ADMINISTRATIVE REPORT
May 18, 2017
OPB Memo “Excise Tax on Fireworks”
Pages: 2-3
FY 2017 Super Speeder Revenues Report (April 2017)
Page: 4
2017-2018 GTC Meeting Schedule - Updated
Page: 5
2017-2018 TMD/ GA COT/ TQIP Meeting Schedule
Page: 6
FY 2018 PBP Criteria Updates
Pages: 7-14
CY 2015 “Validation of UCC Data” Warren Averett
Pages: 15-35
Budget Subcommittee Memo
FY 2017 Closing Budget Projections
FY 2017 Closing Budget Projections with Redirect
FY 2018 Proposed Budget
Funding Recommendations
Georgia Trauma Foundation
MAG MRC
RTAC II
RTAC V
Pages: 36-38
Page: 39
Page: 40
Pages: 41-51
Pages: 52-55
Pages: 56-60
Pages: 61-62
Page: 63
TQIP/NSQIP Data Analysis Report
Pages: 64-69
GTC EMS Trauma Related Equipment Grant Final Report
Pages: 70-75
Separate Attachments:
GTC March 2017 Meeting Minutes Draft
GCTE March 2017 Meeting Minutes Draft
“Georgia Health Policy Center: Health Reform” Presentation given to the
Healthcare Reform Task Force: May 15, 2017
1
2
3
Department of Driver Services
HB 160 Notice and Revenue Tracking
Month and Year
Super Speeder
($200 Fine)
HB 160
Reinstatement
Fees
Total
Collected
FY 2010 Total
705,070
1,331,835
2,036,905
FY 2011 Total
9,549,235
4,618,264
14,167,499
FY 2012 Total
11,927,783
6,462,610
18,390,393
FY 2013 Total
11,907,712
6,685,328
18,593,040
FY 2014 Total
12,073,816
7,046,370
19,120,186
FY 2015
July 2014
August 2014
September 2014
October 2014
November 2014
December 2014
January 2015
February 2015
March 2015
April 2015
May 2015
June 2015
FY 2015 Total
914,400
1,176,690
931,050
1,255,800
1,014,600
1,258,850
981,995
1,291,700
1,889,400
773,300
920,180
1,560,245
13,968,210
498,670
631,010
497,910
671,805
492,325
570,995
407,970
1,070,545
1,557,460
495,005
596,370
914,325
8,404,390
1,413,070
1,807,700
1,428,960
1,927,605
1,506,925
1,829,845
1,389,965
2,362,245
3,446,860
1,268,305
1,516,550
2,474,570
22,372,600
FY 2016
July 2015
August 2015
September 2015
October 2015
November 2015
December 2015
January 2016
February 2016
March 2016
April 2016
May 2016
June 2016
FY 2016 Total
30,900
156,700
349,200
3,213,900
1,104,550
1,214,400
965,100
1,383,900
1,439,850
840,800
1,109,650
1,496,637
13,305,587
24,625
207,575
450,305
1,156,480
513,490
558,365
466,690
1,133,215
1,412,900
627,890
731,255
989,449
8,272,239
55,525
364,275
799,505
4,370,380
1,618,040
1,772,765
1,431,790
2,517,115
2,852,750
1,468,690
1,840,905
2,486,086
21,577,826
FY 2017
July 2016
August 2016
September 2016
October 2016
November 2016
December 2016
January 2017
February 2017
March 2017
April 2017
May 2017
June 2017
FY 2017 Total
859,440
1,399,365
1,206,445
1,041,100
1,179,235
1,116,940
1,165,817
1,226,245
1,566,915
1,078,578
0
0
11,840,080
397,530
640,303
536,720
500,210
499,501
419,904
417,571
586,295
1,275,676
778,409
0
0
6,052,118
1,256,970
2,039,668
1,743,165
1,541,310
1,678,736
1,536,844
1,583,388
1,812,540
2,842,591
1,856,987
0
0
17,892,198
73,437,413
42,821,036
116,258,448
OVERALL TOTALS
H://HB 160/FY 2017 Super Speeder Notices and Collections April 2017.xlsx
4
2017 & 2018 Meeting Schedule
18 May 2017 (Thursday)
Gainesville, Georgia
Approve AFY 2017 and FY 2018
Budgets
17 August 2017 (Thursday)
King & Prince Resort
St. Simons Island, Georgia
Address FY 2018 Amended Budget
16 November 2017 (Thursday)
Augusta, Georgia (JMS)
8th Annual Meeting
17-18 January 2018 (Wednesday-Thursday)
Macon, Georgia
Macon Marriott City Center
8th Strategic Planning
Workshop
22 March 2018 (Thursday)
Chateau Elan
Braselton, Georgia
Legislature in Session
*Prior to Spring TQIP and Trauma Symposium
5
GTCTraumaMedicalDirectorsSubcommittee,Georgia
CommitteeonTrauma,&TQIP
CombinedConferenceCallMeetingSchedule
•
•
•
CombinedProposedDates:Allcallswillbeginat4pm.
o July18,2017
o October17,2017
o January16,2018
o April17,2018
o July17,2018
o October16,2018
TQIPcallswillcontinuemonthlyonthe3rdTuesdayexpectforthecombined
calldates.ProposedDates:allcallswillbeginat4pm.
o May16,2017
o June20,2017
o August15,2017
o September19,2017
o November21,2017(weekofThanksgiving)
o December19,2017
o February20,2018
o March20,2018
o May15,2018
o June19,2018
o August21,2018
o September18,2018
o November20,2018(weekofThanksgiving)
o December18,2018
Callinlineinformation:
o Phone866-244-8528
o Participantscode:1899623
6
LEVEL I & II TRAUMA CENTER CRITERIA
FY 2018 Performance Based Program Services (PBP)
For FY 2018, the Commission has determined fifty percent (50%) of Readiness Services
Program funding available to Trauma Centers will be linked to the Performance Based
Program Services (PBP). Total Readiness Services Program funding awarded to Trauma
Center will include the PBP funding determined by the satisfaction of PBP criteria. A PBP
Scorecard will be provided to Trauma Center by 01 April 2018 for self-scoring and then
submission to the Commission office on or before 15 April 2018. Trauma Centers will be
notified in May 2018 of compliance to PBP criteria, and total amount of Readiness Services
Program funding to be awarded for FY 2018.
Performance Based Program Service Criteria for Level I and Level II Trauma Centers are:
1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five
percent (75%) call attendance by TMD or other designated physician representative is
required to satisfy this criterion. (3% value)
2) Participation by trauma program staff member in ONE Georgia Committee for Trauma
Excellence (GCTE) official subcommittee: Injury Prevention, Registry, Resource
Development/Special Projects/Specialty Care, Education, Performance Improvement and
Emergency Preparedness. GCTE chair will verify satisfaction of this criterion. (5%
value)
3) Participation by trauma program manager or other designated representative in Georgia
Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%)
attendance by trauma program manager or other designated representative at GCTE
meetings is required to satisfy this criterion. Meeting attendance rosters will be used to
verify attendance. (3% value)
4) Trauma Center’s current Trauma Medical Director to be a member of the Georgia
Chapter Committee On Trauma (COT). Membership will be assessed in April 2018. (3%
value)
5) Participation in Trauma Medical Directors TQIP Conference Calls sponsored by the
Georgia Committee on Trauma. Seventy-five percent (75%) call attendance by TMD or
other designated physician representative is required to satisfy this criterion. Meeting
attendance roster will be used to verify attendance. (3% value)
6) Attendance at Spring TQIP Collaborative meeting by both the Trauma Medical Director
(or designated physician) and the Trauma Program Manager. Meeting sign-in roster will
be used to verify attendance. (5% value)
7) Trauma Medical Director or other designated physician AND Trauma Program Manager
attend the Summer 2017 Georgia COT meeting (“Day of Trauma”). Meeting sign-in
roster will be used to verify attendance. (5% value)
8) Submit the FY 2017, 31 July 2017 invoice; FY 2018, 31 October 2017 and 31 January
2018 invoices; the CY 2016 Uncompensated Care Claims survey and claims list (date to
be determined); and complete Georgia Trauma Readiness Costs survey (date to be
7
LEVEL I & II TRAUMA CENTER CRITERIA
determined) within 15 calendar days of required date. The Commission will confirm
compliance for this criterion. (5% value)
9) Submit all FY 2018 State Trauma Registry Data and State Quarterly Trauma Program
Reports within 30 calendar days of required date. State Office of EMS and Trauma
records will determine compliance to this criterion. (5% value)
10) Each member of the Trauma Center Peer Review Committee (or the equivalent
committee) must attend at least 50% of the Trauma Center Peer Review Committee
meetings. Member defined per the most recent publication of the Resources for Optimal
Care of the Injured Patient. Compliance will be self-reported. (3% value)
11) Quarterly review of the surgeon response time to highest level of trauma activation. State
Office of EMS and Trauma records will determine compliance to this criterion. Each
quarter will be assessed for compliance. (5% value)
12) Quarterly review of record closure of at least 80% within 60 days of discharge. State
Office of EMS and Trauma records will determine compliance to this criterion. Each
quarter will be assessed for compliance. (5% value)
8
LEVEL III TRAUMA CENTER CRITERIA
FY 2018 Performance Based Program Services (PBP)
For FY 2018, the Commission has determined fifty percent (50%) of Readiness Services
Program funding available to Trauma Centers will be linked to the Performance Based
Program Services (PBP). Total Readiness Services Program funding awarded to Trauma
Center will include the PBP funding determined by the satisfaction of PBP criteria. A PBP
Scorecard will be provided to Trauma Center by 01 April 2018 for self-scoring and then
submission to the Commission office on or before 15 April 2018. Trauma Centers will be
notified in May 2018 of compliance to PBP criteria and the total amount of Readiness
Services Program funding to be awarded to the Trauma Center in FY 2018.
Performance Based Program Service Criteria for Level III Trauma Centers are:
1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five
percent (75%) call attendance by TMD or other designated physician representative is
required to satisfy this criterion. (5% value)
2) Participation by trauma program staff member in ONE Georgia Committee for Trauma
Excellence (GCTE) official subcommittee: Injury Prevention, Registry, Resource
Development/Special Projects/Specialty Care, Education, Performance Improvement and
Emergency Preparedness. GCTE chair will verify satisfaction of this criterion. (5%
value)
3) Participation by trauma program manager or other designated representative in Georgia
Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%)
attendance by trauma program manager or other designated representative at GCTE
meetings is required to satisfy this criterion. Meeting attendance rosters will be used to
verify attendance. (5% value)
4) Trauma Center’s current Trauma Medical Director to be a member of the Georgia
Chapter Committee On Trauma (COT). Membership will be assessed in April 2018. (5%
value)
5) Trauma Medical Director or other designated physician AND Trauma Program Manager
attend the Summer 2017 Georgia COT meeting (“Day of Trauma”). Meeting sign-in
roster will be used to verify attendance. (5% value)
6) Submit the FY 2017, 31 July 2017 invoice; FY 2018, 31 October 2017 and 31 January
2018 invoices; and complete Georgia Trauma Readiness Costs survey (date to be
determined) within 15 calendar days of required date. The Commission will confirm
compliance for this criterion. (5% value)
7) Submit all FY 2018 State Trauma Registry Data and State Quarterly Trauma Program
Reports within 30 calendar days of required date. State Office of EMS and Trauma
records will determine compliance to this criterion. (5% value)
8) Each member of the Trauma Center Peer Review Committee (or the equivalent
committee) must attend at least 50% of the Trauma Center Peer Review Committee
9
LEVEL III TRAUMA CENTER CRITERIA
meetings. Member defined per the most recent publication of the Resources for Optimal
Care of the Injured Patient. Compliance will be self-reported. (5% value)
9) Quarterly review of the surgeon response time to highest level of trauma activation. State
Office of EMS and Trauma records will determine compliance to this criterion. Each
quarter will be assessed for compliance. (5% value)
10) Quarterly review of record closure of at least 80% within 60 days of discharge. State
Office of EMS and Trauma records will determine compliance to this criterion. Each
quarter will be assessed for compliance. (5% value)
10
LEVEL IV TRAUMA CENTER CRITERIA
FY 2018 Performance Based Program Services (PBP)
For FY 2018, the Commission has determined fifty percent (50%) of Readiness Services
Program funding available to Trauma Centers will be linked to the Performance Based
Program Services (PBP). Total Readiness Services Program funding awarded to Trauma
Center will include the PBP funding determined by the satisfaction of PBP criteria. A PBP
Scorecard will be provided to Trauma Center by 01 April 2018 for self-scoring and then
submission to the Commission office on or before 15 April 2018. Trauma Centers will be
notified in May 2018 of compliance to PBP criteria and the total amount of Readiness
Services Program funding to be awarded to the Trauma Center in FY 2018.
Performance Based Program Service Criteria for Level IV Trauma Centers are:
1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five
percent (75%) call attendance by TMD or other designated physician representative is
required to satisfy this criterion. (5.5% value)
2) Participation by trauma program staff member in ONE Georgia Committee for Trauma
Excellence (GCTE) official subcommittee: Injury Prevention, Registry, Resource
Development/Special Projects/Specialty Care, Education, Performance Improvement and
Emergency Preparedness. GCTE chair will verify satisfaction of this criterion. (6%
value)
3) Participation by trauma program manager or other designated representative in Georgia
Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%)
attendance by trauma program manager or other designated representative at GCTE
meetings is required to satisfy this criterion. Meeting attendance rosters will be used to
verify attendance. (5.5% value)
4) Trauma Center’s current Trauma Medical Director to be a member of the Georgia
Chapter Committee On Trauma (COT). Membership will be assessed in April 2018.
(5.5% value)
5) Trauma Medical Director or other designated physician AND Trauma Program Manager
attend the Summer 2017 Georgia COT meeting (“Day of Trauma”). Meeting sign-in
roster will be used to verify attendance. (5.5% value)
6) Submit the FY 2017, 31 July 2017 invoice; FY 2018, 31 October 2017 and 31 January
2018 invoices; and complete Georgia Trauma Readiness Costs survey (date to be
determined) within 15 calendar days of required date. The Commission will confirm
compliance for this criterion. (5.5% value)
7) Submit all FY 2018 State Trauma Registry Data and State Quarterly Trauma Program
Reports within 30 calendar days of required date. State Office of EMS and Trauma
records will determine compliance to this criterion. (5.5% value)
8) Each member of the Trauma Center Peer Review Committee (or the equivalent
committee) must attend at least 50% of the Trauma Center Peer Review Committee
11
LEVEL IV TRAUMA CENTER CRITERIA
meetings. Member defined per the most recent publication of the Resources for Optimal
Care of the Injured Patient. Compliance will be self-reported. (5.5% value)
9) Quarterly review of record closure of at least 80% within 60 days of discharge. State
Office of EMS and Trauma records will determine compliance to this criterion. Each
quarter will be assessed for compliance. (5.5% value)
12
BURN TRAUMA CENTER CRITERIA
FY 2018 Performance Based Payment (PBP) Program
For FY 2018, the Commission has determined fifty percent (50%) of Readiness Services
Program funding available to Trauma Centers will be linked to the Performance Based
Program Services (PBP). Total Readiness Services Program funding awarded to Trauma
Center will include the PBP funding determined by the satisfaction of PBP criteria. A PBP
Scorecard will be provided to Trauma Center by 01 April 2018 for self-scoring and then
submission to the Commission office on or before 15 April 2018. Trauma Centers will be
notified in May 2018 of compliance to PBP criteria and the total amount of Readiness
Services Program funding to be awarded to the Trauma Center in FY 2018.
