Congratulations Contra Costa County EMS!

CCC award

The American Heart Association has recognized our colleagues in Contra Costa County for their superior performance!

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New Study Published on Fatigue Risk Management in EMS

EMS Fatigue
A new study published in Prehospital Emergency Care, a journal of the National Association of EMS Physicians, includes five recommendations to limit the risks associated with workplace fatigue for EMS personnel. An executive summary from this study published in January 2018 states:
"This paper describes guideline development for the Fatigue in EMS Project and reports the results of the panel's review of the evidence and recommendations. This project was supported by the National Highway Traffic Safety Administration (NHTSA) to address gaps in guidance for fatigue risk management through the Model Process and to aid the EMS industry with recommendations tailored to EMS operations and personnel. The primary targeted audience for this work includes individuals in positions of leadership, administration, and/or management of EMS personnel. Therefore, these recommendations are also meant to inform EMS personnel, and to guide their decision-making toward actions that can mitigate fatigue in the workplace."
The study's lead investigator, Dr. Daniel Patterson, is scheduled to be a keynote speaker on this topic at EMSAAC's Annual Conference in May 2018.
Download the article and five recommendations below:
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Court Rejects California Fire Chiefs' Petition Against Alameda County

alameda superior courtOn February 1st, Alameda County Superior Court refused to grant a request by the California Fire Chiefs' Association (CFCA) for an injunction against Alameda County EMS Agency and the California EMS Authority. The order would have removed language from the Alameda County EMS Agency’s RFP for 911 emergency ambulance service that prohibits the "Alliance" or "At Risk Subcontracting" Model. The case is scheduled for a full hearing later in February or in early March.
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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%.


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

Amicus CuriaeEMSA    emsaac 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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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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2019 Conference

EMSAAC has booked Tenaya Lodge just outside of beautiful Yosemite National Park for our annual conference in April 2019. You won't want to miss this one!

Tenaya Lodge1

Tenaya Lodge2

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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.


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