responsibilities, the latest of those was my EMT certification. For a long time I had assisted at EMS calls from the periphery and was excited about the opportunity to “get in there” and perform my own patient care. I attended the New Britain EMS Academy in 2013 and certified as an EMT in 2014. While precepting in New Britain, I learned a ton of information, met a great group of people, and immediately became hooked on EMS. A while after completing my program, I started volunteering as a primary technician with Ellington Volunteer Ambulance Corps; another great EMS organization and a great group of people who I enjoy working with. In my time volunteering with EVAC, I found that EMS was definitely where I wanted to be. For the first time in my life, I am following my heart into a career path rather than my wallet. I am very excited to be able to turn my part time volunteer vocation into a full time career at Aetna Ambulance.

Tomasz Sopel:    PART TIME, EMT. I am a 23 year pre-med student at UConn pursuing a Bachelors of Science in Physiology and Neurobiology. Born in Leżajsk, Poland, I came to the United States when I was three years old and have lived in Connecticut ever since. I completed my training with Bristol Hospital EMS and have experience working with the Town of Newington. It’s always been my life goal to learn as much as possible about the human body and to use that knowledge to save lives, so becoming an EMT was a perfect decision for me. I take my studies seriously; as I’m work towards an ultimate career in neurosurgery. In my time away from the books I like to train martial arts and compete in a few competitions throughout the year. I welcome any kind of new experience, be it skydiving, cliff jumping, week long hiking trips, I love experiencing new things and adapting to challenges in real time. Knowing this, I do my best every day to learn and grow from these day to day challenges so I can be the best version of myself I can be, both in the uniform and out. I am very eager to use this mentality to learn and grow with everyone at Aetna!

Bethany Sullivan:    FULL TIME, EMT. My name is Bethany Sullivan, I am 22 years old and I grew up in Bolton, Connecticut.  I graduated from UConn in 2015 with a double major in Pathobiology and Animal Science and a minor in Molecular and Cell Biology.  I began riding horses at the age of four and I have my own horse that I train and ride almost every day.  In college, I enjoyed being on the UConn Equestrian Team and was also part of a research team conducting genetics and muscle biology research as part of two broader studies at the university.   During this time, I also worked as a veterinary technician at a local equine practice and enjoyed helping treating horses in both emergency and primary care.  These experiences actually helped foster my pursuit of human medicine.  In 2014, I received my EMT certification from Hartford Hospital and I am now an EMT on-call with the Bolton Fire Department.  I enjoy the human interaction and ability to help people in need.  Presently, I am taking a year off while applying to medical school, and am excited to be part of Aetna Ambulance!

Tom Winterbottom:    FULL TIME, EMT. My name is Tom Winterbottom and I am 22 years old. I am from Burlington, Connecticut where I’ve lived for most of my life. I graduated from The University of Connecticut in May 2015 with a bachelors degree in Communication. I have been a volunteer firefighter in Burlington since 2010 and received some firefighting certifications. This past summer I decided to take the EMT course through Bristol Hospital and start my EMS career. In my free time I enjoy volunteering at the fire house and training with my friends. I also enjoy doing anything outdoors such as hiking, fishing, and water sports. In my future I wish to become a career firefighter or a paramedic. I look forward to meeting you all and I am proud to be apart of Aetna’s team!

Meet the Newest Members of the Team: ASM Hires Six, 2015

HARTFORD — On August 12, 2015 six EMTs were added to the ASM team. As part of our continued growth Aetna and ASM seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Valerie Adams:    FULL TIME, EMT. My name is Val Adams, I’m 26 years old and currently reside in Ellington, CT.  In my free time I enjoy volunteering on the Ellington Volunteer Fire Department. I have been a member of the department for just over ten years and have been a lieutenant for the past two years. I recently became involved with helping out with the cadet program and love being able to teach new skills to the kids. In addition to volunteering I also enjoy running on a regular basis and try to run a few 5k races every summer. I attended college at Worcester Polytechnic Institute where I received a BS degree in Civil Engineering and an MS in Fire Protection Engineering. Although I have enjoyed learning about both fields of work, I quickly determined that it was not the right career choice for me. Through volunteering I was able to find that I loved to help people and decided to get my EMT license after being an EMR for about ten years. I have also decided to go back to school and am working towards a degree in nursing.

