PMX “SERVICES”ANNUAL COMPANY MEETING

JUNE, 2019

HOW IS EVERYBODY DOING?• Todays Meeting is from 530-730pm (paid 3 hr block for attending)

• Videos and testing will be done on personal time (also pays a 3 hr block after test rec’d before the deadline)

• Please MUTE all Cell Phones

• Meeting is informal, so if you have to step out for a minute – please do so – but try to catch up on what was missed

• Food is in the back – feel free to eat / enjoy while the meeting is going on

• Q & A is encouraged during the course of the presentation

• Rest Rooms are located down the hall

• Copy of Today’s Power Point Presentation will be available on employee portal

• Any questions or concerns before we start?

COMMENTS BOX – WE WANT FEEDBACK

• Please add your (ANONYMOUS) Comments and suggestions for the company

• We want your feedback regarding• Management

• Transport

• Scheduling

• Feedback

AGENDA

• Company Overview – Tim’s Talk

• Company Overview – New Employees & Anniversary's

• Company Overview/Policy Updates

• Daily Duty Reminders

• Pink Folder

• Lab Tasks

• Driver specific Tasks

• Policy Updates

• Radiation Safety • Workbooks

• Phantom Page

• Quarterly Backup

• RSO Duties

Competency Testing

An Image to Uphold

Ripple Effect

Lateness -> Impact

Availability – Sticking to it

Payroll and Time sheets

Reminders

This is the Job

Training Videos are Due

TIM’S OPENING

•PMX Services is a Service Based Company

•Customer Service vs. Customer Experience

COMPANY OVERVIEW:NEW EMPLOYEES

• Welcome New Hires:

Thomas, Kristy, Venetia, Jamie, John, Brian C

• Congratulations. Anniversary

Dave Letendre- 10 years 11/17/19

Brian Dempsey- 9 years 7/16/19

Jen Gormley- 5 years 2/20/19

Khris Allison- 5 years 7/23/19

Aidan Harkins- 4 years 9/22/19

Dave Perry- 4 years 11/25/19

COMPANY OVERVIEW:PMX ASC & LAB MARKETING EFFORTS

Surgical Center and BioSkill Conferences

Client & Physician Networking #1

Information from you !!

Longer distance Labs & workshops

PMX POLICY UPDATES: <EFFECTIVE: JULY1ST>Expense Reporting & Food/exp limits

• Expense reports are required at the END of every week –Not LATE

• Expense reports require receipts – from you, NOT BETH

• Meal Expenses have limits ($15-Breakfast, $10 Lunch, $35 Dinner) and are not to be combined or exceeded. Tips are not included in expense reimbursement

Late arrival = NO travel reimbursement pay: In order to receive your travel reimbursement

• Techs must arrive by arrival time

• Cell Phone will not count as call ins

• Call ins must be on time within 5 mins

• Call ins must be AT the arrival time or before

Displinary Policy (Next slide) Official Email going out on July1st

Full handbook revision – Is in the process o being revised and will be completed by end of summer

More

Details

In later

slides

DISCIPLINARY POLICY-WHAT TO EXPECT (OFFICIAL EMAIL GOING OUT JULY 1ST)

When performance issues and patterns are identified:

• 1st – Verbal Warning (documented)

• 2nd – Write Up

• 3rd – Face to face meeting/discussion of repeated offences• Explain our policy

• Expect change

• 4th – Final Write-up with suspension or dismissal

DAILY DUTY REMINDERS

• On Site Inventory

• TES (Transportation Equipment Status)

• General Policy and procedures (repeated several times today)

• Professionalism at all times- important clients to PMX

DAILY DUTY REMINDERS: ON SITE INVENTORY- EVERYDAY

• PMX Equipment Management (costly & time consuming)

• Check your monitor carts supply and inventory

• Take pictures if worn, broke, miss sorted

• Call in ASAP when something is not correct, miss sorted or missing

• Techs should give out lead and collect lead – RSO• Use green pouch to record any issues or to show your efforts

