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InvestigateTV | Dire delays at hospital ERs create long waits for ambulance crews

On Hold: Dire delays at hospital ERs create long waits for ambulance crews, put patients at risk

National data shows delayed EMS crews frequently wait an hour or more before returning to service

“To look at the scope and severity of wall times nationwide, InvestigateTV obtained data from the National Emergency Medical Services Information System (NEMSIS), a program run through the National Highway Traffic Safety Administration and the University of Utah that provides a standardized method of recording and reporting information about 911 calls involving EMS.

The data, which local EMS agencies report to their respective states that in turn submit it to the national database, documents all aspects of the call, including if the ambulance crew experienced any kind of delay.”

Read the full article>>

CAAS Panel of Commissioners Seeks New Business Representative

CAAS - Driven to a Higher Standard
 

CAAS Panel of Commissioners Seeks New Business Representative

At the end of 2024, the Commission on Accreditation of Ambulance Services will be replacing its business representative on the CAAS Panel of Commissioners due to the completion of term limits. Joe Penner has served expertly in this position for the past six years, and as panel chair for the past two of those years.

CAAS is now soliciting applications from qualified and experienced EMS business representatives to fill the upcoming three-year term, beginning in January of 2025.

Applicants must have at least ten years of experience in EMS with at least five years at the level of manager or above and a bachelor’s degree. Desirable candidates should possess industry awareness, systematic thinking and a national or international perspective. Having worked at a CAAS accredited agency, being a CAAS reviewer or familiarity with the CAAS Standards is also desired.

Applications will be accepted now until September 10, 2024.

Please email Marcie McGlynn at CAAS headquarters for further details on qualifications and the application process.

 

Commission on Accreditation of Ambulance Services (CAAS)

1926 Waukegan Road, Suite 300
Glenview, Illinois 60025-1770

Phone: (847) 657-6828 Fax: (847) 657-6825
E-mail: CAAS Staff Website: www.caas.org

 

NREMT Launches New Certification Examinations for Paramedics and AEMTs

From the National Registry of Emergency Medical Technicians

National Registry of Emergency Medical Technicians Launches New Certification Examinations for Paramedics and AEMTs

The examinations align the National Registry with other health-based professions while retaining the rigor needed for advanced-level Emergency Medical Services (EMS) clinicians.   

(Columbus, Ohio) – Today, the National Registry of Emergency Medical Technicians launched new certification examinations for Paramedics and Advanced Emergency Medical Technicians (AEMTs), integrating new advancements in clinical practice, science, research, and technologies. These updates ensure that Paramedics and AEMTs are knowledgeable and prepared to manage emergency medical events.

“As the national certifying organization for emergency medical clinicians, it’s imperative that our examinations stay current with changes to our profession and evaluate candidates based on the best research and science available,” said Bill Seifarth, Executive Director at the National Registry. “Whenever someone calls 911, no matter where they are in the country, they trust that whoever arrives with the ambulance has the knowledge and skills to care for them. At the National Registry, we’re responsible for validating that trust by keeping our examinations up to date and ensuring all clinicians are competent to successfully respond to an emergency.”

To ensure the National Registry’s certification examinations measure current practice, the most recent National EMS Practice Analysis and its subsequent Addendum were conducted to identify the knowledge, skills, abilities, and clinical judgment required for entry-level clinician competency. This information, coupled with the feedback from the EMS community and continuous collaboration with the National Registry’s accreditor, the National Commission for Certifying Agencies (NCCA), formed the foundation for these new examinations.

“The new Paramedic and AEMT certification examinations incorporate current EMS practices and use innovative item types that leverage interactive technology to evaluate candidates’ knowledge and clinical judgment in diverse ways beyond traditional multiple-choice or multiple-response formats,” explained Dr. Mihaiela Gugiu, Chief Assessment Officer at the National Registry. “These enhancements ensure a unified and thorough assessment process for all certification seekers.”

The new examinations allow candidates to take a single comprehensive examination on one date, reducing logistical challenges while preserving the examinations’ rigor, consistent with standards in other health-based professions.

Additional information about the examinations can be found online at https://nremt.org/Document/Get-Ready-For-The-New-Examinations or by listening to or watching the National Registry’s recently launched podcast, Registry Insider.

