Reports & Resources

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.
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