Performance Based Program Service Criteria for Burn Trauma Centers are:
1) Participation in Trauma Medical Directors (TMD) Conference Calls. Seventy-five
percent (75%) call attendance by Burn Center Medical Director or other designated
physician representative is required to satisfy this criterion. Meeting attendance rosters
will be used to verify attendance. (6.25% value).
2) Participation by burn program staff member in ONE Georgia Committee for Trauma
Excellence (GCTE) official subcommittee: Injury Prevention, Registry, Resource
Development/Special Projects/Specialty Care, Education, Performance Improvement and
Emergency Preparedness. GCTE chair will verify satisfaction of this criterion. (6.25%
value).
3) Participation by Burn Program Manager or other designated representative in Georgia
Committee for Trauma Excellence (GCTE) meetings. Seventy-five percent (75%)
attendance by burn program manager or other designated representative is required to
satisfy this criterion. Meeting attendance rosters will be used to verify attendance.
(6.25% value)
4) Current Burn Center Medical Director to be a member of the Georgia Chapter Committee
On Trauma (COT). Membership will be assessed in April 2018. (6.25% value)
5) Burn Center Medical Director or other designated physician AND Burn Program
Manager attend the Summer 2017 Georgia COT meeting (“Day of Trauma”). Meeting
sign-in roster will be used to verify attendance. (6.25% value).
6) Submit the FY 2017, 31 July 2017 invoice; FY 2018, 31 October 2017 and 31 January
2018 invoices; the CY 2016 Uncompensated Care Claims survey and claims list (date to
be determined); and complete Georgia Trauma Readiness Costs survey (date to be
determined) within 15 calendar days of required date. The Commission will confirm
compliance for this criterion. (6.25% value).
7) Submit all FY 2018 State Trauma Registry Data and State Quarterly Trauma Program
Reports within 30 calendar days of required date. State Office of EMS and Trauma
records will determine compliance to this criterion. (6.25% value).
13
BURN TRAUMA CENTER CRITERIA
8) Each member of the Burn Center Peer Review Committee (or the equivalent committee)
must attend at least 50% of the Burn Center Peer Review Committee meetings.
Compliance will be self-reported. (6.25% value).
14
GEORGIA TRAUMA CARE
NETWORK COMMISSION
VALIDATION OF UNCOMPENSATED
CARE CLAIM DATA
AGREED UPON PROCEDURES
For the Year Ended December 31, 2015
15
GEORGIA TRAUMA CARE NETWORK COMMISSION
TABLE OF CONTENTS
For the Year Ended December 31, 2015
Independent Accountants’ Report..........................................................................................
1
Attachment A – Validation of Uncompensated Care Claim Data: Procedures .....................
2-4
Attachment A-1 – Additional Procedures Performed ............................................................
5-6
Attachment B – Validation of Uncompensated Care Claim Data: Findings Summary.........
7-8
Attachment B-1 – Detail Findings by Location ....................................................................
9-15
Attachment B-2 – Summary Findings by Location ............................................................... 16-18
Conclusion .............................................................................................................................
16
19
INDEPENDENT ACCOUNTANTS’ REPORT
To the Georgia Trauma
Care Network Commission
We have performed the procedures enumerated on Attachments A and A-1, which were agreed
to by you, solely to assist you with respect to the validation of uncompensated care claim data for
the year ended December 31, 2015. The Georgia Trauma Care Network Commission and the
Georgia-designated Trauma and Burn Centers’ (as listed on Attachment A) management are
responsible for the uncompensated care claim data submitted for these procedures. This agreedupon procedures engagement was conducted in accordance with attestation standards established
by the American Institute of Certified Public Accountants. The sufficiency of the procedures is
solely the responsibility of the Georgia Trauma Care Network Commission. Consequently, we
make no representation regarding the sufficiency of the procedures described on Attachments A
and A-1, either for the purpose for which this report has been requested, or for any other purpose.
Our findings, documentation and recommendations for the procedures outlined in Attachments A
and A-1 are outlined in Attachments B, B-1, and B-2, to this report.
We were not engaged to, and did not, conduct an audit or examination, the objective of which
would be the expression of an opinion on the uncompensated care claim data. Accordingly, we
do not express such an opinion. Had we performed additional procedures, other matters might
have come to our attention that would have been reported to you.
This report is intended solely for the information and use of the Georgia Trauma Care Network
Commission and the Georgia-designated Trauma and Burn Centers and is not intended to be and
should not be used by anyone other than these specified parties.
Atlanta, Georgia
May 10, 2017
1
17
ATTACHMENT A
VALIDATION OF UNCOMPENSATED CARE CLAIM DATA: PROCEDURES
Georgia-designated Level I and II Trauma Centers and Burn Centers:
• Wellstar Atlanta Medical Center (AMC) – Atlanta
• Grady Memorial Hospital (Grady) – Atlanta
• Navicent Health Medical Center (Navicent) – Macon
• Augusta University Medical Center (Augusta) – Augusta
• Memorial Health University Medical Center (Memorial) – Savannah
• Athens Regional Medical Center (Athens)– Athens
• Floyd Medical Center (Floyd) – Rome
• Gwinnett Medical Center (Gwinnett) – Lawrenceville
• Hamilton Medical Center (Hamilton) – Dalton
• John D. Archbold Memorial Hospital (Archbold) – Thomasville
• Midtown Medical Center (Midtown) – Columbus
• Wellstar North Fulton Hospital (North Fulton) – Roswell
• Children’s Healthcare of Atlanta at Egleston (Egleston) – Atlanta
• Children’s Healthcare of Atlanta at Scottish Rite (Scottish Rite) – Atlanta
• Joseph M. Still Burn Center (JMS) – Augusta
• Wellstar Kennestone Regional Medical Center (Kennestone) – Marietta
• Grady Burn Center (GBC) – Atlanta
• Northeast Georgia Medical Center (Northeast) – Gainesville
Procedures:
The following are the agreed-upon procedures that Warren Averett, LLC (WA) was engaged to
perform related to the Georgia-designated Trauma and Burn Centers (Centers) listed above.
1. WA will assist the Georgia Trauma Care Network Commission (GTCNC) in the
development of the uncompensated care claims survey instrument for the year ended
December 31, 2015 (CY2015).
2. WA will deliver the survey instrument and collect the listing of uncompensated care claims
submitted by each Level I Trauma, Level II Trauma and Burn Centers. The listing will
contain the claim identification number, trauma registry or equivalent number, date of
admission and the patient’s severity scoring.
3. For each Trauma and Burn Center (Center), WA will select a sample of the uncompensated
care claims for testing as follows:
a.
b.
c.
d.
For Centers with less than 25 claims, WA will test 5 claims;
For Centers with between 25 and 50 claims, WA will test 10 claims;
For Centers with between 50 and 150 claims, WA will test 20 claims; and,
For Centers with greater than 150 claims, WA will test 40 claims.
2
18
ATTACHMENT A
VALIDATION OF UNCOMPENSATED CARE CLAIM DATA: PROCEDURES
4. For each claim selected in procedure #3 above, WA will view (on site at the Center location
or through remote testing procedures) the electronic billing record (EBR) or documents
comparable to the EBR to determine that as of February 17, 2017 each claim selected in our
sample met the criteria for consideration as an uncompensated care claim. The criteria for
consideration as an uncompensated care claim are as follows:
a. The EBR documents that the patient had no medical insurance, including Medicare Part
B coverage;
b. The EBR documents the patient was not eligible for medical assistance coverage;
c. The EBR documents that the patient had no medical coverage for trauma care through
workers’ compensation insurance, automobile insurance, or any other third party,
including any settlement or judgment resulting from such coverage;
d. The EBR documents that the patient has not paid more than 10% of total charges after
documented attempts by the trauma care services provider to collect payments;
e. The EBR documents that there were no third party payments received.
5. For each claim selected in our sample (as defined above), WA will determine that the Center
has documented attempts at collection using the documentation that is available at each
Center.
6. WA will verify that the Severity Score Category (SSC) assigned to each claim selected in
our sample (as defined above) matches the SSC for that patient in NTRACS (trauma registry
software) used by all Trauma Centers or the burn registry used by Burn Centers.
7. WA will consider the additional clarifications approved by the GTCNC listed below:
A. Claims deemed qualified under the GTCNC uncompensated care definition:
a. Cases where financial counselors at the Center determined that the patients qualified
for a charity program offered by the hospital whereby the account was written off and
further attempts to collect were not made.
b. Cases where patients were victims of a crime and the Center received a small
payment up to 10% of hospital charges from a third party charity.
c. Cases where patients were undocumented aliens and the Center received a small
payment up to 10% of hospital charges from a third party charity.
d. Cases where insurance could not be verified.
3
19
ATTACHMENT A
VALIDATION OF UNCOMPENSATED CARE CLAIM DATA: PROCEDURES
B. Claims deemed NOT qualified under the GTCNC uncompensated care definition:
a. Cases where the patient expired and the Center did not attempt to collect.
b. Cases where patients received settlements directly but did not pay the Center after
repeated collection attempts.
c. Cases where there was a reciprocal agreement with another party for exchange of
services and the Center did not attempt further collection procedures.
d. Cases where claims are sold to collections agency.
4
20
ATTACHMENT A-1
ADDITIONAL PROCEDURES PERFORMED
WA discussed the findings summarized in Attachment B and presented in detail in Attachment
B-1 from the execution of our agreed-upon procedures as described in Attachment A with the
Interim Executive Director for the Georgia Trauma Care Network Commission. Various criteria
were used by the Commission staff to determine the appropriate additional procedures to be
performed as outlined below. Examples of the criteria used were: the number of exceptions
noted, the pervasiveness of the exceptions noted, and the type of exceptions noted from the
execution of our agreed-upon procedures as described in Attachment A. As a result of the
Commission staff’s review of the findings summarized in Attachment B and presented in detail
in Attachment B-1, WA was engaged to perform the following additional procedures:
1. Provide each Center with the findings from our agreed-upon procedures as described in
Attachment A. See the information that was provided to each Center in Attachment B-1.
2. Request revised lists of uncompensated care claims from the following Centers:
• AMC
• Grady
• Augusta
• Memorial
• Gwinnett
• North Fulton
• Northeast
These revised lists should be duplicates of the original list provided to WA minus any claims
that were identified in our agreed-upon procedures (AUP) to be in error (re: Attachment B
Findings A through G in our report) along with any other claims that the hospitals identified
as erroneous.
3. Compare the revised lists received above against the original lists received to ensure that
errors WA noted in the AUP were eliminated (along with any other claims that the hospitals
identified as erroneous) and that there are no new claims added to the list.
4. Evaluate the revised lists to determine if additional testing procedures should be applied. WA
selected an additional sample of claims and performed the procedures listed in Attachment A
to the following Centers:
• Augusta
• North Fulton
5. Revise WA AUP report to report the updated uncompensated care claims for each Center.
Results are presented in Attachment B-2.
6. Inform each Center of the final uncompensated care claims totals after all testing procedures.
Results are presented in Attachment B-2.
7. Present our final report to the Interim Executive Director of the Georgia Trauma Care
Network Commission.
5
21
ATTACHMENT A-1
ADDITIONAL PROCEDURES PERFORMED
WA performed only the procedures outlined in Attachments A and A-1 and did not perform any
additional procedures. We did not perform any procedures to evaluate if there were trauma
patient claims that should have been reported by the Centers as uncompensated care claims and
were not.
6
22
ATTACHMENT B
VALIDATION OF UNCOMPENSATED CARE CLAIM DATA
FINDINGS SUMMARY:
We have accumulated our findings from our agreed-upon procedures that are outlined in
Attachment A. They are outlined below along with our recommendations which have been
considered and acted upon as deemed appropriate (See Attachment A-1). Additional information
for each finding can be found in the detailed reports by location. (See Attachment B-1)
1. Finding: We noted claims at the following Centers where we concluded that the
documentation did not meet the criteria for an uncompensated care claim due to:
A. Patient had insurance including Medicare Part B coverage
• Augusta
• North Fulton
Recommendation: We recommend the GTCNC consider requesting that these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where patients had
insurance including Medicare Part B coverage.
B. Patient was eligible for medical assistance coverage
• Augusta
• Memorial
• North Fulton
Recommendation: We recommend the GTCNC consider requesting that these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where patients was eligible
for medical assistance coverage.
C. Patient had medical coverage for trauma care through workers’ compensation,
automobile insurance, or any other third party, including any settlement or judgment
resulting from such coverage.
• AMC
• Grady
• Augusta
• Memorial
• Gwinnett
• Hamilton
• Midtown
• North Fulton
• Northeast
7
23
ATTACHMENT B
VALIDATION OF UNCOMPENSATED CARE CLAIM DATA
Recommendation: We recommend the GTCNC consider requesting that these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where patients had medical
coverage for trauma care through workers’ compensation, automobile insurance, or any other
third party, including any settlement or judgment resulting from such coverage.
D. Payment by patient greater than 10%
• Augusta
• Memorial
• Hamilton
• North Fulton
Recommendation: We recommend that the GTCNC consider requesting these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where patient payments
greater than 10% were received.
E. Receipt of a third party payment
• Grady
• Augusta
• Memorial
• Midtown
• Northeast
Recommendation: We recommend that the GTCNC consider requesting these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where third party
payments were received.
F. No collection attempts were made by the Trauma Center.
• Navicent
• Gwinnett
• North Fulton
Recommendation: We recommend the GTCNC consider requesting that these Centers revise
their CY2015 uncompensated care claim list to exclude all claims where there were no
collection attempts made.
G. The SSC provided in the detail list of uncompensated care claims did not match the SSC
for that patient in the NTRACS or burn registry.
• None
Recommendation: None
8
24
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Atlanta Medical Center
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 claims, we will test 40.
AMC reported 395 claims, therefore we selected a sample of 40.
