On-Demand Education

  • 28 Oct 2021 3:43 PM | AIMHI Admin (Administrator)


    Best Practices for Mitigating the EMS Workforce Shortage

    Recorded October 28, 2021
    AIMHI | AAA | NAEMT | NASEMSO

    Watch Now | Download Slide Deck

    We are all feeling the sting of the national workforce shortage, but what is the data telling us about the EMS workforce specifically? 


    This webinar, brought to you by AIMHI, American Ambulance Association, and NASEMSO, will focus on innovative changes EMS directors and state EMS officials have implemented at the agency, state, and federal levels. 

    Participants will walk away with practical strategies to mitigate the workforce shortage, enhance available EMS units, reduce employee turnover, and more effectively manage resources before response delays become a crisis.


    Speakers

    photo of Wayne Harbor

    Wayne Harbor

    Chief Clinical Officer @ Richmond Ambulance Authority

    photo of J. Sam Hurley MPH, EMPS, NRP

    J. Sam Hurley MPH, EMPS, NRP

    Director @ Maine Emergency Medical Services

    photo of Craig Hare MBA, Paramedic

    Craig Hare MBA, Paramedic

    Director @ Pinellas County EMS & Fire Administration

    photo of Ken Simpson

    Ken Simpson

    Chief Executive Officer @ Medstar Mobile Healthcare

    photo of Ron Quaranto

    Ron Quaranto

    Executive Vice President of Operations @ Cataldo Ambulance Service

    photo of Matt Zavadsky MS-HSA, NREMT

    Matt Zavadsky MS-HSA, NREMT

    Chief Transformation Officer @ Medstar Mobile Healthcare

    Jon Studnek

    Deputy Director of Operations @ Mecklenburg EMS Agency





  • 7 Sep 2021 4:23 PM | AIMHI Admin (Administrator)
    Best Practices for Mitigating Ambulance ED Delays
    Recorded September 7, 2021 | 14:00 ET | FREE

    Download Slide Deck


    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.


    Speakers

    David R. Wright
    Director, Quality, Safety & Oversight Group
    Center for Clinical Standards and Quality (CCSQ) / CMS

    Steve Wirth, Esq., EMT-P
    Partner
    Page, Wolfberg and Wirth, LLC

    James "Jimmy" Pierson
    President & COO
    Medic Ambulance

    Ken Simpson
    CEO
    Medstar Mobile Healthcare

    Matt Zavadsky
    Chief Transformation Officer
    Medstar Mobile Healthcare
    Moderator

    Adam Heinz
    Executive Director of Integrated Health
    REMSA Health

    Jonathan D. Washko, MBA, FACPE, NRP, AEMD
    AVP, Center for EMS
    Northwell Health

    Craig Hare
    Director
    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

    Richard Ferron
    Deputy Chief of Operations
    Niagara EMS

  • 7 Jul 2021 8:01 AM | AIMHI Admin (Administrator)

    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

  • 23 Mar 2021 4:57 PM | AIMHI Admin (Administrator)


    Developing and Implementing Evidence-Based Protocols
    Recorded March 23, 2021 

    Download Slide Deck

    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:

    • How do you determine an evidence-base for protocols?
    • How often should protocols be updated?
    • How do you balance clinical efficacy with operational realities?
    • What are some best practices in provider credentialing?


    Speakers

    Brian Miller, MD, FACEP, FAEMS is an Assistant Professor in the Department of Emergency Medicine, and EMS division faculty at the University of Texas Southwestern Medical Center in Dallas, Texas. He is the Associate System Medical Director with the Office of the Medical Director for the MAEMSA/MedStar Mobile Healthcare system in Fort Worth, TX. He also serves as the Deputy Medical Director for Dallas Fire-Rescue and 11 other surrounding suburbs making up the UTSW/Parkland BioTel EMS System. He graduated from Emergency Medicine residency at Indiana University and completed his EMS fellowship at UT Southwestern.

    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.

  • 2 Feb 2021 2:57 PM | AIMHI Admin (Administrator)

    Best Practices in EMS Transformation During the Pandemic
    Co-Hosted by NASEMSO, NAEMSP, and AIMHI
    Recorded 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 amanda@ambulance.org in advance of the webinar!


