Category Archives:

ATale of Two Cities

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Just today I have watched two very different stories about two very different Michigan cities. The first one in the news was Detriot and then later it was Grand Rapids. The common thread between the two is about getting control of the EMS system and improving its performance. The situation in Detroit is truly sad and stems […]

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 […]

Free the Internet

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I try to avoid purely political discussions on this blog, but today is different and that is because the very future of blogs just like this one at are stake. Blogs exist to further discussions and make people think about positions and question their beliefs and practices. This is the power of respectful discussion and […]

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 […]

Index of Suspicion Includes Me

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It doesn’t take long in an EMT career before the excitement of “rushing to an emergency” turns in to “just another transport call.” The philosophy of “you call, we haul” in nearly every service can break the community servant’s spirit by turning a skilled paramedic into just an ambulance driver. But our system “just is […]

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 […]

Hello World. Welcome to HP_EMS!

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The world of the EMS provider is changing. Whether you call it EMS 2.0 or Next Generation 911, it is no longer enough to simply do a good job resulting in positive clinical outcomes for patients. Increasing budget pressures require that these quality services be maintained while providing them within a context of higher economic […]

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