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Tag: Academy of International Mobile Healthcare Integration (AIMHI)

Flash Poll | Uncompensated Care in EMS

Written by Matt Zavadsky on . Posted in Patient Care, Reimbursement.

The growing EMS economic crisis is a combination of expense increases for service delivery AND the reimbursement for services provided.

One of the major factors in the revenue gap for EMS as a safety-net healthcare provider is the percentage of patients who cannot pay for their EMS care due to lack of insurance, meaning the patient is responsible for reimbursing the cost of EMS care.

To help NAEMT, AIMHI, and other associations develop communication strategies regarding public policy to address rising levels of uncompensated care, we are asking EMS agencies to help quantify the level of uncompensated care in their agency.

You can participate in the FLASH POLL through the on-line link here:

Complete Online Survey

For your planning purposes, we’re including the questions on the poll below, so you know in advance what the questions are…

The Centers for Medicare and Medicaid Services (CMS) defines uncompensated care as “Health care or services provided by hospitals or health care providers that don’t get reimbursed. Often uncompensated care arises when people don’t have insurance and cannot afford to pay the cost of care.”

https://www.healthcare.gov/glossary/uncompensated-care/

Using this definition, we’d like to seek your input on the following six data points related to your level of uncompensated care.

2019 2021 2023
% of your billable services that were billed to patients as the primary payer.

(Often referred to as “Self-Pay”, or “Private-Pay”, or “Uninsured”)
Average dollar amount reimbursed per service for this payer classification.
Your Average Patient Charge.

Agency Name:

Name and E-Mail Address of Respondent:

Service Type:

  • 911/Emergency Only
  • Primarily 911 with Some Inter-Facility
  • Primarily Inter-Facility with some 911
  • Inter-Facility Only

Agency Type:

  • Private (including private, nonprofit)
  • 3rd Service Governmental
  • Hospital-Based
  • Fire-Based
  • Public Utility Model
  • Other

Primary Service Area State:

Annual Response Volume:

  • 1 – 1,000
  • 1,000 – 10,000
  • 10,000 – 25,000
  • 25,000 – 50,000
  • 50,000 – 75,000
  • 75,000 – 100,000
  • Over 100,000

On-Demand | Flipping OFF the Switch on HOT Emergency Medical Vehicle Responses!

Written by AAA Staff on . Posted in Employee Wellness, Operations, Webinars.

Flipping OFF the Switch on HOT Emergency Medical Vehicle Responses!
Recorded July 7, 2021 | 14:00–15:15 pm ET | FREE Webinar

Download Slide Deck | Watch on YouTube

HOT (red light and siren) responses put EMS providers and the public at significant risk. Studies have demonstrated that the time saved during this mode of vehicle operation and that reducing HOT responses enhances safety of personnel, with little to no impact on patient outcomes. Some agencies have ‘dabbled’ with responding COLD (without lights and sirens) to some calls, but perhaps none as dramatic as Niagara Region EMS in Ontario, Canada – who successfully flipped their HOT responses to a mere 10% of their 911 calls! Why did they do it? How did they do it? What has been the community response? What has been the response from their workforce? Has there been any difference in patient outcomes? Join Niagara Region EMS to learn the answers to these questions and more. Panelists from co-hosting associations will participate to share their perspectives on this important EMS safety issue!

Speakers

Kevin Smith, BAppB:ES, CMM III, ACP, CEMC
Chief
Niagara Emergency Medical Services

Jon R. Krohmer, MD, FACEP, FAEMS
 Director, Office of EMS
National Highway Traffic Safety Administration
Team Lead, COVID-19 EMS/Prehospital Team

Douglas F. Kupas, MD, EMT-P, FAEMS, FACEP
 Medical Director, NAEMT
Medical Director, Geisinger EMS

Matt Zavadsky, MS-HSA, NREMT
 Chief Strategic Integration Officer
MedStar Mobile Integrated Healthcare

Bryan R. Wilson, MD, NRP, FAAEM
 Assistant Professor of Emergency Medicine
St. Luke’s University Health Network
Medical Director, City of Bethlehem EMS

Robert McClintock
 Director of Fire & EMS Operations
Technical Assistance and Information Resources
International Association of Fire Fighters

Mike McEvoy, PhD, NRP, RN, CCRN
 Chair – EMS Section Board – International Association of Fire Chiefs
EMS Coordinator – Saratoga County, New York
Chief Medical Officer – West Crescent Fire Department
Professional Development Coordinator – Clifton Park & Halfmoon EMS
Cardiovascular ICU Nurse Clinician – Albany Medical Center

Webinar 7/7 | Lights & Sirens Responses

Written by AAA Staff on . Posted in Employee Wellness, Operations, Patient Care, Professional Standards, Quality, Training, Webinars.


