Report on REMSA's Innovative Approaches to Community Health

remsaIn 2012, Regional EMS Authority (based in Reno, NV) launched a system of community health programs to improve access to the appropriate level of healthcare throughout Washoe County, Nevada. Funded through a $9.1 million Health Care Innovation Award from the Center for Medicare & Medicaid Innovation, part of the U.S. Department of Health and Human Services, the program consisted of three interventions:

Nurse Health Line: a non-emergency phone number that provides 24/7 access to nurse navigators who could assess, triage and refer Northern Nevada residents to health care andcommunity services.
Alternative Destination Transports: paramedics conduct advanced assessments of 911 patients with low-acuity medical conditions and provide alternative pathways of care other than transport to a hospital-based emergency department, including transport to urgent care centers and clinics, a detoxification center, or mental health hospitals.
Community Paramedicine: specially trained community paramedics perform in-home delegated tasks and point-of-care lab tests to improve the transition from hospital to home and improve care plan adherence.
 
The comprehensive, integrated system created by these three interventions offered new referral and treatment pathways to ensure the safest and most appropriate care for patients with low acuity medical conditions. As a result, the innovative model successfully achieved the three goals of the Institute for Healthcare Improvement’s Triple Aim: improving the quality and experience of care, improving the health of populations and reducing the per capita cost of healthcare.
 
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UBER or Ambulance?

UberAmbulances are a vital part of emergency medical services. However, they come in single, homogeneous, high intervention form, which is at times unnecessary, resulting in excessive costs for patients and insurers. In this recent paper, the authors ask whether Uber’s entry into a city caused substitution away from traditional ambulances for low risk patients, reducing overall volume. They found that the availability of Uber reduced ambulance volume by at least 7%.

UBER STUDY

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Amicus Briefs Filed in Orange County Case by EMS Administrators and California EMS Authority

EMSAAmicus Curiaeemsaac logo new

The California EMS Authority and EMSAAC have filed separate amicus briefs in an Orange County case involving interpretation of California EMS statute. Neither is party to a lawsuit filed in Federal District Court against twelve Orange County cities and CARE Ambulance, Inc. that alleged illegal anti-trust behavior regarding their emergency medical services. The court dismissed the action filed by AmeriCare MedServices, Inc. in favor of the defendant cities. AmeriCare has now filed a brief (see link below) with Ninth District Court of Appeals. The EMS Authority and EMSAAC submitted "friend of the court" briefs to inform a possible review of the case by the Appellate Court.

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Save the Date for EMSAAC's 2018 Conference!

Savethedate 2018

We hope to see you in beautiful San Diego!

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NHTSA Video on Importance of EMS Data

EMS.govNational Highway Traffic Safety Administration (NHTSA) has produced a YouTube video on EMS Data. The video describes the importance of documentation and the use of EMS data. It is primarily intended for field  providers. To view this video, click on this link: EMS DATA VIDEO

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ACA Implementation Reported to Increase Ambulance Response Times

ACAChristina Mattina with the American Journal of Managed Care (AJMC) reports on a new study, published by the National Bureau of Economic Research, indicating that expanded coverage under the Affordable Care Act (ACA) added strain on emergency medical services, resulting in slower ambulance response times. Mattina states that “Using data from the federal Fatality Analysis Reporting System from 2010 to 2015, researchers found that full implementation of the ACA (with Medicaid expansion) was associated with a 1 minute, 53 second increase in ambulance response times, which is nearly 19% higher relative to the mean. For each percentage-point increase in insurance coverage in a given county, ambulance response times were slowed by 22.8 seconds.”  

The report and a copy of the study are available here:  AJMC ARTICLE

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Electronic Controlled Substance Tracking in EMS

Narcotics securityThis whitepaper sponsored by Operative IQ describes the importance of instituting a system-wide strategy for tracking the usage and disposal of controlled substances, and how modern technology is making the process more efficient and accurate.

WHITE PAPER

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EMS FORWARD: 10 Topics That Will Move EMS Forward

Center for Patient SafetyThe Center for Patient Safety has just released "EMS FORWARD: 10 Topics That Will Move EMS Forward in 2017". This publication outlines ten focus areas for providers to consider including:
  1. Patient Safety Culture
  2. Airway Management
  3. Bariatrics
  4. Behavioral Health
  5. Stretchers
  6. Medication Mistakes
  7. Pediatrics
  8. Provider Mental Health
  9. Crashes
  10. Transition of Care.
Download a copy here: EMS FORWARD
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EMSAAC Publishes Position Paper on Grandfathering and Exclusivity

LawOn August 14th, the EMS Administrators' Association of California (EMSAAC) issued a Position Statement on “Grandfathering” and Exclusivity Under Sections 201 And 224 of the EMS Act. The position statement was written with the assistance of Derek Cole, Esq. with Cota Cole LLP, who represented San Joaquin County in their successful litigation with the City of Stockton regarding the rights, responsibilities, and relationships of local EMS agencies and cities. EMSAAC has issued this position statement to clarify language within the EMS Act, to accurately summarize the findings of more than twenty years of case law, and to correct novel interpretations of the EMS Act that some are advancing within California. The California Fire Chiefs' Association (CFCA) has also responded to this position statement with its own rebuttal. These documents can be downloaded below:
 
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EMS Agenda 2050 Is Coming!

EMS Agenda 2050EMS Agenda 2050 is a collaborative and inclusive two-year project to create a bold plan for the next several decades. EMS community members, stakeholder organizations and the public are all encouraged to get involved in writing a new Agenda for the Future that will set forth a vision for the next thirty years of EMS system advancement.
 
The EMS Agenda 2050 team will host four public meetings throughout the U.S. where attendees will meet and discuss the future of EMS with the project's Technical Expert Panel, a group of 10 individuals with wide-ranging and diverse experiences within EMS systems and healthcare organizations. 
 
During the meetings, participants will actively engage in conversations and critical thinking exercises to ensure that EMS Agenda 2050 establishes a vision that incorporates a wide range of perspectives. Prior to the first regional meeting, EMS Agenda 2050 will release a "strawman" document as a conversation starter to spark thinking and dialogue about the future of EMS. The remaining meeting dates and locations are:
 
January 17, 2018 - Los Angeles, California
March 1, 2018 - Dallas, Texas
 
For more information on this exciting project, go to: EMS AGENDA 2050
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