NHTSA | What Are the Potential Applications for AI in EMS?
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DHS Updates the Resource Typing EMS Resources Under NIMS
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NAEMSP Survey on Drug Shortages: Impact on Fire Departments and EMS Agencies
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GoAERO Prize Updated Guidelines
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EMS.gov Webinar | EMS Harm Reduction and SUD Treatment
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Flash Poll | Uncompensated Care in EMS
The growing EMS economic crisis is a combination of expense increases for service delivery AND the reimbursement for services provided.
One of the major factors in the revenue gap for EMS as a safety-net healthcare provider is the percentage of patients who cannot pay for their EMS care due to lack of insurance, meaning the patient is responsible for reimbursing the cost of EMS care.
To help NAEMT, AIMHI, and other associations develop communication strategies regarding public policy to address rising levels of uncompensated care, we are asking EMS agencies to help quantify the level of uncompensated care in their agency.
You can participate in the FLASH POLL through the on-line link here:
For your planning purposes, we’re including the questions on the poll below, so you know in advance what the questions are…
The Centers for Medicare and Medicaid Services (CMS) defines uncompensated care as “Health care or services provided by hospitals or health care providers that don’t get reimbursed. Often uncompensated care arises when people don’t have insurance and cannot afford to pay the cost of care.”
https://www.healthcare.gov/glossary/uncompensated-care/
Using this definition, we’d like to seek your input on the following six data points related to your level of uncompensated care.
| 2019 | 2021 | 2023 | |
| % of your billable services that were billed to patients as the primary payer.
(Often referred to as “Self-Pay”, or “Private-Pay”, or “Uninsured”) |
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| Average dollar amount reimbursed per service for this payer classification. | |||
| Your Average Patient Charge. |
Agency Name:
Name and E-Mail Address of Respondent:
Service Type:
- 911/Emergency Only
- Primarily 911 with Some Inter-Facility
- Primarily Inter-Facility with some 911
- Inter-Facility Only
Agency Type:
- Private (including private, nonprofit)
- 3rd Service Governmental
- Hospital-Based
- Fire-Based
- Public Utility Model
- Other
Primary Service Area State:
Annual Response Volume:
- 1 – 1,000
- 1,000 – 10,000
- 10,000 – 25,000
- 25,000 – 50,000
- 50,000 – 75,000
- 75,000 – 100,000
- Over 100,000
GoAERO Competition + Informational Webinar Details
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
- Tuesday, March 19th, 3pm PT/ 6pm ET: https://shorturl.at/fvCG5
GoAERO Competition + Informational Webinar Details
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
- Thursday, February 29th, 6am PT/ 9am ET: https://shorturl.at/rtOS0
- Tuesday, March 19th, 3pm PT/ 6pm ET: https://shorturl.at/fvCG5
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.
HHS/ASPR Project ECHO Clinical Readiness Rounds are Returning
The U.S. Department of Health and Human Services Office of the Administration for Strategic Preparedness and Response (ASPR) and Project ECHO have launched this program designed to create peer-to-peer learning networks where clinicians who have more experience treating patients in emergency situations share their challenges and successes with clinicians across the U.S. and around the world with a wide variety of experience of these situations. Topics for sessions are based on new and emergent information around emergency preparedness, as well as topics requested by participants.
Certification & Credits
Sessions will be eligible for CME credits.
Contact Information
Please contact C19ECHO@salud.unm.edu for more information.
Enhancing EMS Safety: Outcomes of the Lights and Siren Collaborative
January 17, 2024 – Irving, TX We didn’t need emergency warning devices to get where we were going – a motor vehicle crash without serious injuries. We tried to change lanes and were hit from behind, sideswiped, and pushed across the road. We expected people to yield to us, but the bright flashing lights and sirens contributed to distracting the driver of the car as he was trying to get around us. I still to this day believe we wouldn’t have gotten crashed if we were driving without the use of the emergency warning devices.
The reality is when lights and sirens are on, the risk of crash increases by over 50%. Weekly, we hear reports of ambulance crashes that impact providers, patients, and the public.
The National EMS Quality Alliance has released Improving Safety in EMS: Reducing the Use of Lights and Siren, a change package with the results, lessons learned, and change strategies developed during the 15-month long Lights and Siren Collaborative. It will assist EMS organization in making incremental improvements to use of lights and siren on a local and systematic basis. “The best practices that have emerged from this project will allow every agency, regardless of service model or size, to more safely and effectively respond to 9-1-1 calls.” says Michael Redlener, the President of the NEMSQA Board of Directors.
“By utilizing less lights and sirens during EMS response and transport, our efforts have shown measurable increases in safety. The EMS community and the general public will surely benefit from the now-proven tactics provided by this partnership,” added Mike Taigman, Improvement Guide with FirstWatch and faculty leading the collaborative.
More about the Collaborative and participating agencies can be found in the change package and on the NEMSQA website.
About the National EMS Quality Alliance
The National EMS Quality Alliance (NEMSQA) is the nation’s leader in the development and endorsement of evidence-based quality measures for EMS. Formed in 2019, NEMSQA is an independent non-profit organization comprised of stakeholders from national EMS organizations, federal agencies, EMS system leaders and providers, EMS quality improvement and data experts as well as those who support prehospital care with the goal to improve EMS systems of care, patient outcomes, provider safety and well-being on a national level.
NEMSQA
Sheree Murphy
smurphy@nemsqa.org
315-396-4725
Welch, Sanders, & Balint Introduce Treatment in Place Bill
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Prehospital Guidelines Consortium | EMS Research Reading List Submissions
The Prehospital Guidelines Consortium is collaborating with the National Registry of EMTs to continually identify current scientific literature to incorporate into certification activities. We seek input from the EMS community on peer-reviewed scientific articles (e.g., research studies, systematic reviews, or narrative review articles) published in 2021-2023 that can assist in improving the knowledge of EMS professionals regarding the most current science in EMS medicine.
Relevance to clinical care or operations within EMS medicine is requisite, and preference will be given to peer-reviewed literature, including reports of landmark clinical trials, systematic reviews of the literature, and scientific review articles.
The Prehospital Guidelines Consortium is separately engaging in an ongoing systematic review of published prehospital evidence-based guidelines (EBGs) as a related component of this effort. EBG-related publications may also be submitted to supplement the systematic search already in progress.
CoAEMSP Accepting Applications for Site Visitors
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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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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
Savvik | Summer Deals
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NACRHHS | Access to EMS in Rural Communities Policy Brief
Access to Emergency Medical Services in Rural Communities: Policy Brief and Recommendations to the Secretary
Provides an overview of issues related to the provision of emergency medical services (EMS) in rural areas. Discusses rural EMS access, financing, and workforce challenges, as well as promising telehealth innovations. Outlines federal programs and resources that support EMS programs. Offers policy recommendations related to access to EMS, workforce, and reimbursement.
Source: HRSA via RuralHealthInfo.org