Tag: International

AIMHI Webinar 3/23 | Developing and Implementing Evidence-Based Protocols

From the Academy of International Mobile Healthcare Integration

Free Webinar | March 23 | Noon ET | Register Now►

EMS delivers medical care, first and foremost. The most crucial role of an EMS Medical Director is to develop, implement and quality assure protocols used in the delivery of medical care by EMS personnel, including Emergency Medical Dispatchers. This webinar will share the ways that Medical Directors of some of the most innovative EMS systems determine what medical treatments are included in protocols for EMS personnel, both in the ‘traditional’ role of EMS care delivery, but also enhanced protocols for things like Mobile Integrated Healthcare and alternate disposition models of care. Some of the topics discussed will be:

  • How do you determine an evidence-base for protocols?
  • How often should protocols be updated?
  • How do you balance clinical efficacy with operational realities?
  • What are some best practices in provider credentialing?


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Brian Miller, MD, FACEP, FAEMS is an Assistant Professor in the Department of Emergency Medicine, and EMS division faculty at the University of Texas Southwestern Medical Center in Dallas, Texas. He is the Associate System Medical Director with the Office of the Medical Director for the MAEMSA/MedStar Mobile Healthcare system in Fort Worth, TX. He also serves as the Deputy Medical Director for Dallas Fire-Rescue and 11 other surrounding suburbs making up the UTSW/Parkland BioTel EMS System. He graduated from Emergency Medicine residency at Indiana University and completed his EMS fellowship at UT Southwestern.

Dr. Doug Munkley started his career in 1980 as an Emergency Medicine Physician for Niagara Health where he practiced until 2016. During this time, he became actively involved in the early development of emergency prehospital care in Ontario and has worked as Medical Director for the Niagara Paramedic Program (1986-2020) as well as for the Niagara EMS Ambulance Communications Services from 2004 to present.

Over the course of his career, Dr. Munkley has been an integral part in EMS research including co-author of the Ontario Pre-hospital Advanced Life Support (OPALS) Project as well as the Resuscitation Outcomes Consortium (ROC) as a Site Investigator. Most recently, as Medical Director for Niagara EMS’s Accredited Centre of Excellence (MPDS and ECNS), Dr. Munkley has helped develop an evidence-based, clinical-outcome response plan based on a Mobile Integrated Health model of service delivery.

Dr. Munkley spends his free time as an avid cyclist, skier, old house restorer, gardener and beekeeper with hopes to resume travelling once his COVID antibodies are up.

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JAMA | Ontario | Economic Analysis of MIH Delivered by EMS

From JAMA on February 24, 2021

Economic Analysis of Mobile Integrated Health Care Delivered by Emergency Medical Services Paramedic Teams

Question  Is mobile integrated health care (MIH) delivered by emergency medical services more efficient than regular ambulance responses in addressing the needs of urgent care in the community?

Findings  This economic evaluation compared 1740 calls serviced by MIH in 2018 to 2019 with propensity score–matched ambulance calls for the same period and 2 years prior and found that MIH was associated with a decrease in the proportion of patients transported to the emergency department and saved health care costs compared with regular ambulance responses.

Meaning  These findings suggest that MIH is a promising and viable solution to meeting urgent health care needs while improving the efficiency in using emergency care resources.

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UK | AACE Welcomes New Chair


The Association of Ambulance Chief Executives (AACE) has welcomed the Chief Executive of North West Ambulance Service Daren Mochrie QAM as its new Chair, following the culmination of two successful terms and almost eight years at the helm for Anthony Marsh QAM, the Chief Executive of West Midlands Ambulance Service.

AACE Managing Director Martin Flaherty OBE said: “The backdrop of the Covid-19 pandemic means this is a particularly challenging time for ambulance services so the kind of strong leadership that we have enjoyed over the past eight years will be absolutely key to the ongoing progress of AACE and the wider ambulance sector. This is why we are especially pleased to welcome Daren Mochrie as our new Chair and look forward to working alongside him to support the development of our growing organisation while ensuring the voice of the ambulance sector is clearly heard.

“Our outgoing Chair, Professor Anthony Marsh, has been an inspirational figure in so many ways and has overseen the growth of AACE since July 2012. We are all grateful for the commitment and hard work he has devoted to the role and know that he will continue to play an important part in the future of AACE, providing input and ideas as a highly proactive chief executive.”

Commenting on his appointment Mr Mochrie said: “I am honoured to be the new AACE Chair and will aim to maintain the high standards of exemplary leadership shown by Anthony Marsh during his double term in office. With thirty two years of NHS & ambulance sector experience I believe I’m ideally placed to lead AACE during these unprecedented times. My priorities are to ensure that AACE speaks with one strong voice while building relationships and networks that will increase our prominence within the Health and Social Care system and show how ambulance services can provide genuine solutions to so many system-wide challenges.”

The outgoing Chair Professor Anthony Marsh said: “It has been a real pleasure to lead AACE, taking the organisation from its infancy into the powerful agent for change that it is today. It is vital that the ambulance sector has a strong membership body to fight its corner and to help support the development of constantly evolving patient care. I know that Daren will do an excellent job and feel comfortable that I have passed the baton on to a very safe pair of hands.”

Daren will assume the AACE Chair role from 01 August 2020 for a three-year term.

About the Association of Ambulance Chief Executives (AACE)

The Association of Ambulance Chief Executives (AACE) is a membership organisation providing ambulance services with a central body that supports, coordinates and implements nationally agreed policy. The primary focus of AACE is the ongoing development of the UK ambulance service and the improvement of patient care. Aside from this, the organisation provides the general public and other stakeholders with a central resource of information about UK ambulance services. AACE also engages in carefully chosen consultancy activities designed to help improve ambulance services in general, both at home and abroad. More information is available at www.aace.org.uk.

About Daren Mochrie QAM, MBA, Dip IMC RCSEd, MCPara

Daren Mochrie is the CEO of North West Ambulance Service, which covers a population of 7.5m, over 5,400 square miles, around 8,500 staff & volunteers responding to 5.3m 999, 111 & non- emergency calls a year. With over 32 years’ experience in the NHS (29 in the ambulance sector), Daren is a registered paramedic, holds a Master’s degree in Business Administration from Napier University, Edinburgh and was one of the first paramedics to gain a Diploma in Immediate Medical Care, Royal College of Surgeons Edinburgh. Daren has spent most of his career in Scotland, several years working in Operating Theatres in NHS Lothian, 26 years in the Scottish Ambulance Service, two years as CEO of South East Coast Ambulance Service before joining NWAS. In 2013 he was awarded the Queens Ambulance Medal (QAM) in the Queen’s Birthday Honours List for distinguished service.

For further information

Carl Rees, AACE Head of Communications, Mobile: 07958 547727, E: carl.rees@kognitive.co.uk

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