Sixth Annual Native American Health Care Conference May 18 19, 2015 San Diego, CA

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1 Sixth Annual Native American Health Care Conference May 18 19, 2015 San Diego, CA 1

2 2

3 Native American Air Ambulance Our History 1995 Rick Heape begins operation of Native American Air Ambulance(NAAA) with two fixed wing aircraft focusing on service to rural areas of Arizona 1997 NAAA is awarded a service contract by Indian Health Services to provide fixed wing and rotor wing service to Native American communities through Arizona 2004 NAAA sells minority interest to OmniFlight Helicopters to support the growing needs and to further expand his business 3

4 Native American Air Ambulance Our History 2005 Rick Heape sells all his controlling interest in NAAA to fellow Native American, aviator and businessman, John Davis 2011 John Davis, CEO NAAA, approves the sale of the minority ownership position of NAAA to Air Methods Corp, the largest air medical company in the World. NAAA s partnership with AMC brings additional safety resources, aircraft assets and clinical expertise to the NAAA organization 4

5 Air Methods At A Glance Headquarters - Englewood, CO Nasdaq Symbol> AIRM World s Largest Air Medical Provider 4,400 Employees 286 Bases in 48 States Sixth largest aircraft operating certificate in the US 400+ EMS Aircraft- Fixed & Rotor Wing 49 Tourism Aircraft 98,000+ critical care transports in 2014

6 Air Methods.Our History Founded in 1980 by Roy Morgan St. Mary s, Grand Junction, CO Air Medical Acquisition Growth Mercy Air Service, Inc ARCH Air Medical Inc Rocky Mountain Holdings, LLC CJ Systems Aviation Group OmniFlight Helicopters, Inc. Tourism Acquisitions Growth Sundance Helicopters Blue Hawaiian

7 Decision Drivers in Selecting a Qualified Air Medical Partner Fixed Wing or Rotor Wing Service Response Needs, Priority & Mix - Scene Responses - Interfacility Responses Safety Compliance and Commitment Clinical Accreditation and Standards Maintenance & Support Resources 7

8 Service Response Types Scene Response Transports Working with area first responders and EMS agencies, patients are transported to the closest most appropriate facility based on the emergent medical needs of the patient Inter-facility Transports Coordinating patient transports working with the sending hospital physicians to safely transport patient to a facility with available bed and level of care required 8

9 Rotor Wing Aircraft Helipad to Helipad Scene Response to Helipad Critical Transport Range approximately 175 miles Single engine aircraft 9

10 Fixed Wing Aircraft Airport to Airport with ground ambulance interface Long range flight capabilities approximately 1700 miles Capacity to accommodate family members Ability to safely operate in lower weather minimums 10

11 Safety Priority FAA Safety Management System Program Air Methods was the FIRST helicopter and EMS Operator to earn the FAA s highest level - Level 4 - of the FAA s Voluntary Safety Management System program - May Other Level 4 SMS examples Air Methods Corporation United/Continental Airlines Delta Airlines American Airlines Metro Aviation Net Jets 11

12 Safety Priority FAA Safety Management System Program Level I - Policy - Policy: Establishing a structure framework to define objectives, assign accountability and allocate resources Level II Safety Risk Management - Establish a process to identify & make decision about hazardous/risk conditions and developing and implementing risk controls Level III - Safety Assurance - Establishing a process to gain confidence by measuring & monitoring safety performance with a goal of continuous improvement Level IV - Safety Promotion - Sharing success, training compliance, cultural > 3 to go and 1 to say no 12

13 Safety Leadership Night Vision Goggles NVG Helicopter Terrain Avoidance Warning System HTAWS XM Satellite Weather GPS Navigation Satellite Tracking Appareo Vision 1000 flight data monitoring 13

14 Operational Control Center Staffed 24/7 Lead Specialist > Helicopter Air Ambulance EMS pilot Primary Duties Safety and support for pilots before and during all flights On-going risk assessment Compliance 14

15 Flight Training Devices Level D Full Motion Simulator training Aviation Training Devices - Fixed > Classroom - Mobile devices 15

16 Safety As Your Highest Priority Is the Safety Investment the Helicopter Air Ambulance Industry Delivering Results and Saving Lives? YES!!!!!!! 16

17 2.5 2 Cumulative Fatal Accident Rates Per 100,000 Flight Hours HAA AMC HAA less AMC 17

18 Clinical Accreditation - CAMTS Commission on Accreditation of Medical Transport Services The CAMTS national accreditation process focuses on quality of patient care and safety of the ground & air transport environment through an in-depth review by professional surveyors of the commission Air medical companies voluntarily agreed to this independent appraisal by the industry s recognized expert and accreditation body Accreditation Period 3 years 18

19 Clinical Team Type and Options Clinical team qualification types: Adult Pediatric Geriatric Obstetrical Patients requiring IABP Infant NICU often with hospital contracted specialty team Nurse/Paramedic - Nurse/Nurse - Paramedic/Paramedic 19

20 Clinical Training & Qualification Variables Clinician often required to have a minimum of 3 years critical care experience prior to employment All Clinicians can be required to have their advanced certification Flight Paramedic or Nursing at time of hire or within 2 years Ongoing training to demonstrate proficiency in airway and ventilator use/management through prescribed labs Cadaver labs and HPS (Human Patient Simulation) labs annually with Medical Director involvement Specialty OB and IABP training 20

21 Human Patient Simulators: Types & Benefits Human patient simulator devices - Adult, Pediatric, Infant and Maternal Benefits Increased simulation experiences with high-risk, low-volume patient encounters Availability to perform invasive skills Medical Director evaluation of clinical crew member critical thinking & technical skills 21

22 Quality Assurance 100% peer/supervisor review of patient records!00% review of all invasive procedures by clinical leadership & Medical Director with additional education if appropriate Clinical Quality Council/Group with management, crew member and medical director involvement to review Dashboard metrics with Corrective Action Plans as necessary Total Quality Management process to review and maintain continued clinical excellence, open lines of communication, and closed loop communication between all disciplines 22

23 Maintenance Safety Assurance & Support Considerations FAA Certified Airframe & Powerplant (A&P) professionals mechanics per aircraft per single engine aircraft suggested - 2 mechanics per twin engine aircraft suggested Dedicated spare aircraft by aircraft type and geographic coverage area Maintenance In Service Rate - Scheduled and Unscheduled Service center location(s) for major maintenance events - Local Region National? - Third Party? 23

24 Community Relations and Support Dedicated Customer Service or Business Representatives Participation in Local Regional National events Community Training > EMS, Hospital and Fire Departments Participation in community special event to include : rodeo s, parades, concerts, simulation drills Mentoring and partner programs for community youth Awareness & Wellness events 24

25 Community Relations Locally & Nationally 2015 Sponsorship Empowering Native Youth Changing Lives 25

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