Election District Number Three (3):
The West Half of the City of Bethany, being that portion of said City lying West of a line found by extending Fifteenth Street from the South limits to the North limits of said City, in Harrison County, Missouri.
The Rev. Noel T Adams Memorial Ambulance District is divided into six election districts within the overall Ambulance District. Each election district is represented by one person elected to that position. That official is designated a "Board Member" with all six Board Members making up the Districts Board of Directors. This Board of Directors is responsible for the overall operations and fiscal decisions and responsibilities of the Ambulance Service. The Following is a list of Board Members and their respective election districts within NTA.
Quinton Cox, NRP
About NTA EMS Rescue
NTA was originally formed as The Rev. Noel T. Adams Memorial Ambulance District by election in August of 1974. The services' long name has since been abbreviated to NTA. Our district consists of
Election District Number Two (2):
The Townships of Benton and Salem in Daviess County, Missouri.
REV. NOEL T. ADAMS MEMORIAL AMBULANCE DISTRICT
NOTICE OF PRIVACY PRACTICES
IMPORTANT: THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Purpose of This Notice: NTA Ambulance is required by law to maintain the privacy of protected health care , or PHI, information and to provide you with a notice of our legal duties and privacy practices with respect to your PHI. NTA Ambulance is also required to abide by the terms of the version of this Notice currently in effect
Uses and Disclosures of PHI: NTA Ambulance may use PHI for the purposes of treatment, payment, and health care operations, in most cases without your written permission. Examples of our use of your PHI:
For treatment. NTA Ambulance may use Health Information to treat you or provide you with health care services. NTA may disclose Health Information to doctors, nurses, technicians, or other personnel, including people outside our facility who may be involved in your medical care. For example, we may tell your primary physician about the care we provided you or give Health Information to a specialist to provide you with additional services.
For payment. This includes any activities we must undertake in order to get reimbursed for the services we provide to you, including such things as organizing your PHI and submitting bills to insurance companies, management of billed claims for services rendered, medical necessity determinations and reviews, utilization review, and collection of outstanding accounts.
For health care operations. These uses and disclosures are necessary to make sure that all of our patients receive quality care and for our operation and management purposes. For example, we may use Health Information to review the treatment and services we provide to ensure that the care you receive is of the highest quality.
Reminders for Scheduled Transports and Information on Other Services. We may also contact you to provide you with a reminder of any scheduled appointments for non-emergency ambulance and medical transportation, or for other information about alternative services we provide or other health-related benefits and services that may be of interest to you.
Use and Disclosure of PHI Without Your Authorization. NTA Ambulance is permitted to use PHI without your written authorization, or opportunity to object in certain situations, including:
For NTA Ambulance’s use in treating you or in obtaining payment for services provided to you or in other health care operations;
To another health care provider for the health care operations activities of the entity that receives the information as long as the entity receiving the information has or has had a relationship with you and the PHI pertains to that relationship;
For health care fraud and abuse detection or for activities related to compliance with the law;
To a public health authority in certain situations, such as reporting a birth, death or disease as required by law, as part of a public health investigation, to report child or adult abuse or neglect or domestic violence, to report adverse events such as product defects, or to notify a person about exposure to a possible communicable disease as required by law;
For health oversight activities including audits or government investigations, inspections, disciplinary proceedings, and other administrative or judicial actions undertaken by the government (or their contractors) by law to oversee the health care system;
For judicial and administrative proceedings as required by a court or administrative order, or in some cases in response to a subpoena or other legal process;
For law enforcement activities in limited situations, such as when there is a warrant for the request, or when the information is needed to locate a suspect or stop a crime;
For military, national defense and security and other special government functions;
To avert a serious threat to the health and safety of a person or the public at large;
For workers’ compensation purposes, and in compliance with workers’ compensation laws;
To coroners, medical examiners, and funeral directors for identifying a deceased person, determining cause of death, or carrying on their duties as authorized by law;
If you are an organ donor, we may release health information to organizations that handle organ procurement or organ, eye or tissue transplantation or to an organ donation bank, as necessary to facilitate organ donation and transplantation;
We may use or disclose health information about you in a way that does not personally identify you or reveal who you are.
If you are an inmate of a correctional institution or under custody of a law enforcement official, we may release Health Information to the appropriate correctional institution or law enforcement official. This release would be made only if necessary (1)for the institution to provide you with health care; (2) to protect your health and safety or the health and safety of others; or (3) for the safety and security of the correctional institution.
Any other use or disclosure of PHI, other than those listed above, will only be made with your written authorization, (the authorization must specifically identify the information we seek to use or disclose, as well as when and how we seek to use or disclose it). You may revoke your authorization at any time, in writing, except to the extent that we have already used or disclosed medical information in reliance on that authorization.
Patient Rights: As a patient, you have a number of rights with respect to the protection of your PHI, including:
The right to access, copy or inspect your PHI. This means you may come to our offices and inspect and copy most of the medical information about you that we maintain. We will normally provide you with access to this information within 30 days of your request. We may also charge you a reasonable fee for you to copy any medical information that you have the right to access. In limited circumstances, we may deny you access to your medical information, and you may appeal certain types of denials.
