CoAEMSP Accepting Applications for Site Visitors
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Author: AAA Staff
NAEMSP | Rest in Peace E. Brooke Lerner, PhD, FAEMS
NAEMSP is deeply saddened by the news that E. Brooke Lerner, PhD, FAEMS has passed away after a courageous battle with cancer. Over the past two decades, Brooke has dedicated her career to the advancement of prehospital care, from spending time in the field as a paramedic to serving on the NAEMSP Board of Directors and joining her alma mater, the University of Buffalo, as a tenured professor and vice chair for research in the Department of Emergency Medicine in the Jacobs School of Medicine and Biomedical Sciences.
Said NAEMSP President José G Cabañas MD, MPH, FAEMS: “We pay tribute to the extraordinary legacy of Dr. Brooke Lerner. Her service to our profession and NAEMSP was marked by honor and distinction, including the mentorship of countless clinicians devoted to building effective prehospital systems of care. Brooke’s transformative work played a pivotal role in advancing trauma and pediatric emergency care, leaving behind a body of work that was instrumental in enhancing prehospital care standards. May her enduring legacy serve as an inspiration to all of us, reminding us of the profound impact one person’s selfless dedication can have in elevating the practice of EMS medicine.”
Throughout her career, Brooke focused on research in a subspecialty with a relatively small literature base, authoring over 135 peer-reviewed publications and completing many federally funded grants to conduct EMS research. Much of her research addressed acute injury care and field/disaster triage, and she led the current national guideline for mass casualty triage.
Brooke also dedicated much of her time to pediatric emergency care, especially through the federally funded Pediatric Emergency Care Applied Research Network (PECARN), where she led the organization’s only prehospital node and served on its Executive Committee.
Following her diagnosis, Brooke worked with NAEMSP and the GMR Foundation to establish the E. Brooke Lerner Research Fund with the goal of supporting early career EMS researchers. “I’ve spent my career on improving prehospital care, and I wanted to leave something behind to keep that legacy moving forward,” Brooke said, speaking of the fund shortly after its creation.
In 2013, Brooke received NAEMSP’s Keith Neely Award, and ten years later, she was recognized with the Ronald D. Stewart Award for her illustrious career in EMS. It would be impossible to recount all the invaluable contributions to emergency medical services made by Brooke Lerner, and more impossible still to describe the impact she made on each person she met. NAEMSP will remember Brooke with the utmost admiration and is profoundly grateful for everything she has done to advance EMS.
NHTSA | Updated Ground Ambulance Crash Safety Materials Available
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Prehospital Blood Transfusion Initiative
Press Release from the Prehospital Blood Transfusion Initiative Coalition
PREHOSPITAL BLOOD TRANSFUSION INITIATIVE COALITION BEING FORMED
Contact:
Bill Skillman
bskillman@veli.co
781 315 7537
In cities, towns and rural communities across the US people are dying unnecessarily from severe bleeding arising from limited supply of blood products and lack of blood transfusions after injury or other causes of hemorrhagic shock. Bleeding to death from uncontrolled hemorrhage remains the leading cause of preventable deaths among victims of trauma with nearly half of these patients dying in the prehospital setting. Unfortunately, in the vast majority of cases, blood products are not available on emergency medical response vehicles because of reimbursement limitations and local regulations which vary by state.
The Prehospital Blood Transfusion Initiative Coalition (PHBTIC) is being established to address these problems. “A growing number of ground and air medical EMS programs have successfully initiated blood programs in recent years, but more needs to be done to ensure patients in the U.S. who need prehospital transfusion are able to receive it, regardless of where they live” notes John Holcomb, MD, Professor of Surgery at University of Alabama at Birmingham, an internationally renowned trauma surgeon and expert on civilian and military hemorrhage control and resuscitation. The Coalition, led by a steering committee, is building a multi-disciplinary, collaborative initiative to advance four pillars of focused activity to promote prehospital blood transfusion programs:
- Establish reimbursement for blood products transfused in the prehospital setting.
- EMS scope-of-practice allowing the initiation of prehospital blood products in states where it currently is not allowed.
- Strategic preparedness for homeland defense and mass casualties.
- Outreach and education, including regulatory, protocols, and best practices for programs based on experiences of agencies currently conducting programs.
