EMS “Frequent Flyer” Abuse

A recent article at JEMS.com on EMS System Abuse told of examples of “frequent flyers” (that is non-emergency patients requesting multiple transports by EMS agencies on a fairly regular basis) many of which would be amusing if they weren’t so sad.á The author offered up that while it is a serious practice ofáabuse by the public, it is also a problem with no solution.á Perhaps, however,áthat is somewhat of an over-simplification as the article did suggest afteralláthat if we could firstácureápoverty, homelessness, mental illness, substance abuse, domestic abuse, lack of primary care and education then we could perhapsáeliminate the indiscriminate use of emergency services.

From a quick review of the solutions implemented in the past by multiple agencies to avoid abuses involving non-emergency transport including taxi vouchers, bus passes, referrals to physician offices, etc. which have been implemented and then often abandoned it is clear that the problem is not easily solved.á The fear of litigation for under estimating the urgency of a call is a strong motivator to permit these abuses, but that also comes at a cost.á

While it may be easy for those who are not responsible for managing the budget to say it simply can’t be solved, can agency management continue to utilize resources in an inefficient manner indefinitely by weighing the cost of a potential lawsuit as the cost justification?á How does a High-Performance EMS agency balance the unfettered demand for transport with optimization of services to control costs?á We’dálike to hear about your experiences or insights.

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High Performance Emergency Medical Services (HP-EMS) systems provide effective clinical care promoting positive patient outcomes and community wellness while maintaining a focus on improving economic efficiency of the system.  This site is dedicated as a community seeking to increase agency performance by promoting useful information regarding the developing trends and improvements in the efficiency of delivering basic and advanced medical care in the field.

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Comments
daleloberger
EMS Deployment Community of Practice
A reader offered up this link to multiple fire department EMS analysis reports over time: https://sites.google.com/site/standardsofcoverfire/
2014-11-16 17:51:01
Rob Lawrence
Quick Thoughts from EMS World Expo 2014
In my High Performance EMS session I presented 'Robs 10 top tips' or Healthy Habits of High Performing Systems'. I majored on key elements of business practice, organizational performance and clinical excellence required in any high performing system, EMS or otherwise. My ten top tips were as follows: 1. Economic Efficiency. - money is getting…
2014-11-16 08:59:44
CJ Ewell
Is our success a sign of our failure?
A couple things- first, your discussion has nothing to do with schizophrenia and it does a disservice to your readers and the mentally ill to use this term inappropriately. Second, people need access to appropriate primary care options. Delivering these services in an expensive vehicle with a revolving cast of providers is a stop-gap, not…
2014-11-04 15:56:29
Phil Jordon
Impressions of the Ferno iN/X
John Staymose- You're only half correct on the weight issue. If you are lucky enough to work for an agency that has the Stryker lift system as well as the power cot, you do indeed enjoy having to do very little lifting. However, there are instances when your conclusion is erroneous. The major instance is…
2014-11-03 15:03:16
Laura Lant
Is our success a sign of our failure?
Interesting article, hit alot of points that are actual reality today - things realized but maybe not been focused on - I feel some of the issue is comunication and community education - we know what we do as providers and why we do it but does everyone else ? What is their actual perception?…
2014-11-02 07:48:53

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