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• W2238199106 abstract "~ ~ ' ~ uccessful is the person who has lived well, laughed ~ often, and loved much, who has gained the respect of children, who leaves the world better than they found it, who has never lacked appreciation for the earth's beauty, who never fails to look for the best in others or give the best of themselves. As I sit here at the keyboard, this quote is at the bottom of a beautiful fall scene displayed on the wall above the monitor. I read it occasionally and ponder it often. Whether dwelling on the success of an individual, team, program, or industry, the passage seems very appropriate. This issue of AirMed addresses several key matters that undoubtedly will affect the future of our industry significantly. As you are aware, the air medical industry has been immersed in an effort to manage the impact of the Balanced Budget Act (BBA) of 1997. Although the BBA has broad implications for health care providers, the ambulance industry is a key focal point. The articles herein review some of the major provisions of the BBA, from the issue of mandatory assignment to the fee schedule itself. I encourage you to read and understand them. The negotiation portion of the negotiated rule-making process for the development of a new Medicare fee schedule for ambulance reimbursement is done. The proposed rule has been published and comments are circulating through the halls of the Health Care Financing Administration. Leadership in the ambulance industry is struggling with the aftermath of the process-answering questions, monitoring the next steps, and raising money to pay for the effort. The associations and organizations involved in the delivery of ambulance services throughout the United States are making preparation for the changes that the new rule will generate. Concurrently, industry leadership has been working to address other important issues. Many questions have arisen about the evolution of the rule for flight duty time and how it might change the aviation aspect of the industry. Efforts are ongoing to ensure that the compromise on the helipad advisory circular is honored. Early in April, several industry leaders assembled in Dallas to evaluate options for improving safety. As all these changes happen around us, it is increasingly important to answer the perplexing question of our success and review the opening passage's lessons. As an industry, it seems we have lived well. The growth and evolution of air medical services has been remarkable during the past 2 decades. The quality of care has improved with advancements in knowledge, training, and technology. The industry has become more efficient in the past 20 years. Fewer people lack access to quality air medical services than ever before. Our professional organizations and trade association have survived many challenges and remain strong advocates for the industry. The industry, more than any other I have been exposed to, has laughed often and loved much. As we approach the 20th anniversary of the Air Medical Transport Conference and the Association for Air Medical Services, we are planning to celebrate our rich history. From the crew lounge to the classroom and from the communication center to the hangar, we have laughed with each other. In a business that entails so much pressure and witnesses so much pain, we have found a way to smile, enjoy, and celebrate. Our love for our work is diverse and enduring. Our love for each other is deep and often unspoken but no less powerful than the anguish we share at the loss of so many of our own over 2 decades. We have gained the respect of children. This industry has the unenviable task of caring for many sick children each year during the most difficult situations. Whether it is delivering the best care possible to a newborn, saving a mother after a serious automobile accident, or simply lifting a small child into the aircraft during a site visit, we have the opportunity each day to gain a child's respect. This opportunity and our ability to seize it, more than almost anything else we do, define our worth to society. We have left the world better than we found it. From the patients we serve to the families we comfort each and every day, our industry makes a difference. We often are allotted only the shortest time with our patients, but the impact of those minutes frequently is the greatest. At times we represent nothing more than a bit of hope during the gravest of times. All the science aside, we can rest each night knowing that we do make a difference. We have never lacked appreciation for the earth's beauty. The industry exposes us to some of the most startling reminders of human mortality every day. We see illness, injury, and death more frequently than almost any other group of health care providers. The nature of our work encourages us to enjoy the finest things around us. Our colleagues who are reading this on a boat off the" @default.
• W2238199106 created "2016-06-24" @default.
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• W2238199106 date "2000-07-01" @default.
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• W2238199106 title "The essence of success" @default.
• W2238199106 doi "https://doi.org/10.5555/uri:pii:s107961340090113x" @default.
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