• Be accountable for 5/5 lead, re-bag after each day

THE PINK FOLDER

Folder Contents:• Blank USB flash drive (Blue key looking thing)

• Blank Time Sheets

• Blank Expense Reports & After Action Reports

• Blank Fluoro Logs

• Incident / Accent Reporting

• Call IN procedures

• C-arm and Printer Guides / Tips / How To Guides

• Equipment Specifications

• Blank Physician and Peer Evaluation forms

• Client/Dr Site reference cards & Satisfaction Surveys

• What Else could we add ?_____________

DAILY DUTY REMINDER: LAB SPECIFIC TASKS

• Team Lead and Team Members

• Plan and coordinate effectively (day in advanced message)

• Lab Attire is PMX Scrubs

• Still CALL IN and CALL OUT for the day

• Team Huddle before labs

• Lead monitoring – always

• No Cell phone usage during labs – Only with team lead approval

• Keep and eye on your equipment AND your Doctors/Proctors

• (Damage Monitor)

• Equipment must always be CLEAN Thoroughly

• No Blood, No Guts, No Gore (Esp. on the Table bases)

• After lab Reporting (After Action Report)

• Details and lab specifics that can be leveraged to help out the next time – improve the process

DAILY DUTY

• Lead bag placement when in hub

• Trash in trucks

• Trucks/Equipment placement

• Call/Text ahead messages to help stage for following Day(s)

• Big lab early call ins

• Driver DOT sign offs

• Driver DOT responsibilities

DAILY DUTY REMINDER: - DRIVER SPECIFIC TASKS

• Drivers need to be careful of truck wheel wells mud flaps when backing in

• Bay doors need to be raised and lowered in a slower fashion, door repair company said that is why the doors seem to be having issues

• Drivers buy correct anti-freeze:• Orange anti-freeze Dexcool

• STRAP equipment correctly

• Clean up the trucks

• Clean the equipment down

PMX

Where

Image is

Everything

BRIAN - VACATION

• Brian is Off all next week: Sat June 29 to Sun July 7th

• Please contact Christopher for any reason/updates… during this time frame

• Drivers Please send TES’s to Christopher’s Cell: 610-505-1937

RADIATION SAFETY - WORKBOOKS

• Understanding the PURPOSE of the RT Workbook

• People are not signing the book (write “phantom” or “Quarterly”& site)

• Some techs are not shooting phantoms- shoot every boot up. It shows QC and is also considered a biomed test that BoH, etc. are looking for.

• Take pictures if you notice others not signing book

• New Barrier Tech: PMX Lead aprons are now labeled 1-5

and color coated per 5 per bag, thyroids are attached

• Report poor image quality / physician complaints(take pictures)

RADSAF – UNDERSTAND THIS PAGE

• Why we shoot Phantoms – QC test to show image quality is within proper range for patient exposure

safety. (DEP)

• OUT of RANGE: What do you do? What is the PMX Protocol?• 1st – ask… is it grossly out of range? If so why (trouble shoot) then call into PMX. • 2nd – if NOT grossly out of range…Take several exposures to warm up tube or

wait till after cases to try again. If still out of range, Then call into PMX (Tim)• Do not write in out of range test results. The unit will be pulled after you call it in

and retested by Tim in the hub. • All areas must be filled in when writing in your test results.• Write test results on the phantom image as well

QUARTERLY BACK UP

• Located on the front cover of tech workbook (communication tool to know if this has been done already)

• Photocopy this when sending in back up

• Photocopies should include: cover, inventory & Lead scans, last 3 months calendar, phantoms page and quarterly's.

• FILLED OUT BEFORE FAXING OVER

• Stop sending faxes upside down. (time consuming to fix)

• Beth will be text scheduling to you when we are expecting you to perform this duty

• ALL employees need to do this when asked, it does not fall on only a select few.