Ryan Bochman:    FULL TIME, EMT. My name is Ryan and I am 32 years old.  My wife and I recently bought a house in East Hampton.  I have been a volunteer firefighter on and off for almost seven years in various location.  I had my Intro to EMS while I was still in high school as an MRT (now EMR).  I later chose to pursue my EMT certification and have been volunteering with the Manchester Fire Department 8th District as a firefighter/EMT for 1 1/2 years.  In my free time I enjoy doing pretty much anything outside from fishing to golfing, or just playing with my dog Jake.  I’m looking forward to what the future holds, whether it be Paramedic school or an RN degree.  But I am looking forward to starting a new career with ASM and to assist people in their time of need.

James Crompton:    FULL TIME, EMT. My name is James Crompton. I am 22 years old and this is my first job in commercial EMS. I am from Middlefield, Connecticut and have previously attended Middlesex Community College where I received my Associates degree in Criminal Justice. In addition to taking classes at MxCC, I started EMT school where I quickly became more interested in the field. I earned my EMT certification in January of 2015 and soon after joined the Middlefield Volunteer Fire Department. This is the most fun, exciting and rewarding experience I have ever had. At this point was when I decided I am more interested in pursuing a career related to fire and EMS. I enjoy spending time outdoors, hunting, fishing, and camping. I also enjoy watching football, Go Patriots! My plan for the future is to get experience as an EMT, possibly advance to Paramedic school, and eventually become part of a paid fire department. I am looking forward to furthering my skills at ASM.

Andy Hernandez:    FULL TIME, EMT. My name is Andres but everyone calls me Andy and I am 24 years old. I was born in Cali, Colombia and I arrived in the US at the age of ten. I have lived in East Hartford since then and graduated in 2009 with high honors. I have worked in the Emergency Room at Manchester Memorial Hospital as registration staff for approximately three years. I decided to become an EMT as my first step to my career of becoming a PA. I took my EMT course at Code One Training Solutions this past Spring. I am currently enrolled in Manchester Community College as a Business Management student, but decided to take a break from it since working in the Emergency Room made me realize that I enjoy interacting with people as much as providing care for them. One of my biggest goals in life is getting into Quinnipiac, were I hope to resume my studies and obtain a degree. I enjoy different activities on my days off. One of my biggest hobbies is playing soccer because that is one the most popular sports in my country. I also enjoy going to the gym where I had the pleasure of meeting the Great Khali.

Russell Jones:   FULL TIME, EMT. Hello! My name is Russell Jones and I am 25 years old.  I am originally from Wethersfield, CT but currently live in Columbia, CT.  I graduated from Wethersfield High School in 2008.  Having enlisted in the CT Air National Guard my senior year I left two weeks after graduation for basic training.  After returning I started classes at Eastern CT State University for Business Administration in 2009 and graduated in 2013. Upon graduation I started a business with a buddy of mine that I still work with (on the side) today. I recently became very interested in pursuing a career in healthcare after realizing the office setting was not for me.  I finished my EMT class at Code One Solutions in June and could not be more excited to have been offered a job at ASM! I plan to further my healthcare career by pursuing a paramedic license in addition to a second bachelors degree in nursing.  My ultimate goal is to work with LifeStar.  I enjoy playing golf and am an avid snowboarder. I do try and be outdoors as often as possible but at the same time enjoy playing video games.  I have always been very cool headed and excited to help people.  A fun fact about me is that I received this job offer on my birthday and could not have received a better birthday present!  I look forward to working as an EMT with such a great company as ASM and excited to see what the future holds for me.    

Walter Valenica:    FULL TIME, EMT. My name is Walter, I am 24 years old I’ve grew up and lived in Manchester for pretty much my entire life, since 2007 I have been a volunteer firefighter which has introduced me to EMS. Almost immediately I decided to become a career firefighter as my ultimate career goal, I particularly enjoy helping the community especially during people’s time in need.  After high school, I enlisted in the Marine Corps Reserves and speaking to the Corpsmen from the Navy, and watching the EMTs of my fire department really pushed me to obtain my EMT certification, so that I can be an even greater asset to the community. I’m really excited to practice my skills and learn a lot from everyone with ASM.

