Seniors completing coursework at Pickaway-Ross Career and Technology Center graduate in 2022. Dan Ramey/Litter Media

Job placement is a big buzzword in career tech education these days. Ross and Pickaway counties can be very pleased with our local career and technology center’s job in that area.

Now, you can take my words with a grain of salt since I’m a member of the Board of Education at Pickaway-Ross, but the proof is in the data.

This year, 180 seniors are on job placement with 135 employers – nearly 50,000 hours worked. Some of them will be attending post-secondary classes in the fall, but many of them are already at work in their field.

Automotive Tech, Diesel & Heavy Truck, Electrical Technology, Outdoor Power, and Visual Communication & Design lead the way with placement, but even more will be earning their credentials in the coming weeks. For example, cosmetology students are taking state board exams in the near future and, after the passage of those tests, will enter full-time placement.

That’s not just a recent trend, as Pickaway-Ross regularly churns out students that meet the needs of our local workforce. In many cases, the students step right into full-time employment in jobs they’ve already been working for while going to school. The employers value the energy and know-how of the students.

But it’s not just seniors getting placed. Offers are pouring in for juniors to begin summer jobs that will eventually turn into job placement during their senior year.

For example, 15 Electrical program students were hired by IBEW in April. Several juniors from Carpentry, Diesel & Heavy Truck, Precision Welding, Health Administration, Health Sciences (Nursing/STNA), Visual Communication and Design, Networking & Cyber Security, Cosmetology, and Early Childhood Education have landed jobs either through job fairs or employers simply calling.

All of this is a great tribute to the instructors who are training the students with the necessary skills and the employers who spot those skills and get them on the path to a career to contribute to the local economy. They know and trust the education and training of Pickaway-Ross students.

It’s a partnership that wins over and over again in our region. If you’re an employer out there, it’s one that could win for you, too.

And, that doesn’t even count what Pickaway-Ross is doing in Adult Education. Stay tuned for more on that program.

Now, having built the kind of momentum all aspiring educational programs aim to achieve, there are 42 residents across three disciplines – Family Medicine, Internal Medicine and Psychiatry. Five of those who have recently graduated or will be graduating in the Class of 2022 in June have signed with the Health System to continue their careers by practicing at Adena.

“There’s definitely a momentum that happens, you have to build it over time,” said Dr. Edward Onusko, who has served as Adena’s Designated Institutional Officer for the residency program and is now transitioning the role to Dr. John DesMarais. “Once you build a reputation that your medical students and residents get a very positive learning and living experience here at Adena, you attract a lot more applicants, many of whom are from our region, and more and more of the graduates of our programs are choosing to stay in the community.”

Medical residents are licensed physicians who, after graduating from medical school, choose to further their training within their specialty and care for patients under the oversight of board-certified physicians for a set number of years. Adena provides that educational opportunity, as well as hosts a group of medical students annually who do their third year of medical school at the Health System.

Those former or graduating residents who will now be practicing full-time at Adena include:

• Dexter Boggs, MD – Internal Medicine
• Clint Christman, DO – Internal Medicine
• Rebecca Ekstrand, DO –  Psychiatry
• Sam Nobilucci, DO – Emergency Medicine
• Peter Rinne, DO – Emergency Medicine

Those five will join seven other former GME graduates who are now working full-time at Adena.

Residency program directors and managers take several steps when finding and screening applicants to try and identify those who may be a good fit for a career with the Health System following their residency. For instance, one of the common traits sought is some sort of connection to Ohio or a preference to practice in a rural area. While not a requirement, it may make an applicant more appealing and more likely to stay.

On average, Adena’s residency program now screens between 300 and 400 applications per program annually and, this year, about 20% of applicants were interviewed.

In addition, the Health System actively recruits applicants to spend their third year of medical school at Adena through affiliations with three osteopathic medical schools across the region – Ohio University in Athens, Lincoln Memorial University in Tennessee and the University of Pikeville in Kentucky. With each program located in a rural area, the hope is that once they’ve seen what daily life is like at Adena and once they’ve interacted with Health System residents, they will consider doing their residency at Adena as well. Then, having already spent as many as four years with Adena by the end of their residency, they hopefully will choose to stay with the Health System to practice.