“Our group represents a diverse community of prehospital and hospital-based medical professionals, as well as industry, blood collection, and government partners, whose focus is on improving outcomes of all patients suffering hemorrhagic shock in a data-driven fashion” say Eric Bank, LP, NRP, Assistant Chief of EMS HCESD 48 Fire-EMS and Randi Schaefer, DNP, RN, Clinical Consultant and Scientific Advisor.
The Steering Committee has already reached out to national stakeholder organizations in the EMS, trauma, blood and industry communities and are soliciting others with an interest in ensuring blood products are available in all emergency settings to join the Coalition. They will be scheduling an initial meeting of the Coalition in the coming weeks. Those interested are encouraged to contact Jon R Krohmer, MD at jrkrohmer@gmail.com
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Nominations Open for the Vanguard Awards & EMS Next! 🏆🚑
Celebrate EMS Excellence
Nominations are Open Now for Vanguard & EMSNext Awards
Vanguard and EMS Next honorees will be recognized at the American Ambulance Association Annual Conference & Trade Show, as well as on the AAA website and social media platforms. Winners will also receive complimentary registration to the AAA Annual Conference & Trade Show.
2024 AAA Annual Conference & Trade Show
Gaylord Opryland
April 22–24, 2024
Nashville, TN
Nominations close January 1, 2024.
However, capacity is limited, so early submission is encouraged.
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Clarion Ledger | Ambulance ‘response times’ miss the big picture: health outcomes
Congratulations to the board of the Mississippi Ambulance Alliance on the publication of their insightful op-ed in the Clarion Ledger.
“Response Times” are the loudest complaint, both locally and around the country — regardless of whether a private or public ambulance is responding. Everyone is, understandably, mad the ambulance isn’t right here, right now. And in many if not most instances, the ambulance providers agree — they want to be on scene sooner.
But that system is showing its fragility everywhere.
NAEMSP | Board Nominations Open
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GAPBAC | Follow Up from Committee Meeting #2
Ground Ambulance and Patient Billing (GAPB) Advisory Committee Public Meeting #2 (August 16, 2023)
The Ground Ambulance and Patient Billing (GAPB) Advisory Committee Second Public Meeting was held on August 16, 2023. Materials for this meeting are available for download on the CMS.gov GAPB website.
As we continue this webinar series, we look to you as industry experts to provide feedback and recommend information that would be beneficial in future webinars. Written public comments for consideration by the Advisory Committee may be emailed to: GAPBAdvisoryCommittee@
Public comments on the specific topics listed in the GAPB Advisory Committee Public Meeting #2 Agenda, should be submitted by September 5, 2023 for consideration by the GAPB Advisory Committee.
Relias E-Book | Creating a Trauma-Informed System of Care
Free E-book download from Relias.
Creating a Trauma-Informed System of Care: Addressing Individuals, Professionals, and Organizations
Nellie Galindo, MSW, MSPH
Melissa Lewis-Stoner, MSW, LCSW-C
Support EMS Professionals Impacted by the Maui Fires
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CAAS GVS3 Feedback Requested!
From CAAS GVS Version 3.0 – Revision Input
CAAS has formed a Ground Vehicle Standards Committee to review the existing CAAS Ground Vehicle Standard V3.0, and to develop proposed revisions or additions to the Standard as necessary. To ensure that anyone with an interest in the emergency medical transportation industry has a voice in the Standard revision process, CAAS has developed a mechanism for interested parties to submit feedback and suggestions relative to ground vehicle standards. Interested parties should complete the online form below. All submissions will be reviewed by the Ground Vehicle Standards Committee prior to development of Version 4.0.
CAAS GVS will be taking input until July 1 of 2024, for the next Version 4.0 to be published in July of 2025.
NEMSAC | Meeting August 9-10
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AAA Encourages CMS to Consider Revised Innovation Model for Treatment in Place
Washington, DC— While the Centers for Medicare & Medicaid Services (CMS) has decided to end the Emergency Triage, Treat, and Transport (ET3) Model two years early on December 31, 2023, the American Ambulance Association (AAA) remains committed to working with CMS on all future efforts to design programs that fully utilize the ground ambulance services in the delivery of mobile healthcare services. CMS made the decision to end the model “due to lower than expected participation and lower than projected interventions.”