Cleared for Independent Dispatch: ASM’s Billy Schnepp Completes Precepting Phase

Billy Schnepp between Vinnie Maston (L) and Nancy Brunet (R)

Billy Schnepp between Vinnie Maston (L) and ECHN’s Nancy Brunet (R)

MANCHESTER – As of August 3, 2015, ASM’s Billy Schnepp has been cleared by Eastern Connecticut Health Network medical control for independent dispatch as a paramedic to the towns that ASM serves.

Billy’s preceptors were Paramedic Don Hart and Paramedic Supervisor Melissa Osborne. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. As with all precepting phases at ASM, Billy’s final approval came from Eastern Connecticut Health Network after shadowing Billy and his preceptor (Vinnie Maston for Billy’s final shift) in the field as they responded to emergency calls.

Billy started at ASM as an EMT-Basic in 2012 and graduated from the New Britain EMS Academy Paramedic Program. He graduated from the University of Connecticut with a Bachelor’s in Psychology with a focus on neuroscience.

On behalf of the ASM Family, we would like to wish Billy the best of luck and say we are very proud to have such skilled professionals on staff.

Cleared for Independent Dispatch: ASM’s Jonathan Lentini Completes Precepting Phase

Jonathan Lentini 2MANCHESTER – As of July 9, 2015, ASM’s Jonathan Lentini has been cleared by Eastern Connecticut Health Network medical control for independent dispatch as a paramedic to the towns that ASM serves.

Jon’s preceptors were Paramedic Greg Derosier and Paramedic Supervisor Vinnie Maston. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. As with all precepting phases at ASM, Jon’s final approval came from Eastern Connecticut Health Network after shadowing Jon and his preceptor in the field as they responded to emergency calls.

Jon started at ASM as an EMT-Basic in 2011 and graduated from the Capital Community College Paramedic Program.

On behalf of the ASM Family, we would like to wish Jon the best of luck and say we are very proud to have such skilled professionals on staff.

Kudos from the Cath Lab: Volume 14

Aetna Paramedic receives Kudos from the Cath LabSTAFFORD — During June 2015, ASM Paramedics Jonathan Lentini, and Greg Derosier responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Jon wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-46694). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Today’s STEMI: Stafford to Hartford Hospital TOTAL Ischemia time 73 min !!!

Congratulations everyone!!!

This patient was brought from Stafford to HH by ASM and Stafford Ambulance (pre hospital ECG was sent and communicated to the ED attending: Drs. Dufel/Price and Cath Lab was activated).

Highlight:   We utilized the quick registration where the EMS team was met at the triage and the patient was brought straight to the Cath Lab.

In a nut shell:

STEMI Stafford to HH 2 STEMI Stafford to HH1) HH D2B Time = 30 min

2) Total Ischemia Time =  73 min  (goal <90 min [1st Medical Contact in the field to Open Artery Time in the Cath Lab]

3) 100% mid-RCA –> 2 DES (TIMI III Flow)

In particular, we would like to recognize the following teams:

1) HH Cath Team – Dr Hirst; D. Jordan, T Schrimer

2) HH ER Team – Drs Dufel, Price and Tilden, and the rest of the clinical team (I am sure we missed many as this was a quick triage)

3) EMS team : G. Derosier and J. Lentini and the Stafford crew.

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Manager, Structural Heart Program

Manager, Cardiovascular Data Management Center

Manager, Preventive Cardiology and Cardiac Rehab

Required Forms for Non-Emergency Ambulance Transport in Connecticut – Volume 2

ASM Bariatric 3This post is an update and rehash of a previous post due to renewed interest in the topic.

Below is a comprehensive list of forms needed to complete a basic life support, routine inter-facility ambulance transfer in the State of Connecticut in 2015. More medical and billing information and demographics are necessary but in regards to forms that go to the ambulance crew, this it…

None of the information below should be construed as legal advice. If there are questions always consult the proper authority. If you have basic questions on this material please call us or post your question in the comments and we will answer to help the greatest number of interested parties. 

Medical Necessity Form (aka Physician’s Certification Statement (PCS) or MNF):  An MNF is required on routine, non-emergency ambulance transports where the patient has Medicare as their primary insurance. It is helpful to have on file for beneficiaries of Medicare HMOs as well. The form essentially works as a prescription for ambulance transport. Medicare never pays for wheelchair van transport so this form represents the threshold between wheelchair van (and all other types of transportation) and ambulance. There are some types of transports from skilled nursing facilities (SNF) and hospital where the sending facility is required to pay for the transport and therefore will not issue or sign an MNF.