A supportive administration and Board of Trustees, cooperative nursing and other ancillary services across the Health System, and a talented physician corps sharing their experience and knowledge help build the case for graduates to stay long-term. Retaining these “home-grown” doctors further builds on the quality care already delivered by Adena physicians, Advanced Practice Providers and other caregivers to patients and their families across Adena’s nine-county service area.

For more about Adena Health System, and its health care services, visit Adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

The Leapfrog Hospital Safety Grade assigns letter grades to hospitals based on more than thirty national performance measures reflecting their record of patient safety, helping consumers protect themselves and their families from errors, injuries, accidents, and infections. The grading system is peer-reviewed, fully transparent and free to the public to view at HospitalSafetyGrade.org. Grades are updated twice annually, in the fall and spring.

“With the receipt of a second consecutive ‘A’ grade in hospital safety from the Leapfrog Group, we continue to demonstrate our commitment to Zero Harm in a Safety First culture at Adena,” said Dr. Kirk Tucker, Chief Clinical Officer. “Statistics show that patients who receive their hospital care at an A-rated facility have a 30% less chance of dying from preventable causes than a B-rated facility, a 50% less chance than at a C-rated facility and a 90% less chance than at a D-rated facility. This top letter grade carries significant importance for the communities that trust us with their care. I want to thank every physician, advanced practice provider and caregiver for their commitment to this calling in making us one of the best in the nation for patient safety. Our patients, friends and family deserve top level care and we take great pride in delivering on clinical excellence.”

The Leapfrog Group is a national nonprofit organization driving a movement for giant leaps forward in the quality and safety of American health care. The flagship Leapfrog Hospital Survey and new Leapfrog Ambulatory Surgery Center (ASC) Survey collect and transparently report hospital and ASC performance, empowering purchasers to find the highest-value care and giving consumers the lifesaving information they need to make informed decisions.

For more about Adena Health System and its services, visit adena.org or follow us on Facebook, Instagram, or Twitter @adenamedical.

CHILLICOTHE – History was made Tuesday, May 10 as Bart Herrnstein, of the Herrnstein Auto Group, won the 2022 Entrepreneur of the Year award from the Chillicothe Ross Chamber of Commerce.

Herrnstein’s father, Bill, won the honor in 2005, which makes them the first father-son duo to both receive the award. The honor was the 36^th time the local Chamber has honored its top entrepreneur.

Chamber President and CEO Mike Throne said Bart Herrnstein was chosen from a slate of nominees for his work to grow Herrnstein’s auto business, a solid record of contributions to the community, and his work to help revitalize downtown Chillicothe.

The 2022 award winners at the May 10, 2022 Chamber dinner were (L-R) the Renison family of Crispie Creme Donuts for Legacy, 2022 Entrepreneur of the Year Bart Herrnstein of Herrnstein Auto Group, Carvel Simmons – Special Recognition, 2022 Corporate Citizen Dr. Blake Lloyd of North Fork Animal Clinic; Special Recognition Adena Health System (CEO Jeff Graham), Young Professional of the Year Jade Berry, and special presentation to the late Doug Etling, represented by his wife, Vicki and son Dustin.

Other winners on Tuesday include:

• Adena Health System, Special Recognition for leadership and community partnerships.
• Young Professional of the Year: Jade Berry of The Stack and Life Ready program.
• Corporate Citizenship: Blake Lloyd & North Fork Animal Clinic, for work with multiple groups and businesses.
• Legacy: The Renison family of Crispie Crème Donuts, which started in the 1950s.
• Carvel Simmons, Special Recognition for his entrepreneurial spirit and work in and outside of Ross County. Simmons, who is a Ross County native, is the founder and owner of Trio Enterprises in Cincinnati. He lives in Frankfort.

The Chamber also acknowledged the contributions of Doug Etling, who was the long-time Chamber photographer before his death in 2021. His wife, Vicki, and son, Dustin, accepted the plaque in his memory.

The dinner happened at Bell Manor in Ross County.

CHILLICOTHE, OH – The Ross-Chillicothe Convention & Visitors Bureau held their seventh annual Tourism Banquet and Pineapple Awards on Monday, May 2, 2022, after a two-year hiatus due to the COVID-19 pandemic. Additionally, the Bureau’s annual Promotional Grant Assistance Program (GAP) recognized the organizations that were granted funds for this year.

