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We’re in a perfect storm! In many communities, the Delta Variant has stressed healthcare systems to the max, and dramatically increased EMS response volume. Staffing in EMS and hospitals is critically low, hospitals are nearly full, and 911 call volume in some communities at record levels. The eye of this storm is the hospital emergency department. Patient volume at record levels, patients in the ED on observation status, and even patients awaiting inpatient beds are resulting in delays for ambulance crews trying to transition patients from their care to the ED staff. Numerous agencies across the country are reporting 60, 90, and 120+ minute delays getting patients into the ED. At the same time, some hospitals are seemingly able release EMS crews rather quickly, so they can respond to other 911 calls in the community.
A panel of experts for AIMHI member agencies, EMS legal and EMTALA experts, representatives from Centers for Medicare and Medicaid, and hospitals who have seemed to master the EMS turnaround speed will share their best practices for mitigating ED delays, and the legal consequences of ambulance parking. AIMHI will also present the results of their FLASH POLL on ED turnaround delays, and data from nearly 6 million patient care records from ESO will be presented to quantify the gravity of this challenging issue.
David R. Wright
Director, Quality, Safety & Oversight Group
Center for Clinical Standards and Quality (CCSQ) / CMS
Steve Wirth, Esq., EMT-P
Page, Wolfberg and Wirth, LLC
James "Jimmy" Pierson
President & COO
Medstar Mobile Healthcare
Chief Transformation Officer
Medstar Mobile Healthcare
Executive Director of Integrated Health
Jonathan D. Washko, MBA, FACPE, NRP, AEMD
AVP, Center for EMS
Pinellas County EMS & Fire Administration
Patricia Kunz Howard, RN, PhD, CEN, CPEN, NE-BC, FAEN, FAAN
Enterprise Director, Emergency Services
University of Kentucky Healthcare
Dr. Heidi Knowles
Physician – Emergency Department
JPS Health Network
Chris Cook, Manager
Emergency Services, Emergency Department
JPS Health Network
Deputy Chief of Operations
Flipping OFF the Switch on HOT Emergency Medical Vehicle Responses!Recorded July 7, 2021 | 14:00–15:15 pm ET | FREE Webinar
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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!
Kevin Smith, BAppB:ES, CMM III, ACP, CEMC
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
Developing and Implementing Evidence-Based ProtocolsRecorded March 23, 2021
EMS delivers medical care, first and foremost. The most crucial role of an EMS Medical Director is to develop, implement and quality assure protocols used in the delivery of medical care by EMS personnel, including Emergency Medical Dispatchers. This webinar will share the ways that Medical Directors of some of the most innovative EMS systems determine what medical treatments are included in protocols for EMS personnel, both in the ‘traditional’ role of EMS care delivery, but also enhanced protocols for things like Mobile Integrated Healthcare and alternate disposition models of care. Some of the topics discussed will be:
Dr. Doug Munkley started his career in 1980 as an Emergency Medicine Physician for Niagara Health where he practiced until 2016. During this time, he became actively involved in the early development of emergency prehospital care in Ontario and has worked as Medical Director for the Niagara Paramedic Program (1986-2020) as well as for the Niagara EMS Ambulance Communications Services from 2004 to present.
Over the course of his career, Dr. Munkley has been an integral part in EMS research including co-author of the Ontario Pre-hospital Advanced Life Support (OPALS) Project as well as the Resuscitation Outcomes Consortium (ROC) as a Site Investigator. Most recently, as Medical Director for Niagara EMS’s Accredited Centre of Excellence (MPDS and ECNS), Dr. Munkley has helped develop an evidence-based, clinical-outcome response plan based on a Mobile Integrated Health model of service delivery.
Dr. Munkley spends his free time as an avid cyclist, skier, old house restorer, gardener and beekeeper with hopes to resume travelling once his COVID antibodies are up.
Best Practices in EMS Transformation During the PandemicCo-Hosted by NASEMSO, NAEMSP, and AIMHIRecorded Tuesday, February 2, 2021
Many EMS agencies have dramatically transformed their clinical and operational and approach for care delivery, as well as enhancing their role in the community, in response to the COVID-19 pandemic. EMS regulators have had to navigate the regulatory environment to change rules that facilitate the changes necessary for EMS agencies to effectively serve their communities. Implementing transformational change requires strong clinical leadership, responsive operational acumen, and in many cases, changes in the regulatory environment. Successful transformation takes close collaboration with medical direction, operations and regulatory oversight.
Join panelists from the Academy of International Mobile Healthcare Integration, the National Association of EMS Physicians, and the National Association of State EMS Officials as they highlight examples and best practices for navigating the clinical, operational and regulatory maze to facilitate transforming the role of EMS.
Have specific questions for our panelists? Send them to firstname.lastname@example.org in advance of the webinar!
