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 […]

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 […]

A New Look

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Whether you have been one of our followers this past year or just found us recently, we appreciate your interest in High Performance EMS and our revised blog site. We are excited to now be a part of the FireEMS Blogs network and look forward to the possibility of reaching a larger audience and hearing from additional […]

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 […]

HP-EMS Profile: Huron Valley Ambulance

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This month’s high performance profile is Huron Valley Ambulance (HVA), a nonprofit service that has distinguished itself as being high quality and achieved CAAS certification for service in southeast and south central Michigan. HVA was created in 1981 as a nonprofit organization by five hospitals in Washtenaw County following the failure of several previous commercial ambulance services there. The […]

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 […]

HP-EMS Profile: Jersey City Medical Center EMS

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The High Performance EMS we examine this month is Jersey City Medical Center EMS located just across the Hudson River from Lower Manhattan. It is a triply accredited service, receiving the CAAS, NAED’s ACE, and CoAEMSP accreditations all in the same year. As a part of the LibertyHealth System, it serves the residents, workers, and visitors of Hudson County, NJ by responding to […]

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