The Pineapple Awards were developed and given to nominated individuals who go above and beyond their job duties to ensure that guests receive the best service when they visit. The Bureau received a total of twenty-eight nominations which recognized individuals from all sectors of the local tourism industry, such as attractions, lodging facilities, special event venues, and local shops to name a few. The Bureau works to obtain judges who are in the tourism industry from around the state to read the nominations and make the determination of which nominations are awarded a Pineapple Award within four categories.

This year’s Pineapple Award recipients include:
• Volunteer of the Year: Jay Jackson, Hopewell Culture National Historical Park
• Front Line Associate of the Year: Violet Tanner, Hampton Inn & Suites
• Behind the Scenes Associate of the Year: Ty McBee, Ross County Park District
• Director/Inn Keeper of the Year: John Payne, Pump House Center for the Arts

The Bureau also recognizes an individual or organization that collaborates with the Ross-Chillicothe Convention & Visitors Bureau and demonstrates a strong commitment to increase awareness and success of Ross County’s tourism industry with the Grand Pineapple Award. This year the Bureau recognized Pat McAllister with C.P. Management. Pat McAllister was recognized for “dedicating his entire life to his family, friends, and his community. He’s given lots of blood, sweat, and hard work to develop several complexes such as four local hotels, several conference spaces, and restaurants to support the tourism industry.”

The Ross-Chillicothe Convention & Visitors Bureau continued their Promotional Grant Assistance Program (GAP Funding) grants. This year the Bureau awarded a total of nine organizations with assistance to support their endeavors. The total amount of grant funding awarded was $20,000. The organizations who received funding this year includes:
• Buckeye Off-Road Expo
• Chillicothe Civic Theatre
• Downtown Chillicothe
• Ohio State Arm Wrestling Championship
• Pump House Center for the Arts
• Smash-It Demolition Derby
• Southern Ohio Forest Rally
• The Buck Fifty
• The Scioto Society

The Tourism Banquet is held annually on the first Monday in May as the kickoff event locally in conjunction with National Travel & Tourism Week. The Bureau is excited to celebrate with partners and recognize the “Best of the Best” in the tourism industry through the Pineapple Awards and help support local organizations through the GAP Funding.

I’m not sure I’d recommend taking over the local Chamber CEO job right before a pandemic hit, but most of the unpleasantries of COVID are outside of our grasp and we can start focusing on helping our businesses thrive, rather than merely survive.

Despite the lingering impact of the pandemic, our Chamber is thriving. Our membership growth is up 7% since 2019 – even with the rough 2020 factored into the figures. We are now at 773 members, up from 725 in my first year as the CEO.

New membership was up 19 percent in 2021 as Bobbi Kellough signed 93 new members – a new record high for her work at the Chamber – and we’ve added 32 to date in 2022. If that pace continues, she’ll break that record. Even in the COVID year, she signed 78 new members. She’s relentless in the pursuit of matching our great services to business needs.

We’re not just signing new members; our retention is also strong. 91 percent of 2020’s new members (78) were retained in 2021, up from 84% a year earlier.

Obviously, the growth in membership has also boosted our revenues. Since 2019, our revenue has ballooned to more than $400,000, an increase of 18%. When we factor out the $675,000 in CARES Act money we administered on behalf of local businesses, the Chamber had a revenue dip in 2020 – as did everyone – but we rebounded nicely last year. We’ve also been under budget on expenses each year in that time.

Those are the hard numbers that point to our growth, and they are enjoyable to read, but beyond that, we’ve been meeting the needs of our businesses. Last year, we changed the focus of our traditional membership guide to a Relocation and Community Guide, which has been well-received in the community. It’s a blend of community pride, facts and figures, and details about the pulse of our community that helps our businesses to hire and retain key employees. Special thanks to Metropolis Design Studio for their hard work in producing the guide. We have copies available if you would like some for your business or to use in your hiring process.

2022 has also seen a dramatic increase in the number of offerings we provide to help build businesses. Thrive Chillicothe, our business seminar series, is in full swing. Our sessions on money saving opportunities, social media marketing and ways to grow your business, find grant opportunities, and more will help to sustain small business. Wendi Bennett, our small business resource navigator, is spearheading this effort for us and doing a tremendous job. We’re also eagerly anticipating a full return to in-person Ross County Safety Council meetings later this year.