• Lastly, text into PMX that you performed the phantom or Qrtrly –same day.

RADIATION SAFETY – RSO DUTIES• When in a surgical center, Bioskills lab, or doctors office, you are probably

the only trained person working that has the proper education on radiation safety, Quality Control, Quality Assurance, ALARA, and low dose imagery.

• You may be asked to review a centers dose report and sign off on it.

• You will need to send PMX cell phone pics of workbook concerns, equipment concerns, or anything that needs to be communicated to others to perform QC & QA duties properly.

• The sooner we identify a problem we can fix it. Call in if not sure.

• You will be asked to photocopy quarterly reports and send them into PMX

- This duty is for all PMX employees not just a select few.

RADIATION SAFETY – RADSAF IN-SERVICE / PPT

You Can Do It !! (Extend your workday with extra hours)

• This PPT is available via video for Bioskills, surgical centers, doctors offices, and physicians, as well as a specific PPT for PMX employees.

• = You can help Present a RAD SAF In-Service to the client when/if called upon

COMPETENCY TESTING & PHYSICIAN EVALS

• NEW: Inspectors are asking for us to prove Tech competency

• What does this mean?

• PMX needs to show them a training program is in place

• That there is Testing of that training program

• That they can perform what they have been trained and tested on

• Physician evals

• Signed and dated

• Done each year

• Video training will be coming

• One on one or Hands on training will still be occurring

AN IMAGE TO UPHOLD:WHO WE WORK WITH: THEY ALL KNOW PMX

/aka JSASC

IMAGE IS EVERYTHING

• In Front of our clients – Always make and keep a positive impression

• Never be late, it starts the impression

• Always be positive and energetic – keeps the impression

• Maintain professionalism at all times – leaves them with a great impression

• Our clients ‘clients’ (and ‘Patients’) are ALSO our clients

• (@ Venel, Kimberly Clarke is their client, so by default both are our client to impress)

• (@ ASC: the Dr., Staff, paient and administrators are AL our clients)

10 THINGS THAT TAKE 0 TALENT BUT WILL GET YOU 100% RESPECT

1.Being on time

2.Work Ethic

3.Effort

4.Body Language

5.Energy

6.Attitude

7.Passion

8.Being coachable

9.Doing extra

10.Being prepared

RIPPLE EFFECT

• We work for our Clients !

• We are a SERVICE Based Company

• Can’t fight HUMAN Nature:

• People (Clients) remember the negative more than the positive

• So remember some of your actions (Positive or Negative) can have a Ripple Effect… that impacts more than what you may be thinking about in the moment…

RIPPLE EFFECTOn time Positive Ripple Effect

• The ride into work is more enjoyable = creates a Positive Attitude

• With enough buffer time a traffic slow down shouldn’t be as concerning

• Plenty of time to Move equipment with care, inspect and test the equipment.

• Client – Happy. Knows PMX is reliable

• Equipment – Tested & Clean

• Personnel – More relaxed and Upbeat/ positive. Time to get to know the OR team, network and have some coffee.

• Management – Not having to deal with any issues, can focus on getting more clients

RIPPLE EFFECT

A simple thing like being LATE can cause Negative Ripple Effect:

CLIENT Ripple: Staff, Dr. Patient waiting- This gets back to their corporate office

Corp wants a discount or stops using PMX- Sets precedence for complaints about PMX service

Impacts PMX and Techs Reputation – > Loss of client?EQIUPMENT Ripple: Rushing leads to

Risks: speeding tickets, potential equipment damage, Checklist short-cuts (not checking inventory)

Phantoms not done = $omeone el$e ha$ to do itEquipment damage -> bad appearance -> loss of work

Personnell Ripple: Sets precedence for other techs to be late- > Bad Attitude -> Disciplinary -> DNRs’Techs can get hurt or hurt others if they are rushing

Management Ripple: Record issues and occurrencesCreate new policies, exchange texts and emails regading eventContact with client to resolve, bill less, contract changes….

