Academy of International Mobile Healthcare Integration

𝐀𝐈𝐌𝐇𝐈 𝐒𝐞𝐞𝐤𝐢𝐧𝐠 𝐕𝐨𝐥𝐮𝐧𝐭𝐚𝐫𝐲 𝐒𝐮𝐛𝐦𝐢𝐬𝐬𝐢𝐨𝐧𝐬 𝐨𝐟 𝐆𝐫𝐨𝐮𝐧𝐝 𝐀𝐦𝐛𝐮𝐥𝐚𝐧𝐜𝐞 𝐃𝐚𝐭𝐚 𝐂𝐨𝐥𝐥𝐞𝐜𝐭𝐢𝐨𝐧 𝐑𝐞𝐩𝐨𝐫𝐭𝐬 𝐟𝐨𝐫 𝐈𝐧𝐝𝐮𝐬𝐭𝐫𝐲 𝐄𝐜𝐨𝐧𝐨𝐦𝐢𝐜 𝐀𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 --------------------------- As the period for Medicare Ground Ambulance Data Collection System (GADCS) submissions starts to wind down, the Academy of International Mobile Healthcare Integration (AIMHI) is interested in doing a cost and revenue analysis, using data submitted to Medicare, in advance of Medicare finalizing their assessment. We believe this advance assessment will serve two key purposes for the industry: - Provide valuable information to the EMS profession about costs and revenues for service delivery that can be used to advocate for reimbursement changes. - Provide a 'gut check' on what the data shows so that when Medicare does release their analysis, the industry will have some 'ground truth' on pre-assessment of the same data submitted to Medicare. 𝐓𝐨 𝐚𝐜𝐜𝐨𝐦𝐩𝐥𝐢𝐬𝐡 𝐭𝐡𝐞𝐬𝐞 𝐠𝐨𝐚𝐥𝐬, 𝐰𝐞 𝐚𝐫𝐞 𝐚𝐬𝐤𝐢𝐧𝐠 𝐚𝐠𝐞𝐧𝐜𝐢𝐞𝐬 𝐰𝐡𝐨 𝐡𝐚𝐯𝐞 𝐬𝐮𝐛𝐦𝐢𝐭𝐭𝐞𝐝 𝐭𝐡𝐞𝐢𝐫 𝐜𝐨𝐬𝐭 𝐫𝐞𝐩𝐨𝐫𝐭𝐬 𝐭𝐨 𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞, 𝐭𝐨 𝐮𝐩𝐥𝐨𝐚𝐝 𝐚 𝐜𝐨𝐩𝐲 𝐭𝐡𝐞 𝐏𝐃𝐅 𝐭𝐡𝐚𝐭 𝐞𝐚𝐜𝐡 𝐚𝐠𝐞𝐧𝐜𝐲 𝐫𝐞𝐭𝐚𝐢𝐧𝐞𝐝 𝐟𝐨𝐫 𝐢𝐧𝐜𝐥𝐮𝐬𝐢𝐨𝐧 𝐢𝐧 𝐭𝐡𝐢𝐬 𝐚𝐧𝐚𝐥𝐲𝐬𝐢𝐬 𝐭𝐨 𝐚 𝐬𝐞𝐜𝐮𝐫𝐞 𝐮𝐩𝐥𝐨𝐚𝐝 𝐬𝐢𝐭𝐞. We commit to releasing an only aggregated data, without any agency identifiers. However, for additional assurance, agencies can either 'stamp' their PDF with 'Confidential', or include 'confidential' in the file name. The secure link to upload the PDF files is: https://lnkd.in/giDtZcSU 𝐖𝐞 𝐡𝐨𝐩𝐞 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐜𝐨𝐧𝐬𝐢𝐝𝐞𝐫 𝐜𝐨𝐧𝐭𝐫𝐢𝐛𝐮𝐭𝐢𝐧𝐠 𝐭𝐨 𝐭𝐡𝐢𝐬 𝐩𝐫𝐨𝐣𝐞𝐜𝐭, 𝐝𝐮𝐞 𝐭𝐨 𝐢𝐭𝐬 𝐩𝐨𝐭𝐞𝐧𝐭𝐢𝐚𝐥 𝐭𝐨 𝐚𝐬𝐬𝐢𝐬𝐭 𝐰𝐢𝐭𝐡 𝐭𝐡𝐞 𝐚𝐬𝐬𝐞𝐬𝐬𝐦𝐞𝐧𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐜𝐮𝐫𝐫𝐞𝐧𝐭 𝐞𝐜𝐨𝐧𝐨𝐦𝐢𝐜𝐬 𝐨𝐟 𝐨𝐮𝐫 𝐩𝐫𝐨𝐟𝐞𝐬𝐬𝐢𝐨𝐧. Thank you! Chip Decker, President Below are the instructions for the secure file upload. If you have any questions, or would like support setting this up, feel free to contact Matt Zavadsky at Matt.Zavadsky@pwwadvisorygroup.com, or by phone/text at 817-991-4487. ----------------------- Click on the link below: https://lnkd.in/giDtZcSU You'll be prompted to set up a login: Once created, you'll be prompted confirm your email and create a password - once completed, you'll be navigated to the link to upload your GADCS file.