I’d also like to thank our friends in the Southern Ohio Chamber Alliance. SOCA helps the local Chamber provide money saving benefits to its members, including lower cost health benefits and 401K programs and the Chamber Energy Program, which can save you hundreds of dollars on natural gas and electric rates. Lower costs will help us navigate the current supply chain and workforce issues that have plagued many businesses as the pandemic subsides. Sedgwick, our workers compensation partner, also saved local Chamber members nearly $260,000 last year. Ask any of us about how we can help you save money.

We’re also out and about more. Our Business After Business events are back, our Annual Meeting will be May 10, and our Golf Outing is coming in July. But I saved my favorite new thing for last. Earlier this month, we started “Five Questions with …” a new video series from the Chamber which puts us out into the businesses to educate the community about our amazing members. Each Tuesday, we post a video on our Facebook page and YouTube channels. They are a lot of fun, and the feedback has been great. Thanks again to Aaron Anderson and DNA Productions for their work on the videos.

Finally, our role at the Chamber is to convene and connect. It’s a role we take very seriously. We believe in convening with our partners and helping them connect with other businesses to serve our community.

Thank you for the opportunity to serve.

The $500 million investment would support local initiatives to revitalize downtown districts, enhance quality of life, and help rebuild the economies of Ohio’s 32 Appalachian counties.

“The story of Ohio began with the pioneers in Appalachia, and it is now time to turn the page to a new and exciting chapter in this region’s future,” said Governor DeWine. “The plan that we are proposing today will energize our Appalachian communities so that the next generation of pioneers can forge new paths and secure a better future for this region.”

The $500 million proposal, dubbed “Ohio BUILDS – Small Communities, Big Impact – A Plan for Appalachia” would infuse funding into the proposal’s three priority areas of restoring historic downtowns, improving community health, and rebuilding the local workforce.

“We have entered an era where people can live in one place and work in another,” said Lt. Governor Jon Husted. “This means with the right kind of technology infrastructure, educational opportunities, affordable living with a high quality of life that rural communities have more opportunities than ever—this proposal will help make this possibility a reality.”

The proposal includes a $50 million planning phase to allow Appalachian communities and regional partnerships to develop plans that incorporate each of the three funding priorities. Following the planning, $450 million in implementation grants would be invested to help communities and regional groups carry out qualifying projects to rejuvenate the region and stimulate economic growth.

“I believe this investment will truly be the support that the Appalachian region needs to ensure long-term sustainable impacts,” said Lydia Mihalik, director of the Ohio Department of Development. “We look forward to working with the local communities to create solutions and cultivate success in the region.”

Since the beginning of the DeWine-Husted Administration, the Ohio Department of Development has invested more than $472 million in Appalachia Ohio to improve infrastructure, expand broadband access, and boost development. This new proposal aims to build on those investments by prioritizing funding to create vibrant downtowns, recreational areas, and cultural attractions to draw residents and tourists to the region; provide much-needed health care services to area residents and address substance use disorder; and develop the local workforce to prepare the next generation for jobs of the future.

“I have been representing Appalachia throughout my career, and I know the opportunities that exist in our region,” said Governor’s Office of Appalachia Director John Carey. “On behalf of my fellow Appalachians, I’m incredibly grateful for Governor DeWine’s commitment to help provide opportunities for this wonderful place that so many of us call home.”

The 32-county Appalachian region covers 39% of the state, from Clermont County through the southern and eastern portions of state, north to Ashtabula. The region is historically economically disadvantaged and sparsely populated, with 124 persons per square mile compared to the statewide average of 285.
Ohio’s 32 contiguous Appalachian counties are: Adams, Ashtabula, Athens, Belmont, Brown, Carroll, Clermont, Columbiana, Coshocton, Gallia, Guernsey, Harrison, Highland, Hocking, Holmes, Jackson, Jefferson, Lawrence, Mahoning, Meigs, Monroe, Morgan, Muskingum, Noble, Perry, Pike, Ross, Scioto, Trumbull, Tuscarawas, Vinton, and Washington.

Once funding is secured, the program is to be administered through the Ohio Governor’s Office of Appalachia within the Ohio Department of Development and other agency partners. The program will be part of Governor DeWine’s Ohio BUILDS Initiative, which focuses on supporting targeted solutions that impact quality of life, such as water infrastructure improvements, broadband expansion, brownfield redevelopment, the demolition of blighted buildings, and more.

