40 Under 40: Nick Romenesko (Gold Cross Ambulance Service, Inc. – Menasha, WI)

40 Under 40 nominees were selected based on their contributions to the American Ambulance Association, their employer, state ambulance association, other professional associations, and/or the EMS profession. ____ Nick Romenesko Systems Director Gold Cross Ambulance Service, Inc. Menasha, WI ____ LinkedIn Nominated by: Samantha Hilker ____ Biography: Nick is currently the Systems Director for Gold Cross Ambulance Service, Inc. Nick has 10 years of EMS experience and has proven to be a solutions-oriented systems thinker. Nick is genuine, thoughtful and puts employees at the top of his priority list. Nick is a young, promising leader in EMS. ____ Reason for Nomination: Nick has worked his way up from Paramedic to Systems Director in just six years. Even as a new Paramedic in the Gold Cross system, Nick was eager to get involved, create efficiencies, and solve problems. Nick was quick to volunteer for projects, build community partner relationships, and navigate a path for progress. Nick has been recognized as a Wisconsin Star of Life nominee and was recently awarded a Future 15 award. Nick currently serves on the PAAW Board and was recently elected Vice President of that association. ____ View all of the 2020 Mobile Healthcare 40 Under 40 Honorees

Spotlight: Gold Cross Ambulance Celebrates 50 Years in Business

Gold Cross Ambulance Celebrates 50th Anniversary!   Moffitt points to a couple of factors that have made Gold Cross’s journey a successful one. First, he’s always had a knack for being in the right places at the right time. But he believes that being honorable to the commitment he has made to provide high-quality healthcare to the people of Utah has been critical to his company’s ongoing success. “Success has not come to Gold Cross without much sacrifice over the years,” Moffitt says. “Growing and expanding has not been an easy process, but with dedication and a bit of luck, Gold Cross has been able to overcome the many trials and tribulations we’ve faced.” Of course when you’ve been in business for 50 years, you’ll have seen many changes to your industry. Moffitt says one of the biggest changes he’s witnessed has been the buyouts of many ambulance services over the years, and that’s something he believes has been both good and bad for the industry. “When large companies buy out smaller ones,” he explains, “the connection of the ambulance service to the community that there was in the past is lost.” Moffitt notes that Gold Cross has never tried (more…)

2016 AMBY Best Quality Improvement Program: Gold Cross Ambulance, Documentation Program

Gold Cross Ambulance’s Documentation Project Project Awarded a 2016 AMBY for Best Quality Improvement Program Gold Cross Ambulance | Utah The documentation review process at Gold Cross Ambulance had not changed much since the day of paper trip tickets. Retrospective documentation feedback was being given to crews, but they were not fully utilizing the capabilities of their technology to analyze the feedback and make significant improvements. Gold Cross Ambulance hypothesized that improved documentation goals would lead to better patient care and increased reimbursements. They knew they needed to make improvements in the review process and to better utilize the technology that was already in place. In addition to the documentation goals, they identified the opportunity to work some small, but significant, clinical improvements into a documentation project. One initial focus of clinical improvement was making sure the field crews were obtaining at least two sets of vital signs on every patient, and properly documenting these vital signs in the electronic patient care report (ePCR). Of all the performance indicators we measure, trending of vital signs touches every patient contacted. Educators from Utah EMS for Children shared research citing “inadequate recognition of and response to hypotension and hypoxia was associated with higher odds of disability and death” (Hewes (more…)