Category Archives:

Stop Dissing Response Times and Start Dissecting the Argument

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It is not hard to find an article that bashes the industry’s insistence on measuring response time as a performance goal. The latest one I saw was published just today in “Don’t let response times overshadow the role of EMS” by the respected author Arthur Hsieh. The flow of his article follows the traditional pattern of […]

Did You Watch ‘Nightwatch’ Last Night?

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It appears that at least in some EMS circles, the premiere of the new A&E series called ‘Nightwatch’ on Thursday (1/22) was a highly anticipated event. I don’t know if it was just a coincidence that it was also the opening day of the NAEMSP conference held this year in New Orleans, where the EMS-themed reality show was filmed, […]

11 of the Top 10 Tips for High Performing EMS

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Rob Lawrence, the Chief Operating Officer of Richmond Ambulance Authority, offered these tips as an article for publication in this blog, but we decided they would make good initial discussion points in an ongoing dialog with our readers and contributors. Consequently, each of these points is made as a separate page under the EMS Deployment […]

HP-EMS Profile: MedStar Mobile Healthcare

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As I was going to be in Dallas for the Fire Rescue conference, I decided to go a little early and pay a visit to MedStar Mobile Healthcare (the renown “birthplace of Mobile Integrated Healthcare”) just over in Fort Worth, Texas.  For anyone who may not have been paying attention to the industry during the last […]

Is ‘SSM’ Still a ‘Bad Idea’?

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Ideas often take time to saturate a market. Even if the idea is generally recognized as a good one, complete with compelling evidence, change can still take time.  As a current example, how many agencies still have a protocol for complete spinal immobilization on a long spine board for “any fall” or “significant impact”?  On that very […]

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.

The Role of Response Time in EMS Performance

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Several months ago, Rob Lawrence of the Richmond Ambulance Authority started a thread on the High Performance EMS Group of LinkedIn by asking “So what does the phrase ‘High Performance EMS’ mean to you?” This innocent sounding question sparked immediate debate even within the small group at that time. Benjamin Podsiadlo of AMR quickly tied the quality […]

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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
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
Kim
What Higher EMS Pay Requires
"Wages will change when we decide to work for them." I don't know about you but I have been busting my butt for 24 years for better wages. I continually educate myself to gain knowledge beyond my scope. My scope of practice limits what I'm allowed to do but it doesn't limit what I am…
2015-06-16 12:38:23
Kim
What Higher EMS Pay Requires
I have worked for companies that were union and companies that were non union. The pay is always the same. I have been in EMS for 24 years and I have never earned a living wage. I always have to have multiple jobs just to get by. No vacations, no credit cards and no car…
2015-06-16 12:15:12

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