For each claim selected, we viewed the electronic billing record (EBR) or documents comparable to the EBR.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
1
2
Medical
Record No
5496087
5479829
Trauma
Admit Date
Number
201501645
10/23/2015
201500982
6/25/2015
ISS
a b c d e f 1
Comments
13 P P X P P P P The patient received a settlement but the trauma center did not accept the attorney offer and no payments were received.
13 P P X P P P P The patient received a settlement but the trauma center did not accept the attorney offer and no payments were received.
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
9
25
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Grady Memorial Hospital
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 cases we will test 40.
Grady reported 1028 claims, therefore we selected a sample of 40.
For each claim selected, we viewed the electronic billing record (EBR) or documents comparable to the EBR.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
1
Medical
Record No
9866457
Trauma
Number
20153381
Admit Date
11/6/2015
ISS
a b c d e f 1
22 P P X P X P P Trauma Center received a settlement payment.
Comments
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
10
26
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Augusta University Medical Center
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 claims we will test 40 claims.
Georgia Regents reported 371 claims, therefore we selected a sample of 40.
For each claim selected, we viewed the electronic billing record (EBR) or documents comparable to the EBR.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
Medical
Record No
Trauma
Number
Admit Date
ISS
a b c d e f 1
Comments
1
2
3
4
5
6
7
8
9
10
11
424452
375764
1783542
1481461
1688492
313204
1305335
453081
1789029
1797847
1777117
424452
375764
2920908
2577113
2816051
313204
2376691
453081
2926827
2936717
2913832
9/19/2015
3/13/2015
5/20/2015
8/4/2015
3/23/2015
1/29/2015
12/29/2015
3/11/2015
7/4/2015
9/15/2015
3/31/2015
9
9
9
10
10
12
14
17
19
24
36
P
P
P
P
X
P
P
P
X
X
P
P
P
P
P
P
P
X
X
P
P
X
X
X
P
X
P
X
P
P
P
P
P
P
P
X
P
P
P
P
P
P
P
P
X
X
P
X
X
X
X
X
X
X
X
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
The Trauma Center received a payment on 12/23/15 from victim of crime (VOC) for more than 10% of the total charges.
The Trauma Center received a settlement payment from attorney on 7/27/15.
The Trauma Center received payments from the patient totaling more than 10% of the total charges.
The Trauma Center received a payment on 11/30/15 from VOC for more than 10% of the total charges.
Patient had health insurance and the insurance made a payment on 7/29/15 .
The Trauma Center received a settlement payment from attorney on 5/12/15.
Patient had South Carolina Medicaid. SC Medicaid paid on 3/7/16.
Patient had Georgia Medicaid. GA Medicaid paid on 5/27/15.
Patient had health insurance and the insurance paid on 9/22/15.
Patient had health insurance and the insurance paid on 10/14/15.
Patient had Georgia Medicaid. GA Medicaid paid on 1/19/16.
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
11
27
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Memorial Health University Medical
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 claims, we will test 40.
Memorial reported 401 claims, therefore we selected a sample of 40 for testing.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
1
Medical
Record No
6000582
2
3
4
30196999
30202128
30211311
Trauma
Admit Date
Number
20133933
3/30/2015
20134428
20134726
20134939
5/22/2015
6/25/2015
8/26/2015
ISS
a b c d e f 1
Comments
75 P P P X P P P Trauma Center received payments from the patient totaling more than 10% of the total charges..
Patient was eligible for GA Medicaid but the coverage was not "attached" to this particular account so the Medicaid was not
10 P X P P P P P billed. All other accounts for this encounter were paid by GA Medicaid.
48 P P X P X P P Trauma Center received a settlement payment on 8/4/2016.
5 P P X P X P P Trauma Center received auto insurance payment on 1/7/2016.
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
12
28
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Gwinnett Medical Center
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 claims we will test 40.
Gwinnett reported 261 claims, therefore we selected a sample of 40 for testing.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
The
EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
d
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
1
2
3
Medical
Record No
51129056
51146655
51140301
Trauma
Admit Date
Number
20150989
9/29/2015
20151354
12/25/2015
20151228
11/29/2015
ISS
a b c
8P P P
8P P X
20 P P X
d
P
P
P
e
P
P
P
f
X
P
P
1
Comments
P No collection efforts made and a "Risk Management" write off was made.
P The patient received a settlement but the trauma center did not receive any payments.
P This claim is pending settlement.
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
13
29
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: North Fulton Regional Hospital
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers between 50 and 150 claims we will test 20 claims.
North Fulton reported 87 claims, therefore we selected a sample of 20 for testing.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
Medical
Record No
Trauma
Number
Admit Date
1
2
3
4
5
6
7
589920
791679
793358
798362
798438
790059
792381
20130831
20131020
20131079
20131208
20131207
20130963
20131066
3/29/2015
8/10/2015
9/6/2015
11/25/2015
11/26/2015
7/14/2015
8/21/2015
1
2
3
5
8
9
13
8
9
10
769198
596728
793954
20131294
20130813
20131104
12/30/2015
3/9/2015
9/16/2015
14 X P P X P P P
14 X P P P P P P
14 P P X P P P nt
ISS
a b c d e f 1
P
P
P
P
P
X
P
X
P
P
P
P
P
X
X
X
X
X
X
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
P
X
X
P
P
P
nt
nt
P
P
nt
P
P
Comments
Patient had active GA Medicaid at the date of service but denied due to untimely filing. Additionally this claim is pending
settlement from auto insurance.
The patient received a settlement but the trauma center did not receive any payments.
This claim is pending settlement. No collection efforts since the account is pending settlement.
This claim is pending settlement. No collection efforts since the account is pending settlement.
The patient received a settlement but the trauma center did not receive any payments.
Patient had active health insurance on date of service but denied payment due to untimely filing.
This claim is pending settlement due to untimely filing for retro Medicaid.
Patient had active Medicare Part A and B at the date of service. Trauma Center received a settlement payment for more than
10% of total charges from the patient on 2/6/17.
Patient had active Medicare Part A and B at the date of service but denied payment due to untimely filing.
This claim is pending settlement.
Tickmark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
nt Not tested in the 2nd round of testing due to no issues in first round of testing.
14
30
ATTACHMENT B-1
DETAIL FINDINGS BY LOCATION
Hospital: Northeast Georgia Medical Center
Purpose: To test that uncompensated care claims are properly recognized according to the criteria identified below.
Procedures: For centers with greater than 150 claims we will test 40.
Northeast reported 253 claims, therefore we selected a sample of 40 for testing.
We determined whether the claims selected met the criteria for consideration as an uncompensated care claim. The criteria are as follows:
a The EBR shows the patient had no medical insurance, including Medicare Part B coverage.
b The EBR shows the patient was not eligible for medical assistance coverage.
c The EBR shows that the patient had no medical coverage for trauma care through workers’ compensation, automobile insurance, or any other third party, including any settlement or judgment resulting from such
coverage.
d The EBR shows that the patient has not paid more than 10% of total charges after documented attempts by the trauma care services provider to collect payments.
e The EBR shows that there were no third party payments received.
f The hospital has documented attempts at collection via documentation available at the hospital.
Additionally, for each claim selected we determined the following:
1 We verified that the ISS reported is the same as that listed in the hospital’s trauma registry software.
Medical
Record No
1 60045847
2 60022798
Trauma
Number
20132739
20131876
Admit Date
8/2/2015
6
1/13/2015
27
ISS
a b c d e f 1
Comments
P P X P P P P The patient received a settlement but did not pay the trauma center.
P P X P X P P Trauma Center received settlement payment from auto insurance.
Tick mark Explanations:
P Step performed without exception
X Issue noted, see explanation to the right of claim.
15
31
ATTACHMENT B-2
SUMMARY FINDINGS BY LOCATION
Basic
Severity Score Category
Moderate
Major
Severe
Basic
Total
Severity Score Category
Moderate
Major
Severe
Total
Locations Tested With Claims Resubmitted
AMC
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
216
216
214
(2)
102
100
(2)
96
(6)
44
44
41
(3)
33
33
32
(1)
395
393
(2)
383
(12)
Grady
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
458
458
458
-
372
372
370
(2)
122
121
(1)
121
(1)
76
76
76
-
1,028
1,027
(1)
1,025
(3)
Augusta
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
153
153
70
(83)
133
126
(7)
48
(85)
53
50
(3)
23
(30)
32
31
(1)
21
(11)
371
360
(11)
162
(209)
Memorial
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
153
152
(1)
146
(7)
136
135
(1)
130
(6)
58
58
57
(1)
54
52
(2)
50
(4)
401
397
(4)
383
(18)
Gwinnett
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
109
107
(2)
103
(6)
92
92
88
(4)
34
33
(1)
32
(2)
26
26
23
(3)
261
258
(3)
246
(15)
North Fulton
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
58
53
(5)
53
(5)
22
17
(5)
17
(5)
2
2
2
-
5
5
5
-
87
77
(10)
77
(10)
Northeast
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
113
112
(1)
110
(3)
95
95
93
(2)
26
26
26
-
19
18
(1)
18
(1)
253
251
(2)
247
(6)
Total
Per Original Survey
Per AUP
Difference 1
Per Revised List
Difference 2
1,260
1,251
(9)
1,154
(106)
952
937
(15)
842
(110)
339
334
(5)
302
(37)
245
241
(4)
225
(20)
2,796
2,763
(33)
2,523
(273)
Difference 1: ineligible claims determined by WA
Difference 2: ineligible claims determined by WA plus
ineligible claims determined by center during resubmission process
16
32
ATTACHMENT B-2
SUMMARY FINDINGS BY LOCATION—Continued
Basic
Severity Score Category
Moderate
Major
Severe
Basic
Total
Severity Score Category
Moderate
Major
Severe
Total
Locations Tested Without Resubmission
Navicent
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
272
271
(1)
271
114
114
114
51
51
51
22
22
22
459
458
(1)
458
Archbold
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
27
27
27
14
14
14
6
6
6
7
7
7
54
54
54
Athens
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
26
26
26
45
45
45
19
19
19
6
6
6
96
96
96
Midtown
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
161
160
(1)
160
67
67
67
40
40
40
3
3
3
271
270
(1)
270
Floyd
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
28
28
28
17
17
17
5
5
5
3
3
3
53
53
53
Egleston
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
23
23
23
3
3
3
1
1
1
-
27
27
27
Hamilton
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
30
30
30
31
30
(1)
30
6
6
6
1
1
1
68
67
(1)
67
Scottish Rite
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
15
15
15
11
11
11
3
3
3
-
29
29
29
Difference 1: ineligible claims determined by WA
17
33
ATTACHMENT B-2
SUMMARY FINDINGS BY LOCATION—Continued
Severity Score Category
Moderate
Major
Severe
Basic
Severity Score Category
Moderate
Major
Severe
Basic
Total
Total
Locations Tested Without Resubmission
Kennestone
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
77
77
77
66
66
66
28
28
28
15
15
15
186
186
186
GBC
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
JMS
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
-
55
55
55
3
3
3
22
22
22
80
80
80
Total
Per Original Survey
Per AUP
Difference 1
Total claims per AUP
659
657
(2)
657
18
18
18
441
440
(1)
440
1
1
1
4
4
4
163
163
163
83
83
83
1,346
1,343
(3)
1,343
Summary
Total Claims Per Original Survey
1,919
1,393
502
328
4,142
Totals Per AUP
1,908
1,377
497
324
4,106
Difference 1
Per Revised List
Per AUP Without Resubmission
Total After Revised List and AUP
Difference 2
Total Claims
(11)
(16)
(5)
(4)
(36)
1,154
657
1,811
842
440
1,282
302
163
465
225
83
308
2,523
1,343
3,866
(108)
1,811
(111)
1,282
(37)
465
(20)
308
(276)
3,866
Difference 1: ineligible claims determined by WA
Difference 2: ineligible claims determined by WA plus ineligible claims determined by center during resubmission process
18
23
23
23
34
CONCLUSION:
We appreciate the opportunity to be of service to you. This report summarizes the results of our engagement. If
you have any questions, please let us know.
Very truly yours,
WARREN AVERETT, LLC
19
35
Budget Subcommittee Memo
Budget Subcommittee:
•
Conference call meeting occurred on 11 May 2017.
•
Reviewed the following documents:
o FY 2017 Budget Expenditure Review with Projections for Year End
o FY 2018 Proposed Budget State Appropriations Only
o FY 2018 Proposed Budget State Appropriations with FY 2017
Redirect Applied
FY 2017 Third Quarter Expenditure Review with Projections for
Year End
Budget Areas:
•
Commission Operations: Expenditures are 82% incurred.
•
System Development, Access, & Accountability: $289,948 remains
available under this budget area. Region VIII is the only Region to not
receive RTAC funds. Billy Kunkle is working with them to get them up to
speed.
•
State OEMS/T Allocation: Spoke with Ernie and due to a financial staff
change, they have not pulled the funds as of yet, but they will be pulling
before FY 2017 ends.
•
EMS Allocation:
o EMS Trauma Related Equipment Grant – staff reached out to
counties that did not participate in prior grants. Total grant amount
that will be dispersed is $1,013,243. (Summary included in Admin
Report.)
o New AVLS units – 40 total for $74,637
36
o Ambulance Child Restraint Systems – 143 units purchased for
$99,922 dispersed by EMS-C
o AVLS – dispersed total of $579,498 includes Verizon and Sprint
airtime for 1,054 units and annual maintenance support.
o Education – un-encumbered amount of $1,224,630
•
Trauma Center UCCC Audits: Warren Averett has completed their CY
2015 UCC audits and will be paid in full once a final invoice has been
received.
•
Trauma Center & Physicians Funding Stakeholders Distribution: From the
PBP scorecard results, there was a total of $98,581 funds pulled back
from centers that did not meet all their criteria. Trauma Centers, which
scored 100%, will be awarded the $98,581 using the Readiness baseline
methodology.
FY 2018 Proposed Budget State Appropriations Only
Budget Areas:
•
Commission Operations: Office Rent is going up $34 a month, which was
agreed upon a few years back by the State Properties Commission.
•
System Development, Access, & Accountability:
o RTAC: Reduce RTAC funding to $60,000. Region VIII is the only
Region remaining. RTAC II has requested $12,500 for a regional
Trauma Symposium. RTAC III funding $60,000 for RTAC
Coordinator. RTAC V asked for funds to have TECC Courses and
kits for the Law Enforcement Mutual Aid pilot program for a total of
$48.224. Region VI is in the process of hiring the coordinator and
there is not a need for funds at this moment. Region VIIII funding
$60,000 for RTAC Coordinator.
o American College of Surgeons: ACS for TQIP State participation
increased $3,000.
o MAG: Requested funding in the amount of $150,000
o TQIP and NSQIP Quality Collaborative Program: Kara Allard was
recently hired in February as the Collaborative Program Manager.
