Two weeks ago, we started a Community of Practice to discuss EMS Deployment. The larger issue of deploying resources is all about efficiency and effectiveness in care, those are also the aims of any High Performance EMS group. However, that message is too often confused with meaning simply “better, faster, cheaper”, when in practice it […]
We always hear that EMS is still a relatively new discipline. And in the scheme of medicine, or even public safety, that is certainly true. But we shouldn’t letÂ the fact of its youth keep us from acknowledging that it has already been around long enough to accumulate some of its very own antiquatedÂ dogma. If you […]
Make no mistake, reform is coming to EMS! Federal health care reform is one factor driving changes in EMS, but there are many other factors affecting the future of emergency health care delivery that aren’t getting as much press attention even though their impact is at least as important. This post is an attempt not to repeat what others have said but to place it all in context with references to some of the best articles I have found on the topic.
Several months ago, Rob Lawrence of the Richmond Ambulance Authority started a thread on theÂ High Performance EMS GroupÂ of LinkedIn by asking â€œSo what does the phrase â€˜High Performance EMSâ€™ mean to you?â€ This innocent sounding question sparked immediate debate even within the small group at that time. Benjamin Podsiadlo of AMR quickly tied the quality […]
It doesnâ€™t take long in an EMT career before the excitement of â€œrushing to an emergencyâ€ turns in to â€œjust another transport call.â€ The philosophy of â€œyou call, we haulâ€ in nearly every service can break the community servantâ€™s spirit by turning a skilled paramedic into just an ambulance driver. But our system â€œjust is […]
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 […]
I have read the positions stating that calls for emergency services are completely randomÂ (justifying the reason they are often called â€œaccidentsâ€)Â and therefore not able to be predicted. But bothÂ academic literatureÂ andÂ practical experienceÂ show that demand prediction can be an effective tool in helping to balance scarce resourcesÂ (ambulances and their trained crews)Â with public demandÂ (requests for emergency responses even […]