The AAA is encouraged that CMS has stated that, “the lessons learned from the ET3 Model can aid in the development of potential future initiatives.” Our members are committed to supporting such future efforts to make sure that the requirements support true treatment in place and recognize the unique needs of rural ground ambulance services and the communities they serve. Moreover, we encourage CMS to work with the AAA to move forward with alternative destination as a permanent policy based not only on the lessons learned from the ET3 model, but also those garnered as a result of the Public Health Emergency (PHE) waiver. The AAA continues to support efforts to refine the Medicare ground ambulance emergency benefit to support delivering pre-hospital services to the patients who need them at the time they need them and where they need them.
7/27 CMS Ambulance Open Door Forum
From CMS on July 19, 2023
The next CMS Ambulance Open Door Forum scheduled for:
Date: Thursday, July 27, 2023
Start Time: 2:00pm-3:00pm PM Eastern Time (ET);
Please dial-in at least 15 minutes before call start time.
Conference Leaders: Jill Darling, Maria Durham
**This Agenda is Subject to Change**
- Opening Remarks
Chair- Maria Durham, Director, Division of Data Analysis and Market Based Pricing
Moderator – Jill Darling (Office of Communications)
Announcements & Updates
- Ground Ambulance & Patient Billing Advisory Committee Meeting Announcement
- Update on Emergency Triage, Treat, and Transport (ET3) Model
- Medicare Ground Ambulance Data Collection System (GADCS): Proposed Changes in the CY 2024 Physician Fee Schedule Proposed Rule
- Slide presentation will be available at: https://www.cms.gov/
medicare/ambulance-fee- schedule-zip-code-files/ ambulance-events
- Slide presentation will be available at: https://www.cms.gov/
- Consolidated Appropriations Act, 2023: Division FF, section 4103: Extension of Add-On Payments for Ambulance Services
III. Open Q&A
**DATE IS SUBJECT TO CHANGE**
Next Ambulance Open Door Forum: TBA
ODF email: AMBULANCEODF@cms.hhs.gov
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This Open Door Forum is open to everyone, but if you are a member of the Press, you may listen in but please refrain from asking questions during the Q & A portion of the call. If you have inquiries, please contact CMS at Press@cms.hhs.gov. Thank you.
NEW and UPDATED Open Door Forum Participation Instructions:
This call will be a Zoom webinar with registration and login instructions below.
Register in advance for this webinar:
https://cms.zoomgov.com/
Webinar ID: 161 099 7532
Passcode: 131371
After registering, you will receive a confirmation email containing information about joining the webinar. You may also add the webinar to your calendar using the drop-down arrow on the “Webinar Registration Approved” webpage after registering. Although the ODFs are now a Zoom webinar, we will only use the audio function, no need for cameras to be on.
For ODF schedule updates and E-Mailing List registration, visit our website at http://www.cms.gov/
Were you unable to attend the recent Ambulance ODF call? We encourage you to visit our CMS Podcasts and Transcript webpage where you can listen and view the most recent Ambulance ODF call. The webinar recording and transcript will be posted to: https://www.cms.gov/Outreach-
CMS provides free auxiliary aids and services including information in accessible formats. Click here for more information. This will point partners to our CMS.gov version of the “Accessibility & Nondiscrimination notice” page. Thank you.
EMS1 Stop | Anna Liotta, AAA 2023 Keynote Speaker
Thank you to Rob Lawrence of Pro EMS, EMS1, and the California Ambulance Association for connecting with #Ambucon23 keynote Anna Liotta and Royal Ambulance’s Steve Grau!
Savvik | Summer Deals
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Happy Pride Month!
This June—and every month—EMS is proud to care for YOU! #Pride #pride2023 #pridemonth pic.twitter.com/Qk52Gai50S
— AmericanAmbulanceAsc (@amerambassoc) June 9, 2023
A Message from AAA President Randy Strozyk
Contact Congress ►https://www.votervoice.net/Ambulance/…
Annual Conference & Trade Show June 26–28, 2023 in Las Vegas ► https://annual.ambulance.org/
NHTSA’s Office of EMS Contributes to New Study Analyzing Suicide Among EMS and 911
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