We are working a no-cost extension through the end of FY 2018.
•
Georgia Trauma Foundation: Lori has submitted a proposal for a $50,000
increase to hire a Developmental Director. Requesting continuation
funding of $150,000 in FY 2018.
37
•
State OEMS/T Allocation: This is 3% of GTC State Appropriated funds.
•
Trauma Registry Support to Trauma Centers: Same methodology as prior
years.
•
Trauma Center UCCC Audits: The same amount of $50,000 has been
budgeted for the Trauma Center UCC audits in FY 2017.
•
Trauma Center & Physicians Stakeholders Distribution: no changes
FY 2018 Proposed Budget State Appropriations with
FY 2017 Redirect Applied
(Only directly affected budget areas listed)
Budget Areas:
•
Commission Operations:
o Rent: FY 2017 redirected funds in the amount of $24,857.52 for FY
2018 rent.
o Contingency: FY 2017 redirected funds in the amount of $50,000
for FY 2018 Warren Averett.
•
System Development, Access, & Accountability:
o RTAC: FY 2017 redirected funds for FY 2018 RTAC Region II
proposal of $12,500.
o American College of Surgeons TQIP State Participation: FY 2017
redirected funds for FY 2018 $3,000 increase.
•
Georgia Trauma Foundation: Includes proposal of FY 2017 redirect funds
to be applied to the Foundation for continuation funding in the amount of
$200,000 in FY 2018.
38
FY 2017 Closing Budget Projections
5/16/17
Last Updated
FY 2017 State Funds- Governor's Recommendation and allocated by
the 2016/2017 legislature
Increase funds for merit-based pay adjustments and employee
recruitment and retention initiatives effective July 1, 2017.
Increase funds to reflect an adjustment in the employer share of the
Employees' Retirement System.
AFY: Reflect an adjustment in merit system assessments to align
budget to expenditure.
AFY: Increase funds to reflect collections of Super Speeder and
Reinstatement Fees.
$
16,372,494
$
12,629
$
222
$
344
$
1,089,688
FY 2017 Available Funding $
17,475,377
Approved
Budget
Budget Areas
Expenditures
Tracking
417,071 $
774,929 $
491,560 $
1,000,000 $
1,089,688 $
3,773,248 $
Commission Operations
System Development, Access & Accountability
State OEMS/T Allocation
Trauma Registry Support to Trauma Centers
Stop the Bleed
Subtotal of Budget Areas
$
$
$
$
$
$
Available for Stakeholder Distribution
$
13,702,129
AVLS Support
EMS Stakeholders Distribution @ 20% of available funds
Trauma Center UCCC Audits
Readiness Costs Survey
Trauma Centers & Physicians Stakeholders Distribution @
80% of available funds
Totals
$
$
575,100
2,165,326
$
10,961,703
$
17,475,377
$
$
$
$
Available
Balances
(403,973)
(484,981)
(491,560)
(1,000,000)
(1,089,688)
(3,470,202)
$
$
$
$
$
$
(579,498)
(2,165,326)
-
$
$
$
$
$ (10,961,703) $
$ (17,176,729) $
13,098
289,948
303,046
(4,398)
0
298,648
39
FY 2017 Closing Budget Projections with Redirect
5/16/17
Last Updated
FY 2017 State Funds- Governor's Recommendation and allocated by
the 2016/2017 legislature
Increase funds for merit-based pay adjustments and employee
recruitment and retention initiatives effective July 1, 2017.
Increase funds to reflect an adjustment in the employer share of the
Employees' Retirement System.
AFY: Reflect an adjustment in merit system assessments to align
budget to expenditure.
AFY: Increase funds to reflect collections of Super Speeder and
Reinstatement Fees.
$
16,372,494
$
12,629
$
222
$
344
$
1,089,688
FY 2017 Available Funding $
17,475,377
Approved
Budget
Budget Areas
Expenditures
Tracking
417,071 $
774,929 $
491,560 $
1,000,000 $
1,089,688 $
3,773,248 $
Commission Operations
System Development, Access & Accountability
State OEMS/T Allocation
Trauma Registry Support to Trauma Centers
Stop the Bleed
Subtotal of Budget Areas
$
$
$
$
$
$
Available for Stakeholder Distribution
$
13,702,129
AVLS Support
EMS Stakeholders Distribution @ 20% of available funds
Trauma Center UCCC Audits
Readiness Costs Survey
Trauma Centers & Physicians Stakeholders Distribution @
80% of available funds
Totals
$
$
575,100
2,165,326
$
10,961,703
$
17,475,377
$
$
$
$
Available
Balances
(428,831)
(700,481)
(491,560)
(1,000,000)
(1,089,688)
(3,710,560)
$
$
$
$
$
$
(11,760)
74,448
62,688
(579,498)
(2,165,326)
(50,000)
-
$
$
$
$
(4,398)
0
(50,000)
-
$ (10,961,703) $
$ (17,467,087) $
8,290
40
GTC FY 2018 General Proposed Budget
FY 2018 Proposed Budget:
5-May-2017
FY 2018 State Funds- Governor's Recommendation and allocated by the
2016/2017 legislature
$
16,385,345
Increase funds for merit-based pay adjustments, employee recruitment or retention
initiatives effective July 1, 2017.
$
4,663
Increase funds to reflect an adjustment in the employer share of the Employees'
Retirement System
$
172
Increase funds to reflect an adjustment in merit system assessments.
$
71
FY 2018 Available Funding $
16,390,251
Budget Areas
Proposed 2018 Budget
Commission Operations (using redirected funds from FY 2017 to cover office
rent)
$
441,694
System Development, Access & Accountability
$
659,720
Georgia Trauma Foundation (using redirected funds from FY 2017)
$
-
State OEMS/T Allocation
$
491,708
Trauma Registry Support to Trauma Centers
$
1,000,000
$
2,593,122
Available for Stakeholders Distribution
$
13,797,129
AVLS Support
$
645,000
EMS Stakeholders @ 20% of stakeholders distribution
$
2,114,426
Trauma Center UCCC Audits (using redirected funds from FY 2017)
$
Georgia Trauma Foundation: Educational Grant
$
131,500
Trauma Centers & Physicians Stakeholders @ 80% of stakeholders distribution
$
11,037,704
Totals
$
16,390,251
Subtotal of Budget Areas
-
41
Budget Area: Commission Operations
FY 2018 Proposed Budget:
FY 2017
Approved
Staff Costs: 4051300101 (Operations)
FY 2018
Proposed
5-May-2017
Percent Change
from Approved
2017
Description
Staff Salaries
$
267,795
$
220,132
Executive Director, Business Operations Officer, & Office Coordinator
Benefits
$
160,974
$
131,626
FY 2018 based on OPB Fringe Rates: Employee's Share FICA/Medicare
(7.65%), Health Benefits (30.454%)/ Retirement (21.69%) using fringe rate
from AOB Budget Instructions provided on 01 May 2017.
Worker's Compensation
$
897
$
897
Department of Administrative Services (DOAS) billing for Worker's
Compensation at $299 per employee per year
Unemployment Insurance
$
240
$
240
Unemployment Insurance at $80 per employee per year
Liability Insurance
$
249
$
249
Employer's responsibility. Projected at $83 per employee per year
Staff Travel
$
15,000
$
20,000
Commission Members Expense Allowance
$
4,500
$
7,000
Total Staff Costs $
430,155 $
380,144
Travel for above employees.
Commission Per Diem at $105 per meeting and Travel Expenditures
-11.6%
Operations
3rd year lease through the State Properties Commission (using redirected
funds from FY 2017)
Office Rent
$
24,450
Conference call account
$
6,000
$
6,200
Commission and subcommittee meetings
Website Services
$
1,500
$
3,600
Website Hosting ($1,300), Webmaster services ($1,500) and cloud server
(program-wide) ($750)
Printing/Supplies
$
4,000
$
6,000
Office Supplies & Printing
Telephone/Internet Service
$
6,000
$
5,000
Telephone & Internet service
Utilities
$
2,700
$
1,500
Electricity and water
Shipping
$
500
$
500
Cell Telephones & Mifi
$
3,000
$
3,750
Strategic Planning Workshop
$
10,000
$
10,000
Strategic Planning Workshop Expenses
Contingency funding
$
25,000
$
25,000
Contingency and additional contracts
Program-wide expense.
Operations 3 cell phones and mifi
Total Operations Costs $
83,150 $
61,550
-26.0%
Total Commission Operations Budget $
513,305 $
441,694
-14.0%
Added Strategic Planning Workshop Expenses and more funding for
conference call account
42
Budget Area: System Development & Access
FY 2018 Proposed Budget:
Staff Costs: 4051303001
(System Development)
FY 2017
Approved
5-May-2017
Percent Change
from Approved
2017
FY 2018
Proposed
Description
Salaries
$
58,695
$
105,000
Salary for Trauma System Planner
Benefits
$
35,096
$
62,784
FY 2018 based on OPB Fringe Rates: Employee's Share
FICA/Medicare (7.65%), Health Benefits (30.454%)/
Retirement (21.69%) using fringe rate from AOB Budget
Instructions provided on 01 May 2017.
Worker's Compensation
$
299
$
299
Department of Administrative Services (DOAS) billing for
Worker's Compensation at $299 per employee per year
Unemployment Insurance
$
80
$
80
Unemployment Insurance at $80 per employee per year
Liability Insurance
$
83
$
83
Employer's responsibility. Projected at $83 per employee
per year
Verizon
$
1,000
$
1,250
Staff Travel
$
10,000
$
12,000
Total Staff Costs
$
105,253
$
181,496
$
75,000
$
60,000
Grant support for EMS regions (RTAC 8 only remaining
region to request start up funds)
$
-
Trauma Symposium Support (using redirected funds
from FY 2017 to cover $12,500)
Budget based on cell phone and mifi
72%
Development & Access
RTAC Start Up Grant Funding
RTAC II Funding Request
RTAC III Funding Request
$
60,000
$
60,000
RTAC Coordinator
RTAC V Funding Request
$
46,710
$
48,224
Continued support for the LE Mutual Aid Program &
TECC courses
RTAC VI Funding Request
$
60,000
RTAC IX Funding Request
$
60,000
$
60,000
American College of Surgeons
TQIP State participation
$
12,000
$
-
Medical Association of Georgia
$
-
$
150,000
Proposal Received Jan Commission Meeting (used FY
2016 redirect funds to cover FY 2017)
Georgia TQIP & Surgical
Quality Collaborative Program
$
194,628
Contingency
$
135,932
$
100,000
Contingency Funds
Total Development & Access
$
644,270
$
478,224
-25.8%
Total System Development &
Access Budget
$
749,523
$
659,720
-12.0%
Not needed - about to hire coordinator
RTAC Coordinator
Contract with ACS for TQIP State participation increased
to $15,000 (using redirected funds from FY 2017)
43
Budget Area: Georgia Trauma Foundation
FY 2018 Proposed Budget:
FY 2017
Approved
Developmental Funding
$
Total for Foundation $
FY 2018
Proposed
Percent Change
from Approved
2017
Description
Year 5 of Developmental Funding
-
5-May-2017
$
-
#DIV/0!
FY 2018 Proposal for developmental funding
paid with FY 2017 redirect funds
44
Budget Area: Office of EMS and Trauma
FY 2018 Proposed Budget:
FY 2017
Approved
Available for Office of EMS and Trauma (..."up to 3%"…)
$
491,175
FY 2018 Proposed
$
491,708
5-May-2017
Percent Change
from Approved
2017
Description
0.11%
3% of GTC FY 2017 Allocation
Total for OEMS/T
45
Budget Area: EMS Stakeholders
FY 2018 Proposed Budget:
Available EMS Budget @ 20% of available funds for
stakeholders:
Total Allocation $
FY 2017
Approved
FY 2018 Proposed
2,740,426 $
5-May-2017
Percent Change
from Approved
2017
Description
2,759,426
AVLS Support - Sierra Wireless (InMotion) Maintenance $
152,100
$
165,000
AVLS Support Sierra Wireless (In Motion)
Maintenance for 1,014 units (Phases 1 - 8)
AVLS Airtime Support - Verizon Wireless $
420,000
$
475,000
1,046 units Airtime
AVLS Airtime Support - Sprint $
3,000
$
5,000
Contracts for EMS Training and Equipment $
2,165,326
$
2,126,274
Available for Stakeholder Distribution $
2,740,426 $
2,771,274
5 units Airtime
1%
46
Budget Area: Trauma Centers & Physicians
FY 2018 Proposed Budget:
5-May-2017
Amount
Trauma Center & Physician Readiness Payments
Performance Based Payments Program
Sub Total Readiness Payments
Trauma Center UCC Audits
GTF Educational Grant
Qualifying Uncompensated Care Claims Reimbursement CY 2012
Sub Total Trauma Center Allocation
$2,759,426
$2,759,426
$5,518,852
Total
$50,000 Warren
Averett encumbered
$131,500
$5,518,852
$11,037,704
Total Hospital/Physician Fund Allocation
Trauma Centers & Physicians Fund Division
Readiness
Uncompensated Care
50%
50%
100%
$11,169,204
75% Hospital
$4,139,139
$4,139,139
$8,278,278
25% Physician
$1,379,713
$1,379,713
$2,759,426
Total
$5,518,852
$5,518,852
$11,037,704
47
Budget Area: Readiness & Performance Based Payments
FY 2018 Proposed Budget:
Comparative
Funding Levels
Trauma Center
Level IV
% of Fund
Readiness
Payments 1
5-May-2017
Potential PBP
Payments2
$10,000
Morgan
Emanuel
Effingham
Crisp
Meadows
Level III
0.18%
0.18%
0.18%
0.18%
0.18%
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
0.91%
0.91%
0.91%
0.91%
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$10,000
$10,000
$10,000
$10,000
$10,000
$10,000
$50,000
$50,000
$50,000
$50,000
$50,000
4.41%
4.41%
4.41%
4.41%
4.41%
4.41%
4.41%
4.41%
4.41%
4.41%
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
7.34%
7.34%
7.34%
7.34%
7.34%
7.34%
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$405,296
$405,296
$405,296
$405,296
$405,296
$405,296
3.67%
3.67%
100.00%
$101,324
$101,324
$2,759,426
$101,324
$101,324
$2,759,426
$202,648
$202,648
$5,518,852
$50,000
Taylor
Clearview
Trinity
Redmond
Level II
60% of Baseline
60%
60%
60%
60%
60%
60%
60%
60%
60%
60%
Athens
Archbold
Midtown Medical
Floyd
Gwinnett
Hamilton
Kennestone
North Fulton
Northeast GA Med Ctr
Scottish Rite
Level I
Level I
Atlanta Medical
Egleston
Grady
Navicent Health
Georgia Regents
Memorial
Burn Center 3
Grady Burn Center
Doctors Hospital (JMSBC)
Totals
Baseline 4
100%
100%
100%
100%
100%
100%
100%
50% of Baseline
50%
50%
1300%
Total
Readiness
Payments
Notes:
1
Level IV and III trauma centers receive a stipend amount based upon their relative share of readiness costs.
