Category Archives:

Looking Back to See Ahead: 2014 in Review

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The end of the year is a great time to take stock in what has already passed and to make plans for the future. The vision I had when I started this blog four years ago was summarized in my first blog post, Hello World. Welcome to HP_EMS!  I’m glad to say that today, while many other […]

Quick Thoughts from EMS World Expo 2014

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I love Nashville, so one of the highlights from my trip to EMS World Expo was eating at Jack’s BBQ on Broadway, but there was also plenty more to be excited about at the actual show held in the Music City Center this week. While I missed the Preconference sessions and World Trauma Symposium, I arrived on Tuesday […]

Using EMS Week 2014

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Most of us don’t do what we do for the proverbial “pat on the back.”  In fact, you could even make a good argument that we don’t even really do it for the money.  So what does a week of national recognition mean for us? We know we can’t relax and stop doing our job. […]

What Twitter, and These EMS Influencers, Mean to Me

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The thing I love most about conferences is the unexpected things I learn. Like everyone else, I attend certain sessions on topics I need to know more about, but in-between these official talks there are millions of opportunities (casual conversations) to hear things I never knew I needed to know. To me, this is the […]

Influencing Paramedics on Twitter

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I like lists. They are typically neat and definitive. I am sure that my friend @ChecklistMedic would agree that they also help bring order to the chaos that often defines our work in the field. For those of us trying to leverage social media to keep current on EMS thought (or Community Paramedicine or Mobile Integrated Healthcare), […]

What is “Performance” in EMS? Part 3

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Even if you do not subscribe to the idea of such significant change to subsidized out of hospital care, there are other potentials for community involvement that will pragmatically improve the effectiveness of emergency care such as empowering bystanders to act.

What is “Performance” in EMS? Part 1

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One aspect of improving performance is responding appropriately in less time – not necessarily just responding “faster.” Technology must be evaluated by “outcome” just as patient treatments are being qualified and improved.

Social Media – To Filter or Not to Filter?

I have to admit that I didn’t notice when the DC Fire/EMS Twitteraccount feed went silent on August 30. A fact that I continued not to recognize until I read the article “#Silence: Fire and EMS Twitter Feed to be ‘Filtered’”broadcast in a tweet just this morning. According to Chief Kenneth Ellerbe in a press […]

Quick Thoughts from Pinnacle EMS 2011

Good crowd this year of nearly 400 EMS leaders from around the country to share best practices on EMS leadership and performance. Unfortunately, I arrived a little late yesterday but still managed to get involved in some of the roundtable discussions on “Key Questions for Critical Decisions” where attendees spent 30 minutes at a table […]

Social Media: The ‘Why’ Needs to Come First (Part 2)

In the first half of this two-part blog, I discussed the outwardly directed reasons for using social media. Those are the reasons that relate to communicating a message from your organization to a specific audience. Just like older media forms, social media provides a mechanism for telling your own story but without external filters and […]

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High Performance EMS

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.

JEMS Talk: Google Hangout

Comments
Jeffrey Hammerstein
Stop Dissing Response Times and Start Dissecting the Argument
I think that the position someone takes on this issue depends entirely on the circumstances of the particular EMS system they have in mind when they consider the question. If we're comparing a 7 minute response time to a 70 minute response time (or infinite as mentioned above), then of course it matters. That's a…
2015-07-03 11:44:45
Dave Shrader
Stop Dissing Response Times and Start Dissecting the Argument
I had meetings recently with a client in an underserved County. They have multiple tax supported volunteer organizations, and a City FD as EMS providers. The system is totally Balkanized with each agency doing it’s own thing. One agency failed to even respond to 66% of its calls last year. So, 66% of the time,…
2015-07-03 08:08:44
Matt Zavadsky
What Higher EMS Pay Requires
This article is spot on - the rapidly changing healthcare finance environment is a game changer for us - IF, and ONLY IF, we can prove that we bring value to the payer... Does our care make a difference in the patient's experience of care, outcome and cost of care... By assessing our patient satisfaction,…
2015-06-17 08:38:01
Steven Lichtenberg
What Higher EMS Pay Requires
The biggest issue in pay scales is one you hit on directly. Payment for service rendered is solely based on transports. Refusals/DNR/DOA etc are not reimbursed. Once Medicare determines that we are in fact medical professionals and not "ambulance drivers" and pays for care rendered we have a chance. Community paramedicine is one mechanism for…
2015-06-16 21:47:53
daleloberger
What Higher EMS Pay Requires
Thank you for making the comment, Kim. I suspect you may have missed my meaning in that statement though. The passionate folks in EMS are some of the hardest working people I know. My complaint is certainly not that "we" don't put enough into our jobs to deserve better pay, it is that we must…
2015-06-16 18:13:18

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