RIPPLE EFFECT

Lateness Ripple Effect (Cont.)

Lateness effects our Clients, Equipment Personnel Management and shows our client PMX Services is not the ‘best service provider.. Perhaps they can do better with some other service ?

Customer Service

Customer Experience

LATENESS ? HOW DO YOU COMPARE

GOAL5%

GOAL1%

ARRIVAL TIME IS KEY !!▪ KNOW THE DIFFERENCE: DO NOT CONFUSE THIS:

▪ ARRIVAL TIME = WHEN THE CLIENT EXPECTS YOU ON SITE

▪ ARRIVAL TIME IS WHEN CLEINT STARTS TO PAY FOR YOUR SERVICE

▪ ARRIVAL TIME IS WHEN PMX EXPECTS T YOU TO CALL IN

▪ ARRIVAL TIME IS …

▪ START TIME = CASE START TIME

Clients are NOW specifically asking for an ARRIVAL

TIME, not just a start Time, so they expect the ARRIVAL

to be ON-Time.

▪ THEY ARE NOW PAYING FOR ARRIVAL TIME

▪ Client's are NOW TRACKING our arrival times

LATENESS & ITS EFFECTS

LATENESS CONTINUED

• To be mindful of our times an theirs you must arrive at your scheduled arrival time. This is 30 minutes prior to the start time OF THE CASES for RTO’s and 1 hour prior for C-arm requests.

• It is YOUR responsibility to calculate and prepare for travel to your work site

• Account for traffic. Check the route for traffic ahead of time.

• If you are running late contact Chris before 8:30am or Beth after. If you know the center well you may also contact them. Please do not text and drive. If there is an accident PMX management will verify it and make a note.

• Never leave a center without checking with the DON or Office Manager.

MANAGEMENT MEETINGS RE: LATENESS• Discussions around paying bonuses for arriving ON-Time did not go well

• Discussions on removing Travel-stipend for not arriving On-Time did go well

• Result: New Policy:

• Your schedule will communicate your ‘Arrival’ time. Arrive by that time to qualify for your travel stipend. 5 min past the arrival time = is acceptable. (based on center phone’s call in time stamp)

• Exceptions to the policy exist

• on a case by case basis – requiring ‘Justifiable reason: such as ‘verified Traffic accident’ ….and will not exceed 2x exceptions per pay cycle

• If 2 travels offered – we will pull only one, but if client complains about lateness –we have the right to pull both of these perks

• So Arrive Early

AVAILABILITY – STICKING TO IT.Once you give your availability you must stick with it.We have many large labs and busy days.

I depend on your availability to tell centers I canprovide a service to them. If you change youravailability once it is given it can cause me to have toturn down a client who I already confirmed for service.

This is not good for PMX as a whole. Also please reviewyour schedule immediately once it is sent out andconfirm.If you have any questions please feel free to ask.

PAYROLL & TIMESHEETS

• Timesheets are due every Friday at the end of the working day. If youwork a weekend day it will be due at the end of that working day.

• If timesheets are late it can delay the entire payroll process. It delaysme being able to put together the weekly payroll numbers, scanningthe documents, and can hold up actually sending it in the payrollcompany.

• You can use your phone, scan, or fax the timesheets

PAYROLL – CHANGES ARE COMMUNICATED !

• Management would like you to know that if you ever hear of anychanges regarding how you are compensated please contactmanagement immediately. We will always make you aware of anychanges to compensation prior to confirming you for the workassignment.

• RE: : Lunch breaks: they are Paid to you, but not always billed to theclient – SO - PMX sometimes needs specific times & information forbilling purposes. This information does not effect how you are paid.

• PAYROLL Company SCREWS UP from time to time:• So If you ever see an issue (or possible issue) with your pay stub – Please

contact Christopher DiFelice ASAP.