Special thanks to all the panelists for sharing their expertise and experiences. Here's a link to the recording of the webinar: https://lnkd.in/gV4QkiKn At the link, you will also find the summary of the submitted questions as responded to by the panelists, and a resource document with links to the research studies, position statements, and other supporting resources related to EMS performance measures, response times/HOT responses, and all ALS vs. Tiered deployment models.

*REMINDER* 𝐅𝐑𝐄𝐄 𝐉𝐨𝐢𝐧𝐭 𝐀𝐈𝐌𝐇𝐈/𝐈𝐂𝐌𝐀 𝐖𝐞𝐛𝐢𝐧𝐚𝐫 𝐌𝐲𝐭𝐡 𝐁𝐮𝐬𝐭𝐞𝐫𝐬: 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 𝐃𝐞𝐥𝐢𝐯𝐞𝐫𝐲 – 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧 𝐯𝐬. 𝐑𝐞𝐚𝐥𝐢𝐭𝐲 Recent headlines illustrate the EMS delivery crisis in America: “𝑲𝒆𝒏𝒕𝒖𝒄𝒌𝒚'𝒔 𝒔𝒉𝒐𝒓𝒕𝒂𝒈𝒆 𝒐𝒇 𝑬𝑴𝑺 𝒑𝒓𝒐𝒗𝒊𝒅𝒆𝒓𝒔 𝒉𝒂𝒔 𝒓𝒆𝒂𝒄𝒉𝒆𝒅 '𝒄𝒓𝒊𝒔𝒊𝒔' 𝒍𝒆𝒗𝒆𝒍, 𝒆𝒙𝒑𝒆𝒓𝒕 𝒕𝒆𝒍𝒍𝒔 𝒔𝒕𝒂𝒕𝒆 𝒍𝒂𝒘𝒎𝒂𝒌𝒆𝒓𝒔” “𝑵.𝒀. 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒆𝒓𝒗𝒊𝒄𝒆 𝒆𝒏𝒅𝒔 𝒐𝒑𝒆𝒓𝒂𝒕𝒊𝒐𝒏𝒔 𝒂𝒇𝒕𝒆𝒓 75 𝒚𝒆𝒂𝒓𝒔” “𝑪𝒉𝒊𝒄𝒂𝒈𝒐 𝒇𝒊𝒓𝒆𝒇𝒊𝒈𝒉𝒕𝒆𝒓𝒔 𝒑𝒍𝒂𝒏 𝒑𝒓𝒐𝒕𝒆𝒔𝒕𝒔 𝒐𝒗𝒆𝒓 𝒑𝒂𝒓𝒂𝒎𝒆𝒅𝒊𝒄, 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒉𝒐𝒓𝒕𝒂𝒈𝒆𝒔” “𝑺𝒂𝒏𝒕𝒂 𝑩𝒂𝒓𝒃𝒂𝒓𝒂 (𝑪𝑨) 𝑺𝒖𝒑𝒆𝒓𝒗𝒊𝒔𝒐𝒓𝒔 𝑪𝒂𝒖𝒈𝒉𝒕 𝒊𝒏 𝑪𝒓𝒐𝒔𝒔𝒇𝒊𝒓𝒆 𝒐𝒗𝒆𝒓 𝑨𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝑪𝒐𝒏𝒕𝒓𝒂𝒄𝒕” “𝑳𝒆𝒃𝒂𝒏𝒐𝒏 𝑭𝒊𝒓𝒆 𝑫𝒊𝒔𝒕𝒓𝒊𝒄𝒕 (𝑶𝑹) 𝒇𝒂𝒄𝒆𝒔 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒆𝒓𝒗𝒊𝒄𝒆 𝒄𝒉𝒂𝒍𝒍𝒆𝒏𝒈𝒆𝒔 𝒂𝒎𝒊𝒅 𝒇𝒖𝒏𝒅𝒊𝒏𝒈 𝒂𝒏𝒅 𝒔𝒕𝒂𝒇𝒇𝒊𝒏𝒈 𝒘𝒐𝒆𝒔” Modern EMS is half a century old, and 𝐰𝐨𝐮𝐥𝐝 𝐲𝐨𝐮 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐞𝐫𝐞 𝐚𝐫𝐞 𝐬𝐨𝐦𝐞 𝐭𝐡𝐢𝐧𝐠𝐬 𝐭𝐡𝐞 𝐩𝐮𝐛𝐥𝐢𝐜 ‘𝐞𝐱𝐩𝐞𝐜𝐭𝐬’ 𝐭𝐡𝐚𝐭 𝐚𝐫𝐞 𝐧𝐨 𝐥𝐨𝐧𝐠𝐞𝐫 