Level II trauma centers receive 60% relative payments to Level I trauma centers (Baseline) and burn centers 50% of baseline.
2
Performance Based Payments Program (PBP), if fully earned, will be distributed to trauma centers.
3
The GTC survey of burn centers' 2009 readiness costs indicated they were 81% of Level II trauma center 2008 readiness costs,
so the relative funding level for burn centers was set at 50% of baseline compared to 60% of baseline for Level II trauma centers.
4
Baseline equals to Level I total readiness funding.
48
Budget Area: Uncompensated Care Claims Reimbursement
FY 2018 Proposed Budget:
Qualifying CY 2015 UCC
Trauma Center
ISS
0-8
ISS
9-15
Basic
Moderate
5-May-2017
Cost Norm Based Allocation of Funds
ISS 16ISS >24
24
Major
Severe
Total
Severity
Adjusted
Cost Norms
Total Based
Upon Cost
Norms
Allocation Based On % of
Norm Cost Total
Level IV
Morgan
Emanuel
Effingham
Crisp
Meadows
Level III
Taylor
Clearview
Trinity
Redmond
Level II
Athens
Archbold
Midtown Medical
Floyd
Gwinnett
Hamilton
Kennestone
North Fulton
Northeast GA Med Ctr
Scottish Rite
26
27
160
28
103
30
77
53
110
15
45
14
67
17
88
30
66
17
93
11
19
6
40
5
32
6
28
2
26
3
6
7
3
3
23
1
15
5
18
-
96
54
270
53
246
67
186
77
247
29
$12,320
$11,918
$8,994
$9,900
$11,662
$9,292
$11,573
$8,642
$10,812
$8,710
$1,182,766
$643,572
$2,428,271
$524,717
$2,868,932
$622,551
$2,152,510
$665,404
$2,670,460
$252,591
2.44%
1.33%
5.01%
1.08%
5.92%
1.28%
4.44%
1.37%
5.51%
0.52%
$134,676
$73,281
$276,496
$59,747
$326,672
$70,887
$245,096
$75,766
$304,073
$28,761
Atlanta Medical
Egleston
Grady
Navicent Health
Georgia Regents
Memorial
214
23
458
271
70
146
96
3
370
114
48
130
41
1
121
51
23
57
32
76
22
21
50
383
27
1,025
458
162
383
$12,697
$7,710
$13,251
$11,529
$15,188
$15,608
$4,863,113
$208,180
$13,582,429
$5,280,238
$2,460,488
$5,978,027
10.03%
0.43%
28.02%
10.89%
5.08%
12.33%
$553,740
$23,704
$1,546,567
$601,236
$280,164
$680,690
1,811
18
55
1,282
1
3
465
4
22
308
23
80
3,866
$18,051
$20,860
$12,151
$415,163
$1,668,837
$48,468,249
0.86%
3.44%
100.00%
$47,273
$190,023
$5,518,852
Level I
Burn Center
Grady Burn Center
Doctors Hospital (JMSBC)
Total
Patient Treatment Cost Norms
Allocation is based on the number and severity of patients meeting SB 60 requirements times cost norms. This derives a percent of total costs which is then applied
to the total amount available.
ISS
To develop a fair and consistent approach to estimating costs, national trauma center patient treatment cost norms by injury severity were used, for both community
and academic hospitals.
0-8
$5,267
$6,373
9-15
$10,428
$12,618
Burn Severity
Criteria
16-24
$19,626
$23,747
>24
$33,945
$41,073
Severity Score
ISS Criteria
Category
Basic
ISS 0-8
TBSA 0-5%, 610%
Moderate
ISS 9-15
Smoke, TBSA 1120%
Major
ISS 16-24
Electrical Burn
Severe
ISS >24
TBSA 21-30%
and >30%
Community Academic
49
Budget Area: Trauma Registry Support to Trauma Centers
FY 2018 Proposed Budget:
Trauma Center
Level IV
Level IV
Morgan
Emanuel
Effingham
Crisp
Meadows
Level III
Taylor
Clearview
Trinity
Redmond
Level II
Level II
Athens
Archbold
Midtown Medical
Floyd
Gwinnett
Hamilton
Kennestone
North Fulton
Northeast GA Med Ctr
Scottish Rite
Level I
Level I
Atlanta Medical
Egleston
Grady
Navicent Health
Georgia Regents
Memorial
Burn Centers
Burn Center
Grady Burn Center
Doctors Hospital (JMSBC)
Totals
Comparative
Funding Levels
5% of Baseline
5%
5%
5%
5%
5%
5%
10% of Baseline
10%
10%
10%
10%
10%
60% of Baseline
60%
60%
60%
60%
60%
60%
60%
60%
60%
60%
60%
Baseline
100%
100%
100%
100%
100%
100%
100%
50% of Baseline
50%
50%
50%
1365%
5-May-2017
% of Fund
Registry
Payments
0.37%
0.37%
0.37%
0.37%
0.37%
$3,663
$3,663
$3,663
$3,663
$3,663
0.73%
0.73%
0.73%
0.73%
$7,326
$7,326
$7,326
$7,326
4.40%
4.40%
4.40%
4.40%
4.40%
4.40%
4.40%
4.40%
4.40%
4.40%
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
7.33%
7.33%
7.33%
7.33%
7.33%
7.33%
$73,260
$73,260
$73,260
$73,260
$73,260
$73,260
3.66%
3.66%
100.00%
$36,630
$36,630
$1,000,000
50
Budget Area: Total Trauma Center Allocations
FY 2018 Proposed Budget:
Readiness
Payment
Trauma Center
Potential PBP
Payments
Total
Readiness
Payments
CY 2015 UCC
Total From
Trauma Fund
% of Trauma
Fund
5-May-2017
Registry
FY 2017 Total
for Each
Center
Level IV
Morgan
Emanuel
Effingham
Crisp
Meadows
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$5,000
$10,000
$10,000
$10,000
$10,000
$10,000
$0
$0
$0
$0
$0
$10,000
$10,000
$10,000
$10,000
$10,000
0.1%
0.1%
0.1%
0.1%
0.1%
$3,663
$3,663
$3,663
$3,663
$3,663
$13,663
$13,663
$13,663
$13,663
$13,663
Taylor
Clearview
Augusta
Redmond
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$25,000
$50,000
$50,000
$50,000
$50,000
$0
$0
$0
$0
$50,000
$50,000
$50,000
$50,000
0.5%
0.5%
0.5%
0.5%
$7,326
$7,326
$7,326
$7,326
$57,326
$57,326
$57,326
$57,326
Athens
Archbold
Midtown Medical
Floyd
Gwinnett
Hamilton
Kennestone
North Fulton
Northeast GA Med Ctr
Scottish Rite
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$121,589
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$243,178
$134,676
$73,281
$276,496
$59,747
$326,672
$70,887
$245,096
$75,766
$304,073
$28,761
$377,854
$316,458
$519,674
$302,925
$569,850
$314,065
$488,274
$318,944
$547,251
$271,939
3.4%
2.9%
4.7%
2.7%
5.2%
2.8%
4.4%
2.9%
5.0%
2.5%
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$43,956
$421,810
$360,414
$563,630
$346,881
$613,806
$358,021
$532,230
$362,900
$591,207
$315,895
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$202,648
$405,296
$405,296
$405,296
$405,296
$405,296
$405,296
$553,740
$23,704
$1,546,567
$601,236
$280,164
$680,690
$959,036
$429,001
$1,951,864
$1,006,532
$685,460
$1,085,986
8.7%
3.9%
17.7%
9.1%
6.2%
9.8%
$73,260
$73,260
$73,260
$73,260
$73,260
$73,260
$1,032,296
$502,261
$2,025,124
$1,079,792
$758,721
$1,159,246
$101,324
$101,324
$2,759,426
$101,324
$101,324
$2,759,426
$202,648
$202,648
$5,518,852
$47,273
$190,023
$5,518,852
$249,921
$392,671
$11,037,704
2.3%
3.6%
100%
$36,630
$36,630
$1,000,000
$286,551
$429,301
$12,037,704
Level III
Level II
Level I
Atlanta Medical
Egleston
Grady
Navicent Heatlh
Georgia Regents
Memorial
Burn Center
Grady Burn Center
Doctors Hospital (JMSBC)
Total
51
PO Box 1477 Kennesaw, GA 30156 404-­‐990-­‐2980 www.georgiatraumafoundation.org May 8, 2017 To: Dena Abston, Executive Director, Georgia Trauma Care Network Commission From: Lori Mabry, Director, Georgia Trauma Foundation, Inc. Re: Request for funding Introduction The continued support of the Georgia Trauma Care Network Commission has enabled the Georgia Trauma Foundation to hire an executive director to complete the process of establishing nonprofit status, establish gainful business practices, and develop a strong platform to fulfill the stated mission: to support the trauma system of Georgia primarily through research, while utilizing research insight to drive education and injury prevention. As with all organizations, a key to success is the commitment of everyone involved. Our small, but mighty staff and board have joined in your commitment to making the success of the foundation occur. In our short existence we have worked with the Georgia Institute for Technology to create an online registration system for educational courses and events, accepted grants from the Office of EMS and Trauma and the Office of Rural Health to support EMS efforts throughout the state, partnered with the Georgia Society of the American College of Surgeons to host the Annual Day of Trauma and Trauma Awareness Day at the State Capitol, developed a statewide workgroup for the Stop the Bleed Campaign, awarded three Trauma Research grants, participated in the Governor’s Office for Highway Safety Distracted Driving Task Team, and had representation at both state and national conferences as we continue to network and create awareness. While we are proud of all our accomplishments, combining continuing trauma educational efforts may be the most significant. We believe that advancing the care of the trauma patient is contingent upon a well-­‐trained healthcare team; therefore, education must be the priority as a foundation. We hosted over 25 courses this past year, including the first statewide trauma symposium with over 150 people in attendance. This is just one example of how Georgia is ensuring collaboration with and coordination of resources toward developing an inclusive statewide trauma system. We are excited for the future of the foundation and the trauma system of Georgia, but we recognize that there is much more work to be done. Over the next year, we will continue to develop programming while expanding the Board of Directors and developing strategic fundraising plans and activities to enhance education and research efforts. Statistics and experience indicate that as a fairly new non-­‐profit organization, we have yet to realize the potential resources that can be secured through a well-­‐ organized fund development effort of corporate, foundation, government grants, and most importantly: giving by individuals. In its most recent report, the AAFRC Trust for Philanthropy reported that U.S. nonprofit organizations received more than $373 billion in charitable donations in 2015, 80 percent of which came from individual donors or their estates. 52
Reaching these donors, however, requires something more than a part-­‐time effort. With the dramatic growth in nonprofit organizations, increasingly more complicated fundraising regulation from the IRS, and rising expectations and sophistication of donors, it is very difficult to imagine running a successful fundraising program without the support of an experienced development director. Finding and retaining the right person can be critical to the long-­‐term financial health of our foundation. The foundation requests continued financial support from the Georgia Trauma Care Network Commission to fund educational efforts and development expenses to include a one year contracted development director position. We are requesting $131,500.00 as a direct grant award to be earmarked specifically for continuing education courses (detailed information enclosed) and $200,000.000 as a direct grant award to the foundation for the following development activities: 1. Programs and Operations: a. Program Development i. Identify foundation’s overall issues and goals and develop strategies to reach the goals. Create and maintain specific programming to address the issues identified that fit within mission of the foundation. Programming may include, but not limited to, research, education and injury prevention. b. Day-­‐to-­‐Day Business Operations i. Executive Director will manage day-­‐to-­‐day operations including paying foundation expenses, managing home office, developing programming, networking, and fundraising. 2. Organizational and Financial Management: a. Third Party Accounting Services i. The foundation has researched and obtained a relationship with a third party accounting service to reconcile financial reports. The third party service will also provide guidance and assist the foundation in being good stewards of funds. 3. Business Development and Fundraising: a. Development Director Position i. Develop a fundraising plan, process and timeline for the foundation and its developing board. The development director, executive director and board will work together to launch the initial actions that are critical to assuring the success and future of the foundation. 4. Community and Public Relations/Communication: a. Marketing i. Maintain effective and impactful messages consistent with established foundation mission and values through various communication channels including website, social media, paid and unpaid advertisements, newsletters, special events, brochures, and annual reports. b. Printing i. Print foundation stationary, business cards, brochures, and publications developed in marketing plan. c. Website Development and Management i. Design and maintain foundation website and content developed in marketing plan. 53
Development Director I.
Position Reporting to and in partnership with the Executive Director (ED), the Development Director (Director) will spearhead development efforts as the Georgia Trauma Foundation (foundation) continues to grow. A new position in the organization, the Director will have the opportunity to build the development function. II.
Responsibilities • Develop a clear and compelling written case for support. • Build understanding and support for that case among foundation constituencies. • Help clarify the foundation’s needs and build its fundraising capacity. • Develop and implement both annual and long-­‐range plans to achieve fundraising goals. • Identify and manage the resources needed to carry out the fundraising plan. • Secure financial support from individuals, foundations and corporations • Manage the implementation and administration of a donor management system • Overseeing organization of special events III.
Qualifications • Passion for foundation’s mission and ability to articulate its history, values, and programming to internal and external stakeholders. • Demonstrated interest in the area of trauma. • Bachelor’s degree required and 5 years experience in development. • Familiarity with nonprofit policies and procedures. • Demonstrated excellence in organizational, managerial, and communication skills • Proficiency in Microsoft Office required. • Knowledge of donor management systems. • Ability to perform other tasks as directed by the ED. IV.