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HELPFUL LINKS

Online Press Release: nremt.org/News/National-Registry-of-Emergency-Medical-Technicians

New AEMT and Paramedic Certification Examination Information Page: nremt.org/Document/Get-Ready-For-The-New-Examinations

Registry Insider Vodcast (video); Episode 1 is all about the new examinations: nremt.org/Document/Registry-Insider

Registry Insider Podcast (audio); Episode 1 is all about the new examinations: registryinsider.buzzsprout.com

PPRP | Make Sure You’re Ready for Children – Complete the Assessment!

While the majority of EMS and fire-rescue agencies provide emergency care to children, pediatric calls are rare. In fact, because most agencies see fewer than eight pediatric patients per month, many EMS clinicians don’t feel capable or confident when caring for children.

Being pediatric ready, or ensuring agencies are trained, equipped, and prepared for children in accordance with national recommendations, can reduce anxiety and increase confidence. Research suggests it may also improve outcomes.

But how do you know if your agency is really ready for its next pediatric call? The Prehospital Pediatric Readiness Project Assessment, which launched May 1, can help. The online assessment tool is open to EMS and fire-rescue agencies that respond to public 911
calls. It takes an average of 30 minutes to complete.

Once you’ve completed the assessment you will receive a detailed report that will identify specific gaps in your EMS agency’s pediatric readiness. Your agency then can use the report to identify resources in the Prehospital Pediatric Readiness Toolkit to help you make
improvements. As part of your report, you’ll also receive benchmarking information comparing your score with the national average score of all agencies, as well as the average score of agencies with similar pediatric volume.

You can be more comfortable, capable, and confident about caring for children by taking the steps to make sure your agency is truly “peds ready” – complete the Prehospital Pediatric Readiness Assessment!

To find out more about the Prehospital Pediatric Readiness Assessment, visit https://emspedsready.org/. You may also reach out to your state’s EMSC Program Manager with any questions

Life-Assist Unlocks Grant Opportunities for First Responders

The Life-Assist Grant Assistance Program helps First Responders navigate the over 1400 grants available nationwide to pinpoint those tailored to meet their specific needs. Life-Assist offers unlimited and customized grants at no cost, powered by Lexipol.

The process is easy and increases the likelihood of success in securing grants. With the Life-Assist Grant Assistance Program, first responders have access to a comprehensive grant database to easily identify the grant that will support them with their EMS needs. To help navigate this vast landscape, unlimited and personalized grant research assistance specific to each agency’s project is provided. First Responders can also set up alerts for projects when using this program.

Getting started with the Life-Assist Grant Assistance Program is as simple as visiting our dedicated Grant webpage and filling out a 2-page form powered by Lexipol. The agency will hear from a Grant consultation expert soon after, who will help throughout the entire process to maximize the chances of successfully securing the funding sought.

Andy Selby, Vice-President of Sales at Life-Assist, explains why we started the Grant Assistance Program. “At Life-Assist, our primary purpose is to provide the best resources and tools available to First Responders. OurGrants Program will give access to unlimited funding opportunities to support critical patient care programs to our First Responders in local communities across the country,” Andy Selby, VP of Sales, Life-Assist.

To apply for a Grant through the Life-Assist Grant Assistance Program free of cost, visit: https://www.life-assist.com/info/grants

NHTSA | What Are the Potential Applications for AI in EMS?

EMS News

What Are the Potential Applications for AI in EMS and Transportation?

DOT’s Advanced Research Projects Agency – Infrastructure Requests Information

What are the potential applications, opportunities and challenges of artificial intelligence (AI) related to EMS and transportation? The Department of Transportation’s (DOT) Advanced Research Projects Agency—Infrastructure (ARPA-I) has announced a Request for Information (RFI) on this topic.

AI has the potential to transform many elements of EMS and this is an opportunity for the EMS community to weigh in on emerging AI technology as it relates to transportation. The purpose of this RFI is to obtain input from a broad array of stakeholders on AI opportunities, challenges and related issues in transportation pursuant to Executive Order (E.O.) 14110 of October 30, 2023 entitled “Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence”. NHTSA’s Office of EMS (OEMS) encourages the EMS community to provide their input on transportation-related opportunities and challenges of AI, including software-defined AI enhancements impacting autonomous mobility ecosystems.

