8 tips for talking about sexual harassment with caregivers
5 significant risks to your development as a fire service leader
Don’t let your professional network, or yourself derail your career path: Examine these five perspectives to map out your path to being a great leader
The value of CE and an advanced degree for fire leaders
Higher education can help firefighters tackle the five biggest challenges facing emergency services today
CHIEF CONCERNS: How to Talk to Local Officials About Standards of Cover
The Standard of Cover planning process requires communication and collaboration between fire department officials, local leaders and the community.
Getting the Most Out of Your EMS Billing: An Interview with Anthony Minge, EdD, Fitch & Associates
City and county officials, EMS agency directors and fire chiefs who struggle to balance budgets may want to analyze the efficacy of their EMS billing operations to recover additional revenue.
7 things you should be doing to engage your medical director
Nurturing one of the most pivotal positions in your agency will create a more engaged and aligned workforce
Forty years in, Jay Fitch reflects on leadership in EMS
A veteran EMS leader shares some of the most valuable leadership lessons he has learned in more than four decades of serving patients, communities and the profession
Ambulance Services: Build Your Own or Contract Out?
7 EMS Trends Affecting Cities
Many municipalities are pressured by shrinking budgets, how can leaders do more with less for EMS? Learn about the issues and how to proceed with expert intel.
2016 EMS Trend Report: The forces shaping the present and future of EMS
As the EMS adage goes, "If you’ve seen one EMS system, you’ve seen one EMS system." While that statement reflects the diversity of EMS systems across the United States, it also creates the false sense that every EMS system is entirely different and that EMS leaders can’t learn from each other. Clearly that is not the case. As we see in the premiere edition of the EMS Trend Report, EMS systems across the country share many traits. On the other hand, significant differences do exist in everything from clinical care to salaries to operational benchmarks to hiring requirements.
How hospitals can steer clear of fraudulent transport billing
Rarely does a week go by without another news report about an ambulance service or hospital under investigation by the federal government for fraud or abuse related to billing for transport services. Whether willful or unintentional, negligence that results in the billing of transport services at inappropriate levels is leaving many hospital-operated ambulance services at risk. And the scrutiny is only increasing.
Learning to Dance with an Elephant: 10 Harmful Realities of Modern EMS
We asked the members of the National EMS Management Association (NEMSMA) what they thought were the most critical issues plaguing EMS. Though members acknowledged significant concerns, including patient safety, fiscal sustainability and caregiver well-being, there were still some unrecognized elephants in the room that no one wants to see, hear or talk about. Here are those 10 harmful realities of modern EMS and proposed strategies to overcome them.
Chief Concerns: Three Things A Fire Chief Should Know About Evidence-Based Fire Suppression
Evidence-based practice in emergency services is typically associated with medical care; but the term refers to the application of research methodology to guide operational practice and departmental priorities—something that should apply to fire suppression and rescue operations as well. Historically, however, fire service protocols and procedures have developed through trial and error, best practices and tradition.
Chief Concerns: Fire Service Fatigue- A Problem You Can’t Afford to Ignore
In the hours after a train derailed in Philadelphia, killing eight people, news reports were already stating that the engineer’s recent work schedule would be examined. This wasn’t surprising, given that just weeks earlier, the National Transportation Safety Board stated that operator fatigue was partially to blame for another train crash that occurred in Chicago last year. Anyone who’s worked in the fire service knows that fatigue can impact one’s work performance. In the aftermath of major incidents, we don’t always focus on fatigue as a factor—and it’s often extremely difficult to know just what role it plays when it comes to vehicle crashes, fireground injuries, or medical errors. One thing is clear, however: employee fatigue impacts every fire department, no matter how big or small, or what type of shift schedule. It’s an issue that no fire chief should ignore.
Chief Concerns: How is your Communications Center Performing?
What the question really means: Evaluating your communications center’s performance is about more than whether the center is private or public, staffed with sworn or civilian personnel, or a single-agency or multi-agency dispatch center. The cornerstone of assessing your communications center is the use of evidence-based standards rooted in industry best practices—and analyzing the impact they have on your department’s operations.
Scrutiny of Ambulance Operations Highlights Need for Compliance
Increased attention on ambulance use demonstrates the need for compliance plans to include emergency and non-emergency ambulance operations. The HHS OIG has published voluntary compliance program guidance for ambulance suppliers. Ambulance billing should reflect the care provided by the EMS personnel, not the hospital diagnosis of the patient. Training for billing personnel and EMS providers on documentation and billing for ambulance services is often inadequate. Ambulance suppliers should conduct regular claims reviews to ensure problems are identified and corrected prior to an audit.
Trauma Takes Its Toll: Addressing the mental health crisis in emergency services
Amidst growing concern about the mental health of EMS professionals, a Fitch & Associates’ Ambulance Service Manager Program Project Team recently surveyed more than 4,000 EMS and fire professionals about critical stress, suicide, and available support and resources.1 The results were stark.
Building Organizational Agility in Fire & EMS Agencies
This report is part of a continuing leadership series developed for Best Practices in Emergency Services. It shows leaders of emergency medical services (EMS) and fire departments how the concept of organizational agility can be applied in their agencies. Organizational agility originated in the context of flexible manufacturing and later emerged as a business model in service industries and healthcare. Researchers from diverse disciplines approach organizational agility from a variety of perspectives. Most agree that when organizations are not agile, they become less effective and “fragile,” or susceptible to factors that can impair their ability to survive.
Chief Concerns: Preparing for Scrutiny
Scrutiny. It may arrive at your doorstep in a variety of forms and perhaps when you are least prepared to deal with it. Increased scrutiny could arrive in the wake of questionable performance, like when a victim dies after a delayed response to a fire. It could be the result of a probing investigation by the media during budget debates. Perhaps your agency is in the middle of a contract negotiation that raises the level of interest in its internal operations. Or the heightened scrutiny could come even with the arrival of a consultant that you or your supervisors invited to appraise and advise the agency. As the Fire Chief—think of yourself as the CEO of the department—you cannot afford to be surprised or ill prepared for any of these events.
Chief Concerns: Community Risk Reduction
Good fire chiefs understand the importance of assessing risk in their communities. But the most progressive chiefs are actively working to reduce that risk by implementing Community Risk Reduction programs. They are shifting their stance on risk from reactive to proactive—all in the name of better service to their communities.
The New EMS Imperative: Demonstrating Value
Despite a tremendous diversity in how emergency medical services (EMS) are provided in municipalities around the country, most U.S. EMS systems share one commonality: They remain primarily focused on responding quickly to serious accidents and critical emergencies even though patients increasingly call 911 for less severe or chronic health problems.
Breaking through the Shadows
EMS in the Era of Health Care Reform
Despite a tremendous diversity in how emergency medical services (EMS) are provided in communities around the country, most U.S. EMS systems remain focused on responding quickly to serious accidents and critical emergencies, even though patients increasingly call 911 for less severe or chronic health problems.