    Speakers

    Kenneth A. Scheppke, MD, FAEMS 
    EMS Medical Director, State of Florida
    Medical Director, Palm Beach County Fire Rescue 

    Veer D. Vithalani, MD, FACEP, FAEMS
    System Medical Director, Office of the Medical Director,
    Metropolitan Area EMS Authority
    Chief Medical Officer, MedStar Mobile Healthcare

    Ashley Thoele, MSN, MBA, RN
    Division Chief, Emergency Medical Services and Highway Safety
    Office of Preparedness and Response
    Illinois Department of Public Health

    J. Sam Hurley, MPH, EMPS, NRP
    Director, Maine Emergency Medical Services

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

    Kenneth J. Simpson, J.D., NRP
    Interim Chief Executive Officer, MedStar Mobile Healthcare

    Moderator
    Matt Zavadsky, MS-HSA, NREMT
    Chief Transformation Officer, Medstar Mobile Healthcare
    Immediate Past President, NAEMT
    Education Chair, AIMHI


  • 12 Nov 2020 4:21 PM | AIMHI Admin (Administrator)


    High-Performance High-Value Financial Outcome Measures
    Recorded November 12, 2020 | 14:00 ET | FREE

    View Recording 
    View/Downloads slides
    Mentioned 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.

    Presenters

    Matt Zavadsky
    Medstar Mobile Healthcare
    Fort Worth, Texas

    Jonathan Washko
    Northwell Health CEMS
    Syosset, NY

    Bob Nadolski
    Emory University / Emory Healthcare
    Atlanta, GA

    Host

  • 10 Aug 2020 2:30 PM | AIMHI Admin (Administrator)

    High-Performance/High-Value Operational Outcome Measures
    Recorded August 10 at 14:30 ET | Free | Hosted by FirstWatch
    Watch On-Demand►

    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.

    Presenters

    Ken Simpson
    Chief Operations Officer
    Medstar Mobile Healthcare
    Fort Worth, Texas

    James "Jimmy" Pierson
    President, Chief Operating Officer
    Medic Ambulance
    Vallejo, CA

    Host

    High-Performance/High-Value Operational Outcome Measures
    Recorded August 10 at 14:30 ET | Free | Hosted by FirstWatch
    Watch On-Demand►

  • 9 Jun 2020 9:45 AM | AIMHI Admin (Administrator)

    High-Performance High-Value Clinical Outcome Measures
    Recorded June 9 at 2:00 pm ET
    Hosted by FirstWatch

    Watch On-Demand►

    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.

    Presenters

    Chuck Gipson
    Quality & Education Manager
    Medic Ambulance
    Davenport, Iowa

    Wayne Harbour
    Chief Clinical Officer
    Richmond Ambulance Authority
    Richmond, Virginia

    Host


  • 13 Mar 2020 2:00 PM | AIMHI Admin (Administrator)


    COVID-19 EMS Patient Management: Myth vs. Reality
    Free Webinar Recorded March 13, 2020
    Watch 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:

    • Myth vs. Reality of PPE
    • Crew preparation and communication
    • Ambulance decon
    • Crew member quarantine
    • Public Health Information 

    The presenters will plan 30 minutes of content so that there will be significant time to answer participant questions.

    Presenters

    • Bela T. Matyas, MD, MPH, Health Officer / Deputy Director, Solano County Public Health
    • James Pierson, President / COO, Medic Ambulance Service, Vice President, California Ambulance Association
    • Ted Selby, Agency Administrator, Solano County Emergency Medical Services

    Hosting Organizations

    • Academy of International Mobile Healthcare Integration
    • National Association of Emergency Medical Technicians (NAEMT)
    • International Academies of Emergency Dispatch (IAED)
    • FirstWatch Solutions
    • California Ambulance Association
    • Paramedic Chiefs of Canada
  • 24 Feb 2020 9:53 PM | AIMHI Admin (Administrator)

    Introduction to
    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:

    • Chip Decker, Richmond Ambulance Authority and President of AIMHI
    • Linda Frederiksen, Medic EMS, Davenport, Iowa
    • Matt Zavadsky, MedStar Mobile Healthcare

    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.

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