Kenneth A. Scheppke, MD, FAEMS EMS Medical Director, State of FloridaMedical Director, Palm Beach County Fire Rescue
Veer D. Vithalani, MD, FACEP, FAEMSSystem Medical Director, Office of the Medical Director,Metropolitan Area EMS AuthorityChief Medical Officer, MedStar Mobile Healthcare
Ashley Thoele, MSN, MBA, RNDivision Chief, Emergency Medical Services and Highway SafetyOffice of Preparedness and ResponseIllinois Department of Public Health
J. Sam Hurley, MPH, EMPS, NRPDirector, Maine Emergency Medical Services
Kevin Smith, BAppB:ES, CMM III, ACP, CEMC (Invited)Chief, Niagara Emergency Medical Services
Kenneth J. Simpson, J.D., NRPInterim Chief Executive Officer, MedStar Mobile Healthcare
Matt Zavadsky, MS-HSA, NREMT
Chief Transformation Officer, Medstar Mobile Healthcare
Immediate Past President, NAEMT
Education Chair, AIMHI
High-Performance High-Value Financial Outcome Measures
Recorded November 12, 2020 | 14:00 ET | FREE
View Recording View/Downloads slidesMentioned during webinar: NAEMT.org / Initiatives /3.0
Your largest payer just sent you an email asking to start an Alternate Payment Model (APM) with you in which they pay you for the response, as opposed to the transport. They are offering to pay you 75% of the Usual, Customary and Reasonable (UCR) payment for a transport. Do you take the deal or not? Knowing your High-Performance/High-Value financial metrics like cost and revenue per response, per unit hour, and per transport are crucial. Further, changing payer mixes, payer policies and evolving service lines add to financial complexities. This webinar will focus on the development, tracking, and evaluation of the key financial performance metrics that will prepare you for the dynamic changes occurring in the EMS industry.
Medstar Mobile Healthcare
Fort Worth, Texas
Northwell Health CEMS
Emory University / Emory Healthcare
High-Performance/High-Value Operational Outcome Measures
Recorded August 10 at 14:30 ET | Free | Hosted by FirstWatch
The need to optimize EMS operations has never been greater! Our profession is entering into one of the most challenging economic, clinical and human resources times in a generation.
Maximizing operational effectiveness leads to economic efficiency, but must be balanced with employee satisfaction. Ken and Jimmy have mastered the art of using data and metrics to identify opportunities for operational enhancements and implementing them with a focus on the impact to employees. They have also been literally on the front lines of the COVID-19 pandemic, giving them a unique perspective on the impact it will have on our profession for years to come. Attendees will learn the ways MedStar and Medic Ambulance develop, monitor, and improve their 5 most important ambulance service operational metrics.
Chief Operations Officer
Medstar Mobile Healthcare
Fort Worth, Texas
James "Jimmy" Pierson
President, Chief Operating Officer
High-Performance High-Value Clinical Outcome Measures
Recorded June 9 at 2:00 pm ET
Hosted by FirstWatch
According to the American Heart Association (AHA), Stroke is the 5th leading cause of death in the United States. On average, there is a reported Stroke every 40 seconds in our nation. EMS has a pivotal role in the Chain of Survival, but what if there was a resource available to every EMS system that could help with Strokes? If you guessed the First First Responder (Dispatchers), you would be right. They are an untapped resource with valuable information to pass along to the many personnel in the Chain.
Join us for this informative webinar with AIMHI Education Committee members and learn how one system brought Emergency Medical Dispatchers (EMDs) into the treatment plan. Hear from Chuck Gipson and Wayne Harbour how using High-Performance High-Value Clinical Outcome Measures can change the way EMDs, field medics, and Stroke Teams work together to combat Strokes.
Quality & Education Manager
Chief Clinical Officer
Richmond Ambulance Authority
COVID-19 EMS Patient Management: Myth vs. Reality
Free Webinar Recorded March 13, 2020Watch On-Demand Now► | Download Slides
Medic Ambulance Service and Solano County Public Health in Solano County, CA are on the front-line of managing COVID-19 confirmed and persons under investigation (PUI) patients at Travis AFB in Northern California. More than 40 patients have been transported to area hospitals for further treatment.
Hear first-hand from Jimmy Pierson, President/COO Medic Ambulance; Dr. Bela Matyas, Solano County Public Health Director; and Ted Selby, Solano County EMS Administrator, how they planned for and executed the management of these patients and the impacts from a public health and EMS perspective. This valuable webinar will give attendees the ‘ground level truth’ about things like:
The presenters will plan 30 minutes of content so that there will be significant time to answer participant questions.
High Performance / High Value Outcome Metrics
from the AIMHI Benchmarking Survey
Free Webinar Recorded February 24, 2020
Watch On-Demand Now
Download the 2018 AIMHI Benchmarking Report
View MEDIC EMS's Performance Statistics
How good is your EMS system at achieving reliable outcomes for complying with a STEMI, Stroke or Trauma clinical bundle?
What is your average task time and how does it relate to an effective unit hour utilization?
Do you know your key financial metrics such as revenue and expense per unit hour, per call, and per transport?
AIMHI and FirstWatch are conducting a series of webinars that will provide insights into the clinical, operational and fiscal metrics that demonstrate how AIMHI member EMS systems achieve high performance/high value, and more importantly, keys to implementing quality and performance improvement methods in your system to possibly achieve comparable results.
The first webinar in the series, “Introduction to High Performance/High Value Outcome Metrics from the AIMHI Benchmarking Survey” will be held on Monday, February 24th at 1p ET, 12n CT, 10a PT. Your presenters will be:
AIMHI benchmarking studies perform a fundamental service to EMS leaders and local policy makers by providing information about the hallmarks of High Performance/High Value EMS (HPHVEMS) systems. AIMHI’s goal in releasing this information is to ensure the progress and growth EMS systems, and expand the reputation and efficiency of EMS nationally and internationally.
Now On-Demand►Free Webinar
Recorded December 4, 2019 at 2:00 pm ET
The world is becoming more focused on data, and sometimes it feels we gather data but don’t get the results we want. Data is a language all on its own – a language we must master in order to understand what the data is telling us. Transitioning data into useable information takes practice, just like learning a new language. This session will present several real-world case studies that demonstrate how to create a team focused culture that transitions data into business intelligence, business intelligence into strategy, and strategy into results.
Just as sports teams use data to build teams and win, we can do the same thing in EMS. However, when we win, our patients win.
Director of Operations
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