There is a misnomer that MNFs are not needed on hospital to hospital and STAT transports because they are inter-facility or emergent. They are indeed required regardless of acuity or receiving facility. Although there are some rules around this they are detailed and convoluted. It is best to provide an MNF on every scheduled ambulance transport in which Medicare or Medicare HMOs are the payor.

A Medical Necessity Form alone does not guarantee payment. In fact it does very little in this regard. It must be on file, but the most important factor is the patient’s condition. The patient must be unsafe to travel by any other means. There are more rules regarding repetitive patients in which a new PCS is only needed every 30-60 days.

The rules around the use of an MNF and meeting Medicare’s medical necessity requirements are extensive and cannot be captured adequately here. Aetna and ASM crews are trained, reviewed, remediated and subject to a rigorous quality assurance process in this regard. If you represent a facility in our service area and feel you would benefit from an in-service to learn more about this, please call (860) 647-9798 x 249.

Physician’s Emergency Certificate (PEC): A PEC is required for the ambulance transport of a psychiatric patient going to any destination (typically a locked behavioral health unit) against their will (or by the will of the physician). In other words, they are being committed to the facility and their ability to make self determination is temporarily suspended by law.

A PEC must be an original form, typically demonstrated by being two-sided and often written in blue ink for this purpose. A copy cannot be used and it must be signed by a physician. It must accompany the patient and therefore cannot be faxed or emailed ahead as facilities will not accept a copy. This form is NOT used for voluntarily committed patients or patients who are conserved where the conservator has ordered transport.

This form also authorizes the ambulance crew to hold the patient against their will. In Connecticut, the only forms that allow an ambulance crew to hold a patient against their will are a PEC and an Emergency Examination Report issued by a licensed clinical social worker or a police officer. Ambulance crews must always use the minimum force necessary and most often this means simply confining the patient and does not necessarily mean the use of force or restraint.

Ambulance crews are not trained or equipped to subdue individuals. Chemical and physical restraints used by ambulance crews are intended to be applied with the assistance of law enforcement or healthcare staff. Judicious, prophylactic application of soft restraints should be strongly considered for patients that present a risk of elopement or danger to self and others. The back of an ambulance is not a controlled and static environment and this should be taken into consideration.

Transportation Authorization Certificate (TAC): A TAC compels the State of Connecticut to pay for the transportation of a patient in need of psychiatric care who is being admitted to an inpatient, state-operated facility. The receiving facility representative signs on Line 4 of this form and it is used as a check and balance before issuing payment to a transportation provider.

There are only five state-operated, inpatient psychiatric facilities in the state, Blue Hills, Cedarcrest, Connecticut Valley Hospital (CVH), Greater Bridgeport Mental Health and Capitol Region Mental Health Center. An ambulance crew does NOT need this form if the destination is any other facility. The need for this form is not created by any other factor such as the chief complaint, the payor or the sending location.

W-10 (demographic portion of the discharge summary): Hospitals are required to provide the ambulance provider with enough information to safely complete the ambulance transport. Aetna and ASM are Covered Entities under HIPAA, have approved policies and procedures in this regard and all employees have been trained in appropriately handling protected health information (PHI). A hospital can restrict the amount of information they issue as long as the transport can be safely completed and sufficient information has been provided to carry out treatment, payment and healthcare operations.

Hospitals are no longer required to provide a State of Connecticut W-10 form or a full discharge summary and quite often they send the summary electronically to the SNF. Although the W-10 format is not mandated, hospitals must provide demographics, history, meds, allergies and any other pertinent information even if the patient is returning to a private residence without scheduled services.

No other form is required for routine BLS ambulance transport. Ambulance crews should NOT be looking for a full discharge summary, so-called “No Harm” letters, full medication administration logs (MARS), psychiatric notes, or any other form that is not listed above. EMTALA-type forms may be useful in informing an ambulance crew as to the patient’s condition and though they may be required paperwork, they are not for the ambulance crew.

Questions? Call the billing office at (860) 647-9798.