Flipping OFF the Switch on HOT Emergency Medical Vehicle Responses!

Free Webinar July 7 | 14:00–15:15 ET

HOT (red light and siren) responses put EMS providers and the public at significant risk. Studies have demonstrated that the time saved during this mode of vehicle operation and that reducing HOT responses enhances safety of personnel, with little to no impact on patient outcomes. Some agencies have ‘dabbled’ with responding COLD (without lights and sirens) to some calls, but perhaps none as dramatic as Niagara Region EMS in Ontario, Canada – who successfully flipped their HOT responses to a mere 10% of their 911 calls! Why did they do it? How did they do it? What has been the community response? What has been the response from their workforce? Has there been any difference in patient outcomes? Join Niagara Region EMS to learn the answers to these questions and more. Panelists from co-hosting associations will participate to share their perspectives on this important EMS safety issue!

Speakers

Kevin Smith, BAppB:ES, CMM III, ACP, CEMC
Chief
Niagara Emergency Medical Services

Jon R. Krohmer, MD, FACEP, FAEMS
Team Lead, COVID-19 EMS/Prehospital Team
Director, Office of EMS
National Highway Traffic Safety Administration

Douglas F. Kupas, MD, EMT-P, FAEMS, FACEP
Medical Director, NAEMT
Medical Director, Geisinger EMS

Matt Zavadsky, MS-HSA, NREMT
Chief Strategic Integration Officer
MedStar Mobile Integrated Healthcare

Bryan R. Wilson, MD, NRP, FAAEM
Assistant Professor of Emergency Medicine
St. Luke’s University Health Network
Medical Director, City of Bethlehem EMS

Robert McClintock
Director of Fire & EMS Operations
Technical Assistance and Information Resources
International Association of Fire Fighters

Mike McEvoy, PhD, NRP, RN, CCRN
Chair – EMS Section Board – International Association of Fire Chiefs
EMS Coordinator – Saratoga County, New York
Chief Medical Officer – West Crescent Fire Department
Professional Development Coordinator – Clifton Park & Halfmoon EMS
Cardiovascular ICU Nurse Clinician – Albany Medical Center

Register Now (Free)

Webinar | Who Was Jack Stout and Why Do His Ideas Still Resonate?

Written by AAA Staff on . Posted in Webinars.

From AIMHI, FirstWatch, and the National EMS Museum | Hosted on Prodigy EMS

Who Was Jack Stout and Why Do His Ideas Still Resonate?