• Issues will be resolved in as timely a fashion as possible (usually within hours)

WHAT CAN I DO TO HELP YOU?

• I know that I can send you a lot of information at times. I try to provide asmuch information as I can. I want everyone to be successful with PMX. I wantto do my best to make sure you are doing your best.

REMINDERS

Don’t forget to send your Expense Reports in with Timesheets if you have

expenses. They need to be sent in a timely manner.

Credentials ARE NOT to be charged to the Company Credit Card

Check your Instadose Every month

Send requested documents in when asked. Credentials that are 1 day

expired are not able to be reimbursed. (Sending the receipt does not count if

I don’t have the certification)

Make sure you show up in proper scrub attire. Unless you are extremelyfamiliar with the center, always show up in scrubs. Do not wear any other

types of clothing into any center or labs.

Do NOT use your cell phone to call in and out from a center. This makes it look

like you are late. We will check with the center if you use your cell phone.

Call outs should include the Dr Name, Case Count, and Last patient time.

(and the amount of time you were given for Lunch break if applic.)

BETH’S HOURS

• Again…My hours for calls and texts are Monday through Friday 8:30am to 4:30pm and Saturday 9:30 to 4pm. On weekends I may not always be near a computer and will do my best to get back to you with the information as soon as I can.

I turn the sound off of my phone at night, so please do not expect a response. If you want to let me know something that doesn’t require immediate action please text me. Otherwise contact Chris.

TRAINING VIDEOS DUE

View all 5 videos in the next two weeks (July

13th)

Get them done within the time limit = Get a 3 hour

block

AND it is MANDATORY to have these completed

If you miss the dealine(JULY13th) than training is

NOT Paid.

THIS IS THE JOB➢Keep credentials current

➢Communicate availability & Stick to it

➢Confirm your schedule

➢Arrive prior to your scheduled arrival time

➢Call In On Time to PMX – Check in with the DON

➢Review Equipment inventory (Lead, monitor cart...)

➢Update RT Workbook (Sign it, review it, shoot it = test equipment prior to case)

➢Work your day as professionally as you can

➢Check in with DON to see if job is complete

➢Call out with details / Report any issues (take pictures)

➢ If training / being trained: complete assessments & turn them in

➢ If Transporting: Provide TES and offer to (re)stage

➢Send all paperwork in a timely manner

PMX Closed Door

Conversation

What can we share

about our clients?

THANKS FOR ATTENDING THE PMX MEETING

REMEMBER TO GET YOUR FLU SHOT

(TIME NOW FOR A…)

TEAM PHOTO

ADDENDUM

Backward Planner

ClientStart time

Arrive on-site

by:Distance from HUB

Travel Time

Leave HUB BY

West 7:30 6:30 8mi 20min 6:10

Riverview 7:00 6:00 8mi 20min 5:40

HSS 8:00 7:00 49mi 1 hr 6:00

DrSchaeffer 8:00 7:00 20mi 40min 6:20

Fox Chase 8:00 7:00 40mi 50min 6:10

WEPM 7:30 6:30 20mi 29min 6:00

Hershey 8:00 7:00 100mi 2hrs 5:00

Reading SC 7:30 6:30 72mi 1hr 20min 5:00

ReCon Chill 8:00 7:00 18mi 40min 6:20

SS Northbrunswick 8:00 7:00 70mi 1hr 25min 5:35

Globus n/a 8:00 30mi 40min 7:20

Stryker n/a 8:00 130mi 2hr15min 5:45

Venel 11:00 10:00 74 1hr 30min 8:30

Special Note for Drivers: Arrival time = calling from the

center phone 30 mins prior to start time (preferably with

Equip already staged in the center), much as it is for an

RTO. Use your backward planning to establish WHEN you

need to call in from the HUB to make this achievable.

PMX EMPLOYEE PORTAL