Annual Salary: $40,000-­‐$50,000 54
FY 2018 Requested Funding
$ per Course # of Courses FY2018 Fund FY2017 Fund FY2016 Fund
Development*
Development Total
$200,000.00 $150,000.00 $150,000.00
Education
Trauma Nursing Core Course
Emergency Nursing Pediatric Course
Trauma Care After Resuscitation
Rural Trauma Team Development Courses
Resident Paper Competition and Day of Trauma (Registrar Education)
Southwest Trauma & Acute Care Symposium (STACS)
Advanced Trauma Care for Nurse Provider Courses
ATS Injury Prevention Coordinator Course
Pediatric Fundamental Critical Care Support
(Abbreviated Injury Scale (AIS) Coder Training)
(Bleeding Control (BCon) Course)
(Optimal)
(STN TOPIC Course)
Education Accounting Service Fees Education Total
TOTAL
$5,000.00
$5,000.00
$15,000.00
$3,000.00
$11,000.00
$8,000.00
$6,000.00
$10,000.00
$1,000.00
4
2
3
4
1
1
2
1
2
$20,000.00
$10,000.00
$45,000.00
$12,000.00
$15,000.00
$4,000.00
$12,000.00
$10,000.00
$2,000
$15,000.00
$10,000.00
$30,000.00
$15,000.00
$11,000.00
$8,000.00
$15,000.00
$30,000.00
$6,000.00
$6,000.00
$18,000.00
$31,500.00
$1,200.00
$24,000.00
20
$8,750.00
$1,500.00
$1,500.00
$9,900.00
$131,500.00 $131,950.00 $108,900.00
$331,500.00 $281,950.00 $258,900.00
* additional worksheet attahced
55
MAG MRC Grant Application to GTCNC 2017
The Medical Association of Georgia Medical reserve Corps (MAG MRC)
received federal approval as a Medical Reserve Corps in 2015. This is a
unique recognition as most MRCs are based in local EMS response regions
and the MAG MRC serves a statewide support function to provide physician
directed manpower assistance in Georgia declared emergency situation
under the authorization of the Georgia Department of Public Health. All
MAG MRC members are registered and current credentials are maintained
with ServeGA.
The MAG MRC developed its mission plan in conjunction with the GDPH
based on evidence based needs identified from prior statewide emergency
responses. The mission essential task list for the MAG MRC includes
• Assembly of the Surge Care Facility and rendering it care delivery
capable when usual local resources are overwhelmed.
• Provision of trans-locatable medical manpower to assist when local
medical resources are overwhelmed.
The MAG MRC appreciates the grant support of the Georgia Trauma Care
Network Commission (GTCNC) in accomplishing its mission and
deployment capability. The first GTCNC grant accomplished basic uniform,
equipment, and training for the core leadership MAGMRC group. The
second GTCNC grant is being utilized to accomplish emergency response
member recruitment and training to achieve a deployable cadre (#100) of
trained and equipped personnel. This includes uniform and personal
response equipment as well as MAG MRC Team communal response
equipment which would be dispersed at the deployment site for emergency
response (radios, medical first aid kits, ponchos, flashlights, headlamps,
etc).
Currently the MAG MRC has designated a Leadership Board and Regional
Coordinating Physicians to recruit, train, retain and direct the response
teams of the MAG MRC. The FEMA prerequisite unit training curriculum,
ServeGA registration, and a unit training exercise (TX) is required prior to
uniform and equipment consignment, MAG MRC Identification
credentials, and designation as a deployable team member.
56
Notable achievements of the MAG MRC
• 30 deployable members/ 27 in training – deployable by March 2017.
• Presentation at MAG HOD state medical convention
• Presentation at MAG State legislative conference
• Educational Presentations include Top Docs Radio* broadcasts
• Hurricane Matthew availability of 25 Physicians for deployment
o State and National Recognition
• Resident Team is training and participating in MRC activities
o Resident 2017 NACCHO MRC Challenge Award Submission
• Medical Student Team is training (MCG SAV)
In general terms we would be requesting a continuation of funds to support
the mission of the MRC goals of recruitment, retention, education, training,
and operational needs including equipment, uniforms, medical supplies,
and other administrative costs.
The leadership board have developed the following budget request for the
period beginning July 2017-June 2018:
MRC Membership / New Members, Recruitment, Uniforms, and retention
$70,000.00
Education/ Training and Exercises
$40,000.00
Equipment and Supplies / Uniforms, Office, Med Supplies
$40,000.00
Grant Total Request
$150,000.00
57
*Top Docs Radio
Radioshow:http://topdocs.businessradiox.com/2015/03/12/medical-reserve-corps/
Radioshow:http://topdocs.businessradiox.com/2016/10/15/medical-association-of-georgia-medicalreserve-corps/
Hurricane Matthew Has Physicians and Hospitals on Red Alert
(includes Dr. Harvey/MAG MRC)
MEDSCAPE Medical News
http://www.medscape.com/viewarticle/869947
Hospitals and physicians along the nation's southeastern seaboard are going
through a familiar drill as Hurricane Matthew churns northwest toward central
Florida, prompting mass evacuations before an expected impact late today or early
tomorrow.
Physicians are shutting down their offices for the rest of the week while hospitals
are going into lockdown, generator-power mode with clinicians packing overnight
bags, on the ready for emergency cases. Some especially vulnerable hospitals are
emptying all their beds. Cape Canaveral Hospital, sitting on a slender causeway
south of the famous spacecraft station, finished transferring its patients to other
hospitals in its system Wednesday afternoon, a spokesperson told Medscape
Medical News.
The category 4 hurricane probably won't hit the coast of Georgia until Friday
night. When it does, a unit of some 30 volunteer physicians formed by the
Medical Association of Georgia (MAG) and the state public health
department will head toward the action. The so-called Medical Reserve Corps
(MRC) will help area hospitals treat evacuees and hurricane victims and, if
58
need be, set up an inflatable field hospital of its own in 2 hours, said John
Harvey, MD, president of MAG and MRC director.
"We have the same range of specialists you'd find in most any hospital," Dr
Harvey told Medscape Medical News.
Keep Vaccines Refrigerated
Hurricane Matthew, which has already battered Haiti and the Bahamas, may not
necessarily make landfall when it strikes Florida tonight or tomorrow, landfall
defined by the National Hurricane Center (NHC) as the center of the storm
crossing onto dry land. However, the coast of Florida, Georgia, South Carolina,
and North Carolina could experience Matthew's full wrath without landfall because
a hurricane's strongest winds are not at the center, according to the NHC.
Maximum sustained winds were clocked at 140 mph Thursday afternoon.
Like everyone else, physicians in the probable path of Hurricane Matthew should
follow the instructions of local emergency management officials and "if told to
evacuate, get out of there," said Linda Landesman, DrPH, MSW, author of Public
Health Management of Disasters: The Practice Guide, 2nd Edition. However, for
physicians, evacuation means more than just walking out the office door. Dr
Landesman and other experts offer this advice:
• Inform patients about a temporary office closure and where they can receive
care in the meantime. Be ready to answer questions about rescheduling
appointments and managing illnesses on their own.
• Make sure the practice has an up-to-date list of contact information for each
member of the staff. Ask them to share their evacuation plans and
availability for providing emergency medical care at another location.
• Secure clinical and billing data, either by backing it up to a remote server or
copying it on a portable disk drive. Or, pack up the server itself. Paper
charts? Box them and haul them off.
• Remove vital business documents such as leases, insurance policies, and
payroll information.
• Remove vaccines and medications in the office. If physicians normally store
them in a refrigerator, they must keep them at the right temperature during
transit, said Dr Landesman, an instructor at the University of
Massachusetts Amherst. "They've got to maintain the cold chain."
Make Room for More Walk-ins After the Storm
When physicians reopen their offices after a hurricane passes, Dr Landesman
told Medscape Medical News, they need to be ready for another possible storm —
of patients. Make extra room in the appointment schedule for walk-ins, she
advises.
59
The problems of hurricane survivors are fairly predictable. Some patients will lose
or run out of medications for chronic illnesses, causing flare-ups. Lack of airconditioning can exacerbate respiratory problems such as asthma.
"Mold is one of the most disastrous consequences of flooding," said Dr
Landesman. "It can make anybody sick."
Exposure to floodwater tainted by sewage and chemicals can lead to skin
infections. Demolition and reconstruction work yields chain-saw wounds and
broken bones from falls.
Don't forget snakes. Hurricane survivors are at risk of getting bitten by snakes,
insects, and other creatures that have been chased out of their usual home by
floodwaters, according to Dr Landesman.
Follow Robert Lowes on Twitter @LowesRobert
60
March 20th, 2017
Georgia Trauma Network Commission
410 Chickamauga Avenue
Rossville, GA. 30741
Dear Commission Members:
As Region 2’s Regional Trauma Advisory Committee (RTAC) plans for our second Trauma
Symposium, I am writing to ask for your assistance. As you may remember, we held our first
event last fall with over 300 in attendance. We had to turn away almost 200 applicants. This
year we have secured a venue that will easily accommodate the 500 – 700 attendees we are
anticipating. Last year we gave away 100 tickets to students (Nursing, EMT and Paramedic) so
that they could attend the symposium at no charge. This year we would like to double the
amount of tickets given to students. We believe we are preparing Georgia’s next generation to
provide the best care possible to those who incur injury.
As you have done for one day trauma conference in Savannah, we would like to respectfully
request funding for our symposium from the Georgia Trauma Network Commission in the
amount of $12,500.00 to offset the cost of allowing students to attend at no charge, and to assist
with other symposium expenses such as speakers’ fees, etc. Your assistance will allow us to
reach a broader spectrum of healthcare professionals across our State with the latest in trauma
care education, including many who live in the northern part of the state and could not attend the
Savannah event.
I have attached a proposed budget for our 2017 trauma symposium. If you need further
information, please let me know.
Respectfully,
Chad Black
Chad Black
Chairman Region 2 RTAC
61
Region2RTACSymposium-2017
ProposedBudget
Income
Registration
VendorFees
TotalIncome
Debit
$25x550participants(less200forstudents)
$250x15(Basedonlastyear,anticipateincrease)
Less200"students"compensatedforsymposium
Adjustedincome
Credit
13750.00
3750.00
17500.00
-5000.00
12500.00
Expenses
Registration
Misc
EventbriteFees
FacilityRental
FacilityAVSupport-$25/hrx10hrs
Catering-$35x550participants
Nametags
TotalExpenses
1500
3000
250
19,250
100
24,100
Conservativeonattendeenumbers,anicipateupto600
62
Region 5 EMS
Regional Trauma Advisory Committee
777 Hemlock Street, MSC 103
Macon, Georgia 31201
Phone: (478) 633-1530
Fax: (478) 633-6195
Region 5 RTAC Funding Request
April 12, 2017
Proposal:
The Region 5 Emergency Medical Services (EMS) Advisory Council and the Region 5 Regional Trauma
Advisory Committee (RTAC) are committed to expanding access and improving outcomes for all patients
experiencing trauma. To that end, the Region 5 RTAC with the approval of the Region 5 EMS Advisory
Council would like to petition the Georgia Trauma Care Network Commission (GTCNC) for funding in the
amount of $48,224 to increase the number of Bleeding Control Kits being provided through the Region 5
Law Enforcement Mutual Aid Trauma (LE-MAT) Program and to provide four Tactical Emergency Casualty
Care (TECC) Courses within our Region.
Law Enforcement Mutual Aid Program Funding Request: $28,534
The LE-MAT program is a region-wide effort to distribute Mutual Aid Trauma Kits (MAT Kits) and provide
Bleeding Control (B-Con) training to local police officers and deputies. Currently, this program is funded
through the Regional Trauma System Improvement Grant initiated by the EMS Subcommittee of the
GTCNC. The program is being rolled-out within the Region’s rural law enforcement agencies. To date, 70
municipal and county agencies are slated to participate in the program. The requested funding will allow for
the purchase 370 additional LE-MAT kits; thereby enabling us to increase the number of LE MAT kits
provided to larger departments in Baldwin, Dodge, Jasper, Jones, Laurens, Peach, and Pulaski counties
while also allowing for placement of kits in Houston and Bibb counties.
LE MAT Program
Bleeding Control (MAT) Kits
Quantity
370
Price
$77.12/each
Total_______
$28,534
Tactical Emergency Casualty Care (TECC) Funding Request: $19,690
The TECC program is based on the principles of Tactical Combat Casualty Care (TCCC) and meets the
guidelines established by the Committee on Tactical Emergency Casualty Care (Co-TECC). This 16-hour
course covers topics designed to decrease preventable death in the civilian tactical situation or hazardous
environment. The provision of TECC courses would provide us with the means to complement our ongoing
work to improve the regional trauma system.
TECC Courses x 4
Cached Textbooks
Instructor’s Toolkit
Cached TECC Training Equipment
Cards for TECC students
Instructors
Victims/Role Players
Disposables
Quantity
25
1
2
80
5-6/class
5-6/class
Price
$70/ea
$40/ea
$2,250/ea
$15/ea
$2,400/class
$450/class
$200/class
Total_______
$1,750
$40
$4,500
$1,200
$9,600
$1,800
$800
Summary:
Both the LE MAT and TECC programs champion the recommendations of the Hartford Consensus.
Combined with other Stop the Bleed initiatives, these programs propel us toward our regional goal of
providing a seamless, integrated response to the victims of trauma while seeking to decrease the interval
between time of injury and the provision of care for the seriously injured. The Region 5 RTAC would like to
express its appreciation for the support and funding that the GTCNC has provided to our regional trauma
system thus far. We are very proud of the accomplishments we have made together. Thank you for your
consideration of this request.
63
Georgia Trauma Quality Improvement Program and Surgical Quality Collaborative
Grantee Progress Report 11/10/2016 – 5/5/2017
Introduction
Support from the Georgia Trauma Commission for this initiative was critical in enabling the Surgical
Quality Collaborative (composed of NSQIP Member Hospitals) and the Trauma Quality Collaborative
(composed of TQIP Member Hospitals) to merge together. The overarching goal of the newly formed
Georgia Trauma and Surgical Quality Collaborative (GATSQC) is to support all Member Hospitals in quality
initiatives to improve the trauma and surgical outcomes of patients in Georgia. GATSQC will achieve this
objective by fostering a culture of transparency and collaboration among hospitals in the state in a way
that is supportive and non-punitive. As demonstrated by other Collaboratives across the country, state
collaboratives with an exclusive focus on quality improvement have proven successful in improving quality
of care and, thus, patient outcomes as measured by reductions in complications and cost. The GATSQC is
a novel Collaborative approach as it combines the knowledge, expertise, and work of experts in the field
of trauma and other surgical disciplines together- aiming to address challenges in multiple fields and
promote cross-disciplinary learning. With this in mind, the long term goal is to pursue surgical quality
improvement under this joint Collaborative that are not only areas in need of improvement, but may also
be applicable to both trauma and general surgery Member Hospitals, and apply to large patient
populations in Georgia.
Objectives
Core objectives for this grant and the GATSQC are to:
1. Maximize the exchange of information on surgical best practices through collegial and
professional interactions.
2. Use a standardized quality reporting system so that results can be compared and best practices
identified.
Activities
Many activities have taken place during this grant period to advance the mission and objectives of the
GATSQC. These essentially follow two key tracks/processes:
1. to conduct quality improvement projects for the Member Hospitals that is applicable to surgery
and trauma through data review, consensus, and identification of high performers.
2. to formalize the GATSQC legally, financially, and operationally as an entity in order to best
commence and support quality improvement projects for Member Hospitals in the state of
Georgia
By parallel processing these two tracks, the GATSQC can be most effective, and truly promote quality
improvement among all Member hospitals while also serving as a neutral third party regarding data
collection and sharing.