Thursday, June 24th | 9:00am PT (12:00pm ET)
Followed by a 30 minute session for remaining Q&A and practical tips for FirstWatch customers and interested Public Safety agencies
The late Jack Stout, an economist by training, is considered the father of high performance EMS. His public utility model, implemented in a half a dozen spots in the 70’s and 80s, transformed how communities thought about the relationship between efficiency, policy, and patient centric care in their EMS systems. Almost every EMS system in America includes elements of his design. He captured his ideas in more than a 100 articles and columns in JEMS, the Journal of Emergency Medical Services, in the 1980’s.
The National EMS Museum just announced the formation of the Jack Stout Archive, where his legacy in writing will live on. The archive received the financial support of FirstWatch and the Academy of International Mobile Healthcare Integration (AIMHI.)
In this highly interactive CTM, facilitators Mike Taigman and Rob Lawrence will be joined by Kristy Van Hoven, the Museum’s director, Todd Stout, Jack’s son and president of FirstWatch, Keith Griffiths, the founding editor of JEMS, and Jon Washko, a “Stoutian” disciple and highly respected consultant and EMS system expert. They’ll discuss the Archive and its mission. They will explore with you why Jack’s ideas are vital for today’s EMS leader and key for the design of EMS systems in the future.
Speakers:
Kristy Van Hoven
Kristy Van Hoven joined The National EMS Museum team in late 2018 and is currently serving as the Director of The National EMS Museum (NEMSM). In partnership with the Museum’s Board of Directors, she is leading the charge for NEMSM to grow into the national museum dedicated to preserving the legacy and stories of early pre-hospital care while inspiring a future generation of EMS professionals through engaging exhibitions, research, and programs. Concurrently, Kristy is pursuing a doctoral degree in which she is studying the effect museum programs and collections have on the health and wellbeing of those suffering brain trauma and how partnerships between medical professionals and museums can create a network of care for patients and practitioners beyond the clinical walls.
Todd Stout
Todd Stout, President of FirstWatch and the recipient of a JEMS EMS 10 Innovator Award, a Pinnacle Leadership Award, and the Dr. Jeff Clawson Leadership Award has extensive experience in multiple aspects of EMS, including in the field, dispatch, management and public safety communications software. He began his career as an EMS Stock boy and has spent the last two decades focusing on helping public safety and health agencies improve operational performance, clinical care and situational awareness.
Keith Griffiths
Keith Griffiths is the founding partner of the RedFlash Group, an award-winning communications and marketing firm serving the public safety market. He was the founding editor JEMS, the Journal of Emergency Medical Services, where he worked with the late Jim Page to build Jems Communications, which included the EMS Today trade show, a book division, newsletters and other periodicals. He worked as Jack Stout’s editor for nearly 10 years during the 1980’s.
Jonathan Wahsko
Jonathan Washko, MBA, FACPE, NRP, AEMD has been involved in the EMS industry for over 30 years and has held progressive leadership positions with small, medium and large EMS systems and has worked with or for government, private, for-profit and not-for-profit entities. Mr. Washko is considered the leading industry expert on EMS system design, High Performance EMS concepts, Industry Best Practices, EMS Deployment, Lean Business Processes, System Status Management, Use of Technology, IP Development, EMS Economics and EMS Finance and is often called upon by EMS systems in crisis as well as those considered at the top of their game, in order to help transform these organizations to become the best they can be. Mr. Washko frequently speaks at national conferences, is a JEMS EMS10 Innovator award recipient, sits on various industry boards and advises EMS agencies and governments on an international basis on EMS Systems improvement.
Facilitators:
Mike Taigman, MA
Mike uses more than four decades of experience to help EMS leaders and field personnel improve the care and service they provide to patients and their communities. Mike is the improvement guide for FirstWatch and a nationally recognized author and speaker. He was the facilitator for the national EMS Agenda 2050 project and teaches improvement science in the Master’s in Healthcare Administration and Interprofessional Leadership program at the University of California San Francisco. He will serve as host and facilitator for Conversations that Matter.
Rob Lawrence, MCMI
Rob has part-time roles as Director of Strategic Implementation for Pro EMS of Cambridge, Mass. and the Executive Director of the California Ambulance Association. Rob is also the Principal of Robert Lawrence Consulting. Rob served as the California COO with Paramedics Plus after nine years as the COO of the Richmond Ambulance Authority. Prior to that, he was the COO for Suffolk as part of the East of England Ambulance Service. He is a graduate of the UK’s Royal Military Academy Sandhurst, serving for 23 years as a Medical Support Officer. Rob is the Communications Committee Chair of the American Ambulance Association, a member of the EMS World Advisory Board, and an accomplished writer, broadcaster and international speaker.

 

National EMS Museum Jack Stout Archive Announced

Written by AAA Staff on . Posted in News, Press.

FOR IMMEDIATE RELEASE: May 13, 2021

Media Contact:

Jenny Abercrombie
jabercrombie@firstwatch.net
951.440.6848

FirstWatch and the Academy of International Mobile Healthcare Integration (AIMHI) Partner to Fund the Jack Stout Archive at The National EMS Museum

Online Collection will Showcase the Late EMS Visionary’s Legacy

Carlsbad, Calif.—FirstWatch, a technology and quality improvement company serving public safety and healthcare organizations, has partnered with the Academy of International Mobile Healthcare Integration to preserve the written legacy of the late EMS visionary Jack Stout. The partnership will fund an online archive hosted by The National EMS Museum, making more than 100 of Stout’s articles and essays available to the public. Many of them appeared in JEMS, the Journal of Emergency Medical Services, beginning with his pivotal series introducing the concepts of high-performance EMS in the May 1980 edition.