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐛𝐲 𝐯𝐨𝐥𝐮𝐦𝐞𝐬 𝐨𝐟 𝐞𝐯𝐢𝐝𝐞𝐧𝐜𝐞-𝐛𝐚𝐬𝐞𝐝 𝐫𝐞𝐬𝐞𝐚𝐫𝐜𝐡. EMS systems, and the communities they serve are clinging on to practices based on beliefs that not only have been disproved by science, but are dangerous, such as: ·        Reliance on response times as a sole performance measure ·        Medical first response on every EMS call ·        Lights and siren responses ·        A paramedic on every EMS response Unrealistic public expectations are driving much of the staffing and economic crisis EMS systems are facing. 𝐓𝐡𝐢𝐬 𝐝𝐲𝐧𝐚𝐦𝐢𝐜 𝐚𝐧𝐝 ‘𝐜𝐨𝐧𝐭𝐫𝐨𝐯𝐞𝐫𝐬𝐢𝐚𝐥’ 𝐰𝐞𝐛𝐢𝐧𝐚𝐫 𝐰𝐢𝐥𝐥 𝐡𝐢𝐠𝐡𝐥𝐢𝐠𝐡𝐭 𝐜𝐮𝐫𝐫𝐞𝐧𝐭 𝐫𝐞𝐬𝐞𝐚𝐫𝐜𝐡 𝐚𝐧𝐝 𝐨𝐮𝐭𝐜𝐨𝐦𝐞𝐬 𝐭𝐨 𝐛𝐮𝐬𝐭 𝐦𝐲𝐭𝐡𝐬 𝐫𝐞𝐥𝐚𝐭𝐞𝐝 𝐭𝐨 𝐭𝐡𝐞 𝐬𝐚𝐜𝐫𝐞𝐝 𝐜𝐨𝐰𝐬 𝐭𝐡𝐚𝐭 𝐚𝐫𝐞 𝐝𝐫𝐢𝐯𝐢𝐧𝐠 𝐭𝐡𝐞 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝐟𝐨𝐫 𝐄𝐌𝐒 𝐝𝐞𝐥𝐢𝐯𝐞𝐫𝐲 𝐬𝐮𝐜𝐡 𝐚𝐬 𝐩𝐚𝐫𝐚𝐦𝐞𝐝𝐢𝐜 𝐫𝐞𝐬𝐨𝐮𝐫𝐜𝐞 𝐝𝐞𝐩𝐥𝐨𝐲𝐦𝐞𝐧𝐭, 𝐫𝐞𝐬𝐩𝐨𝐧𝐬𝐞 𝐭𝐢𝐦𝐞𝐬, 𝐥𝐢𝐠𝐡𝐭𝐬 𝐚𝐧𝐝 𝐬𝐢𝐫𝐞𝐧 𝐮𝐬𝐞, 𝐚𝐧𝐝 𝐞𝐯𝐞𝐧 𝐭𝐡𝐞 𝐟𝐮𝐧𝐝𝐚𝐦𝐞𝐧𝐭𝐚𝐥𝐬 𝐨𝐟 𝐄𝐌𝐒 𝐬𝐲𝐬𝐭𝐞𝐦 𝐝𝐞𝐬𝐢𝐠𝐧. 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐡𝐞𝐫𝐞: https://lnkd.in/gTriPWr7 PWW Advisory Group Academy of International Mobile Healthcare Integration

𝐀𝐈𝐌𝐇𝐈 𝐏𝐮𝐛𝐥𝐢𝐬𝐡𝐞𝐬 𝐎𝐩𝐄𝐝: 𝐄𝐌𝐒 𝐎𝐧 𝐋𝐢𝐟𝐞 𝐒𝐮𝐩𝐩𝐨𝐫𝐭: 𝐓𝐡𝐞 𝐀𝐥𝐚𝐫𝐦𝐢𝐧𝐠 𝐆𝐚𝐩 𝐁𝐞𝐭𝐰𝐞𝐞𝐧 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧𝐬 𝐚𝐧𝐝 𝐑𝐞𝐚𝐥𝐢𝐭𝐲 An important message from the President of the Academy of International Mobile Healthcare Integration (AIMHI) that should be shared with community leaders and media outlets. Link here: https://lnkd.in/gjvWxc7p -------------------- 𝐊𝐞𝐲 𝐐𝐮𝐨𝐭𝐞𝐬: "The idea fast equates with quality was pushed by the Emergency Medical Services (EMS) profession as some emergencies, such as cardiac arrests and strokes, depend on rapid responses for the best outcomes. While time is a factor for these emergencies, they make up a small number of EMS responses." "A 2020 study published in the National Library of Medicine, looking at nearly 6 million calls from almost 1,200 agencies across the country, showed less than 7% of 911 calls for EMS dealt with potentially life-saving interventions even though lights and sirens were used to respond to calls 86% of the time." "EMS systems are being evaluated and sometimes replaced because of an outdated metric. We must ask ourselves, are we doing what’s best for patients or changing for the sake of change in hopes ambulances will arrive more quickly? We should be measuring patient outcomes, how successfully staff are providing appropriate treatment according to the latest research and guidelines and when it is truly a factor, response times." "Many EMS responses aren’t for emergencies and sometimes do not require any medical assistance at all." "What is most troubling, is sometimes it is the patients who are suffering a life-threatening emergency that are having to wait longer. If we aren’t amplifying and using options more appropriate for patients than a call to 911, we are putting those who need lifesaving help at risk." "Additional funding is essential but we must also reset expectations so they’re more in line with reality."