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
1
64
 Track 1: Quality Improvement Project
The primary goal for this initial project is to identify an outcome area in need of quality improvement for
both trauma and general surgery (either jointly or for each area respectively). In time, the GATSQC aims
to demonstrate the similarities between trauma and general surgery in outcome measures to generate
increased conversation and learning among all Member Hospitals to improve the quality of care. To date,
the GATSQC has identified and completed the following activities in support of generating the first quality
improvement initiatives for the Collaborative Member Hospitals (both trauma and general surgery).



Initial Data Review from NSQIP and TQIP respectively
NSQIP and TQIP respective meetings to discuss potential areas of improvement
Agreement on focus area(s) that is applicable to trauma and general surgery Member Hospitals
Upon review of Collaborative data from the NSQIP Collaborative report and the TQIP Collaborative report,
renal failure / acute kidney injury (AKI) is an opportunity for improvement for both general surgery and
trauma throughout the state of Georgia. At this time, Member hospitals of the GATSQC are beginning
their internal reviews to be best equipped with potential input areas that affect this outcome. Member
Hospitals are also reviewing data at their own institutions in order to identify their level of performance
for this particular outcome, with the minimum goal of high performers self-identifying. This serves not
only as a way to learn from these high performers, but also as a way to encourage continued data sharing
moving forward. The GATSQC is going to work with each institution to obtain some further data on this
outcome area in regards to patient size and other patient characteristics, in hopes of collating all data
from NSQIP participants and TQIP participants to generate an aggregate picture of all renal failure/AKI
patients in the state. Provided there is sufficient patient population from this data aggregation, each
Member Hospital will identify some potential input areas that affect the outcome. Each of these can be
implemented through a variety of ways, such as education, protocols, dashboarding, etc. These input
areas and thoughts around potential next steps for the intervention will be reviewed in August at the
annual Georgia Society of the American College of Surgeons (GSACS) meeting.
As the TQIP Member Hospitals have spent some time over the past few years with additional outcome
areas, the GATSQC is going to continue to support those efforts. However, the timeline for
implementation of quality improvement projects for these outcomes will be on a less aggressive timeline,
and perhaps take place in a step-wise fashion once the initial project is well underway. These outcome
areas include: Ventilator Associated Pneumonia (VAP), Venous Thromboembolism (VTE), Audit Filters, and
a recently introduced topic area of Unplanned Return to the OR. Based on discussion from the TQIP Spring
Meeting, VAP is an outcome area that has come the farthest with development of guidelines for
implementation to improve the outcome. Pending agreement amongst the TQIP Members, the GATSQC
would like to continue to push this quality improvement project forward first, and support further
refinement and development of the other outcome areas. Additionally, the NSQIP Member Hospitals have
pursued quality improvement with substantive results at the entity level in areas of reduction in surgical
site infections, enhanced recovery pathways after colorectal surgery, elimination of retained foreign
bodies and reduction in catheter-associated urinary tract infections. Any of these can be potential areas
of joint quality improvement which will impact a larger patient population across Georgia. Pending the
identification of another outcome area for quality improvement, the GATSQC will support NSQIP Member
Hospitals similarly to the TQIP Member Hospitals, and support the implementation of another project in
a step-wise fashion and on a less aggressive timeline.
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
2
65
The following activities are slated to take place over the remainder of 2017 and into August 2018.







Member Hospitals conduct internal review to identify potential areas that influence the outcome
Joint TQIP and NSQIP meeting at the annual GSACS meeting to review inputs affecting outcomes
Agreement on inputs to focus on (3-5)
Member Hospitals work together to design an intervention for the inputs in order to improve outcome quality
Review of the intervention and agreement amongst all Member Hospitals (TQIP and NSQIP respectively)
Intervention implementation and data collection (through use of NSQIP and TQIP)
Data review and analysis
A project timeline for these Track 1 activities and some key activities in relation to Track 2: Formalization of the GATSQC, are depicted in Table 1
below.
Table 1: GATSQC Projected Activity Timeline
Task
March
Initial Meeting
Spring Meetings (TQIP and NSQIP Member Hospitals)
QI Project Data Analysis
Progress Report for Trauma Commission
National NSQIP Meeting
GSACS/DOT
QI Intervention Design
Collaborative Incorporation
National TQIP Meeting
Intervention Implemented
Progress Update
Intervention Data Analysis
April
May
June
July
2017
August
September October
November December January
February March
April
2018
May
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
June
July
3
66
August
 Track 2: Formalization of the GATSQC
The following activities have been completed to date in relation to the operationalization of the GATSQC
so that it can best support the Member Hospitals in their quality improvement efforts.




Collaborative incorporation documents development
Official name and logo development and finalization
Member Hospital documents development
Setting and leading NSQIP and TQIP quarterly meetings in collaboration with the Georgia Trauma
Foundation, GSACS, and the annual ACS TQIP and NSQIP meetings respectively.
At this time, the GATSQC is sourcing potential counsel to assist with recommendations for incorporation.
Once appropriate counsel is identified, the GATSQC will have a series of discussions in order to determine
the best approach for incorporation and designation, as there are many potential avenues in the not for
profit sector. Once incorporated, the GATSQC will be able to begin reaching out to external funders and
granting agencies to obtain additional funds to further support the mission and activities of the
Collaborative and the Member Hospitals. A meeting schedule has been developed to ensure that there
are quarterly meetings every year for Member Hospitals of NSQIP and TQIP respectively. Of these four
meetings, two will be meetings to include all GATSQC Member Hospitals. A tentative schedule for these
meetings moving forward is depicted in Table 2 below. Moving forward, for the remainder of 2017 and
into 2018, the following activities will take place.



Incorporation as a not for profit entity
Identification of funding sources and appropriateness
Web design and development for the GATSQC
Once incorporated as a not for profit entity, the Collaborative will be eligible for other funding sources.
Simultaneously, the GATSQC website will not only serve to inform the public and potential interested
parties of the mission and work of the GATSQC, but will also serve as a resource for Member Hospitals
regarding upcoming meetings, deadlines, projects / initiatives, and tools to help execution of Quality
Improvement projects.
Table 2: GATSQC Meeting Schedule
Month
April/May
July
August
November
December/January
NSQIP Hospitals


TQIP Hospitals
Joint- All GATSQC Member Hospitals




Notes
TQIP Annual Meeting in Collaboration with the Georgia Trauma Foundation;
NSQIP Webinar/in person meeting
NSQIP annual quality conference
Georgia Society of American College of Surgeons Annual Meeting and Day of
Trauma (moving forward to be known as Day of Quality)
TQIP annual quality conference
TBD- to be arranged
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
4
67
Next Steps
The primary next steps for the GATSQC are contingent with the items identified above for each track. In
regards to a Quality Improvement project for Member Hospitals, the next steps include finalization of
renal failure / AKI pending sufficient data and patient population to review and analyze. This will be
followed by each individual institution reviewing data from their own reports to start generating ideas on
potential input areas that could have an effect on this outcome. At the joint meeting at GSACS in August,
we will work with the Member Hospitals to finalize the processes, protocols, inputs, etc. to address in the
Quality Improvement project to improve renal failure / AKI. An approach for the project will be developed
over the remainder of 2017 with the winter meeting among all Member Hospitals to serve as a kick-off
for the project to be implemented in January 2018. The data will be collected over the first few months
of 2018 and updates provided at the spring meetings. At the annual GSACS meeting, there will be sufficient
data reviewed to determine if an impact has been made, and if that impact has been positive, negative,
or neutral in addressing renal failure / AKI. Concurrently, the GATSQC will be working with legal counsel
and web developers in order to incorporate the Collaborative so it can obtain external funding, generate
a public profile to attract potential funders and interest, and provide a resource for Member Hospitals
regarding Quality Improvement overall.
Conclusion
The first few months of this grant have been focused on laying groundwork, and aligning goals and
objectives. Now that the GATSQC has created a timeline and established initial documents and meetings,
the Collaborative can continue with implementation of Quality Improvement projects and formalization
so it can best support the Member Hospitals. The GATSQC is looking forward to executing the next major
milestones and steps towards achieving its overall mission. This will be a process that will evolve over
time, but will ultimately generate important quality improvement projects to improve the health and
experiences of surgery and trauma patients in the state of Georgia.
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
5
68
Budget Expenditure to Date
To date, the GATSQC has used $21,262.00 of the granted $194,628, leaving a remaining budget of
$173,366.00. For details on these expenditures, please see the table below.
Table 3: GATSQC Budget Expenditure
Line Item
Amount Expended
Personnel
(including: both PIs, Executive Director/Program Coordinator, Biostatistician)
$17,177.00
Office Supplies
$41.00
Travel
(Note: NSQIP annual meeting, GSACS annual meeting, and TQIP annual
meeting have not yet occurred for 2017)
$744.00
Conferences/Meetings
$3,300
Total
$21,262.00
Budget Expenditure Justification
The amount expended for personnel includes both salary and fringe benefits for the two PIs, the program
coordinator, and biostatistician through the end of April 2017. Travel includes hotels, food, mileage, and
incidentals costs for travel thus far, including the TQIP Spring Meeting in collaboration with the Georgia
Trauma Foundation. Conferences and meetings cost include registration fees associated with the TQIP
Spring Meeting, the NSQIP annual meeting, and a contribution to the Georgia Trauma Foundation to help
offset costs associated with the Spring Meeting. Moving forward the Spring Meeting will encompass a day
for TQIP Member Hospitals and a day for NSQIP Member Hospitals, as well as activities and educational
sessions developed by the Georgia Trauma Foundation (should the Georgia Trauma Foundation like to tie
in said events at the same time as the spring meetings). This two day event will be jointly funded by the
Collaborative and the Georgia Trauma Foundation.
In total the amount expended from the grant thus far is $21,262.00, leaving a remaining budget of
$173,366.00. These remaining funds are allocated for the following: personnel and fringe benefits costs
for staff, office supplies, travel in accordance with conferences and annual meetings (e.g. national NSQIP
meeting, national TQIP meeting, and GSACS annual meeting), and costs to hold conferences at both GSACS
in August and a winter conference in December for all Member Hospitals hosted by the GATSQC. This will
serve as the final yearly meeting for all Member Hospitals, fulfilling requirements of 4 meetings per year
for TQIP Hospitals and NSQIP Hospitals respectively. It will also fulfil the requirement of 2 joint meetings
per year inclusive of all Member Hospitals in the GATSQC. Funds will also be used for applicable legal and
marketing fees in accordance with appropriate counsel and recommendation for incorporation of the
GATSQC and website development.
Confidential to the Georgia Trauma and Surgical Quality Collaborative. Do not Circulate without Permission.
6
69
GTC EMS Trauma Related Equipment Grant Final Report
Breakdown of Funds
Total Grant Funds
Sent to State for Funding
Remaining Funds
Outstanding
Outstanding Applications
Available Agencies
Agencies combined with other agencies
Agencies contacted but not participating
Agencies that did not respond
$977,010.00
$1,013,243.35 155 Participating AGENCIES
-$36,233.35
$2,647.71 Macon
$2,647.71
172.00
7.00
2.00
2.00
Need additional funds to cover agency discrepencies and
agencies that have not participated in the past.
$38,881.06 REQUESTED AMOUNT
Discrepency Difference Paid 13 Ambulances
$11,473.41 Part of Requested Funds
Agencies that have not participated in the past:
Redmond
Schley
Jeff Davis
Dade County
Long
Liberty
West Point Fire
Total
$12,315.82
$1,765.15
$2,647.40
$1,765.15
$1,765.15
$7,060.56
$1,765.15
$29,084.38 Part of Requested Funds
70
GTCEMSTraumaRelatedEquipmentGrant
OriginalProgramBudget
TotalAmountofAmbulances
TotalAmountofBudgetperAmbulance
ZonedProvider
County
Webster
Quitman
Marion
Jasper
Warren
Randolph
Grady
Ogelthorpe
Clinch
Jenkins
Wilcox
Washington
Dodge
Screven
Berrien
Dooly
Turner
McIntosh
Appling
Harris
Candler
Towns
Putnam
Fayette
Wayne
Wilkes
Clayton
Habersham
Dawson
Lumpkin
Monroe
Emanuel
Fannin
Newton
McDuffie
BenHill
Region
7
7
7
5
6
7
8
10
9
6
5
5
5
6
8
8
8
9
9
7
9
2
5
4
9
6
3
2
2
2
5
6
1
3
6
8
ServiceName
WebsterCountyFire/EMS
Georgetown-QuitmanCountyEMS
MarionCountyEMS
JasperCountyEMS
WarrenCountyEMS
EmergencyMedicalServicesofRandolphCounty
GradyCountyEMS
OglethorpeCountyEMS
ClinchCountyEMS
JenkinsCountyAmbulanceService
WilcoxCountyEMS
WashingtonCountyEMS
DodgeCountyEMS
ScrevenCountyEMS
BerrienCountyEMS
DoolyCountyEMS
TurnerCountyEMS
McIntoshCountyEMS
ApplingCountyEMS
HarrisCountyEMS
CandlerCountyEMS
TownsCountyEMS
PutnamCountyEMS
CityofPeachtreeFireDepartment
WayneCountyEMS
WilkesCountyEMS
CityofForestParkEMS
HabershamCountyEMS
DawsonCountyEmergencyServices
LumpkinCountyEMS
MonroeCountyEMS
EmanuelCountyEMS
FanninCountyFire&EMS
NewtonMedicalCenterEMS
McDuffieCountyEMS
BenHillCountyEMS
#ofAmbulances
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
5
5
5
5
5
5
5
5
5
5
6
6
6
6
$977,010
1107
$882.57
TotalAmountRemaining
TotalAmountPaidOut
TotalGrant
Estimated
Amountby
TotalRequested
Discrepancies
Service
$1,765.15
$1,804.00
$1,765.15
$1,605.87
$2,647.72
$1,761.83
$2,647.72
$2,634.95
$2,647.72
$2,706.05
$2,647.72
$2,494.99
$2,647.72
$2,646.59
$2,647.72
$2,648.42
$2,647.72
$2,654.28
$2,647.72
$2,843.25 $3,530.30
$3,519.00
$3,530.30
$3,525.00
$3,530.30
$3,479.28
$3,530.30
$3,553.29
$3,530.30
$3,545.23
$3,530.30
$3,527.21
$3,530.30
$3,590.00
$3,530.30
$3,507.40
$3,530.30
$3,794.13
$3,530.30
$1,156.00
$3,530.30
$3,300.00
$3,530.30
$3,514.86
$4,412.87
$3,050.00
$4,412.87
$4,412.00
$4,412.87
$5,279.96
$4,412.87
$4,750.00
$4,412.87
$4,633.92
$4,412.87
$4,412.85
$4,412.87
$4,500.41
$4,412.87
$5,792.00
$4,412.87
$4,808.31
$4,412.87
$4,805.72
$5,295.45
$5,302.10
$5,295.45
$5,289.87
$5,295.45
$5,327.48
$5,295.45
$5,295.30
0
0
-1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
-1
0
0
0
0
0
0
0
0
0
0
0
0
0
-$36,233.35
$1,013,243.35
POAMOUNT
$1,765.15
$1,605.87
$1,761.83
$2,634.95
$2,647.72
$2,494.99
$2,646.59
$2,647.72
$2,647.72
$2,647.72
$3,519.00
$3,525.00
$3,530.30
$3,530.30
$3,530.30
$3,530.30
$3,530.30
$3,507.40
$3,530.30
$1,156.00
$3,300.00
$3,514.86
$3,050.00
$4,412.00
$4,412.87
$4,412.87
$4,412.87
$4,412.85
$4,412.87
$4,412.87
$4,412.87
$4,412.87
$5,295.45
$5,289.87
$5,295.45
$5,295.30
71
ZonedProvider
County
Ware
Coffee
Tattnall
Haralson
Colquitt
Crisp
Gilmer
Madison
Hart
Franklin
Rabun
Tift
Brantley
Pickens
Thomas
Barrow
Greene
Walton
Bryan
Camden
Bulloch
Catoosa
Burke
Dougherty
Floyd
Hall
Chatham
Tattnall
Coffee
Atkinson
Johnson
Stephens
Wheeler
Early
Carroll
Heard
Talbot
Elbert
Lincoln
Pulaski
Bleckley
Wilkinson
Region
9
9
9
1
8
8
1
10
2
2
2
8
9
1
8
10
10
10
9
9
9
1
6
8
1
2
9
9
9
9
5
2
5
8
4
4
7
10
6
5
5
5
ServiceName
WareCountyEMS
CoffeeRegionalMedicalCenterEMS
TattnallCountyEMS
Ambucare,Inc
ColquittCountyEMS
CrispCountyEMS
GilmerCountyFire&EMS
MadisonCountyEMS
HartCountyEMS
FranklinCountyEMS
RabunCountyEMS
TiftCountyFire/Rescue
BrantleyCountyEMS
PickensCountyEMS
ThomasCountyEMS
BarrowCountyFireandEMS
GreeneCountyEMS
WaltonCountyEMS
BryanCountyEMS
CamdenCountyEMS
BullochCountyEMS
AngelEMS,Inc.