Cleared for Independent Dispatch: Aetna’s Joseph Tyree Completes Precepting Phase

Jen Pasquale and Joseph Tyree

Jen Pasquale and Joseph Tyree

HARTFORD –  As of May 15, 2015, Aetna’s Joseph Tyree has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Joe started at Aetna as an EMT-Basic in October of 2009 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Jennifer Pasquale. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

As with all precepting phases at Aetna, Joe’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish Joe the best of luck and say we are very proud to have such skilled professionals on staff.

Cleared for Independent Dispatch: Aetna’s Christopher Willey Completes Precepting Phase

Christopher Willey 2

Christopher Willey (L) with Hartford Hospital’s Dave Bailey

HARTFORD –  As of June 5, 2015, Aetna’s Christopher Willey has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Chris started at Aetna as an EMT-Basic in November of 2014 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Matthew Campbell. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

Originally from New Jersey, Chris moved to Killingworth at age fourteen and moved to Manchester after college. He went to the University of Connecticut for Psychology and Anthropology.

As with all precepting phases at Aetna, Chris’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish Chris the best of luck and say we are very proud to have such skilled professionals on staff.

Aetna’s David Kemp and Michael Pacheco Promoted to Field Supervisor

Michael Pacheco

Michael Pacheco

David Kemp B

David Kemp

HARTFORD — On May 8, 2015 Aetna’s David Kemp and Michael Pacheco were both promoted to the position of Field Supervisor.

Dave has been involved in EMS for the past eight years as an EMT, AEMT and now a paramedic. He has been working for Aetna Ambulance the last two years as a paramedic, and served the past three years as the Deputy Chief of EMS for the Town of Canton Volunteer Fire and EMS Department.

According to Mike, he got his start in EMS in 2007 and has been employed by Aetna Ambulance since 2008. He graduated from the Capitol Community College Paramedic program in 2013.

On behalf of the Aetna family we would like to congratulate David and Mike on their promotion and look forward to great things from and for them.

Kudos from the Cath Lab: Volume 13

Aetna Paramedic receives Kudos from the Cath LabHARTFORD — During April 2015, ASM Paramedic David White and his AEMT partner, Al Pardi, responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Dave wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-29463). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Congratulations everyone on a great care of this antero-lateral STEMI pt last Sunday.

STEMI Ambulance Service of Manchester Pre-hospital EKG TransmissionThis patient was brought to HH by ASM (prehospital ECG was sent and communicated to the ED attending: Dr. Herbst)

While in the ER, patient arrested with return of spontaneous circulation… and was brought to the Cardiac Catheterization Lab.

In a nut shell:

1) HH D2B Time = 77 min (off hrs, Sun 3 AM)

1) STEMI Total Ischemia Time = 115 min

In particular, we would like to recognize the teams involved:

1) HH Team – Dr Hirst, Engles and the Cath Lab team – W. Arcisz, D. Jordan, F. Natale.

STEMI Ambulance Service of Manchester Pre-hospital EKG Transmission B2) HH ER Team – Dr Herbst, and Snyder, and the ED team: M. Moquin, D, Phillips, S. Ferri.

3) and last but not least : ASM and Stafford Ambulance

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Hartford Hospital

Cleared for Independent Dispatch: Aetna’s Juan Rodriguez Completes Precepting Phase

Juan Rodriguez (L) with Hartford Hospital's Dave Bailey

Juan Rodriguez (L) with Hartford Hospital’s Dave Bailey

HARTFORD –  As of April 16, 2015, Aetna’s Juan “J” Rodriguez has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

J started at Aetna as an EMT-Basic in March of 2010 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Kevin Stock. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

As with all precepting phases at Aetna, J’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish J the best of luck and say we are very proud to have such skilled professionals on staff.