Summer Youth participants work with a Goodwill job coach over a five-week period at area businesses. Participants are paid minimum wage throughout the program where they learn the skills needed to sustain employment and gain work experience to help them get a job when they are ready. Goodwill provides transportation to-and-from the job sites.

In 2021, our workforce team served 45 youth through the program which is open to ages 14-21 in Athens, Fayette, Hocking, Jackson, Pickaway, Pike, Ross, and Vinton counties. While learning is the focus of the program, occasionally there have been participants who are offered a job at the work site.
Sessions this year will run from June 6 to July 8 and July 11 to Aug. 12. In addition to our Goodwill stores, this year’s work sites currently include: Accurate Heating and Cooling (Ross); Campbell’s Market (Vinton); Dogwood Pass (Pike); Frisch’s (Fayette and Ross); Hampton Inn (Pickaway); Lazy Dog Camp Resort (Jackson); Mighty Children’s Museum (Ross); Millstone BBQ (Hocking); Pike Heritage Museum (Pike); Piggly Wiggly (Athens); Shawnee Campground and Kayak Rental (Ross); Shawnee Lanes (Ross); YMCA (Pike).

Goodwill has operated its Summer Youth program for more than a decade. Opportunities for Ohioans with Disabilities makes referrals to Goodwill for the program and helps with funding.

Anyone interested in the Summer Youth program (individual or business) can contact Goodwill for more information at 740-702-4000 Ext. 144.
Goodwill is a nonprofit agency focused on partnering with individuals with disabilities and challenges to help them lead the lives they envision across our eight-county region: Athens, Fayette, Hocking, Jackson, Pickaway, Pike, Ross, and Vinton. As of April 2022, Goodwill of South Central Ohio, based in Chillicothe, is serving 231 people across its region.

As one of just four national finalists, Adena was recognized for its community-based efforts to improve the health and well-being of people in south central and southern Ohio. The Health System will be awarded a $10,000 prize to be used toward its programs that further these efforts during the American Hospital Association’s (AHA) Annual Membership Meeting, being held April 26th in Washington, D.C.

The Foster G. McGaw Prize is open to the more than 5,139 community hospitals represented by the AHA. Sponsors for the Prize include the Baxter International Foundation, AHA and its non-profit affiliate, Health Research & Educational Trust. Each year, the Foster G. McGaw Prize is awarded to a health care organization that has shown exemplary commitment to establishing and facilitating programs that improve the overall health and well-being of its community.

Adena was the only rural-based health care organization represented among the national final four vying for this year’s top prize. The winner was Texas Health Resources based in Arlington, Texas. Joining Adena as finalists were MUSC Health in Charleston, South Carolina, and UMass Memorial Medical Center in Worcester, Massachusetts.

“Being named a 2022 Foster G. McGaw finalist for excellence in community health is a great testament to more than a decade of thoughtful work and dedication by Adena’s community health-focused teams for services that are delivered within and outside our facilities,” said Jeff Graham, Adena President and CEO. “Adena is responsible for the health of nearly 400,000 people in a nine-county service region, and we recognize that many in our communities have barriers that keep them from accessing the care they need. Together, with committed community partners, we are proud to play an active role in getting people the care and services they need.

“We greatly appreciate all of our community partners and know that making lasting impacts towards better health and well-being in our region can’t be done alone. Adena’s recognition as a Foster G. McGaw finalist belongs to each of them as well. It was a privilege to share, on a national stage, the meaningful, life-changing impact that our collaborations are making for people in our region.”

Since 1895, Adena’s focus has been on the care of patients who come through its doors for their health care needs. Focus beyond Adena’s traditional care model began to take shape as the societal needs facing its communities became more prevalent. By conducting community health assessments with its public health, government, social services and education partners, Adena has learned directly from its communities about the health issues and barriers they face in accessing care and set the course for today’s community-based efforts.

Results of the first Community Health Needs Assessment (CHNA) in 2013 made it clear that Adena’s mission as the region’s primary health care organization went beyond its hospitals or clinics. Armed with the concerns and needs of the region, Adena’s Department of Community Health and Development was created to develop partnerships with like-minded entities, embracing similar goals to improve people’s health and quality of life.