PROVIDE COMMENTS

Please submit any written comments by 7/2/2024 on the regulations.gov portal. Note that all submissions, including any personal information provided, will be posted and will be available to the public on https://www.regulations.gov.

For more information, please email ARPA-I@dot.gov or contact Timothy A. Klein, Director, Techno

OSHA Proposed Rule Impact Survey

Attention EMS Leaders!

We are reaching out to gather your insights on the potential financial impact of the recent OSHA Proposed Rule concerning health and safety requirements in the EMS sector. Your feedback is invaluable and will play a crucial role in shaping our understanding and response to these proposed changes.

We have prepared a short survey to capture your perspectives and estimate the potential implications on your operations. The survey can be accessed here, and we would appreciate all responses be submitted by May 15, 2024.

Please note that the public comment period for these changes closes on June 21, 2024. We aim to include the data collected from this survey in the AAA’s public comment letter to ensure that our industry’s voice is heard.

Thank you for taking the time to contribute to this important initiative. Your participation is essential in helping us navigate these potential regulatory changes effectively.

Take the Survey

NAEMSP Survey on Drug Shortages: Impact on Fire Departments and EMS Agencies

NAEMSP is currently conducting a vital survey aimed at understanding the effects of drug shortages on Emergency Medical Services (EMS) agencies. As esteemed leaders in the field of EMS, your insights are invaluable in comprehending the challenges faced by frontline responders due to medication scarcities.

 

In recent years, the healthcare sector has grappled with an increasing number of drug shortages, presenting significant hurdles for EMS agencies and fire departments. These shortages not only disrupt standard protocols but also pose potential risks to patient care and safety. As such, it is imperative to gather comprehensive data to address these issues effectively.

 

Your participation in this survey will contribute to a deeper understanding of the following:

  1. The frequency and severity of drug shortages experienced by EMS agencies and fire departments.
  2. The impact of drug shortages on patient care, treatment protocols, and outcomes.
  3. Strategies employed by EMS agencies and fire departments to mitigate the effects of drug shortages.

By sharing your expertise and experiences, you will play a crucial role in shaping strategies to address drug shortages and enhance emergency medical services nationwide. Your input will inform policymakers, healthcare providers, and stakeholders about the challenges faced on the ground, enabling us to develop targeted solutions to safeguard patient care and optimize resource allocation.

 

Thank you in advance for your participation and commitment to advancing the quality and effectiveness of prehospital patient care.

Take the Survey
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Emergency Medical Products for First Responders Since 1977

What is the Life-Assist Difference?
Life-Assist has been serving First Responders with emergency medical products and equipment since 1977.

We Offer a Personal Touch in an Automated World

Our genuine care for our customers is demonstrated through the quality of service we provide and the important connections we maintain with our First Responder customers. When you call Life-Assist at 1-800-824-6016 during business hours, you are never be greeted by an automated phone system. Instead, you will speak with one of our friendly and knowledgeable Customer Care Specialists.

Life-Assist is an Employee-Owned Company

Thriving as a family-owned business for 45 years by following the philosophy that the customer always comes first, in July 2022, Life-Assist went one step further, giving its employees a vested interest in serving others by becoming an ESOP company (Employee Stock Ownership Plan).

Charitable Giving is Part of our DNA

Life-Assist takes pride in our support for those who selflessly serve others and contribute to the betterment of the community at large. We partner with First Responders Children’s Foundation, who support children who have lost a First Responder parent in the line of duty.

Life-Assist’s Project Pink was founded in response to the loss of one of our own, Debbie Lang. Debbie’s charity of choice was METAvivor. We honor her by donating a portion of all Project Pink proceeds to this organization every year.

We Offer a Grant Assistance Program to First Responders

More than $600 billion in nationwide grants are available to public safety agencies and local government each year. With our Grant Assistance Program, Life-Assist can help First Responders find the grants they need for EMS equipment.

Same Day Shipping Available

Orders placed by 4pm (M-F) local time will be shipped the same day.

Our National Account Manager Provides Extra Value

Chad Marsh’s experience in the EMS industry spans over 30 years. The key to the longevity of his success is his ability to create relationships with customers and provide valuable information relating to products, protocols and procedures used in the industry.