As EMS Week approaches with the theme of, “This is EMS: Caring for our Communities,”

Keith Griffiths, the founding editor of JEMS and now a partner with the RedFlash Group, noted that

Stout is known for creating efficiency in EMS systems. However, his philosophy was very much about doing what was best for the patient and their community, according to their priorities and policies.  Griffiths worked with Stout on dozens of his articles and columns. “He was a brilliant communicator and storyteller,” he said, “taking abstract concepts and making them come alive with clear, down-to-earth prose that still resonates today.”

Known as the “Father of High-Performance EMS and System Status Management,” Stout developed his concepts in the 1970s to improve EMS systems by making them more efficient and focused on patient care. An economist by trade, he found that applying the science, concepts, and economics used in manufacturing provided the framework for standing up high-quality EMS systems that could afford to provide effective and reliable prehospital care.

Stout’s son, FirstWatch Founder and President, Todd Stout, has granted The National EMS Museum the rights to provide access to all of his father’s articles in a format that’s fully searchable. “Teaming up with AIMHI was the natural and obvious choice to enable The National EMS Museum to ensure my father’s work, which is still so timely today, is available for future generations to learn from,” he said. “We appreciate that JEMS provided a good home for his ideas for more than a decade.”

The National EMS Museum will digitally transcribe and catalog the documents as part of its digital library and research archives—part of the virtual museum program created and maintained by volunteers. Many of the articles are already available in the museum’s online Jack Stout Archive. Additional material will be added in future months.

“We’re delighted to preserve and share these historical and transformative articles,” said Kristy Van Hoven, the museum’s director.

“AIMHI is proud to partner with FirstWatch to contribute to the creation of the Jack Stout Archive,” said Chip Decker, president of AIMHI and CEO of the Richmond Ambulance Authority. “His legacy lives on as many of our member organizations were formed around the high-performance principles and practices of Jack’s work—which is increasingly valuable in today’s economically-challenged EMS landscape.”

The principles established by Stout led to the creation (by him, Jay Fitch, and others) of nationally recognized and award-winning high-performance EMS systems including the Three Rivers Ambulance Authority (TRAA) in Fort Wayne, Indiana; the Richmond Ambulance Authority (RAA) in Richmond, Virginia; Metropolitan EMS (MEMS) in Little Rock, Arkansas; the Regional EMS Authority (REMSA) in Reno, Nevada; the EMS Authority (EMSA) in Tulsa and Oklahoma City, Oklahoma; the Sunstar system in Pinellas County, Florida; and MEDIC in Charlotte, North Carolina.

On June 24, FirstWatch will host a special edition of Conversations That Matter—a series of thought-provoking discussions in EMS—to answer the question, “Who Was Jack and Why Do His Ideas Still Resonate?” Facilitators Mike Taigman and Rob Lawrence will be joined by Kristy Van Hoven, Todd Stout, Keith Griffiths, and Jon Washko, a “Stoutian” disciple and highly respected consultant and EMS system expert, to explore why Stout’s ideas remain critically relevant for today’s EMS leader and key to the design of EMS systems of the future. Register for the session now here.

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About FirstWatch

FirstWatch helps public safety and healthcare professionals serve their communities through the use of technology and the science of quality improvement. Drawing on deep experience in emergency services, the FirstWatch team develops software and personalized solutions to help organizations continuously improve at what they do. Founded in 1998, and based in Carlsbad, Calif., FirstWatch has partnered with more than 500 communities across North America to improve outcomes, efficiency, safety, and operations. Learn more at: https://firstwatch.net.

About the Academy of International Mobile Healthcare Integration (AIMHI)

The Academy of International Mobile Healthcare Integration (AIMHI) represents high performance emergency medical and mobile healthcare providers in the U.S. and abroad. AIMHI, formerly known as the Coalition of Advanced Emergency Medical Services (CAEMS), changed its name in March 2015 to better reflect its members’ dedication to promoting high performance ambulance and mobile integrated healthcare systems working diligently to performance and technological advancements. Member organizations are high performance systems that employ business practices from both the public and private sectors. By combining industry innovation with close government oversight, AIMHI affiliates are able to offer unsurpassed service excellence and cost efficiency. Learn more at: http://aimhi.mobi/.

About The National EMS Museum

The National EMS Museum is dedicated to preserving and commemorating the history of EMS in the U.S. By collecting historic equipment, books, articles and tools of the trade, the museum showcases how EMS has developed over the last 150 years. Through the study of the past, the museum strives to inspire EMS practitioners and leaders of today to develop new tools and procedures to provide better and more effective emergency care to patients and communities. Learn more at: https://emsmuseum.org/.

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