BurkeCountyEmergencyManagementAgency
DoughertyCountyEMS
FloydEmergencyMedicalServices
HallCountyFireServices
SouthsideFireEMS
TattnallCountyEMS
CoffeeRegionalMedicalCenterEMS
AtkinsonCountyEMS
JohnsonCountyEMS
StephensCountyEmergencyMedicalServices
WheelerCountyAmbulanceService
PioneerHealthServicesofEarlyCounty,LLC
WestGeorgiaAmbulanceService
HeardCountyEmergencyManagementAgency
TalbotCountyEMS
ElbertCountyEMS
LincolnCountyOES
HeartlandEMS
HeartlandEMS
HeartlandEMS
#ofAmbulances
6
6
6
6
6
6
7
7
7
7
7
7
7
8
8
8
8
8
9
9
9
11
12
12
16
23
37
6
6
2
3
6
2
3
13
5
2
6
3
0
21
3
TotalGrant
Estimated
Amountby
TotalRequested
Service
$5,295.45
$5,295.44
$5,295.45
$9,730.00
$5,295.45
$5,125.77
$5,295.45
$5,294.56
$5,295.45
$5,114.12
$5,295.45
$5,295.45
$6,178.02
$6,150.00
$6,178.02
$6,177.69
$6,178.02
$6,175.40
$6,178.02
$6,263.85
$6,178.02
$6,187.47
$6,178.02
$6,011.96
$6,178.02
$6,174.70
$7,060.60
$8,958.00
$7,060.60
$7,163.44
$7,060.60
$7,060.60
$7,060.60
$7,047.90
$7,060.60
$32,248.25
$7,943.17
$7,939.69
$7,943.17
$7,550.00
$7,943.17
$8,027.95
$9,708.32
$9,849.00
$10,590.89
$10,588.81
$10,590.89
$10,560.08
$14,121.19
$14,140.30
$20,299.21
$20,250.00
$32,655.26
$32,454.69
$5,295.45
$5,125.77
$5,295.45
$9,730.00
$1,765.15
$1,326.79
$2,647.72
$2,647.80
$5,295.45
$5,220.25
$1,765.15
$1,750.00
$2,647.72
$2,654.00
$11,473.47
$12,297.72
$4,412.87
$6,665.00
$1,765.15
$1,790.56
$5,295.45
$5,358.05
$2,647.72
$4,227.21
$0.00
$18,534.07
$16,114.84
$2,647.72
Discrepancies
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
3
-8
0
POAMOUNT
$5,295.30
$5,295.45
$5,125.77
$5,294.56
$5,114.12
$5,295.45
$6,150.00
$6,177.69
$6,175.40
$6,178.02
$6,178.02
$6,011.96
$6,174.70
$7,060.60
$7,060.60
$7,060.00
$7,047.90
$7,060.60
$7,939.69
$7,550.00
$7,943.17
$9,708.32
$10,588.81
$10,560.08
$14,121.19
$20,250.00
$32,454.69
$5,125.77
$5,295.45
$1,326.79
$2,647.72
$5,220.25
$1,750.00
$2,647.72
$11,473.41
$4,412.87
$1,765.15
$5,295.45
$2,647.72
$16,114.84
72
ZonedProvider
County
Region
ServiceName
Toombs
9
Toombs-MontgomeryEMS
Montgomery
5
Toombs-MontgomeryEMS
Richmond
6
GoldCrossEMS,Inc
Columbia
6
GoldCrossEMS,Inc
Jefferson
6
GoldCrossEMS,Inc
Rockdale
3
NationalEMS
Clarke
10 NationalEMS
Morgan
10 NationalEMS
Oconee
10 NationalEMS
Banks
2
BanksCountyFire&EMS
Chattahoochee
7
CommunityAmbulance(MGASHoldings,Inc)
Cook
8
CommunityAmbulance(MGASHoldings,Inc)
Crawford
5
CommunityAmbulance(MGASHoldings,Inc)
Bibb
5
CommunityAmbulance(MGASHoldings,Inc)
Lamar
4
MGASHoldings,Inc(CommunityAmbulance)
Baker
8
BakerCountyEMS
Mitchell
8
MitchellCountyEMS
Upson
4
UpsonRegionalMedicalCenterEMS
Seminole
8
SeminoleCountyEMS
Murray
1
MurrayEMS
Lee
8
LeeCountyEMS
Jones
5
TheMedicalCenterofCentralGeorgia,Inc
Twiggs
5
TheMedicalCenterofCentralGeorgia,Inc
Treutlen
5
TheMedicalCenterofCentralGeorgia,Inc
Bibb
5
TheMedicalCenterofCentralGeorgia,Inc
Henry
4
HenryCountyFireDepartment
Troup
4
WestPointFireDepartment(SERVICESREGION7)
Butts
4
ButtsCountyFireDepartment
Evans
9
EvansCountyEMS
Dade
1
PuckettEMS
Walker
1
PuckettEMS
PuckettEMS
Cobb
3
PuckettEMS
Cherokee
1
CherokeeCountyEmergencyServices
Jackson
10 JacksonCountyEMS
Effingham
9
EffinghamCountyEMS
Clay
7
ClayCountyEMS
Pierce
9
PierceCountyEMS
Union
2
UnionCountyEMS
Clayton
3
ClaytonCountyFireandEmergencyServices
#ofAmbulances
5
1
29
7
4
10
11
4
4
5
1
2
1
8
2
1
3
2
2
7
8
1
1
2
16
17
0
4
4
5
10
TotalGrant
Estimated
Amountby
TotalRequested
Service
$4,412.87
$5,412.00
$882.57
$25,594.66
$6,178.02
$51,120.00
$3,530.30
$8,825.75
$29,518.94
$9,708.32
$32,202.48
$3,530.30
$10,734.16
$3,530.30
$10,734.16
$4,412.87
$4,567.50
$882.57
$3,844.61
$1,765.15
$882.57
$15,848.98
$7,060.60
$1,765.15
$7,138.06
$882.57
$2,647.72
$1,765.15
$1,765.15
$6,178.02
$6,357.73
$7,060.60
$7,040.03
$882.57
$882.57
$1,765.15
$14,121.19
$17,590.35
$15,003.77
$46,108.47
$0.00
$3,097.87
$3,530.30
$3,824.00
$3,530.30
$3,622.70
$4,412.87
$17,807.52
$8,825.75
Discrepancies
1
0
1
0
0
1
1
0
0
0
3
POAMOUNT
$5,295.44
$35,302.98
$25,594.67
$4,412.87
$17,651.40
8
5
0 $6,178.02
0 $7,040.03
$17,590.35
22
16
10
4
1
2
6
$19,416.64
$14,121.19
$8,825.75
$3,530.30
$882.57
$1,765.15
$5,295.45
$19,398.00
$14,564.08
$8,967.93
$3,617.00
$1,961.45
$3,509.09
$6,166.14
4
2
2
7
1
1
4
5
0
7
1
1
1
2
1
17
$15,003.77
$17,648.15
3 $15,000.00
$15,003.69
$1,765.15
$3,530.30
$3,530.30
$32,655.09
$4,412.87
$14,121.19
$8,825.75
$3,530.30
$1,765.14
$3,509.09
$3,166.14
73
ZonedProvider
County
Liberty
Long
Region
ServiceName
9
LibertyRegionalEMS
9
LongCountyEMS
#ofAmbulances
0
0
TotalGrant
Estimated
Amountby
TotalRequested
Service
$0.00
$7,081.90
$0.00
$2,935.46
Discrepancies
POAMOUNT
8 $7,060.56
3 $1,765.14
Lowndes
Lanier
Echols
Coweta
8
8
8
4
SouthGeorgiaMedicalCenterMobileHealthCareServices
SouthGeorgiaMedicalCenterMobileHealthCareServices
SouthGeorgiaMedicalCenterMobileHealthCareServices
CowetaCountyEMS
13
0
0
10
$11,473.47
$0.00
$0.00
$8,825.75
$14,064.08
3 $14,064.08
3
$8,321.25
11 $8,321.25
Laurens
Spalding
Stewart
5
4
7
LaurensCountyEMS
SpaldingReigonalMedicalCenterEMS
StewartCountyEMS
9
9
3
$7,943.17
$7,943.17
$2,647.72
$8,974.63
$4,734.84
$2,649.40
1 $8,825.70
0 $4,734.84
0 $2,647.77
Fayette
4
FayetteCountyDepartmentofFireServices
5
$4,412.87
$5,352.50
1 $5,295.42
Gwinnett
3
GwinnettCountyFire/EMS
39
$34,420.41
$39,935.00
4 $37,950.51
Muscogee
7
ColumbusFireandRescue
10
$8,825.75
$8,825.75
0 $8,825.70
Clayton
Forsyth
Taylor
Dade
White
Fulton
Glynn
Bacon
Irwin
3
2
7
2
9
3
0
6
46
10
4
3
$1,765.15
$7,943.17
$2,647.72
$5,295.45
$40,598.43
$8,825.75
$3,530.30
$2,647.72
$2,838.00
$11,655.00
$2,626.53
$15,335.06
$5,085.00
$40,598.00
$8,760.00
$3,475.00
$3,531.35
1
-1
0
2
2
3
9
9
8
CityofMorrowFireandEMS
ForsythCountyEMS
TaylorCountyEMS
DadeCountyEMS
WhiteCountyEmergencyMedicalServices
GradyHealthSystemAmbulanceService
GlynnCountyFire
AlmaBaconCountyEMS
IrwinCountyEMS
Bartow
Worth
Decatur
Brooks
JeffDavis
1
8
8
8
9
BartowCountyEMS
SouthGeorgiaAmbulance
SouthGeorgiaAmbulance
SouthGeorgiaAmbulance
JeffDavisCountyEMS
11
6
5
8
0
$9,708.32
$5,295.45
$4,412.87
$7,060.60
$0.00
$10,333.03
$4,412.87
$4,531.90
$7,138.10
$2,647.72
-3 $9,708.32
-1 $4,412.87
$4,412.87
$7,060.60
4 $2,647.72
Meriwether
4
MeriwetherCountyEMS
4
$3,530.30
$8,234.07
2 $5,295.45
Troup
DeKalb
4
3
AmericanMedicalResponse
AmericanMedicalResponse
0
0
$0.00
$0.00
$30,342.00
10 $46,776.45
1
Fulton
Schley
Telfair
Peach
Douglas
3
7
5
5
3
AmericanMedicalResponse
SchleyCountyEMS
TelfairCountyEMS
PeachCountyEMS
DouglasCountyFire/EMS
53
0
4
1
1
$46,776.45
$0.00
$3,530.30
$882.57
$882.57
$84,805.73
$1,765.15
$3,441.22
$4,642.07
$6,176.92
13
2
1
3
6
$2,647.72
$7,943.17
$2,626.53
$1,765.15
$5,085.00
$40,598.00
0 $8,760.00
1 $3,475.00
1 $3,530.30
$1,765.15
$3,441.22
$3,530.30
$6,176.92
74
ZonedProvider
County
Region
ServiceName
#ofAmbulances
TotalGrant
Estimated
Amountby
Service
TotalRequested
Charlton
Chattooga
Polk
Floyd
Paulding
9
1
1
1
1
CharltonCountyEMS
RedmondRegionalEMS
RedmondRegionalEMS
RedmondRegionalEMS
MetroAtlanta
5
0
0
0
10
$4,412.87
$0.00
$0.00
$0.00
$8,825.75
$3,583.24
Cobb
Houston
Baldwin
Hancock
Pike
Whitfield
3
5
5
5
4
1
MetroAtlanta
HoustonCountyEMS
GradyEMS
GradyEMS
GradyEMS
WhitfieldEmergencyMedicalServices
35
10
5
3
2
7
$30,890.11
$8,825.75
$4,412.87
$2,647.72
$1,765.15
$6,178.02
$174,035.94
$14,111.74
Discrepancies
$9,973.00
POAMOUNT
-1 $3,530.30
4 $12,315.82
5
5
$39,715.85
6 $14,111.74
-3 $8,825.60
0
1
5 $9,973.00
$1,013,243.35
$970,831.98
GRANTFUNDSNEEDED
OUTSTANDING MACONCOUNTYEMS
$36,233.35
$2,647.71
$38,881.06
75