To contact Chad Marsh, call (503) 936-1879, or email: chad.marsh@life-assist.com

www.Life-Assist.com

Customer Care: 800.824.6016

Homeland Security | Homeland Threat Assessment 2024

Download PDF

The Department of Homeland Security (DHS) Intelligence Enterprise Homeland Threat Assessment reflects the insights from across the Department, the Intelligence Community, and other critical homeland security stakeholders. It focuses on the most direct, pressing threats to our Homeland during the next year and is organized into four sections. We organized this assessment around the Department’s missions that most closely align or apply to these threats—public safety, border and immigration, critical infrastructure, and economic security. As such, many of the threat actors and their efforts cut across mission areas and interact in complex and, at times, reinforcing ways.

Going forward, the annual Homeland Threat Assessment will serve as the primary regular mechanism for articulating and describing the prevailing terrorism threat level, which has previously been done through our issuance of National Terrorism Advisory System (NTAS) bulletins. In the future, the issuance of NTAS bulletins will be reserved for situations where we need to alert the public about a specific or imminent terrorist threat or about a change in the terrorism threat level.

Download PDF

EMS.gov Webinar | EMS Harm Reduction and SUD Treatment

EMS Focus
WEBINAR

EMS Harm Reduction and SUD Treatment

Hosted by NHTSA’s Office of EMS on March 22 at 2 PM ET / 11 AM PT


According to the National Harm Reduction Coalition, “harm reduction is a set of practical strategies and ideas aimed at reducing negative consequences associated with drug use.” This can include improving access to naloxone (Narcan) to prevent death from opioid overdose, providing sterile syringes to reduce the spread of HIV and hepatitis C, and fentanyl testing programs, among other types of help.

EMS clinicians are often on the frontline of addiction and the unintended consequences of both legal and illicit drug use and substance use disorder (SUD). In addition, drug use greatly impacts the larger context of our nation’s roads and highways through impaired driving and the resulting risks to the impaired driver, other drivers, passengers, bicyclists, and pedestrians. A 2022 NHTSA study of seven trauma centers around the U.S. found that nearly 56% of people injured or killed on roadways tested positive for one or more drugs, including alcohol. The most prevalent drug category was cannabis, and opioids made up 8.5% of cases at the trauma centers.

In this EMS Focus webinar, panelists will discuss:

  • Harm reduction and SUD treatment in the context of EMS care
  • Recent research
  • How innovation and intervention can drive overdose prevention in your community and reduction of other health risks, including traffic crashes that may be a result of impaired driving
REGISTER NOW

Panelists Include:

  • Kate Elkins, Emergency Medical Services/911 Specialist, NHTSA’s Office of EMS (moderator)
  • Gerard Carroll, M.D., EMS Medical Director, Cooper University Health Care; Division Head of EMS/Disaster Medicine; and Program Director, EMS Fellowship Program
  • John Ehrhart, Paramedic; EMS Manager, San Diego Health Connect; Co-Founder, California Paramedic Foundation; and Founder, Mission Critical Protocols
  • Simon Taxel, Paramedic Crew Chief and Public Safety Diver, Pittsburgh Bureau of EMS; Bloomberg Fellow, Johns Hopkins Bloomberg School of Public Health

About EMS Focus

EMS Focus provides a venue to discuss crucial initiatives, issues and challenges for EMS stakeholders and leaders nationwide. Be sure to visit ems.gov for information about upcoming webinars and to view past recordings.

We are committed to providing equal access to this webinar for all participants. Persons with disabilities in need of an accommodation should contact nhtsa.ems@dot.gov to request an accommodation no later than Friday, March 15, 2024.

Sign up to receive the latest news from the Office of EMS, including webinars, newsletters and industry updates.

Contact Us

1200 New Jersey Avenue, SE
Washington, DC 20590
nhtsa.ems@dot.gov

GoAERO Competition + Informational Webinar Details

From GoAEROprize.com

Heroes who look past danger to help people in need,


Heroes to step in to be the difference between triumph and tragedy,

And Heroes who use their minds to create technology that saves lives.

We need those Heroes. 

GoAERO is offering $2+ Million in prizes for the best thinkers, creators and inventors to build Emergency Response Flyers and stretch and challenge their minds to unlock a new era of disaster and rescue response.

​By unleashing the power of autonomy, speed, and precision, GoAERO is looking for the brightest, boldest and bravest to change the way we rescue and respond to disaster.

This is your chance to make history and save lives.