Meet the Newest Members of the Team: ASM Hires Seven

MANCHESTER — On March 31, 2015 seven EMTs were added to the ASM team. As part of our continued growth ASM and Aetna seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Tiffany George:    FULL TIME, EMT. My name is Tiffany and I am 27 years old. I have worked in commercial EMS since 2008 as an EMT and Dispatcher. I recently moved to Manchester with the intention of pursuing a career as an administrative assistant, but quickly learned the position was not for me. I’m glad to have received the opportunity to continue my work in EMS at ASM. I graduated from Naugatuck Valley Community College in 2010 with a degree in General Studies and along with that came my EMT certification. I have also worked as an ER Tech and have received training in phlebotomy and EKGs.  I’m hoping to someday attend Paramedic school, but until that time I am a junior at Post University working towards earning a degree in Marketing. I’m a former pageant competitor and titleholder in the Miss America Organization and spend as much time as I can volunteering within the program. I enjoy leading an active lifestyle, as well as meeting new people. In the free time that I sparsely have I do enjoy spending time with family, friends, and my dog, Pippa, as well as baking tasty treats.

Robert Grzywinski:    FULL TIME, EMT. Hello my name Robert Grzywinski and I am 37 years old. Originally I was born in Wroclaw, Poland an arrived to the U.S at the age of five. My family settled down in New Britain where I graduated from Mary Immaculate Academy. I currently live in Coventry and enjoy the different pace of life. For over ten years I worked with children and adolescents in different capacities, from a direct care counselor in a safe home, extended day treatment, residential, and a day school servicing special education and behaviorally defiant adolescents. For most of my career I have worked to assist others, so it came to no surprise that I went on to obtain my EMT certification through CPR Professionals out of South Windsor and am looking forward to starting an exciting and new profession. In my free time I enjoy do some DIY projects around the house as well as cooking. The rest of the time I spend with my family, barbecuing, going to parks, beaches, attractions for the kiddos or just hanging around the house with them.

Chelsea Heitman:    FULL TIME, EMT.  My name is Chelsea Heitman.  I took the EMT course at Springfield Technical Community College in 2010 and have been a volunteer EMT at Suffield Volunteer Ambulance Association since 2012.  I got into EMS because I want to help people in their time of need or their family members, like the paramedic did for my mom when my dad passed.  While at Central Connecticut State University I decided I wanted to become a Paramedic.  Since then I left CCSU and am currently finishing the Paramedic program at Springfield College with plans to finish my degree.  I was able to put my knowledge to the test while doing clinical study at Baystate Medical Center and my ride time with in Springfield, MA.  I was a Patient Care Technician at Baystate Medical Center in the ER and saw a wide variety of patients doing everything from changing patients, to vital signs, to EKGs, and to lab draws.  In my spare time I like to snowboard, run, and generally spend time outside.  I am a pretty easy going person with a loving personality.  I am excited to start working with ASM and see what the future holds for me

Charles Lodge:    FULL TIME, EMT. My name is Charles Lodge. I am 24 years old and currently reside in Glastonbury, CT. I graduated from Glastonbury High School in 2008 and went on to earn my Bachelors Degree from the University of Connecticut in 2012. After college I moved to Washington D.C. and worked as an Arborist for one of the largest commercial and residential tree care companies in the country. After moving back to Connecticut I decided it was time to chase my dream of a career in public service. I am extremely excited to learn new skills and apply my training as an EMT. Besides a career in Arbor culture, some of my professional experience includes Community Outreach for underprivileged youths, bar tending, and serving as a Marine Science Technician in the U.S. Coast Guard Reserve

Christopher Tevnan:   FULL TIME, EMT.  My name is Chris Tevnan, I am 32 years old and live in Farmington.  I went to Bridgewater State University in Bridgewater, MA and graduated with a degree in Aviation.  For the last six years I was a Federal Agent with Homeland Security in NYC.  It was a great job but I was never home.  In January I completed the accelerated EMT course with CPR Training Professionals in South Windsor.  I’m excited to begin a new career within the medical field and to be able to really make a difference in someone’s life.  My wife and I are happy that I will be around more often especially with our daughter Brooke expected in early May.  In my free time I volunteer with the Tunxis Hose Fire Department, spend time with family and friends, BBQ, and do work at our new house.

Nora Young:   FULL TIME, EMT. My name is Nora Young. I am 21 years old and currently live in Storrs, CT. I am finishing up undergrad at UConn and will be graduating in May with a degree in Physiology and Neurobiology. My goal is to eventually attend PA school. I am also a volunteer EMT in Ellington where I thoroughly enjoy giving back to the community. I am a die hard UConn Huskies basketball fan as well as a Patriots fan. I am very excited to be working at ASM where I can further my education in the EMS field.

Information for the seventh new hire has been removed.