Tag Archives: high performance EMS

A Bibliography on EMS in a State of Change

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.

HP-EMS Profile: Cetronia

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The increasing demand for healthcare services which threatened their ability to maintain response times is another example of what motivates the Cetronia mindset of continual improvement and motivating them to become a High Performance EMS.

The Role of Response Time in EMS Performance

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While there were many comments on the question of “what does High Performance EMS mean to you?”, I would like to focus on the assertion that measuring response time is not an “evidence-based” practice.

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 what […]

The Cost of Saving Money

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 the expenditures on […]

The Future of Prediction

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 […]

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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.

Comments
Matt Zavadsky
HP-EMS Profile: MedStar Mobile Healthcare
WOW!! What a great article! Thanks so much for recognizing the people AND technology that make these programs work, whether here, or anywhere!
2014-09-12 08:06:15
Julia Harris
Is ‘SSM’ Still a ‘Bad Idea’?
I refuse to work for a system that does SSM. I did ride time in one of these county systems, and it was exhausting. I love running calls. I would like to work in a busier system but not at the cost of getting stuck in a truck for hours on end. I've done this…
2014-09-10 20:28:36
mdquik84
Is ‘SSM’ Still a ‘Bad Idea’?
When I worked in a system that implemented the SSM plan it shaved off about 1 minute of response time. This system had 3 units available. Medics were pressured by upper mgmnt of a 20min for medical and 10min for trauma(the same as in the EMT books). Some medics couldn't handle the pressure and were…
2014-09-06 12:45:11
Joey
Static v. Dynamic: A Continuum of Cost
There are pros and cons with each model but the bottom line comes down to optimizing your EMS system and delivering rapid care within a cost efficient model. I have always worked in a drama series called "housewives of a static system" as well as in a nationally recognized dynamic system and I can honestly…
2014-08-26 06:31:07
David
Static v. Dynamic: A Continuum of Cost
John Brophy is that you.... If having a sustainable funding source , money for research, proper equipment like power cots, video laryngoscopes, state retirement, community education funding, and not eating and pooping in a gas station makes me Emergency. Then Rampart I need orders for a lobotomy. If running more calls to bill Medicare and…
2014-08-23 18:41:36

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