We have available forms to request access to your PHI, and we will provide a written response if we deny you access and let you know your appeal rights. If you wish to inspect and copy your medical information, you should contact the privacy officer listed at the end of this Notice.
The right to amend your PHI. If you feel that Health Information we have is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for us. To request an amendment, you must make your request, in writing, to Jamie Henry.We are permitted by law to deny your request to amend your medical information only in certain circumstances, such as when we believe the information you have asked us to amend is correct
The right to request an accounting of our use and disclosure of your PHI. You may request an accounting from us of certain disclosures of your medical information that we have made in the last six years prior to the date of your request. To request an accounting of disclosures, you must make your request, in writing, to Jamie Henry, Privacy Officer.
The right to request that we restrict the uses and disclosures of your PHI. You have the right to request a restriction or limitation on the Health Information we use or disclose for treatment, payment, or health care operations. In addition, you have the right to request a limit on the Health Information we disclose about you to someone who is involved in your care or payment for you care, like a family member or friend. For example, you could ask that we not share information about your surgery with your spouse. To request a restriction, you must make your request in writing to Jamie Henry. WE ARE NOT REQUIRED TO AGREE TO YOUR REQUEST. If we agree, we will comply with your request unless we need to use the information in certain emergency treatment situation.
Revisions to the Notice: NTA Ambulance reserves the right to change the terms of this Notice at any time, and the changes will be effective immediately and will apply to all protected health information that we maintain
Your Legal Rights and Complaints: You also have the right to complain to us, or to the Secretary of the United States Department of Health and Human Services if you believe your privacy rights have been violated. Should you have any questions, comments or complaints, you may direct all inquiries to the privacy officer listed at the end of this Notice. Individuals will not be retaliated against for filing a complaint.
If you have any questions or if you wish to file a complaint or exercise any rights listed in this Notice, please contact:
HIPPA Compliance Officer and
NTA Ambulance District
1000 25th St
Bethany Mo 64424
Office for Civil Rights
Health and Human
200 Independence Ave.
Washington, DC 20201
Effective Date: January 1, 2009
Deputy Chief of EMS
Corey Sloan, M.A. M.S. EMT-P
Andre Remmers, NRP
Ed Truitt, EMT-B
Dr. Scott Hall, MD, NRP
Chief of EMS
John Barclay, NRP
Chief of EMS Ret., EMT-B
Samantha Baker, EMT
David Kinnison, EMT-B
Jordan Wallace, NRP
Election District Number One (1):
Angela Jones, EMT-B
The Townships of Cypress, Sherman, and Bethany, excluding all of the area within the present corporate limits of the City of Bethany except an area described as starting at a point due South of Fifteenth Street at the South limits of said City, proceeding thence North on Highway 69, thence North on Highway 69 to the Junction of Highways 69 and 136, thence East on Highway 136 to the present limits of said City, thence along the present City limits South then West to the point of Beginning, referred to herein below as the Southeast Corner of the City of Bethany, all in Harrison County, Missouri.
Richard Mooney, EMT-B
Election District Number Five (5):
The Townships of Jefferson, Grant, and Trail Creek, in Harrison County, Missouri.
Brandon Fordyce, EMT-P
Jacob Denum, NRP
Election District Number Four (4):
The East Half of the City of Bethany, being that portion of said City lying East of a line found by extending Fifteenth Street from the South limits to the North limits of said city, otherwise referred to as East Bethany, except the Southeast Corner of the City of Bethany as more particularly described with relation the Election District Number One (1) above, and that part of corporate limits lying North of the Center Line of Bulldog Avenue of said City, In Harrison County, Missouri.
Steve Sanneman, EMT-P
Greg Blanton, NRP
Aaron Drummond, EMT
Election District Number Six (6):
The Township of Washington in Daviess County, and the Townships of Adams, Sugar Creek, and Fox Creek in Harrison County, Missouri.
Jake Loving, NRP, CCP
NTA EMS RESCUE
NTA provides quality Advanced Life Support emergency medical service and care twenty four hours a day seven days a week. NTA has gone from having less than three hundred calls in 1975 to over thirteen hundred calls in 2008. NTA has three Ambulances ready to serve and an assortment of heavy rescue vehicles and equipment. NTA EMS Rescue is just that. NTA performs and supports it's own rescue. The Board has not only supported this somewhat unique endeavor over the years, but believes whole heartedly that the best equipment and training available is what will ultimately benefit the citizens and patients under NTA care.
"Our patients deserve the best treatment and care that we can give them, and we'll do just that."
----------NTA Board of Directors.
Chain of Command
Jamie Roller, EMT-B
nine townships in the south eastern part of Harrison County, MO and the three northwestern townships in Daviess County, MO. NTA has six elected board members that oversee the district. NTA started taking ambulance service calls in May 1975.
The Board of Directors hires a Chief of EMS to oversee day to day operations. This Chief has then appointed a Deputy Chief, Captain, and two Lieutenants as well an Office Administrator and an Executive Officer. Each of these positions have specific job descriptions and responsibilities thus enhancing the chain of command.