In 2020, Adena put its commitment to community front and center in the organization’s mission statement, “Called to serve our communities.” Always focused on providing close-to-home access to health care in the nine-county region it serves, Adena’s community focus is clear and direct in this new mission statement. It also envelops the focus on Adena’s role in filling gaps found within its communities.

“The experiences we have had collectively as a Community Health team over the last 10 years have shown us that building the resources and abilities of those we serve results in healthier communities,” explained Kim Jones, Adena’s Director of Community Health and Development. “Collectively, we are doing a better job at identifying and filling in the gaps of resources needed in our communities. But we are also redefining what community partnerships really mean by focusing on the infrastructure our communities need to support health and address disparate social factors. This includes environmental issues that impact the quality of life and economic opportunities for our population.”

Among its partnered programs, Adena was recognized for the innovative community service initiatives being used to address the following issues:

• Drug addiction, which is a leading community health need in every CHNA. Since the creation of a collaborative, now known as the Hope Partnership Project, treatment options in the region have grown from barely a handful in 2015 to more than 20 in just Ross and Pike Counties. Many lives have also been saved by providing free Narcan to addicts, families and employers to reverse an overdose.
• Advocating for victims of violence, which gives people presenting to the ER or urgent care with injuries from interpersonal violence the opportunity to empower themselves. Specially-trained Adena social workers offer assistance and post-traumatic services that can include referrals for housing, job and/or education and training to get people on their feet. In 2020, Adena’s Survivor Advocates served 445 people, including 12 identified as victims of human trafficking.
• Healthy communities, which is the role of Partners for a Healthier Ross County. Founded and led by Adena Health System and the Ross County Health District, Partners for a Healthier Ross County uses the CHNA as its roadmap to identify need and in the development of health solutions.
• Partnering for healthy kids, which is also an important aspect of Adena’s community outreach. Of the Ross County families living in poverty, 75.3% include a child, and many have transportation barriers. Since 2011, Nationwide Children’s Hospital and Adena have partnered to care for young patients, giving them specialty care closer to home. Adena is now working with five local school districts to create health and wellness services inside school districts.
• Fostering economic development, which isn’t typically thought of as a health care function. However, as Ross County’s largest employer, Adena is responsible for more than a half-billion dollars going into the local economy through wages, taxes, purchased services and more. The health system formally came to the economic development table in 2011, for discussions about the future of the Carlisle Building, an historic downtown facility. Adena found a unique use for the fire-ravaged building as a housing solution its growing medical education program. The approximately $5 million revitalization project was instrumental in the rebirth of Chillicothe’s downtown economy.

An AHA-selected committee of current and former health care administrators from across the U.S. noted in its prize review process that they were “particularly impressed with how Adena has addressed substance use disorder through its outreach program, highlighting that your efforts in this area surpass those of larger urban health care organizations addressing similar challenges. The committee also commends your comprehensive approach to the well-being of your community, in particular how your organization has integrated its economic development with your community, revitalizing your local downtown area…Adena Health System has clearly made a significant impact on the lives of the people it serves.”

“The work Adena is doing in the communities we serve is truly a labor of love for our family, friends, neighbors, and the region,” Graham concluded. “This mission is not about any recognition or financial award. It is about people caring for their own. If someone can’t get to us for care, we’ll find a way to get care to them.”

For more about Adena Health System, its health care and community health services, visit Adena.org, or follow us on Facebook, Instagram, or Twitter @adenamedical.

At the February Board of Directors meeting, BWC approved an overall statewide loss cost (base rate) reduction of 10% for private employer. This reduction becomes effective July 1, 2022 and is expected to decrease paid premiums by nearly $106 million in the next fiscal year and follows a similar reduction for public employers (counties, cities, schools, and others) that went into effect Jan 1st, 2022.

At the March BWC Board meeting, individual loss costs were approved for all 504 private employer manual class codes currently used by private employers in Ohio. Private Employer loss costs by class code are developed to provide the necessary overall statewide income through employer level premiums to cover the claims costs of injuries and occupational diseases to injured workers and their survivors that happen during the policy year. While the overall change is an average reduction of 10%, this is composed of multiple sources including the impact of an employers’ experience modifiers, certain rebates, credits, programs and rating plans.

Private employers can expect to see these rate changes reflected on their premium billing sent by BWC later this spring. For more information, contact our Sedgwick program manager, Julia Bowling at 513.218.4062 or julia.bowling@sedgwick.com