A very comprehensive report on this nagging issue. The linked article has some descriptive inter-active charts that are very informative. AIMHI hosted an insightful webinar on this topic, with tips from leading EMS and hospital experts. You can access the recording of that webinar here: https://lnkd.in/gCsRuM4e 𝐎𝐧 𝐇𝐨𝐥𝐝: 𝐃𝐢𝐫𝐞 𝐝𝐞𝐥𝐚𝐲𝐬 𝐚𝐭 𝐡𝐨𝐬𝐩𝐢𝐭𝐚𝐥 𝐄𝐑𝐬 𝐜𝐫𝐞𝐚𝐭𝐞 𝐥𝐨𝐧𝐠 𝐰𝐚𝐢𝐭𝐬 𝐟𝐨𝐫 𝐚𝐦𝐛𝐮𝐥𝐚𝐧𝐜𝐞 𝐜𝐫𝐞𝐰𝐬, 𝐩𝐮𝐭 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬 𝐚𝐭 𝐫𝐢𝐬𝐤 National data shows delayed EMS crews frequently wait an hour or more before returning to service September 30, 2024 By Emily Featherston and Chris Nakamoto https://lnkd.in/gBcGwVNV 𝐊𝐞𝐲 𝐐𝐮𝐨𝐭𝐞𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐞 𝐀𝐫𝐭𝐢𝐜𝐥𝐞: “The reality is, the longer you park patients on the wall, the more likely we’re going to have bad outcomes result,” he said. “It has clearly happened everywhere, and it certainly has happened here in LA County.” "InvestigateTV analyzed national data and found emergency medical service crews reported being delayed returning to active service due to emergency room backups more than 890,000 times in 2023." "One in five of those delays lasted an hour or more." "Not only is that idle time frustrating for crews, but — as in Edlein’s case — it means there is one fewer ambulance able to respond when someone needs help." "“The longest wall time in Los Angeles County was 25 hours,” Kazan said." "“So, I wouldn’t say 25 hours is typical, but every day in our system, there are ambulances that are held for more than three hours,” Kazan said." "InvestigateTV’s analysis of the 2023 NEMSIS nationwide data found nearly 5,600 reported cases of wall times of three hours or more, and more than 300 where the reported delay was 12 hours or longer." "State data indicates approximately 70,000 California patients get stuck on the wall each year after being transported to a hospital by an ambulance." PWW Advisory Group

