Category Archives:

EMS Surveillance or Survival?

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I know there are probably agencies out there with some real control issues, but the use of technology that monitors your EMS system are not really about employee surveillance. Sometimes this monitoring is actually about your protection, but most often I believe it is about creating a competitive advantage that will help your agency survive […]

Revisiting Repeat Patient Transports

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The High Performance EMS website has been up for a year now and in review of all the topics we have visited, there are two that have stood out in particular both by the number of search terms as well as the number of page views. They are “dynamic system status management” and “EMS frequent […]

SAMPLE Your Agency

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Judging interest of the EMS community based on searches that end up at this website may not be a fair assessment of the larger group, but interest sure seems to be growing around performance concerns. I don’t know if there is any acute cause but a longer term irritant has certainly been the economy and […]

Measured Response to Response Measures

In conversations lately I have been hearing more diverging opinions on measuring EMS response ranging all the way from it being a definitive criteria to saying  it shouldn’t be considered at all. A recorded example of such a discussion is a recent blogtalkradio episode by “EMS Office Hours”.  While certainly appearing to be diametrically opposing […]

Dynamic System Status Management

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System Status Management (SSM) is the fluid deployment of ambulances based on the hour-of-the-day and day-of-the-week in order to match supply, defined as Unit Hours of Utilization (UHU), with expected demand, expressed as calls for service, in the attempt to provide faster response by locating ambulances at “posts” nearer their next calls.  While the practice […]

The Cost of Saving Money

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There are two fundamental ways to save money: either cut your budget and make do with less resources or invest in process efficiency to cut future expenses while continuing to provide at least the same level of service. These are important considerations as the costs of doing business clearly continue to increase, whether we consider […]

The Future of Prediction

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I have read the positions stating that calls for emergency services are completely random (justifying the reason they are often called “accidents”) and therefore not able to be predicted. But both academic literature and practical experience show that demand prediction can be an effective tool in helping to balance scarce resources (ambulances and their trained crews) with public demand (requests for emergency responses even […]

EMS “Frequent Flyer” Abuse

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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. The author offered up that while it is a serious practice of abuse by the public, […]

“No Available EMS”

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No one really wants to read a bad story about some other EMS agency, but it is even worse to read a similar story about your own. The purpose of this post is not to make Detroit into some “failed EMS poster child” but intended to shed some light on similar problems that may be […]