 

Register for Informational Webinars

Summary of Change Healthcare Cyberattack and HHS Statement

On February 21, 2024, UnitedHealth Group (UHG) disclosed that one of its subsidiaries was the victim of a ransomware attack.  According to UHG, the cyberattack was perpetrated against Change Healthcare, an operating unit within UHG’s Optum subsidiary.  Change Healthcare is a health care technology company that provides support and technical services to UHG and numerous other health care insurers.  In response to the cyberattack, UHG proactively isolated the affected systems while it works to assess the damage.  

Change Healthcare offers a range of services to the healthcare industry, including payment and billing, prescription processing, and data analytics.  According to its website, it processes more than 15 billing healthcare transactions annually.  According to the American Hospital Association, Change Healthcare touches 1 out of every 3 patient records.  

As of today, Change Healthcare’s systems remain down, and there is no definitive timetable for when the company anticipates restoring services.  

HHS Statement on Impact to Federal Health Care Programs

On March 5, 2024, the U.S. Department of Health and Human Services issued a statement detailing the steps HHS would be taking to avoid further disruptions to the health care system.  Specifically, HHS/CMS indicated that it would:

 

  • Work to expedite new electronic data interchange (EDI) enrollments for any provider that needs to change the clearinghouse through which it submits Medicare claims.  HHS is also encouraging other federal health care programs, including State Medicaid and CHIP agencies, to waive or expedite new EDI enrollments.
  • Issue guidance to Medicare Advantage organizations and Medicare Part D sponsors to encourage them to relax or remove prior authorization, utilization management, and timely filing requirements for the duration of the Change Healthcare system outage.  
  • Encourage MA plans to offer advance funding to providers most affected by the cyberattack.
  • Encourage State Medicaid and CHIP agencies to remove or relax their own prior authorization and utilization management requirements, and to consider offering advance funding to providers to the extent permitted by state law. 
  • Ensure that Medicare Administrative Contractors are prepared to accept paper claims from providers who need to file them.  

HHS also indicated that it would permit hospitals to submit requests for Medicare Accelerated Payments, similar to those issued during the early stages of the COVID-19 pandemic; however other providers/suppliers do not seem to have access to this workaround HHS indicated that its MACs would be issuing specific guidance on how to request accelerated payments later this week.

The Potential Impact on EMS Providers

According to various reports, there are approximately 800 payers whose claims routing processes utilize Change Healthcare’s network.  The day-to-day processing of electronic claims for these payers may be impacted in varying degrees.  This impact may be felt directly, in the case of claims submitted directly by the provider to the payer, or indirectly, in the case of claims submitted through a clearinghouse.  

The AAA encourages members to contact their clearinghouses to see which payers, if any, are being affected by the system interruption.  Payers that are not capable of processing electronic claims will likely have opened channels for claims to submitted on paper.  The clearinghouses should be able to provide additional information on the steps a provider needs to take to ensure the proper processing of these claims.

Optum has also established temporary alternative funding options.  Essentially, these are advances based on historical claims submissions, which will be repaid (likely through claim offsets) once Optum’s systems are fully back online.  At this point it is unclear whether ambulance providers will be eligible for this alternative funding.  Members are encouraged to check the Optum website for further updates.  



GoAERO Competition + Informational Webinar Details

From GoAEROprize.com

Heroes who look past danger to help people in need,


Heroes to step in to be the difference between triumph and tragedy,

And Heroes who use their minds to create technology that saves lives.

We need those Heroes. 

GoAERO is offering $2+ Million in prizes for the best thinkers, creators and inventors to build Emergency Response Flyers and stretch and challenge their minds to unlock a new era of disaster and rescue response.

​By unleashing the power of autonomy, speed, and precision, GoAERO is looking for the brightest, boldest and bravest to change the way we rescue and respond to disaster.

This is your chance to make history and save lives.

 

Register for Informational Webinars

Webcast | Evolving FirstNet for America’s First Responders

Tuesday, Feb. 13, 2024 | 10:30 a.m. ET

The First Responder Network Authority will be launching the next phase of the FirstNet network in partnership with its network contractor, AT&T. The webcast will unveil major upgrades planned for FirstNet, driven by public safety’s needs.

Register below for the webcast, and join us on February 13 to hear from public safety officials and leaders from the FirstNet Authority and AT&T as they announce enhancements planned for FirstNet.

Register

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