As forward thinking EMS agency leaders consider the value of transforming their service delivery model, this report from Becker's highlighting the findings from the Commonwealth Fund's most recent report "𝐌𝐢𝐫𝐫𝐨𝐫, 𝐌𝐢𝐫𝐫𝐨𝐫 𝟐𝟎𝟐𝟒: 𝐀 𝐏𝐨𝐫𝐭𝐫𝐚𝐢𝐭 𝐨𝐟 𝐭𝐡𝐞 𝐅𝐚𝐢𝐥𝐢𝐧𝐠 𝐔.𝐒. 𝐇𝐞𝐚𝐥𝐭𝐡 𝐒𝐲𝐬𝐭𝐞𝐦" might provide some insight on services that EMS Agencies can provide that may bring more value than simply responding to EMS requests and taking people to a hospital. There are numerous excellent examples of EMS systems making a difference in their local community by implementing innovative programs designed to increase access to care, avoid preventable acute care utilization, and improve health equity. 𝐊𝐞𝐲 𝐐𝐮𝐨𝐭𝐞𝐬: "In Commonwealth Fund's "Mirror, Mirror 2024" report, the foundation analyzed 70 health system performance measures in five areas — access to care, care process, administrative efficiency, equity and health outcomes — for Australia, Canada, France, Germany, the Netherlands, New Zealand, Sweden, Switzerland, the United Kingdom and the United States." "Americans have the shortest life expectancy and the highest rates of avoidable deaths among the 10 countries, placing the U.S. last for health outcomes." "The U.S. ranked last overall, dropping to 10th place for access to care and health outcomes, and ninth for equity and administrative efficiency." "The complex system of public and private payers in the U.S. works against this category, with the country receiving the worst score for providers spending time on paperwork or disputes related to medical bills." ""To create a health system that truly safeguards the well-being of Americans, the U.S. will need interventions besides those directly related to healthcare services," the report notes." PWW Advisory Group ------------------- 𝐔𝐒 𝐡𝐞𝐚𝐥𝐭𝐡 𝐬𝐲𝐬𝐭𝐞𝐦 𝐟𝐚𝐥𝐥𝐬 𝐬𝐡𝐨𝐫𝐭: 𝟔 𝐭𝐚𝐤𝐞𝐚𝐰𝐚𝐲𝐬 𝐟𝐫𝐨𝐦 𝐧𝐞𝐰 𝐠𝐥𝐨𝐛𝐚𝐥 𝐫𝐞𝐩𝐨𝐫𝐭 𝐜𝐚𝐫𝐝 Molly Gamble September 23, 2024 https://lnkd.in/gcT5JMEw

𝐅𝐑𝐄𝐄 𝐉𝐨𝐢𝐧𝐭 𝐀𝐈𝐌𝐇𝐈/𝐈𝐂𝐌𝐀 𝐖𝐞𝐛𝐢𝐧𝐚𝐫 𝐌𝐲𝐭𝐡 𝐁𝐮𝐬𝐭𝐞𝐫𝐬: 𝐄𝐦𝐞𝐫𝐠𝐞𝐧𝐜𝐲 𝐌𝐞𝐝𝐢𝐜𝐚𝐥 𝐒𝐞𝐫𝐯𝐢𝐜𝐞𝐬 𝐃𝐞𝐥𝐢𝐯𝐞𝐫𝐲 – 𝐄𝐱𝐩𝐞𝐜𝐭𝐚𝐭𝐢𝐨𝐧 𝐯𝐬. 𝐑𝐞𝐚𝐥𝐢𝐭𝐲 Recent headlines illustrate the EMS delivery crisis in America: “𝑲𝒆𝒏𝒕𝒖𝒄𝒌𝒚'𝒔 𝒔𝒉𝒐𝒓𝒕𝒂𝒈𝒆 𝒐𝒇 𝑬𝑴𝑺 𝒑𝒓𝒐𝒗𝒊𝒅𝒆𝒓𝒔 𝒉𝒂𝒔 𝒓𝒆𝒂𝒄𝒉𝒆𝒅 '𝒄𝒓𝒊𝒔𝒊𝒔' 𝒍𝒆𝒗𝒆𝒍, 𝒆𝒙𝒑𝒆𝒓𝒕 𝒕𝒆𝒍𝒍𝒔 𝒔𝒕𝒂𝒕𝒆 𝒍𝒂𝒘𝒎𝒂𝒌𝒆𝒓𝒔” “𝑵.𝒀. 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒆𝒓𝒗𝒊𝒄𝒆 𝒆𝒏𝒅𝒔 𝒐𝒑𝒆𝒓𝒂𝒕𝒊𝒐𝒏𝒔 𝒂𝒇𝒕𝒆𝒓 75 𝒚𝒆𝒂𝒓𝒔” “𝑪𝒉𝒊𝒄𝒂𝒈𝒐 𝒇𝒊𝒓𝒆𝒇𝒊𝒈𝒉𝒕𝒆𝒓𝒔 𝒑𝒍𝒂𝒏 𝒑𝒓𝒐𝒕𝒆𝒔𝒕𝒔 𝒐𝒗𝒆𝒓 𝒑𝒂𝒓𝒂𝒎𝒆𝒅𝒊𝒄, 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒉𝒐𝒓𝒕𝒂𝒈𝒆𝒔”  “𝑺𝒂𝒏𝒕𝒂 𝑩𝒂𝒓𝒃𝒂𝒓𝒂 (𝑪𝑨) 𝑺𝒖𝒑𝒆𝒓𝒗𝒊𝒔𝒐𝒓𝒔 𝑪𝒂𝒖𝒈𝒉𝒕 𝒊𝒏 𝑪𝒓𝒐𝒔𝒔𝒇𝒊𝒓𝒆 𝒐𝒗𝒆𝒓 𝑨𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝑪𝒐𝒏𝒕𝒓𝒂𝒄𝒕” “𝑳𝒆𝒃𝒂𝒏𝒐𝒏 𝑭𝒊𝒓𝒆 𝑫𝒊𝒔𝒕𝒓𝒊𝒄𝒕 (𝑶𝑹) 𝒇𝒂𝒄𝒆𝒔 𝒂𝒎𝒃𝒖𝒍𝒂𝒏𝒄𝒆 𝒔𝒆𝒓𝒗𝒊𝒄𝒆 𝒄𝒉𝒂𝒍𝒍𝒆𝒏𝒈𝒆𝒔 𝒂𝒎𝒊𝒅 𝒇𝒖𝒏𝒅𝒊𝒏𝒈 𝒂𝒏𝒅 𝒔𝒕𝒂𝒇𝒇𝒊𝒏𝒈 𝒘𝒐𝒆𝒔” Modern EMS is half a century old, and 𝐰𝐨𝐮𝐥𝐝 𝐲𝐨𝐮 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐞𝐫𝐞 𝐚𝐫𝐞 𝐬𝐨𝐦𝐞 𝐭𝐡𝐢𝐧𝐠𝐬 𝐭𝐡𝐞 𝐩𝐮𝐛𝐥𝐢𝐜 ‘𝐞𝐱𝐩𝐞𝐜𝐭𝐬’ 𝐭𝐡𝐚𝐭 𝐚𝐫𝐞 𝐧𝐨 𝐥𝐨𝐧𝐠𝐞𝐫 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐞𝐝 𝐛𝐲 𝐯𝐨𝐥𝐮𝐦𝐞𝐬 𝐨𝐟 𝐞𝐯𝐢𝐝𝐞𝐧𝐜𝐞-𝐛𝐚𝐬𝐞𝐝 𝐫𝐞𝐬𝐞𝐚𝐫𝐜𝐡. EMS systems, and the communities they serve are clinging on to practices based on beliefs that not only have been disproved by science, but are dangerous, such as: ·        Reliance on response times as a sole performance measure ·        Medical first response on every EMS call ·        Lights and siren responses ·        A paramedic on every EMS response Unrealistic public expectations are driving much of the staffing and economic crisis EMS systems are facing. 𝐓𝐡𝐢𝐬 𝐝𝐲𝐧𝐚𝐦𝐢𝐜 𝐚𝐧𝐝 ‘𝐜𝐨𝐧𝐭𝐫𝐨𝐯𝐞𝐫𝐬𝐢𝐚𝐥’ 𝐰𝐞𝐛𝐢𝐧𝐚𝐫 𝐰𝐢𝐥𝐥 𝐡𝐢𝐠𝐡𝐥𝐢𝐠𝐡𝐭 𝐜𝐮𝐫𝐫𝐞𝐧𝐭 𝐫𝐞𝐬𝐞𝐚𝐫𝐜𝐡 𝐚𝐧𝐝 𝐨𝐮𝐭𝐜𝐨𝐦𝐞𝐬 𝐭𝐨 𝐛𝐮𝐬𝐭 𝐦𝐲𝐭𝐡𝐬 𝐫𝐞𝐥𝐚𝐭𝐞𝐝 𝐭𝐨 𝐭𝐡𝐞 𝐬𝐚𝐜𝐫𝐞𝐝 𝐜𝐨𝐰𝐬 𝐭𝐡𝐚𝐭 𝐚𝐫𝐞 𝐝𝐫𝐢𝐯𝐢𝐧𝐠 𝐭𝐡𝐞 𝐜𝐡𝐚𝐥𝐥𝐞𝐧𝐠𝐞𝐬 𝐟𝐨𝐫 𝐄𝐌𝐒 𝐝𝐞𝐥𝐢𝐯𝐞𝐫𝐲 𝐬𝐮𝐜𝐡 𝐚𝐬 𝐩𝐚𝐫𝐚𝐦𝐞𝐝𝐢𝐜 𝐫𝐞𝐬𝐨𝐮𝐫𝐜𝐞 𝐝𝐞𝐩𝐥𝐨𝐲𝐦𝐞𝐧𝐭, 𝐫𝐞𝐬𝐩𝐨𝐧𝐬𝐞 𝐭𝐢𝐦𝐞𝐬, 𝐥𝐢𝐠𝐡𝐭𝐬 𝐚𝐧𝐝 𝐬𝐢𝐫𝐞𝐧 𝐮𝐬𝐞, 𝐚𝐧𝐝 𝐞𝐯𝐞𝐧 𝐭𝐡𝐞 𝐟𝐮𝐧𝐝𝐚𝐦𝐞𝐧𝐭𝐚𝐥𝐬 𝐨𝐟 𝐄𝐌𝐒 𝐬𝐲𝐬𝐭𝐞𝐦 𝐝𝐞𝐬𝐢𝐠𝐧. 𝐑𝐞𝐠𝐢𝐬𝐭𝐞𝐫 𝐡𝐞𝐫𝐞: https://lnkd.in/gTriPWr7 PWW Advisory Group Academy of International Mobile Healthcare Integration

Interesting news report on CBS News today regarding a study on American's perception of their ability to perform life saving skills. https://lnkd.in/gxYc7ZtB The American Heart Association has launched a new initiative called "A Nation of Lifesavers", encouraging everyone to learn lifesaving skills to improve survival from cardiac arrest. https://lnkd.in/g-tZ9j_Z Everyone should take basic CPR, Stop the Bleed and naloxone administration training to know what to do in a medical emergency. Some classes are on line, or you can contact your local EMS or fire agency to see if they offer classes!

The staffing crisis is impacting all types of departments, even some of the largest, and most respected in the country. Last month, the HFD union reached a settlement with the city that gave every FF an average of a $165,000 check, some more than twice that amount. https://lnkd.in/gANTTUZK 𝐊𝐞𝐲 𝐐𝐮𝐨𝐭𝐞𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐚𝐭 𝐑𝐞𝐩𝐨𝐫𝐭: “Controller Chris Hollins told ABC13 that the median lump sum payment check an individual firefighter will receive is $165,000, though some will receive up to twice as much. When broken down over the seven-year stalemate, Hollins said firefighters are being paid, on average, roughly $20,000 per year. 𝐖𝐡𝐞𝐧 𝐜𝐨𝐧𝐬𝐢𝐝𝐞𝐫𝐢𝐧𝐠 𝐢𝐧𝐭𝐞𝐫𝐞𝐬𝐭, 𝐇𝐨𝐥𝐥𝐢𝐧𝐬 𝐞𝐬𝐭𝐢𝐦𝐚𝐭𝐞𝐬 𝐢𝐭 𝐰𝐢𝐥𝐥 𝐜𝐨𝐬𝐭 𝐭𝐡𝐞 𝐜𝐢𝐭𝐲 𝐦𝐨𝐫𝐞 𝐭𝐡𝐚𝐧 $𝟏 𝐛𝐢𝐥𝐥𝐢𝐨𝐧.” HFD stopped publicly posting their average EMS R/Ts in 2018. They are now reporting fractile times on their website. It appears they report 1st arrival time, not ambulance arrival time. https://lnkd.in/gn5s6sQk ---------------------------- 𝟏𝟑 𝐈𝐧𝐯𝐞𝐬𝐭𝐢𝐠𝐚𝐭𝐞𝐬 𝐰𝐡𝐲 𝐬𝐨𝐦𝐞 𝐥𝐢𝐟𝐞𝐬𝐚𝐯𝐢𝐧𝐠 𝐞𝐪𝐮𝐢𝐩𝐦𝐞𝐧𝐭 𝐚𝐭 𝐇𝐅𝐃 𝐢𝐬 𝐨𝐮𝐭 𝐨𝐟 𝐬𝐞𝐫𝐯𝐢𝐜𝐞 By Kevin Ozebek and Sarah Rafique Tuesday, August 27, 2024 𝐊𝐞𝐲 𝐐𝐮𝐨𝐭𝐞𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐢𝐬 𝐑𝐞𝐩𝐨𝐫𝐭: "Muñoz is taking over HFD at a time when response times are up and staffing shortages have resulted in not enough firefighters to operate crucial lifesaving equipment." "As of last month, HFD has 588 unfilled and open positions, so firefighters are being called in to work extra shifts." https://lnkd.in/gAGyp9u8

Congratulations to the 2025 AIMHI board of directors. We are deeply appreciative of your dedication to the advancement of #mobilehealthcare. #ems President Chip Decker (2024–2025) | The Richmond Ambulance Authority President-Elect Rob Lawrence (President 2026–2027) | Pro EMS Treasurer Kenneth Simpson, JD, NRP (2026) | MedStar Mobile Healthcare Secretary James Pierson, FACPE pierson (2025) | Medic Ambulance Service Director John J. Peterson (2027) | Mecklenburg EMS Agency - Medic Director Jonathan D. Washko, MBA, FACPE, NRP, AEMD (2027) | Northwell Health Director Craig Hare (2027) | Pinellas County EMS Director Barry Duplantis, CPA, JSM, CACO (2026) | REMSA Health Director Trevor Maslyk (2026) | Alberta Health Services EMS Director Gregory Thompson (2025) | Metropolitan Emergency Medical Services (MEMS)